HomeMy WebLinkAboutWELL-08-2022-177637.tif 4=� CATAWBA COUNTY Case M WELL:O8-2022.177637
S7 Public Health Deportment Subditirouon
't Environmental Health Division PINS 362708997665
A ! PO Box 389.25 Government Drive.Newton.NC 28658 S
�t LOU
Site Address: 2122 W MAIDEN RD,MAIDEN NC 28658
Name on Permit: TERAMORE DEVELOPMENT LLC
Property Size: Acres 1.68
Directions: 2122 W Maiden Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
i 'certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
?('
444'/As the property owner or authorized representative,.I have received the above referenced
permit(s)as requested in the application for service CBPR-0S-2022-41189,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
tf Electronic Image Transmittal/E-mail (Return receipt required)
fAs the property owner or authorized representative I have reviewed and understand the specific conditions
9
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(ISA NCAC I8A.1900),
and/or Well Construction Standards(ISA NCAC 2C.0100), shall apply to the issuance of this pennit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Dale:08/12/2022
Owner/Authorized` Representative Signature 7
Date <Llm"o{lt VI
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending per nir/
Signature 7 E Date/Time ( 1/17lZz
Method: Fax V 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 yc Please flake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EMCusttornerService
h5i mmCOSCi ferArnofe,ivt-
4_,
.i.p.,ma 06 12 2022 0141 ,
��. . CATAW BA COUNTY Case 4 W F.LL-08-2022-177637
0iT .f.IR 7. Public Health Department Subdivision
Q . i-, Environmental Health Division PIN# 362708997665
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
/at s.
Site Address: 2122 W MAIDEN RD, MAIDEN NC 28658
Name on Permit: TERAMORE DEVELOPMENT LLC
Property Size: Acres 1.68
Directions: 2122 W Maiden Rd
WELL ABANDONMENT PERMIT
Well Type: Bored
Wells shall be abandoned in accordance with state regulations:
Article 15A North Carolina Administrative Code Subchapter 2C
The Well Abandonment Report must be submitted to the Catawba County Environmental Health within
30 days upon completion of a well abandonment.
Well contractor must schedule well abandonment inspection with Catawba County Environmental Health.
Ptii halnre Pe:k,ns 08/12/2022
Authorized State Agent Permit Issuance Date
8/12/2027
Permit Expiration Date
ehpennit 08/12/2022 08:41
..31- t tioi Road
.r0.7,0 ,......0—to.,..,,, 100 4 Alp.,116
•
•
180,5-Public ! I
„ ........_.....,:.......-----7-- -
I ;
I i
*";
E f„
E fita ;i i r
„
/ .. .
ell!
•
,, , '' *******!ill'''.000000•.;0000000000000 4 o 41141::•- ,••-•-••.1
--" :-'"\--•'-•••---•-•..-1,.. 7.
o efilmm.
t
.i?
;
,I 0/0/.../4,
r;::,,,,T --__....
g
,,,,,,reva p/w k I"441k 01'
i
I r, 0,,,, --,, ,
,1
I , I •,,0 L ...„,,,,Z.,7,74:::•:7.7%. I '
IL. „;,) .0?,:„..,..:%. ----.............._,.... . 1 ,..,
I tf
I
t 1 i '* ilPt
.
„
':".. 114•",
. ...
•,,,,• ...., .
I , I - .. ',
„ .
. I
`74•t. •'' 1
/
i •-.7. s !
.: • :
8 :
'...,.........
•, ,
,,..,,,„
... ss,.. ................................: ,
..: E , i •
1 tt. I I I ••
...
---. .,,•-1 ,.,
i,•;.•
i .
,
- '
i •
,•• : ''• . ,..
,
_
t
.',I I, I , •
• ,
•
.' ,.
, , •;•I ;; -,,---. !1 t
‘, " ' - ,7>ti:•. ;
";.i.,:'..7,".... .
t . ,ti 4 , .,..
CI , .
, 4
if
•...,. .
tr -• :,. .
— . "
. ••F i ., ,••• ',/'-... '.. . •
'
i ';.1 / t : . s ''''''.. ' , 1
x A •:I.' 2% i.•'4,,:,
'• *
,.• , _I -• - :' ' ''-' -!-- • ) . 1
- '
,...., ,-" .... ; ' ! 7 '
„, i; 1 ,...4•;
,...,
i --;
t .1 : i •i ; • • ,
i ,,,,, 11!.1 F-,,.. ' ."'' '. if
x 14,t I 'I : I '2'
1 . -- ;) .cD ,Z. : :
, ,..3.f ... ,• .
• . , ...„ ro,
i lit •
"' ''' e.....1% ' •
1
1
l' , .4i• 1
.,
•,,
't i
i
r.,,,.., ...: .•
I
. . .1.11......v ft...4.0 a...........e ,44...
.1
/off i i i ,..,
f,:. 11; 'lit --4,-,1-.--,:-•
i14._:,
: t, 1.,,,,,,
1 ..
?. ,I:1:I I
. . '
I!''dr: Itiir' 1,,..%`•-, , „,.., lit 1. ..: •• !,.! .
i.1 i:.; - ':ii.''' • • .
I : i. ,, ,r g
0,,,:- ..,/,...
„ . ..
I ?4- ' 'le il ....„.,
tl ..'•:' - -4
,I 1 ,, • ,
,i•'-..
li' ,-. t.
. • .. ..T.. ,. i : .
<3
I if ,f,' •
, .. , ,......„
cc‘
. , •
• :
,..s.',
1. ,.
.)."Is)
i .:. . •'
. . I.
....;
...-_i
..4
4•4116,1
.....s„..''''',.„,„.„....,,...„
-...- '''....."-.•,......
, .
...ii: _ ......
. .
•..„ . .
,
..>
, .
,..,..
-...,,
—71—^",-E 1 ` ' ', 1 '.'d '-•; I DOLIJkR GENERA!: , •
. .
,. • '
. • ,.
s .
ra
. . . :
k..
.,...„... ........ ............... .