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HTE# - - 0a M Harrica County Department of Public alealth 25510
PgIpric-e, [kesv A ��� Improvement Permit
u A building permit cannot be issued with only an Improvement Permit n�%�
(n� A 1��1 PROPERTY LOCATRN: WP2encc R'nAC(
ISSUED TO: GAQRIA `L C �h� A� sin SUBDIVISION FJ R(tY A i (<25� � LOT # `Z
NEW EXPANSION ❑ '31 y rt Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S�n --f,&d — ;'kr.:jjz� bike^ Octtm.i LyAJ 1 A.x3sf 0,4 -
Proposed Wastewater System Type: 1--v 1
Projected Daily Flow- 3 O GPD l.ra4f— LIAs 04A.,a JAW, . Cb n- - WA Kt
Number of bedrooms: ^Y4)L Number of Occupants: (0 max
Basement ❑Yes 21% f J 03Q A v.043 61' .
Pump Required: []Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public lirAll Distance from well 00 feet Permit valid for. ❑ Five years
Perniconditions: MUJT (Y�cc'r `Jt1 S'Al— tUr EI^Ak LA.Aa Ar — 7P t.,rclt ej ule, / uif ❑ No expiration
Authorized State Agent:: S Date: O K- / L/ -y e-/ SEE ATTACHED SITE SKETCH
The issuance of this permit byTe Healtl eparonent 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 to revo he situp n, plaC 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 a Sewage pis sal and to conditions of this permit.. �V ,6OD F'ocZ. )-i oV%C 5 -E
06 111 it( %�
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 systemte�
layout
ISSUED TO: I NzA s- G P., l!,. \' /f
As4z-Scy\ PROPERTY LO TION: Lgwfi t� ttcj
`s�".4v SUBDIVISION (SA n .. LOT #'2
Facility Type:�(-� �' —3(3M1 raNew ❑ Expansion ❑ Repair
Basement? ❑ Yes V No Ba ement Fixtures? ❑Yes feZNo
Type of Wastewater System**(Initial) Wastewater Flow: ifl GPD
(See note below, if applicable 54 A
`- (Repair)
Installation Requirements/Conditions Number of trenches 14
Septic Tank Size gallons Exact length of each trench 1.'� n feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I �Z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: �inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
I Z _ inches total
**If applicable: / understand the system type specified is different from the type specifed on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plaL or the intended use changes. The Construction Authonution shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to snm nce lh the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
utho ent L' Date: o`b k A--31
QhIS %If I tr Construction Authorization Expiration Date: ()'2- 1 q- tQ,0I
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Harnett County Depii-tment of Public Health
Site Sketch
PROPERTY LOEATON: LA w'a`^"
ISSUED T0:
(� C„�� Q04.kA[ 2 LOT # 2
�,- v l SUBDIVISION q
Authorized State Agent: Date: to �� I
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