B0017_Matthews, Ruth_19960517

PAMLICO COUNTY BUILDING INSPECTIONS P.O.BOX 776 BAYBOR0, N.C. 28515
Local. Permit Office for C.A.M.A.
May 17. 1996
0
Ms. Ruth Matthews
1758 Ita-ttfiews, Rd.
Clayton, N, C. 275-10 -V�A
RE: EPN
Site inspecticil: may 1996
Dear Ms. Matthews:
We have fee(j.vvad y(:,ul, proposal for development regulated by
the Coastal Area 11ariagement Act (CAHA). The activity you propose is
exei-apt from needing a Minor Development Permit as l.oug as it meets
the condition& specified helow. if your plans should change and
your project will il,.-) long�!r meet these- conditions, please contact
we before proceed)ng-
.The project and location are, described as follows;
Relocation 4.-f a septic system 50' from the AEC of McCottey
Creel, at t1ap .10J042-74 off SR1217 near the Pamlico County Communl.tN
of Maribel, North Catolina.
Sincerely,
Ron Lehman
Chief Building Inspector
1.(:jcal Permit Officer for CAMA
jsl
xe Teti Tyndall

POBOX 77G 'PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 2$515
;.! [phone]
(Ater this fors is completed by the'landowner proposiag.the projec�,
a COPY is.given to his/her -adjacent' landowners for their consent an signatures. The forms are then returned, along
-'`and other applicable required information, to the with Id building p - --
Office for building _permit application ing Inspectidns
application/
ADJACENT RIPARIAN PROPERTY OFIIYER STATEMENT
I hereby certify that
I own progtrty, adjacea,.
t toSr7Aews .. 's
Name of landownerproposing
development -body of water
- -in/near 1 _
ti
Lot of
community Subdivision, if applicable
Tax Parcel
off SR Couplets description of how to
locate this property: �4/Ychs _Beach Look Cl, o /yls777-hews &
The proposed project, a _,S'FOT'c 7,*1V)( 51srep, and the location has been
described to me as shown in the drawing be
to the proposal. low and I have'no objections.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
._ I wish to waive the 15, minimum setback from my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement.
Draw the proposed structure in the s
of the structure and measured distancesefrom the arovided d scent List the size
lines, other structures on the j property
property, and the road, water, etc.
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Z s' Sol
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ON
'n"inted Name_66jC�-
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POBOX 776 •PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.G. 28515
j [phone]
(Alter this form is completed by the landowner proposing .the projec ,
a COPY is. given to his/her adjacent landowners for their consent an
signatures. The forms are then returned, along with a building pl
and other applicable required information, to the Building Inspectidns'
Office for building -permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to
Robr2 7- s �A7rhews
gush r_ �'l.�rhee✓s 's on _ /%l cCa7TEt? CREEK
Name of landowner proposing development body of water
in/near_% Lot# 7q of
community Subdivision, if applicable
Tax Parcel # J©`C Z'/ T off SR,_. Complete description of how to
locate this property: I-un/ch!r deAcA Rd, re irlAtrhe�„ ,P�
rk-en/ Farr R.'yhr
The proposed project, a .SGPric TASK. sysrcon and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal. -
FOR A PIER, CHECYI ONE OF THE FOLLOWING:
I wish to waive the I5' minimum setback from my riparian access.•
I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
I,
,Sr
A
'iDrinted Namea).nL rF l l • %r%,4 t,.J E Date L/u/h4ignature'

