A24 130Mr. Michael Garrard
3217 Rose of Sharon Road
Durham, NC 27712
April 13, 2001
� ''''.
v�� U
�� � ����
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Res�urces
Kerr T. Stevens, Director
Division of Water i�uality
� pPR � Subject: General Permit NCG550000
Cert. of Coverage NCG551120
� Authorization to Construct
�''Iw�,,,,.
Michael Garrard Residence
"" Person County -
� � Q� �"'F
Dear tVlr. Garrard: � . � , ;. ,, .
,.
, ° � - ; , �
' � . . � . ., . . . � J . . � , .
. In accordance with your,:appli,cation for an NPDES,discharge permit received F.�tiruary.9; 2001; by the, Divisicun, ,
we have issued the Certificate of Coverage under the state-NPDES general permit for Michael Garrard. Authorizatian is `.
hereby granted by fFi.is let#er for the construction of a 480 GPD'wasfewater treatment system consisting of a 1250 ga�lon `
s.eptic tank; two 210 +square,foot (6'X 35') primary sandfilters in'parallel, with a,load�ng.rate of not more than 1.� �
: GPD/square foot for!each :filter, 210 square foot (6'X�357 secondary sandfilter with a loaciing rate of not more thar� 2:�0
� �PD/square foot,: chlorinator, chlorine contact tank and rip rap aeration. witF� a discharge of treated:wastewater Hyco tAn•ec:
� classified C waters iri.the Roanoke River Basin. All elbow pip'ing must be of the long sweeping type. All cleanouts ace t� ".
, �. be housed in meter boxes'below the surface.. This system must be at least,l0 feet �rom the`dwelling and propertyJirues .
and at Ieast 100 feet from.water, suppfy wells on and off the site. The system must also tie constructed and tocated �bov �� � t
' �-� 00 year flood. � :� , : ' . ; ;:. ~ - .
. ;
� If any parts, measurement frequencies or sampling requlrements contained in this general permit are
unacceptable to you, you have the right to submit an individual permit application and letter requesting coverage un�r an
individual permit. Unless such demand is made, this decision shall be final and binding. Please take notice this perrxnit ;s °:
not transferable. Part II, E.4. addresses the requirements to be followed in case of change of ownership or control o� this
discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES Permit No.
NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in accorda�nce
with the conditions and limitations specified in Permit No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee 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 recgional
supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00 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 receivc�d
certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Cover�age,
this Authorization to Construct and the approved plans and specifications. Mail the Certification to the Stormwater amd
General Permits Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
�'+��►
�t`�"aEr�x
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7tD15
��� W pT �qP
Michael F. Easley
�O G Governor
� r William G. Ross Jr., Secretary
� —� Department of Environment and PJatural Resources
� � Kerr T. Stevens, Director
Division of Water Quality
A copy of the approved plans and specifications shall be maintained on file by t9�e Permittee for the life of the
facility. -
The sand media of the sandfilters must comply with the Division'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 �hat 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
certification will serve as proof of compliance with this condition.
Failure to abide by the requirements contained in this Authorization to Construc:t may sLbject the Permittee to an
enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143-215.6A to
'143-215.6C.
The issuance of this permit does not preclude the Permittee from complying wit� ar�v arid all statutes, rules, . _
: regulations, or ordinances which may be.required by the Division of Water Quality �� p�rm,�� required by the Division of
Land Resources, the Coastal Area Management Act.or any Federal .or Local otHer c�ov�rnr�?�n�al permit,thatmay be
, , _
reqwred.. ,; , - , . ...
_ ._ .
If you have any questions or need additional information, please contact Mack: Vlli€_�in.�, telephone number
� 919/733-5083. ' . . . r : . ;;. . . �..
... �. . ,.
