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A40 37307/16/2003 11:37 AM zo11zJ90 '^� 'aH�d a3�CJ Peraon Co. Envlronmental Health 3365977808 2/ _ G�'�--,I _ l�-1 �`" "-• � �_ • � � � - - - � •p��enUi aWa�aq s�a un • ado�d a� uo pa�e�d eq o} sa�}!L�e� IIE�4S �?� a� `�8��{a asn pePu�u� ay� 30 �a�a�l� s�u8 u� e� e aa�6� f t IC�.tadwd paql�saP-anoge ey� �o� wa�sAs w n w p c ew e� �uasaada.� pue aru4 e�e uac�ss{ldcfe s+y} �.s} 3 �� tti dde e�eu� J(qaaau I �sods�p 86ennas e}ts-uo et�} io; uv�n}ena e}�s e.io�. �uew�ae daQ t��eH J�} u n o� u o s r a d a y� a� uo�e� i l '�rf3.S .LPi3W.[.?]Hd30 Hl"IK3H 3Hl A9 NOLL�InT�A3 Nrd ZIO� 319tSS3���d Jl"ilOtf3213E 1Si1W 311S 3Hl K '��9J� 210 C]�i�f1S�391SniN 532�[U.�ffa.LS Tltl d0 A[OLLV30'1 �3SOd0�ld 3Hl -�tlN A'121V3'1� 36 .LSttW S2�N210� tlMd S3NC7 JLL�i3d0�3d 'NOt•l�l�i'iddlf StHl fLUM a3.WW9i1S 391S�W Nti'1d 3.US ?1Q A.I.2t3d0�id 3H1 d0 l�d'ld �d :9N1M0']l 3 ON 3Sti!3"1d d 6 Q ---vN '�'saj� Zspue�M �uolE�lP�r Psl��pl �1Sn�E�►a�d u�e}uoa 1I}�edwd 1noJC seo0 (9 • • •ue�1 e�s u esea `sal� oN seA �edad �uiu�ojp� uo s�pm /tue euy ay} uo uo�}eao} a}Bw�xo�dde e}e� ! ��� /n� � Bu snc$ .ro nnau) ��M�d :edKl ll�ddng .t�M "— 6u�rdg `'�l�l�nwwo� �19 d � !� . /� � �'� b(�J �~— S8� :�B60C�S(Q 96EC}IL� �P �"'Z}us�.uaseq ey} u{ Buiqwn�d eq elay} IIiM �°N ��A ��wassg (� � —�— ;panias aq o�.e�doad �v s�uadrq�a;o agqwnN " —�' :suaoapag �o �daN� (e ---� = de �43p1M �a �.t,► mpo� :am3vrWS � ed1Cl 6u�-�Ix3 ��es� pesodatd � � �� � ��' � :suat}sanb Su�nno��o� ey� 3fl �p� rannsctg :uopduaseQ e�n�npS P . . �»� �-• �..�c� s�+� ��2�_ �.,,�r� sii�rY��llanf-1 �H-� -+v1�� (L}.vo u �� # IaZ �bfi°�'01� )� �� • s� � �i� Sit.,�}.. �� F�d `-�z»,��sa,.,U-, .� ;(s.ieqtunu pue sew�u pent 6ulpnj�u�) /�ra o.�d e� o} suo�lp ' - :dtyswiw,� �,��� j :az�s 3a1 :uo�Citr,�a01�}�edoad �£ �-,LsL� �N P2 S 1>> a� � ��e�tnaa;aautt�'3,o ssa�RP� Pue eweN <Su,� �.n pnN� s u ���nr� r�;uux� - . . �n��7'�8h�-a8-b� ,�� � w� Lti�X b L-8 -bl :euayd ssau�sn9 �.°�I X�. �� '�Q �roy� `n11.�� :ssarPPb� , :auoyd ec.uoH � (3awuw en�edsadhueBe���uh►p} :llq pa4senbei ��uuad sd�����N.�-�uua� . �►�-�uvay� : . {� tL o�oozsroa•osix � �'-eT+1 l��`- E��`-�•�-' i.T•] �� c�av �� �-a5ts -�a � �'���'�3�3L �s`�-cso�csss��ar� —"��i � � �� � � '�� .�� ���I�j � `��� . d � ' 0, � ►�'� �� �i�� d 0 o h .p, � .�o Q� a s��,s� ���.� �� �. -- � � ��� � � �.��-,�„�„ ,�„ e���.11 ZE-3L ��.Il.�11� Applicant I:ocation: Ta�x IV1•� �/ � F � c P i� S�u�l�cilivis,ioia l�� % ` � � � Pla-�:���:}S�ctioii�Lot � � Ianprovea�a�t Pe�it Permit �7alad for � ive ears No Eapiralaon I�j/e l ar / Type of Facility: �� . New x Addition. BVate� 5apply ( # of Occupants,nla of Bedrooms Projected Daily Flow 3�o g.p.d. Proposed Wastewater System• � � . Type: ProposedRepair: ��t�iU`e�c ��"�- � __ Type: Q Permit Conditions: SP�2 Si�� ��'e� �'` Owner or Legal Represe Authorized State Agent: � Date: 3.