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A23 182
,-r �. � �. ,. � � O Q .� _ .. � Aaaiir,a�ion Date: � � "�`3 "� � � � o� � ' �'L� Tax ll�aa �: ��', Amaunt �aid: �DO , � a'.3d' parczl �: v Recai�t #: 2 ?� �- ,� �`�°� ` .��� �� I�I�I�..� �I� � � � -�-��-� ��.�a�ra�--�- �-^-� .v��.Il �1C�ea.7L�Ila APP�.3CATiON FOR SERVIC�S - IF THE INFORIIAAATIDM IN THE APPl:1CATIOiV FOR AN INFPRO�IEflAENT PERMIT 1S INCORREC'T. FALSIFIED, CHANGED OR THE SRE IS ALTERED THEN THE IAAPROVEiNENT PERMIT AND AU7NORlZ�1'i70Id TO � COIdSTRUCT SHALL BECOME INVALID. _ s 1 _ �, � 1) Permit reguested by: (Ownerlag�t/prospective owi Home Phone: � ��i ^ �a� l Address: Business Phone: �C� r-��,�� 2) idame and �ddress of currerrt owner. 3} Property Description: Lat size: Dire�tions to the property (Indud 4) 5) �S� Subdivision: Lot # Proposed Use,�tructure Description: answer each of thefoilowing questions: a) Proposed ��, Existing Type of Structure: r��,��,5,�' Width: � Depth:� b) Number of Bedrooms: �� Number of occupants or peopie to be served: � c) Basemen� Yes . No Will th_ eye�b'e plumbing in the�basement? d) 6arbage Disposal: Yes , No l� . Water Supply Type: Private (new _ or existing�. Publi . Communiiy� , Spring ,_, . Are any welis on adjoining property? Yes N�yes, please indicate approximate locatiori on the 'site plan. 6) Does your property carrtain_previously identified jurisdldional wetlands? Yes_ N� PL.EASE NOTE THE FOLLOWING: 9 A PLAT OF THE PROPE32TY OR SIT� PLAN MUST BE SUBMiTTED WITH THIS APPLICAYION. ➢ PROPERTY UNES APID CORMERS MUST BE CLEARLY MAR4QED. �, ➢ THE PROPOSED LOCATION OF ALI. STRUCTURES MUST BE STAfKEfl OR FLAGGED. 9 THE SITE MUST BE READILY ACCESSIBL� FOR AN EVALUATION BY THE liEALTH DEPARTMENT S'i'AFF. I hereby make appiication to the Person County Health Department for a site evaluation for the an-site sewage disposai system for the above-described property. I agcee that the contents af this appi'�cation are true and represent the maximum facilities to be placed on the property. I understand if the site is aitered or the intended use ct�anges, the permii shali become irnali�d,. „ A _ Cwner or Legal Representative �� '' ► �� � . �_ _ PCIiD, rev. 06127/02 ���' ),.) f ���� �� _� � � ���� I���na-��.,.-�,. ����.]L IF���.]l�I� Applicant: � � L Location: �1 r� (I in� �x � �0.Ce- t'd-Cc FF � T��x M-��� � - Parcel # � S�uhciivi�siore � Plra•se Sect�ioi� Lo�t # [il Improvement Permit Permit Valid for �Five Years No Ezpiration / � Type of Facility: i n c, FQ m i i �D c( ( i� New V Addition _ Water Supply ri �c:�.6c c,.,� c l� # of Occupants ,# of Bedrooms Projected Daily Flow 9 8� g.p.d. Proposed Wastewate System: PurMp C�nv � n-�i o na (� . Type: �b Proposed Repair: �1.�+�v1p ZnnOJa-���c- CaSga r�-du-cfi on ) Type: � Pernut Conditions: � I IU(,J I�you.t on 5�c.� Co�ac--�or' S��N td. mcc� E�tS �n Sitc. For � ni. �n�..C.Lr..�.Lre�.. ��,. �rrini.