IPAC RRRHTE# 1Harnett County Department of Public hCalth
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Improvement Permit 26872
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v�Kae`PROPERTY LOCATION:
ISSUED TO: \A=i� SUBDIVISION LOT# S1
NEWX REPAIR ❑ �u0
XPANSIONIN � j O, \ Site Improvements required prior to Construction Authorization Issuance:
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Type of Structure: S O % � l6 x l
Proposed Wastewater System Type: Zt-S'/o uCCvO y SySEv�
Projected Daily Flow: ' 8 440 GPD (�
Number of bedrooms:�1 Number of Occupants: coax
Basement ❑Yes i4 No
Pump Required: ❑Yes '!K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well SO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: T I QL'AI1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Dep way guarantees the issu e� [her permit. The permit holder is resp nsibk for checking with approp ht o ing bodies in meeting their requirements. This
site is subject to revocation if the site pl at. or th a Ts The Improvem mut shall not be affected by a change in ownership oft This ct to compliance with the provisions of
the laws and Rules for Sewage Treatment an dco
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Recruited for Building Permit
The construction and installation requirements of Rules .1950, .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 attached system layout ,tn e ID _ nt-y Nt)" C_
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ISSUED TO: PROPERTY LOCATION: cOoucD4r.]
SUBDIVISION Gvmm"\ANtL LOT # Y S
Facility Type: �)\`�;`��� New ❑ Expansion ❑ Repair O
Basement? ❑ Yes "R No Basement fixtures? ❑ Yes ';E�No
Type of Wastewater System" a-r0/r 21cou4r`i\0Li 51t,-T&NN (Initial) Wastewater Flow: GPD
(See note below, if applicable (��
`d-�rero F1'>flUClG'IQiy (Repair)
Installation Requirements/Conditions Number of trenches _'S:`h3
Septic Tank Size 'L o04Z> gallons Exact length of each trench "1 C) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: M. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. I7 --1T inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / andeatand the system type spec/fred is diNeeerent from the type specibed on the app/ication. / accept the speciicationr of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to r nit the site plan, plat or the intended use changes. The Construction Attenuation shall not be transferred when there is a change in ownership of the site. This
(omtroction Authorization is to compliance the the laws and Rules for Sewage ireatme d s onditions of this permit SEE ATTACHED SITE SKETCH
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Authorized State Agen . HS Date: ]3
�cv,s� 6) inS TLS o coon Authorization Expiration Date: v 23 1
HTE# Permit
Harnett County Department of Public Health
VA $ V ,_06zS Site Sketch
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ISSUED TO:
Authorized State Agent:
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PROPERTY LOCATON: iv1c��o 0-.
�-6 SUBDIVISION S vm. Elo��u LOT # \ %
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