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IPACHTE#AQ--5'-3e1Z/ Z Harnett County Department of Public Health 28980 Improvement Permit A building permit cannot be issued with only a Improvement Permit PROPERTY LOCATION: I`N t%7 ISSUED TTO/:. SiC�l7 V �7Z1GL�C.� SUBDIVISION LOT # NEW 6 ' R IR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Z S` 2.> rbe-;�l, Projected Daily Flow:g 134D GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes Pump Required: ❑Yes ❑ No E Ma a required based on final location and elevations of facilities Type of Water Supply: El Community 1� Public El Well Distance From well Net Permit conditions: Permit valid for. © Five years ❑ No expiration Authorized State ll Date: S –!5 –L I– SEE ATTACHED SITE SKETCH The issuance of this permit bye IN 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 site plan, plat or she 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 Reauired for Buildine Permit The construction and installation requirements of Rules .1950, .1957, .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 PROPERTY LOCATION: k�q Z— SUBDIVISION " LOT # Facility Type: ]�La� d New V Expansion ❑ Repair Basement? ❑ Yes Qr No Basement Fixtures? ❑ Yes Ld No Type of Wastewater System** Z5% (�ryJLSrZ?✓�(Initial) Wastewater Flow: (See note below, if applicable sgx�–y "�t 019–tQ— (Repair) � Z 4 (C�c> GPD � Installation Requirements/Conditions Number of trenches �y Septic Tank Size gallons Exact length of each trench / `SCS feet Trench Spacing: ( Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. nches Maximum Trench Depth of. 2 4 ---, lq 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. TDM vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe iZ inches total **If ap lico able: / understand the rrstem type specif'ed it different Jrom the type rpedfed on the app/icatian. / accept the specifications o/ this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subied to revocation it the site plan, plat or the intended use changes. The Construction Authorization shall mt be transferred when then is a change in ownership of the site. This Construction Authorization is sailed to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit aCC AIIAA111CU allC aRCtz.n Authorized State A t: Date: Q- I Construction Authorization Expiration Date: 9-c za-- Zf HTE# �- 5 -35 Z1 L ISSUED TO: Authorized Permit # 207 e C Harnett County Department of Public Health Site Sketch PROPERTY LOCATON 4L LOT #