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IPACHTE# 'I o-S(~ '7 Harnett County Department of Public Health Improvement Permit 26291 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: l )sue O 1 ISSUED T0: Ptiox~NS a ~~-c c dt~ L_L G SUBDIVISION LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: C.c) Mc*4.cz.,-~ c no.t 1Fs U N i-6Drrt0'~S Proposed Wastewater System Type: C-aN.,~~r; e N P Projected Daily Flow: t-ilCEO GPD Number of bedrooms: Number of Occupants: f max Basement ❑Yes No Pump Required: ❑Yes ❑ No 'XMay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -VKPublic ❑ Well Distance from well L ©tS feet Permit valid for. `Five years Permit conditions: ` tJ v rnP~ z O 7 twP LO-1 L_.5 ED C) N QC„, c-t N c,r_ ❑ No expiration 5 rt +4 Authorized State Agent: t1 The issuance of this permit by the Health Department in no way guarantees the issues site is subject to revocation if the site plan, plat, or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: 101 ~ G. I 10 SEE ATTACHED SITE SKETCH permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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 TO: ~a~r Ns It PROPERTY LOCATION: u s 4 SUBDIVISION Facility Type: C--cn . Vt_D. Ca 00 "-1 j~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** C.a K E~ : t.r cz L (See note below, if applicable P 1)'~ (Repair) Installation Requirements/Conditions Number of trenches t Septic Tank Size I o0 o gallons Exact length of each trench 93 C!J feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: -3C5 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: I l aN,-s p\-,,E lNs-% o,>~ -To je 2 C`1 oO s 1,~s ! J~ C~6t Ow ~cz~SJ C= ~2p F c QA~ ~L7 yji ,<5 u LOT # (Initial) Wastewater Flow: LtC) d GPD Trench Spacing: Feet on Center Soil Cover. 8 -1~ inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe G, C- I a. inches total ?"'.Qvr2G0 WATER LINES (INCLUDING IRRIGATIONS MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the system type pecifed /s different from the type specified oo the application. / accept the specifxmionr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is su leer o -41" if the site pl` plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This tonstrucnon Authorization is compliancelrilh th~ons olRiylaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 10 ~O Cons on Authorization Expiration Date: 1 0 ,C 1 0 5 LT E S F~2 ~o-s-a~,~3s a~.~ ~