� pith'1rL_. S�/4/-rM �,S f�nSf�(led, �1( �s'iS[rntnfS9F�IL•s NOT� �#�Z o� Owner or Legal Represe Authorized State Agent: Date: �� 3O"� � Date• la a�-� The issuance of this permit by tlie Health Depariment in does not guarautee the issuance of other permits. It is the responsibility of the applicandproperty owner to in sure that all Person County Planning and Zoning and Building Inspections requirements are met This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes. The Improvement Permit is not affected by a change in ownershtp of the property. This permit was issued in compliance with the provisions of the North Carolina `Laws and Rules for Sew�e Treatment and Disposal Svstems' (15A NCAC 18A .1900). Neither Person County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily in the future or that the water supply will remain potable. � Authorization to Construct Wastewater System �Required for Building Permit) � * See site plan and additional attachments (�. � 4� Propose Wastewater System:�c,t rYID �/Zvc:/���0 ncc. ( Type �b � Wastewater Flow -�p.d. New � Repai Expansion Soil LTAR: . o? 5 .p.d./ ft 2 Type of Facility: �t nq �c �a m I I Y�W � I I!�1 Y, Basement _ Yes _ No Wastewater System Requirements Tank Size: Septic Tank: � gal Pump Tank: I�oZSO gal Grease Trap: N �� gal �� ��I � 5�d� Drainfield: Total Area: � � sq ft Total Length (�C�7 ft Mazimum Trench Depth c��i in ..`r��t,� Trench Width 3 ft Minimum Soil Covert �D in Minimum Trench Sepazation: 9 ft Distribution: Distribution Box Serial Distribution V Pressure Manifold Specifications: Foll�W �urn� �Mani F� �d bo�� Frcaf.ion�5 �r�Urdc.�. Authorized State Agent: �� Pernut Exnirat on Date: Date: �o�i a1-Ob� 4 The type of system permitted is � Conventional Innovative Alternative. I accept the specifications of the pernut. Owner/Legal Representative: Date: ) 02 �30 -0 `�_ PCHD7/30/2002 1.�? c�. � 8 , �`` �,.) ,� �� :� . .,:�,..�.,�� ��.,...-. 7�; ` A.��,�,,� � �,�, a , , ! . �, �_...�_ 5�° i�q �o��. �..�.,;���� �/'. - �___-,,. � >"i-�yy,�,}�y�Mr.pyev/,�.M:._ .� :. . . � �otE �t z .aa��; � ,SuRucyo� TD f��-m�2K S��+c P1�`S fl2c��tiNo Hom� .� Fo2 � ��srA�c.c o� ���� �PrS i C��n�e,� �- SuPP�y ����. ��a l l nc�a L��,��,�,�-� � r� ��� e� C�r� - 5 ��t T� E+�SCmE�N i r���0.5 �� - In�}2KZN�< Cor�rRc7 S�cK.vEyo('� P2i��- T� iNSTHc.c_f�7�,;,�� �'1Ci (1 i �3 �� �r z -r� Ps 'J�, (,� fl � I� " L � +lt- ��.- 7��.� � `���,� �J1lJl-L �1.�1-� �� t � 1./ � �� 1L � 1-t.+.�n.n:�n.�� ,mnnn-m�.��rn.�:,tn.11 7T�I�.a�.lLtL-II-n Nam ,�jtc v�. l,.)a I la� � Sul� 'v' io N � f� � uthorized State Agent Ji ii. �3i� i `:� �, s�°@ � , �n � �d;uc�S � � a`�G ���` � t� 2, d Ge.Q ` o�tc�.5 �,�,rd P' Q �,r w�s. 1 n��o �c �oac� �V�f � 4/a tt r� � � na S� � �r j� ,%., r.�. . . . V�/� � I . J �,../��a y�'l � A J df 1 ,1�,� L � , �,� , ������o{���� ��ioi� � . �� IJ. ,SaP�F �y .L�,1c w� ►� nc�d f -�o b G. % �i!' I Cd ?� —'} , J �: . �# �`:��;�, � .�" _ � d��P o- si« ��d � .�, �� =,� du�-�� t c i ro n � � . .' �. crLtdc N- F�e (d �bc� � `,�A��^�:�,9 , ��iFo�m s�opr ,. ` � F��t ot,� P�.�.-n� °i�Ma�� ��1cI �� s�c�; Fi � ctt i ons i � �: ��� r ` � ���, � Ca�er man�'F� td �- hy �1,� � ��0.� va(Vt, W/ tl LQ ,� ,�Klc� bax Dr 9 ti. �� � �� �%,.��� , ��b �,. D�5-t�►b�F.��n �-cx ~6�.��� 1 � e 4,:./' �,(' , . . mE� T EHS �� G� S :i T� �� F�2 �P��.c coN �-� r����cTz;;,.: � .;:��. Cn+JFE2E-n%GF . �.; � 'i �! �; ��� g � -�... � ���,. � �t � r �1 ., �'ti" � �� ' 'S .�'* x '��.� .� •.� qy�ry, �, r � � � � '...r . ���..` �„ � � + � Tax Map # P►�3 Parcel # ��� � Section/Lot# � i:� a �-c.� ,�'� � � �. ����� r Date ' � � ,� Systena corz�ponesats represent approxiznate contours anly. 7he contractor �nustflag the system�rior to r beginning the instc�llation to insure thatpsbpergs�ade is znaintained. „��'�� f � � � �- �`��' I / ' ' - � LL� ��� � � ���m�� �.