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IPACHTE #I r.., - 5-'14 Harnett County Department of Public Health 29132 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Ny 2G15Z) 1CD ISSUED TO: WGLLLOOCL 1N G SUBDIVISION Y1) O06+. A>,-c.r 5 LOT # 5 -J NEWW' REPAIR ❑ EK{A ISION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S q�tD L. >t,3 Proposed Wastewater System Type: V V MQ -76 �v -p VC i, D ,J Projected Daily Flow: L-1'0 O GPD Number of bedrooms: L"I Number of Occupants: max Basement []Yes , Pump Required:Aes t No El May be required based on final location and elevations of facilities Type of Water Supply: El Community 'tel Public ❑ Well Distance from well het Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: `w�� Date: 1 a l3 c' SEE ATTACHED SITE SKETCH The issuance of this ermit b the Health Department in no way u !neee the a p y p y g urns of other permits. The permit holder is responi le for cheding with appropriate goreming bodies in meeting their requirements. This 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 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, .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: \r�--itG0 (Zei,. CLp.C7O"L �"C PROPFRTYInfATION• �5sc 6tr./ r SUBDIVISION )i),� o O GN LP,-cEs LOT # "i Facility Type: S�=��'�35� New ❑ Expansion ❑ Repair Basement? ❑ Yes '-R No Basement Fixtures? ❑ Yes No Type of Wastewater System" 9v n,-pTo (Initial) Wastewater Flow: 4"� 0 GPD (See note below, if applicable ❑) _ / C V f"re 1 o Z -b . Shy (Repair) Installation Requirements/Conditions Number of trenches Ll Septic Tank Size t 1,) O O gallons Exact length of each trench feet Trench Spacin : Feet on Center Pump Tank Size 1 gallons Trenches shall be installed on contour at a Soil Cover. -)2 inches Maximum Trench Depth of: 1% inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/.I/4" 36" above the trench bottom) in all directions) Pump Requirements: h. TDM vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. 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 specified it different from the type speaffed on the application. / accept the fpecibcationr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subj 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 u subject to compliancelvidsye�rysiuns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: @tn\5 Date:is Authorization Expiration Date: HTE# 16- 5-t403G5 Permit # a�1 )3 a. Harnett County Department of Public Health Site Sketch PROPERTYLO(ATON: N\)a-SGL Rfl ISSUED T0: SUBDIVISION "N13,o 131INX-6 LOT # ` Authorized State Agent W%\S v'v t xSaolb Date: 0) ad's 5y G� PG 1A GOQ-r, L�Y ©)c � d -3r C s vfZk AJ 9 sc,+- ,�� -�P,'� sL� G -IN n C -, vr2 ,ISP c. N31 -3o VS 1 -AP f 5. L�- Ps .5