IPACHTE#) 6- 5 '+0 oao Harnett County Department of Public Health 29502
Improvement Permit PPG(-- 1 of 3
A building permit cannot be issued with only an Improvement Permit
g- (� PROPERTY LOCATION: 1 S w, t iii
ISSUED TO: &n -t i d iJoytp cLf SUBDIVISION — LOT #
NEWl REPAIR ❑ EXPANSION ❑z SSite Improvements required prior to Construction Authorization Issuance:
Type of Structure: RESO.1�Sz04,E Claf;e�r4 R.c�gvti.SQP,eE )
Proposed Wastewater System Type:'PvrnP'C a a S %• Rfover"IN eE rn
Projected Daily Flow: 9106 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 'g No
Pump Required: <Yes ❑ No ❑ May be required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well S Oft feet Permit valid for: ,Q(, Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \'E' iv Date: 4 I X N:N:" SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e i f other permits. The permit h� responsibre for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in acordana
with the attached system layout
ISSUED TO: 1'P.t� ��1 Q LL-PsC�— PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: Re—s' o,T L. S -s cXt& New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'R No Basement Fixtures? ❑ Yes (� X_No
Type of Wastewater System** Pv me"S o �S'/ � ✓`L- O V c'" u ry �5`t CjS N (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) pp MM
QUmP�o 0's/c,`—CD. (Repair)
Installation Requirements/Conditions Number of trenches a.
Septic Tank Size 1500 gallons Exact length of each trench 50 feet
Pump Tank Size S QD0Q gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: V%-30 inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
o aus or 0
Trench Spacing: c) Feet on (enter
Soil Cover: G-'1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
s 1.e<H inches total
(-�
Me-mc:s LAS® a]3IS►� Sa9gts �E T'l�Y p6]1C1Q 10 CJJScEn ANG PUS 1Ni17
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. OeEr� CT o N (Go try
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. NoTf- C0 zJo ni0 N *5 P R t c�dJ
**If applicable, / understand the system type speeded it different hom the type speciled on the app/icatian. / accept the specilUdons o/ this permit
Uwner/Legal Representative Signature: Date
This construction Authoriza ct 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 u ct to compli revisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 4c -1'S Date: `l Z;tA
Constru ' n Authorization Expiration Date: y am Ia 3.
a
North Carolina Department of Health and Human Services
Division of Public Health
Pat McCrory
Governor
Memorandum
ef'r'e 3oG3
Aldona Z. Wos, M.D.
Ambassador (Ret.)
Secretary DHHS
Daniel Staley
Acting Division Director
To: NC Environmental Health Specialists
From: Nancy Deal, On -Site Water Protection Branch Head
Subject: Design Daily Flow Reduction for Family Dollar Stores
Date: February 3, 2014
Onsite Water Protection Brunch Staff have reviewed data sets supporting a general flow reduction for Family
Dollar Stores (retail discount stores). Assuming compliance with all other pertinent provisions of the Rules (15A
NCAC 18A .1900), applicants may propose a design daily flow of 200 gallons per day (gpd) for the referenced
retail stores under the following conditions:
1. Tank capacity based upon the un -reduced daily design flow (120 gpd/1,000 square feet of retail sales area);
2. Use of low -flow plumbing fixtures such as spring-loaded or automatically activated faucets with flow rates of
one gallon per minute or less, low -flow urinals using 0.5 gallons per flush or less, and low -flow toilets using
1.28 gallons per flush or less (manufacturers' cut sheets with specifications for all fixtures provided);
3. Submittal of a detailed floor plan of the entire building showing fixtures, area designations and other
appurtenances;
4. Retail sales area not to exceed 8,000 square feet;
5. If a pump system is proposed:
a. Use of a Branch -approved flow equalization control panel;
b. Configuration of the flow equalization control panel to limit the volume of effluent discharged to the
drainfield such that only one timed dose is delivered upon lag float activation;
c. Configuration of the control panel to limit the total daily dose volume to no more than the maximum daily
design flow of 200 gpd;
6. Prohibition of disposal of any cleaning/disinfecting wipes, moist toilettes, personal hygiene wipes, baby wipes,
chemical cleaners including, but not limited to, quaternary ammonia compounds or any other compound
which may adversely affect biological activity into the system;
7. Prohibition of disposal of any food waste (solid, liquid, or semisolid) into the system;
8. Associated Improvement Permits, Authorizations to Construct, and Operation Permits shall specify the
business tenant or owner as a Family Dollar store or, in the case of multiple stores served by the same system,
designation of the specific location of the Family Dollar store, and;
9. Any change of designation as a Family Dollar store requires submittal of a new application and re-evaluation
of the design daily flow, wastewater characteristics and system design to determine specific suitability for the
proposed change of use.
10. If a private water supply will serve the facility, we strongly recommend installation of a water meter for the
Family Dollar store to ensure that the design daily flow conditions of the Operation Permit are met.
www.ncdhhs.eov • www.publichealth.nc.gov http://ehs.ncpublichealth.com
Tel 888-251-5543 • Fax 919-845-3972
Location: 5605 Six Forks Road • Raleigh, NC 27609 INI
Mailing Address: 1632 Mail Service Center • Raleigh, NC 27699-1632
An Equal Opportunity / Affirmative Action Employerr".Mic e K
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HTE# 16'S -Ll O �aO
Permit # @L950'�,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: F Q Ot LA2 _ SUBDIVISION "— LOT
r #
Authorized State Agent: S1S (Q L— Nv62 i Date:
At CO,,f0u2 Af,0, 4A2y
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Fatality: �bo _BAR Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodZ- Au Boring ❑Pit cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot N:
File p:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
Description Initial R it System Other Factors (.1946): c
S Site Classification (.1948): Q )
Available S (.1945 Evaluated By: 4K
S wn T s 0 +n 9 r Others Present: i
Sue LTAR
P
R
O
F
1
.1940
SOI. MORPHOLOGY OTygR
.1941 PROFIE FACTORS
L
E
a'
Landscape Horizon
Position, Depth
Slope% (In.)
.1941
Structure/
Texture
.1941
Conaiateoce
Mm
10,12
Soil
Wetoeas/
Color
.1943
Soil
.1956
Sapro
Chun
.1944
Rear
Hi,
Profile
ChuCY
k LTAR
LS
5
l
N51MP
a�-gar
�xs�
�, s3)
S•T'
b
5
YRS a
Description Initial R it System Other Factors (.1946): c
S Site Classification (.1948): Q )
Available S (.1945 Evaluated By: 4K
S wn T s 0 +n 9 r Others Present: i
Sue LTAR