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IP onlyHTE# ~-►`~4~`1 Harnett County Department of Public Health 2 4 5 4 5 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED T©: _Mo oME ~v••t Q~_5_ SUBDIVISION ` aoAc ost ~y~r,~ LOT # NEW-g REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:_ ' Type of Structure: GVD 1501' 5rc~~:) - (~~mASNOf~ o'r ~SEm"Vo g C'ZP('-C.P Proposed Wastewater System Type: Projected Daily Flow: 36b GPD t e~, Voa, Sya-;G~ oV_N , Number of bedrooms: :3 Number of Occupants: _ _max Basement ❑Yes No Pump Required: ❑Yes ❑ No 'A May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community `,K Public ❑ Well Distance from well SDU feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: "N"~~~~~~ Q,S Date: 3 J11l (!f$ SEE ATTAINED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees t issuance 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.