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IPACH T E # o'I -s-I`A3`1a Harnett County Department of Public Health 24531 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:_ -~ti~oma5 ~r 2r, ISSUED T0: Ly ~E_ ~a~~zsaN _ SUBDIVISION t-8c- LOT # 3 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: M Pr, . 1~ 0rnE ~c-{ 0 _ CL ' Proposed Wastewater System Type: C,> Projected Daily Flow: GPD Humber of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well LOO feet Permit conditions: Permit valid for Five years ❑ No expiration Authorized State Agent::b\~- QS Date: !X ate. SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way a atees 0 the issuance of other permits. i e pern t hdder is responsible for checbing with appropriate governing bodies in meeting requirements. This site is subject to revocation d the site plan, pla or the intended use their 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 .19SO, .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 attaj~ed system layout. ISSUED TO: CLti p~ ~sc~ r3 PROPERTY LOCATION: ~NOMrtis ~~t tr. RSj SUBDIVISION LS~C_ LOT # -3 Facility Type: oo . M ME ~LtO x~6/ ^New ❑ Expansion ❑ Repair Basement? ❑ Yes M No Basement Fixtures? ❑ Yes XNo Type of Wastewater System" C -4 slc) N pa (Initial) Wastewater flow: ~U GPD (See note below, if applicable L.ocvvs>e.T, `ati (Repair) Instal~tion Ittquirtrttcltts/CondditiMl 3 ,ej,"CN^E'-7 Septic Tank Size ► © oc gallons Exact length of each trench 40 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 2.t i inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TDH vs. GPM Conditions: Trench Spacing `j feet on Center Soil (over. \)L, inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: `1- inches above pipe 1 inches total "If applicable : / understand the ryrtem type rpeci>ied it di/ferent /rom the type rpecifted on the app/ication. / accept the spec1f16t1oru o/ thin permit. Owner/legal Representative Sign This Construction Authorization is subject to of the site. This Constru%(Tr,, nthoriz 6 1 Authorized State Agent: Date: site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit 'SF ATTIMFn ttm crcrru 7 X Date: "i n Authorization Expiration Date: HTE# Harnett County Departillellt ()f UP Sketch ISSUED TO: Authorized ! Permit # a y~3 1' iblic Health _ LOT # 3: O Lx} vs lr~., ) MUM lnr.rnu. - _ It- ~