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IPAC RHTE #J(, --S _171 Z Harnett County Department of Public Health 29400 Improvement Permit A building permit cannot be issued with only an Improvement �Pe/rmit An!—, // PROPERTY LOCATIONcW—/V/ S 40.e -ra /� ISSUED TO i>�Y� _�AT G SUBDIVISION LOT # NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure:—SF!, Proposed Wastewater System Type: Projected Daily Flow: 3 ks(=� GPD Number of bedrooms: S Number f Occupants: max Basement ❑Yes Ed No Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: O -Five years Permit conditions: ❑ No expiration Authorized StateJ&" Date: %—fie—/ ? SEE ATTACHED SITE SKETCH The issuance of this permit b e A Department in no way guaranines she issuance of ocher permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation i te sire 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 Building Permit) The construction and installation requirements of Rules .1950, .1952, .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 s ISSUED TO: ZfoJ l ZO PROPERTY LOCATION: / VLA41—"� "i �y\SUBDIVISION ✓ lSl����� _ LOT # Facility Type: Q New��Expansion El Repair' Basement? El Yes No Basement Fixtures? ❑ Yes L�'No �/ Type of Wastewater System** %ale/ s —�—�. 71 (Initial) Wastewater Flow: y� GPD (See note below, if applicable ❑) Conditions: Trench Spacing: Feet on Center Soil [over: inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specified is different from rhe type specified on the application. / accept the specifcationr of this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to 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 tunstmmon Aumoneanon IS subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit M AI IALNLU NIL MILE! Authorized State en Date: % L — ( % [onstrucion Authorization Expiration Date: —7 - Z -p— ?,��zAn __ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Sizegallons Exact length of each trench r) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth oL•_ inches (Trench bottoms shall be level to +/.I/4" in all directions) Pump Requirements: ft. TDM vs. GPM Conditions: Trench Spacing: Feet on Center Soil [over: inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specified is different from rhe type specified on the application. / accept the specifcationr of this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to 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 tunstmmon Aumoneanon IS subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit M AI IALNLU NIL MILE! Authorized State en Date: % L — ( % [onstrucion Authorization Expiration Date: —7 - Z -p— HTE# A�---3')1/ jj Permit # Z77 Y D d Harnett County Department of 11�iblic Health Site Sketch / PROPERTY LOCATONEP—/q/ /CL ISSUED TO: `,.%iG SUBDIVISION s, . LOT # Authorized Date: J /16eAwc'