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IPACHTE#_ Harnett County Department of Public Health Improvement Permit 2 6 5 9 7 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N OQ'A5 ISSUED TO: Cca~t ~~t G a5 1--P.t`t9 y SUBDIVISION V_0sScY, ©s~ LOT # ~o NEW~', REPAIR ❑ EXPlS1VS(ON ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S 7D -N -``t-1~ Proposed Wastewater System Type: Qu eV,qr_'~o 1ZJ00a; -\0 t3 Projected Daily Flow: L4'1® GPD Number of bedrooms: 1-~ Number of Occupants: max Basement ❑Yes No Pump Required: >qes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 1K Public ❑ Well Distance from well 1 aC5 feet Permit conditions: Permit valid for: Five years ❑ o expiration Authorized State Agent:: \ Q~sj 5 Date: -1 1`71 11 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issua f other permits. The permit holder is r sponsible 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: C il>,N) Wt 5 PROPERTY LOCATION: \ OfzsECL-l QA SUBDIVISION Q,,osqx,t,ord; LOT # Facility Type: New ❑ Expansion ❑ Repair FS, Basement? ❑ Yes _'k No Basement Fixtures? ❑ Yes L No Type of Wastewater System** Pom9_N'0 ~ (o UG',l0N Syys „n (Initial) Wastewater Flow: Lea GPD (See' note below, if applicable 9Vcr,470 Zl` ' % V-EZ'JC5 sJ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 10 o a gallons Exact length of each trench G 0 feet Trench Spacing: ©1 Feet on Center Pump Tank Size 1 00O gallons Trenches shall be installed on contour at a Soil Cover: Q inches Maximum Trench Depth of: V`B Z-1 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: Pu~_I~ a040$AL, V20c4' ~\4Qz..,(.S3W- 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 s eciin tionr of this permit. Owner/Legal Representative re: Date: This Construction Authorization is subject to revocation ' site 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 i ' t to compliance the pro ' o th and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: N' q G.S Date: Authorization Expiration Date: HTE# Permit # ~"5TI Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: t~ V f2'sM-q i ISSUED TO: SUBDIVISION VSYWGT4-,W,'C LOT # Authorized State Agent: QSc1iS WL~VCc~,c~oL~so0SIS Date: 1 _ , 1o S r A L1 0d .C} 0 3g" P~2~Z~f)E-w I-M