HomeMy WebLinkAboutWELL-11-2022-184671.TIF 4 `0 CATAWBA COUNTY
.t. .y Public Health Department Subdivision
d , it`� ' Environmental Health Division PIN# 471003349448
PO Box 389,25 Government Drive.Newton,NC 28658 LOT#
i•42 sm
Site Address: 1147 WHISPERING WINDS DR CATAWBA NC 28609
Name on Permit: *LAKESHORE DEVELOPMENT COMPANY
Property Size: Acres 8.88
Directions: Sherrills Ford RD to Molly's backbone, RIGHT Monbo RD, Left on Whispering Winds to end of on Right
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.
ic.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2022-41658,by the following method(s):
111,
_ 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: 11/17/2022
�
Owner/Authorized Representative Signature
,(r Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature ./TE Date/Time j)/ff/l z
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 aft
http://www.surveymonkey.com/s/EHCusttomerService
` 041 11.S we•IO..Icy •&vK
4
chpcnnii I1/23/2022 16:4I
CATAWBA COUNTY Case# WELL-1 I-2022-184671
-.. Public Health Department Subdivision
• ,Npv y,i.J Environmental Health Division PIN# 471003349448
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 1147 WHISPERING WINDS DR, CATAWBA NC 28609
Name on Permit: *LAKESHORE DEVELOPMENT COMPANY
Property Size: Acres 8.88
Directions: Sherrills Ford RD to Molly's backbone. RIGHT Monbo RD, Left on Whispering Winds to end of on Right
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 100 feet from any septic system.
Wells shall be constructed in accordance with state regulations:
Article 1 SA 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.
11/17/2022
Authorized State Agent Permit lssuance flute
11/17/2027
Permit Expiration Date
ehpennn 12/022022 10:31