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HomeMy WebLinkAboutWELL-09-2022-180863.TIF ©+f�, CAT AN't3A COI'N11 �+ Pubht Health Dcpaitmcnt Sulxiivic,on .� a Emlrnnmenlal health I)i ision PING 367603420091 �; PO Hot 389,:S Goxemmcnt rime,Nc s1t n,N(' 2iir 5hl LU 24 r Sit.Addr►eer 4988 ANDERSON MOUNTAIN RD, MAIDEN NC 28850 Name on Permit: JOSHUA GRAY Name on Permit: STEVEN HARRISON Property Size: Acres 30.67 Directions: NC 150, R East Maiden Rd, L Anderson Mt Rd, L 4986 Anderson Mt Rd Owner/Authorized Representative Acknowledgement of Permit Receipt t____/ I certify that I ant the owner or authorircd agent(owner's authorization required)representing the owner of he property described above. i( As the property owner or authorized representative,I have received the above referenced permits)as requested in the application for service RBPR-08-2022-42128,by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) V 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:09/21/2022 Owner/Authorized Representative Signature_ Date ei/M/ZOZ Z. Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature el( Date/Time I3o ,) 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService ply smaI Jgt-A� ' rti`A Mr"- or‘ SQ(eke ei- pLtd,p,. uit 09[:1(1021 II 42 • CATAWBA COUNTY Case# WELL-09-2022-180863 Public Health Department Subdivision Environmental Health Division PIN# 367603420091 PO Box 389,25 Government Drive,Newton.NC 28658 LOT# Site Address: 4986 ANDERSON MOUNTAIN RD, MAIDEN NC 28650 Name on Permit: JOSHUA GRAY Name on Permit: STEVEN HARRISON Property Size: Acres 30.67 Directions: NC 150,R East Maiden Rd,L Anderson Mt Rd, L 4986 Anderson Mt Rd 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 l5A 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 arc required to be sampled in accordance with the North Carolina Rules Regarding Private Drinking Water Well Testing(I SA NCAC IRA.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. 09/21/2022 Authorized State Agent Permit Issuance Date 9/21/2027 Permit Expiration Date chpermir (19/27/2(122 12:19 PO72Oc22 21-(9, TOPV-01---a76?)- 11O 5 Catawba County Environmental Health 4403 66.E .ems Au Tt) O9 0242,2—/ `�(0 0 Y �f2 ' '4 •'s .3, , ip:' fin, Gm cp 1,...4f1 p‘ (5)0of,\\0;)-. :: )‘ -lb . , iortio• t ( k-4-,1116„. �,t�y��, .ii .1 i 6,. ..4,s--- 1.4 �d , ,._ ,.\ -1.0._ ._I , o i 4. , \ 1 Joe.,\ ` (nL.3 1 S s r. t �. 1 � Parcel: 367603420091, 4986 ANDERSON 1 et-1-b() VP-I 1 in=200ft MOUNTAIN RD MAIDEN, 28650 • This map/report product was prepared from the Catawba County,NC Geospatlal 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,toss 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 09/2 1/2022 . . 9/22/22,8:44 AM nazi WPDT Report Area of Interest(A01) Information Area : 3,134,508.76 ft2 Sep 22 2022 8:41:26 Eastern Daylight Time , \ \ , \ . . r--- \ \ \ N i \\ \ , " \ s / • 77 ,,,,....,,,,, ,....,,............. . .,.....,....................—.. .........., • .4., 0., ...0''S.* / / / , I 1117ft • '''''''''.1\ et10/1/11 1 N.,. ',....., . • .',..1.-• \ .. 1:4,514 1 0 03 0.06 012 nu ,.. .— Parcels(Polygons)-Parcels I % % % 'i k, k, .. 'I 0 0.06 0.1 0 2 km WM/0.14.leg El,.Govnonte Magni.C.o..•sxdbrs.On...nb..,I Wm., 401031 e.uuray¶Ist us r4u•K,.,'..-riana MA e.,000.611,10.1.41 Exi.,,IiIki,:lam.SsfaC..•01,Gvaschnutopei I,,. AM inGS ILEA 41M tA.S.Conan Stalrou J.5X.31. Iloutu, {.".,v=.h..•Ins.DS.1.k.SGS 1/2 9/22/22,8:44 AM 4986 ANDERSON MOUNTAIN RD,MAIDEN NC 28650 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. 2/2