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IPAC RHTEOS-513)C-L-i 0- Harnett County Department of Public Health 28774 Improvement Permit A building permit cannot be issued with only an Improvement Permit v PROPERTY LOCATION: Bts o r 1— J ISSUED TO: C \�OMLS LLC. SUBDIVISION Ogkr oto LOT # —� NUP<, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S�� L L'r, Proposed Wastewater System Type: u "S' Z vc-, I V J Projected Daily Flow: '3C CD GPD Number of bedrooms: 3 Number of Occupants: max Basement []Yes ,"E00 Pump Required�es 'L7 No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community -K, Public ❑ Well Distance from well t t!�5 0 feet Permit valid for. Five years Permit conditions: ❑ o expiration Authorized State Agent:: \ � The issuance of this permit by the Health Department in no way guarantees ce site is subject m revaation if the site plan, plat, or the intended use changes. The Imp the laws and Rules kr Sewage Treatment and Disposal and to conditions of this permit. Date: SEE ATTACHED SITE SKETCH of oder permit. The permit holder t, responsible for checking with appropriate gowning bodies in meeting their requirements This 9oognt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization (Required for Building Permit) The consmction and installation requirements of Ruin .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 n`^� ISSUED TO: M L�G \A ct S L-1 C� PROPERTY LOCATION: \JI S O+� ( SUBDIVISION ©t� xr a cos LOT # L+5 Facility Type: 5�0 V�i� "3U� XNew ❑ Expansion ❑ Repair Basement? ❑ Yes � No Basement Fixtures? ❑ Yes �<No Type of Wastewater System" a ��o � Oy Cmc l t1 a5 LQ a r�PJ (Initial) Wastewater flow: _GPD (See note below, if applicable ❑) r+� (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size °s o 0 o gallons Exact length of each trench feet Pump Tank Size o o `�) gallons Trenches shall be installed on contour at a Maximum Trench Depth of.. A--aL inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: iC TDM 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 inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the rystem type speriled it different from the type spedled on the application. / aaept the spedlicatianr of this permit Date: This tonstructlan xudonaatlon is suberoaton ofsiteplan, plat, or de intended use flanges. The Construction Authonation shall not be transferred when there is a change in ownership of the site. This Construction Authorization is mar to comolianc oof the laws and Rules for Seware Treatment and Discoul and to the conditions of this Dermit SEE ATTACHED SITE SKETCH Authorized State Agent: �� \ 6 »S Date: L) 15 Authorization Expiration Date: HTE# 15 5 �G��1_ Permit # a� L) Harnett County Department of Public Health Site Sketch PROPERTY LOEATON: ISSUED TO: MCi� C S ^65 L L SUBDIVISION LOT # LyT_ Authorized State Agent a G1'S �OLwE2� Otf� Date: aha