Loading...
A24 140-143'/ '7/Z �!/,ll�i���y �y� D�✓� 'it `�Ls.�1 � ✓ i✓ ��,Irs ifl'ts��3 �J�GDi�y /'{� $�a f� � �C � � ��� �T' �'�.G� �L. ��S /�'�� l�l��'+/% � ��I'�-y,/� f�fG�� �7��G�ve� �v � ��v2�o ti/y �� ���taa,�ls ��� , l'Y�x/13 r� � P�ss+✓T - ��sc� ��y ���. ��u /�Go1�o�'�, 7'�� � ir/� • vt�� �� �' �i��c�is�s��,! . s��« � �-r""R°0.- �.P, lW000Y wooavRrc,q� h��os d, �+�cks q�e�a�c.(� l�oty c£ Fo0.. �o w/�F��C CN�4►�g�,R, FkE C� �°�`L' "�. �1'�r. Aao = �,�- „ � P,ar� �.,�1i � �" �'h�- �0 9tsc.�s S Pu.oPvsr� %St�ErEcS 'Fnari 1�oys'� c� n1�, stiw��s � '4�.1 �v p����.o ,�,ts T�o� Kt-c�,� ��.1-�,� .+., f i���,, vF.wrs -� s�,� `'v1�+c lii t�ra4 �w� 1h�r1o. ��n.�v � � Zo w�v. ss� -s�1��. Lo c,aYc,v,� � �� �tj P.;,..�.�� -zv Q�p� ����.> , ,., apc�..� 1`ti�r �►� t�iE�t. c�- � "�K��, v� s� 'Sv 0��+�s S �,J�,�y� eF �i��f� -S��PPt.`� i.ti�s d- �hi�5 '�'� S�S�-tN-t. c3^ �L�hrl►� �►z.�r�i . c�,�s� �.� c�„��c� ae�cr�r�. 'C���r, ��, t�v��r� s�cs��, Ct��.e�. Q�s� ; otLc; co,�n.wc t�.a ?3�ort,� �ss,��. .�' ae�rc.��.v� P�•cr . ^- oO�.b (-r�� ��> �%�gl�� p�� F�.. ��.. � ���-�. c,�,��� c.��..�:,,�.�; ��.,. �.� e� �,�. d oRc. �r�-sxr�- Fo�. can�x�v.s.-n �� �v�►.�, s`P�. ^-�ag 12'�-�-�� � c.�-- �* �t ������ � ���� � �� c� 70U, a� � rec�;� ��Y t �P � �J � l � �A/i �',(,J � ���;����� ���, sf ���.� �� ������ I� �� a- � �. �. � �. � �. Il 1�IL � �, Il �I� Applicant: Location: L�-C. Taz Map A�'� Parcel # 1�� 1y3 Subdivision o�►1�. Po��E. Phase/Section/Lot # # of Bedrooms y O�e�ation Permii ���al��-� System Type (From Table Va): 71Ia6 . Product �IIIg): �.Z �v�,w Type V& VI Expiration Date: t�l ti4 Type V& VI Renewal Date: ►� a This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and aU conditions of the Improvement Permit and Construction Authorization. 'p�ic� A . 5M�� (Authorized Agent) ��� l�.wu (Licensed Contractor) Scale t1z'S PCHD, rev. 12l14/12 -� �cc��Es r.�v� �� l ate) � �`1 1 Date) �D y'9• a (�Q�7 il'��� Tax Map: '�} Parcel #: I�-1�}� Septic Tank System Checklist (Type II-I� System Type: ��6 Notes: �.0 = 99g 8s� �-�= ppoo�,, 31 H Pump System Checklist Contracted Certified Operator (Type IV Systems): Notes• ���.s� ���.��� �� � � ���� 7[�a��a���„-„-„ ����.Il 1I—���.Il�I�. Applicant: �WEO�t�O ta.0 Address/Location: 6ZlsS pEE1�G�r�.p �,qt�E � SEt�o�t� Tax Map: �_ Parcel: t4,a-ly3 Subdivision oAK Po��€ " Phase/Section/Lot # Improvement Permit Permit Valid for: Five Years � Non-expiring Type of Facility: �}blt, wo�tsE LLut�i ��ALSLL, New _ Addition � Water Supply: �wrtE, WE.v�. Number of: Bedrooms �/ OccupantsSaMx/ Employees / Seats: Projected Daily Flow: 48a gallons/day Proposed Wastewater System: Q��.�p �1�p qtc�,0 Type: ��_ Proposed Repair: q�qE�L p�y p Type: � Permit Conditions: M Authorized State Agent: .. ( (X) Owner or Legal Representative: � . ���a►�� .�� cf �r��l G,cnR�►16: � Date: Date: � The issuance of this permit by the Health Department does not guarantee the issuance of other required permits. It is the responsibility of the applicant/property owner to insure 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 is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina �Laws and Rules for Sewage Treatment and Disnosa! Svstems'(15A NCAC 18A .1900). Neither Person County nor the Environmental Health Specialist warrants that the septic system will continue to function satisfactorily in the future, or that the water supply will remain potable. Authorization to Construct Wastewater System See site plan and additional attachments (�. Proposed Wastewater System: �t�! 