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IPAC #2 CUSTOMER REQUESTEDNTE# I5-5-3(.y3b Harnett County Department of Public Health 28546 Improvement Permit A building permit cannot be issued with only an ImprovementPemlit a PROPERTY LOCATION: Q.>r C.ti Cir U6f>'ASy C, rxovE F -'D ISSUED TO: OOr-tsaa-o 5 �ffavvvC_ NurSK„s3 SUBDIVISION LOT # NEWX REPAIR ❑ EXPA NNSLQ ❑ Type of Structure: �-+` C—'Q"Sa:� Proposed Wastewater System Type: -Fwc,'s oN 5-'4 fEN1 Projected Daily Flow: 3 Yo® GPD Number of bedrooms: _ Number of Occupants: max Basement ❑Yes No Pump Required: ❑Yes o ❑ May be required based on final location and elevations of fa£lities Type of Water Supply: ❑ Community �X Public ❑ Well Distance from well 1070 feet Permit valid for. Five years Permit conditions: ❑ No expiration Site Improvements required prior to Construction Authorization Issuance: Authorized State Agent:: Date: L©IY11 IS SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss , a of other permits. The permit holder Is responsible for cheding with appropriate governing bodies in meeting their requirement. This site is subject m mentation if the sift plan, plat, or the intended uze change:. The MUM 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 ad Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirement of Rules .1950, .1952, .1954, ASS, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in aztordume with the attached system layout. QD ISSUED TO: OOt ��C—rc NX �1PrKNr.� PROPERTY LOCATION: R�o6E �. ��QSaSt G¢y+G KAJ SUBDIVISION LOT # Facility Type: SFo��S x5�—�New [I Expansion 13 Repair Basement? ❑ Yes � No Basement Fixtures? ❑ es —�gNo Type of Wastewater System** a -5'/e QGou[Ji s asJ Sy3Tbry (Initial) Wastewater Flaw: d GPD (See note below, if applicable ❑) Z a ZED, a syta D , < ^/s , CQU n�P2(Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size s (3c)c0 gallons Pump Tank Size gallons Pump Requirements: ft TDM vs. Conditions: Exact length of each trench 100 feet Trenches shall be installed on contour at a Maximum Trench Depth of: 21O -30 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacinc� Feet on Center Soil Cover. k " W inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Agate Depth: inches above pipe .1 �Et a inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / mrderstand the system type speriled is different from the type speciled on the app/icadon. / accept the rsfecifirrtioar of th/r permit Owner/Legal Representative Signature: Date: Thu Construction Authorization 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 Authomad hject to t ce " ions of the laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: 94l as3 Date: 10 i is Col truction Authorization Expiration Date: to 11-4 2.0 HTE# 16-5—'3(-y3B Harnett County ISSUED TO: I c Permit # a -%54b Department of Public Health Site Sketch PROPERTY LOEATONPNQGC C.t. C$PQS15 GQD4 Q LOT # Authorized State Agent: ,sa sg Date: 101)4)5- - 0))4)S Ekb(Mc 9G D QNor, E G.— %Q