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Home My WebLink AboutWELL-07-2022-176102.TIF � % CAT,W4 A,3 CO( 11 if , Public Health Iktvrtmcnl Ni hl, . . ' lot deEn.nonmtnral Ilralth t)(+ru°" 1'Iti. 462705089018 * PO Boy 114.25 Go+ernment Dn+t.Nt+.lon,NC tar t t r t r 5rto Addruis: 3505 FAMILY CIR, TERRELL NC 28682 Name on Pormlt: 'RAYMOND OTTESEN Property Sim Acres 0 44 Directions: no directions written Owner/Authorized Representative Acknowledgement of Permit Receipt I ccrtifs that I am the unner or authorize)agent((wner's authorization required,representing the owner of thF propert) descrihcd aboveXr . `- As the property owner or authorized representative. I have received the above referenced permit(s)as requested in the application fur service RNI'It-12-2021-393R2, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 7 Electronic image Transmittal' F-mail (Return receipt required) As the property owner or authorized represcntati%c 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(I SA NCAC IRA.1900), and/or Well Construction Standards (15A NCAC 2C .0100), shall apply to the issuance alibis permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 0712012022 Owner/Authorized Representative Signature �l c- ,,„..Q ,,i,, . , .....N2u Date 7-2 - Documentation of Pcrmit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted h, (rrrmle of person.+,wrlirrg permit) Signature g Date/'time 7hlfij) Method: Fax 1 Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yo&Please ttake a few momentts tto complette our custtomer service survey aft http://wwww.surveyrnonkey.com/s/EHCusttomerServlce i nand 737et/4.Aov. env) fl !7 .rpo;,.o 071)0'2022 16 cro 4,001Wif e CATAWBA COUNTY(I (..... Case# WELL-07-2022-176102 • t II Public Health Department Subdivision Environmental Health Division PIN# 462705089018 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# . iv Site Address: 3505 FAMILY CIR,TERRELL NC 28682 Name on Permit: "RAYMOND OTTESEN Property Size: Acres 0.44 Directions: no directions written 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.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. i � .. .:5''' 07/20/2022 Authorized State Agent Permit Issuance Date 7/20/2027 Permit Expiration Date chpennit 07/20/2022 16:05 ,�,u4L•�,d��, t P I1Q it,-�za- ♦'16.'Ogg L tacit Catawba County Environmental Health �'`�� °7"2" � t Z�r°' watt a Z_to Z+Z- 174.lb 1 Q 1064L- .y: �� 5 15� we 11. 2aZ2r 176 10 Z' tKcY a?- Zau- 176107 / r Q-c �' / � •3477 . " te i.r\ 6.84 tiV ; \ ' ''''''‘ 6r ' l `F% ak, ! Fovea _�' 4- OriVt wLU ,lti / _ \ , "., i-b be. / l� r• u�Wl q � ' d 1 S /ram'" r / ,,4 . • 4, r� 9s O Parcel: 462705089018, 3505 FAMILY CIR 1 in=40ft TERRELL, 28682 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this map or data on this report Catawba County promotes and recommends the Independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 1 07/1 B/2022 ea WPDT Report Area of Interest (AOI) Information Area : 3,134,508.67 ft2 Jul 20 2022 11:20:36 Eastern Daylight Time </..". / .>, \--) ,.,,/ .\\:----...,,,- ----\ '6(/'<yr u _r !`� > K \ ', '' ''''',,, Ni ll'' V „....-....._,...„.1 t 'y fff\ ,� r /4..„ ...-/ \ ( i /<\\.(f"i(4;-: ::: ' '''-.-N--,...11',13, , .,, / ,IQ -- ....- iii\..— a2g.�_ \ 1:4,514 Known Releases of Contamination Other System Roads 0 0 03 0 OG ❑12 m. I 1 1 S 'i , •, , 'r Ilk Above Ground Petroleum Incidents — Ramps.Rest Areas,Non-Mainl4ne 0 0 06 4.1 02 km 1 _ I Parcels(Pot ygars)-Parcels ... Projected Route Nwn-System Roa,Js — Othe.State Agency Route -` Federal Route — Fecarujary Route a,ri C 11/114wrr Mao C.r rv2uu.,r Medea cr.,ny.ruler•rr.0 c-ir...,1 001 'C tkmAraPK1a,. 54X.N.11 ku,, HFiik lC.rmn 9i0,u.. , Non-System Primary Roads c«,rRnr,rr,P.r .,ali:rolrACA.USG..EPA anS Ja C.,u,a.'a.m USDA auCC,Jb CM u•M.S..0 u E.Ash,.43 JCua.,u?A NASA interstate 3505 family circle 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.