.. : . Sincerely,
. � 'GC��GIN�A�_G!Gl��='� ^�,' _
� 1EM!!lJ.tA�N ""' S
'C. !1F,:
, , _ '' " ; Kerr T. Steve�ns. :
cc: Central Files
Raleigh Regional Office, Water Quality �
Roosevelt Childress, EPA
Point Source Compliance Enforcement Unit
Person County Health Department
��,�, .
�DEPi�{
Customer Service Division of Water Quality 1617 Mail Service Center Raleiic�h, NC �699-1617 (919) 733-7015
1 800 623-7748
STATE OF NORTH CAROLINA
DEPAR,TMENT OF ENVIRONMENT AND NATUR.AL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG551106
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliancv with the provision of North Cacolina General Statute . 143-215.1, other lawful standards �and
regulations promulgated and adopted by the North Carolina Environmentai Management Commission, and the _,
F . ... .
� Federat�Water Pollution Control Act, as amended, `� '' ` - -' ' ' �
. .,, t _
t. . . . ... _ . .
Michael Garrard _ . ,
- is hereby auth.orized to operate and construct : a wastewater : treatment facility that consist5 of a septic tank
� distribution�box, dual primary sandfilters in parallel, secondary:sandfilter, chiorinator, chlorine contact tank, rip rap .,
' `` aeration and associated appurtenances with the discharge of•treated wastewater from a facility lacated at the ..
' . Michael Garrard Residence �' �'. � , .
� Oak Pointe Subdivision, Lot # 3� :�
north of Roxboro , ; _'
Person County �
to receiving waters designated as Hyco River in the Roanoke River B�in
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This certificate of coverage shall become effective April 13, 2001
This Certificate of Coverage:shall remain in effect for the duration of �he General Permit.
Signed this day April 13, 2001
�y?"GINAi c��r�� ^�;
V��11AM C. M, _'_S
Ken T. Stevens, Director
Division of Water Quality
By Authority of the EnvirammentaC Management Commission
PERSON COUNTY °"`°°"
September 27, 2000
Mike Garrard
3217 Rose of Sl�aron Rd.
Durl�am NC 27712
.. PERSON COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH PROGRAM
20-B Court Street
Roxboro, North Carolina 27573
(336)597-1790
Re: Application for improvement permit for Wastewater system for properiy at Oak Pointe S/D lot 35
Person County Health Department File: Taa Map #A24, Parcet #35
Dear Mr. Garrard:
The Person County Health Department, Environmental Health Division on September 1, 2000 evaluated the above-
referenced property at the site designated on the plat/site plan that accompanied your improvement pernut
application. According to your application the site is to serve a three to four bedroom residence with a design
wastewater flow of 360 to 480 gallons per day. The evaluaflon was done in accordance with the laws and rules
goveming wastewater systems in North �Carolina General Statute 130A-333 and related statutes and Title 15A,
Subchapter.l8A, of North Carolina Administrative Code, Rule .1900 and related rules.
Based on the criteria set out in Tifle 15A, Subchapter 18A, of the North Carolina Administrative Code, Rules .1940
through .1948, the evaluadon indicated that the site is UNSiTITABLE for a ground absorption sewage system.
Tlierefore, ,your request for an improvement pernut is DENIED. The site is unsuitable based on the following:
1. Soil depd�s to saprolite unsuitable (Rule .1943).
2. Unsuitable soil characteristics (Morphology) (Rule.1941)
3. Soil wetness conditions indicated by chroma colorization (Rule .1942)
4. Topography and Landscape Position (Rule.1940) ..
5. 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 sriucture.
The site evaluarion included consideration of possible site modifications, and modified, innovative or altemative
systems. However, the Health Department l�as deternuned that none of the above options will overcome the severe
conditions on tlus 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 currenfly classified UNSUITABLE, and an improvement pernut shall
not be issued for flus site in accordance with Rule .19480.
