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IPAC RH T E # /� Harnett County Department of Public Health 28100 Imurovement Permit A building permit cannot be issued with only an Improvement Permit ^� PROPERTY LOCATION;ZZAtf, " ISSUED TO: SUBDIVISION LOT # NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance: Type of Structure: f,=c Proposed Wastewater System Type: ZT6 Projected Daily Flow: 400 APD Number of bedrooms: Ll Number of Occupants: 49 max Basement ❑Yes�� No Pump Required: I es ❑ No ❑�May ybbe required ba on final location and elevations of facilities Type of Water Supply: ❑ Community Ldp l Well Distance from well Sb' feet Permit valid for: ive years Permit conditions: ❑ No expiration Authorized State Date: / '" / SEE ATTACHED SITE SKETCH The issuance of this permit th 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 revocatio i e 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: PROPERTY LOCATION: ' r Z s— y ® SUBDGISION ALOT # Facility Type: � El New Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? E:1Yes ©''�lo z« `� Type of Wastewater System** . (Initial) Wastewater Flow: V96 GPD (See note below, if applicable ❑),.� p, (Repair) Installation Requirements/Conditions Number of trenches ` Septic Tank Size 12 r lions Exact length of each trench feet Trench Spacing: 19Feet on Center Pump Tank Size t" gallons Trenches shall be installed on contour at a Soil Cover: 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: 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: 1 understand the system type speciled is different from the type speciled 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 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 Authorized State ent: Date: / 3 l Construction Authorization Expiration Date: Z 3'" / HTE# — — , �" �C . Permit # 2 � 1 C Harnett County Department of Public Health Site Sketch PROPERTY LOCATON• 7l "11(56 ISSUED TO: c d A—SUBDIVISION LOT # Authorized State Date: /11/ 1� 3P7. g n VT Syr a_