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A23 26. �� ✓"��f A 001208 �' ' PERSON COUNTY HEALTH DEP,ARTMENT '� - WELL AND SEWAUE SI1`r,, LGCATICIN IMF'ROVEMENT PERNIIT � Tax Map #_��,�'� _ Parcel # p? 6 Zoning Township Owner/Contractor � Date — Location/Address ' 1 �� .�- �►.. /�� /� ` D C' i.Cn n�... ln'/'./.�.� �l�Ji.� /'dnlf /�//.�//�t �i�/� . S.i�.� /� O � � a� U i-, cd a Name � _ Lot# I SEWAGE SYSTEM SPECIFICATIONS i Repair Lot Area Size of Tank ,�,�j(/ ,� SFD Mobile Home Size of Pump Tank ��,.�t' Business # of Bedrooms Nitrification Line �1 � �U X3 ��` , Max Depth Trenches 40- 4Z`' �✓�� Permit Void after 60 months. Permit Void if not in compliance with zoning re ula ons. S� �� Permits may be voided if site is altered or i d us ch ed. ��S� s� �""` �`�� Well and Septic Layout by �� . � � � � Camments: � � c •�-� J . , i � a r- � � ' Installed by � Approved by. WELL SYSTEM SPECIFICATIONS Individual Semi-Public Required Slab Public Replacement Air Vent Site Approved Required Well LQo Well Head Apprcved Well Tag Crrouting Approved Comments: Date Installed by Approved by This report is based in part on information provided the homeowner or his/her representative in the application submitted for this permit The envitonmental health specialist is not responsible for false or misleading infonnation cotrtained in the application The environmental health specialist is also not responsible for concealed conditions on the property or for statements in tivs report that may have resulted from false or misleading statements provided to him in the application . Neither Person County nor the environmental health specialist warrants that the septic tank system will continue to function satisfactorily in the future or that the water supply will remain potable.• c:�amipro�peimit.sam O1/95 rev.1.0 Appiir.ation Date: �� 3 � Amount �aid• 2l>b •cS Reca9 Tax Maq #: �'Z3 Parcxl �: �Z�o --�� I�'I�IC-�.� �I� - - . �c � �T.T�i-�` �Y- �"Gs��P3L�T03a""""'"� �03T3�A1L �0�.�� APPlJCA7iON F-0R SE3iViC�S � �IF THE INFaRMATiON IN THE P,PP!•JCATION FflR AN IMPROVE341ENT PERMR 1S INCORRECT. FALSIFiE�J. CONSTRIJCT SHALL BECaME fIWALID. 1"d 1) Permit requested by: (Ovmedagent/pr+ospective owner): � Hame Phone: '�3(�,��-55�� Address: q Business Phone: 2) Mame and �ddress af carrent ovmer. �� (Le.2nondlkb �}Gl.4�L 3) Property Description: Lcrt size: �� Od Townshlp: Dit�ections to the proaertv (lncludlnv road names•and )= Lflt 4) Proposed Use and Structure �escription: answer eacl� o�f,$�e foiiQ�+�ng questians: 2g a) Proposed �,, Existing Type af Structure: �Ou,t�.rl w. �lt� Wdth:�,� De{�th:� �a b) Number of Bedrooms: � Number af �pants or people ta b� served: � - c) 8asemen� Yes�, No _ Will there be plumbing in the•basement?�_ d) 6arbage Disposal: Yes . No',�C , 5) Water Suppiy Type: Privafie �(new _ or existin�. Puhlic , Camm�snity� . Spring � . Are any wells on adjoining property? Yes$ No _ If yes, please indtcate approocimate la�tiori on the .site pi�n. � 6� Oces your property carrtain_previousiy identifled Jurisdictiona! w�fands? Yes_ Na� Pi.�ASE NOTE THE FOLLOWING: ➢ A PLAT OF THE PROPERTI OR SITE PLAN MUST BE SUBMITTED WITH THIS APPLICATION. ➢ PROPE�tTY UNES AND CORNERS MUST BE CLEARLY MARl�. •, 9 THE PROPOSm LOCATION OF ALL 3TRUCTURES MU3T BE STAkE� OR FLAGGED. Y THE SITE RAUST BE READILY ACCESSIBLE EOR AN EVALUATION BY THE NEAL17-1 DEPARTMEAIT' STAFF. . I hereby make application to the Person Ccurtty Health Department fa� a site evaluation fo� the on-site sewage disposal system for the abav�-described propecty. l agcee that the contertts af this application are true and re�resart the maximum faciiit(es to be placed on the property. I understand if the site is aitered or the irrter�ded use cl�anges, the permii shall �me i�valid. i � C�nmer or Legal Representative � /�� Qate PC�1D. �ev.�, � �� ,t� �. p ` � �.1 M �. . M ;, . � � �y �M �s;��r ��' .. , .��+� . . . _ . �� .� � y:��;�� .. 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" ' ' , . . � . .�. � /.:..: _'f �'1 f ,�.� 't r3) 'v � ' .. .C�� • �, � _ i r ,, �i' t � '� v /�� }.�, ^ '' ` � . � ` `� ' , t � � , � , , _ ti /%b�� : ' ,�' ' t " r �' . . � .: ' �.�l.�O., . . _ _. _. Ea ��n.�^�srnn�n.c��.� �c��.�� May 21, 2003 Dale and Betty Kernoodle c/o Freedom Homes 3970 Durham Road Roxboro, NC 27574 Re: Application for Improvement Permit for wastewater system for property at lot on 8380 McGhee's Mill Road Person County Health Department File: Tax Map #A23, Parcel #26 Dear Mr. and Mrs. Kernoodle: The Person County Health Department, Environmental Health Division on May 15, 2003 (auger borings) evaluated the above-referenced property at the site designated on the plat/site plan that accompanied your improvement permit application. According to your application the site is to serve a three-bedroom residence with a design wastewater flow of 360 gallons per day. 