HomeMy WebLinkAboutWELL-09-2022-179844.TIF 1
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t,+ Mt Public Health Department Subdivision
Pr,,;{ lit Environmental Health Division PINS 47 1 0031 20595
PO Bax 389,25 Government Drive,Newton,NC 28h58 Lois
Site Address: 8078 MONBO RD,CATAWBA NC 28809
Name on Permit SALLY HARPER REVOCABLE TRUST
Property Size: Acres 8.05
Directions: East on Monbo Rd pass Malys backbone rd pro
Owner/Authorized Representative Acknowledgement of Permit Receipt
OjkcertiI, that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
✓_ s the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2022-41774,by the following method(s):
Received in Person
_ Facsimile Transmittal(Return form with signature required)
j_ 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 Systems(15A 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:09/12/2022
Owner/Authorized Representative Signature
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Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
lSignature n Date/'lime / !(�
Method: Fax J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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CATAWBA COUNTY Case# WELL-09-2022-179844
Public Health Department Subdivision
Q . - Environmental Health Division PIN# 471003120595
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 8132 MONBO RD, CATAWBA NC 28609
Name on Permit: SALLY HARPER REVOCABLE TRUST
Property Size: Acres 8.05
Directions: East on Monbo Rd pass Mollys backbone rd pro
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.
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09/12/2022
Authorized State Agent Permit Issuance Date
9/12/2027
Permit Expiration Date
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Parcel: 471003120595,' .1MONBO RD 1 in=100ft
CATAWBA, 28609
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
09/07/2022
MIR
Catawba county
public health
Memorandum
November 25, 2024
To: Sally Rene Harper Revocable Trust
PO Box 191
Sherrills Ford, NC 28673
From: Megen McBride, Environmental Health Administrator
Re: Well Samples Required. Permit: WELL-09-2022-179844
Site Address: 8132 Monbo Rd, Catawba NC 28609
Since July 1st, 2008, the North Carolina Department of Health and Human Services requires all private
drinking water wells be sampled for bacteria, nitrate, nitrite, pH, and a number of naturally occurring
inorganic minerals.
Our office has made several attempts to contact you to schedule the water sample collection and
have been unable to reach you. Please contact our office so that we can schedule a time, at your
convenience,to collect the required samples.
The fees normally charged for these samples were included in the cost of your well permit, so there is
no additional charge for this service. The samples will be taken from an outside source.The sample test
results will be sent to you when they are received by our office. Typical process time is 6-8 weeks.
You may reach our office at (828) 465-8270, or by e-mail at:
EHAdministrativeAssistants@catawbacountync.gov.
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive PO Box 389 Newton NC 28658 828.465.8270
MAKING. LIVING. BETTER.