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IPAC RHTE# ��� ��� � are'ttt County Department of Public .1ealth Improvement Permit 27295 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: \4 ,ct-E. CD ISSUED TO: S%'�yyy h'�Jrn['s SUBDIVISION NEW REPAIR ❑ �EX,�NSIO ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5VC> 41 x1..36" Proposed Wastewater System Type: Pv me i (r /o vc t a (EP,L� n N.c Projected Daily Flow: 410 GPD Number of bedrooms: 4 Number of Occupants: max Basement ❑Yes X No Pump Required. Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community , Public ❑ Well Distance from well Ito feet Permit valid for: � Five years Permit conditions: ❑ No expiration Authorized State Agent:: \ \v R >)s Date: `51 i".)-I13 SEE ATTACHED SITE SKETCH The issuance of this permit by the a artme in no way guarantee suance of other permits. The permit holler is r ponsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocati site p e ded use changes. The nprovement 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 and Dis "ons of this permit.. 1 , struction 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 TO: S Nvvy �Ac)tny s L -1—C.- PROPERTY LOCATION: v 'cZ G �Zz SUBDIVISION K C- o4i_O -N LOT # '1 Facility Type: S�Ca � ' � )� New ❑ Expansion ❑ Repair Basement? ❑ Yes X No Basement Fixtures? ❑ Yes '�K No Type of Wastewater System ** P u 70 ZLSt /rr F.EO ucr,) ti ter (Initial) Wastewater Flow: � �d GPD (See note below, if applicable ❑) �?u rnF % k"L— t-C-16 sir �� (Repair) Installation Requirements /Conditions Number of trenches I- Septic Tank Size 1 <a ® C'7 gallons Exact length of each trench i C? feet Trench Spacing: �1 Feet on Center Pump Tank Size 1® ®d gallons Trenches shall be installed on contour at a Soil Cover: ' 1a inches Maximum Trench Depth of: 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: SVQQIL� I- )N �y,� ,ay ��s -s�� arc•, Lcz=, ! o AN u V, GZ.D 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: /understand the system type pecified is different from the type specified on the application. / accept the spedfIcationr of this permit. Owner /Legal Represent ' Si nature: Date: This Construction Authorization is subject to revo 'f the sit n, plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This Construction Authorization is compliance w he aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH _ Date: 3 1 i 13 �� Construc ' thorization Expiration Date: HTE# Permit # Harnett County Delwartnient of IWA ic Health Site hetch ISSUED TO: PIN Authorized State Agent: PROPERTY LOCATON: \4, rL c. qz SUBDIVISION YSN 1—E', 509.x LOT # "7 0 U- A5 Gu)-q tt To L—t--� TOate: