HomeMy WebLinkAboutWELL-07-2022-175408.TIF (? )
catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: 8/31/fl
Owner(s): Lake Norman Vacation Rentals LLC
Mailing Address: 7029 Denison Rd
Summerfield, NC 27358
Property location/site legal description: 7889 Vista View Rd.Sherrills Ford
PIN: 460604837585
Well Permit WELL-07-2022-175408 Date Issued: 7/11/2022
I, Kevin J Carter , voluntarily relinquish my rights to pursue a formal appeal through the North
(print full name)
Carolina Office of Administrative Hearings pursuant to NC General Statute 130A-24 and 150E-23 and all other
applicable provisions of Chapter 150E for the above referenced permit(s) in order for the authorized agent/local
health department to issue the applicable permit(Well permit)for the site. I understand by completing this form that
the permit(s)for a
New Well
will be revoked immediately by the authorized agent/local health department.
I understand that the local health department's revocation of a permit can be appealed to the North Carolina Office of
Administrative Hearings within 30 days of the revocation pursuant to the North Carolina Administrative Procedure Act. I
understand that in order for the local health department to issue another Well Permit that the current Well Permit must
be revoked. I understand that the local health department's revocation of the Well Permit is not effective until 30 days
from the revocation or, if the revocation is appealed,at the time that the Office of Administrative Hearings issues a final
decision. I understand that by signing this form and relinquishing my right to appeal the permit revocation at the Office
of Administrative Hearings that the local health department's permit revocation will become effective immediately. I
understand and agree that the revocation of a permit that takes effect immediately is in my best interest. I understand
that by signing this form that I agree that I do not want to appeal the permit revocation.
I understand that I am not required to relinquish my appeal rights but that this is an option available to me so I do not
have to wait 30 days for the rel tion th permit to take effect.
Signature of Property Owner: /�• (" '" �
Date Signed: Kevin J Carter
NCDHHS/DPH/EHS/OSWP Revised May 2015
catawbacountync.gov
Environmental Health
Ca towbo County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
G)
catawba county
public health
August 31, 2023
Lake Norman Vacation Rentals LLC
7029 Denison Rd
Summerfield, NC 27358
Subject: Notice of Intent to REVOKE the Well Permit for 7889 Vista View Rd,Sherrills Ford
PIN 460604837585 Catawba County Permit:WELL-07-2022-175408
Dear Sir:
The Environmental Health Division of Catawba County Public Health intends to revoke your Well Permit
30 days from the date of this notice.
If the permit is revoked,you must apply for a new Well Permit and meet the requirements of the
current laws and rules necessary to obtain a new Well Permit.
You have a right to an informal review of this decision.You may request an informal review by the
environmental health supervisor at the local health department.You may also request an informal
review by the NC Department of Health and Human Services Regional Specialist.A request for informal
review must be made in writing to the local health department.
You also have a right to a formal appeal of this decision. To pursue a formal appeal,you must file a
petition for a contested case hearing with the Office of Administrative Hearings, 1711 New Hope Rd,
Raleigh, NC 27609. You may write the Office of Administrative Hearings,call the office at(984) 236-
1850 or get a copy of the petition form from the OAH web site at htto://www.oah.nc.gov. The petition
for a contested case hearing must be filed in accordance with the provision of North Carolina General
Statutes 130A-24 and 150E-23 and all other applicable provisions of Chapter 1506. North Carolina
General Statute 130A-335 (g) provides that your hearing would be held in the county where your
property is located.
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
If you wish to pursue a formal appeal,you must file the petition form with the Office of Administrative
Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is 8/31/2023. Meeting
the 30-day deadline is critical to your formal appeal.
If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are
required by law (NC General Statute 1508-23) to serve a copy of your petition on the Office of General
Counsel, NC Department of Health and Human Services, 2001 Mail Service Center, Raleigh, NC 27699-
2001.
Respectfully,
/ese _
James R. Ross, REHS
Environmental Health Specialist
Catawba County Public Health
,.1y13:
• CATAWBA COUNTY Case# WELL-07-2022-175408
ti .f. ,� Public Health Department Subdivision
.,int ., "y Environmental Health Division PIN# 460604837585
PO Box 389,25 Government Drive,Newton,NC 28658 i.o r#
1842 w
Site Address: 7889 VISTA VIEW DR, SHERRILLS FORD NC 28673
Name on Permit: LAKE NORMAN RENTALS LLC
Property Size: Acres 0.91
Directions: Sherrils Ford RD, Slanting Bridge RD,Vista view DR on Right
NEW WELL PERMIT
VARIANCE WELL
See attached state well variance approval for well construction standards and setbacks.