�' ,,.., _ � . �`� . - -� �� � � ., �.. f . ; � ��',�,;� ��� �'�; � � ��. —� . ia� ` � ,�n�':'u�:cs�*�t�tnx:�eirttmsa,Z,,.,eAna�:necrs�.'fi+tNie-,-M>axro.r_;± ., . . � �`�M:a:x�i..:..d._.... . . � D�►. (.��.�4 ,��'`'�f�F`� ���E:f�) �; �.� C� �.� � ��; ,� ,00` � �-�.:�,,, �-���'t.��a�� �I1��: �`�'a � #:_�:: �'A T�I �J�� ����� �����J � �_����: ���.�� ���.��� �--= � ������ IE��a-�-n-n-,�,�„ ���.I! IE���.Il�II� WEL� I'E�2NIIT P]LEASE SEE A'�'I'AC� PL1�N FOR WEL� SITE I.�YOUT Tax Map #: �°Z' Pazcel # I�� Township 1�PPli�can� Jl�c� t (.Ja l (aC-c Subdivision: Section: Lo� I.ocation: S c t Pc r-,Y• �� . T�e of Water Sun�lv: ,� Individual Comtnunity Public. Requirements• � Site Approved bp � � oZ ��� � Gsouting Approved by � ��'i �� �g � JG� o Well Tag ,�:;,�- GtJfiGC f' �'uj� ?�•r��L . Air Vent � Hose Bib Concrete Slab i� � �L 1� �� �/Z i, Well Driller. ( . �' � �i2��.� l� • Well Approved By: I�ate: ��T�� 3 '�°5ee Attached. Site Sketch'� . Wells must be 10 feet from property liaes. Wells must be 100 feet from septic systems. � Wells must be at least 25 feet from anp bwlding foundaxion. Other conditions: K�cP W c�� /tk�' F"ra �►-► Sc�otl�c. PCf-ID, rev 09/07/01 , *Block. Brick or poured *Cleanout Plue *Note: Cleanout aluQ adapted to accomodate stand pipe to adjust pressure head, or and additional tap may be used to accomodate a stand pipe for pr�ssure head adjustment � in. Threaded Tap or saddle tap Sch. 40 PVC �" 3��t"bc�. 4c� P�c __ r ��`5 Sch. 80 PVC Pressure Head to be set at � ft. a Taps and valves Mechanical _ Connector Nitrification pRESgLJRE riANIFOLD DETAIL S1DE VIEW Support Straps Concrete Pad. Le.•el END ViEN Gate Valve � in. Manifoid _ _ Sch. 80 PVC From —�_ Dosine Tazilc => To Nitrification Lines Suppon Strap Support Block Concrcte Pad, L.evel TOP VIE�V ig � ng � ��c, � See Attached gie�t For Elec[rical S�ecifaca�;� 1 6" ..—� 11 � -� ...1� «i � i�� /1� 11� ��1 �� ni = i �t = i t� _-�� ., . � . --._� . _� , . , � � . � � �C� ��! Z[I CO[I[�Ii2C �ith Suitable Sealer In go� Fs�ds Of Cond�t �, _.,r- . _ •-..'. _...- • - .- .., ..,.. '�" '■.. • r - � • - -. .. ' � ••=- -� • • .- -..., . . � � � or ��i vc�(Gv4f -�C ��iy � dc[i �cr �le %. Z,Sp � « oeS��Yc(c _ �, —`�c, , Suf�rsible � EffLuent p� �—'�--- � 8�� Cancrete B1ocJc i i T • '= • �-� �...- � �.� ._ � =�r_'�i� �_ �:• _i � _ .� -y � E=� •• a• � '' ��= ■ ��a ,� � • �� �1 '��r• �• '� • • •Ir'� f= � _ Iz" ` inisfr Gcad� � 111 = i�� � � _ 111 _ �� llf = 1 �1 = 1�� , 1t = itt � ,- Itl = !t ` = - r_ ���. �r��r • / l� r+ j �� ��...�+-1�"` . � , . � •• � - • �� > 1 a�so �L�� ? � . . .� ° . -�� E--�'PpiY Line ?o .� =�C �., Dfaneter Sched�e 40 Pipe . . , lrn � �ra1 � � Cate V��e . Ihreaded Union � � �� Vaive . . 3/26" S3'P�n Brealces Eiole — ' �� S� A�airl All Q� _ . Alann F'Ioae (e.Levatiori) � ��'P �" Floac (elevation) ., , _ � OfF' Floac (eLevation) . � ' • 18� �er i cs e d , 0 . �� �]1t �1 • wn ' . ' • • - d � a , • �. ._ . • . a o• � � arrl g�l �c�E a S� � P1np � � � ' ���� � pUMP SYSTEM DETArL S HEET z�C l (C� �r ��ui � /�LEn.i T p�p RATING � P�"'p Hc�s Be Ra t ed To De [ ive Gallons Per Minut Against DYnamic Head��-�ee[ Of Tot (TDH). See Followipg g�eee For Addi[ionai SpeciEications, Notes, And E:-cplanations, 35��'-�c�,,klo�-f-S�.E�nK= ��� 4o'tig( r,ai�I:s�,7$ . '�Zaf� _ (�y� 34 � `�' Z ` n'la� i � �c� �l I � 34' �`��;�� 1�1�.1�.