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IPAC RRHTE# Harnett County Department of Public Health Improvement Permit 2 6 2 3 0 A building permit cannot be issued with only an Improvement Permit ISSUED F0: t rY Q p,c PROPERTY LOCATION: 1-1 w y "a• ~ NEW;E;7 ~N C~-b - SUBDIVISION N As REPAIR ❑ EXPANSION ~ ~-os5trv LOT # 6 _ Type of Structure: Yh flI%" ~'1C1 IC-- (1 s-,Z ~ 6 Site Improvements required prior to Construction Authorization Issuance: Proposed Wastewater System Type: Ou rr~ j d °f Projected Daily flow: 3 ie o GPD Number of bedrooms: _ 3 Number of Occupants: g Basement ❑Yes "'W No max Pump Required: 'r4s ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well \bb Permit conditions: feet Permit valid for. Five years ❑ No expiration Authorized State Agent: ~\y ate: 11 1 SEE ATTACHED issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is spun ble for checking with appropriate governing bodies in meeting their requirements, 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 c ce with SKETCH the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. This P the provisions of The construction and installation requirements of Rules with the attached system layout ISSUED T0: N E Gcz c,v QG~ E~oP PROPERTY LOCATION: Wwy -,~4 Facility Type: rlhr . ~'mE ~3New SUBDIVISION ~osSQopns LOT # Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ Expansion ❑ Repair Type of Wastewater System** (~v 'S' o No (See note below, if applicable U~t S Y3` Esh (Initial) Wastewater Flow: 3O Q) GPD 9 o cne v _ o U G'S 10 N Installation Requirements/Conditions (Repair) Septic Tank Size ► o o © Number of trenches 1 gallons Exact length of each trench a1 Pump Tank Size tO CDC _ allons 5 -feet Trench Spacing: Feet on Center g Trenches shall be installed on contour at a Maximum Trench Depth of. Soil Cover: - F, inches inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1_I14" 36" b Pump Requirements: in all directions) _.___.ft. TON vs. GPM a ove the trench bottom) Conditions: M ~tv im i c, T,_ _!9gregate Depth: inches below pipe ()-'a, o2D,N inches above pipe Q c of a OM P~ Q Cn, nst:EO~ ~ ~ 1s~~} E<2 t n , "KSPaSb.< ~'tLlt,,~ S a , S inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. Y NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: understand the ryrtem type specified it different from the type specifed on the app&,7#on. / accept the .rpecilcationr of this permit Owner/Legal Representative Signature* This Construction Authorization is subject to revocation if a pl la4 or the intended use changes. The Construction Authorization shall not be transferred when tDheeeis a change in ownership of the site. This Construction ruction Authorization is subject liance with t ow ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~H5 Date: V a 6 Constr on Authorization Expiration Date: i~ ) Construction Authorization (Required for BuifdinQ Permirl 1950, .1952, .1954, .1955, .1956, J95T, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance HTE# d1-5 -)-7651 (Z~Z Permit # I-11,11 sett c fount 1)e j(1j't1llf'ilt of 1-'r, bl is flet Ijth S'ite Sketch ISSUED TO: P~ E PROPERTY LOCATON: 1-1 w~~ ~,1 } Et4 ' SUBDIVISION `C v2e s Cat, 's"Q'0 , LOT Authorized State Agent: ~fv1~S L wCQ. 'Tcrtrc Date: ►1 LO ►j~ 11 ~ 9'ZC' Gt1` \ 'C, I 5~L_ -Yu~Y6Ay Pict; D 2 V G