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Home My WebLink AboutWELL-03-2016-070028.TIF B• CATAWBA COUNTY 13-•.t. o' -r"f IO Case# WELL-03-2016-070028 • r¢,' n G Public Health Department y' Subdivision Kiser Sunset Keys 1 Environmental Health Division f+ . , PIN# 461604720860 t': PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 # LOT# 39 • SY 01 : -,o .o •• NAME ON PERMIT: WARREN LEE JONES TRUST, 284 BEULAH CHURCH RD, KINGSPORT TN 37663 Site Address: 5002 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet:20,473.20 Acres:.470 Directions: HWy 150 East, Right on Kiser Island House on Left after Caseway WELL PERMIT WATER SUPPLY: Individual Well 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 well. 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 (15A NCAC 18A .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 03/14/2016 AUTHORIZED STATE AGENT APPROVAL DATE ehpermit 03/14/2016 08:17 Page 1 of3 CATAWBA Geospatial Permit Center °"" Information Services -_.,.., ss� is\ • 0 _ ... lqa T 78.so—,:-_. .. .-.:"'" ' : ..' - '(- 30.717 y ( ,x iS� C ,... re- ,�q� �/�•�5 N O `c.-1 ''s , t,=rl2' 8'SO ' FR /S,, Bo, <r)° "//7°-------;°7 --- 700 //. N 1 in=60ft W+E 5 (,Q� .r 11 V.. ,c ..1 IV.— Parcel: 461604720860, 5002 KISER ISLAND RD TERRELL, 28682 t Owners: JONES STUART BARRY, JONES WARREN LEE TRUST Owner Address: 284 BEULAH CHURCH DR iv`vs+ L"" ,---1- Values - Building(s): $200,400, Land: $275,000, Total: $475,400 IA - - ( s - 2 ? -( 0 I 3 :t z_ P I -- This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may North Carolina Department of Health and Human Services Division of Public Health Pat McCrory Richard O.Brajer Governor Secretary Daniel Staley Division Director Onsite Water Protection Branch March 8, 2016 Warren Lee Jones Trust 284 Beulah Church Rd Kingsport, TN 37663 Re: Approval No. JMB739 Private Well Located Less than 25' to a Building Perimeter 50' to Surface Water Body [Rule 15A NCAC 2C .0107(a)(2)(M)(N)] Property location: 5002 Kiser Island Rd Terrell,NC 28682 To Whom It May Concern; On March 7, 2016 the On-site Water Protection Branch received your request for a variance from the Well Construction standards,Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for a variance concerns a proposed water supply well on the referenced property that will serve a single,family dwelling. The home is on a lot with very difficult topography and is presently served by a well that will be abandoned to due to water quality Specifically,the variance request grants you permission to construct a water supply well at a distance closer than the twenty five foot setback to a building perimeter and the fifty foot setback to a surface water body. Achieving twenty five and fifty foot setbacks would be difficult given the challenges of the property. Based upon information provided by the Catawba County Health Department, and the property owner, it is my finding that based upon current conditions as the site exist today(as well as the current proposal for use of the structure)you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1)and(2). On that basis and if the following conditions are met,the requested variance is approved: 1) The new water supply well shall be constructed of either steel or galvanized metal casing. www.ncdhhs.gov • www.publichealth.nc.gov Tel 919-707-5874•Fax 919-845-3973 Location: 5605 Six Forks Road•Raleigh,NC 27609 N C F 11J Mailing Address: 1642 Mail Service Center•Raleigh,NC 27699-1642 r An Equal Opportunity/Affirmative Action Employer North c Carolina Health Jones March 8,2016 2)The well shall be located as far as possible from the building perimeter, depending upon where the well rig can actually set up, will possibly encroach upon the 25foot setback, but no closer than 10feet. 3)The well shall be located as far as possible from the high water mark of the lake where, depending upon where the well rig can actually set up, will possibly encroach upon the 50foot setback,but no closer than 25feet. 4)The well will be required to have casing installed to a minimum of 50 feet below land surface and 10 feet into bedrock. If bedrock is encountered at a depth greater than 50 feet, then casing must extend 10 feet into bedrock 5) Grout will be required the entire length of the casing from land surface into bedrock. 6) A drill bit with a diameter of a least one third greater than the diameter of the casing must be used to drill the cased portion of the well. 7) Grout must be either pumped into place with the use of a tremmie pipe or pressure method. 8)A preconstruction meeting between the well contractor and Catawba County Environmental Health staff is required to ensure that maximum separation distances are achieved. 9) The existing well must be properly abandoned according to the Well Construction Standards with a permit obtained from the Catawba County Health Department. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(b)to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further,the approval does not relieve your responsibility to comply with any other applicable Federal, State,or local laws or regulations. If you have any questions regarding this variance,please contact me at(828) 713-3335. Sincerely, John M. Brooks R.E.H.S, MS