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Home My WebLink AboutAUTH-07-2022-176645.TIF Mr\' CATAWnACOUNTI" Cisea AUTH-07-2022-176645 y Public Health Department "NI LAKEPOINTE NORTH �� Ernironmental Heal h Division I)Not462801374825 PO Bos J89,25 Government Drive,Newton,NC 2x65k I.uTa 9 Site Address: 2534 PENNGATE DR.SHERRILLS FORD NC 28673 Name on Permit RENEE BAKER Property Size: Acres 0.83 Directions: 150 E left Sherrills ford rd right on island piont dr left on penngate drive Owner/Authorized Representative Acknowledgement of Permit Receipt f •1 I certify that I am the owner or authorized agent(owner's authorization required) prescn ing the owner of1(the property described above. '')rrnll 'VAS the property owner or authorized representative,I have received the a..ve refe'enced permit(s)as requested in the application for service RBPR•05-2021-41012,by r e following method(s): Received in Person Facsimile Transmittal(Return form with signature required) NI Electronic Image Transmittal/E-mail (Return receipt required) I ,41-�As the property owner or authorized representative I have revif wed and un r erstand the specific conditions of the permit issued. and further understand that all applicable reg latory requi ments specified under the North Carolina Laws and Rules for Sewage Treatment and Dis osat Syste s(1SA NCAC 18A.1900), and/or Well Construction Standards(15A NCAC 2C.0100), sh 11 apply to t e issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 07/29/2022 r'j i ) 1j Owner/Authorize Representative Signature -f.__L`JLLL_t __d X i•'1 '� Dace_ 61 i T Documentation of Permit(s)Transmitta (permit transmitted by electronic or other ans) Permit transmitted by { (name of erson,•encling permit) Signature —C Date/T ne 9fli!IL Method: Fax Y Email US Mail Other Owner's request to send by the above indicated method of trans ittal in lieu of signature We wantt tto hear from yoiPlease ttake a few momenttt tto completU our custtomer service survey att http://www.surveymonkey.com/s/EHCusttom rServlce g,r <i,.,,n,n 07/27t2022 14:i4 t —.— .,1t3 a CATAWBA COUNTY Case ItAUTIH-07-2022-176645 i�r/P.t.TA ,, Public Health Department Subdivision LAKEPOINTE NORTH G . Environmental Health Division PIN/ 462801374825 '� PO Box 389,25 Government Drive,Newton,NC 28658 LOIN 9 8• w Site Address: 2534 PENNGATE DR, SHERRILLS FORD NC 28673 Name on Permit: RENEE BAKER Property Size: Acres 0.83 Directions: 150 E left Sherrills ford rd right on island piont dr left on penngate drive Authorization to Construct Permit Permit Category: Relocation Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LIAR: _ g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: TANK ONLY System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: Existing Tank 1 000 gal Pump Tank 1.000 gal Grease Trap_gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: sq ft Total Trench Length: ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in Minimum Soil Cover: in Minimum Trench Separation: ft on center Number of Drain Lines: Trench Width: ft Distribution: Pressure Manifold Pre Treatment: NONE Additional Specifications: `Replacement of pump tank only. existing pump tank will be to close to proposed pool. `Install new 1,000 gallon pump tank with risers. existing pump tank should be pumped out, crushed, and filled in with soil. 'All parts of system must be 50 ft from wells, 15 ft from pool, 10 ft from property lines, and 5 ft from building foundations and appurtenances and out of right-of-ways and easements. `Original permit#8241, dated 7/27/2000 See also attached site plan. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. >>>>> Do not install system under wet conditions <<<<< PROPOSED REPAIR Repair System Required? Soil LTAR: g.P.d./ft2 Proposed System: System Classification: chpri wii 08/092022 15:16 STA7E ct ti° ROY COOPER •Governor -ter �'y NC DEPARTMENT OF A HEALTH AND KODY H. KINSLEY• Secretary 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 August 25, 2022 Renee A. Baker Trust 2534 Penngate Dr Sherrill's Ford,NC 28673 Re: Approval No. JMB2735 Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C .0107(a)(2)(P)] Property location: 2534 Penngate Dr Sherrill's Ford, NC 28673 To Whom It May Concern: On August 24, 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 the variance concerns a water supply well on the referenced property. A structure is proposed to be within twenty-five feet of the well. Specifically, the variance request grants you permission to use 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 you, and the Catawba County Health Department, 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 well/wellhead shall meet all current 2C. 0100 standards, including but not limited to being properly grouted,terminated at least 12" above land surface, properly sealed, and having a thread-less sample tap etc. 2) The well shall be sampled for the same parameters required of a newly constructed well. If samples indicate contamination, further repairs or treatment will be necessary. 3) No potential sources of groundwater contamination shall be stored near the well-head. 4) No termite treatment shall be applied to the structure within twenty-five feet of the well unless alternative methods are approved by Catawba County Health Department. 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