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HomeMy WebLinkAboutWELL-11-2022-184667.tif 140iii& CATAWBA COUNTY Public Health Department Subdivision CROSSING CREEK (. Environmental Health Division PIN# 376304746891 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 w Site Address: 4240 DEAL RD, CLAREMONT NC 28610 Name on Permit: *CLAYTON HOMES#81 (BILLING ACCT) Property Size: Acres 0.46 Directions: Take I-10E,Take Exit 135, Keep Rat the fork,take left onto Centennial Blvd, Take left onto N Lookout St, Take Left onto Deal Rd, 1.1 Mile Owner/Authorized Representative Acknowledgement of Permit Receipt ( I certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of 1 the property described above. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-09-2022-42183,by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) iAs 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 Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature ote Date/Time_ Method: Fax "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 yotPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/ HCusttomerService ' ° I-11.44- tr . NAhialaela 'vatic Gs'( elipemiii 11/18/2022 16:37 (( CATAWBACOUNTY • I Case# WELL-11-2022-184667 ;Q(4..i t. Public Health Department Subdivision CROSSING CREEK d .(�) ") Environmental Health Division PIN# 376304746891 1842 PO Box 389,25 Government Drive,Newton,NC 28658 LUl'# 6 Site Address: 4240 DEAL RD, CLAREMONT NC 28610 Name on Permit: *CLAYTON HOMES#81 (BILLING ACCT) Property Size: Acres 0.46 Directions: Take I-10E, Take Exit 135, Keep Rat the fork,take left onto Centennial Blvd. Take left onto N Lookout St. Take Left onto Deal Rd, 1.1 Mile 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 befog drilling the well.lithe 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 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. ////7,1_________,- --' ' m Ei.4ris 11/17/2022 Authorized State Agent Permit Issuance Date 11/17/2027 Permit Expiration Date ehpemtit 1 1/18/2022 16:41 Catawba County Environmental Health R8 ?R - o - o2 - 1 1 83 impv. q � iiao ? - isq646 \61€11 ...„ it .,. D0 ; ... j '34Wo7 25.27 176.68 % ` \0 \rl wes( Si 1 0 202 rn Sep ' © _� r L;ne -� 7 co v cn V is A S% N •4240 . 01 oco �L o :6 o r„ e 0 i riVe- 200 ISt 0O •4228 0 G. J 0 0 Parcel: 376304746891, 4240 DEAL RD 1in=40ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Goospatlal 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 mep/report product by the user.Tho County of Catawba,its employees,agents,end personnel,disclaim,and shall not be held liable for any and all damages,loss 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 11/17/2022 • 11/17/22,7:51 AM about:blank ,;(71cD WPDT Report Area of Interest (AOI) Information Area : 3,134,508.65 ft2 Nov 17 2022 7:50:31 Eastern Standard Time -------------%%.**N\ \--------: _____\ 7.--------\ IIIII Teitii li _ .. 0 IPu r_ •el :c t �---1 _q__ Virli ..._.------\ I 1 .1-7----11-C----A t „or. .\I / i 111 9R1, 1 1:4.514 I P as's(Polygons)-Parcels Plotectec Route 0 0.03 'J Ofi U.t 2 rr a I 1 1 S ti '1 ti ti '1 Non-System Roads — Omer State Agency Route 0 0 QS 0.1 0.2 km — Federal Route — Secondary Route — Non-System Primary Roads Other System Roads Interstate N0001 OS um sw.t..Cy A.Wr OS LtSG5 MGA.NASA CGAA N raonnenn MUM M S OS WA f)ns1Aa+Mrs.n WOwMr.n.iam AAA — Ramps.Rest Areas.Non•Maini�ne — US Route Gaaran RNA ..rmo.an+�.cis,+r-nn..wy E. G..� ,ar AW. Ca.sne,.ene 3na J No., Cm. DOT , Ous'desen&lop • NC Route about:blank 1/2 11/17/22,7:51 AM about:blank 4240 DEAL RD 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