��1.� ��� �� �a�. � �"'""' � "'',^ � � �l.J 1 � � �L `�'w�suu� � l.n. Un � �r � � �a . ���.��„� ,�-�-„��.-��.a ���,.a� D��ca D�1 �-15 -D� Well Log Owner: �� A �r� _ _ Tax Map � Parcel # �_ Location• _ C '�' _ � J� Subdivision: Lot # Well Constraction Distance From nearest Property Line (Minimum 10 feet) Ih � Distance from Septic System (Minimum 60 feet} U D -�- 3O� Total Depth: I(,S ft Yield: �_ GPM Static Water Level: �0 . ff - Water Bearing Zones: Depth I�S ft 1?A ft ft � ft Casing: � Depth: From �_ to�� ft. Diameter: �� in Type: Galvanized Steel � Weight: Thickness: �_ Height above Ground: �_ in Drive Shoe: _/� Yes No Any problems encountered while setting casing? Yes � No If "yes" give reason: Grout: . Neat: Sand/Cement Concrete CraveUCement Annular Space Width _�_ inches Water in Annul Space Yes No Method of Grout: Pumped Pressure Poured � Depth � to �� Ft Materials Used: �'f-ya.�h—�Qc,C/� No. Bags Portland cement - Weight of 1 Bag Pounds If mixture (sand, gravel, cuttings) — Ratio to ID plates: i/ Yes No 4 x 4 slab � Yes _ No Drilling Log Location Drawing I hereby certify that the above information is coirect and that this well was constructed in accordance with regulation set forth by the Person County Health Department Signature of Contractor Y'L. a, ��,�N ID#,��92 Date �' -►q - D�; PCHD rev Ol/16/( �,�,�k �',� �,�- , /� � Z�9 z i� �.���,�� ������ � � �� ������ I���a������.��.]1 I�3L��.]1�I1� Applicant: �%,� 1,.'�.� �� Location: m� c��.sp; �-v�: �� `� � IS� d�,��� �.,, C� T��x Ni�p P�rc�el � ' S�uhd'ivis�ioia Fh�s�e Sec�t�ioia Lot r � Operation Permit � System Type (In Accc�rdance With Table Va): ��l_ :b � THIS SYSTEM HAS BEEN INSTALLED IN COMPLIANCE WITH APPLICABLE NORTH CAROLINA GENERAL STATUTES, RULES FOR SEWAGE TREATMENT AND DISPOSAi., AND ALL CONDITIONS OF TH IMPROVEMENT PERMIT AND CONSTRUCTION AUTHORI TION. - � � . %-'1�'�� . Authorized State Agent Date - . �, ` _ _ InStalled By: l'1'1;1cA �w�.� _�^ Date: �- 5-� ' .Qa %_ 1 _ / � � �-►� `��'�� S �3-�4 . -1-8-c:;j 4�TS-t�50 � to-77.r3 � �r� ti �� �� PCHD, rev. 07 SE3�T�C �'ANFC INSPECTI�N ��lE�9�CLIS�' ('�ype II�-_I1/� Tax Map #��3 �arcel # 1�5� System Type (Table Va) i�ll, b Owner/A�piicant�l�e� U; �9� Subdivision Address/Location Sec/Phase Lot # State ID/date 5'r �3 � f�( �� 2?-a3 ✓ —. Trench Width , ft. Capaciiy. -rs -i S� . 9at. ;�� b�s-� Trench. Depth y in. Tee and Filter , s,s.� Trench Length � ft. Ba#fle $,s.�3 Trench Grade Sealant � , �. �,�' Trench Spacing Riser (if applicable) �a5 g-�-�3 Rocic Depth and Qualiiy Tank Ou�et.Seal s-S ;,3 Dams/Stepdowns etc. Permanent Maricer � �_5�,3 Pressure Laterals Pump Tank Hole Spacing tate ate rr 2 5+ �- 8�3 C- ,, - O e IZG' , Capacity '�-�ys� gal. g-s-� Pipe Sleeve V�laterproof /Sealant �.5 � Tum-ups/Protectors Riser cS. �3.�; � Required Setbacks Water Tight From Wells �. Pump From Properly lines Check Valve/Gate Valve. Structures/Basements Anti-sip on o e itc . es ra�nage ays Floats/Swiiches ' � _ _ : � : . ._ . SurFace Waters Alarm visable and audible Public Water Sup lies Electrical Components Vertical Cuts >2 ft. Rate gpm Water Lines Approved Pump Model ' Vehicle Traffic Blocfc Under Pump Pump Removal Rope/Chain Distribution System Serial Distribution ' ressure an o d Low Pressure Pipe � Appr. Pipe Material and Grade Valves Easements/Right of W< Other Easements Recorded . � Comments C''35 � s-o3 �S S-s -o^ . _ � C S-5v -S -S J i ^SN i T^ -5 . � -S �� / �-S-o I _> -�3 �C» 6 'S-�3 -�� � , s �� no� 'll.