HomeMy WebLinkAboutWELL-07-2016-074121.TIF A c:crAWBncouNTV :: p cascH wELL-07-2016-074121
.¢'Fy'!l Public Health Department . Subdivision TIMBERBROOK SUB
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Environmental Health Division 1• -.rail + PINT! 366802751132
LS PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Y }O. � O LOTH 38
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NAME ON PERMIT: JESSE PARETTY, 2561 E MAIDEN, MAIDEN NC 28650
Site Address: 3763 COOL BRANCH DR, MAIDEN NC 28650
Property Size: Square Feet:49,658.40 Acres:1.14
Directions: from Buffalo Shoals head north 2 miles to Mt Ruhama Rd turn left/then left on Cool Branch Dr/go around
bend 3rd lot on left
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.
9 . SEWAGE PUMP SUPPLY LINE 50 FT.
5. UNDERGROUND STORAGE TANKS I 0 0 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 (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 frotn 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.
Robbie Phelps 07/01/2016
AUTHORIZED STATE AGENT APPROVAL DATE
chpermil
07/(11/2016 12:55
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