The URL can be used to link to this page

A23 20Application Date: � I' 7-4 7 � Amount Paid: �20G . u U Receipt#: 16 3 �,.,# ( I � y � .�`�_ 5.,�" �� -�`� � � z�r�`�°~�r J�w�ra-�sa-uic-.casc�faa-n_�ean-ntG.co.�� 7�'3t.c�.zn..Q.2��a. . Application for �ervices . � (Septic Svstems and Wellsl �'Improvement Permit (Site Evaluation) $200.00/$300.00 (if> 600 gpd) C Mobile Home I2eplacement or ]Building Addition $150.00 (if site visit required) � � Well Permit (New/Replacement) $225.00/$125.00 Tax Map: A23 Parcel #: 2 p Services 12e uested G Construction Authorization (Fee is de endent on the e of s: ❑ Permit Revision $75.00 .'. � Repair of Ezisting Septic 5ystem No Charee ImQortant: If �'he information in the appllcation far an I�nprovement Perntit ir incvrrecl, falsified, or• the site is altered, then the Improvement Permit and the Authnrization to Construct shall become invalid � 1) Services Requ ted by � Name: ; Address: �� i i rC e Lon 1,j Phone # (home): � � ��,�`9�'7C,_/ � (worlJcell): 2)Name and address of current oevvner (if dif%re�nt than applicant): Name: Address: 3) P�operty Description: Lot S Address and/or directions.to Property: - �—� � cz.rcG/�a� o�si��e -�r isipn: _ Lot #: _ q 4) Prop�sed YTse and Type of Structure: jj� �p �/-� (� Pi7"eY/�1 /.cl G� r� Residential __X___ Business/Type: Other Number of bedrooms �D �`' / Numbei of people served (seats/employees): Basement: Yes No (with plumbing: Yes No _� Garbage disposal: Yes No � . � !o b� �e�er�i �v�� 5) Water Supply; - � . Private Well � (Proposed Existing _, � Community Well: Public Water System: � � Are there on the adjoining properties? No Yes � (please show location on site plan) Note: A co�nnleted at�plicatio� must also include: � 9 A plat/site plan vf the property thatshows property dirrtensions and tlze size.and tocation af alY proposed structures. ➢ A signed copy of the `Lot Preparation'form ver�ing that the property is ready to be evaluated I am snbmitting tl�is application to reque�t services f�om the Person County Flealth Depaptment. The information provided is accurate. g under§tand that nf any site is altered or the int�xaded use changes, all permits shall become invalid. � � Signa�ure (Owner/Legal Representative): R , Date :`U -/�_ o J 06/07 Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573 (336-597-1790) ._. _.....___._.__.-,_ _.._� � � � 1 ',� I'� I I� � / � � / � l � .i / � /•` � `r�� i I;��.��.,��f :�I l [��.:�I I� Date: December 4, 2007 Mildred Parker 6227 Riviera Circle Long Beach, CA 90815 Re: Application for improvement pemut for lot 9 Crystal Bay Dear Ms. Parker: nsurin� a healthy environment The Person County Health Department, Environmental Health Division, on November 27, 2007 and December 3, 2007 evaluated the above-referenced property at the site designated on the pladsite plan that accompanied your improvement permit application. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 and related statutes and Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1900 and related rules. Based on the criteria set out in Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rules .1940-.1948, and the evaluation indicated that the site is UNSUTTABLE for a ground absorption sewage system. Therefore, your request for an improvement permit is denied. A copy of the site evaluation is attached. The site is unsuitable based on the following: Unsuitable soil topography andlor landscape position. (Rule.1940) X Unsuitable soil characteristics (structure or clay mineralogy) (Rule .1941) X Unsuitable soil wetness condition (Rule .1942) X Unsuitable soil depth (Rule.1943) Presence of restrictive horizon (Rule .1943) X Insufficient space for septic system and repair azea (Rule .1945) Unsuitable for meeting required setbacks (Rule.1950) Other rule: These severe soil and site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, in surface waters, directly into ground water or inside your structure. The site evaluation included consideration of possible site modifications, and modified innovative or alternative systems. However, the Health Department has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. For the reasons set out above, the property is currently classified UNSUITABLE and an improvement pern-ut shall not be issued for this site in accordance with Rule .1948(c). However, a site classifed as UNSUTTABLE may be reclassified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d) . phone 336.597.1790 fax 336.597.7808 325 South Morgan Street, Suite C, Roxboro, NC 27573 A copy of this rule is attached. You may hire a consultant to assist you if you wish to hy to develop a plan under which your site could be reclassified as PROVISIONALLY SUTTABLE. You have a right to an informal review of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the local health deparhnent. You may also request an informal review by the N.C. Department of Environment and Natural Resources regional soil scientist. A request for informal review must be made in writing to the local health department. , You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. To get a copy of the petition form, you may write the Office of Administrative Hearings or call the office at (919) — 733 — 0926. The petition for a contested case hearing must be filed in accordance with the provisions of North Carolina General Statutes 130A-24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335(g) provides that your hearing would be held in the county where your property is located. PLEASE NOTE: If you wish to pursue a formal appeal, you must iile the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is December 4, 2007. Meeting the 30-day deadline is critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that you might request. Do not wait for the outcome of any informal review if you wish to file a formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 150B-23) to send a copy of your petition to the North Carolina Department of Environment and Natural Resources. You must send the copy to: Office of General Counsel, N.C. Department of Environment and Natural Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy of your petition to your local health department. Sending a copy to the local health department will NOT satisfy the local requirement in N.C. Gen. Stat. 150B-23 that you send a copy to the Office of General Counsel, NCDENR. You may call or write the local health department if you need any additional information or assistance. Sincerely, � �_ �._. Justin B. Smith Environmental Health Specialist Person County Health Department Attachments (copy of Rule.1948 (d)). �2.��0-� S�Ke, wj I�ls. ParKr� Q6a� �eh�a(. E�fa„e� �a �hLr i2� ��) .i' 1-� t�uoui� d t �itf�r �%av� a sor l scr'ehf�'s�f laoK �f' fli e � r a Gf .� ��SC rc ��C � � �i t �' {'�iP %�cr�ions �v►fitt 7s Q<<C �ir' o� m � dor� ��ear ex►s�� (rar,r�`�� ay� s1�'(� �1,� Yso� n�s � f o� o�i rt�f �' �rc '�. � n� un�{r5fan t�ht� i►t�r' j '/° . 51+e Sa� �i S� � �,,so�,l� 1 i(:i -�r SoMeOn� e�se -(� � oo�< af- �df . , �—�'b� �o Twl'T^�r ��MuYll��•01� �CIC��- �S 0