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A23 113/� '� N ° �oN �, i e �-�.Y� �r � � �'e�-,ti� i- , '� � � � e�� ` ; P,��son County Health Department � Sewage System Improvements Permit Da[e: ,� "�� This P rmit Void After 5 Years Permit # �WI10I. �� tF tJ� 1 $F�� $� r-�/�22 L.00BtlOfl�DIIECt10i1S: Subdivision Name: �,��0 / `t � Lot #� Lot Size: �� `% � � �� Type of Dwelling: Water Supply: Private: —� Public: Community: Bedrooms: Gazbage Disposal Basement Basement Fixtures INFORMA D BY $8i11talY8I1: / � / p�,y,� . owner or representative REPAIR: REEVALUATION: . Size of Septic Tank: ons Size of Pump Tank: Nitrification Line: � � � Depth of Swne: 12 inches r" Max Depth of Trenches: Altemative System: Conv. Pump LPP Pump ------------------------- Date Well Approved: Well should be 100 f� from any sewer system BY Sanitarian Date Sewage Syscem Apgroved: BY Sanitarian CERTIFICATE OF COMPLETTON Contractor. Sewage System location, installation, and protection must meet state and local reguladons. Septic tank should be pumped out every 3 to 5 years and shall be maintained by owner in such manner as not to create a public health hazard. Septic tank and nitrification line must be inspected and approved by a member of the Person County Health Departrnent before any portion of the installation is covered and put into use. If the site plans or intended use change this peimit is subject to revocation. (G.S. 130 A-335F) L,ocatian of sewage disposal sewage system sketched on bxk. (OVER) NOR�: Make sketch o! installation showing lot size and shape, location of house, septic tanks, privies, water �supplies, etc. Note special problems existing on lot. Write in measurements in order that installations may be located at,later date. Note location of water supplies on adjacent lots. l�i (2) � nnn ■��■■��■��■ ■��■��■■��■■ ■��■��■■�■■��■ ■��■��■■�■■��■��■ ■�■��■�■■■��■ ■�■��■��■■��■■■ ■��■■��■��■■■■�■�■��■��s■ ■��■��■■ ■��■��■��■�■��■■ ■��■��■��■��■■��■�■ ■��■��■��■■��■��n�■ ■��■■��■��■ ■�� .State of North Carolina DEpartment of Environment and Natural Resources �ivision of Water Quality James B. Hunt, Jr., Governor Wayne McDevitt, Secretary A. Preston Howard, Jr., P.E., Director August 14, 1998 Mr. Jinuny Lewis 3068 Chub Lake Road Roxboro, North Cazolina 27573 /•• � D E N R _ � ` — � -.'� ,��;�'' � � �� s �, P Subject: Permit Issuance Authorization to Construct General Permit NCG550000 Cert. of overage CG550964 Jimmy Lewis esi ence Person County Dear Mr. Lewis: In accordance with your application for an NPDES discharge permit received March 24, 1998 by the Division, we are herewith forwarding the subject Certificate of Coverage under the state NPDES general pernut for Jimmy Lewis. Authorization is hereby granted for the construction of a 360 GPD wastewater treatment system consisting of a 1200 gallon septic tank, primary distribution box, 360 squaze foot (6� 30� prirnary sandfilter, with a loading rate of not more than 1.15 GPD/square foot for each filter, 180 square foot (6'X 30� secondary sandfilter with a loading rate of not more than 2.30 GPD/square foot, chlorination unit, chlorine contact chamber, and rip rap aeration with a discharge of treated wastewater into the Hyco Lake classified B waters in the Roanoke River Basin. Upper infltration lines in both the primary and secondary filters must be capped or plugged at the end. We recommend the adjustable cap type for all distribution boxes and all elbow piping must be of the long sweeping type. This system must be at least 10 feet from the dwelling, 10 feet from property lines, and 100 feet from on-site and adjacent property wells. The syster� rnust also be constructed and located above a 100-year flood. