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A24 19312 14A IZI w' � w �p �97 � ` �0 N � . �. � � v' lo � �° 4� �` �, , ;' ;, q� �.. oc 1� � � � lo �75 ID N � �A � i� 26A / � INSET DETAIL DRAINFIELD 16A SCALE 1"=50' DRAINFIELD DATA L-178 S02"02'39"W 34.70' L-179 S09°06'13"W 37.79' L-197 N77"28'31"E 25.50' 1-198 S84°36'45"E 21.03' L-213 N12°12'23"W 68.42' L-214 N53°24'24"E 24.74' L-215 N87°20'44"E 38.54' L-216 N87°20'44"E 10.49' L-217 S09°06'14"W 8.45' ��3� 13�� �� 1od��. s-t- 150�� �� ad� � pP�� � � , Q,,,,e ( b z� e k) � � ����)� ������ �'������ +'�mva�rm�maa'o��,mat 71E�[�a�]l�a � :'SI'��_,`� ::S��TCH ' Naaie d� � ' Tas Map # 2� Pa�cel #�� 3 ,., .:,, -..;.:. , . . . : . �Siib� ,.e., - . � Secuoa/Lot# Authoxized State t � Date S,ys,rem comp'mrents s�pveaene appmarinude�canloars oniy.' The conhtri�br mnst flag ihe rysteire peiar to begituung the r�s7allahbn ta irtst+t�e lhcdpropergnade rs tnaintained �31�12"E N38°43'38"E N31 — — — — — �4.58' � 44.29' � o �r�P J O� W � O,Q9 �o�✓',G,�, � �o� y,� j f �s c�o �ti� �6, F�a �°,,�� ���� o .A� � Y�l � � 58.27' S36°45'22"W � � � � � � � ��� �.� j.aK�-- / 0 6� 1�a� / / 1 � � Q (�C � 121 . 6' TOTA� �1 �g �2 ,� lo' 46.58' J,t��Or tiw �� �ti A � A �Gfpo 0 9,A��� j��O cn � I°3� � 12��� 104.32� 5ar 4 �In i r1 � c�� YY 2 A O i� sF`� ���Oos, '��� �g� �•o�F o 9 F z � 0 � � cn � Cn � N rn i .p � �� i o a r �• �, 2�A C��G'� 02 ^ \ � 4 . 3�' + o � N� „WII__ __ 20� P�MA�r � _ _ C29 SZ�°54'23 � � �AS�M�Nr ` ` 12� p ��\ _��-- —_ �M � � �A� EIVT `----- _— — �— cr JS' p� �IN� qS `— — — _ — — — — —�� ~t5' PUMPLINE �`A=�Nj �" , ' EM�NT �_ � 1 _ '__ 1 _ _ _ —' �/1/� I 1� � f''1 k'r'1 �N K�� �,��Q k S '. 10 ` p1� �- �,��u� 1�►� �o � � �1s �- ���� 1 � ` l�Z � �,tk oQq �i o�S � `'�J 1 tt rev�C � 0�' � � ,�1 _ �Y CCrQ� /i'+dr-e �t�� - �. �en�� ��d ri �r� �F- P����,e.ns�- ii ��S ✓�iu � � � �� �1 ct�r ��o�r k.e.� �e d� 1� �� ti l R� �� • Y �� ��S ✓`�a �� � � Y'�� S�-tC'v-2�r-e� i � � �� �,�t S�.q,� 1 S�S�n� � T � (��.,r-2, ( [ r-PCC7 M M �R,-4-,� Jti'-S . PUMPLINE 70 DRAINFIELD 16A SEE PLAT CABINET 16 PAGE 491-496 FOR PUMPLINE DATA. 3"PUMPLINE INSTALLED FROM �OT 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 CONNECTIONS SHOWN ON THE LOT AND DRAINFIELD ARE APPROXIMATE LOCATION ONLY. WELI.S 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 BUIIDING FOUNDATION. CONSTRUCTION IN THE PROPOSED BUILDING AREAS MUST MEET ALL PERSON COUNTY SETBACK REQUIREMENTS. �cr�ev� �� ��`�. � � I�I��.� ��� �----- �-�= � � ���r� r� 1E;�-���--���¢�.0 1H[�.�.Il,E�. Owner: �/G-2 �•2�$�� l `A Tax Map: Parcel #: ��13 Date: /� 2�'—� 5 I.ine �'�p Tap (Sc�a) �'ap �o� Line �engt� &'�ow / f�ot # i)iameter(�a) ( m) � ;. (ft) � �o p, ( , 20 B 3 � � �D, ( t ► ?y 3 � o, �� .2.0 4 3 0 0, o` �2-� 5 6 '% 2 vFl`- a � 9 lo �l�! ft of line x 65 gal. per 100 ft= �: 100 =� gal 75`%o x o a1= a a1 er rlo�� al er minute ( m) _�'low I�at� a�_ S ��— g P g P SP �'ricdon �ead � I.oss• �S'� ft per 100 ft of supply line x r��0a ft of supply.line = 100 =�" � _.$` � S ft x 1.2 =� ft of friction head � P�� 1; � �;s�.��,� ft qp�X. 1Vlanifold Size: �" Force Main �ize: 3" PVC �otal Dynamic �$ead = S� ft of Elevation head + 2 ft of Pressure head +�� ft of Friction Head = �TDH � � � �% Pump Requireanent: _� GPM @ ��� ft of Head �,��ra�(. Drawdown: [So gal per dose :-�-gal per inch = S�' inch drawdown per dose �.� � ;r.:. �.,.