-?-�'7 � Date: ��D'�i The issuance of this permit by the Health Departmeat in does not guazantee the issuance of o�ier peffiits. It is tha respons�bility of the aPP��P�P�Y owner to in sure that all Person County Pla�ing and Zoning and Bnilding Inspectioris requirements aze meL This Improvement Per�it is subject to revocation if the site plan, plat or the intended nse changes. The Improvement Permit is not affected. by a change. in ownership of the property. This permit was issned 'm eompliance with the provisions of the North Carolina `Laws and `"•des for 5ewage Trembnent and Disposal Svstems' (15A NCAC 1�A .1900). Neither Person'Coimty nor the Environmental Health Ecialist warraats that the septic tank system wal continue to fimction satisfactonlY in the futnre or that the water suppiq w�t remain potable. ' . Ant�o���o� to� Co�1stl�aet �aste�vater Systemt (Reqnired for Bn�lding Permit) � � * See siie plan and additional attachments (_,). . Proposed Wastewater System: �"�U'e✓L�t,LtD� t _'I�pe�a Wastewater Flow �� g.p.d. New � Repair Fxpansion SoiY L'Y'�t: •�� g.p.dJ ft 2 T3rpe of Facility' . �:5� Basement Yes � No . Wastewater System Reqnir�ments ' Size: Septic Ta�: C�� gal �'ump Tank: gal Grease Trap:� ga1 field: Total Area: � sq ft '�otal Length �� ft 1�Ia�ffinm "I"rench I9ept1� � i�, eh Width ��t Miniffinffi Soil Cover: � an Minimum Trench Sepazaf:ion: �_ ft c�. C. I7istribution Box � Serial Distribution Pressure Manifold �o.� �;�� ,�-r��� —�� �K� ����w � ��;.�,-� Autho�zerl State Agen� Permit Ex� Date: � �`� Date: � �-1 C9 � `Z The type of system per�iitted is �Conventional Innovative Alternative. I accept the spe�ifications of the permit Owner/Leg�l �8epe��ent�tive: Date: � `�"v`� PCHD7/30/2002 0 Ixilet Fmm Septic T �4" SCH 40 PPC Pip� NEMA 4$ Simpkx Co�olPasu�1 ' Sc �.--� �i � ya �" P�aue Treated Post � S1opedTo Shed Watez 12" Sepuat'mn � Eleetacal Con�sst � . . . • .. �" Cover • ' . Acce�i Cover• • . ' . : � 1 ? � . _ �. •�' �� � r'' ; •'� �• . '" . ; � i.• QP� Filled With �}i Siphon Hole � Pastlaxud Cameat Crroat �� � ~ -a Check Vatve Higk Water Alarm Lewl (6' Separafion) �, ., Hish Leral- P�p On ' .% k +�VapozLock �� �Drzardrn+m Hole . � CUn H� � Low Lavel -Pump Ofi' �. � • . �p . . ..- ti . . 'ti: ' Pseca�t Coacrete Tank 4" Cor�crete :�. �'.; Mate:ial Sire h b3500 P Black � 1 .,�: ��•�4, • '• ' .. • ' • � •. . .j • ' . ti • . • , � ti , •. , j000 ��j,T•T•pNpZTMP TAl� Duct Seal Hoth Co�ie �� E2ldi �f � COY4�3t �� L�M lYl�' . " � � 6" Separation TiIIeaded Gate Valve ; Uivon '^ • ,. • . - :�..cf.sl'. ;�..