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IPACHTE# O-sue- lq s)~4 Harnett County Department of Public Health 2 4 6 6 5 og 5 gg515 Improvement Permit A building permit cannot be issued with only anw-lim-provement Permit PROPERTY LOCATION: / m C~pc/ ISSUED T0: l4- (Cf-CSpt WAr c- ;SUBDIVISION LOT # NEW)4- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: I~. (v `C /fic Type of Structure: Q - 0 X art, Proposed Wastewater System Type: 9-"\ Projected Daily Flow: 3 to GPD Number of bedrooms: 3 Number of Occupants: ma Basement "0es ❑ No Pump Required: ❑Yes ❑ No Flay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public _9 Well Distance from well - O feet r~l~M~ R Permit valid for. ;;~l Five yeah Permit conditions: 5771A ®s,,,. ai: 5 2.~ Jr I pr- 4'1 El No 1- ~ n . ~ >z c+-"cnk--mot.. _ . n► ~ rt' ` n . expiration A a- 1-c a Authorized State Agent: _ Q -~C t` S Date: Q SEE ATTACHED SITE SKETCH The issuance of this permit by the ealth Department in no way guarantees the 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 0 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 instilled in accordance with the attached system layout. .1952, .1954, .1955, .1956, .19ST, AS11, and .1959 are incorporated by references into this permmt and shall be met. Systems shall be ISSUED TO: _C#42 14 -7;rrI/r ,✓,14- . >1 ti PROPERTY LOCATION: 'N C4r~. P"`_72- 32 SUBDIVISION LOT # Facility Type: S`110- ~ New ❑ Expansion ❑ Repair Basement? 'A Yes ❑ No Bement fixtures? ❑ Yes 5? No Type of Wastewater System" (0 2ta., t (Initial) Wastewater flow. GPD (See note below, if applicable Instahtiott RequiremerttslCond ' fl- Ave, (Repair) i6ons Septic Tank Size 1 n° gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench Y71) feet Trenches shall be installed on contour at a Maximum Trench Depth of: IYJ Y_ inches (Trench bottoms shall be level to +/-I/4" in all directions) GPM Trench Spacing. ( Feet on Center Soil Cover. 4f inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Z inches above pipe inches total "If applicable: l ondeatand the rynem type specified it diNe,-ent Irom the type Jpecilvd on the application. l accept the rpecilcationt of thin permit. Ctwner/legal Representative Signature: Date: This Construction Authorization is subject to revocation if 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 Construction Autho t is subject to complian with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Authorized State Agent L Date: ©J- 0 SEE ATTACHED SITE SUTCH - 39 Construction Authorization Expiration Date: 0 3 ' ( 3 ~~Cl/3 NTE # ~ -SRC)` 1 1-5/q a Q Permit # 0'-4 6 ~o Harnett County Department of Nblic Health Site Sketch PROPERTY LOCATON: ! i r✓1 Cu rte, A! ~c( ISSUED TO jy-, SUBDIVISION LOT # Authorized State Agent W~ ~21 g' Date: Q 3-1 sfir* (2,11zt R 1$ 2~''/~~~ ab 0 2 w0 s-S7 L loo, n- ZC oaS ' I- ~l ~fNa [-4A J_j Lie 1004