'ro Acc�t�p M,� o147a 4s0. (*)Type � Design Flow �aO gal./day New Repair _ Expansion Soil LTAR: p, AS gal./day/ft2 Type of Facility: y� 1iCiM.s� (�Ka �sq��E Basement: _ Yes � No (*) System Types Illb, IIIbg, IV, afid V, requireperiodic system inspections by the Person County Health Department. Wastewater System Requirements Ex�t�rt�16 �x.�i�ab Tank Size: Septic Tank fOOC gal. Pump Tank Is�O gal. Grease Trap 1000 gal. Drainfield: Total Area ��10 sq. ft. Total Length y80 ft. Max. Trench Depth la in. Trench Width 3 ft. Min.Soil Cover �_ in. Min.Trench Separation � ft. Distribution: Distribution Box / Serial Distribution / Pressure Manifold i�, Specifications: (�Mf �' Authorized State Agent: Issue Date: l'L �0 4� Permit Expiration Date: . The system permitted is: Conventional /Accepted X-/_Alternative / Innovative . I accept the conditions and specifications of this permit. (X) Owner or Legal Representative: �� �Z �� � Date: � � � � � Person County Environmental Health, 325 S. Morgan St, Suite C, Roxboro, NC 27573/ph: 336-597-1790 (rev 5/12) �—.�� ?. � ���� �� . � `� ������ IF" aav�as��.aa.a��ca�mIl' IE—��0.m.�.��ia� • SITE PI.AN Name R�� �-C. Tax Map #�_ Parcel #«0`«3 Sub ' 'sio 0,4� a� �. Secrion/Lot _ (�l 1 �u t3 Authorized State Agent Date System compoaents teptesent appmxlmate contorus only. The contractotmust tlag t6e sysrem pcor to beginning rhe iastallation to insvte thatpmpergradeismaintained. - _ _ _. __..._- _,_�___ _ . __- ---- ----- — _- S�is� --�.��R.i� - �. y �c, 6�P i� , �� � � � � �.�s �� � ,� � .� � � .� � $� �a . F�c. � .� j w � � °° .�1� �" �.� �.r�, ���.�;���.c�lJ � v -- C,qv�- \� c,N'Q wI ���wr�s �`37�0 ! � 1 l� ( 1 4V �1—� -- 1'11�1t'1\�1.,� 5i�. '�Isi��CZ-�ifE� � 00 --- 5� M�-r�r�`x.1 'Q�.S��� W 5��' i � � �. _ o .� � w� i � W N rn r i � � N W a �.��. � I�1�I���� =������ IE;.�.-� ������,.it IH[�.�.lt,�. Owner• �v�0.�r�0 C.L.0 �(�, Tax Map: A�'� Parcel #: t y o- ��13 Date: � 31 t3 I.ine Ta� Tap (Scfla) Tap �'Io� Line Lengtta �ow /��ot # i)iaYneter(ua) ( m) � :. (ft) i �a � s�i� tao .o�}b 2 �. 3 4 5 � � ��. a � a3.ga s 9 10 � �'�Sa ft of line x 65 gal. per 100 ft = 3l� �a '-3,-i� —�o- =100 = 31a. gal 75% x 31 � ga1= �2 3 gal per dose �'1 gal per minute (gpm) = I�'low Itate Friction Head Loss: •� a`1 ft per 100 ft of supply line x`� ��u ft of snpply.line =100 =.�io.b'1 ft �b.�,9_ ft x 1.2 =� � ft of friction head �. Manifold �ize: ot " Force Main Size: a " PVC Total Dynamic �%ad = 3 b� ft of Elevation head. + a1 ft of Pressure head +�� ft of Friction Head = � O _TDH � 6s�t��0 Pump Requireaneut: 01� GPM @�I O. • ft of Head Drawdown: -o�3�i gal per dose : 25ga1 per inch = 1 o inch drawdawn per dose .., . ;� :., �.� : � � ,� : �.� � � - � ��� — :��a�����■rs - . , : . ., ,. � __ ��� , . ■�ci»�■��oo -�-o-o-�-�-o-�-o-�-o_o-o-�_�_�_�_�-�-�-�-..-�-�_o_�_�-d-o_�.-..-. �i► i► i► i� ....*..........� ............... ; -.... :. .. .. 1►�R!!!