--Portland Concsata Gmnt • Masiic • - ' ..� . �: . . • 1� � � Zip Cord SuPPIF. ' � Ope�gFilled With ' Ties Portluud Gment Cnaat Lina * • ' Ontkt To D'atrbuti.on .�u�„„ �" SCH40P�C Pipe � ROp° F7oat Wires � : .; ; F7nats .. � �.R.esnovable ' �� � .•� F1oat Tna , �~• �• PUHP MTING � Pnmp Must Be Rated To Deliver �3 Gallons Per Hinute Against ao Fee[ OE Tota Dysamic Head (TDEi) . Fitting to allow for connecting Aluminum or steel clear pressure monitoring tube shoebox-type covers with handles Qea�e tube in battom of vault} (150 Ibs. each, max.) , Support straps or bars �L'�, it� r� �r;� ;�� ��� Dead level manifold installation � .,1-ns �u �( ��� / �A S � Va�VPS � supports F �� Crave! pit for irrternal drain discharge l�a�.� 3� � Profile View of Pressure Manifold fo� Sloping Site Installation (not to scale) Tsp - direct thread or saddle C��� (if tapped w�h n�ale eds�tor, trmt Pressure i�ead check fh�sh wrth atside wal�l �—� Mmmifold Obsesv�i� port (tee with extensiml bx�ougkd to gi^ede; w�t► renwvable cap) ��'1���3 12" valve �-- �rt suc�rplg � `-, � ' � , �&rten�sl vault ds�s� � �-���{ � � 0 0 0 0 o Tsue�uti�►ballvslve (6all velve wrtti two discmnuct „r�;•��) ' J 1 1 1 1 1��� ��r �5 � to d*�:.+1n+Ps s� a�t. 1.0'�'o slope Plan View oi Pr�ssure Manifold for Sloping Site Installation (not to scale) http://www.deh.enr.state.nc.us/oww/LOSWW/manifolds.htm 2/19/2003 ��9 �:essa_e :re;.��� ""'� "�' � pQS� a: ?QG'_V3�e�t 1 K NB� 4% . ..� � Bnclosure �StB[ t�q�it � + �stall 2 circuit carroeian resistant v .SCOQbQCt SY1tC�1 • � panel does nut � � �Ye a dead fronL :' ..:..:_:� � � �h �annal discounec�. �a: '::-: ote: A 6reaker dues �:�c:�: t eonstitata a � , \ scounectj > 1�' ta . fiaish qrade� �a�p �npplp ci:cui?' � �lars Circnit � . �ater 'iqht �eal • '� +lydraulic ceseat� • Schedale 10 ?YC — — — �uQply .._ �.— r—=--=-- �iacsvback plUQ and Receptacle -- ----� r . � 4z4 pressnre treated , � post ar aqniralent 0 � t �Caita9ioa resistaat Z' aiaiaua Gas liqht cunauit . >ti' to fiaisti grade pnap snpplq circuit alar� cantral . �ater Piq�t Seal flydraalic Ceseat Harness �zcese Cnrds — � � Sctiedule 40. °YC � S°�pl� Simple� Control ,�a,� y-�� Panel Wit:� Built In Alarm �ate: Phis is nat a �irinq . diaqraa! Cansnit an Ileciriciaat --- Duct Seal . I �tc�ptacle �ast�be sotor :ated �nv-valtage alar� ' coanectinn Dnct 5ea2 �ackisq SL:a�s 3araess 8z�°ss =���.; � ._.__.. 0 0 °•6e z:arz 3C5� 5e �OR�r.4 I1 ='1z I?�.:,1ai 11v7.,Zq ii".d �}L �h2 dve'_1:sq ;na� ia t�e cravi ;pace qaraqe a: ande_ a aobile Soae; Phe �aael aust be aad;5le aad �isi5le to spstea :sers Lacziaq straps ���.s� I�1�It�.