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the U.S Environmental Protection Agency Memorandum of Agreement dated December 6, 1983 and as subsequently amended. If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to you, you have the right to submit an individual permit application and letter requesting coverage under an individual pernut. Unless such demand is made, this decision shall be final and binding. Please take notice this Certificate of Coverage is not transferable except after notice to the Division of Water Quality. Part II, E.4. addresses the requirements to be followed in case of change of ownership or control of this discharge. . P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-0719 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper Mr. Jimmy I.ewis NCG550964 August 14, 1998 � This Certificate of Coverage shall be subject to revocadon unless the wastewater treatment facilities are constructed in accordance with the conditions and limitations specified in Pernut No. NCG550000. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Pernuttee shall take immediate corrective action, including those as may be required by . this Division, such as the construction of additional or replacement wastewater treatment or disposal facilities. The Raleigh Regional Office, telephone number (919) 571-4700, shall be notified at least forty-eight (48) hours in advance of operation of the installed facilities so that an in-place inspection can be made. Such notification to the regional supervisor shall be made during the normal office hours from 8:00 a.m. unti15:00 p.m. on Monday through Friday, excluding State Holidays. Upon completion of construction and prior to operation of this permitted facility, a certification must be received certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and specifications. Mail the Certification to the Stormwater and General Pernuts Unit, P.O. Box 29535, Raleigh, NC 27626-0535. � A copy of the approved plans and specifications shall be maintained on file by the Pernuttee for the life of the facility. The sand media of the sandfilters must comply with the I}ivision's sand specifications. The engineer's certification will be evidence that this certification has been met. A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The engineer's certificafion will serve as proof of compliance with this condition. Failure to abide by the requirements contained in this Authorization to Construct may subject the Permittee to an enforcement action by the Division of Water Qualiry in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. The issuance of this pernut does not preclude the Pernuttee from complying with any and all statutes, rules, regulations, or ordinances which may be required by the Division of Water Quality or pernuts required by the Division of Land Resources, the Coastal Area Management Act or any Federal, Local or other governmental permit that may be required. Mr. Jimmy Lewis NCG550964 August 14, 1998 If you have any questions or need additional information, please contact Antonio Evans, telephone number 919/733-5083, extension 584. , Sincerely, pRIGINAL SIGNED BY WILLIAM C. MILLS A. Preston Howard, Jr., P.E. cc: Central Files Duane K. Stewart & Associates, Inc., Attn: Matt Dana, EIT, 3715 University Drive, Durham, North Cazolina 27707 Raleigh Regional Office, Water Qualiry Point Source Compliance Enforcement Unit Stormwater and General Pernuts Unit Person Counry Health Dept. Mr. Jimmy Lewis � NGG550964 August 14, 1998 Engineer's Certification I, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project, Project Name Location for the Permittee hereby state that, to the best of my abilities, due caze and diligence was used in the observadon of the construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. Signature Date Registration No STATE OF NORTH CAROLINA DEPARTMENT OF ENVIIZONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG550000 CERTIFICATE OF COVERAGE No. NCG550964 TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMII.Y RESIDENCE AND OTI�R DISCHARGES WITH SIMII..AR CHARACT'ERISTICS UNDER TF-iE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollu6on Control Act, as amended, Jimmy Lewis is hereby authorized to discharge wastewater from a facility located at Jimmy Lewis Plantarion Road, Lot 28 Oak Point Person County to receiving waters designated as Hyco Lake, Class B, in the Roanoke River Basin in accordance with the effluent limitarions, monitoring requirements, and other condidons set forth in Parts I, II, III, and IV of General Permit No. NCG550000 as attached. This certificate of coverage shall become effective August 14, 1998. Ttus Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day August 14, 1998. O�IGINAL SIGNED BY WILLIAM C. MILIS A. Preston Howard, Jr., P.E., D'uector Division of Water Quality By Authority of the Environmental Management Commission V � `r, ,�\ ' .