*�!l�:ilNl��!!�l�.�lirl�:l+ � � � � '' : , .. _ : a : : : v: Iaeml'� ]ni/m��os i» �IIII � .SCIICS��C �O � 9mwma � . . . . ' �'iow er Tap Si�e 1Llcu¢rial Flow G?L! ?1 " Scl�ed SO .i.S !, �� Sched 10 7.: ?, " 5c1:ed 80 1 Q 1 =, " Sched 40 11.� 4 Bedroom Layout FLAG LINE # COLOR TBM INSTR. 1 1 2 3 4 5 6 System RED ORANGE PINK YELLOW BLUE YELLO W LINE LENGTH 480 265 Deerfield Lane (Barn) Tax Map & Parcel #:A24 140-143 Total FLAGGED DESIGN LINE LENGTHLINE LENGTH 74 98 136 138 60 60 566 SOIL LTAR SYSTEM LTAR GPD/FTZ TYPE GPD/FTZ 0.250 IIIbg 0.250 60 60 120 120 60 60 480 (IIIg) PRODUCT DISTRIBUTION EZ Flow PRESSURE MANIFOLD Notes: **All measures in feet. **Nitrification lines are demonstrated on contour via colored pin flags. **Anaerobic drip repair. ** Line 1&2 fed from same tap ** Line 5&6 fed from same tap January 30, 2012 Line # Color � & 2 RED & ORANGE 3 PINK 4 YELLOW 5 & 6 BLUE & YELLOW total Lenqth 120 120 120 120 feet = 265 Dee�eld Lane (Barn) SYSTEM Hole Size FIow/Tap g�d SCH 80 1!2 5.48 120.01 SCH 80 1/2 5.48 120.01 SCH 80 1/2 5.48 120.01 SCH 80 1/Z 5.48 120.01 480 gal/min = 21.9� Des. Flow 480 Pump Run= 21.90 soil LTAR 0.25 100% Dose Volume 312.36 Percent Dose Volume 75% Total 234.27 Pump Run Time 10.69 Trench Area Line LTAR 360 0.3333 360 0.3333 360 0.3333 360 0.3333 ��,�..sf ���..� �� �-.. � �-,,� � � � � � � �arn.w-na.-am�rn.�.�,r,. ��n.�an.� �'�a�as,.���n NEMA 4X Simplex Control Panel � I-1 +1" X 4" Pressnxe Treated Post j Sloped To Shed Water 12° Separation � Electrical Conduit � 6" Cover� � .. Inlet From Septic Tank �l" SCH 40 PVC Pipe v • � Access Covez� •• , ' . ; � 1 ? . _ �. — � � ' � ; . 't• . • . : �,. Opening Filled With Anti Siphon Hole \ Portland Cement Gzaut (Down Hill) Check Valve High Water Alarm Levcl ' (6" Separation� � Higk Level - Pump Ox ��� , �Vapor Lock �• . � �_Drzwd,own Hole _ ': � (Up H�11) . ,. Law Level -Puxnp Ofi --l'r � ' �• T��x M�a�� • P�rce.l # � Suhciivision • - � v 'Ph•�•s�e Sect�ion Lot # Du,ct SealBoth Ends Of The Con�aii �- 24" Miniaaim r. .� Threa,ded Gate Valve ; — -., i Zip Co�+d Tics 1 ' P:ecast Concrete Tank 4" Cozicxete � ;.; (Matezial Strength>3500 PSI) Block • '.` . ' ,' , : . ' • . � • , _ _ .' • � : . , '� . i 5 0� GAI,Z (�N FLT�' T�-LNK Concrete Riser S" Separation ' . ' • .f id%';r '' �� ���.-Portlazud Concrete Gxvut Mastic • - ' � Opening Filled With Supply � ' portlasud Cement Grait Line • • Outlet To Distnbution 2" SCH40PVC Pipe F1oat Wires � � • •f � '� �at� . . �Rem,ovable �•�. F7oat Tree , , I ,�: � • L •..• . i�,r,� IZE D�t t�� � a � 6rr� @. � o �c '�o� �. `� y ,�' .,..���yl r L - """"'"r"r"+�w ..r "".. ""■"'rw..�+... .... .n. �"w""""u"".."w 'w+� �r.� . w"ww.�r+�r4r � . . wwn �.w �S �r' w' . . �M�M�Ywllr�rMr� N� M�wMMrO.y�� �yy ��MI� ���'�M�lMM� alY YM� yyMr • . �M�iU��y / +w �r�r ,w.wr�� � � } '�'�" '� M�.�wwr�r � � w�► .w�� � `� � j � � � �� ' o° �. � � I ;� ' � ! �` � �� . ��� �� � . � r�o �"' � � ;� � tn � � � r� ! I� N � f C7 � E.rt OD � �,.i �/� I tn � "{% ' „� � Gh C� � . � �, ..� «.. I f t�f r" � t� „ � ��� � . r'.' ;� � � �, C� Gk7 � � � f�� ,� 9 � -.� .�, � ...��"' � � �• ♦ /""r .�,..• t� t� � � f t �� ,p4 ,M,, h� . '� . l tri � . � `r .�, ,� ,,, � p � � �� ``� � � �, i a � '` ' � r� .