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� PUBLIC NOTICE
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STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
P.OST OFFICE BOX 27687
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� � � _ RALEIGN� NORTN CAROLINA 27611=7687
NOTIFICATION OF INTENT TO ISSUE A STATE NPDES PERMIT
Public notice of intent to issue a State NPDES permit to the f.ollowingi
�1.= NPDES No. NC0075621.. Samuel Dakley, Jr., C.R. Pointer, James �E. Stoval, c/o
Oak Pointe,_ Ltd., P.O. Box 1033, Roxboro, N:C: 27573, has applied for a new
d' e permit for a facility located at Oak Pointe Subdivision on Old Mill Trail,
ot ,��3 north of the Town of Concord in Person County. The facility proposes to
� iscliarge 0.000480 MGD of treated domestic wastewater.from one outfall into Hyco :
Lake a Ciass C stream in the Roanoke.River Basin.
2. NPDES No. NC0075502. Michael W. Houchens and Peggy D..Balla, 83 White Oak
Drive, Chapel Hill, N.G: 27707, has applied'for a new discharge permit for a facility
located at.the.above address approximately 0.2 miles from NCSR 1838, northeast of
Chapel Hill in Durham County. The facility proposes to discharge 0.00036 MGD of
treated domestic wastewater from one outfall into an unnamed tributary to New Hope
Creek, Class C.-Nutrient Sensitive waters in the Cape Fear River Basin.
On the basis of thorough staff review and application of Article 21 of Chapter 143,
General Statutes of North Carolina, Public Law=92-500 and other lawful standards and
regulations, the Nor�h Carolina Environmental Management Commission proposes to issue ' _
a permit to discharge to the persons listed above effective March 18, 1989 and subject
to special conditions.
Persons wishing to comment upon or object to the proposed determinations are invited
to submit same in writing to the above address no later than March 3, 1989. All
comments received prior to that date will be considered in the formulation of final
determinations regarding the proposed permit. A public meeting may be_held where the -
Director of the Division of Environmental Management finds a significant degree of
public interest in a propose� permit. -
A copy of the draft permit is available by writing or calling the Division of -
Environmental Management, Archdale Building, Raleigh, NC 919/733-5083, or the Raleigh
Regional Office, 3800 Barrett Drive, Raleigh, North Carolina 27609 (919)733-2314.
The application and other information may be inspected at these locations during
normal office hours. Copies of the information on file are available upon request and
payment of the costs of reproduction. All such comments or requests regarding a
proposed permit should make reference to the NPDES permit number listed above. �
Date " S %% �f �j
R. Pau1 Wilms, Director
� Division of Environmental Management
Amoun t paid �U �� UO
Receipt 0 � � ���'
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:ic ,,� �ti -�`r � Lt' ••+e�a-+�•� �;Sernces Re�7uesfe� ..� � ,-
:�:+- ....i�':>...r..��sL' ��c.::�F=•.x.ts1:�:�-'k_.��: �.. „Y.� !i` .::f�».:ro�
Improvements Pecmit.(Estab(ished/Recorded Lot) _ Reinspection of Exis:ing System (Loan Closing)
Imarovements Permit (Uncecorded Lot) Rcpaic/Replace existing Septic System
Improvements Permit (Mobile Home Repiace) Petmit foc New We!1
Improvements Permi[ (Addition) Replace Existing WeII
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'�� f ���t�L� �--. ,.z �..r:�.4��t rC�iaEer:Sam}�Ie:to �be. Collecte�: ;i.� �•.;,;�:�'`r.-sa:a ti:tr'.,:.�i � +� "�= jY,�;�'' i . �
.�. �;`.[•�:.3_....i.,-:�,•• _"'�'S.'S'�c....`73��`x�e+i '•.'r. _Y_.. }:til: :�: Sn7'�.:�L,r'1 � ..J�.'i.......
