HomeMy WebLinkAboutRBPR-04-2022-40832.TIF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
VARIANCE APPLICATION FOR 2C.0100 WELL CONSTRUCTION STANDARDS:
PRIVATE DRINKING WATER WELLS UNDER ISA NCAC 02C.0300
WATER SUPPLY WELLS UNDER ISA NCAC 02C.0107
All Inver apply walls not considered"Private Drinking Water Wells"and including irrigation,industrial,and commercial wells.
WELLS OTHER THAN WATER SUPPLY UNDER 15A NCAC 02C.0108
including monitoring and recovery wets.
Print clearly or type Information. Illegible submittals will be returned es incomplete.
DATE: (2t/
20Z PERMIT NO.: (to be completed by I}WQ/OPIi}
A. WELL OWNER—For single family residences list the property owner(s). For all others, list name of the business,
organization,or government agency riti4 person delegated signature authority:
a/4c
D 61 O vk sN
Mailing Address: /57 ( .34 t.j-4 t 4 .) .
City: iez $V, L(, Stater"C Zip Codet25r7 7 County:.? ,OZ.LC-
Day Tele No.: Cell No.:(70
EMAIL Address:t/A9,C5C_0:5144.4 i/ C'DeA Fax No,:
PHYSICAL LOCATION OF WELL SITE C� '`]
(1) Parcel Identification Number(PIN)of well site: .3( t r 00)1 / 3 6 L(
County: Ca
(2) Physical Address(if different than mailing address):-3,-1y 3 ---/E ),“Y r1 S7ll-
City:Sit r./ 0 ��_�..._.. State:NC Zip Codc:9 7'
C. WELL DRILLER INFORMATION(ifknown)
Welt Drilling Contractor's Name:
NC Well Drilling Contractor Certification No.:
Company Name: Contact Person:
City: State: Zip Code: County;
Day Tele No.: ____.. Cell No.:
EMAIL Address: Fax No.:
Faun OW-22V Pane 1 Revir,d Fcbn acy 2013
1). REASON FOR VARIANCE REQUEST—include type of well(s)to be constructed; rule for which the variance is
being requested; dcscription of bow the alternate construction will nut endanger human health and welfare and the
r
environment;and reason why construction and/or operation in accordance with the standards is not technically feasible
and/or provides equal or better protection of the groundwater.
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Gird ti4)7 t I"J1)r 13 t ,4-7 j tl. I)Sail 4,
ATTACHMENTS—Provide the following information as attachments to this application:
(I) A map showing general location of the property(including road names,NC State Route Number,distances,
any key landmarks,etc.)sufficient for finding the well location,
(2) Detailed site map with scale showing location of proposed well relevant to septic system(s), building
foundations,property lines,water bodies,potential sources of contamination,other wells,etc.
(3) Submit a copy of the local well permit application and site evaluation map(if applicable).
(4) Any other information relevant to the variance request such ss a well construction diagram showing proposed
well liner or atypical construction materials/methods.
F. OTHER MINIMUM CONSTRUCTION REQUIREMENTS
For water supply wells, approval of a variance will require that additional construction requirements beyond those
specified in 15A NCAC 02C .0107 be met. Minimum additional construction requirements for Coastal Plain and
Piedmont and Mountain region wells are referenced on Anseltments A nod 11 on pages 4 and 3 of this application.
Approval of a variance will not be considered in cases where the specified minimum additional construction
requirements cannot be met.
G. SIGNATURES
Signet rot Perim Ratpaasibtr far Well Canctructioa(typically the well drtltcr)
//' '1 t�
Print or Typo Full Name of Person Responsible for Well Construction
(typically the rrell driller)
1 ate aunty •rirao".. a{ 'nith Specialist
Y././A ' 11.
Print or Type V me of County Environmental Health Specialist
Per 154 NCAC 02C.0118 the Secretary of the Division of Water Quality or the Division of Public Wealth may require
suhmitfal of information deemed necessary to make a decision on the variance, may impose conditions as part of the
decision, and shall rerlwnd in-writing to the request within 30 days of receipt of the variance request. A %arfance
applicant who is dissatisfied with the decision of the Director may commence a contested case by filing a petition as •
described in G.S. 15013-23 within 60 days after receipt of the decision.
Farm GtY•73V Page 2 Revise!Februarys 2013
Site Plan 1 ``��
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(to be removed)�` F Existing Septic
`STD' - System to be
J Abandoned
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• Soil Evaluation L Jefferson St rig
x r of
mall othervalues> house envelope)
Wood stake is at
rea_Type 80'from front right
=.. Initial Area prop.comer and 30'
from edge of
Repair Area right of way.
.' Potential Well Area
1 inch = Q Meet t a$b Proje DmO� aid i d lm Ur ldvtRu�n d ra soil a
TV �i% ram:• a ft nwdf r s+egb,rw lot
Jefferson St-PIN 369702873564 r. t. ...l. ..t.n .r.. ...... yna,w. .d "°.e.
Base Yap:Catawba County GIS Catawba County,NC = ..'� + . 1.,,
at ST�T a°
d ti ROY COOPER • Governor
4"rA h Q 4�y NC DEPARTMENT OF KODY H. KINSLEY• Secretary
HEALTH AND
�tlp" HUMAN SERVICES HELEN WOLSTENHOLME • Interim Deputy Secretary for Health
=1_1?),1
MARK T. BENTON •Assistant Secretary for Public Health
Division of Public Health
Onsite Water Protection Branch
August 12, 2022
Tim Collins
Dana Overcash
151 Capital Ave #3213
Mooresville,NC 28117
Re: Approval No. JMB2724
Private Well Located Less Than 100' from a Septic System [Rule 15A NCAC 2C
.0107(a)(2)(C)]
Property location:
3543 Jefferson St
Sherrill's Ford, NC 28673
Dear Mr. Collins and Ms. Overcash:
On August 11, 2022, 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. The closest septic system is more than fifty feet away
from the proposed well, but closer than the required one hundred feet. The well is to
serve two or more homes.
Specifically, the variance grants you permission to construct a water supply well at a
distance closer than the one-hundred-foot setback to a septic system. Achieving the one-
hundred-foot setback would be difficult given the challenges of the property.
Based upon information provided by 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:
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH
LOCATION:5605 Six Forks Road,Raleigh,NC 27609
MAILING ADDRESS:1642 Mail Service Center, Raleigh,NC 27699-1642
www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972
AN EQUAL OPPORTUNITY I AFFIRMATIVE ACTION EMPLOYER
1) The new water supply well shall be constructed of either PVC, steel or galvanized
metal casing.
2) The well shall be located as far as possible from any septic system or repair area,
depending upon where the well rig can actually set up, will possibly encroach upon the
100foot setback, but no closer than 60feet.
3) A pre-construction meeting with the Catawba County Health Department staff is
required to ensure that the maximum possible distances are achieved.
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 50feet,
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) If a full-length grout is not possible due to site conditions, then a packer-liner must
be installed in the well. The liner must extend at least five feet beyond the end of the
casing and grouted entirely with a neat cement grout.
9)Any improperly located or constructed wells or wells no longer in use, shall be
properly abandoned in accordance with the Well Construction Standards.
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.I .H.S, MS
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