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Site Address: 7093 COVE CREEK DR.SHERRILLS FORD NC 28673
Name on Permit: TERRY 8 LISA HOWELL
Property Size: Acres 0 53
Directions: NC 16 S.L on Buffalo Shoals,R on Little Mt.Ron MI Beulah,L on Lineberger,L on Mt Pleasant.Ron
Tradwood Dr.L Cove Creek
Owner/Authorized Representative Acknowledgement of Permit Receipt
/�f` I eenil that I am the ns tier or authorised agent um ncr's authuri/al ion required)representing the sew lief ul
the property described abuse.
� As the property owner or authorized representative.I have received the above referenced
permits)as requested in the application for service RItPR-02-2022-40048,by the following method(s):
Received in Person
Facsimile Transmittal(Return limn with signature required)
Electronic Image Transmittal/li-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
V of the permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(I5A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction oldie wastewater system and/or water supply well permitted.
Permit Issue Dale:05/03/2022 ''``� _ '' 0
Owner/Authorized Representative Signature J ¢rlf7�!'c-a
-mil Date 61/0/Z.11L2-
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Documentation of Pcrmil(s)Transmittal
(permit transmitted by electronic or other means)
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Owner's request to send by the above Indicated method of transmittal in lieu of signature i'
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http://www.surveymonkey.com/s/EHCustt0mer5ervice
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t•,40�3 CATAWBACOLINTY Case# WELL-05-2022-170617
t Public Health Department Subdivision
,�i, t Environmental Health Division PIN# 369704935952
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PO lox 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 7093 COVE CREEK DR, SHERRILLS FORD NC 28673
Name on Permit: TERRY&LISA HOWELL
Property Size: Acres 0,53
Directions: NC 16 S, L on Buffalo Shoals, R on Little Mt, R on Mt Beulah, L on Lineberger, L on Mt Pleasant, R on
Trailwood Dr, L Cove Creek
NEW WELL PERMIT
REQUIRED WELL SETBACKS:
Septic Systems and Repair Areas for Single Family Dwellings 50 ft
Septic Systems and Repair Areas for Businesses and Multi-Family Residences 100 ft.
Underground Storage Tanks 100 ft.
Animal Barns 100 ft.
Lakes/Ponds 50 ft.
Streams/Brooks/Creeks/Rivers 25 ft.
Building Foundations 25 ft
All Other Sources of Groundwater Contamination 100 ft.
Saprolite Septic Systems and Repair Areas 100 ft.
Septic Systems and Repair Areas to Wells with 2 or more connections 100 ft.
Wells shall be constructed in accordance with state regulations:
Article 15A North Carolina Administrative Code Subchapter 2C
The well driller must verify all setbacks before drilling the well. lithe 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:20 feet minimum
Casing Height: 12 inches minimum above finished grade
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 I 8A.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.For questions or for more information,please contact Environmental Health
-47 (1-/— flui ,
05/03/2022
Authorized State Agent Permit Issuance Date
5/3/2027
Permit Expiration Date
ehpcnnit 05/04/2022 16:10
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ntrat WPDT Report
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Area of Interest (AOI) Information
Area : 3,134,508.65 ft2
May 4 2022 14:01:25 Eastern Daylight Time
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5/4/22,2:02 PM
7093 Cove Creek Dr
Known Releases of Contamination
Site ID Site Name Site Type Data Current As Of Count
1 8403 HARBOR LIGHTS I Underground Tank 12/18/2019 1
MARKET Inicidents
All North Carolina Department of Environmental Quality(NCDEQ)GIS data is expressly provided"AS IS"and"WITH ALL FAULTS".The
NCDEQ makes no warranty of any kind, express or implied, concerning this information,including but not limited to any warranties of
merchantability or witness for any particular purpose.The NCDEQ assumes no responsibility or legal liability concerning the Data's accuracy,
reliability,completeness,timeliness,or usefulness.The data is not intended to constitute advice nor is it to be used as a substitute for specific
advice from a professional.Users should not act(or refrain from acting)based upon information in the Data without independently verifying
the information and obtaining any necessary professional advice. Users are solely responsible for ensuring the accuracy,currency and other
qualities of any products derived from or in connection with the NCDEQ's Data.The Data is collected from various sources and may be
modified over time without notice to improve spatial andattribute accuracy.The NCDEQ disclaims responsibility for the spatial accuracy and
attribution of GIS features and makes no warranty concerning same.
2/2
UST Section
Description of Dataset
The Underground Storage Tank(UST)Section's data presented here is representative of two different
programs within the Section;the UST program and the Aboveground Storage Tank/Non-UST(AST)
program. While the UST data specifically relates to UST systems,the AST data may be related to a
variety of release sources, i.e.AST systems,fuel tanker spills, Illegal dumping, etc. Whereas,the UST
data Is specific to releases of regulated substances from USTs. All UST Section features presented in this
tool represent locations where the latest reports document confirmed or assumed exceedance(s)of the
NC Groundwater Quality Standard and/or the Soil-to-Groundwater Maximum Soil Contaminant
Concentrations (MSCCs),
Contaminants Potentially Present
UST and AST Program Sampling Recommendations:
• Volatile Organic Compounds
• Semivolatile Organic Compounds
• Metals(Cr and Pb)
Contact Information
To request additional information from the UST Section please contact the NCDEQ Regional Office
assigned to the area of interest and ask to speak with a member of the UST Section.A map of the UST
Section's Regional Office coverage areas and phone numbers can be viewed by following this link.The
UST Section's Regional Office contact information is also presented below.
UST Section-Regional Office Contact Information
Asheville(ARO)—2090 US Highway 70,Swannanoa,NC 28778(828)296-4500
Fayetteville(FAY)—225 Green Street,Suite 714,Systel Building,Fayetteville,NC 28301(910)433-3300
Mooresville(MOR)—610 East Center Avenue,Suite 301,Mooresville,NC 28115(704)663-1699
Raleigh(RRO)—1628 Mall Service Center,Raleigh,NC 27699(919)791-4200
Washington(WAS)—943 Washington Square Mall,Washington,NC 27889(252)946-6481
Wilmington(WIL)—127 Cardinal Drive Extension,Wilmington,NC 28405(910)796-7215
Winston-Salem(WS)—450 West Hanes MITI Road,Suite 300,Winston-Salem,NC 27105,(336)776-9800
Guilford County Environmental Health,400 West Market Street,Suite 300,Greensboro,NC 27401,(336)641-3771