HomeMy WebLinkAboutWELL-06-2016-073634.TIF `0A CATAWBA COUNTY q 0'•- 0 Case# WELL-06-2016-073634
`t r- G Public Health Department W .J Subdivision
4 &Bd� Environmental Health Division en .,
r PIN# 278111764302
_� PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 - , LOT#
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o I I.So. :
NAME ON PERMIT: GEORGE LAIL, 2248 OLD SHELBY RD, HICKORY NC 28602
Site Address: 2380 OLD SHELBY RD, HICKORY NC 28602
Property Size: Square Peet:468,705.60 Acres:10.760
Directions: Old Shelby Rd 1 mile south of 1-40 exit 121
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 timefratnes 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.
Megen McBride 06/17/2016
AUTHORIZED STATE AGENT APPROVAL RATS
chpennit 06/17/2016 0927 Page I of3
Re 1w-emen-I Well E1111-06-)O16-ayoIb
7350 Old She Izd, Hickory
+Exi&kinc} well is locoed beside abandoned old house, \oca}ed more -}lmn a5O f4. from
{{1i5 Sr�op buildin . Per owner, Geor e Ia 1, abandoned old boot does nod kaut a
Seiko srsern_ Suit. 9stervt for- tlnol bvildinq i5 'lbe- only ore on -fh proper{y,
CIF rePlacemen-f well location` Moues anyyy closer)-lo Slop Ruildin . he ank-
Will need -ID be. uncovered --lo \lerify $6-backs. `
*via rnos4 be; So-fl. -From seek systems,
2544. from sktuckures,
5% -From pro?er$y lines, ora *Tgnl< i brainfield loud-ion based on
OU\ o{ all nighl-o(-ways ana owner,
Gore, Lail, ulna( sefhc perm4
�SeMe�S, from 1973,gand
ooI Id plum bin from
build nq, Govtd no4 Probe for -rank*roue,
ravel JJ arkin� area. was aae -iv Probe
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land hi} �rade behind buildn�.
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on sertic -644 or drainf eld.
Shop 9vilchn9
Tao Uphos4r7 Bos,ness
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