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IPAC RHTE# z Hari. -,t County Department of Public ..ealth 27972 Improvement Permit / A building permit cannot be issued with only an Improvement Permit ISSUED T0: V B Cki/ fL(.Cjf% ;�>' PROPERTY LOCATION: Coo/ fp, SUBDIVISION LOT # 2_ NEW P REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: JS F, 'Yzx 6b Proposed Wastewater System Type: Projected Daily Flow: 3 C O GPD Number of bedrooms: 3 Number of Occupants: (6 max Basement ❑Yes ©?No Pump Required: ❑Yes R/N-o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for: Give years Permit conditions: ❑ No expiration Authorized State Agent::/ �_ �� - .�/�c"� Date: 716LZ-IY SEE ATTACHED SITE SKETCH The issuance of this permit by the Health 6epartment 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, .1951, .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: j/; L�e/ I''L C /y� :C� PROPERTY LOCATION: �GGI�(I�'�✓tt j �°t• ,�,/' SUBDIVISION I OT # �7- Facility Type: ,1i;�n Ili New ❑ Expansion ❑ Repair Basement? ❑ Yes 0 Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System ** �2Z,7, Aga cam .S fd �t1 (Initial) Wastewater Flow: (See note below, if applicable ❑) 31 �. G GPD ozC %ZeAQ,4 -,cn 1y8 A-, (Repair) Installation Requirements /Conditions Number of trenches S Septic Tank Size 2000 gallons Exact length of each trench 1 80 feet Trench Spacing: 9 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches n Maximum Trench Depth of: /0- 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 p / Aggregate Depth: inches above pipe Conditions: _l- v1 (; ^ Q— �c��e - , J �„ b S'/�� t (o� inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. * *If applicable: l understand the system type speciped is different from the type specified on the application. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This Lonstruction 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 Agen ^5 c�x:w ��` /0 Date: mil% Zz ey 7 /z-, 0 <�( Construction Authorization Expiration Date: ZJ" / 71d 2Cf9 HTE Jx,2 7� 4 Permit # r7�72 Harnett County Department of niblic Health Site Sketch � c l / PROPERTY LOCATON: �--col�Dr.ay 1, �'d ISSUED TO: y e; / SUBDIVISION LOT # Z Authorized State Agen • c.,a .. Date: '7/8/2- c /Y /po f W, y q� Ccc "�,/�r11�i,fd, qv