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 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 through .1948, the evaluation indicated that the site is UNSUITABLE for a ground absorption sewage system. I regret to inform you that your request for an improvement permit is DElvIED. The site is unsuitable based on the following: 1. Topography & Landscape Position (Rule .1940) 2. Soil Characteristics — Massive Clay mineralogy (Rule .1941) 3. Soil Wetness — Chroma II colorization (Rule .1942) 4. Available Space (Rule.1945) These severe soil or 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. For the reasons set out above, the property is currently classified UNSUITABLE, and an improvement permit shall not be issued for this site in accordance with Rule .1948�. You may also obtain the services of a qualified soil scientist/consultant to evaluate the property and submit a proposal to the Health Department. The proposal must be accompanied by data phone 336.597.1790 fax 336.597.7808 20-B Court Street, Roxboro, NC 27573 e �� which shows that the system will properly treat the wastewater, will not contaminate groundwater or surface water, and will not discharge wastewater on the ground surface, as required by Rule .1948(d). Your site has some other possibilities, but at this time the area that we looked at cannot carry a conventional or innovative system of standard types: Please contact a soil consultant or us and we can discuss some other options that are available. You have a right;� to an informal review of this decision. On May 20, 2003, an informal review was requested and completed by the Person County On-site Wastewater Program Specialist, Michael Cash. You may also request an informal review by the N.C. Department of Environment and Natural Resources regional soil specialist. 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 Center, Raleigh, N.C. 27699-6714. To get a copy of a 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 provision of North Carolina General Statutes 140A- 24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C. General Statue 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 file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. 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. 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 the petition to your local health department. Sending a copy of your petition to the local health department will NOT satisfy the legal requirement in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, NCDENR. You may call or write the Person County Environmental Health Department if you need any additional information or assistance. Sincerely, � � oe1 N. Hicks Environmental Health Specialist Environmental Health Division Person County Health Department North Carolina Department of Environment and Natural Resources �•� �� Michael F. Easley, Governor NCDENR William G. Ross Jr., Secretary July 24, 2003 Memorandum To: Janet Clayton, Environmental Health Supervisor Person County Health Department From: Kevin Neal, Regional Soil Specialist On-Site Wastewater Section Subject: Soil / Site Evaluation of Tax Map A23, Parcel 26 McGhee's Mill Road Dale and Betty Kernoodle - Owners On July 11, 2003 Mike Cash, Joel Hicks and I did a soil / site evaluation of the aforementioned property to determine its suitability for the installation of a sub-surface sewage treatment and disposal system for a three-bedroom residence. Water must be obtained from an on-site well. The soils on the site have 0- 14 inches of a sandy loam or sandy clay loam surface layer. The clay horizon was encountered at 12 — 24 inches. The clay was found to be very firm by moist consistence and very plastic by wet consistence. In the rear of the property a BC horizon or clay plus saprolite layer was found at 7— 18 inches which was also determined to expansive clay mineralogy. Soil wetness conditions of colors of chroma 2 or less were observed at 14 — 24 inches. A portion of the property had been manipulated with some heavy machinery. These locations include the right side behind the existing structure and along the left side of the existing structure. This site is unsuitable for a sub-surface sewage treatment and disposal system because of unsuitable soil characteristics (.1941) and soil wetness conditions (.1942). 