A24 51,4uplicatlon Date: ���'�Z
�1 ount �aid•
Reeaipt#: �o i33'�
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APQl.ICATION FaR SE3i1AC�S
Tax Maq #• /y � %
t�arcal �- �/
�IF THE INFORMATION IN THE APA�lCATIOiV F�R AN INfPR��lEMEAIT PERAAR iS IPiCORRECT. F�4LSIFiED.
CHANGED aR i'HE SITE IS AL7'ERED. THEA! il-!E iAAPt�OVEAAENT PERMIT APID AUTHORIZ,4ilOM TO .
CONSTRUCT SHALL BECOME INVALID. _ „ �
1) Permit requested
Home Phone: �C�,
8usiness Phone:
�o �ky
����
2) Name and �ddress of current owne�
. ,
3) Pnoperty �escription:
Dire�tions to the prope�
4)
5)
f3�
L�t size: �
Proposed Use and Sbvcture DescriptiJn: �answer eacti af the following questions:
a) Proposed L,/ Existing Type af Structure: Width: � De�th:
b) Number of Bedrooms: � Number of ocra�pants or peopls ta be served: -��r -
c) Basement Yes No _ Will there be plumbing in #he•basement?
d} 6arbage Dispasal: Ye� vffo _
1Nater Suppty Type: Private �_ or exi ' , PuhiicJ Community� , Spring _
Are any weils on ad�o�ning praperty�o _ If yes, piease indtcate approximate loc�tiori on the
'site pian.
6) Doe� your property c�ntain_previously identified �urisdictionai wetlands? Yes_ �
PL�4SE NOTE THE FOLLOWING:
➢ A Pl�T OF THE PROPE1ZTl OR SiTE PLAN RAUST BE SUBMITTE� Wfil�i THIS APPLiCAiION.
➢ PROP�TY LlNES :4AID CORNERS MUST BE CLEA(tL.Y MARI�D. •,
9 THE PROPOSED LOCATiON t3F ALL STRUCTURES f1AUST BE STA�� OR FLAGGEI�.
➢ THE SITE MUST �E RE�DILY A�CESSiBL� FOR AN EVALUATION �Y THE HE�4LTH DE�ARTMF�IT
STAFF.
I hereby make applicatian to the Person County Health Department fac a site evaivation for the on-site sewage disposai
system for the abave-descrii�ed property. I agres that the cantents of this applicatto� are true and represent the maximum
faciii�es to be placed on the property. i understand if the site is aftered or the intended usa cnanges, the permii shall
become irn2)id. _
ate
Cwner o��e�al Representative
PC�iD, rev. 06127/02
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January 30, 2003
Rocky Carver
1220 Morton-Pulliam Rd.
Roxboro, NC 27574
Re: Parcel A24-O51/ I:ot 20, Roy Carver Subdivision/ Person County, NC
Dear Mr. Winslow:
On December 18, 2002, I met you at the property referenced above to conduct a site
evaluation. The property was evaluated to determine site suitability for the installation of
on-site wastewater systems (sepric systems). The site was evaluated in accordance with
the North Carolina Zaws and Rules for SewaQe Treatment, And Disposal Svstems' (15A
NCAC 18A .1900). Backhoe pits allowed soil profiles to be observec� and documented.
Based on this evaluation the lot would be classified as Unsuitable for the installation of a
conventional, innovative (excluding drip), or alternative septic system for the following
reasons:
(Rule .1940) Topography and Landscape Position
Irregular topography and gullies.
(Rule .1943) Soil Depth
Less than 18" of soil over Unsuitable saprolite.
(Rule .1945) Available Space
Rules governing the design and location of septic systems were established in order to
protect public health and insure that septic systems will function properly. A site must be
classified as Unsuitable when it does not meet the established minimum site/soil
requirements.
You may request an infortnal review of our decision from the Regional Soil Scientist,
Division of Environmental Health, North Carolina Department of Environment and
Natural Resources. Please contact our office if you would like to schedule an informal
review.
phone 336.597.1790
fax 336.597.7808
20-B Court Street, Roxboro, NC 27573
.�
You may also obtain the services of a qualified soil scientisdconsultant to evaluate the
property and submit a proposal to the Health Department. The proposal must be
accompanied by data 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.
In addition, you have the right to formally appeal this decision to the Office of
Administrative Hearings. A ormal appeal must be made within 30 days from the date of
this letter. The proper paperwork must be submitted to the Office of Administrative
Hearings. A copy must also be sent to the North Carolina Department of Environment
and Natural Resources. Please contact our office to obtain the necessary paperwork and
mailing addresses. Once the required information has been submitted, a hearing will be
scheduled and held in Person County.
As we discussed, a shallow placed drip system appears to be a possibility for this lot.
Drip systems must be designed by a Professional Engineer or by an individual certified
by the manufacturer. There are several companies that market drip systems. Depending
on the site conditions and the product selected, pre-treatment of the wastewater may be
required. If you decide to explore this option, the engineer or consultant should submit a
proposal to our department for review.
I apologize for the delay in sending out this letter. Please contact our office (597-1790) if
you have any questions or if we can be of further assistance.
Sincerely,
Harold Kelly
Soil Scientist