� �� f "' 1 `� .,,, `^ . �,,,- '"" 1 � �` a 'D / � . -""�+ '"�-�.� � � °� _ � �,,, ..�'" �,�,�P� . �� �1��� �..� . � -��.� �� �. � y � o �� � o �� . � �� � � � �� ���� �, �� �,,, � �` � ,� a �' �'° • a� � '� � .. Z N �� , �,,, Z � �. . � �'��/ � � ,.�,�.. �? n� � � ��� � � � � � �' . ' �� m � � � w � � ,�. ,w,�., ,,,...�, .,.,:.�. ,�..... ..... ,w.� .,..w. �- . -.-�. L ,� � ... � . � �. oa n �� rn� �� r� . , ConnectGIS Feature Report Page 1 of 1 t Person f, ij i`*,f ` I; f � Printed December 20, 2013 —' �• I �'' r-- �� � See Below for Disclaimer �er. N�_',5r�•��r. .� i i 1 t�z„ z'�� `s�= . 1 '�t ti 4, 4 ' , r- ti �:�:k -� � � � ��� �! � r +, �f � _ - .y, ' -'� '!�� - F' � �- r � �'' �, ��c�. '., j� .: - - 1 49�[ .,s, � � 't �` � _ /:^ ,` �t ,� _ - iP !,�' � - � t� �-�' . Y �1 �rik��. i , �� . � rr' r `� -4 � , � _ _ � � F�� �� . ��'� ' �� �'-.e'� "� ,^ � `c �- . g 5'�-� 1 � i, 1881�� * ' �'7` �I .;` � � , M i �.� • = . ��� ��� � � � x.• {a � f ��: - - .�, i + . � �, I � f: _: I II � � z� �� Si, - � ; . � # ��I ,% : , - i . i `, �".< i __ 1 � - _ � _ '� _ +� - ;r� ' �as�s � - ~ � , ;:. , ' � '�:- - �-� _ . - 4 � �- � � ¢ ��,: .. v . . , : - , � ,�. r �= ;� . _ � �� _ y �� 1j. _ �Fi�L'.'.1i` li f' t7 �. �e,. = i i� •st : h F �° 't�' � ft ` - �' �_, ,'' r -�`` f:�.. ':S� �-: � �.: �� � � �{+ I �, '',,I� - "� rt;_' . I � �t ; 1 3 � . II .iF�� _ �J l�a � . .. .� . . , - , I � _� ,.t, 45; �� :���� j�' - � �. I 13 821 y - � + . ���. , �, °�. '- t - �+s ' . � � p .' A,1 � �y . � ! � { T -,�, r � � . a: i .-:. , .. s � * .t 18820 � � �'�' .�,'� �. � � ::� i .. . . j;�" � �'�,�� ~$°'� -}r� ��i`? b �' ' _. , -� , _ ' _ _ � s , ; . _ ,'h �� ' 4 .. � �� � �J�L~ l �`r r �-' - +yT• �'+� 1. �.. � i 1 � � � . ' t d - � �` — �.�� ?�-� � '�r` �`�4' '� t v . � �::� _ :.ta�,�, . . _ ^r�p$ . . � �::.� v� �. .� �_� � , , � 'i ,� . J;' ' � ' � �, � ` �.'.�.t.,.� �? �... - _ \ 4 �> � 4' ye,�,��"y� � rx 4 _ s` � � .. . � . � _ t � : = � 'z �� � .g.', ' ,a _ .,, . � . �T�� \ r 1 � �` Y�' `�� ��, r � �Ut . . � . �Li � . . . . . � � � , i . .�, �� �.�r `�;. L � . . . .. __. __ _ _ -_ � j o: i 00 Feet � - - —S — , ia}'`�., ' - - -- JOTICE Recen:ly ��e have had severzl users report Gro�.vser compatibili?y issues when trying te acces; our G!S website Typically. the problem s!ems from users wh iave recently upgraded to the Windows 8 operating system or a new vers on of Intemet Explorer. �Ne were ahle to resolve this issue by directing users to the Intem� :xplorer Compatibiiity View tooL This link is to Microsoft's "How To" for the tool http //windows.microsoft com/en-US%intemet-explorer/products/ie-9/featureslcompatibilih iew If this does not solve the problem feel free to contact us at the number listed on our main page. Wetcome to the Person County GIS Website. ConnectGlS has bee �repared for the inventory of real property found wilhin Person County, and is compiled from recorded deeds, plats. and other puolic records. Users of GIS system 2i iotified that the aforementioned public information sources should be consulted for verification of the information in this system. Person County. Mobile 311. ConnectGl issume no Ieoal resoonsibilitv for the information in this svstem. Grid is based on !he NC state plane coordinate system, 1983 NAD. http://gis.personcounty.net/ConnectGIS_v6/DownloadFi le.ashx?i=_ags_mapa5553 7ce0f8... 