Ho«•ever, the site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written
documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may
hire a consultant to assisst you if you wish to try to develop a plan under which your site could be reclassified as
PROVISIONALLY SUITABLE.
t�
you have a right to an informal revie�v of tlus decision You may request an informal review by the soil scientist or
envirorunental healdi supervisor at the local health department You may also request an informal revie�v by the
N. C. Department of Environment and Natural Resources regional soil specialist. A request for an informal review
must be made in writing to the local health department.
You also l�ave a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition from a
contested case hearing �vifli flie Office of Administrarive Hearings, 6714 Mail Center, Raleigh, N.C. 27699-6714.
To get a copy of a petition form, you may write the Office of Adnunistrative Hearings or call the office at (919) 733-
0926. The petition for a contested case hearing must be filed in accordance with flie provision of North Cazolina
General Statutes 1�OA-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 fomial appeal, you must file the petition form with the Office of Administrative
Hearings WITHIN 30 DAYS OF THE DATE OF THI5 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 iile a petition for a contested case hearing wifli the Office of Administradve 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: �ce of General Counsel, N.C. Department of
Environment and Natival 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 En�rironmental Health Department if you need any additional information
or assistance.
Since •ely,
�12s
Mike Cash R S.
Program Specialist
Environmental Health Division
Person County Health Department
. ' ( � .�,.v..�. .��
� a� �
� � �
� � �� �.�
� . � �° /�. �� �
N ( �� �O� �V�� � - I
. � 7 �� I �� �7 �
� � � �� �; ��
' �/�\ ,�� (O �S . � ' \ � � .
� a �C �
� �� � �% �M� �,�'�' f�r ` �S ���.�
, �,� � �� ,�� � q � � � ` �. ��
� � � � � ofi� �� �� � � ��
� � ��" �,� �,�'��� �� / �' }
��� � o � � � , .
�� � ,� � �
",�' � .� `' o�r � �� � c�r
,/�'; ,�,� ,�,� ��,�`�,ti� � � � o--r �
� � � ,�,� �,�'� ,.., � ` ' ,, I J � ��
,l�j ofi .� � ., ��� lii $'
� : �, I •
��' �� � � , .
� ��",��� �, '� �
'� � w. ,� ,,�,��►�ov / •. .
��.w ���'�,�,'4� •o� '. �� �
�t°'� �, � _� �'' ..
,
ti� .
u�? v �[/���v.� �� �'��` � _1 �W��p-�Y,q� �' �.
\ . "V � ��� . ��v_- � \ �4
Q'C �'�� �,5�'�� �/5� �����t� � ' /
('�� ,�Q� �
�./ •,y �� . �i"' '�„o / � �O�' � � �
¢� 5 �.• �,p,'� 'V'" / � �'�• • � . /
�.4� �,,�, o�, .�� ``,�/ / +Z � � ....: ✓ /
. � �y ,�'� ,�,0 � � ,� � � �
� 4� �' . �� � �
r �(► .��y� / �'�?�. I r
• � , (
�
s S�S'� ����' t$ ,; i `,.---,.. ._......,--- � � .
i b g��� � a � � �� � � s
� � ���� � � � �/ ..
� I � 2� \ � �
.,, — _
. / v ', 1 Z � �
. 1 Q � Gr ' �� �� � .p / , /
, j � o^ ��/ N ��`� 13� .���\ ` ./'� � �Q,� ��/
� {y ` J 7
f � ��,rj� � � ' � c1Lt�' 7.0 ��� 41 �.�" �
' ( �' � f / � �*> . . ar� O `O.,�s \ 'P� � /
; � /� /// � ,�p^ � \\ �7 � �/
iJ►
� ��` � J/� // •v ��� ��v \\ / �
� � .�p �� .: � �
� � / W #Z - \ �p , j� • /
. , .
, \~� � �� /
. • / :j �
� � / � �„ ....� '^1 \. ' /
� / \ �%
� �,' i 1 . /
� � � � � .� �
� �� � / � j� ,
t\ ,�, � �. . � ` ;.� ,� �
� _ _ - � � � '� --_. f /
`,-. r �
.� . � � � �
. � �__ . .
