HomeMy WebLinkAboutWELL-09-2022-181557.TIF i
`. ('ATAWBA COl'M1Tl' '
��t Public Health Department Subdivision
_ Environmental ltcahh Division PINK 375014349007
tPO Box 389,25 Government Drive,Newton,NC 28658 I.OP! 21-28
Site Address: 1102& 1104 MANOR ST,CONOVER NC 28613
Name on Permit: 'SW PROPERTIES NC LLC
Property Size: Acres 0.81
Directions: Take Hwy 10 East from Hwy 16 Manor is located between Mt Olive Church and Little 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.
Y ,S As the property owner or authorized representative, I have received the above referenced '
I, permit(s)as requested in the application for service RBPR-03-2022-40468,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
.5) 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 .0I00), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date:09/30/2022
Owner/Authorized Representative Signature -�- j/(,)
Date l� _7._
Z.
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature--4L/ __Date/Time iD'1J))
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 act
http://www.surveymonkey.com/s/EHCusttomerService
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� • CATAWBA COUNTY Case# W ELL-09-2022-181557
i~ t� , Public Health Department Subdivision
4 j
Environmental Health Division PIN# 375014349007
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 21-28
1.
Site Address: 1102& 1104 MANOR ST, CONOVER NC 28613
Name on Permit: *SW PROPERTIES NC LLC
Property Size: Acres 0.81
Directions: Take Hwy 10 East from Hwy 16 Manor is located between Mt Olive Church and Little 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.
PERMIT CONDITIONS
*This well must be at least 100 feet from any septic system.*
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 I leight: 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 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.
Deq,,,
09/30/2022
Authorized State Agent Permit Issuance Date
9/30/2027
Permit Expiration Date
ehpennit 10/14/2022 11:03
WPDT Report
Area of Interest (A01) Information
Area : 3,134,508.72 ft2
Oct 7 2022 14:06:19 Eastern Daylight Time
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1:4,514
I Parcels(Polygons).Parcels Protected Roule 0 0.03 006 0.12 In
I 5 5 5 L ti ' ti r
Non-System Roads — Other State Agency Route 0 0.05 0,1 0.2 km
— Federal Route — Secondary Route
— Non-System Primary Roads
Other System Roads — Intel Stale NGDOT CAS Uxi.:.nirc0;to, A.t..e D5.VSCS NGA.NASA.MAN.N
FNnnam.NC.EAS.h&S op.NUA.Ganixasry rwn.Ril.m.mralaAi GSA
— Rarrps Rest Areas.Non-Mainline — Us Route Oe l*,d rtMA,+.eorrneo agt the 015.,rear...a.,n.inY cQ cwnnw,nar
A1aw Gcntnbuan 9�'M d Nam Lunen 001 0 Ooen-SycellAap
— NC Route
1102& 1104 Manor St,Conover, NC
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