A24 187INSET DETAIL
DRAINFIELD
LOT 10A
SCALE 1"= bo'
DRAINFIELD DATA
L- 73 S24°55!34"W 101.17'
L- 74 S59•25'18"W 52.21'
L- 75 S87'16'15°W 34.66'
l- 76 NO2°32'16"W 77.92'
L- 104 N77'32'24"E 102.58'
L- 105 S7Z°41'29"E 18.87'
L- 108 N25'06'00"E 17.50'
L- 109 NO2°32'16"W 8.17'
PUI�PL I NE
EASEMENT
�
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3" PVC �'
CONNECTION
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1�uthari�ed State,Ageat Date
. ysteni c6Pnp'orteiafs �Pe.re�napprozirma�a�eontoars only.' The conlnrcJbr n�ws,�7agthe system priar to
begrnningths uis�aJlallon to iq'ryrielhaeproiiergrrrde is �raintairled
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LOT 11A
PUMPLINE TO DRAINFIELD 10A & 108.
SEE PLAT CABINET 16
PAGE 491-496
FOR PUt�PL I NE DATA .
3"PUMPLINE INSTALLED FROM LOT
TO OFFSITE DRAINFIELD AND
PREVIOUSLY INSPECTED BY THE —
PERSON COUNTY.ENVIRONMENTAL
HEALTH DEPARTMENT.
REFERENCE IS MADE TO THE
RESTRICTIVE COVENANTS RECORDED
AT DEED BOOK 856 PAGE 428.
3" PVC CONNECTI.ONS SHOWhi ^vid
THE LOT AND DRAINFIELD ARE
APPROXIMATE LOCATION ONLY.
i WELLS MUST BE 50' MINIMUM SETBACK
' FROM ANY DRAINFIELD AREA OR SEPTIC
� PUMPLINE EASEMENT.
WELLS MUST BE 10' MINIMUM SETBACK
FROM PROPERTY LINES AND 25'
MINIMUM SETBACK FROM THE
� BUILDING FOUNDATION. •
CONSTRUCTION IN THE PROPOSED
BUILDING AREAS MUST MEET ALL
PERSON COUNTY SETBACK REQUIREMENTS.
420'
CONTOUR—��
�
i
,
� DRAINFIELD
� LOT 9
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i
v
oan � 67
���� a�
o m�-. � rn 3" PVC
W� � CONNECT I ON
v
15'
5 LOT 9
2� �
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INSET DETAIL
DRAINFIELD
LOT 10B
SCALE 1"=100'
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2.47
ACRES
INCLUDING
CEMETERY
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PUMPLINE ► � -
EASEMENT� N M
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CM,�-)
ESTATE ROAD
VARIA6LE
WIDTH R/W
PROPOSED
BUIIDING
AREA
�39'2s„
�2, 80, e
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DARY
TA
^ 112
SEE
HYGO LAKE
CONTOUR DATA
5a�rh%�-
� lak�
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,�
0
h CAROLINA POWER
� 8 LIGHT COMPANY
� HYCO LAKE
420' CONTOUR
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� �` � � —� EASEMENT
• �17h.56 _ _ �
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y�v �'� / \ PUMPLINE
�� P a��� \ EASEMENT
Q� QP 15'
QJ`� � Pt1MPLINE
y .�� EASEMEtJT
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_18 ` PAVEME�If T"
20 � PUAIPL INE
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- � � t�T�7I"Y �-e_ ��s�� 1
IE:���� � ��¢�.Jl IHL�.�..U,ell�. Ownei:
Tax Map: Z Parcel #: � Date: — 2�'�
I.ene Tap Tap (Sc�) Tap �low� Line �.eaagth &'�ovv / f�ot
# �i�meier(in) ( m) � : � ft)
1 2 �� , y�' .13'
B 3 S�'o � 0. o� c� . �
3 3 �O l o• I o' �,✓ a,-►-r � l
� 3 �n.� ?o' .t
s Z. v o' , � Z
6
7
8 2 0
9
10
3�� ft of line x 65 gal per 100 ft=��Sa �—� : 100 = Z�� gal
75% x Zo Z. ga1= 5 Z gal per dose �_ gal per minute (gpm) = k'lo�v ISate �� t j� ,� �
I�P Y
�riction �ead � (�i S°�-�+� ��-2
I.oss: �5S ft per 100 ft of supply line x`� f flon ft of supply.line = 100 = S• S ft a��,r� �
S•� ftx 1.2=�ftoffrictionhead
Manifold Siae: � " � " Forc� Main Size: � " PVC � �.'� ��
�otal Dynamic �ead = 5� ft of Elevation head +�_ft of Pressure head +�ft of
Fricrion Head = �TDH �
Pump Requi�ement: �is GPM @ 5� ft of Head
a�oV�,�, �.
Drawdown: � 52 gal per dose ��gal per inch = S`� inch dra.wdown per dose
3d
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(t) �i► 1�1 1�1 ...+*..........�..�.�.*....�....�.
