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IP - SYSTEM LAID OUT- PER OTHTE#cY% -s-ao3o~ Harnett Count Department of Public ~ealth 24926 Y Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: dAV- C,,y SAC) _5 SUBDIVISION ~P,ur~Pp ~00o3 LOT # 17~ NEW REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S IFfl (13 ^'~Sa -Ta.s 1A¢,y ~s ~a EEMEr rt C'tvs~ 8 S vSN. sR £ S i6~t C~ Proposed Wastewater System Type: ep ev)t~o 450/-~ Qj~-oV::C\ t Projected Daily Flow: 3~ O GPD g , ~L, $arL-,,6s'rv v oLV Eo , Number of bedrooms: Number of Occupants: max Basement ❑Yes XNo Pump Required:~&es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Suppi ❑ Community Public ❑ Well Distance from well ~b© feet Permit valid for. Five years Permit conditions: „E~~~cSso rv Q❑a© mg5-s $e RA(:96& y ❑ No expiration S li~!5 g Ps r✓u _ - S Esrs va lzc'l s,c " P u r.s~`Ta t rL . Authorized State Agent:: v Q S Date: G~ )O~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan f other permits. The permit holder is responsible 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 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 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, .1957, .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: O;k. C "l No mti5 PROPERTY LOCATION: SUBDIVISION ~Jctons LOT # Y-71-3 Facility Type: 5~0 `1 X New ❑ Expansion ❑ Repair Basement? ❑ Yes Xl No Basement Fixtures? ❑ Yes No Type of Wastewater System** P„ r--,,P '-~d al,~71) ~,Eflv~csp (Initial) Wastewater Flow: ~413 GPD (See note below, if applicable L.R 2 Installation Requirements/Conditions Septic Tank Size f ©c(D gallons Pump Tank Size k o0 o gallons Pump Requirements: ft. TDH vs. (Repair) Number of trenches 1 Exact length of each trench 3.5-Z5 feet Trenches shall be installed on contour at a Maximum Trench Depth of. N inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Inches above pipe Conditions: ~5~~sn 1 ~sg C,Y- V-i V,ct-o , 5 rvvgDw~S a , ~ocz AFL a, F,r inches total L-.oC,o~.~s ~-~s . ~so.L~ w~ Q~}~s- ~dt~ss $62,~a<2 ~a ` gUVA.SsC S 1 **If applicable: / understand the system type specified is different from the type specified on the application. / accept the speciflwivns of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is suhiert to rovmextinn if the titc oian ntat nr tue intended um rh- - The n,,,.,.,,,.,,,., Au F,..:,,d......,u k......z _._....L__ . , n , __o_. _ „ ...,,..,6. ,,,.,,o,,,nY o. ...c ant. ...u Construction Authorization is subject to compliance th.t~e p - e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH St 5 Authorized State Agent: \ Date: 1 Const ~on Authorization Expiration Date: