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IPAC RRHTE#0'8-S-I"1 '-09- R-- Harnett i,ounty Department of Public Head Improvement Permit 26354 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: fJ G 210 ISSUED TO: -foes C. SUBDIVISION G'W C a 00,*5 _ LOT # ~ NEW', REPAIR ❑ ~E NSION, ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SG p L 301^ S~ 1% 11;1% Proposed Wastewater System Type: ?ymPTy ~CoycZ 10N Projected Daily Flow: 3 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required:'OYes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'g, Public ❑ Well Distance from well 1 OS3' feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: \1 ZL)i )0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua.f other permits. The permit holders res onsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if 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 .1950, .1952, .1954, .1955, .1956, .1951, .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: Flo ~S N C. PROPERTY LOCATION: N<;3.165 3t~~1 SUBDIVISION GwS O P~V-5 LOT # 5 Facility Type: 'X New ❑ Expansion ❑ Repair Basement? ❑ Yes ';K No Basement Fixtures? ❑ Yes ° No Type of Wastewater System" 990%9 (Initial) Wastewater Flow: 3CO~ GPD (See note below, if applicable PV MQ n°~o R~ovG~, ~~N (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size v cD o a gallons Pump Tank Size v 030 gallons Pump Requirements: ft. TDH vs. Conditions: ya'~ klr,, v-c Exact length of each trench lad feet Trenches shall be installed on contour at a Maximum Trench Depth of: 1~' c3~O inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM O N IX Qaoea5o,,L ' ~M N L_SS . V\ F- --t' f\ L'-AD~v0N'S L,n. Trench Spacing: C) Feet on Center Soil Cover: Q- cZ inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe <3o 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: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/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 Authorization is Authorized State Agent: _ V4y--'( ,~''C.'o ~kY~l to compliance wikthe ovist` 'N., aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Con Date: N~Ja►I Expiration Date: HTE# C tD~ ~ 609,. - Permit # '.361+ Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: N!~,~ -1 0-j ISSUED TO: SUBDIVISION G,NC-- ©0,Y,5 LOT # 5 Authorized State Agent: tjG»S ~A~-~ +f~i JoCt Date: , a) 0 ~~yS Mf 4e~