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IPACHTE# ►o-5,'a3-14,-} Harnett County Department of Public Health 2 5 8 9 8 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LO TION: 4-i W-•) a~ ISSUED TO: P~c~~CSZ~c-P w ~O r~ESC , KH SUBDIVISION Ro,-. -X E LOT # NEW REPAIR ❑ E NSIO Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S~ n Proposed Wastewater System Type: Projected Daily Flow: 3(,C) GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes 'X No Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well SO© feet Permit valid for Five years Permit conditions: ❑ No expiration Authorized State Agent.: Q-E `y Date: ~~a6~ ~Q SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss a of other permits. The permit holder is sponsible for checking with appropriate governing bodies in meeting their requirements. This site is subject 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 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 TO: ~cV Z~GHN ~\C)k'(- r yw) PROPERTY LOCATION: a-1 Facility Type: SV-7 SUBDIVISION TT,"ac, ~i P!2, r EE LOT # - New ❑ Expansion ❑ Repair Basement? ❑ Yes "S~ No Basement Fixtures? ❑ Yes No Type of Wastewater System** 2 ~1a REZ U C.T tV t J y s E~~ (Initial) Wastewater Flow: C) GPD (See note below, if applicable ~)Z°X0 R F-o ucao ~A S Y5`T Gn (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size L o gallons Exact length of each trench n5 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of- N inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pip( Conditions: WATIE-42- 1 ~Nc M~ e)E SC) VaoM $sc -S y inches total g--'&D ON Pcxoe0:!50.t- rf~~>or.. ~~2L\GV~c`s Sa+,, aS~t C **If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of thin permit. Owner/Legal Representative Signature: Date: TL;- - - . , . • , ~t==• , = , piau vi um unenueu use tnanges. the construcnon Puthorization shall not he transterrewhen there is a change in ownership of the site. This Construction Authorisation is subject to COMP iance Wit ro ns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Trench Spacing: Feet on Center Soil Cover: 6 inches (Maximum soil cover shall not exceed 36" above the trench bottom) Authorized State Agent: Date: Ad Co uction Authorization Expiration Date: t~ HTE# =a3 711 Permit #4` i?? Harnett Conuty Depailment of ll~tblic Health Site ketch PROPERTY LOCATON: N wy~ ISSUED TO: SUBDIVISION s C s Po s~ LOT # 1 Authorized State Agent: ~~~~~S ~oz,vLxy `S"aDate: g G0~-7 C0U2." DDeParbDA* ivision Heft aad xnai Reaourcp Sheet; On-Site wadm*a Safts Pl+operry► a. Lot SOUJSPT>i; EVALUATION File if: i'or ON-S1TE WASTLWATU SYSTIM Code: AUUMMIC DO Evatlu~ed; I oil 3 ru Dedp Mm 1949Y. 3 Co ~e Pmwti Sim w EVWWWouMdhod: Amer Bodnj p wed p spring p omen 13 pit Cid TMof W #S"MP p wowd p Mind R O P S• UORMKCWY 1 .1940 .1941 D" .1941 5-42 .1941 Sda M Slk"% C°awdn" w4amw L7 T Cdw tttf!Lt 2-7 )k-2-13 4t, L5 ~F2 /1~ ~ NP Z-34 Q. Si ss)N 3;1~ 5(ik SCE 7~ sJSP Sue c f'ii &aIN ed By C~ Oder' heaet: oft~11 FAC 190 M .1911 .19 4 bw Now CIO 5 5 P