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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 � --- � ` - ...----"'"' -- 3" PVC �' CONNECTION � � ���,�f ]�l�.I�.���T . ]�' I� - .... �:�G�P:��"�' ��.�Q�;;�;��.0 ��mn�. . ;;,,;. ��i�=s�� .�.�?�cx � � �nj, `; �' e � b � ���' . ., Taa 1bla # Z�� Paticel #=._.L � ���11�' S-e.. '. •• Section�t# � 0 vv,e.✓ ' ' � Z � � 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 � �Y° • � i ✓i�S �- -C3�se�►��� ,'►'r��- � c � � ' vr S d-� �LQ ^�i'u�. � t_ C�-e��t n�Q�-k�Q 1a�`'� ' � /j '�.^ � M(,� (/I.Q�Qx �j I� 'r'2" S(.(r V2'�/� ! � � 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 i i v oan � 67 ���� a� o m�-. � rn 3" PVC W� � CONNECT I ON v 15' 5 LOT 9 2� � ��� � � ,1 p�9 \ �\ , <o �y� \\ � � a �e��� � INSET DETAIL DRAINFIELD LOT 10B SCALE 1"=100' Z:. � Q/✓% 1`^�� � tl ��litC�� ���% I-"' -T'�yal�lQ�OGI.�. � � J SQ �1�� S�►��; � . , N �� � �o � � Mry � S�3 � �; � �v � �✓ o � 3. h� . � 10 2.47 ACRES INCLUDING CEMETERY �� � Z 4 o � 15' t � G PUMPLINE ► � - EASEMENT� N M 'L� N W ���,3 ����i `� o� � NN rn 1o�v�r S-� � o � 15���, �� , r 1 1 3 l� � a���'� �n I%rrsL �a �r ��,�,,���., p�f,�L` CM,�-) ESTATE ROAD VARIA6LE WIDTH R/W PROPOSED BUIIDING AREA �39'2s„ �2, 80, e �r ��n, �� 2 . � N � � � � w � j :E � DARY TA ^ 112 SEE HYGO LAKE CONTOUR DATA 5a�rh%�- � lak� `� �o'✓h%K ,� �zo' ��`�'� ,� 0 h CAROLINA POWER � 8 LIGHT COMPANY � HYCO LAKE 420' CONTOUR �� \ � � �0 3 Pv� � •�, S-1�a � � 5 � � �` � � —� EASEMENT • �17h.56 _ _ � •w � S82'27'31"� 2 � � o� � � � �� � � o < w �� ��' N � O � � � C15 10 _ � � -� -_� � /, 20 � � � - � j :�r '" - - / ' ��^ __ i i i � � O i � � � � �/ / \ � 15� y�v �'� / \ PUMPLINE �� P a��� \ EASEMENT Q� QP 15' QJ`� � Pt1MPLINE y .�� EASEMEtJT � i _18 ` PAVEME�If T" 20 � PUAIPL INE �i45�rvbta,� fi- ���. � I�I��.���� � - � � 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 -�� :r�,a:� � � ,��,,�� � j�V -- _\ ������0 � ' � � . ■ . ■ . . ,, ,. 1 - � ,.. �[(�)i�o�oo �-o-o ��. o�-o-�-e_o-, �-e_�_o o-�-�_�-�-r � �_�-�-e-o-�-..-. (t) �i► 1�1 1�1 ...+*..........�..�.�.*....�....�. �.... �... ,.... �����.������:i�N�r�1��.��������i� � � � � '. ' : .i ., _ _ a � : : : � v: IaEml� 7ewi/ma�oQ 9mam� I �S � ��, 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:.� �@--���,,�� ���� �� ��. Y 1�^ � � � � � � I�aaw-��r��rn.�mm ���•zn.]L �I��Il�]ia Sloped To Shed Water 5" Covar •. � .. 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 � ' �. r \ • - • .,. . • 1. . . I�j 0 O GAI,LfJ1Y PU�' TANK ' ^�t ✓Y� ' V ` V �' `P 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)