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IPAC RNTE# V��i� qD-!K Harnett County Department of Public Health 29418 Improvement Permit A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION: L.eE C ,, rrt L E wap ISSUED TO: �dnA7 0 1---0 tr C SUBDIVISION t 2Ae6csA t!3 nes IN t-11) 4Y LM 6 LOT # NEYCK REPAIR EKPA �ION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S�9 n 54 Proposed Wastewater System Type: s l o Co VcSrs oa. Projected Daily Flow: Lail, (b GPD Number of bedrooms:, Basement []Yes Pump Required: Dyes Type of Water Supply: Permit conditions: Number of Occupants: —6 max No -KNo ❑ May be required based on final location and elevations of facilities ❑ Community A Public ❑ Well Distance from well feet Permit valid for. Five years ❑ o expiration Authorized State Agent::^Date: 3 7 ) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is res nsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat or the intended use changes. The Impily'41ii 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, AST, .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: o c.1P)-,O ra f. PROPERTY LOCATION: Lse (::df tt w-' -y L-, r+ 6 Rt) SUBDIVISION C L,z; g,Sl k fln,aP A, RN i LOA C- LOT # Facility Type: `� �9 (6a '� New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'X No r� Type of Wastewater System*` a.� o/ Pr Reza u 05 10 s g Y5i Est) (Initial) Wastewater Flow: L)NV GPD (See note below, if applicable ❑) 2S ��o RGD - 5`)5 (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t O © d gallons Exact length of each trench feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: ali inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDM vs. GPM Conditions: Trench Spacing: �l Feet on Center Soil (over. V:1— _ inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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 inches total **If applicable: / understand the system type fpecifred is different from the type specibed ow the application. / accept the rpechbiionc o/ this permit. Date: This construction Authoriation is subject to revo,"i 'Ill site p at or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authomation is su liana with t ov oft and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Mv 1 w5 Date: Construc I thorization Expiration Date: HTE# 15 - 5—36a0�� Permit # a�1 Z11� Harnett County Department of Public Health Site Sketch PROPERTY LOCATOR: 1-66 Cay WC7l L) M E Ro ISSUED TO: 1--G N SUBDIVISION r-- ' >M 2xn (� LOT # a Authorized State Agent `pt�vG4 iotresadS6 Date: 1� �aJ