ADDITIONAL FOR ALL SYSTEMS:
LANDSCAPE SYSTEM AREA FOR SURFACE WATER RUNOFF AND GRASS
DO NOT PLACE DRIVE OR ANY BUILDING OVER SYSTEM AREA
OBSERVE ALL PROPER SETBACKS: ref .1950
TANKS MUST BE PUMPED CLEAN AS A PART OF ANY SYSTEM REPAIR.
DISC NATURAL GROUND BEFORE INSTALLATION OF ANY FILL
ALARM & ON -OFF FLOATS ON PUMPS MUST.BE ON SEPARATE CIRCUITS
* IF BUILDING AREA EXTENDS INTO SYSTEM AREA THIS PERMIT WILL BE INVALID
* IF ANY OTHER REGULATORY AGENCY DENIES PERMITS FOR'LAND ALTERATIONS AS
DESCRIBED HEREIN, THIS PERMIT WILL BE INVALID
PLOT PLAN MUST NOT BE ALTERED UNLESS BY SANITARIAN APPROVAL
tt*ttttttt�tttttttttttttttttttt PLOT PLAN ********ttttttttttttttttttttt
*DO NOT DRIVE ON TANK, SYSTEM, OR REPAIR. BUILDING AREA TO BE GREATER
THAN FIVE FEET FROM TANK SYSTEM AND REPAIR. VIOLATIONS WILL VOID PERMIT*
All
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ENVIRONMENTAL HEALTH SPEC ALI -- MC6f1fe 6/--
ALL SEPTIC SYSTEMS MUST BE INSPECTED A RECEIVE APPROVAL BY THE LOCAL HEALTH
DEPARTMENT BEFORE BEING COVERED OR PLACED INTO USE AND NO ELECTRICAL
CONNECTION SHALL BE ALLOWED UNTIL APPROVAL HAS BEE14 RECEIVED. (GS 130A)
A PLOT PLAN (TO SCALE) SHOWING ALL BUILDINGS, DRIVEWAYS, WATER LINES A SEPTIC
SYSTEM LOCATIONS MUST BE APPROVED BY THE ENVIRONMENTAL HEALTH DEPARTMENT
PRIOR TO RECEIVING A BUILDING PERMIT.

I
PAMLICO COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
BAYBORO, NORTH CAROLINA 28515
SYSTEM RELOCATION PERMIT
Permit valid for 180 days
ISSUED TO: Ruth Matthews PERMIT 4 B00017
ADDRESS: 17S8 Matthews Rd. RECORD s B00017
Clayton, N.C. 27520 MAP # J042-74
REGISTERED PLAT: MAP BOOK N/A PAGE N/A DATE N/A
REGISTERED DEED: DEED BOOK NIA PAGE N/A DATE N/A
SUBDIVISION: t!/A LOT # N/A
TOWN: Maribel, N.C. SR 4 1217
LOCATION DIRECTIONS SR1217 then TR onto dirt rd. approx. 0.3 miles
THIS PERMIT IS HEREBY ISSUED TO SERVE A:
HOUSE ( ) MOBILE HOME (xxx) OTHER ( )
*BEDROOMS: 2 #FACTORS 240GPD, 0.7LTAR
WATER SUPPLY: (x) PUBLIC
OR (x) PRIVATE 100 feet from any part of septic system
SITE CLASSIFICATION: ( ) SUITABLE (xxx) PROVISIONALLY SUITABLE
LAND DRAINAGE: ( ) SUGGESTED ( ) NECESSARY
( ) DITCH NECESSARY ( ) SUB -SURFACE TILE NECESSARY set deep
and ( ) TRENCH ROCKED TO WITHIN 1'OF GROUND SURFACE
and ( ) WITH POLYURITHANE CURTAIN: FRENCH DRAIN
and ( ) FINISHED AT OUTFALL W/ SOLID PIPE & SCREEN
and ( ) FINISHED AT OUTFALL W/ CHECK VALVE
*** If land drainage is necessary, you may need to contact CAMA or
The Army Corps of Engineers for appropriate Permits
DESIGN:( ) LOCATION OPTIONAL (xxx) LOCATION AS SPECIFIED ON PLOT PLAN
( ) CONVENTIONAL SYSTEM:(ref.1955) 18"X 3'trench, rock 12"deep
nitrification lines on 9' centers
( ) SHALLOW SYSTEM:(ref.1956) trench 36 " wide, rock 12"deep,
*** add fill = 6" soil cover, rock to natural ground surface
( ) MOUND SYSTEM:(ref.1950b) trench 18" deep & " wide in
suitable fill extending ' beyond any part of system
*** = depth of FILL; pump necessary if unable to gravity feed
*** If fill material is prescribed, you may need to contact The Army Corps
of Engineers or CAMA for appropriate permits.
( ) LPP SYSTEM:(ref.1957) see comments for design criteria
(xxx) BED SYSTEM:(ref.1955d) see comments for design criteria
( ) OFF -SITE DISPOSAL:(ref.1957) see comments for design notes
al SEPTIC TANK gal PUMP TANK
QUARE FEET NITRIFICATION FIELD or NITRIFICATION BED
INEAR FEET NITRIFICATION BED; 12' Wide Bed
c, r_rercoer.
JrNc a7�'IJ r itlC s-4ra• nc «i. 'V%IT jj^4C l r �A-I-70
( ) COMMENTS: LOW PRESSURE PIPE SYSTEMS:
PUMP AND SEPTIC TANKS TO BE WATERTIGHT WITH RISERS ON ALL CHAMBERS