12/20/2013 Line # 1 2 3 4 5 s&7 Color PINK BLUE RED ORANGE YELLOW PINK & BLUE 265 Deerfield Lane (House) SYSTEM lenctth Hole Size Flow/Taa g�d 96 SCH 80 1/2 5.48 64.11 124 SCH 40 1/2 7.11 83.18 124 SCH 40 1/2 7.17 83.18 120 SCH 40 1/2 7.11 83.18 120 SCH 40 1/2 7.11 83.18 130 SCH 40 1/2 7.11 83.18 total feet = 714 gal/min = 41.03 Des. Flow 480 Pump Run= 11.70 soil LTAR 0.225 100% Dose Volume 464.64 Percent Dose Volume 75% Total 348.48 Pump Run Time 8.49 Trench Area Line LTAR 288 0.2226 372 0.2236 372 0.2236 360 0.2311 360 0.2311 390 0.2133 4 Bedroom Layout FLAG LINE # COLOR TBM INSTR. 1 1 2 3 4 5 6 7 System PINK BLUE RED ORANGE YELLOW PINK BLUE 265 Deerfield Lane (House) Tax Map & Parcel #:A24 140-143 Total LINE LTAR SYSTEM LENGTH GPD/ETZ TYPE 714 0.225 IIIbg FLAGGED DESIGN LINE LENGTHLINE LENGTH 98 132 130 120 122 60 71 733 SOIL LTAR GPD/FI'Z 0.225 96 124 124 120 120 60 70 714 (IIIg) PRODUCT DISTRIBUTION Low Profle PRESSURE Chanber MANIFOLD Notes: **All measures in feet. **Nitrification lines are demonstrated on contour via colored pin flags. **Anaerobic drip repair. January 30, 2012 ��,�.sf ���.��� �.� � � ���� ��a.v�-a�ram�rn,•-„-,• c��n�an.� ����►.�d.�a. a�v�wo�.x NEMA 4X Simplex Contzvl Panel 4" X 4" Pressuxe Treated Sloped To Shed Water 12" Separation \ Electrical Cox�duit = �� i 6" Cover • ' � Acc s Covez• •• , ' . ;. � 1 � � , _ �. i .�" � ' ' � = ; .'t�. ' . ; �,, Opening Filled With Anti Siphon Hole \ P land C t Crmut Inlet Fmm Septic Tank ort emen (Dawn H�ll) 4" SCH 40 PVC Pipe � Check Valve � High Water A1ami Level ' (6" Separation� High Level - Pump On -��.�� � �� �Vapor Lock ,•. ;, �Drawdawn Hole _ . . � � (Up Iii71) '. Lrnv Level -Pump Ofi -�� �' :. Precast Coxucrete Tank � ;.; (MaterialStrezigth>3500PS . '.`•. ' ,' : : . ' • . _` • TG�X IV11'� • Pai�ce:l # �� Suhcl�ivisioi� • � � Ph�a�s�e Sect�ion Lot # Ihut SealBoth Ends Of The Conduii �- 24" Mininnnn ...,.-, •... • Threaded Gate Valve ; — - ., i Zip Cord Tie� 1 Nylon Rope 4" Cozucrete B1ock _ r' ' : . • '� , Cox�cx+ete Riser b" Separation '�.rPoxtland Concreta Gmut 1vlutu - - ' � Opening Filled With Supply � : portland Cement Cmrut Line •• Outlet To D'utn�rution '�" SCH40PVC Pipe Float Wires ' • �r i Floats .�. �Removable �•�. F7oat Tree , , r � • �. . � . � ' .� . I S oo GAI,LUN PUMP TANK i'urr� ��. �.�u� r+�.�'t y3 6Pr� �' 3g � �tDt� �.��. � 1PI��.� �� = � � �r�°�� IE:�-� ������.U. �[�1[�.�.u,�7� Owner: �v��n v..C. �.13v�� Tax Map: Aa`� Parcel #: 1'�'0- �`�3 Date: ► 3� t Lane �ap Tap (Sch) Tap �'lo� Line Leaagtta �'iow I��ot # i)iameter(vn) ( m) �:, (ft) i ' a S� s.4s � lo . asry, 2 � �- 40� h.tt ld ,ash 3 'a 40 �I.►l 1� .as� 4 �a� 40 9•� 1� � os� 5 . �1a-- a `l. �t I �o • c�s 6 � a. y o 9. il . o.ss 7 n s v� t�� a- 9 pr� 10 � '��`� ft of line x 65 gal. per 100 ft= 4ti`��a 4�`�ta ; I00 =`� ��'•�gal 75% x`it�`k.lgal= 348• �8 g� per dose `13 gal per minute (gpm) = I+'low Itate Friction �ead Loss: a•S�_ft per 100 ft of supply line x����a ft of supply.line ,' 100 =�=S _ft g.8 _ ft x 1.2 =_ � o.5i�. ft of friction head �. Manifold �ize: � " Force Main Size: � " PVC �otal Dynamic Fiead = a.to ft of Elevation head +� ft of Pressure head +�_ft of Friction Head = �_TDH �� ��r•�0 Pump Iteqeaireanent: � 3 GPM @�`� - ft of Head i�ra�vd�wm: '��'�,g eal per dose : zS ga1 per inch =_ ly inch drawdown per dose � � � ,r �.,� � � �� ,,� � � - � "�� — '=�i�����t0 �, , ,. j � ��.,,, : . . � � "�_ �[(�11��mn� ,.. -�-o-o-�-�. o-�-o-�-o-o-o-�->-�-�-o-�-�: �-..