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IPACHTE# 10- 5-asset Harnett wunty Department of Public HeallLn Improvement Permit 2 6 3 6 9 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: O v6tL~~~ z5 V-0 ISSUED TO: cYa~ B 1-~% R" 7 LLB e5 SUBDIVISION --TF:~r) -acL LOT # _ NEW>< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ITO C~®O > 60~ fl2~ v~wp toG~~ 10N ~lV5: 6 tnP,2c ~ Proposed Wastewater System Type: Py n,p o S /o 94-,g~uG> , a 4 Projected Daily Flow: 3 r- O GPD Number of bedrooms: °3~ Number of Occupants: max Basement >~es Pump Required: ❑Yes Type of Water Supply: Permit conditions: ❑ No ❑ No X May be required based on final location and elevations of facilities ❑ Community "~<Public ❑ Well Distance from well WnQ feet Permit valid for. XFive years ❑ No expiration Authorized State Agent:: The issuance of this permit by the Health Department in no way guarantees the iss site is subject to revocation if the site plan, plat, or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: \1 ~'~~t\~Q SEE ATTACHED SITE SKETCH of other permits. The permit holde is responsible for checking with appropriate governing bodies in meeting their requirements. This vent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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 T0: ~osEP~l S PROPERTY LOCATION: UyEa~~~ SUBDIVISION K ya Q- LOT # Facility Type: SFID(O'A!60New ❑ Expansion ❑ Repair Basement? A Yes ❑ No Basement Fixtures? Yes ❑ No Type of Wastewater System" 'Pv nip o % i ov o,+ =>ys , F,r,rN (Initial) Wastewater Flow: U® GPD (See note below, if applicable P0^ c~)'5°Jo ~cayG1Q~I~~5'~rt~ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size e o 0 o gallons Pump Tank Size 10130 gallons Pump Requirements: ft. TDH vs. Exact length of each trench G\O feet Trenches shall be installed on contour at a Maximum Trench Depth of: %--\A inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: 'A Feet on Center Soil Cover: G " Q~, inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: SEE Nit", C1JT301 ; to 45 D t S tiit E. "Y, E inches below pipe inches above pipe inches total 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. **If applicable: / understand the system type specified it different from the type specified on the application. /accept the rpecipcationr of this permit. Owner/Legal Representative Signatu Date: This Construction Authorization is subject to revocation if the Ian, 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 tiro compliance wt the vi ' o and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Construction Authorization Expiration Date: HTE# Permit # a C. C\ Harnett County Department of Public Health Site Sketch ISSUED TO: Jos PROPERTY LOCATON: OvE2KIu,5 - SUBDIVISION ' -j )-rja- LOT # >~n ~vC~t"SdLS+~~a Date: Authorized State Agent: ~V tr,Q P 9 p~ d M 1T~ 1,W' N o : cJ C--D Q~eD" vNQEsL 'M v ss 8~ SLC_~-~ sC,'.'~Z o e,~£ dal ~2vC-.s ~ ~o ~'S -Sys .a .G6b ©v