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HTE# 0 6 • Soo 15 5 Har eft County Department of Public illealth 2 3 3 8 3
Improvement Permit
A building permit cannot be issued with only an Im roYemeni Permit
PROPERTY LO ION G
ISSUED TO:`~ C~c 2s SUBDIVISION LOT
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a y~ (O S 3
Proposed Wastewater System Type: -I- :Q f J- ae
Projected Daily Flow: .t" GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes '4 No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well . feet
Permit conditions: 02tt 4 opidt r /44
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Permit valid for.
Five years
O No expiration
Authorized State Agent: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 d 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 compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
ReQuired for Buildinv Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .195$, and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in acm anc with the a ched system yout.
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ISSUED T0: u)Cr OQc~ ! PROPERTY LOCATION: 106
SUBDIVISION C' 05 4 - J .,S LOT # _
Facility Type: S--o YJy b T 33(Z- )?r New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9.- N Basement Fixtures? El Yes Q No
Type of Wastewater System" `N,-A , o?S' f2ed-t ron (Initial) Wastewater Flow: 3 - GPD
(See note below, if applicable `J
IYP " SD LF (Repair)
InsWWm lNuirewrits/Condi6ons
Septic Tank Size 3~, gallons Exact length of each trench ~0?6 -f- feet Trench Spacing feet on Center
Pump Tank Size 03'0 gallons Trenches shall be installed on contour at a Soil Cover inches
i Maximum Trench Depth of: I K 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
**If applicable: l understand the syJtem type specified is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
IRIS lonstroaron Rumonunon is sur4ect to revocation it the site pun, put, or me intended use changes. the tonstructton Authonzat,on shall not be transferred when there is a change in ownership
of the site. This Construction Authorization u to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Lh,~) SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: Il~~
Construction Authorization Expiration Date: , cj 1
HTE# ~515 rfo Permit # f` 3
Harnett County Department of MIblic Health
Site Sketch
PROPERTY LOCATON: I I
ISSUED TO: ~ Q Pry -s SUBDIVISION ~n , A ( I S LOT # 3b!
Auth ized State Agent Date:
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