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IPAC RHarnett County Department of Public riealth Improvement Permit 26749 A building permit cannot be issued with only an Improvement Permit C-0 ° N PROPERTY LOCATION: ISSUED TO: `� ,. Y,�; ' `� -it �'•= ' = SUBDIVISION —Ti'N 6 c-w LOT # 2L4 NEW X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 VD 1 ',*!�`o' x 1--1 Proposed Wastewater System Type: C.vs\ry��rs��rsL Projected Daily Flow: 3 ® GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes `KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well SOO feet Permit valid for: Five years Permit conditions: -- - ❑ No expiration Authorized State Agent:: \ �� Rf lfiS Date: `--� IN SEE ATTACHED SITE SKETCH The issuance of this permit by the ear in no way guarantees i u nce of other permits. The permit holder is res onsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the inte s anges. The Imp ment 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 an Disp d to d" ermat.. ion Authorization Reouired 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: v E2s —a.N o d PROPERTY LOCATION: - 11 SUBDIVISION },h,GSzv '—SCE. LOT # 84 Facility Type: s�'�5.1 3� xt New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes N`No Type of Wastewater System ** o N 4eL— (Initial) Wastewater Flow: C3 GPD (See note below, if applicable ❑) C-0 suety CT-n1 fl s4 e-.2 -- (Repair) Installation Reg uirements /Conditions Number of trenches 3 Septic Tank Size 1 o� gallons Exact length of each trench S ® feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 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 inches below pipe Aggregate Depth: inches above pipe Conditions: �� inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specired on the application. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: kt This Construction Authorization is subject to n if the site 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 stectto compliance ' h th jkj�Ls o_ Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: v �_�� Date: 1\ Const ion Authorization Expiration Date: d 1b HTE# r1 5- 1�OV -- Permit # 3,Cr7 49 Harnett County Depaftnient of 1 "I'ablic Health Site Sketch PROPERTY LOCATON: ssL ISSUED TO: SUBDIVISION LOT # a6 Authorized State Agent: Date: 1j�,r 0000L-A5 PIKES M