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IPAC RRHTE#Q'I 5Harnett County Department of Public health 2 3 8 8 7 Improvement Permit A building permit cannot be issued with only an Improvement Permx PROPERTY LO(ATION: (DZ... K CC¢ srS o CttZj-_X) ISSUED TO: ~o>+r~~0t4n5ot~ SUBDIVISION ~owr ~oN„ssoe► LOT # NEWX REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: -E> M-~, (30',__ Proposed Wastewater System Type: GoN V E~ o , r.~ Projected Daily flow: GPD Number of bedrooms: 3 Number of Occupants: _ matt Basement ❑Yes (1~ N Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community _~K Public A;-1V6 Distance from well s00 feet Permit conditions: N~e^^G~caae•r ~1G,,i l oca: tJ `r 66"L- To L-0 c <2)F t loc; `~'0.0M QW9~~NC\E1,~. ~G C.UGU1F_N'C Ns qn,G_V.\ Permit valid for. five years aa~MUr, ❑ No expiration U s T--o r m~ o rg `t`\ 0" s s. OWrr Ma.02 ~O y2p~~N~~Ey.O INSCAiLtae[~ON Authorized State Agent: R Date: 5) a SEE ATTACHED S(fE SKETCH The issuance of this permit by the Health Department in no way guarani the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation 0 the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization (Required for Building Permit The construction and installation requirements of Rules .1950, .19S2, .1954, .1955, 1951, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: Jot-1- Ny o)i"5oN PROPERTY LOCATION: OyEsaN ~~tis R9 t oo SUBDIVISION -7S-0 " N0-- --7O W NS60 LOT # Facility Type: (310' New ❑ Expansion ❑ Repair Basement? ❑ Yes _P!~, No Basement Fixtures? El Yes X No Type of Wastewater System" Cor4-lE,T1~0 V t--1 (Initial) Wastewater Flow: 3 GIRD (See note below, if applicable C'° N vStrs'~so N (Repair) In 'on %uhmmil /[ondibons Septic Tank Size t oo b gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: 'Cc+~NG~>65 Exact length of each trench 50 feet Trenches shall be installed on contour at a Maximum Trench Depth of. -Z Li - 30 inches (Trench bottoms shall be level to +/.1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover, 14. inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: (e inches below pipe inches above pipe S inches total "If applicable: /understand the system type specified is dih`erent from the type specified on the app/ication. / accept the specidcoonr of this peimrt Owner/legal Representative Signature: Date: This Construction Authorization is subjec vocatwn i site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construct Authonzation is ec t~ with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SItFT[H Authorized State Agent: 5 Date: (on ction Authorization Expiration Date: 5 1 lZ 9's 1 6D ti -4,)1 t~o 1 0~ -A,) r~16$ f~ HTE# Q~l -5-1-~ Permit # a3 8~ Hamlett County I epallitleilt of hiblic Health Site Sketch PROPERTY LOCATON: ©~•Lu~~ ~~~LE~~ ISSUED TO: SUBDIYISION Ja~1N*rior,N~ON LOT # Authorized State Agent 30;5 ~ouv~ ;oL~zs j Date: 51.4JO-1 ~ o sp e d ~ p M I 1 10 ip:-E1311, , ro 6 Q 1 V -7 11 4, To O VFLL1a~LL`)