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IaEml�
7ewi/ma�oQ
9mam� I �S �
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Max No. Taps off one side
nce b�s for ta i�oth sid
S s �/i» LAps 1» 18i
4 =
� g 3
{ 9 �
t+ 2i 12
' 11ow per Tap
�uE �1lcu¢rial Flaw GPLl
!_" Sclied 80 �•�
�, " Sched 10 �-_
;i, °• .�c1:ed 80 1 � !
=�, '• Scited 40 1:.�
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��. Y 1�^ � � � � � �
I�aaw-��r��rn.�mm ���•zn.]L �I��Il�]ia
Sloped To Shed Water
5" Covar •.
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Izilet From Septu Tan)c
4" SCH �0 PVC Pipe
NEMA 4X Simp1ex Contml Pancl
4" X +�" Pressure Treated
/
T�x M�� F�,rc�o.l # '
Suhclivisioii ' ' '
Ph:a�se Sc�ctuon`Lot # �
� Duct Seal Both
i. End� Of The Con�xit
12° Separation � -
Electrical Cox�uit —
, �
• � Accras Cover• .• , ' . ; � 1 ;
. _- �. ,
� ' � - . : • ��`• 'r • %
�,, Opening Filled With Anti Siphon Hole' �
Portland Cement Gxa�ut (Dovm Hill)
Check
Valve
High Watex Alaxm Level
(6" Separation�
High Level- F'ump Ox -�,��
�� � '�Vapor Lock
� Hola _
Drawdown �Up Hi11)
Lrnv Level -Pump Ofi -��
' Precast Concrete Tank
,.; (Material Strength y3500
, . . , . .
. �.`:. ' : • .. . . .
� 24" Minimim
,. .�
Tlueaded Gate Valve •
.; '- - � �----� —
Zip Cvrd
Tie: 1
Rope
4" Coxiczefe
Block
. : • � : . , �.
Concrete Riser
b" Separation
� '•� • . � :r:.J:�' .
;r,,;.r'PoztlandConcrete Crrout
Mastu - - '
� Opening Fillad With
Supply ' : portland Cement Gxout
Lins • • '
Outlet To Distnbution
2" SCH40PVC Pipa
Float Wire� .' �
• .f
r
Floats . ,
�Removable • •
float Tsee �
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r \ • - • .,.
. • 1. . .
I�j 0 O GAI,LfJ1Y PU�' TANK
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Application Date: 1 S �� p�S �_� q-j �� � i�� �`� Tax Map:
A m o u n t P a i d: � O o d, C� U a� 0�. � �� a P a r c e l #:
R e c e i p t#: ( y 3►- 1 I� 7 ( S O �-�`� �� � 6 G l+/ � a..�
�
c�� �� S I�'I�1�.���T � �2 �-b.
1 � � � �=`. - � c� � �.�i�� 8�-�—��� �"`1P
��cavnu �casa�*�*r�aa�.,m71 1L-3r�-.an.7l�l�a �I�,� �'�•
�
Application for Services (Septic Systems and Wells)
Services Re uested
Improvement Permit (Site Evaluation) 0 Construction Authorization
$200.00/$300.00 if> 600 d Fee is de endent on the e of system ermitted)
❑ Mobile Home Replacement or Building Addition ❑ Permit Revision
$150.00 (if site visit re uired) $75.00
� Well Permit (New/Replacement/Repair) ❑ Repair of Existing Septic System
$300.00/$200.00/$75.00 Application: No Charge/ CA $150.00 or $300.00
1) Servic ques ed�j -----
Name���E�� \�.t�`a'�' Jf` Phone # (home):3-3�' ��%�,��%��.�
Address: � S �>. - �- (worWcell): :33 • � ��" '
r ; n. � �
2) Name and address of current owner (if different than applicant):
�lori�(� �" �(S�ui�n.� {—
Name: `�' � m�
Address: �
3) Property Description: Lot Size: Subdivision: Lot #: — ��p�I ?J �
Address and/or directions to Prooertv: _. _.
4) Proposed Use and Type of Structure:
Residential 1�. Business/Type: Other
Number of bedrooms � / Number of people served (seats/employees):
Basement: Yes � No (wi'thCplumbing: Yes No �
Garbage disposal: Yes No `
5) Water Supp1Y:
Private Well � (Proposed� Existing _)
Community Well: Public Water System: .
Are there wetls on the adjoining properties? No _
Yes '� (please show location on site plan)
Note: A completed annlication must also include:
➢ A pladsite plan of the property that shows property dimensions and the size and location of all
proposed structures.
➢ A signed copy of the `Lot Preparation' form ver�ing that the properry is ready to be evaluated.
I am submitting this application to request services from the Person County Health Department. I understand that
if the information provided is incorrect or if the site is subsequently altered, or if the intended use changes, all
permits and approvals shall become invalid.
Signature (Owner/Legal Representative): �- �� Date • ��� ��/
10/08 Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573 (336-597-1790)