IPACATE#_/ 3 q4, 1 Harnett County Department of Public Health 2 8 2 4!
Improvement Permit
! /� A building permit cannot be issued with only an Improvement Permit
to! G�6� C7e/1-G — (iCCl� PROPERTY LOCATION:
ISSUED T0: SUBDIVISION LOT #
NEW Z' REPAIR ❑ EXPANSIA ❑ �7 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `Dy (,G hrt✓ e-,'
Proposed Wastewater System Type: 25'YO Rl�ltrta—u��
Projected Daily Flow: Z o d GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes�o
Pump Required: es ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community e Public ❑ Well Distance from well feet Permit valid for: eFive years
Permit conditions: ❑ No expiration
Authorized State Age .. Date: 9 --25^-- 1 !t;— SEE ATTACHED SITE SKETCH
The issuance of this permit -,th Ith Department in no way guarantees the 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 if t 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: a � , � PROPERTY LOCATION: / lfZ
SUBDIVISION �— LOT #
Facility Type:I7oCL LJ New❑]Expansion ❑ Repair
Basement? E] Yes No Basement Fixtures? El Yes E No
Type of Wastewater System** F:,> L,::V 4-® /s-f�j2�c f (Initial) Wastewater Flow: 2-6c5 GPD
(See note below, if applicable ❑)
'/% �
4a � �s (Repair)
Installation Requirements/Conditions Number of trenchel 3
Septic Tank Size /S°a ons Exact length of each trench 5-0 feet
Pump Tank Size gaQns Trenches shall be installed on contour at a
Maximum Trench Depth of. ZZ—">(.S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: f-0
W-
i
Trench Spacing: Feet on Center
Soil Cover: (a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
/ Z. inches total
WATER LIC (INCLUDING IRRIGKTION) 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 speciped is different from the type .specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
llus Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. the Lonstruction 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 Age i✓ Date: 3 —Z5 --t ')'
Construction Authorization Expiration Date: 13 —2.-5" — Zca
HTE# /q-5-- -3qbf % Permit #
Harnett County Department of Public Health
Site Sketch
bOROW PROPERTY LOCATON:
ISSUED TO: SUBDIVISION LOT #
xf
Authorized State Ag Date:
.01
Fo
1�5
W,
PO l 2efeS 0 -I'L
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: P",L( --
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:[]'Public❑ Individual ❑ Well
Evaluation Method: C? Auger Bori g ❑ Pit ❑ Cut
Type of Wastewater: Scv&age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
R
FP
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
t°o
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Environmental Health
Beverly Eaves Perdue Terry L. Pierce Dee Freeman
Governor Director Secretary
Memorandum
To: NC Environmental Health Specialists
From: Ted Lyon, On -Site Water Protection Section Chief
Subject: Design Flow Reduction for Dollar General Stores
Date: July 30, 2010
Based on separate sets of data provided for more than ten stores in the past for flow reductions for
Dollar General Stores, a proposed design daily flow of 200 gpd may be used. This design flow can
only be used with the following conditions:
1. Tanks must be sized on the un -reduced design flow (120 gpd/1,000 square feet of retail
space area).
2. Use of low -flow fixtures such as spring-loaded or automatically activated faucets with flow
rates of one gallon per minute or less, low -flow urinals which use 0.5 gallons per flush or
less, and low -flow toilets which use 1.6 gallons per flush or less. Cut sheets of the fixtures
must be provided.
3. A floor plan of the building must be provided. The retail sales floor area must be less than
8,000 square feet.
4. If a pump system is used, a Section approved flow equalization control panel must be used.
The flow equalization control panel limits the amount of effluent discharged to the drainfield
when the lag float is triggered and only one timed dose is delivered. Non -flow equalization
control panels are programmed to discharge all effluent in the pump tank to the drainfield
when the lag float is triggered.
5. The control panel should be set up to limit the daily dose to the drainfield to be no more than
the maximum design daily flow of 200 gpd.
6. The tenants are prohibited from disposing into the wastewater system any chemical cleaners
or any other compound which may be harmful to the bacteria in the wastewater system,
including but not limited to quaternary ammonia compounds.
7. The tenants are prohibited from disposing of any food waste (solid or liquid) into the
system.
8. The improvement permit, authorization to construct, and operation permit issued must be
specify a Dollar General store. Any change to a facility designated as a Dollar General store
would require a re-evaluation of the design flow and the system design, and revised permits
would have to be issued.
On-site Water Protection Section — Ted Lyon, Chief One
1642 Mail Service Center, Raleigh, North Carolina 27699-1642 NorthCat olfiia
Phone: 919-733-28951 FAX: 919-715-32271 Internet: www.deh.enr.state.nc.us/osww—new/newt//index.htm lttoraly
An Equal Opportunity 1 Affirmative Action Employer
Dollar General
Design Flow Reduction
July 30, 2010
Page 2 of 2
9. This flow reduction applies only to the design flow from a Dollar General store. The
improvement permit, authorization to construct, and operation permit issued must indicate
that the permit is for a Dollar General store or in the case of multiple stores, which specific
store will be a Dollar General.
10. We recommend the installation of a water meter for the Dollar General.