A25 105�aitcation Dat�: Z'"� �'03
.�mouni �aid: � o�;—
Ree�iat #: 7_ � 0 4D
�
Tax Mae� #• � s
��rr ���: 1 o s
��--��� �� �I�II-�..� �1�
- . � � -���-
��..-���,���--- .��.��.n. �r�.�.a�.
AP�1CA710M Ft3R S�VIC�S •
--------- - ------- �4a`t � `� v�
� a� �a� � c�nt a�rnea�;
�:�
3) Ptc+��xerty 13e�cri{ptiorr. Lrt size: �?ownshlp: Subdlvision: Lot #�
D9r�fions to the property (ln�iuding r�-ad names�and numb�s): ••
' ,J -!# Gn! 1yl7G��.
' (%N-�r L CJ �{ `a `G�E� hl �1,� L � /y1F� e �2�� �UNN14 lJ
�4) pro� u� �d S�nae�ur� 6�crl�n: answer eact� af the ing questions: �'1 Rb u.���
� a) Propose�i ✓ Existing . Typoa af Shu�ture: /Y�Y��1/U�/@�c R.�1� � W�dth:,�� 17epth: �,�
b) Numher of 8�droams: � Number of accupants or peo�La �a beserved: 5 'l f�
c) 8asement Yes . No� Wlll there be plumbing in #he•basemeni? a v� y U� � i� .
d) 6arl9age Dispasat: Yes � Na �
�J �� �P,l� �� Privabe _ (newr� ar exlstin�, Public_, Commw�itY_..�, SP�g � .
Are any wells an adjoining praperty? Yes Na _ lf yes, pl�ase indtcate apptnxlena#a lac�ttori on th�
.si�a p1�n. •
'� D� your pro�/ c�r��e�vrious�y id�dad Jurtaa�l�n�i �ilana�? Yes_ No
➢ A Pl.AT O� TWE 1�laflP�?Y t�tZ SI� PL�1 i18U9T �E SU�MiiT� VaPli'fi T6�!!t� �l.1C�ITI�P9.
➢�4i0PEiZN UNES 11ND CORNEiiS il�U�i' BE CLE�RLY dsAfdl�D. •,
9 THE PROPOSEi� LOC�4T10l1 OF AL4,. STRUCTURES ��.19T BIE STAKE� 09� �i.AGti�.
9 THE StTE MU�'T BE RE�►DILY ACC�SSIBI.� FOR AN EV,AL.LIATlt�ld IBY'�iE HE�►I.TH D�AItTtl9F�IT
STAF'�. � � �
1 hereby mske applic�tian ta the Person County Hesith Department far a sit� evaluattan fiw� the an-siie sewage dlspa��i.
system for the aba escribed p�g . 1 agre� that ti�� cantents of this application are true and re}�reseirt the �naximu�.
faciii�es to be pl ofi tl�`�rop .! understand i� the site is altered or the intended usa changes, the perrr►� sha�
hecame Invaiid. 11 � \ �
ar
,1� �
Date
Pc•,�, ��. nsr�.roa
�]m�I1.IL'�ICIl.IL'Im�Itt���.11 11 Jlc��,�i'��rn
March 5, 2003
Frank Jordan
714 Long Store Road
Roxboro, NC 27574
nvironment -
Re: Application for Improvement Permit for wastewater system for property located
off Dunaway Road
Person County Health Department File: Tax Map #A25, Parcel #105
Dear Mr. Jordan:
The Person County Health Department, Environmental Health Division on February 24, 2003 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 four-bedroom residence with a design wastewater
flow of 480 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 ISA, 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.
Therefore, your request for an improvement permit is DENIED. The site is unsuitable based on the followifig:
1. Soil Wetness Conditions (Rule .1942). -
2. Expansive Clay Mineralogy (Rule .1941 (3B)).
3. Available Space (Rule.1945)
4. Topography and Landscape Position (Rule .1940).
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.
The site evaluation included consideration of possible site modifications, and modified, innovative or alternative
systems. However, the Health Depaztment has determined that none of the above options will overcome the severe
conditions on this 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 currendy classified UNSUITABLE, and an improvement permit shall .
not be issued for this site in accotdance with Rule .1948 �O.
However, 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 assist you if you wish to try to develop a plan under which your site could be reclassified as
PROVISIONALLY SUITABLE.
On March 4, 2003, the local soil scientist on staff performed a review of the conditions stated above. The second
evaluation concluded with the same results previously found. You may also request an informal review by the N.C.
phone 336.597.1790
fax 336.597.7808
20-B Court Street, Ro�oro, NC 27573
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 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 heazing 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 reyuest. 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,
-.� ` �
Joel N. Hicks, RS
Environmental Health Specialist
Environmental Health Division
Person County Health Department
3�'�- -- 'S � �(..L f � S. � `�" -�o �.�,o ✓i� � �cc�.�l1� o�� �t/o�✓,
��.a•+i�S ��� /.� � v��l.''S� �/ s�m .— lJilisdsr,r,BL�
�
G