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Home My WebLink AboutWELL-08-2022-177695.TIF catawba county public health February 26, 2025 Erin and Adam Colvin 8570 Bivouac Place Galloway, OH 43119 Subject: Notice of Intent to REVOKE the Well Permit for 1357 Karriker Dr, Catawba NC 28609; PIN: 470002869853. Catawba County Permit WELL-08-2022-177695. Dear Erin and Adam Colvin: The Environmental Health Division of Catawba County Public Health intends to revoke your Well Permit 30 days from the date of this notice. 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 Department of Health and Human Services' Regional Soil Scientist. 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 Church 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 http://www.oah.nc.gov. The petition for a contested case hearing must be filed in accordance with the provision of General Statutes 130A-24 and 150B-23 and all other applicable provisions of Chapter 150B. General Statute 130A-335(g) provides that your hearing will be held in the county where your property is located. 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 February 26, 2025. 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 General Statute 150B-23 to serve a copy of your petition on the Registered Agent for the 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. Department of Health and Human Services:Julie Cronin, Office of General Counsel, Department of Health and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001. Do not serve the petition on your local health department. Sending a copy of your petition to the local health department will not satisfy the legal requirement in General Statute 150B-23 that you send a copy to the Office of General Counsel, 2001 Mail Service Center, Department of Health and Human Services. Respectfully, Robbie Phelps, REHS Environmental Health Supervisor Catawba County Public Health F 1 x S 4 (t ) +� //'�� }tawTea caba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 2/26/2025 Owner(s): Adam&Erin Colvin :, Mailing Address: 8570 Bivouac Place Galloway OH 41119 Galloway OH 43119 Property location/site legal description: 1357 Karriker Dr,Carawba NC 28609 PIN: 470002869853 Well Permit Well-08-2022-177695 Date Issued. 8/17/2027 I, ' NC‘‘ ev1 Cal V t Yl ,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 150B-23 and all other applicable provisions of Chapter 150B for the above referenced permit 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 for a New Well (well permit type) 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. 1 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 l 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 revocation of the permit to take effect. Signature of Property Owner: FA___AY,ILLA__/".- Date Signed: r I aQj) t: NCDHHS/DPH/EHS/OSWP I Revised May 2015 catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 ` 828.465.8270 MAKING_ LIVING_ RETTER_ 4Y ��, ( ,INIII1( ()t \Il �t ..,.a ? Ir.+hlr,l le,rlf 1kr.:rt:•,Ci: suhj,islon THE SUMMIT AT LAKE NORM r ratsd 470002869853 �'71 s E t nnuu^td IA.r t I)�, +,n �\ ?•tIlt.'t ON.?3(rt'u'•"Dv.IIlmt. NI:WOO M 2WSR IOI(t 88 E; " r Site Address: 135'KARRIKER LN. CATAWBA NC 28609 Name on Permit: 'CORNERSTONE In PROPERTIES INC Property Size: Acres 1 Directions: North on Brown Chapel Rd.right on Long Isla^d Rd R ght on Karnker Ln Owner/Authorized Representative Acknowledgement of Permit Receipt 44 x� I certify :hat I am the ot%ner authr,riied agent 0,wrer's authur'vatiun required)representing the uwnerof I tile property described:rha\e. X5^^ As the property owner or authorised representative. I have received the above referenced permitis)as requested in the application for service RI1PR-06-202I-38118. by the following,method(s): Received in Person I acsimi le Iransmittal(Return limn with signature required) 1 I lectronic linage Transmittal lF-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 INA.1900), and/or Well Construction Standards(ISA NCAC 2C.0100), shall apply to the issuance oh this permit and the construction of the wastewater systems and or water supply Weil permitted. Permit Issue Date: 08112/2022 Owner Representative Signature ! t►'�.- lk Date s-/ t y2....2____ Documentation of l'crmit(s) transmittal (permit transmitted by electronic or other means) Permit transmitted by four i (/person sending permit) Signature9/E I late I ime b/i 111 Z L Method: _ .,_Fas mail l'S Mail Other Owner's request to send in the abuse 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 att http://www.surveymonkey.com/s/EHCosttomerService Sf-Ci n Co net shrc&p.ulrvt- 46, CATAWBA COUNTY Case# WELL-08-2022-177695 • t` Public Health Department Subdivision THE SUMMIT AT LAKE NORM R AIR I Environmental Health Division PIN# 470002869853 Ilkirtv y PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 88 Site Address: 1357 KARRIKER LN, CATAWBA NC 28609 Name on Permit: `CORNERSTONE III PROPERTIES INC Property Size: Acres 1 Directions: North on Brown Chapel Rd, right on Long Island Rd, Right on Karriker Ln 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. PERMIT CONDITIONS This well area is located in an area with difficult topography Please meet Catawba County EH on the property before the well rig is on site. 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(I5A NCAC 18A.3800).The fee for this sampling is included in the cost of the well permit.ft 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. /AL/4 fite,(4_,, 08/12/2022 Authorized Slate Agent Permit Issuance Date 8/12/2027 Permit Expiration Date Oilman! 08/12,2022 15:27 - 4. C, - , I E g.6 .- 7 7 / oBi aa I fti ✓ p � Ar�1/iR.c� _ _22_ 17`76 � o o � uib �'a�o4 `at ii 8orw / . 0, la v ., ...Z" .• N i ., ll 44i., . 6 44- 1 • � � 1 2 &0 Iy 1 a `sr_i / '\\ ,.\4d, ../111111.11.rriMk 5 1 • * r . •• • a i: 4011,1 : ` gay& .R. O ps - y �a�,rne,OF L • . . _ _ _-51,7._5----_-.4-_,_;_- ---1.".._Ns.j.•.... �'' z ck a 0W6 toN7 �.02 �" Cam, .. ..- .. - J , 2 co ,57wi•3.CS s _ ...-. _._ ❑ 2 ❑Z. -- _ 60 o`� w u_ zI a •= aii 2w• d w 0 oC ow2 a m I . 0 0 O '.h CZ I- 1 : Li o un iav,nn•w.4 c.;at-a 77n>rnom•1,.rvva-oi,aaa. 8/12/22,4:06 PM about:blank ni21 WPDT Report Area of Interest (AOI) Information Area : 3,134,508.7 ft2 Aug 12 2022 16:05:44 Eastern Daylight Time 884 _ 1 . 10011, ..•°°11411.111 ,‘,. .. e44. • '\ ---- -----11L._---11\ i LI\ E 0,1 r_ '...-\\4411,,,h, „... ............_ 1 .,. _ ____., ,,, _ _. _ __ _ err ,I �. t _ J .., . :. / ' _... 1 C 4,- 44plik 1.* ._.,s O x 1:4,614 Parcels(Polygons)-Parcels Projected Route 0 U U3 0 Uf, U i 2 mi 11 1 1 LI ti ti ti i Non-System Roads — Other State Agency Route a 0.05 0.1 0.2 km "" Federal Route — Secondary Routs — No,-System Pruner/Roads Other System Roads — Interstate Ex+c tl,sWrr wrn P'+rm«.a..,wr Cary Suss a,Moth Ca414.e DO V OP.,s►osalap Wry fan HERS. Gam.. CI.<iaon — Ramos Rest Areas,Non Maorme — US Route GesTAAronvss.r.UCTLNAMA users.EPA.HPS US Cassua Dove. USDA VCDoi G s U+! Borers Cs, Ards OS uSfis PGA MLA — NC Route about:blank 1/2 8/12/22,4:06 PM about:blank 1357 KARRIKER LN,CATAWBA NC 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. about:blank 2/2