�� s-S o3 i � -s � " . pchd rev. 3J13/01 Application Date: � / ( Tax Ma A23 Amount Paid: $150 � ' �/ � ������ ������ Parcel# P• 182 Receipt #: j �{O `� q � �.�' �' �.����� lEyi.7'71q'A.Il•.CDAT.:UX➢Q'7TQ:.tR➢ Jt:~lC�,,�lla?I11. C�iZ� � p 7 -j � 2 Application for Services Improvement Permit (Site Evaluation) $200.00/$300.00 (if> 600 gpd) Mobile Home Replacement or Building Addition $150.00 (if site visit reauired) Well Permit (New/Replacement/Repair) $3 00.00/$200.00/$75.00 Services Re uested Construction Authorization *** Construct cell lowe� site*** Fee is de endent on the e of s stem ermitted) Permit Revision $75.00 Repair of Existing Septic System Application: No Charge/ CA $ I50.00 or $300.00 1) Applicant Information: Name: Thomas H. Johnson, Jr. Address: 4141 Parklake Avenue. Suite 200 Raleigh, NC 27612 2) Name and address of current owner (if different than applicant): Name: Gwendolyn Claymore & Curtis K. Marske Address: 8793 McGhees Mill Road Semora, NC 27343 Phone (home): 919-786-2764 (work/cell): " " Phone: 757-377-1844 3) Property Description: Lot Size: 12.16 acres Subdivision: Lot #: Address and/or directions to Property: Follow NC-57. Turn right onto Concord Ceffo Rd. Concord Ceffo Rd is 0.6 Miles past Concord Sefco Rd. Turn left onto McGhees Mill Rd. Turn left onto Oak Point Dr. Site is on the left ❑ yes �❑ no Does the site contain any jurisdictional wetlands? � yes � no Does the site contain any existing wastewater systems? ❑ yes O no Is any wastewater going to be generated on the site other than domestic sewage? ❑ yes ❑ no Is the site subject to approval by any other public agency? ❑ yes ❑ no Are there any easements or right of ways on this property? - (if `yes' is checked, please provide supporting documentation) 4) Proposed Use and Type of Structure: ❑Residential � New Single Family Residence Maximum number of bedrooms: ❑ Expansion of Existing System If expansion: Current number of bedrooms: � Repair to Malfunctioning System Will there be a basement? ❑ yes ❑ no With plumbing fixtures? ❑ yes O no XXX Non-Residential Type of business: Construct a cell tower site with prefabricated shelter. Total Square footage of Building: 182.7 sq ft Maximum number of employees: Ma�cimum r.umber of seats: 5) Water Supply: ❑ New well ❑ Existing Well ❑ Community Well ❑ Public Water O Spring Are there any existing wells, springs, or existing waterlines on this property? � yes O no 6) If applying for `Authorization to Construct', please indicate preferred system type(s): ❑ Conventional � Accepted ❑ Innovativa ❑ Alternative 0 Other XXX Any I cert�� that the i� formation provided above is complete and correct. 1 also understand that if the information provided is inaccurate, or if the site is subsequently alt��intended use changes, all permits and appr•ovals shall be invalid /� � ,/' ure (O er/ Le * Supporfing documentation required. *� 2-10-2014 Date Permits are valid for either 60 months or are non-expiring when accompanied by an approved plat. A completed `Lot Preparation' form must accompany any application requiring a site evaluation. (10/11) Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573 (336-597-1790) .