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PERSON COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH PROGRAM
November 21, 1999
Mr. Herb Bullard
3213 E��lir.g Way
i7urham, NC 27703
Dear t.�ir. Bullard:
325 South Morgan Street
Roxboro, North Carolina 2?573
(336) 597-2371
In .:ccordance �viith your request, a site evaluation was m�de on ttze property located on Shore Acres Drive, Tax Map
Number A24, Parcel Number 97, for the purpose of installing a subsurface sewage trealment and disposal system.
Environmental Health Specialist, Christopher Hedrick evaluated the property on October 30, 1999, and he requested
pits tu evaluate the saprolite. He then evaluated the sapmlite on November 6, 1999. He found the saprolite unsuitable,
and he requested that I l�ave Jerry Stimpson, Licensed Soil Scientist evaluate the pits pcior to a denial. On November 9,
1999, Jerry Siimpson and I evaluated the pits and agreed tl�at the saprolite is unsuitable.
Unct�r the carrent state rules and regulations governing subsudace sewage treatment and disposal, no area ���as found
which met the minimum soil and site conditions for installing a subsurface sewage treatment and disposal system. The
limiting factors for this ste are:
1. Shallow soil depth to saprolite (heavily weathered rock) of 20 inches (Rule .1943).
2. Lack of available space due to topography problems, for example the series of gullies (Rule .1945 and
Rule. 1940(a)). ,
3. Rcstrictive rock horizons were found during the evaluation of the pits at depths of 24 and 38 inches
(Rule.1944(a))
Options available W you are:
1. You may contract with a private soil consultant or engineer to see if they can design a system to overcome
the limiting factors as stated in accordance with the state rules quoted below.
2. Obtain approval for the health deparhnent to evaluate the adjoining property to deternune if a system
could be placed on that property if the property is found to be permittable. A recorded deed of easement
would be raquired �xior to issuance of an Improvement Permit (Septic Tank Permit).
3. You may contact the office of the Division of Water Quality, Raleigh Regianal Office,
3800 Barrett Drive ,Raleigt►, N.C. 27609 Phone (919) 571-4700, to see if it is possible to permit a
discharge system (spray irrigation, drip irrig�tion or sand filter).
4. You may contact the City of Roxboro to determine the possibility of connecting or pumping to their
sewage system.
You have the right to an informal review of this decision by the Environmental Health Supervisor of this health
department and also by the regional staff of the Department of Em�ironment and Natural Resources. You must coniact
the healQi departnient �i7thin 30 days from the date of this letter to arrange for tlus further review.
You have the right to a formal appcal of this decision if you file a petition for a contested case hearing with the Office
of Administrative Hearings. A copy of a petirion form �vill be pro«ded to you upon rec�uest� You can write to this
address to reyuest a petition fonu:
. Y
Office of Administrative Hearings
P.O. Drawer 27447
Raleigh, NC 27611-7447
The n�an must be received by the Ofhce ofAdministralive Hearin�s within 30 davs olthe date ofthis notic� The
hearing will be held in the county in which your property is located.
If you file a peUtion for a hearing, you must send a copy of the petition to: Office of General Counsel, P.O. Box 27687,
Raleigh, NC 27611-7687.
This evaluation was madc in accordance with N.C. General Statutes, and the North Carolina Administrafive Code that
governs subsurface sewage treatment and disposal. These documents are on file at the health department and are
available for review by the public during regular worldng hours, 8:30 a.m. - 5:00 p.m. If you have any questions, please
contact me at 336-597-1790.
'ncerely, ��
�,
Janet O. Clayton, R S.
Environtnental Health Supervisor
Person County Environmental Health Department
Enclosure(s)
State of North Carolina
Department of Environment
and Natural Resources � � �
Division of Water Quality �
James B. Hunt, Jr., Governor
Bill Holman, Secretary D E N R
Kerr T. Stevens, Director
March 31, 2000
Mr. Herb Bullard � 1 V` �«e- ��50i'l�
Glover Printing
2401 Atlantic Avenue
Raleigh, North Carolina 27604
Subject: General Permit NCG550000
Cert. of Coverage NCG551056
Herb Bullard Residence .
