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HomeMy WebLinkAboutWELL-05-2022-170617.TIF _ow, CAI AWI1A(T)V\I1 (•s'p '► t l'uhl.e Ikalth Ikparhneni tiuhirvnuni le! I it immortal Ilcalih(h$ on I'INN 369704935952 �\/4 ItI nos tti'&2s GN,.rrnmcnt IMnc.Ne..tun N(' :PAXfait tfIIn 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- ---------------------------- --------------------- G Documentation of Pcrmil(s)Transmittal (permit transmitted by electronic or other means) I'cnnit transmitted by fnwin'ujlu'r.s ur.st'mlingliernNU (/T�(�e Date/Time Slt%D Signature �/ Method: Fits `r Email _'IS Mail Other k pt,� Owner's request to send by the above Indicated method of transmittal in lieu of signature i' We wantt tto hear from yoPlease hake a few momentts tto comptette our custtomer service survey ate http://www.surveymonkey.com/s/EHCustt0mer5ervice �C'Ir►{hweilusegrt 0. talk n•nt:n:: ii�i • t•,40�3 CATAWBACOLINTY Case# WELL-05-2022-170617 t Public Health Department Subdivision ,�i, t Environmental Health Division PIN# 369704935952 jif PO lox 389,25 Government Drive,Newton,NC 28658 LOT# ‘tilf_ w 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 w+.w"=iwiwrro .a S454—ZO,—.Zf vxnotYa �ou' unaa MOO aso� smxa�s " .. a iS JMr o••� 69Z9Z ON '31L01N HJ . ., �— 1D 3NIN031 9Z08• QYO}I 7I832I� c'IAO� £BOb �9 fgf - Rg R �« vd'salel)ossy T[3AOH VSII aNV MINI amaarsaN pwouaaa 8 , .xr ' r ,,_I! 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Z ylI 1.:r , 9 r, F e g;& \ * P 6 - i,- o .10: \ \/ _ __ / , IP u Z 06 Sig s I d 4- i rrs AY rs tiem2xrA•_clZ+rt1 OM'M+b M`]�JW'cr 5=! 1 4It -*'+M'.3•r 5/4/22,2:02 PM ntrat WPDT Report 1 Area of Interest (AOI) Information Area : 3,134,508.65 ft2 May 4 2022 14:01:25 Eastern Daylight Time lc +a�� s c K> +4 N. k. , _I \ ,4, ) 114, ik ./ 1 .,..,.,.,...../ ...„, 1 • it .4%,_ AIL ........ ,...... -----71L____L----- 1.._ ____) .i. , „N„,„ , . .4 . f› / - i8 J r - j \_________________ --- ......-------1-- ----.›''''''''' -.46'• _...-----\ \\7=---- \\-----' 1 :II '— --------1 1 4.514 0 0 03 0 06 012mi Know)Releases o1 Cantarwnation Other system Roads I I 1 S Li CDUnderground Tank InKldent9 Ramos,RestAreas.Non-Mainline 0 0.05 0.1 02 km -!Parcels(Polygons)-Parcels Prorectec Route Non-System Roads — Other State Agency Rarte — Federa:Route — Secondary Route r'NC=On Ga ins.Sarce$rm.MA*OS.JSGS.VOA NASA.CG'.AR.N Ptomm NCEAS Nt mru 3 OS MIA O. tr-xeer Itliwmmn.� GSA m� Non-System Prary Roads Gard FEMA.I, 'rap ara t.e OA USC corrn:.r !Lava*�vae esn rev_Gerrm.FAO.NOAA JSO.:C Ooe]Sraejju,eo'rts.rvn;rrr o» — Interstate cO Um'Carmite 1/2 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