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IPAC RRRHTE# ]3 -s --S09 2,z Harnett County Department of Public Health 28563 Imarovement Permit Authorized Stat ent: ��_ Dr / ty/ Date: /O —/S — /' SEE ATTACHED SITE SKETCH The issuance of this permit by Heal Department in no way go antees t e 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 d 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 squired for Building Permjt The construction and installation requirements of Rules .1950, .1951, .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 attached system layout. ISSUED TO: z9�/ e4 . .) PROPERTY LOCATION: q2— / SUBDIVISION LOT # SS6¢ Facility Type: d" �?-6a«. [w El Expansion El Repair Basement? Yes ❑ No Basement Fixtures? L Yes ❑ No Type of Wastewater System** !E; ?/amu L07 41-1 acs (Initial) Wastewater Flow: `i GPD (See note below, if applicable ❑) / Z�� ��'��y�-- (Repair) Installation Requirements/Conditions Number of trenches Lf Septic Tank Size 1666 gallons Exact length of each trench /Do feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 2Y inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) — inches below pipe Aggregate Depth: inches above pipe /L inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. If applicable: / anderstand the system type specifed is different from the type spedfed on the app/imion. / accept the rpecih'cazionc of this permit. Owner/Legal Representative Signature: Date: Thu Construction Anchorman is subject to revocation if the site plan, plan, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance 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 t: ZA"Date: 0=/5 Construction Authorization Expiration Date: -JS— U A building permit cannot be issued with only an Improvement Permit A PROPERTY LOCATION- Idsnra c {'L ISSUED T . Iiv �� 2 �� � .({�L�—!J SUBDIVISION �,(eQ14YA:74ArS LOT # 5J%# NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: —' F:2� d Proposed Wastewater System Type: Projected Daily Flow: -!Illi -IIZUGPD ne.FC.erc/ Number of bedroyrns: `I Number of Occupants: 4A max Basement 53Yes ❑ No Pump Required: ❑ Type of Water Supply: ❑ No ❑ Community �// L�]Yes Mar a required based on final location and elevations of facilities Public ❑ Well Distance from well feet Permit valid for. Z Five years Permit conditions: ❑ No expiration Authorized Stat ent: ��_ Dr / ty/ Date: /O —/S — /' SEE ATTACHED SITE SKETCH The issuance of this permit by Heal Department in no way go antees t e 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 d 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 squired for Building Permjt The construction and installation requirements of Rules .1950, .1951, .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 attached system layout. ISSUED TO: z9�/ e4 . .) PROPERTY LOCATION: q2— / SUBDIVISION LOT # SS6¢ Facility Type: d" �?-6a«. [w El Expansion El Repair Basement? Yes ❑ No Basement Fixtures? L Yes ❑ No Type of Wastewater System** !E; ?/amu L07 41-1 acs (Initial) Wastewater Flow: `i GPD (See note below, if applicable ❑) / Z�� ��'��y�-- (Repair) Installation Requirements/Conditions Number of trenches Lf Septic Tank Size 1666 gallons Exact length of each trench /Do feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 2Y inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) — inches below pipe Aggregate Depth: inches above pipe /L inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. If applicable: / anderstand the system type specifed is different from the type spedfed on the app/imion. / accept the rpecih'cazionc of this permit. Owner/Legal Representative Signature: Date: Thu Construction Anchorman is subject to revocation if the site plan, plan, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is subject to compliance 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 t: ZA"Date: 0=/5 Construction Authorization Expiration Date: -JS— U NTE# )-5- 5-- 3o5Z 7R L Permit # 28 `rL 3 Harnett County Department of Miblic Health Site Sketch nn PROPERTY LOCATON: �� ` 7 Z Z ISSUED TO: �P_"// coca, SUBDIVISION r,i%n 4fk: rJ5 LOT # i3(aA Authorized State Date: 14to y NZ