-�-<-o-�-�-o-e-�-,-. 1�) 1�1 1�) QI - ����*+��������g���s���.�a.���;��_�� .. :... : ., _ �!�!!!!�!l�.�lN!!!!!!!�!!�!�!!! � � � � � c a -: ::-v: f�mllbm� ]ni/mcaoa: � �µ.,���,��.,�. il�Iasu%id riL�x �To. Taps off one side Si� (�edace b'/s for ta i�uoth : '�' !l �n 7s» t8 S 3��» � 3 �7! . SLi/.I.RifilO �7f! •YY5�M�1•Y1wKA•Y�1N � Z» � �. � » g ' � �+.:+....•.•.'.�."�.�'...,rM,.-s,."'+"• ..;� � 3 - • �u 16 3 9mama � s � i fi�� da+ 2i __ � • � � � � � � �1ow ar Tap Size illnt¢rial Flow GPLL �i " Sclied 30 �•� !. " Sched 10 i.l v, °� Scher180 !l1,1 °4 " Scheri 40 IZ.� 1159 � yg:► �.�('o .�, , das ��r,�C� �r�. �11� �ta . �r. 1 153 � ��" �3��. �.pV�,� �� 1154 L_ 5 D- 8 8 6 _ Ce�, 'P c.t�n w' C�1.�-sw�i s _YEL- 2 `�3bi�9jj-��lg� � 9 1 L_ _, 4� 7 - i'���tt��stTc- s�� � � � ni53k�1C�YS� '� 4� EL-903 Q � � R L- 9 0 4 ���.c. Coa�c�C � �, L -_ aD „, �38 �u.��Q �- �a (,a Q��.Ps� I - `6 9 '�, --�' �:� � _ 9 � Y�- R- �L- � 91 1155 � L- ��F. 9 � �'I- 70 . �� � � �:� `. L - 918 �� �= I -9 � ��.� :: �: E L - 0 6 '_ ;; ;; ED=;:h L_8 ;. I _8 �� �� -89 I -9,14 -.�'.s: : �;:'; � '� L - 19 E��=:=: �,,+g � Y E L 9 0 �I_8 L-88 �� R-897 ;� �� E L - 9 L-87 ED-�,�: 92 I-9 - -9 0 t:, I- 8 3 �,'_:, E L-� 1�- 912;' ,� ;;. " L-87 �� ' ED ;, 3 8 EL-910 � L-921 >; L' 1 156 I-8 �L-87 ��; YEL-911 R-8 5 ED-8 4 1158 ��� Q�r�� � �� I-87 L-876 , � 1157 ..� s�, l���� 4 t���b I 5��.�.. � ,►��- ��w,a� �,���rc. a• S��"�L, �� i K+DVI�C�- • � � S � A �� t`` �- 2� � �v��N� ���� )� ���� �� • ~v� ��— � � ���� � aavas�aaaaa�an.�eo.Il ���e.mu�kn. SITE PLAN Name ���� �-�-�• Tax Map #�_ Pazcel # ����3 Subdi ' ion ;�. � Secrion/Lot# —� a_ �z �.a �3 .4uthoazed State Agent Date System compoaents represent appmximate contours only. T7ie contrauarmustflag the sysrempcor to begiaru�� tfie insral/�rlon to insure r6at pmpergrade is maintained. - -_ --- ---- r -. =:A ���, s� ���.� �� � � ���� )C�ssrn�n�r-��T-„-„ �:irn��Il �-���.�-��n Applicant: vEl Address/Location: Ll. G TaxMap: Aay Parcel: IVa-ly3 Subdivision OAtc �o�c1zE Phase/Section/Lot # Improvement Permit Permit Valid for: Five Years � Non-expiring __ Type of Facility: y KEs. New )C Addition _ Water Supply: Puvw�tE wEt,,t, Number of: Bedrooms / Occupants�x/ Employees / Seats: Projected Daily Flow: 480 gallons/day Proposed Wastewater System: Pul�p 't0 1Aw rj��E C44AMQ�ER, Type: _� 6_ Proposed Repair: A�l,A�c,uptc, QR�r Type: Q ' Permit Conditions: Ma��.l,���, A�` S¢YtSAtks ;_ to" So��. CovER. RE4�11�.0 _: � r�a��+•zt srtf Authorized Sfate Agent: ��, 1. (X) Owner or Legal Representative: The issuance of this permit by the Health Department does not guarantee the issuance of other required permits. It is the responsibility of the applicant/property owner to insure 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 is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina `Laws a�r�l Rules for SewaQe Treatment and Disnosal Svstems'(15A NCAC 18A .1900). Neither Person County nor the Environmental Health Specialist warrants that the septic system will continue to function satisfactorily in the future, or that the water supply will remain potable. � Authorization to Construct Wastewater System See site plan and additional attachments (�. Proposed Wastewater System: Q��wM �Tp tqw (Kc��T Ckbley�R. (*)Type: � Design Flow �i80 gal./day New �C Repair _ Expansion'_ Soil LTAR: � a�5 gal./day/ft2 Type of Facility: _ y dR � R�g, Basement: �C Yes _No (*) System Types Illb, Illbg, IV, and V, require periodic system inspections by the Person County Health Department. Wastewater Sy,�tem� Requirements Ex�x��J,b r�""�`�„ �c� 6��. Tank Size: Septic Tank 1404 gal. Pump Tank I500 gal. Grease Trap —""' gal. Drainfield: Total Area �133 sq. ft. Total Length '11?- ft. Max. Trench Depth � in. Trench Width � ft. Min.Soil Cover �C in. Min.Trench Separation 9 ft. Distribution: Distribution Box / Serial Distribution / Pressure Manifold 'C pQ,C, Qg�yu,,�(t�,0 � i Specifications: S� TEE r F��'�Efl 0 Authorized State Agent: d�i,�. (� _�,.�i, Issue Date: 12 Z,p l3 Permit Expiration Date: tz. •to 1$ The system permitted is: Conventional /Accepted / Alternative ; Innovative . I accept the conditions and specifications of this permit. �4`�'�� �L"�' �'�'*`rt° a-�- (X) Owner or Legal Representative: ,�( ����2 � Date: f��-�-�� � Person County Environmental Health, 325 S. Morgan St, Suite C, Roxboro, NC 27573/ph: 336-597-1790 (rev 5/12) < ���, sf ���.� �� � � � ���� I� �.�n � � � �. m �. � �.Il IE� � �.11 �1� Applicant: K�� Location: ��5 m Tag Map � Parcel # i`b-i�3 Subdivision eAX P��� Phase/SectionR�ot # # of Bedrooms �} O�eration Permit � c��� ���°�� System Type (From Table Va): .i .(3 Product (IIIg): Type V& VI Expiration Date: t�l a Type V& VI Renewal Date: A This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. �.,,..�. a. �, (Authorized Agent) Scale ��5 PCHD, rev. 12/14/12 � � � � � �a� (Date) .� � 1 _ � ate) r{�e J Tax Map: A�� Parcel #: l�l�-143 Septic Tank System Checklist (Type II-I� System Type: L� Notes: �asz,r�b 5�,�, 'Z'At111 � Q,��n�o 'T14tii11 Q. H�o�15� I Lh�p �'1.1 • ol ..� M�l� �� C� : Z.51'�� {�1 b l� t.�r'l. �`�. �i 9 u ► ` � �C' i � b W ►ri �/ � � � 0`�,1 . `� � t SZ�T" �1�. �o -��- `� °� ', �'O "''`l Pump System Checklist �����. Q'�s � D �`� Asa.To C-�sL- 4le 5��� S Tank Components Pump model: 'Za�,-n, � �, 3 Block (4"} Nylon retrieval rope Float tree and attachments On/Off float swing: in. Alarm float (6" separation) Anti-sinhon hole Check valve Threaded union Gate valve Conduit sealed Outlet sealed and secured riser Supply Line Size and material: � in. Length: �14,0�0 ft. InitiaUDate �s 31�,i �►e�a,�c�t. Contracted Certified Operator (Type IV Systems): � J�v►+�Y t�+�s �' So� oDG$ 5�����} Noies: ���_ ����i���� �� j�t� N. C. Department of Environment and Natural Resources � Division of Environmental Health INSPECTION OT ENGINEERED SUBSURI�ACE WASTEWATER SYSTEM ��;���;;f�' �-� ?�///�ti`' Department Operator Remarks Name of f Establishment � j �� Address . Address Yes No 1. ESTABLISHMENT: �a Type, size, and sewa;e flow in accordance with permit? ...................... 