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IPACHTE# Harnett County Department of Public Health 2 4 5 2 0 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:____ ISSUED T0: "lOcn B v L SUBDIVISION G , LN O;,,, LOT # 4 1 NEW REPAIR ❑ -4PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: _ SFO L3'~ )U` Proposed Wastewater System Type: Projected Daily Flow: 3~b GPD Number of bedrooms: 3 Number of Occupants: L max Basement OYes 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 _ vV0 feet Permit conditions: 'C-Ac t~ f`R v5 : paE SEA 5s s AtitOw, 1 Tr ?(WP E L 'FNLL C c..,ticr s s_ Permit valid for. Five years 12>G ❑ No expiration Authorized State Agent: _ :7~!~ Date: -;~-1 51 O7 SEE ATTACHED SITE SKM The issuance of this permit by the Health Department in no way guarantee suance of 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 taws 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 ached system layqut. ISSUED TO: ~ ~C_ ),A0 rs 1 N C_ PROPERTY LOCATION: S~=S~ L3~ x SUBDIVISION G14E-, Ot><rs LOT # facility Type: 30, ~ New ❑ Expansion ❑ Repair Basement? ❑ yes ~k, No Basement Fixtures! ❑ Yes '~KNo Type of Wastewater System- Ncx.E.Q-st=.p (Initial) Wastewater Flow 360 GPD (See note below, if applicable L f e (Repair) Instillation IlCquimments/Ewiid Lions Septic Tank Size t oo© gallons Exact length of each trench G_ feet Trench Spacing: Feet on Center Pump Tank Size c oc ~ gallons Trenches shall be installed on contour at a Soil Cover. G inches r F oL~ Maximum Trench Depth of-,\;3. - 15- 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 tsp. inches below pipe Aggregate Depth: inches above pipe Conditions: _nkNIrnVCC ov, F, mac- C~,vGxc ~LrEQyrJ t~u ~rzta~NFs~~ inches total **If applicable: l under rand the rystem type specibed iJ diHelent from the type speciCed on the application. l accept the specifIcationr of this pemrit Owner/legal Representative Signature: Date: This Construction Authorization is subje<t~ catwn i the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Constructs horization rice with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: w 2-S Date: $ 0`d (on ction Authorization Expiration Date: f, 13 HTE# Permit # ~),1--) H-f-ci•tiett ('oiinty Department of 01blis Health Site Sketch PROPERTY LO(ATON: ISSUED 10: SUBDIVISION G~ N O Authorized State Agent ~L~ ofs~Qs Date: ! a~ 9 L PB AfLE,p~ a-00 t60r % 61"., "3O o 2 ~ 3G Y E r Pte; ~Cq c O6L~ ~L- g