• �` � �.� ', \ �
. � / . , / . \ ' �
�/ 80 . � T�� L,�� � � � �
� �r �
/ � , e .#�. ; �� � � �
; � ,
/ � ' � �� ' ' �
� ,,. ,._, .-
� � ' � � - �" - .�
� �-- 9
, ; �, .
i � ti �
,�,� .•`� , � r•
.
�—. � � - ► �� �� p06�� � �
�, / l� �i$ � a� � ,� •�' . � /
/ �d� Lr^��, _�^���— �
/ aJ '"'" � �.
Q _"' _"' ,� /
/ � � '� �.
/, +�' ,.' l' . �
� — _ - — + . :�:;'' � `& .
i� j � . .
/ �
i 1 ... �
� . � �
� 1 .
/_ � � � . . , ' .
� — ,��0� 1 : �.
� — — =� � �,/O� '�` �
! �� ,� .
. �„��tititi / � � , � � ; � .
��.�� � ti I
�� �. �ti.�, . � � � � � �
� ��� . , �`
�_ ...�� .�='1�:��. �0��
' �- c� �O ZC��`�C`` �.r
1�.u.�v�7in •��L-n�iTT..�,u�.,L..��.�i. I.C-�C.�..:�.11,L]l:n.
�o�ao�_ �����
�C°!lll1U� Wc`a�(�M'�' _��J A „� ,s �iL� : � � L / r, %��� S
D� Dr��Oc�l _ /a . 3�, ,� z.
.
iYe� Log
Owner: ��,� � '�a K�s T;ix i�tap �� Parcel f� �
Locatior.;�' ���
Subdivision: Lot !� �_
Wcll Co�ista'uctiocx
Distance From nc�u-est Properey Linc (Nliiiimum 10 f�et) `—
Distance from�'reptic Sys� em (Miniinum 60 fect) �— ��-�
Total Dcptti: � Q f} lyield: � GpM Static Water Lc:vel: ���
Water Bearin�; Zoncs: Dcp[tl � 7D f� ��'t� i:t Ct—`�--'-- (�
Casing:
Depth: From �_ �o t�. Diamctc:r: �• i❑
Type: Galvanized Stcel v �`—'
Weight: 1� Thickness: �_ f Ieiblit abovc Ground: � y in
Drivc Shoc: ✓Yes No A.ny proUlcros encounlcrccl whilc setliiib ca�inb? iycs �--No
If `j�es" give reason:
Grout:
Neat: Sand/Cement �` Concrctc Gravel/Ccment
Annula.r Space Width �_ inches Walcr in ��iiul�u• Space Yes `—�!o
Mcthod of Gcout: Pumpcd Prc;ssure �oured Dcpth to Ft.
Matcrials Used:
No. Bags Portland ccmcnt Wcibht oP 1 13a�; _� �(��ut�ds
: r�T.:rturc (:;and, Lruvcl, cuttin�;s) ��- tZali� 2tc� f
ID plates: �t'es _ No 4 x 4 slab �Yc;s No
llrilliub Lob t �,,..,r;..., r�........__
I hereby certify that the abovc information is correct and that this well was coclstructed in accordance with re�ulations
set forth by the Pcrson County Health DcpartYnent.
Signaturc of Coutractor
,Ill f� �� JD;�t� �o�- �, d t_
�.�.,,� - ,.. ,� .,,,,.
��� ��
2 _ a � ��',���;� ��''` �4-� 4
AQalication Date: �� ,�" Tax Map:#:
Amourrt� Paid: / -. .. ` "~�� . - � ( �
RecEiat#: � � � . ParcEi�#:
��� ?��� ���� ��
C� ���1��"i�
� . �.�.����.�.-,.-�. ��:��� ��..�.�:,�
. APPUCATION FOR SERu1C�S
IF THE INFORMATION IN THE APPLICATION FOR AiV IMPROVEMENT PERMIT 1S INCORRECT, FALSIFIED,
CHANGED OR THE.SITE IS ALTERED THE IMPROVEMENT PERMIT AND AUTHORIZATION TO CONSTRUCT
SHALL BECOME INVALID. e
C4. rar � S-
1) Permit requested by: (Ownerlagent/prospective owner): �- �- -�� Nz � l�'6 � .