_ Bacteria � _ Chemical _ Pecroleum _ Pest:cide I _ Lead
I. Petznit requested by: .
�w.^.e:/prospeccive ownedagen
Address: I�F�� ✓�'�D�or Lc.;
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V Home Phone u:
�'¢ usiness PE:one �: 33 (��-S�4i 8665'
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Name and address of cu ent o ne;: �
,.� —r���►1� ' � dl� ,�11
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. Prooerty Description: Lot size:
. Tax Ma�: a
Pa:cel#: 1 � �
Township: C�t�i�J.,y��
. Directions to property: S
iam`es,�tc.
li� c _1'[_a:, 1, ,•,.:1 \ I�V �, ',
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Road n & Road
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6. Number of �ccupants or people to be servcd:
� iinensions er Pro�osed Structure:
,
� Widch: �-+ G��
Depth: �
8. What tyoz (it" any, accitions, expansions, or
repiacement is �.^,ticirz:e� to the stcucture or :acili[y
that this se�va;e �isgcsai syste;n is intended to serve?
9. Water suoply :J pe:
private Q. puoiic ❑ ccnmunity ❑ spring ❑
Are any wells ca adjoinin� property?Yes ❑ No j�
If so, identi�y location:
10. Type of stn�c:ureliaciIity: Proposed: DExisting: Q
Type of dwellir�:
House: ❑ Iviobi[e �:ome: a Business: ❑
Tyge of business:
Number of Emoloyees:
Number of bedrooms
Garba�e Disposal? Yes ❑ No 0
Basement? Yes ❑ I�Io �I If so, tt of basemenc fixtures:
CLEARLY STA�E ALL CORNERS OF THE PROPERTY AND THE CORI�IERS OF ALL
PROPOSED STRUCTURES.
I hereby make application to the PerSOA COunty $e2lth Department for a site evaluation foc the on-site
sewage disposal system for the above described propercy. I agree that ttie contents of this application are trve
and represent the maximum faciIitics to be placed on the property. I undecstand if the site is altered or the
intended use changes, the permit shall bccome invalid. I understand that before an Improvements Permi[ can be
issued, I must prescnt a sucvey plat of the property to the Health Dept. I undecstand that in the event I have not
delivered a survcy plac of the propert to the Health Dept. within 60 D�YS aftec thc date oE thc evaluation of
the site by the Hcalth Dept., this ap liFation shall become void and all fecs paid forfcitcd.
gne� Owner or Authorized Agent
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A 0131
� . PERSON COUNTY HEALTH DEPARTMENT
' WELL AND SEWAGE SITE, �,CCATION Il�II'ROVEMENT PERNIIT °' '
Tax Map #_�� P�.: cel #
Zon�ngJ ' Township �
Gwner/Contractor o�j �,�i1 Yo e d e i— Date — �
Location/Address �2�t- ► � 3 � � s�r � 2»
Subdivision Name
Business r # ofBedrooms�_ Nitrifica+�-_.�t.,ine � �/ ,� o�� ���lf-
M� i�epth Trenches__ __ __ _ =_ _ 3 �
Permit Void after 60 months. Permit Void if not in compliance with �oning re�ulations. ��c,l�,�.
Permits may be ��oided if site is alte or inten d use chang�d. 5��, ��� Y„�� �- �`" !"t 3�
Well and Septic La�out by
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Comments: Cu .' �r ' owevt� c/� ��� A#
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Ul,�ne -r,��4. a D�•.d ,•. ��.Q oh �a- i-�s- 2n ��l �
Date
Installed by
oved by�
L%Z ��,/�,/"�;.�- WELL SYSTEM SPECIFICATIONS
Individual V Semi-Public Ftequired Slab �
Public Rep acement Air Vent
Site Approved � Required Well Lo�
Well Head Approveci__� Well Tag
Grouting Approved �
Comments:
Installed by.
Approved
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This report is based in part on information provided the homeowner or his/her representative in the application submitted for this permi� "Ihe
environmental health specialist is not responsible for false or misleading information contained in the application The environmental health specialist
is also not responsible for concealed conditions on the property or for statements in this report that may have resulted from false or misleading
statements provided to him in the application Neither Pe�on County nor the environmental health specialist warrants that the septic tank system will
continue to function satisfactorily in the future or lhat the water supply w�ill remain potable. c:�amipro�pemvt.sam O1l95 rev.1.0
ORIGINAL
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� Yerson County Health Department
Existing Sewage System Report For: Mobile Home Replacement
Cle P..�'Tr;Q(Gff, � Addition
Requestee: � yv�l. Home Phone#
J� �� (p� �.n� ,j�r. Business# � 7- � s
1+'
i�'nY�c�fO� / �Gz�s� 'Pax Map# �-�Zg
Location/Uirections: I r �,[�'rLe�s %�-��� [.�C �/L �LZ��o�✓l�%�,�.
