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IPAC RHTE# t -5-a- VVI I Q- arnea County Department of PubliC health Improvement Permit 2 6 8 5 7 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: E---ec~w~ ISSUED T0: y 1y ~v Q-1-ca e ~u ~U~ GR.S SUBDIVISION LOT # a 1 NEW REPAIR ❑ PANSION ❑ Type of Structure: 5V 0 Q7C Proposed Wastewater System Type: qk-J /or ve s t 0N Sy 5,"6 tr` Projected Daily Flow: 4-6 U GPD Number of bedrooms: _ 14 Number of Occupants: max Basement ❑Yes A No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes =ESA No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well S,® ® feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: »S Date: 1 1 ` SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance of of ermits. The permit holder 'is respouible 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 Improvement Per ' 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, .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 TO: y G -A J U cT, s V O G2.p PROPERTY LOCATION: SUBDIVISION LOT # 2, ~ Facility Type: 5 e5~ 5 "J X New ❑ Expansion ❑ Repair Basement? ❑ Yes 'N No Basement Fixtures? ❑ Yes ~9 No Type of Wastewater System** BEd 2ct'v cr, et I s ~M (Initial) Wastewater Flow: Lf~ G GPD (See note below, if applicable ~`S-0f o P-6ov cS, cry 5, 5'6m 1 v r~~' (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size 7 d © Q gallons Exact length of each trench `tnO feet Trench Spacing: 1 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C inches Maximum Trench Depth of: inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM T inches below pipe Aggregate Depth: inches above pipe Conditions: v m v rn el e4N G2 N E ECG E0 QV Ga- QQP. N V^ C-LD_ 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 is different from the type speciped on the app//canon. /accept the specincations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to ion if the sit Ian, plat, 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 is in}ket to compliance dlh "ons a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: >a Authorization Expiration Date: HTE# Harnett County ISSUED TO: Authorized State Agent: -AD T Permit # 'IC ~95`' Department of niblic Health Site Sketch PROPERTY LOCATON: SUBDIVISION LOT # Date: vy, )