HomeMy WebLinkAboutWELL-02-2016-069432.TIF ��• ' S Case# WELL-02-2016-069432
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-- PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 g• kO i r LO'I'il 1
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NAME ON PERMIT: DOUGLAS BURNETT, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD NC
28673
Site Address: 4303 SLANTING BRIDGE RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: Hwy 16 South, Left onto Hwy 150, Right onto Slanting Bridge, Lot on the Left
WELL PERMIT
SETBACKS:
1. BUILDNG FOUNDATIONS 25 FT.
2 . EXISTING & PROPOSED SEPTIC SYSTEMS MIN. 50 FT.
3 . EXISTING & PROPOSED SEPTIC REPAIR AREA MIN. 50 FT.
4 . SEWAGE PUMP SUPPLY LINE 50 FT.
5 . UNDERGROUND STORAGE TANKS 100 FT.
6. STREAMS/BROOKS/CREEKS 50 FT.
7 . LAKES/PONDS RESERVOIRS 50 FT.
ALL OTHER POSSIBLE SOURCES OF GROUND WATER CONTAMINATION 100 FT.
The well driller must verify all setbacks before drilling the well.
If the well driller is unable to maintain any of the above setbacks,
contact Catawba County Environmental Health at (828) 465-8270
before drilling the tvell.
Grouting Depth: Minimum 20 Feet
Casing Height: 12" Above Land Surface
All newly constructed private drinking water wells are required to be sampled in accordance with the North
Carolina Rules Regarding Private drinking Water Well Testing (I5A NCAC I8A .3800). The fee for this
sampling is included in the cost of the well permit. It is the applicant or property owner's responsibility to
notify Environmental Health when the well is ready for sampling.
Water samples will be drawn from an outside faucet unless otherwise specified. Please note that all water samples are
taken during one visit. The processing laboratories have different protocols and timeframes for reporting results;
therefore, you may receive several different reports concerning your water sample. For questions or more information,
please contact Catawba County Environmental Health at(828)465-8270.
Jason Boyd 02/23/2016
AUTHORIZED STATE AGENT APPROVAL DATE
ehpennit 02/23/2016 09:20 Page I of 3
Pc, Permit# RBPR-2-1 6-23 1 1 8
CATAWBA COUNTY
G Name Douglas Burnett
h a Public Health Department Address 4303 Slanting Bridge Rd Sherrills
<S Environmental Health Division
PO Box 389, I00A Southwest Blvd,Newton NC 28658 Ford NC
1842 5x (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 460704808169
Site Plan Authorization to Construct
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