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IPACHTE# /Q-5=2372,Z- Harnett County Department of Public Health 2 5 8 2 5 Improvement Permit A building permit cannot be issued with only an Im rovement Permit PROPERTY LOCATION: en led. ISSUED TAO` csnc~ ~•sc SUBDIVISION c /c.cc LOT # NEW LlREPAIR ❑ , EXPANSION ❑ Site Imp vements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: C 5 1 VIZ 1 •c Projected Daily Flow: _GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes 0`14 o ~ Pump Required: ❑Yes El No 0 be required based on final location and elevations of facilities Type of Water Supply: El Community MaPublic ❑ Well Distance from well feet Permit valid for: EKFive years Permit conditions: ❑ No expiration Authorized State Agent:: cx . Date: al SEE ATTACHED SITE SKETCH The issuance of this permit by t ealth 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 subject to revocation if a 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, .1952, .1954, _1955, .1956, .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 T0:i Glc~ .1G PROPERTY LOCATION: en SUBDIVISION , LOT # 2 Facility Type: I~7 New ❑ Expansion ❑ Repair Basement? ❑ Yes LeK No Basement Fixtures? ❑ Ye ❑ No Type of Wastewater System* ~c11e~~`~~ a (Initial) Wastewater Flow: C) GPD (See note below, if applicable _ , tA_ULe" t - c:"-'~ (Repair) Installation Re uirements/Conditions Number of trenches Septic Tank Size P0 © gallons Exact length of each trench U feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of: a / F 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 inches below pipe Aggregate Depth: inches above pipe Conditions. 14 nC411 inches total Q'A /l ~i'1 r 'S i- . tJ r .4 it t~ 11 C.. l r _ r. - r: n ` If applicable: /under understand the system type specified is dif/erent from the type specified on the application. / accept the specIf1w1ons of this permit Owner/Legal Representative Signature: This Construction Authorization is subject to revocat Date: if the 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 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 C Authorized State Agent: Date: C Construction Authorization Expiration Date: / 61 6 HTE# Permit # Harnett ('ounty Department of 1--~ blic Health Site Sketch PROPERTY LOCATON: 7~,, 0A k. ISSUED T0: ~d t ~E'o < t - y SUBDIVISION ~.z e t,, c-C- LOT # 7 ~k P/ , Authorized State Agen Date: i S-41Z ,A- C&^ r~ # ~b •nS c"5' 5-40""A c 4 lp le v S~ A ~ p 0 / aS~S 4 Depeftnne i of EWA=meK Hwlth and Natwai Rewm= Shed: Diwiaton o(EnWronmenW Health On-Site Wadewda Section Pn ' ID: Lot SOQJSITL &VALUATION File if: for ON-SITL WASTzwATItR SYSTZM Code: Owner: Applicant: Addmm Date Evdaft : adw. Dedsm Flow 1949t Propesly Size: L*Cadm dSit« plyRemde* Wade= dam M. ll cut 13 spins ❑ Other Anger Boains❑ 0 ❑ we j ah~ Method; Type at Wain WdW. psmp ❑ b*muial Ploceas HMbmd P R O P 1 .1949 JOn.1~R1'NOLOOY OTHER L Habm 1941 PROFIia !AL'1~0~ 6 .1941 .1941 mWa C ld° W~ I90 is N ~ T 91°M!~ (Ia) 9ruolrnl Jail pw Spa 7 - EUW*d &f. Odm grease!: .1944 1tioft Rntr Claw A LTA S f