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IPAC RHTE# ©b S I OT C 1, Harnett County Department of Public tealth 2 3 3 7 8 Improvement Permit f C rJ~Jt~ A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: I I I L ISSUED T : cn SUBDIVISION L/- t , / j LOT # NEWW REPAIR ❑ a EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: F~r _ ✓ S~X ~j Proposed Wastewater System T U Zf7- Projected Daily Flow: 3 GPD Number of bedrooms: 3 Number of Occupants: ~ _max Basement ❑Yes VrNo Pump Required: ❑Yes 19-NO May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well Sz' feet Permit valid for Five years Perin till/_ conditions: 5-744-0 ~f S two 0 } n~ ~ ❑ No expiration ~}r~~ ~-r Pr~1 St F"'_' vx~r Authorized State Agent: r v!6z Date: `0~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Ith Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is su ect to revocation if 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 Buildine Permit The construction and installation requirements of Rules .1950, .195, .1954, .19SS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acco ante wit the attache ystem layout. At- PROPERTY ISSUED T0: PROPERTI` LOCATION: I L~ ~Aa~1 SUBDIVISION LOT # Facility Type: JX New ❑ Expansion ❑ Repair Basement? ❑ Yes ~ No Basement Fixtures? ❑ Ye ~ No Type of Wastewater System*` -(Initial) Wastewater Flow: _ GIRD (See note below, if applicable (Repair) InstaNa N %uiremertts/Condwi ns Septic Tank Size L-,Q,9- gallons Exact length of each trench Z) feet Trench Spacing. c~7 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover -c-inches Maximum Trench Depth of- I_ inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Aggregate Depth: inches below pipe inches above pipe inches total "If applicable: l understand the system type speciled is different from the type specified on the application l accept the specifications of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subect to revocation 0 the site clan. plat or the intended ow chanoez The rnnstnictinn Anthnri»tinn 6211 not he tron4.-A rh.. th.- h- i. ..61.. of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. ,SEE ATTACHED SITE SKETCH Authorized State Agent: r f J Date: - c1 ll~ ( )o? 1-7 - dD 10 Construction Authorization Expiration Date: 11- 5- a0 i ~ 2 - t `T -d of S- r HTE# Permit # a ~ Harriett County Department of hiblic Health Site Sketch PROPERTY LOCATON: { I I ~ ISSUED T0: SUBDIVISION ~ `,n , vI -H, I J LOT # Auth zed State Agent:Date: 0 (t yr , 3L 5 D L-F '52r, oil Lp