( � `� ��= — � ,�X � U �- �� ` . . -' �� v - � -�^` � ._� V -� �� ,- � _ ' % �` � ��, - ' �- � = �' ^ -r�_ _� _ ' '" , _ - = _ _i -- � � �, �,�-1 ,°y .. .�'. -,`/"- 586��'- `.,\` �� , . - J „ � Y=> _� _ . �M . � ii = _ l � '� �-/^ _ _ -�- " �+, ('�e � = � — / �� \� _ �� \\ � 597 h - -�_ � . _ 11;�U-' - � � : � —�^ _��-_ �i'�_ _ "VIR�NiA -` sse � -eem — - � � _ � Ne�r EPheSus�; j_��-- �...:�. - ,\ -- �r_ n _ ,��,_ . _ ��, NORT�I C,�'Rt)I`ildA ��.----�� sy9 , ; � �_ �E ' ��, �� o.�.� �� 'L�j -s � � � � i � // � u � � . � -_ � _ ., ! � �� {j - n '� �� - � �- u ,. �� r' . �� • O � .. _ n592 . 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Latitude: 36° 30' S6" Lonb tude: 79° 03' 35" USGS Quad #: A22SE River Basin #: Roanoke i Recei��in� Stream: Hyco Lake �I Stream Class: B Jimmy Lewis Residence NCG550964 Person Countyy ' . � �aGpUNTYGOy� ,yy : . - V�'� 'r� �i * ::� * � • M a �j w PERSONCOUNTY ycPf4soNCOUN�S`�GW PERSON COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH PROGRAM 20-B Court Street Roxboro, North Carolina 27573 (336) 597-1790 August 4, 2000 Mr. Darrell W. Chandler 16 Howard Rd. Richboro, PA 18954 Re: Garage Placement on Oak Point Lot 28, Tax Map A24 Parcel 123 The Person County Environmental Health Department has a record of the above- mentioned property being denied for an on-site wastewater system. A garage may be constructed on this property with the condition that there will be no plumbing within the structure. - Permits must be obtained from the Person County Planning and Zoning Department and the Person County Building Inspections Department prior to any construction. If you have any further questions, please contact the Department. Office hours are Mondays through Fridays 8:30 AM until 5:00 PM. Sincerely, . � L �g� 1 Janet O. Clayton, R.S. Environmental Health Supervisor Person County Health Department PERSON COUNTY ENVlRONMENTAL HEALTH �•�• �:' PLEASE SEE ATiACHE� PLAN F�DR WELL Sli'E LAVOUT ` �� P�� 3 � � Tax llAap �k ZOni�tg TownshiP C.- r �a� � r�o �� r) � 1-�- � n , ��: , , � . �subdlvblon: s.dlon: � . Weil Permit , � ,' � Tvae of Water Suaalv: �` Individual Community Public Reauirements• Site Approved bX � � � � �"O/ Grouting Ap� �Sby �'"" S _D� -o Weli Log / Well Tag Air Vent " Hose Bib _.. Concrete Slab Well Drilier: � � Evahs Vllell Approved By: � � Date• � �� 1�-- **See Attached Site Sketch** Welis must be 10. feet from property lines. a� ��' I�� % S ��Welis must be 100 feet from septic systems.r Welis must be �at least 25 feei from any building foundation. Other �,nc� �� yS�P� � / � PCHD, rev. 11/29/99 � � --=—�- -�- - --... ___._..---- .._ .. _ _.. . P�T`9�f9 �iat8i9� 'Y'��. �6�6f9$ /� �s��nrnera�+i �esith Sac�c�ra T� �a�a � �/ � � . ' " p�rcai � � � � s� S�r'�� - . � .� -� - -..- -� . __ . - � d k e ��n� APQitc�s IVame S�dhrisioNSedfoNLai# � � � . . riZed State Agerit ��e � ' . �� nP� °PP� �D� °�'- Ths c��or m�t, flag rhe � - pr�ia� ta b ni�r tlie i�oA'�on � i�ra�e � pU+�r R►�e �S �ad ��0 1 � �a� a9� ��;I�'- n ,� `�d:S�i�Gr�` 8.�..0 5►�P � � � o° � �t� � c ,�r �' � � v�� . � � ______�.. _- � s�: �t� � � Sc�— �bn � T� tl � �, � 6 � ti , m i�i:i�:;ur•r c:u�►�`��ti' i:(VV.I.IiUNP:::tv�i•r�i. iu�nt.�:t� . 1 e iri:i.i. i.c,ci � Da te: ._ �.3, a--� � 0 tivn ��-: I . . �-�OCiI t1011 ' • • `�`�_-� l'I �YR o��e r . . - _ %�,1I'(,CLIUII�: ._._.. �%1 C �=�,c�.c rl'1.�1/ Q� �-._... _ . vi: �): �! 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