� � � �� � .:,� � , � �� — �����cs � ... , : . . , , ,. � _, ,. . �[c�)l�OmO� II II II II ,. ::::.::::.:::.�:...�::.�::::::� i���������l��N. °l:�������1�i1���f � � � � r .. : , ..._ . � . : : : - Y: �iYanifoid Siz� 1 � T, �1'ip:i 1\0� �a� �u . . . - . - �1ow er TaP Si�e �llru¢rial Fla:v GPLI ?. " Sched 80 �•� �. " Sci:ed 10 %-_' i; " �cl:ed $0 1 � ! �� � Sciieri 40 ?= = ., ' �.� ,�:s� ���-(�-.� �� ~ ~ � � ���� ��a<s�^ax-ona�� �aa�.�n.� g"'��<m.�.��.a Sloped To Shed Water G" Covar• � ,.. Inlet Fmm Septic Tank +{" SCH 40 PVC Pipe ' NEMA 4X Simplex Contml Panel +4" X 4" Pressaxe Treated , � . ., • � ` Access Cover• . • .1. • � T�x M�E� �� P�rcel # � Suhc�ivisioi�, .� Fh���s�e S�ct�ioi�'Lot # • ' DuctSealBoth �. _ Ends Of The Condait 12" Separation � - Electxical Cox�luit -- . • �.. , • . . � •ti : ��� , � � : r';� `� ; •. �• • �' , ; �,. Opening Filled With ". Anti Siphon Hole' ` Portland Cemant Gxout �� H�� Cl�eck • Valve High Water Alarm Level (6" Sepazation� ;;.•» High Lev�el- Pump Ox ,�� . ;. � s ,, rVapo: Lock Ho1e • .� Drawdo�m �IIp H�1) •Low Level-Pump Ofi ---r'� � '� . � •• q ;• � ' Precast Cozicrete Taa]c .•; (MaterialS�engtkg3500 ,� • � ., . � •�, : . . . ' • . -� 24" Minix�tum ,. :, • , Thz�eaded G �te Valve • Zip Co: Ties 4" Conezete �SI) $lock ': . ,:' . •, • .'. Concreie Riser 6" Separatiox ' �� ' � � %�..t1•rG�' - 4,,,+._.r�PortlandConcreta Criout • _ . �: Mastu - - : . � Opening Filled Witk �upply � ' po�� Cement Gteut ,� � , . Outlet To Distnbutiox 2" SCH40PVC Pipe 'e Float Wires � � .; i F1oat: .. . �..Removable '.• Float Tree � �� r� „ . ' ', � . � ', ' , ; r� l7fOo GAI.LCINPULV�.' TAlYK pur� ttnrirrc � . Pump Hus ge Rated ?a Detiver �2 Gallons P�� liinute , Against _=Feet Of Tota.l Dyea�aic pead (TDK) . Application Date: � s t/� p� �� c�.� j� ���e Tax Map: Amount Paid: 000 , OU ,�a06. �3 6� ���a �� Pazcel #: Receipt#: 3 I lS0 �- c.i�'�k I� I / �f'� j� �3�0 °� �� ������ ������ ����//� '� I ��. ���71�T�7��7��1� (/�� /�A'�` 1L�i]t3d3a 4D][T."'^'^aQa7L�2R.Ji 1L�KJ�4.Y�JCA �Iyl�^e "'-/'� � Application for Services (Septic Systerns and Wells) 1) Service��i, �ues ed�j --- Name: V �� \�-�`'f' Jf` Phone # (home): �3�' ��%'}��%%�.� Address: �S �, Lr (work/cell): :�3 • � �� t'3 . �r � n�. . �0�1�( ��`�ov►.��•w� 1 2) Name and address of current owner (if different than applicant); � Name: `'S' G �,p - Address: • 3) Property Description: Lot Size: Subdivision: Lot #: �r 3 � Address and/or directions to Pr�erty: �� � 4) Proposed Use and Type of Structure: Residential 1� Business/Type: Other Number of bedrooms � / Number of people served (seats/employees): Basement: Yes %� No (with plumbing: Yes No _� Gazbage disposal: Yes No �i� 5) Water SupplY: Private WeII � (Proposed� Existing _) Community Well: Public Water System: Are there wells on the adjoining properties? No Yes 'IC (please show location on site plan) Note: A comnleted analication must also include: ➢ A pladsite plan of the property that shows properly dimensions and the size and location of all proposed structures. � ➢ A signed copy of the `Lot Preparation' form ver�ing that the property is ready to be evaluated I am su6mitting this application to request services from the Person County Health Departareut. 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 : J' � � �� 10/08 Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573 (336-597-1790)