Person County
Dear Mr. Bullard:
In accordance with your application for an NPDES discharge permit received December 28,
1999 by the Division, we are herewith forwarding the subject Certi�cate of Coverage under the state-
NPDES general permit for the Herb Bullard residence. Authorization is hereby granted for the
construction of a 480 GPD wastewater treatment system consisting of a proposed 1200 gallon septic
tank, primary distribution box with adjustable caps, two 210 squarefoot (6' X 35') primary sandiilters in
parallel, with each having a loading rate of not more than 1.15 gpd/ft2, secondary distribution box with
adjustable caps, 210 squarefoot (6' X 35') secondary sand�lter with a loading rate of not more than 2.30
gpd/ft2, chlorinator, chlorine contact chamber and rip rap cascade aeration with a discharge of treated
wastewater into Hyco Lake/Hyco River class WS-V & B waters in the Roanoke River Basin. All elbow
piping must be of the long sweeping type. This system must be at }east 10 feet from the dwelling, 10
feet from property lines and at least 100 feet from water supply wells on and off the site. The system
must also be constructed and located above a 100 year flood. This Certificate of Coverage is issued
pursuant to the requirements of North Carolina and the U.S Environmental Protection Agency
Memorandum of Agreement dated December 6, 1983 and as subsequently amended.
If any parts, measurement frequencies or sampling requirements contained in this general pernut
are unacceptable to you, you have the right to submit an individual permit application and letter
requesting coverage under an individual permit. Unless such demand is made, this decision shall be
final and binding. Please take notice this Certificate of Coverage is not transferable except after notice
to the Division of Water Quality. Part II, E.4. addresses the requirements to be followed in case of
change of ownership or control of this discharge.
This Certificate of Coverage shall be subject to revocation unless the wastewater treatment
facilities are constructed in accordance with the conditions and limitations specified in Pernut No.
NCG550000.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
an Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
. Permit No. NCG551056
Herb Bullard
March 31, 2000
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 disposa]
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 regional supervisor shall be made during the normal of�ce hours from
8:00 a.m. unti15:00 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 received certifying that the permitted facility has been installed in accordance with the NPDES
Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and
specifcations. Mail the Certification to the Stormwater and General Permits Unit, 1617 Mail Service
Center, Raleigh, NC 27699-1617.
A copy of the approved plans and specifications shall be maintained on iile by the 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 Failure to abide by the requirements contained in this
Authorization to Construct may subject 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 with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Water Quality or
permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal,
Local or other governmental permit that may be required.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
an Equal Opportunity Affirmative Action Employer 50% recycled/ 10°/a post-consumer paper
' Permif No. NCG551056
�ierb Bullard
March 31, 2000
If you have any questions or need additional information, please contact Mack Wiggins,
telephone number 919/733-5083, extension 542.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens
cc: Central Files
Raleigh Regional Ofiice, Water Quality
Point Source Compliance Enforcement Unit
Stormwater and General Permits Unit
Person County Health Dept.
Duane K. Stewart & Associates, Inc.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
an Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
. Permi�t No. NCG551056
� Herb Bullard
March 31, 2000
Engineer's Certification
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
pro�ect,
Project Name
Location
for the
Pernuttee hereby state that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and
intent of the approved plans and specifications.
Signature
Date
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
an Equal Opportunity Affirmative Action Employer
Registration No.
Telephone 919-733-5083 FAX 919-733-9919
50% recycled/ 10% post-consumer paper
PERSON COUNTY ENVIRONMENTAL HEALTH
WELL LOG
Date: L �Z a� '
Owner. c
Location/Directions:
SR#
Subdivision Name: Lot #
Drilling Contractor: ���.rn.�� c�e-�( � �-�-�� � ��
WELL CONSTRUCTION �
Distance from Nearest Properry Line 1 v Distance from Source of
Pollution t G a
Total _D"ep.th: 2� � Ft. Yield: �Z GPM S tatic Water Level aS" F�
Water Bearing Zones: Depth t�_F[. � F� F� �t.
Casing: Depth: From 6 to�2 Ft. Diameter: Inches
TYPE: Steel - Galvanized Steel
If S teel, does owner approve: Y�s No
� Weight: Thickness:� '� Height� Above Ground: /�/ Inches
I?rive Shoe: Yes ✓ No_ .