2. COLLECTION SYSTEM: No evidence of leaks into or out from sewer lines/manholes? ............... �� � Free of blockages/solids buildup in tines or manholes? ........................ �❑ 3. "I�ANKAGE (Grease Traps/Lift Stations/SepticJDosing Tanks): Tank risers accessible and surface water diverted? ................................ �� ?anks and access manholes structurally sound, watertighi? .................. .[� ❑ Sanitary tee(s) in good working condition? ........................................... � � ❑ Tanks pumped, cleaned out as needed? ................................................. �❑ 4. RAW SEWAGE LIFT STATION (if present): ' Required pumps present, operating, and cycling properly? ..................: �❑ High-water alann present and operating properly? ............................... � Floats/pipe/vafves/disconnects in good working condition? ................. `f]! ❑ Control panel enclosure/cornponents in good condition? ...................... Q❑ 5. EFFLUENT DOSItv`G SYSTEM: Effluent appears clear, free of excess solids? ......................................... �❑ PUMP SYSTEMS: Required pumps present, operating, and cycling properly? ................... �❑ High-water alarm present and operating properly? ................................ ❑ Floats/pipe/valves/disconnects in good working condih�on? ................. p�❑❑ Control panel enclosure/components in good condition . ...................... Elapsed time readings: SIPHON SYSTEMS: .� No evidence of overflow or siphon leakage? ......................................... ❑� Siphon(s) appear to be working/altemating properly? ........................... �.❑ Bells and vents free of debris and in good condition? ........................... �] ❑ 6. GROUND ABSORPTION FIELDS: No evidence of effluent surfacing/reaching surface waters? .................. Q' ❑ Minimal ponding in subsurface trenches? ............................................. 0�, ❑ Surface water being effectively diverted away? ..................................... d' -❑ Diversions/ditches/swales/tile drains properly maintained? .................. ❑ Line cover/vegetation adequate/maintained as needed? ........................ �'� ❑ Protected from traffic, destructive uses? ................................................ d' ❑ Distribution devices in good condition, working properiy? ........... [�},/'� ❑ ....... Ld ❑ Repair area properly reserved, maintained? ........................................... LOW-PRESSURE PIPE DRAIN FIELDS: Turnups/cleanouts/vaives intact and accessibie? ................................... ❑ ❑ No• _^____.��._ e uent stan mg m taterals?-.-.�r;�..--:-.-- :. :.:.::.: ::.:,,;,,_� `—�j' Laterals free of excess solids� cteaned uo t as needed? ........................... Q�------ _ _-- Pressure head is properiy adjusted? ..................:.................................... ❑❑ REMARKS Proiect No. Design Flow !a' ��� - Phone Phone SUNiN1ARY OF Ib1PROVE61EnTS NEEDED: / 1���� lmprovement / DATE: �/(''�,.c,� � j�? ' l' j/ SIGNED: ' � . � � __ . DEkR J702 (Revised 3N8) On-Site Wastewater Section (Review 1 �i98) — OVeI' — Repair Within (Daysj �__�.._- _ Division of Environmental Health AC