� . : �� . ; . 1 � � ► 4. ��„s � � .�n Building Additions/ Mo6ile Y�ome Replacements T� Map #:_1�- Parcel#:� Address: 5� C N��'G�,��_/�r'� �7�. E�/��� T�r. � 13 �� Approval Requested for: Applicant Address: Phone #'s Mobile Home Replacement _� Building Addition G'cl,L ��cJ�� Permit Located: ✓ Yes No Installation Date: /� /!� -d� Design flow: � (gpd) Current Contract with Certified Operator on file (if required): � Water Supply: ✓ Well Public or Cammunity Wastewater system shows no visual evidence of failure on: ���� (date) (Applicant's signature if site visit is not required) Addition/Replacement Approvad Envirorunental eal pecialist 3 /3 /� Date � Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573 Phone: 336-597-1790/ Fax: 336-597-7808 www�ersoncounty.net �. �����v r / Person County Environmsntal Health ° / Suite C � fi /� {y� /� EXISTING \ � \ _ � / �0 RN�OI V� NC i���V UNDERGROUND SEPTIC �� \ � � \ \ \ �� �INE r �490--- �.------>_ � AMeRICANTOWiR' � EXISTINC �'----__.\ � R I G�O SEPTIC rUARM �— � � J3C0 REGGM. NC 2J51lSUfE 1�0 ! / 2' I � o / E%IST'.NC _ T � - � _ ' oREPnqEU BY: SEPTIC TANK � b9 � p velocirel' � � y- \ � � \ a - �.� �� / �� \ �\ � \ \\ \ ma �t• vtr• ess .oi�uons '�- T � � � YeFxi�elEiiq�eerli�yPLLC � EXISTIUG �87 �� � � \ \ \ 5[q�RepvKf'Pk�v�•.S�i1e4J] �-_ \ � \ � can'.�'c])sl] ' MOUSC �� � �8 ` � � � \ � \ ORue19191J:0-0pe2 \ / � � \ � � Fm'19I!p]SOMIe $ � � \ � \ \ \ ~as �r—� 485 � � � � \\ rc v�.m �.mr •ro� E ��� �\ � � ��\ \ \` ��\ / � �se j /f- �_,\ \ \C�\ �\�� � ':'� .,�.. m ':�,:' �", �,...�,,., { / / � \ �K , �.,������„ 6 � �\� \ � � PROCOSED 30� \ \ ` ` \ \ / / ��� � � \ \ \ � � � � �� � ` C ����. � �� � GUYED WIRE . � � � � / �— — — --� _ � � � � � . �N 'v`R� / � � � � EASEMENT (TYP. 3) � � � \. � � \ � � � �/�� — � � � ` � � � � `�,�G�oFEssrpN..'�'y': \\ \ �\ � \\ \\ \ � A�� \� �� \�� �� �/ �� — /--- \���� � � \ \ � _ �2^-` �9<�t. / � 1 � � \ � � � � SEAL � \\ � \\ � \\ � ��\ \ \ �\ �\� �\\ �\\ � /_� rQr/ � � � / �480- � \ \�\� \ � � = t 025640 : _ � \ �� \ \ \� \ � �PROfOUNDAnONER4T8 R�. \ \ � � \ � � �2 � / / I / � \ \ � \ = � (n Q- • = \ � � � � �\ � � � �� \ � /. �.-- � �\ � \ � -� ��'•.'�cINEE; ��-: \ \ \ � � \� � \\ �: \ \ � �� ae.o��.e. � �i� /�� -----� \ ;i� . .•P�v: \ � � \ Q \ � � / � o / / � \ \ \ � \ \ �,,,!A M P \ \ \ \ � � � \ `�S` \ ���` �\ �R�a T��� � �� �i------� � � \ � � � \ �c�ini�`� \� \ �� \ \\� � \ \�\ �� �� � � � � �`��° � ��� � '�___—_ �� \ � , \ 3131• \ � \ � �"� \ � \ � i � �ag �� / � � � � \� � � \\ ��� � �^ � � � ��\ \o \ \ �� � i � � � `� � r � i � i _ � � � � � � � { � �„� wy�° ^PMoS� rt'M"y�` ..��n �� \� �� \ � �� �� \� � � ��» `—_� ��� ��� � -- \ �\�\� I �\ \ ��n"�'�a,REVIS�ONS�.. �,u � \ \ � — � i � � � � � �mr ac axasmx a � � � � \ � \� � `` � � � -/ _ _ , � � � � � � PRoaoseo � � o ,i:ons ss� A .�� � � \ 474.1 � � � � � � S�U FENCE (TYP) � wwnauaarl �\6`S � � � \ � � � � � 6y.; � _. i �' � I i a/n/is a��°��axs ^'01� \ \ � w� q8.0 — � � � cv�sco \ \\ � \\ � \ ,� �} � \ \ \ 1h�5 / i � � I a o/z�/� +°:ianW o� c u" \ \ � \ � � \ \ �� y - \ � \ _ } w^��— — �— i / � i � ' I � s% s% a NEVNID WlDIORU�tt °vc � \ � \ � \ � ti � " _ . � _ — � i / / , � � J � — / — / � \ PROPOSED SHELTER� \' �if'\ � `} _ �� _ _ _ _ _ _ _ � � / I FOUNDATION 475.0 � \ � / � � � \ \ � \ f� M�4 \\_ _ _ — — — — _ _ � _ � \ � \ \ � \ � \\; ' „__ --I 4%�' � —J / � � \ \ � � \ ����`� � 1\ _--- f +rarv,c� � \ \ � \ \ \\ \ \ �\ \ \ �\ \ I` � � — — — VROPOSED TOP OF TOWER / — — — j v� r 368-758 � \ � � \ � \ � � � � fOUNDATION pF/A710N 4�7,7 •ic 280859 �\ � � \\ \ \\ � � � --�� _ __ � _ / ATCSIiENPNE: � \ � � `� � � � � �� — � °74., _ � — — , _ DEERFIELD NC .