Home Phone: Address: S`'��� G���.. G��� 't�� `�� 0 he
BusinessPhone: ,33b- `�r`ir�5S3 �1� �� N c., 2h2`+`� � 5�,�.G �-,
2) Name and address of current owner: 0
� S
l
3) Property Descriptian: Lot size: Tawnship: C4 �.►.. .�ubdivision: �'`l�� Yr' iy�' Lot#:,�'3�
Directions to the p�operty (Inciuding road names and numbers):
4) Proposed Use a�Structure Description: answer each of the following questions: �
a) Proposed �/, Existing _, Type of Structure: �cs � d�. �.�..� Width: ,�, Depth: `2.. a
b) Number of Bedrooms: �� Number of occupants or peopie to be served: �_
c) Basemenr Yes _, No i/Will theCe be plumbing in the basement?
d) Garbage Disposal: Yes J No�/
5) Water Suppiy Type: Private _�/(new v or �isting �,� lic_, Cammunity _, Spring _
Are any welis on adjoining property? Yes,_ No ✓Ifyes, please indicate approximate location an the site plan.
6) Does the properly contain previously identified jurisdictional wetiands? Yes _ No _
PLEASE NOTE THE FOLLOWING:
➢ A PLAT OF THE PROPERTY OR SiTE PLAN MUST BE SUBMITTED WfTH THIS APPLlCATION.
➢ PROPERTY LINES AND CORNERS MUST BE CLEARLY MARKED.
➢ THE PROPOSED LOCATION OF ALL STRUCTURES MUST BE STAKED OR FLAGGED.
➢ THE SITE MUST BE READILY ACCESSIBLE FOR AN EVALUATION BY THE HEALTH DEPARTiNENT STAFF.
I� herebp make application to the Person County Health Department foc a site evaluation for the on-site sewage disposal
system for the above-described p�operty. I agres that the contents of this application are true and represent the maximum
facilities to be,pl�aF� on� e p�perty. I understand ifi the site is altered or the intended use changes, the peRnit shali
become invalid. � � \
Owner or Legal
�-c��-�2
Date
PCNo, re�. �a�7ro�
p��S�N C�I�NTY E�1�11RONME�i�'1a,L HEALi�-i
��F�SiE S�� ���►C4-�Ei� PL�OV �t�R 11VEiL S�T� LAY�Il�
T��� aa4 � P.�� ��
Township Cu n n i n� a r►'�
Zoning .
�►PPllcanC
�rl cs L. �l'���1�7
�ocaticn. J� � IJ �, C�7�1
-Ce Ffc� (Cd.
fa�lD/) %)rl � Z
m�G�� �s m � l� ��+.
Can c. Crcc K
�
QaK POIn� sectlon- �O� �
SubdivWon• -
T�pe of Water Suuplv:
Reauirements•
Weli Permit '
�Individua! Community Pubiic
Site Approved by p "� "°�
Grouting App
roved by � '' � � �'
Well Log C.G� ����-�'-
Well Tag��-S� +o-� � -b �-
Air Vent C' � ►o-� � -s�
Hose Bib��r' ��-��-a'-
Concrete Slab C' � �-� �-�
Weli Drilter: <« r� � =
Vllell Approved By:
Date: ��- r � -.s-Z
**See Attached Site Sketch�"
Wells must be 10 feet from property lines.
� Wells must be 100 feet from septic systems.
Weils must be �at least 25 feet from any building foundation.
Other conditions:
Ke.�� wc.ct `�p' �niniMum vFF s�`��
ProQc�-� l in c�
PCHD, rev. 11l29/99