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HomeMy WebLinkAboutWELL-08-2022-178496.TIF : � ('ATAWRA COL:N1 V . . g .i i PublicIlcalihIk)wnmcnt Sulidiv;e;tm FAIRWAY ACRES i Environmental health Urw.wn PIN4 362905081327 1414:1// ix)Box 389,2S Government Di we.Newun.N(' 28658 I.OTl1 10 Site Address: 2972 DOGWOOD ST.NEWTON NC 28658 Name on Permit: GREG&KRISTA COOPER Property Size: Acres 0.57 Directions: Left off of Sandy Ford Rd onto Chestnut Dr. Right onto Rosewood Ln and then left onto Fairway Dr. Right onto Dogwood St. Lot on right at end of circle. Owner/Authorized Representative Acknowledgement of Permit Receipt .9"'certiIj that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. . NAsthe property owner or authorized representative. I have received the above referenced Per permit(s)as requested in the application for service RBPR-06-2022-41455,by the following method(s): Received in Person Facsimile Transmittal(Return fort with signature required) f Electronic Image Transmittal/E-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 Systertls (I5A NCAC 18A.1900), and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 12/08/2022 Owner/Authorized Representative Signature .--=7 Date (al e f aOa ,.. --------------- -------------- --------------- Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name v f pe rson se nrdii;s permit) 7. Signature91.f , Date/'Time 1 j)!118I L"L Method: Fax y Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want tto hear from yoatPlease take a few moments tto complete our customer service survey aft http://www.surveymonkey.com/s/EHCusttomerService j5Ctp 5o 0 S 41AZI1. earl Ia .•liryumr 1 D08.2022 16.25 CATAWBA COUNTY Case# WELL-08-2022-178496 .t.` Public Health Department Subdivision FAIRWAY ACRES Environmental Health Division PIN# 362905081327 PO Box 389,25 Government Drive,Newton,NC 28658 I,OT# 10 /8 Site Address: 2972 DOGWOOD ST, NEWTON NC 28658 Name on Permit: GREG&KRISTA COOPER Property Size: Acres 0.57 Directions: Left off of Sandy Ford Rd onto Chestnut Dr. Right onto Rosewood Ln and then left onto Fairway Dr. Right onto Dogwood St. Lot on right at end of circle. 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 *Well MUST remain 100 feet from all parts of the septic system(including pressure manifold). Wells shall be constructed in accordance with state regulations: Article I5A 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.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. 111/ 12108l2022 Authorized State Agent Pennit Issuance Date 12/8/2027 Permit Expiration Date chpermit 12/08/2022 16:28 Catawba County Environmental Health 126P11. 0 , -Z,07/- 141 Y55 NO. MQv _0g _7071 - 11P15V .,a38 Aunt- 68 - 7/o7Z- 17"15 N.........7 l,jel! -08 -1A 77 - 1.$Ygt' •2966 ■ ,or, `~ 76, s , ♦ % �ti. ° fin �� S� 0 np \P b� Li„ .-� ' . i �( P� �° tr- v�` % ©° .,; Nii i �Qy �`' 00 7 Parcel: 362905081327, 2972 DOGWOOD ST 1in=40ft NEWTON, 28656 TMs mspireporl product was prepared from the Catawba County,NC Gaospellol Infer-motion Services. Catswbe County has made substantial efforts to ensure the sccurecy of location and tobalin°Information conlnlnod on this m op or data on this wort Catawba County promotes and recommends the Independent verification of any dela coniainod on INs map/report product by the user.Tho County of Catawba,Its employees,agents,end personnel,dis4olm,and shell od not bo hold Ileblo thorfor any and an oillononaor entity, lossor liability,whether direct,Indirect or consequential which arises or may apse from U>ae rr►sp! po product by Coypyclph.2Q21 Catawba Courtly NC 08/24r2022 . . n..,, WPDT Report Area of Interest (AOI) Information Area : 3,134,508.63 ft2 Aug 24 2022 12:43:45 Eastern Daylight Time 1 i 1p\ik F.,,,, . 1 .1. ...„,........... 1 . ,ii. itt,' „..,„,,, / '. / 1 \ ..+ 44 "e? \ It. , .; N4r, 4 '!'ti. '•ram' .- s.eii... , -- \ , . / ;.14,1 % ______:-.--__., .,...,. ., \ tll f ite fi4"s-- ;re. ..›1" , 4- • r>,"..,... ..,)---, ,i . N. 1 /.....1 ir-------1 . .. �.- ,, , , '/ ./\* \..„,: . 0' / / / \. / 1:4.614 Pietas'Payment-Parcae ""' Protected Route 0 u u3 006 0.t2 m � i V tr ' ti ti 11 Non-System Roads — Other State Agency Route 0 0 06 0,1 0,2 km — Federal Route — Secondary Route Non-System Primary Roads Omer System Roads — Interstate ICOor CSun NC[GM.Was — Ramps,Rest Areas,Not.Maknkne — US Route — NC Route • 2972 Dogwood St, Newton 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.