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A25 49. �. � ... � p�.F�S� ��-« � W .� ,�SP��,- .� S • . �S � w �s h ' 7v BF in�S�T . s .� �an�o� o�• � z6 -o � ei,inauM Paid: 1Go. oo • Rec°!p� #j 11 � `f a �`� . a,0 � ��.KEST'�� JPLµMiiJ� rJlL � Z �� r �p�P�-r+-:�..c -rv l'� .�E(-�P�l�, �� ?/l"'� �j�' -+" B�s�4ft"�i TU R� li`l�T.hTY� ' �� Tax Maa #: ��: �� PersottCou�vHealtltDeoartrner�t � �,.1� %�P�(J�/�� cl�� Environmentai Heaith 3action a� �p�F��n,� � /t� S wS� , �� S ��`D�,�� . APPIlCA7tON FOR SE3tVtCES I`�O SE or� �A��.�n$�� "�r�,a . '" ��!4;s::; . • .. , :•�, : r. ; • 1�rov�nt�nts Perti� (Recocdad Loti' S18 0 irt�o�ram�b Pesnf� - �.kua�td� I.nt) - � n m�an�a �na-stoo.ao (Mobia t�e Re�a�a�mqd�oal. . . •. w.� . .. . � �,. . . l •. � - 5100.00 1) Permit requeatnd b�r• (Owr►eci�a9ea pecSve ovmerl. t�o 6 Fti � �0 �� s�,�( Home Phone: Pt�� y�� os�3 � �7i � 1+�Pl��s �o Bttt�ssPho�e: -�3i�i ya5 34f� � 3R-+r�Ima ,rc z�s�3 � Name and add�ess of ciur$at ovmer: ��S �. T�+v ^' �s�� s�n r� 3) Ptoperly Descrlption: tatsixx �° �� Tcwrnht� �,c �� `� �'�� r, T,N� s�.P Di�tIona ta the prapesty pnduding road names�1d numbers): S� � -ia C C e�0 2cf •-fu ..- , Lh f- —_� � � e�-i .-)/� �'. S' � �'��"J /Y� �'Uri '.2 9 � �� =— � I d � R-� %iinnS'P A'i ��` O 4) Prapoaed Usa and Strurxure Descripttan: anawe� ead� af the foliowing qaest�s: bPra Stidc 8wltq ModWar �. e W(cte Q �ouble VVide � � � Number of Hedroomx � � Numbet of �Qanis ar people to be seived: e) 8asemer� Yas�No D li yes. # of basematit �durex � /�7 ,! .�y�1,/�� 9i Di�m�i�s� �roYposed S�tru�ue: VYidth:� Dept� T.� ,< .,L . . �'�_�,�. , (��8%��%�/ � Waier 8uPPhi TYPa: Ptivata q(t�ew a ac a�ang�; ru�tc 4�f 4 Sp�9 �- . � �71 � � �9 P�� Yes�-�o � If „e�, ,o�a, C��> . v 6j Please lndicate Desi*ed Sysiem Tqpe: (syst�s can 6e ranla�i In aM�r of your profere�ee) �%� �Conventional ModiRed Conventionai _ Aibu�tiw �nnova�ive � i�-ei ower (sp«�tyj: " � � . � q��f :� G��Th > . - � . e�� CLEARLY STAKE A11. CORNERS ANO 11NES OF THE PROPERTY. � STAKE THE CORNERS OF ALL PROPOSED STRUCTURES. PI.EASE ATTACH SURVEY PU1T OR S1TE PUW TO THl3 AP411CATtON � I heroby make a� to tha Pe�an Cc�tt�tjl Health 0� tcr a a�e evalu�on for the a�sibe sewage �� the ahove-desq�bed propesty. t�rea that ihe �ts of this app�iion are tn�e and cepcesec�i the ma�drtwm � to � ptaced on ttte prapeciy. ! unde�stac�d if the s�e is altered cr the intanded use cttattges. the pe�m� shaa become imra�d-1 uctderstan that as apQQcant, 1 am rcs�e, far idecWfyir�g and ma�ldn9 P�'�hf �. �tners and maldng the s�e a�e foc t� persocutal of iha Person Cauntyl Hea�tt DeQartment to cot�dud their evalu�ioas. l ta�cid tl�at 1 am t� ��9 th Hea�h D mY ProP� anY we�ands as d� bY the AcmY �� C� C� Own R�tative . O�e . . .._ , .• �, �� . . .a� 3 A � � 7 '4 � b ,41 ' s<, ¢�'` --'' . � �G \. .1 i ,� 1 �h � o` � y � � \� IJ�OG Sf.o F� . � ! ;:•SI•�' i� �•v 1�d J�0 ' 1 � Lc��4G : .'��:. F ` . : 3fA . , 0 � �r � �� 1• .3 . • � , ,� ,� �,9Y . Or;v�',u �'�%A�-' �A� � , y� 84' L . i�:• qr � . � �� d� � �`sLe >'. . y �u' SA � J� I �� , 5 �t 'G .i � + �=4 ��3 r • i. . y a, ;�% ��' �, �h j�°v . ' : � . •.� � f�• � �- - y ,� , � - � �J � -- " ' ' . • u � �.. tl� `� �� f . . . . . � � ,� � � I a. /� �:a1c. �-sf s %:'' . �• a o�..,f ��a' �e:q:o�.�t � `' a /u�.vs �� rr-E o ;��, �, •� o a1 c..�v.[..v • i�...�ra 4/L� r y �' � � s E�6.Q . '. .-.� :, ..� !�H'• o,��•. �� ,�_._ _._. � °�' " wAG s �"�4L� . i '.' �� - �'{; �i,�� -" �. �i4.L�.�" -: rG'�'��sc'ti' -�5 �� Cv,�/,v..✓G n/�.-� -T-s.,�..,✓a,✓,P . . i� ,. _ � i .. ` G�Nn�O " � � � ' a�T~� r`�yt • �i ,� � • 3=c � `�`O� eou� °+`` PERSON COUNTY f�!"��5�� 7 '% 1 / ��p �ins �'�d . �, �sz`cz-j/�� 7S'Q3 �— � '"= r= - - = � ' '� ,/ � `� � PERSON COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH PROGRAM 325 Souch Morgan Street Roxboro, Norch Caro(ina 27573 (33G) 597-2371 Date: �v�%'�� 'C�7,'c�/- �-rT"��"'r•-r.'� 7� �i.s�/�� Re: �Gt,s� �c �✓'-��i� �rcL �� ' T�,,��Os�, � Tx �#� �tp The above referenced lot has been evaluated by the Person County - Envi�onmental Heaith Department. The resuits of the evaluation, a copy of which is attached, indicate that the site is unsuitable for installation of a ground absorption sewage system for the following reasons: � GfKsu; ,��5'a /�l�'�� ,p�'/�/ . �� , l %�-.3 ��/,�ns�, ��. 