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IPAC RHTE# 11~5~~~i5 Harnett County Department of Public ilealth 26734 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: I'~ v (z,5EC2, i •R J) ISSUED TO: C. my-s.5 L (>yNo rr-NF-WP I f. 7 SUBDIVISION Ros src~ ~ LOT # NEWX REPAIR ❑ E NSION ❑ r Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ~Q f 7 - q6>1-90 Proposed Wastewater System Type: n c 0N 5Y5;1;rn Projected Daily Flow: 3 6 C-*) GPD Number of bedrooms: t1i Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: e ❑ No expiration Authorized State Agent:: Date: 111 ~ ~ 1, SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit holder is responsibll 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 it 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 Permio 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: CA-11 +G 5 ~--VNNO \JEyEufc~cn~ t~~ PROPERTY LOCATION: \ \)wsE 2..y VIZ SUBDIVISION 9 se,, ,zr-~ LOT # 1`" _ Facility Type: fln New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes1 No Type of Wastewater System** a~aa/® ~t~OvG'C~d~f (Initial) Wastewater Flow: 300 GPD (See note below, if applicable) V<--p ®1g UG'Ctarj -35'sGM (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 11Z) ©O gallons Exact length of each trenc)i ` ' 671 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of, a.1A- inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: OVL GIN IN i`z.~-b ~tlf2 t"l 8 t Q2tsQ v m Trench Spacing: Feet on Center Soil Cover: IaL-- t inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the system type specified is different from the type speciled on the application. / accept the specifications of this permit. Owner/Legal Representaf Si nature: Date: This Construction Authorization is subject to revo 7 the site rakplat, 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 skct t`o complianek..with,4e~' s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: > > iZ;IA 1) Authorization Expiration Date: HTE # ' r 5 5(, Q-. Permit # -1, '1 Harnett County Department of niblic, Health Site Sketch PROPERTY LOCATON: t~1 ~c~SE2y i`~ ISSUED TO: G N4 wG 5 DLq SUBDIVISION Sos o LOT # 1 5 Authorized State Agent: Date: 0 t ' r 0 p 1 0 v 80 Q