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SHALL BECOf�� INVJ�LJD.
1) Permlt rvquosted by: (Qwna age prospetlivs vwn�rj: �l�
Home Phone; Address:
8usiness Phona: 33 S�-SO$�
2) Name and addrwe of eurrent awnoc �..�C���C� � O� _ _
3) Proporty D�aaiptlon: Lo� atze: �cr Tvwnshlp: Cli►� � r�ubdlvision: � Lotal�:�
Dlrsctions to the prop Induding rvad. and numb : '
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4) Propo�ed Uas and 9tn,etu� D�scriptlan: answer eadt of lt�e fnibwing questioris: �
a} Prvpoetd ,�c , Ex�sUn9 _, 7ype af Strvt�ure: mo1�� )c� ��OM�E Widttt:� DePth: � A
b) Number of 6edroams; �, Numbe� of oc��pani� or people bo be served: _,,� �
c) Baeement Yea � No �C WIII there be plumbing tn the basement? �� '�
d) Oarb�age Okapossl: Yes � No X
�) WaLor 3uPpty Typo: Privabe ,� (new �, or e�ting �, Pubi{c_, Cammunity � Spring _
Ane any we�lls on ad�inin9 Praperty? Yea ,_,_ No LY It yes, piesae Indic�Ea appr'o�m�be locatlan an the sfte plan.
6) Dooa ths pmp+rty cor�ln ptevbwly klerttN{�d juMsdlctlortai wrtland�? Yes _ No �,
PIF�ISE NOTE TH� FOLI�QWtNG•
➢ J► Pl.�►T OF TF� PROPERTY OR $f7E pU4N MU3T BE SUBMfTTED WITH THIB APPLlCATiON.
D PFZOPERTY L1NE3 AND CORNER9 MUBT BE GLEARL,Y YAitKED_
➢ THE PROPOSED LpCATWN OFALL 97RUGTURE3 AW9T BE STi1KED OR FLAGC�ED.
D 7NE Sl7E 111U9T BE RFJ�DILY ACCES3IBLE �OR AN EYALUATiON BY THE NEALTH DEPARTIHEM' 3TI1FF.
I hcreby make appiiratlon bo t�e Person County Heatlt� Oepartment fbc a sihe e�valuatlon 1or �he en-site sewage dlsposal
systern for the abovo-4ese7ibed propetty. I agree t�at tfie ca�ente of tt�is appl'�catlon are trve and reprosent the rtt�cimum
facilfHes to bc pfaced on tnr prnperty I undetstand if the site is attersd ar the ir�bended us+e changes, tlta pertnit shall
become invalki.
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Owner or Legel Representativc ' p��--
PCFiO. rev. �Wt��O�
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Mazch 5, 2002
Oakwood Homes (Walter Love)
4130 Durham Rd.
Roxboro, NC 27573
Re: Application for improvement permit for Wastewater system for property at
Dunaway Rd.
Person County Health Department File: Tax Map #A025, Parcel #107
Deaz Oakwood:
The Person County Health Department, Environmental Health Division on February 21, 2002 evaluated the above-
referenced property at the site designated on the plabsite plan that accompanied your improvement permit
application. According to your application the site is to serve a three bedroom residence with a design wastewater
flow of 360 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 Tifle 15A, 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 following:
1. Soil depths 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 gound 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 altemadve
systems. However, the Health Department has deteimined 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 cuirently classified
UNSUITABLE, and an improvement permit shall not be issued for this site in accordance with Rule .1948�.
However, the site classified as UNSiJITABLE 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.
You have a right to an informal review of this decision. You may request an infoimal review by the soil scientist or
environmental health supervisor at the local health departmen� You may also request an informal review by the
N.C. Department of Environment and Natural Resources regional soil specialist. A request for an infoimal 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 perition form, you may write the Office of Administrative Hearings or call the office at (919) 733-
0926. The petition for a contested case hearing 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 properry is located.
Please note: If you wish to pursue a foimal appeal, you must file the petition form with the Office of Administrative-
Hearings WITHIN 30 DAYS OF THE DATE OF TffiS 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 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 Depaztment if you need any additional information
or assistance.
Sincerely,
� yV w
Adam C. Sarver, RS
Environmental Health Specialist
Environmental Health Division
Person County Health Department