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Home My WebLink AboutWELL-10-2022-182078.TIF ' Case H WELL-I0-2022-182078 41r CATAWBA COUNTY *,irk Subdivision LOOKOUT LAKE PROPERTY i{S -l• , Public Health Department �� PINH 376803416793 1 s Environmental Health Division '+�/tl, PO Box 389,25 Government Drive,Newton,NC 28658 LOTH tilt SIteAddress: 3766 HAFER RD,CLAREMONT NC 28610 Name on Permit JESSICA BEARD Property Size: Acres 1.19 Directions: NC 16,right onto Oxford School Rd,left onto Rest Home Rd,right onto Shell Holler Rd, left onto River Bend Rd,right onto Hafer Rd Owner/Authorized Representative Acknowledgement of Permit Receipt ' ' I'ccrtify that I am the owner or authorized agent(owner's authorization required)representing t‘ 1111he owner of f��//thee property. described above. F6 } s the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-09-2022-42401, by the following method(s): Received in Person T Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 4As 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: 10/11/2022 ofaiv Owner/Authorized Representative Signature Date \U V,0 \7i2 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature (1-e Date/Time I Oji sin, Method; Fax 'd 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 ytiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ERCusttomerService jcobe@r . &r4 t1iM mn 10/12/2022 17.02 IL.1' CATAWBA COUNTY Case# WELL-10-2022-182078 Awe a�` y Public Health Department Subdivision LOOKOUT LAKE PROPERTY d (R) Environmental Health Division PIN# 376603416793 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Zrif- SM Site Address: 3766 HAFER RD, CLAREMONT NC 28610 Name on Permit: JESSICA BEARD Property Size: Acres 1.19 Directions: NC 16, right onto Oxford School Rd, left onto Rest Home Rd, right onto Shell Holler Rd, left onto River Bend Rd,right onto Hafer 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 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. Pe.144) /11/2221 2 _L6'k*eo 0 Authorized State Agent Permit Issuance Date 10/11/2027 Permit Expiration Date ettpenuit 10/12/2022 17:02 Catawba County Environmental Health v V lit' \0 ..7,0 7?-' 1 )-O i (80 IA co (2 \75) S la (180) k. Ai.41 0 O D `r a-c-P 2° v /, ///fi W e\\ Rft ° (250) 72.5 � ()t�StC� Seftc Moak , ,0� ,00' 1 fw\) ,....._____. r / ' ru t, Is i /f 507.66 U'C j i f / 1 4 (330) o d R z 523.16 \\ \ Parcel: 376603416793, 3766 HAFER RD ` CLAREMONT, 28610 1 in=60ft This maphreport 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 the'independent verification of any data contained on this map/reportren wba County promotes and reoormnends mproducts,loss by the user.The Codire t, Carect o'consequentialdisclaim, notliability, which arises or may arise from this map/report product or the use Thereof by any person or entity. Copyright 2021 Catawba County NC 10/11/2022 10/11/22,2:21 PM about:blank c i c 1,)(,:,.., WPDT Report Area of Interest (AOI) Information Area : 3,134,508.67 ft2 Oct 11 2022 14:21:18 Eastern Daylight Time I i I iyi i l i r it1 ____._.- 1 r ' t I1 a' I i I I ; 1 f I !-- —' 1 t • � t 1 f 1 r ilk_______________ II /. Hafer r +#1 i- N I r/ !I t r t i 575ft ._� a 1:4,514 Parcels IPorygonsl-Parcels -" Projected Route 0 0.03 0.06 012 rrd c/ Non-System Roads — Otter State Agency Route I t , 5 '0 0 05 0.10.2 krn — Federa Route — Secondary Route Non-System Primary Roads Otner System Roads — Interstate NEWT GIS L.T'x.5.01.1.ER'A`tAn OS.DSOs NOA.NASA`Ccux N Robeso1..scesu tes OS.rRw,Gasdasstpus m.Nl smanlad GSA Ramps,Rest Areas,WA-Mainline — US Route � ' h�r^�ma the Grs:rsd. ,u,ny Est.can.nui, Maps Cor*ktords Sra. d Norm C-r o DOT G OperSbeelMap NC Route about:blank 1/2 10/11/22,2:21 PM about:blank 3766 Hafer Road,Claremont, NC 28610 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. about:blank 2/2 Memorandum November 3, 2023 To: Jessica Beard From: Megen McBride, Environmental Health Administrator Re: Well Samples Required. Permit: WELL-10-2022-182078 Site Address: 3766 Hafer Rd, Claremont, NC 28610 Our records indicate that the above referenced well permit was issued a Certificate Of Completion on 10/2/2023 . Our staff have visited the property to collect required water samples, but found the property to be gated. Please contact our office so that we can schedule a time, at your convenience, to meet at the property and collect the water samples. The fees for these samples were included in the cost of your well permit, so there is no additional charge for this service. The sample test results would be sent to you when they are received by our office. Typical process time is 6-8 weeks. If you have additional questions, please call us at (828) 465-8270, or by e-mail at: EHAdmin@CatawbaCountyNC.gov