�C�K � ( �' � ���. �� �1�1:1( �a:L
Original Permi� Located �
Septic System Uesigned �'or: ^
Kesidential v Business Other (specifyl
# i3edrooms 3 � E;mployees Other ^
Uate "1'nstalled ,1l}-�-ga Water supply !'• ✓
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Type of System
NitriFication Line ����.3�
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Certified Operator Required � O
On site wasL•ewater disposal system showes no visually apparent
malfunction on �''�%aa��g
Yermission is granted to: ����y W4����CLCp -
According to the attached site plan.
Comments:
Environmental Health ��C..
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A 0131
��. PERSON COUNTY HEALTH DEPARTMENT
WELL AND SEWAGE SITE, LOCATION Il�ROVEMENT PERNIIT
Tax Ma # '=- �:: - i
p �� � Parcel # _ y _y .
' �oning Township �`"
Owner/Contractor o� ,��hVoeder Date - -�
Location/Address <a �- � � � � .�� r /� , � � �
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Subdivision Name
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S.R.# J ��
Lot�_, � �
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' SEWAGE SYSTEM SPECIFICATIONS
Repair _ Lot Area �, c, f of Tank
SFD Mobile Home Size of
Business # of Bedrooms�_ Nitrificaf ine
epth Trenches
Permit Void after 60 months Pernut Void if not in compliance with zoning regulations.
Permits may be voided if site is alte or inten d use changed.
Well and Septic Layout by
Comments:
Date Installed by - Approved by -
WELL SYSTEM SPECIFICATIONS -
Individual Semi-Public Required Slab
Public Replacement Air Vent -
Site Approved Required Well Lo�
Well Head Approved - Well Tag
Grouting Approved
Comments: =
Date Installed by Approved by �
Ttus report is based in part on information provided the homeowner or his/her representative in the application submitted for this pemut 'Ihe
environmental health specialist is not responsible for false or misleading information contained in the application The environmental health specialist
is also not responsible for concealed conditions on the propeRy or for statements in this report that may have resulted from false or misleading
statements provided to him in the application. Neither Person County nor the endvonmental health specialist warrants that the uptic tank system will
continue to function satisfadorily in the future or that the water supply w�ill remain potable. c:lamipro�pemutsam 01/95 rev.1.0
ORIGINAL
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Date: /� - .��-Sr
Owner: S'
Location irections:
:,�a�'.vision ivvnc:
Drilling Contractor:
PERSON COUNTY ENVIRONM�NTAL [I�ALTH
W�LL LOG
SR# � � �-�
Lo t # � �
• � Distance from Nearest Property Line c�..s llistance from Source of �
Pollution_Lo__ d _ p�ws �
Total Dep.th: � Ft. Yield: GPM Static Water Level Ft.
Water Bearing ones: Depth _%�/ . Ft.�F� Ft. �t.
Casing: Depth: From D• to�Ft. Diameter. G� Inches
TYF�: Steel � Galvanized Steel .�
- If Steel, does owner approve: Ycs No
. � Weight: /3 Thickness: , eight Above Ground:� Inches
Drive Shoe: Yes �No
Were Problems Encountered in Setting the Casing? Yes No
Ii "yes" give reason:
Grout: Type: Neat Sand/Cement � � Concrete �
A.nnular. Space Width 3 Inchcs
Water in Annular Space: Yes No �--
. Method: Pumped � Pressure Poured �
, Depth: Fr�m �—to s�_r t. .
Materials Used: No. Bags Portland Cement�_ Weight of .1 bag�lbs.
If mixture (sand, gravel, cuttings) - Ratio: �- to 1
�ID Plates: Yes c� No � � � � . �
� 4 x 4 slab Yes � No
I HEREBY CERTIFY THAT THE ABOVE INFORM�TION IS CORRECT AND THAT
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH REGULA'TIONS �SET
FORTH BY�THE PERSON COUNTY HEALTH DEPARTMENT.
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Signature of Contractor Date
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