1703 WaterFord Pointe Telephone 336-798-0565 Lexington, NC 27292 Fax 336-798-0565 E-mail kevin.neal@ncmail.net North Carolina Department of Environment and Natural Resources ��, � �� Michael F. Easley, Governor N C D EN R William G. Ross Jr., Secretary RECOMMENDATIONS The owner has the following options that might allow the property to be used as desired: 1. The applicant may purchase Provisionally Suitable property to place the wastewater system on. 2. The applicant may obtain an easement on a Provisionally Suitable property to place the wastewater system on. 3. A wastewater system can be pursued under Rule .1948 (d). Written documentation must be submitted to your office showing that the proposed wastewater system can be expected to function properly. The data must contain the following: A. The effluent must be non-pathogenic, non-infectious, non-toxic, and non- hazardous. B. The effluent must not contaminate the ground water and surface water. C. The effluent must not be exposed to the ground surFace or discharge to surface waters where it could come in contact with people, animals or vectors. 4. The Division of Water Quality may be contacted about securing a discharge permit. The applicant is strongly advised to contact someone with knowledge of discharge systems to evaluate the site before contacting this office. 5. The applicant or owner may have the site evaluated by a Licensed Soil Scientist for a pretreatment system. If you have any further questions, please feel free to call me. 1703 WaterFord Pointe Telephone 336-798-0565 Lexington, NC 27292 Fax 336-798-0565 E-mail kevin.neal@ncmail.net A�oltcation Date: 4 a�y4 � , Tax Map #• �°23 Amount Paid: I J�� Receipt #: � k I� Parcal #: d2.6 �' �� +�� '��_S� �� ' -- � � ZCT1��Y 7� asvaa-�a-s��r�..e��mll. ��.m.71�IEia - APPLICATJON FOR SEiZVIC�S IF THE INFORMATION IN THE APPLICATION FOR AN IM�PROVEMENT PERMIT 1S INCORRECT FALSIFiED CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT PERMIT APID AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. - 1) Permit requested by: (Q� ne (agentlprospective owner): �� L-C K-- ��r� �7 �� Home Phone: � �^� b�� Address: c7 M �G/��S n�r�L ,e0 Business Phone: 5��/-iQ �a 6`� _,� r� h;2 �,v �: �- 3�13 2) Name and address of current owner. S� � � 3) Property Description: Lot size: /� S3 ��'ownship: Subdivision: Lot# Girections to the property (including road names and numtiers): 4) P'roposed Use and Structure Description: answer each of the following questions: a) Proposed � Existing , Type of Strucfure: �o�t3�t �;,�"D� Width: 60 Depth: �� b) Number of Bedrooms: 3 Number of occupants or people to be served: y c) Basement Yes , No X Wili there be plumbing in the basement? d) 6arbage Disposal: Yes , No � 5) Water Supply Type: Private �(new _ or existing�, Public , Community� , Spring _ Are any welis on adjoining property? Yes_ No�,,, If yes, please indicate approximate location on the �site plan. 6) Does your property cantain previously identified jurisdictional wetlands? Yes_ No� PLEASE NOTE THE FOI�LOWING: ➢ A PLAT OF THE PROPERTY OR SITE PLAN MUST BE SUBMITTED WITH THIS APPLICATION. ➢ PROPERTY LINES AND CORNERS MUST BE CLG4RLY MARKI�D� �, ➢ THE PROPOSED LOCATION OF ALL STRUCTURES MUST BE STAFCED OR FLAGGED. ➢ THE SITE MUST BE READILY ACCESSiBLE FOR AN EVALUATION BY THE HEALTH DEPARTMENT STAF�. I hereby make application to the Person County Health Department fo� a site evaluation for the on-site sewage disposal system for the above-described property. i agree that the ccntents of this application are true and represent the maximum facilities to be placed on the property. I understand if the site is altered or the intended use changes, the permit shall become invalid. _ 9 c�--_ �. r�_�(, - o�/ Owner or Legal Representative � Date PCND. rev. 06/27/02 • .� � . , . ' . . . . . � � � �� *...:.. � '�..� , I... ,�.� � :��. �� '�� . . �,� .�'�� '��' ��': ��; �� .�` ' . � � � . � `"'� � ��` . ' � . - . nsuring a healthy environment � J��..._�. . ::,_Y . I� �.� a � � �. � � �. � �, ll I I�I � �. ll � ] �. June 2, 2004 Dale R. Kernodle 8380 McGhee's Mill Road Semora, NC 27343 RE: Mobile Home Replacement for Tax Map # A23 Parcel # 26&175 Dear Mr. Kernodle: On May 5, 2004, Harold Kelly, Soil Scientist with the Person County Health Department and I met on your site to determine if replacement of the original dwelling with a mobile home was possible. On this day we observed that a mobile home had been set-up on blocks with footings, plumbing connected to the septic tank, and an air unit had been connected. These actions were performed without any permits from this office which is in direct violation with North Carolina General Statute 130A — 336 (a) "No person shall commence or assist in the construction, location or relocation of a residence, place of business or place of public assembly in an area not served by an approved wastewater system unless an improvement permit and an authorization for wastewater system construction are