Were Froblems Encountered in Setting the Casing? Yes No �
If "yes" give reason: �
Grout: Type: Neat Sand/Cement / Concrete
Elnnular. Space Width � Inches
Water in Annular Space: Yes No
_ .. Method: Pumped - Pressure � Poured � � - � �
Depth: Fr�m O to �,20 Ft.
Materials Used: No. Bags Portland Cement Weight of .1 bag__lbs.
If mixture (sand, gravel; cuttings) - Ratio: to
ID Plates: Yes � No � � � �
� 4 x 4 slab Yes � No
I HEREBY CERTIFY THAT THE ABOVE TNFORMr�TION IS CORRECT AND THAT
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH REGULATIONS SET
FORTH BY-THE PERSO�t C�Li�TY HEALTH DEPARTMENT.
�
. .
� _ O�
nature of Contractor at�
PERSON COUNTY ENVIRONMENTAL HEALTH
PLEASE SEE ATTACHED PLAN FOR WELL SiTE LAYOUT
T��P� � a LI P�# � 7
r
Zoning Tawnahlp �
Acolitant / ! ' � r '1 � ` ��'' � n .
��,:
Subdhbton• S�O� . �
Tvpe of Water Suppiv:
Reauirements•
Well �ermit
Individuat
Site Approved by
Grouting Appr ed byi `��`°�
Well Log
Well Tag_, �
Air Vent l
Hose Bib �
Concrete Slab
Weil Driller: - �'
Well Approved By:
�c� 5���� �� �
.� ��- ,��,��60�.� ,
� � C�OS 5 a C�
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Community Public
Is�- lo�f-. o.�
l-�e�"' :
Date• �` 3 i—°�
'k'"`Ses Attached Site Sketch�`*
Wells must be 10 feet from �property lines.
Wells must be 100 feet from septic systems.
Wells must be at least 25 feet from any building fo�ndation.
Other conditions:
PCND, rev. 11/29/99
, �.
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� Number at 8edreamx �_ di Numher af o�c�s� ar people Co be setve� �
e) HaaemenC Yes b No 0 ti yes. # of bas�t �du�ex
• t� Garbage D� Yes 4 No ❑
g� D6n�ona�of Proposed Str�t�ra: VVidth: �Dept� 3`�
31 Water suPPhl TYP� Privaia �(t�av+► � oc e�ds�n9 �. PubBc 4�t 4�9 �.
Are any weps on a�oining ProPeAy�! Yes 0 No 0 lf yes, ior�On
b� Pleaae Indlcats Desiiad Syatem'TyPe= (gllstems can be r.u�losd In ac+d�+r ofYa�r �)
Convecttton�l Mo�ed Convstttiot�i _ Ait�nonv�t I�movat�
.�t��: 5a,�� F� l-l-�� s�.s -� � Csf��-)
�� ' CLFARL.Y STAKE ALL CORNERS A� I1NE5 OE Tt� PROP9iiY.
� 3TAKE THE CORNERS OF ALL Pfi0P09ED STRUG'[URES.
PLEASE ATfACtI SURVEY PU1T OR SITE PLAN TO THIS APP�ICA'RON
I heceby mabe apQ6�t to the Pe�an Co�u�ji Health D� � a a�e evai�tton tor the a�aibe sa+�aage dispo�l sys� �
ttte a6ave�leaaibed pcoparty. t agrce ttmt Qte �ta af tt�s a�ppBcatiort ace hue and tep�+�nt the t� ��o �'
p�d on the pc�. l ur�d �the s�e is alteced arihe i�nded uso c�. the pe�mR � bxa[ne invatld-1 undessten
that as a�rt, 1 a�n t�e. fioc idec�iyi�g and ttmddng pt+aperly �ea, cane:s and �g the � ��9 �
personnd of the Per9on CouMy Hea�h Oe nt to conduet tl�ir e�r�ons. I�nd that f am t�
He�ith De�p�mtrn�t wetlands as desigim�ed by the A�mY Co�ps cf 6�eers-
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ownec or l.eg� Rep�asen�tive . . oaie