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IPAC RHTE# Harnett County Department of Public Health 29574 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: dcV-r;diLL O.xrtccA (1-t -(Sn 1LJ0i ISSUED TO: 64-t Glets, ttc SUBDIVISION _ LOT # '7— NEW NEW IRS REPAIR ❑ EXPANSION ❑ Type of Structure: 36C C t x '4 S' J1 S Proposed Wastewater System Type: 7-5iv rCtAaC Fon Sas_ Projected Daily Flow: 3rd a GPD Number of bedrooms: 3 Number of Occupants: 6 max Basement []Yes Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes ❑ No 9-11iy ben red based on final location and elevations of facilities Type of Water Supply: ❑ Community Ei-Public ❑ Well Distance from well feet Permit conditions: Permit valid for. 19 -rive years ❑ No expiration Authorized State Agent: ate: 07- .16 /Zy /-7- SEE ATTACHED SITE SKETCH The issuance of this permit by the Health 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 m revontion 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 comuction and installation requirements of Rules .1958, .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 ISSUED TO: (�,, leA Dc70a 6 tc�5 : 61-c- PROPERTY LOCATION: 0�04w^ r" , L !;h- SUBDIVISIONLOT # Z Facility Type: 36 it 665 !X-+5 5r � 0-- eW ❑ Expansion ❑ Repair Basement? ❑ Yes Erltr Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" C� ti 5 s +�,w (Initial) Wastewater Flow: &U GPD (See note below, if applicable ❑) 'Lsi- .(Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 10©o gallons Exact length of each trench -W n feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of 3 y inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 7 Feet on Center Soil Cover. /8 inches (Maximum soil cover shall not exceed 36" above the trench bottom) 6 inches below pipe Aggregate Depth: z inches above pipe WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. I z- inches total "'If applicable: / understand the system type sped#ed /r differem from the type specified on the application. / accept the rpecifcationr of this permit. Owner/Legal Representative Signature: Date: This Construe ion Authorization is subject ro evocation if the site plan, plat or the intended use changes. The Construction Authorintion shall not be transferred when there is a change in ownership of the site. This construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: l l C> / Z -G c--J� Construction Authorization Expiration Date: v7/toJzvzz HTE# I — S — z{! LZy O'Z-- Permit # C G S 7 `/ Harnett County Department of 1"ublic Healtli Site Sketch PROPERTY LOCATON: (7a kr; — � 1, Z> ncc-.n om - n, ✓t ( 5Gl ISSUED TO: C�Icn p 15 Ida. /-LE- SUBDIVISION I LOT # Z Authorized State Agent:Date: C' 7e,� t-4 �I D 7 301 0A4I1-�o61-- parDcA--'� 2t--. CSrL- t'AoyJ