�a��r,�„� 4 \ \ \ � � � \ �� _ T � f `4�5 � — — — — — — � 8791 /8793 OAK POINT DRNE \ — — ,_ _. — — • SEE SHEEf C1� FOR CRADING AND \ \\� \\ � � GRADING SOIL & ORAINAGE NOTES REOUIRED FOR SENiOR4, NC Z�J43 � \ \ __ WORK ASSOCl4iED WI7H TF95 SHEET. �PERSON COUNTY� \ \ � � � � � _ _ = — EROSION CONTROL PLAN o"�^�+ a^ •� � � \ � � _ _ _ _ _ PROPoSEO DRNEWAYS ON NCOOT � � _ _ — — scn�: i'=zo' (zz=aa P�or) AWMNNEO ROADS REQUIRE CRAVEL ttccKco er. srtH / � _ — --= _ SCALE: 1'=40' (1tx17 PLOT) NCDOTRSTD.�DRAWINNC�1807A1�, �n.oaiu� wunaaaoie I `46p 20 0 20 40 �•mHa ocsnvnae (22K34 PLOT) GRADING SOIL & � PROPOSED TREE • 40 o so eo / EROSION CONTROL PLAN PROTECTION iENCE (lYV) ���K�� p�pn / / �„�o �,��w: C4 p [� � � I? � Person County Environmental Health � i�� 325 S. Morgar� Street PNOPOSED OUTER GUY WIRE INFORMATION FROM CENTER OF TOWER / / 1/ �/ 3EASEMENiE NORTH GUY N77'3631'E 24�.07 ANCHOR EIEVATION 484.0 EAST GUY 542"2129'E 240.00' ANCHOR ELEVATION 456,3 / /// ���� �P) WEST GUY 577'3831'W 240.00' ANCHOR ELEVATION 465.9 // ///'"� �/ NORGH GUYYN77 38'31'ET1�0. p oANCH R E EVATION 480.9 I��,. ��� / EAST GUY 542'21'29'E 140.00' ANCHOR ELEVATION 461.5 ;- � WEST GUY S77'38'31 W 140.00' ANCHOR ELEVATION 469.4 ;� _..._484...�_�I/ I / —_L��� LEGEND �/@ Raxbo`o, NC �7573 ' � ��� � \500'15�0'W N73'3t001N ��,.,. � \\\ � �818' 89.78' �i �_..�, \ �\ ` �` \ \ i NSE'�7L^H � �` `� % TP 138.17 �'•.- � sc2'3395w � ��T _ _ . K15rotmw`, ` �_� c�:.f� �.ar Ms_amw � �� POT 60.W� � ' VROPOSED'� I N90'OW'E700.aP I � :SEfIRONPIN GL30'AC[ESS O :FOUND IRON PIN (AS NOTEDj � �EMENT � :COMPUTEDPOlNT pp ►oaai.nanrnna -•���4�5� �'�� � �� 0 :CONCRETEMONUMENT iS,5e7SF � I c___Z :RECORD DESCRIPTION DATA � �'�@+ �p+ � � P09 :POINTOFBEGINNING. �3 PROPOSEO #C —a —:fENCE AS NOTED ' I$ U�TowER ,.9SI�� —u�—:OVERHEA�UTILfiYLINES � � i � �II, :WOOD UTILITY POLE ` � � :ELECTRICTRANSFORMER �, __...... ... Q�O �- . � :TELCOPEOESTAL � _ Nso'OP07 W t00.ov �� : ClF = CHAIN LINK FENCE N'��� � � '� A :PF = PIN FLAG ��� ,g�- / , . / \ .� Hl9'08'S8'E � sw � ..� lZ1S � � N TROPOSED� � � ioo�.iar � LICENSEE IhSE7SCALE: VREMISES �• _ r�� 10,000 SF S� i �S 9 pCA� �N$� P��\d`' P� O �i. '• _ r�� QpOd'' P , I �.�E�' ``�6 F[Y/ � aGV 'y�S� Pf �*� Qt,OQ PAOPfR1YLINE .F VRppEN7yL1NE I I Pf�F � I �4 I �'-�� °� ) /) / SEPTiCAIARM pf/�/ SEPTICTANK �b /\'' / /I / / // � MODU / / // / NOUSE � / /. -� A aoc � ser�oEmo�E�� � / -�-- rrt 71.89 �!�I �L) '�I' ISt � � PP f'� S1T� �t'W� ,q���'� �� \�V � � �/ / / /� � MODUTAR HOUSE �,�� � � / � 3219 /� � ff / PNOPOSED , ..."` D TY' -'�, / c/tsacurwin¢ �-__...._..,..- EASEMEM �T�'vl �50.p�p� E�`-.� � -."",�.��,.�75" � .! T— `� .1��...� � POC � �'1.� ��.--..�b�0 �\ �.x%;' –' �'—�----- s� �� � . v---�' � `. �.._�.._._..._..._...._. �� �a ......IbS._--_,. F� 6,314SF i�� � � _, �,.,�.WOODUNE ' . ...,. ..�..��bo.,.: 5,759 Si ss.