HomeMy WebLinkAboutWELL-06-2022-173891.TIF CATAWBA COUNTY Case# WELL-06-2022-173891
Public Health Department Subdivision
,1.it Environmental Health Division PIN# 378001167521
y PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 5158 TALMAGE ST, CATAWBA NC 28609
Name on Permit SHANE WHALEY
Property Size: Acres 1.64
Directions: E NC 10 Hwy to Murrays Mill Road, Head east on Murrays Mill Road, left on Loftin Dr, Right on Talmage St,
first house on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
X_I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-10-2021-38942, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Y Electronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
? 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),
C
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date: 06/16/2022
9iOwner/Authorized Representative Signature
(Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending )permit
Signature 4 _ Date/Time It(ilf,!7Z
Method: Fax ►/ Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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r0,11rY CATAWBA COUNTY Case# WELL-06-2022-173891
4.7 n Public Health Department Subdivision
{ Environmental Health Division PIN# 378001167521
•
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 5158 TALMAGE ST, CATAWBA NC 28609
Name on Permit: SHANE WHALEY
Property Size: Acres 1.64
Directions: E NC 10 Hwy to Murrays Mill Road. Head east on Murrays Mill Road, left on Loftin Dr, Right on Talmage St,
first house on left
REPLACEMENT 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. 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: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 18A.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
06/16/2022
Authorized State Agent Permit Issuance Date
6/16/2027
Permit Expiration Date
ehlx rush 06/16/2022 15:37
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WPDT Report
Area of Interest (A01) Information
Area : 3,134,508.76 ft2
Jun 16 2022 15:44:39 Eastern Daylight Time
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6/16/22,3:45 PM
5158 Talmage St
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.
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