HomeMy WebLinkAboutWELL-09-2022-180417.TIF .
AIMIrip, CATAWBA COUNTY
Public Health Department Subdivision LAKEPOINTE
S'�' • Environmental Health Division PINl1 462801377026
'��`�{�>, PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 4
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Sits Address: 9392 ISLAND POINT RD,SHERRILLS FORD NC 28673
Name on Permit: ROSENBERG LIVING TRUST
Property Size: Acres 0.74
Directions: Right off of Sherriils Ford Rd onto Island Point Rd.5th lot on left after Penngate Dr.
Owner/Authorized Representative Acknowledgement of Permit Receipt
XI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
fe •rty described above.
s the property owner or authorized representative,I have received the above referenced
it(s)as requested in the application for service RBPR-09-2022-42149,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
IElectronic Image Transmittal/E-mail (Return receipt required)
N 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(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:09/16/2022
Owner/Authorized Re resentative Signature 74i
Date j,2_ 1-02,..1_
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Ofe Date/Time II13D./Z2
Method: Fax i 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 yosPlease hake a few momentts tto compiette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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th CATAWBA COUNTY Case# WELL-09-2022-180417
.t.lilt Public Health Department Subdivision LAKEPOINTE
Environmental Health Division PIN# 462801377026
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
1; . SM
Site Address: 9392 ISLAND POINT RD, SHERRILLS FORD NC 28673
Name on Permit: ROSENBERG LIVING TRUST
Property Size: Acres 0.74
Directions: Right off of Sherrills Ford Rd onto Island Point Rd. 5th lot on left after Penngate Dr.
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
*The 50ft lake buffer and property line must be clearly staked by a surveyor before drilling can begin.
*Please call 828-320-3067 before drilling.
Wells shall be constructed in accordance with state regulations:
Article 15A North Carolina Administrative Code Subchapter 2C
The well driller must verity 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 I8A.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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09/16/2022
Authorized State Agent Permit Issuance Date
9/7/2027
Permit Expiration Date
ehpenmt II/30/2022 16:39
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LINE TABLE ' \..(t) I
LINE BEARING LENGTH m QN /
L1 S 43'04'00" E 5.70' \ _1� — W
L2 S 26'37'49" E 31.97' {----.
O LLL3 S 82'54'21" E 12.20' 50' BUFFER , GRAPHIC SCALE
L4 S 58'59'19" E 24.45' I..._ 5 0 sEIP ,
L5 S 78'38'59" E 29.77' % = 40
L6 N 75'32'20" E 15.95' I \ 40 0 40
L7 S 34'34'16" E 18.48' 17-
, - .L8 N 76'01'27" E 3.47' T1 =
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1) THIS PROPERTY MAY BE SUBJECT TO LLC) 04 La PROPOSED HOUSE
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AOF NY EASEMENT AND/OR RIGHTS-OF-WAY NI FT/ REAR WEN
ALK OUT LS? Ult.
2) REAE COMPUTED BY THE COORDINATE in BASS T \,N01
METHOD.3) EXISTING 760'&761'CONTOUR ELEV- r I Ill
ATION BASED ON LAKE NORMAN LAKE
LEVEL AT COWAN'S FORD DAM (READING c0
ON 4/11/2022)ELEVATION: 756.9'
4) UNDERGROUND POMER
5) NO GRID MONUMENT FOUND WITHIN
2000 FEET.
6) SETBACKS SHOWN PER PLAT r —i
(PB.40 PG.112) l
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--,,,,N.,.. 0 3.794' -.
R- � 91. 371'
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LEGEND RAW
EIP
E.I.P. = EXISTING IRON FOUND 148.53' \h, EIP
I.P.S. = #4 REBAR SET ISLAND ~'S76�z1'21"W ,- R/w
R/W = RIGHT-OF-WAY , POIN7TL' RD
CP = COMPUTED POINT (60 PUBLIC R/w)
iSHEET TITLE: PROJECT N.Mt:: J�� --£'£�£a,=A
N° "ERA Soll & Forestry Services of the Carolinas, PA o S
6-4 j NILI FUROR SEPTIC SYSTEM LAYOUT 9392 ISLAND POINT so 813 Davidson Drive-Concord, NC 28025 ° ' r'"
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CATAWBA COUNTY-NORTH CAROLINA .„t....,,..,, MJ wwwsoilandforestryservices.cort
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