� PP HWSE N70'S70SE / 1 EXISTINGDRIVF N65'09'48'E � B1.fI' -+y� PROPOSED C/l 37 ACCESS 3 UiR17Y EASEMENT �a�a u 6,076 SF %. / N/F GWFNDMYN 6 MARSKF L CIAYMOBE PIN 908W1481269 DB 667, FG TO6 ZONEO:R/AC LAND USE: RESIOENCE PROPOSED C/ITOWFR ? N79'01'16E 34.37 8.85 N89'162t NB3'14tifE 9787' \Nss•19oe'E St.4o' VpOPOSED C/l30' AG[ESS 6 UiIl1iY EASEMEM aucou auu rw�cr 30,67A Sf N/F WALIACEANM PIN 908001386924 D8, PG N/A ZONEO:R/RC LANO USE: AGRICULNRE / , ,O � � c� ZONED R Z 20NED RC ,� 2 1� 'i� �` SCALE: � r=ioo� � � � 1 1 � �", ` �:� � a � �� ���� � PP � �� �, � N/F OAKVOINTE OWNE0.5 ASSOMiION PIN 908001489062 OB 246, PG 530 ZONED:RC IAND USE: AGAiGUITUNE NJf RIVEREND LLG PIN 908001466765 � DB 806, PG 536 ZONED: R4N UND USE: AGRICULTURE 50.5T s� .2; p��� + :a , �. ��:. �< BaUman CIWI Surv�y Co, PC xm n wn s� wq s>.,� rr_ nsw rio�e.atvm�cno c...viv.mioe� uceisra�.cn+e �` �I at&t , -� �y veloci�el cd v e � £ ai v �a vA zu9 «�� o '^ � o c � �° u a u m m� n N o � d N ` °; E i � '> o�m��'m: ,��"��.�..�. Q �� � -onm7 Oe1NMOvf10 SITE#368-758 SCQ� McGHEES MILL RD SEMORA, NC 27343 Dnwn y: ,� er. SPC o�ce: Juty 12, 2013 SHEET 2 OF 3 PERSON COUNTY HEALTH DEPARTMENT SUBSURFACE WASTEWATER SYSTEM MO1vITORING REPORT � �► i� $ s �c►c� � !�3 IE�. Date o Inspection System Installation Date Type Tax Map Parcel # �`19� ��c��s M».. i� � s�a� � �1c. ��1 ��� Property Address Instructions: Cr�eck yes or no for appropriate items and explain in spa:,e grovided for remarks and comments. If an item is not applicable, indicate by "NA". If an item is not or cannot be evaluated, indicate by "N" and explain. Note that this monitoring form is not totally inclusive for all systems. All maintenance and monitoring items specified in the permit are to be carried out. INSPECTION RESULTS COLLECTION SYSTEM: Evidence of leaks ? Tank risers accessible, free of infiltration and surface water diverted ? Sepric tank needs pumping ? Inches of solids: Septic tank filter cleaned ? EFFL;UENT DOSING SYSTEM: Require3 numps pres�nt � fiu:cdonal ? High water alarcn operating properly ? Floats, valves, etc. in good condition ? Control panel & components in good condition 7 Effluent free of excess solids 7 Inches of solids(pump/dosq ): t� Elapsed time readings ? �� � Counter readings ? -=� Drawdown rate: YES / NO ❑ � ❑ ■ ■ � ■ ❑ � ❑ ►= j ■ �� ■ �� ■ ► ■ DISPOSAL FIELD: Evidence of effluent surfacing 7 ❑ Evidence of effluent ponding in trenches ?❑ Surface water effectively diverted ? � Diversions/swales properly maintained ? ❑ �eget3tive cevPr ��in±aLned ? ❑ Protected from traffic/unauthorized uses ? �$ Distributiou uevices ui good condition 7 j� Field free of settled or low areas 7 (9, / / / / / / / / PRESSUtZE DISTtiIBUTION SYSTEM: � �A TumupsJcleanouts/valves/taps intact & � � accessible ? ❑ � ❑ Pressure head properly adjusted ? ❑ / ❑ COMPLIANCE: Compliant � Non-compliant � Needs Maintenance REMARKS �,.q-�yZ -!'i4t�'� r�at F� c.�.�-sS.tQ� : ' � q�av�. �c..�a�►A, +�Ay A���qp`�( oa�� o��, P.� sy�,.d:�� � :� ��bi�1 �`� �-�o EJO � �Ri�n.►rio� : S��oi.�� .1�r �1R�s��11.\ �1a¢�p1F- �f�"� "���,• ' T'1f1���s�Mw�. ��'t��� �,OF� - S o ►� ORw�ai'r�E�A� tnr 't..� S�'�a��►C1� ��I`iviTivl3ru, CvivZvi�i1TS. W�YE. SiPs1C. '�i�U� I��r��D �-vE� J� ��I��T, �1•�� LiSti��c CO'fP�il. Scs�. M�r�tl`R '�O Got3��- I��r b¢.c�..r'c�� !t� ��,�1�� g�._' C,�. ?c�►o w;�a Aa� vaEs�o�.s (.��`1-s�'1-�`19a , EHS � l�.