���T . . � . _ � � ���� ������.�..� o�.�.� � ��.��� STTE PLAN Name �a �Nl ����s Taa Map #� Parcd # �?� Sub ' ' r vt-°S Secrion/Lot# � Authorized Stau Ageat Date ' Sysrem compmeats:rpresmt appra�maae coaavras aaly. The cantractormusr9ag t6e syarem paor m begiaaiag r6e iasrslla�on m snsiur ah9tPiroPergnde ia maiar�ined ' � U/�� � C��th� �Qi��� - . ls'�' ��' -�� ar� (�� 5�r �O _ � � � � �7 � .� lDo���! S�T. ' lD _ . �� , Js��• �t� vc s � ��L�• � � Sdc ���_ ��'� �o�� � 4 s f r� � 4 5 ms��br�- � ��- � (��1d���,- `�ws�— �� � S,�S�O,,,t � �c �.�.�-c-� �� �S ���� �d�(• . �,,,��,tit��� R l � � � . � �, � r�� � S��ha.� s � �PP. P . PCHD, rev. 09/72/Ol � � Y � � �� -" � � �_ P� �' 373 . ���� � � �� � � � `�.s'�.., �� o fl /�/q��y/�� �,��� � ,yy i „1 � . . ���S�SL ✓ `�"`' �-. � � �T�� ��T ' �� � 3 . ��.�-�„-, .,.r�.,, ��.�: ���,.�.� � � � - ° ° . � ��P�;cant � � � � Loc2tlon: 7 ��7 S D on Lf o� ' ' � �. . , . - � � . �r����� � � it . � � � . . . � : System Type (in Accordanc� W�h Table Va�: . . i'l-itS SY5"tEiVi h�,S 6E� II�dSTAL1.Ei� � IN CD�itPLi�►PiG� W1iN AI?�Ll�ABl.E MORT�f � �' C�R.011.Ad�► GF..�E�AL ST�,:'i'LITES, RLiL�S F�R S�t�►�� TRE��T�ilE3►11T J41►ID L?lS�E'�SAL; � • AIqlD AL:L � CflNDlTIbiVS • OF '� T'�E t�A�'�OVf�[�'i' PE�Il1T �,Ad�] Ct3Pd5TRUCTia�d . �ur�to � � �. . � � � - . f . . . . . . • �_�-o � . _ � � orized s errt � �ate . . . Insfiailed Hy: . /��ke 1 Q��s _ � � o�: • �-G: 6� ' � . . . . . . - . . .. . � . ,�`� .`� _ - . . � . _ . . . � ��� v . . � . . _ . , . �.,�� �(z �, � �us� � - . .� , %, . g .. • \ N .` , . 1 y � 1 � � - •�� ���� � . � _ � �` `� , . � �° � . , . � �, ,�� ,�,t��ti � f� ,t �. . . � y l�,ti .� - � � � � . . . �� . �� . . - . _ . ��� s� : .. . . ' � �uLry�+rrY •_.� '; - ,� ��� �.��� �������� ����� � ��� �� a . ..` Ta; Ni�p � �yn Pa�� �fi � � S�s�n Typ� (Ta�1e �!a) � . . . �wned���lica� Svbdivis�on (��(ri�no l�crPs AdciressA��afion Ser�Pf�� ______ 1_ofi � R� � . - �Se '� ?'�a�s � � cact n� n � � 0 7 . i 0 R��a �-e • - �s . o 1, _ • � � ���.�� ���..��� �.� � � � ���� ��awaa-��aaa�n.�sa��.� ����m.���a WELL PERMiT P�t�SE SEE 1�TTACHED PLAN FOR WELL SITE LAYOU7C Tax Map #: ��b Pazcel # 3�3 Township Applicant: Subdivision: �� � ���D� Section• — Lot• �� � %� � _ � � „ D /�,. ��,�_�-.t.-.l�,-,.� S ']Cv�e of Water Sun�lv: � Individual Communitp Public '�°5ee Attached Site Sketch'� Wells must be 10 feet from property lines. Wells must be 100 feet from sepric systems. Wells must be at least 25 feet from anp building founda.tion. Other conditions: S c.