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North Carolina Department of Health and Human Services
Division of Public Health
Pat McCrory Richard 0. 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 1
Mailing Address: 1642 Mail Service Center• Raleigh,NC 27699-1642
�`j ry�n�' An Equal Opportunity/ Affirmative Action Employer Public 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 l0feet.
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,
r,.
John M. Brooks R.E.H.S, MS