3 � Due to the limitations on your site, this Department is not aware of any modifications or altemative measures that can be implemented to upgrade the classification from `unsuitable° to °provisionally suitable.' Your application for an improvement permit must, therefore, be denied. N �e�� D� � � % You have the right to an informa( review of this decision by the environmental health supervisor of this health depactment and also by the regional staff of fhe Department of Environment, Health, and Natural Resources. You should contact the health department to arrange for this further review. You may also wish to obtain the services of a private consultant to collect site-specific data and submit such data and a system design to the health depattment for technica( review A site may be reclassified to provisionally suitable provided written doc�mentation, including engineering, hydrogeologic, geologic, or soil studies i�dicates to the local health department that a proposed septic tank system or a proposed altemative system can reasonably be expected to funcfion satisfactorily. ' Page 2 The substantiating data from these studies must indicate that: A. The effluent (wastewater) will receive adequate treatment; B. The effluent (wastewater) will not contaminate any ground water or surface water; and C. The effluent (wastewater) wiil not be exposed on the ground surface or be discharged to surface waters where it could come into contact with people, animals, or vectors. Finally, you have the right to a formal appeal of this decision if you file a petition for a contested case hearing with the Office of Administrative Hearings, P. O. Drawer 27447, Raleigh, NC 27611-7447. A copy of a petition form will be provided to you upon request. The petition must be received by the Office of Administrative hearings within 60 days after the date of this notice. The hearing will be held in the county in which your property is located. If you file a petition for a hearing, you must send a copy of the petition to Mr. John C. Hunter, Office of General Counsel, P. O. Box 27687, Raleigh, NC 27611-7687. . Please call or write this office if you have questions or need additional assistance. - Sincerely, /�� S ��'�`�` Environmental Healtty�Specialist Environmental Health Division Person County Health Department Enclosure �� . ��G`r �- S� a l 3 S'. Gun�.rS�. /"�x,l�o ro� /r/C � 7S 73 ~ -��\ +� � � i1�� % �= : q'I ��,� � \1`� . �i/1 � �% PERSON COUNTY �NCOUN PERSON COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH PROGRAM 20-B Court Street Roxboro, North Carolina 27573 (336)597-1790 June 29, 2000 Mr. Robert Rolison 711 Hopkins Rd. Bahama, NC 27503 Re: Application for improvement permit for Wastewater system for Bed & Breakfast at 511 Daisy Thompson Rd. Person County Health Department File: Tax Map #A25 Parcel 49 Dear Mr. Rolison: The Person County Health Department, Environmental Health Division on June 28, 2000 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 bed & breakfast with a design wastewater flow of 700 gallons per day. The evaluation 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 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. A copy os the site evaluation is enclosed. The site is unsuitable based on the following: _ 1. Unsuitable soil depth to saprolite (Rule .1943). 2. Unsuitable soil characteristics (Morphology) (Rule.1941) 3. Insufficient available space (Rule 1945) These severe soil or site limitations could sause premature system failure, leading to the discharge of untreated sewage on the ground su�face, in surface waters, directly into ground water or inside your structure. The site evaluation included consideration of possible site modifications, and modified, innovative or altemative systems. However, the Health Department has determined that none of the above options will overcome the sever conditions on this site. A possible option might be a system designed to dispose of sewage to another are of suitable soil or off-site to additional property. For the reasons set out above, the property is currently classified UNSUITABLE, and an improvement permit shall not be issued for this site in accordance with Rule .1948(c). 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 assisst you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. Youi have a right to an informal review of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the local health department. You may also request an informal review by the N.C. Department of Environment and Natural Resources regional soil specialist. A request for 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 fro 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 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 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. The date of this letter is June 14, 2000. 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 1506-23) 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 th elegal requirement in N.C. General Statute 1506-23 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, .�� l Michael E. Cash, R.S. Environmental Health Program Specialist Environmental Health Division Person County Health Department Enclosures: 1. Copy of site evaluation 2. Copy of Rule .1948