obtained from the local health department. The site was evaluated in accordance with the North Carolina `Laws and Rules, or Sewa e Treat»ient, and Disposal Systems' (15A NCAC 18A .1900). ' Previous evaluations of the property classified it as U�:suitable for the installation of a subsurface wastewater disposal system for the following reasons: (Rule .1940) Topography and Landscape Position (d) Gullies (Rule .1941) Soil Characteristics (3) Expansive clay mineralogy. ', (Rule .1942) Soil Wetness Conditions (a) Indications of soil wetness within 24" of the soil surface. (Rule .1945) Available Space These evaluations were conducted by Joel Hicks, Environmental Health Specialist, Michael Cash, Program Specialist, both with the Person County Health Deparhnent, and by Kevin Neal, Regional Soil Specialist with North Carolina Department of Environment and Natural Resources, On-Site Wastewater Section on May 15, 2003 and July 24, 2003, respectively. On May 5, 2004, the decision was made to deny the request to allow the existing system to be placed into use due to the soils unsuitability, which was previously determined, site disturbance with heavy machinery, and the lack of a repair area. Repair area is required of any lot or tract of phone 336.597.1790 fax 336.597.7808 20-B Court Street, Roxboro, NC 27573 land "which is specifically described in a recorded deed or a recorded plat" after January l, 1983, Rule .1945 (c (1)). The property as it is recorded now according to the March 10, 2004 plat requires repair area. The original tract of land owned by Ivery and Mary Royster which consisted of 3.749 acres and was recorded in 1972 was repair exempt. The property was then subdivided twice more on January 19, 1988 and May 7, 1999 and both of these parcels require repair area. You may request an informal review of our decision from the Regional Soil Scientist, On-site Wastewater Section, North Carolina Department of Environment and Natural Resources. The Regional Soil Scientist would independently evaluate the property to determine if our evaluation was done in accordance with State rules and regulations. Please contact our office if you would like to pursue this option. You may also obtain the services of a qualified private soil scientist/engineer, to independently evaluate the property. Based on their findings, they may submit a wastewater system proposal to the Person County Health Department. The proposal must be accompanied by documentation and data which shows that the proposed system will properly treat the wastewater and will not contaminate, or discharge directly into ground or surface water. In addition, you have the right to formally appeal this decision to the Office of Administrative Hearings. A formal appeal must be made within 30 days from the date of this letter. The appropriate paperwork must be submitted to be Office of Administrative Hearings. Please contact our office to obtain the necessary applications and mailing addresses or the forms may be found at www.oah.state.nc.us/forms.htm. Our findings only apply to site suitability for subsurface wastewater disposal systems. A surface discharge system may an option for the proposed facility. Permits for surface discharge of treated wastewater are issued through the North Carolina Division of Water Quality (919-733-5083 or http://h2o.enr.state.nc.us/.) ', If you have any questions, or if we can be of assistance, please feel free to contact our office (336-597-1790). Sincerely, «� � �i, ( � / � Janet O. Clayton, MPH, RS Environmental Health Supervisor Person County Health Department cc: Steve Carpenter, County Manager Marc Kolman, Health Director � _ _ �.\ T f` �.\; � �� T � f � [ � C < <+�> � � I �: ti .:... �. �.�, � �. � ..�, - �: �� I is i - _,: f �. I; ., iax IY1ap #� i'arcP1 # ?-�O �ist�ng Sewage Spste�� Re�ort �or. X 11�o��e �ome Replac�nent Addition . Type: Reqnester: ��1_ E �`�' - � 2 tSt�'�LE �3ome g'hone# �9 �/ ! �?-�'�D � G � �-�E' s l�/� � LI - �fl - Business # �3 � �Q� �4(�� ^�lQ�,� �� Z7�3�3 Location: . • y Originall'emnit I:ocatesL• � Wates Surpply:��r�.e Septic System �esigneai �or. `f Resideaitial Business Othes # B�o� 3 # �Pioy�g � o�� System Tppe: �d/1�✓�i�/�10/I�it-C� '�'anlc Size: /DOD Nitrification Line: ��o � Date Installed: Ib f � - Cettifiesi Operator Required: /1/O On-sit� wastewater disposal system shows no visual signs of malfunction on �Peunission is granted �nvironmental �3ealth Speciaiist Date: � � d ` �,l�z �K�� .��1�1� 5°� �� 03 � �10�� _ �g�- o��a� �. ,��,�� _ �� -7��'/pG� I��i��'� � p� d�a�e � �a � �,�•�.,/'�-r� �� - � �'�`� � � '� �; p�r.�� G� � ��,��. ��` � �.,�, ,y ��,� � � �� y � � �' � o�r 6 . � �� C�� ` � . 2� �l i� �� °� ��,�� ,� ,� ��,� �� ,e �� D��a� ' � �