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IPACHTE# 16-r- Harnett County Department of Public Heath 25/ 6V Improvement Permit ~ A building permit cannot be issued with only an Improvemggn,-tPermit PROPERTY LOCAT O - - ~ ~ I N: w 64I c ( ~ ` ISSUED TO: Y A A c, c aSUBDIVISION as Qer- Q1r,~.r LOT # z NEW 0 REPAIR ❑ I EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 6 ~7 / Y Proposed Wastewater System Type: C(,e_tft*N Baca ~ Projected Daily Flow: (,G GPD Number of bedrooms: 15 Number of Occupants: (_1 max Basement ❑Yes Pump Required: ❑Yes ©40 ❑ No IZ4 ay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Q`~`Public ❑ Well Distance from well feet Permit valid for. B`five years Permit conditions: ❑ No expiration Authorized State Agent:: `C Date: yl 'mi'l ~~ld SEE ATTACHED SITE SKETCH The issuance of this permit by a Health 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 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 T0: _1l trt ~o S Trvc ~4~ PROPERTY LOCATION: 14-1c, 4L SUBDIVISION aer Tc,rhr LOT # Facility Type: -1 P~New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** CwtJe.~~% f~ (Initial) Wastewater flow: --A 0 GPD (See note below, if applicable C-'ri U e /I IL . ii;,t +Q (Repair) Installation Requirements/Conditions Number of trenches _ 3~ Septic Tank Size CO 0 gallons Exact length of each trench cr feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: -4.197a inches (Trench bottoms shall be level to +1-1/4"/3``'`7 in all directions) ~'je ter, Trench Spacing: Feet on Center Soil Cover: LZ-/& inches (Maximum soil cover shall not exceed 36" above the trench bottom) Pump Requirements: ft. TDH vs. GPM Aggregate Depth: ITS: G . <f AAL %J ham- ~Q _c7-4 M (34- J_ : c inches below pipe inches above pipe inches total **If applicable: / understand the system type specified /s different from the type specifed on the application. / accept the rpecfcationf of this permit Owner/Legal Representative Signature: Date: ~.u,~„I-Pu l „ -1- <V 1-wuuu n me Me plan, piat, or me mtenaeo use cnanges. me tonstruchon Authorization shalt 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 la s and Rules for Sewage Treatment and Disposal and to the conditions of this pern SEE ATTACHED SITE SKETCH C~ [Authorized State Agen • Date: ~t Construction Authorization Expiration Date: 02~' " HTE # Permit # Harnett ConntyT Depailinent of ltblic Health Site Sketch PROPERTY LOCATON: / -4f /lA ISSUED T0: SUBDIVISION C e , ~r~• LOT # oZ Authorized State Agent- Date: 1&2Faal d ~3r Lic,i P~ I _r to ~~9t i 13 f-,