� S'�� �D�s� �',- G1iP�� !v c'�`, a PCI�-ID, rev. 09/07/01 ..h _ y:�t-. . • . .'ti� A }f'• _ / O Q _ �./ � � � I •••�;"~� . � _'_� :���� �� : ������:� � .��..., : �::�:�=$����=::. � � -� �� —FP c�e ll ��11 f� � . . _ :..._ .. .._... . ..� ��.�;�.��� �:�,.�:�:�: � �r�.�n:�:: . D� C� �-i -v . . .. /' �� Grout Log - . Owner: . �� /T� �r � Tax Map /�% `�0 Pazcel # 3 % 3 Location. � i ,� �.�f-a p� �r c Subdivision: � � Lot # � 3 � WeII Constrac.fion Distance Fromn� Property L'me (Minimuin 10 feet) r�� Distance from Septic System (M'mimum 60 feet) lc� c7 Tolal Depth: ZNt� ft Yeld: Zv GPM • Stafic Water I.eveL- 2> ft Water Beazing Zanes: Depth � ft�_ ft ft ft Casing: � � neQth: From .� to � tk I?iazneber: 6(�y �� . Z`ype: Galvanized Steel . - � Weigh� Thiclmess: , g g Height above Graund: . 1 2 in � Drive Shoe: � No Any problems enco� wh�e setting casing? _Xes ✓No If "yes" give reason: . ' — Gront: - /� . � Neat Sand/Cement ✓ Concrets GraveUCement � . -•. Aanular Space WidtL • mches Water in Ann Space Yes JNo • . Method of Grou� Pumped Pressune Pouc�ed � Depth _�� . to � Ft Materials IIseiL• � - No. Bags Porttand ce�t ' VYeight o� 1 Bag Pounds . .. If mi�fise {sa�d, gravel, cu�tings) — Ratio to -- ID plate� c/ Yes _ No 4 a 4 slab �e.s,.^ No - Liner: ' ' D.,�pth: I+�om 1 To S - -.,. Date Installed: Driiling Log � Grout Installed by: Location Drawing . ��,� \\\� (-F.� �� �a'� �� � � � � � � - �; - _ . - I hereby ce�rtify that the above� inf�matian is correct and t�at tiiis well was ca� in accordance with regulations set forth hy the Person Counfy Heal#h Depart�it _ ' � Sigaature of Conirxc�or _ � ID# �� na�. �� j � 7 . c - • �'amp Inst�attment Pump Installation Contractor. j 5 G � re �l p w� � j p�G��� Sta#e Registration Number. ���� Pump Depth: �( D $ Static Water Lewel: �S — ft r Pump Malqe & ModeL• � ef5 Pamp Size and Ratin�- �� �- hP �_ gpm I hereby certify ti�at this pump was mstalled and ti� well head completed acca��ding to the Persan Caimty Well Rnies in effect on this date and tbat a copy of ttus has vided to � well owner . �P ��' ��a'e Date: �� PCHll rev O 1/27/04 � o � . �� � ���-�-� r ( � ���� s�`i''� � 2 �w�;us , Qr �L� '-� cx�. � " ����� � � u (C� J � ����� � �p , �.� W�,� �� �"� -�- �'S�� r -�- .� � � �«T� � � � �,, �S � � �-� � � ,�,_ �,�, �� a � q �"' Y � G� ��,�, �� -{- Gt�t.� � Q s�,,�.� � , ��v� h� �, �a-� ����c_ Qs-� � t��-s �( � 4 � .�taf ar � 5 � � ��n`` �- W S « 5 s�� �; ( S a`'�.� ,,L,,K�, �s °� � r %� , (� S � �s �q Ka,'� c� ` �,,1.c.��' G}rA-�i �► 7 �� 7-�•� � I � �� �'( c, �`1-�at �� . � �'t� �� � ��p 6 }"O a Y'�'� KG a �,rG�. @trPSK �l ` C�� � r f � S���r''T r '�' d , � � /,�/ � �w �.r �� � �,.. � �� s�„�- � � �s (,- I Z-o"t ,� S