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 the
required setbacks, contact Catawba County Environmental Health at 828-465-8270, before drilling the well
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(I5A 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.
f1.4
07/11/2022
Authorized State Agent Permit Issuance Date
7/11/2027
Permit Expiration Date
ehpennit 07/11/2022 10:38
9:17 AM Mon Jul 4 ••• '97%j
Done ;= Vista View Lot 2 (12 of 20) 0 U
„c, -',-n, ..k' i'`G. 36 AC.%
0 Vl
if IA
cc.
Well } G Scale: 1"=50'
Area j 2 I
1►A
• ; Install panels on
•
'10 GC grade at 33"trench
5' - bottom on upslope
,* .7t.
ta.
Keep well 5'off property g , �'
*
line 10'off basement waij , 4�SE 77- r Initial System
25'off pool wall t- : 0'+ : Green 64' p
eN yrEl
t 15 ane s
`T White 64' 15 Pan
N
ST = .0; Red 64' 15 Pan
fV "t '� ' "'`7 4 Pink 64' 15 Par
O In ST 1 ' < Orange 64' 14 Pari
N. P 15' , 320' 74 Park's_
10'
Drive 25' ,i u,
'4
PARCF1,# w- -"''G Aec+ P RCE'L#
4608048311567 4606O4836595
13we 1
Keep sewage grinder
•
56 1 I
minimum 25'off well
Ot
? o P`(\* TU cv 0 i
1 6A 10'
i eta T
O 10' OS e 6Q TU=Turn Up r�
ly 2"Force ,• e TU 1 1
4: Main 6A Cv
Ch 47
N Ped fib, !
0. U p silt se
O <,y
il . '' - 0 *
' -/'.Jt?'"::::41.11 17 L.
,v Lot 2 rf. 4 -I v Ali-.."` . Z
�rq .
O Valve t.`�GC
Box j�;�.4
I 4%. 129
15 •'• 'TH
ma IIrIIIIIr
V: • 1
N
gi
°Pi- 0
0 VISTA VIEW ,DI
.01.), co cK 6 -Z
(60 R/W)
;8. ��
w
y
F'W S86 11 5 V t Se6-,-1€' �',.. S86 "8'•.3"; 55a ,8'13"E t'1'
78.80' -!. A7' 75.33' 75 33'
sur
`a ;, rytio ROY COOPER•Governor
4)- g\#y NC DEPARTMENT OF KODY H. KINSLEY• SecretaryAir
,� �' ; '"��r HUMAN SERVICES HELEN WOLSTENHOLME•Interim Deputy Secretary for Health
MARK T. BENTON•Assistant Secretary for Public Health
Division of Public Health
Onsite Water Protection Branch
June 3, 2022
Kevin Carter
7029 Denison Rd
Summerfield, NC 27358
Re: Approval No. JMB2659
Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C
.0107(a)(2)(P)]
Property location:
7889 Vista View Dr
Sherrill's Ford, NC 28673
Dear Mr. Carter:
On June 2, 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 that will serve a single-family dwelling and part of a
structure on the property will be within twenty-five feet of the well. The home is on a lot
with very difficult topography.
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. Achieving
the twenty-five-foot setback 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:
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/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 the structure where, depending upon
where well rig can actually set up, will possibly encroach upon the 25foot setback,
but not be closer than 10feet.
3) A preconstruction meeting shall be required with the Catawba County Health
Department staff to ensure that the maximum possible distances are achieved.
4) The well will be required to have casing installed to a minimum of 43 feet below land
surface or to bedrock, whichever is greater.
5) The well shall be at least fifty feet from any part of the septic system including repair
area.
6) Grout will be required the entire length of the casing from land surface into bedrock.
7) 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.
8) Grout must be either pumped into place with the use of a tremmie pipe or pressure
method.
9) 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.
10)The well must be constructed outside of any road right of way.
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.E.H.S, MS
2