HomeMy WebLinkAboutWELL-01-2023-187719.TIF CATAWBA COUNTY
.I. , Public Health Department Subdivision MAGGIE C WRIGHT HEIRS U
. � Environmental Health Division PIN# 366601091185
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6
I: .2 w
Site Address: 4418 WENTZ RD, MAIDEN NC 28650
Name on Permit: CRAIG HORAN
Property Size: Acres 5.9
Directions: From Maiden go S on E Maiden Rd, L on Buffalo Shoals Rd, Travel 3/4 miles turn left on Wentz Rd, Property
on Right
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
the property described above.
�s the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-11-2022-42809, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
�A n the property owner or authorized representative I have reviewed and understand the specific conditions
of
oft e 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: 01/18/2023
juu
—
Owner/Authorized Representative Signature KJA,
-Date ) 1.3 ) l 2 0 23
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
C4/
Signature L Date/Time4.4-±
/ /
Method: Fax J 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 youPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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chpennit 01/19/2023 16:36 1 6
115' • CATAWBA COUNTY Case# WELL-01-2023-187719
AIL ,, Public Health Departmentimit( Subdivision MAGGIE C WRIGHT HEIRS U
` Environmental Health Division PIN# 366601091185
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6
w
Site Address: 4418 WENTZ RD, MAIDEN NC 28650
Name on Permit: CRAIG HORAN
Property Size: Acres 5.9
Directions: From Maiden go S on E Maiden Rd, L on Buffalo Shoals Rd,Travel 3/4 miles turn left on Wentz Rd, Property
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.
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(I5A 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 llealth 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.
01/18/2023
Authonzed State Agent I'ennit Issuance Date
1/18/2028
Pennit Expiration Date
ehpenni t 01/19/2023 16:39
Catawba County Environmental Health
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Parcel: 366601091185, 4418 WENTZ RD 1 in-60ft
MAIDEN, 28650
This maplreport 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 mop/report product by the user.Tho County of Catawba,Its employees,agents,end
personnel,disclaim,and shall not be held liable for any end 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
11/14/2022
nt,...„, WPDT Report
Area of Interest (AOI) Information
Area : 3,134,508.51 ft2
Jan 18 2023 15:55.40 Eastern Standard Time
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Parces IPorygons) Parcels - Protected Route 0 003 006 0 12 re.
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Agency 0 0.05
Non.System Roads — Other State Route 00.1 02 Wn
— Federal Route — Secondary Route
- Non-System Primary Roads
Other System Roads — Interstate NC1101 CPS u,n SC d%M u...
— Ramps,Rest Areas,Non-Mainkne — Us Route
— NC Route
4418 Wentz Rd.Maiden
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.
=-ESTATE'••
°No ., ROY COOPER•Governor
:� Az2 �0 y . NC DEPARTMENT OF KODY H.KINSLEY•Secretary
o `�ari HEALTH AND
�,a. HELEN WOLSTENHOLME• Interim Deputy Secretary for Health
'•.,� �n ,, HUMAN SERVICES
MARK T. BENTON•Assistant Secretary for Public Health
Division of Public Health
Onsite Water Protection Branch
August 7,2024
Mitchell and Benita Sherrill
PO Box 221
Denver,NC 28037
Re: Approval No. JMB3663
Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C
.O1O7(a)(2)(P)]
Property location:
4418 Wentz Rd
Maiden,NC 28650
Dear Mr. and Mrs. Sherrill:
On August 2, 2024,the On-site Water Protection Branch received your request for a
variance from the Well Construction standards, Title 15A North Carolina Administrative
Code Subchapter 2C .0100. The request for the variance concerns a water supply well on
the referenced property. A structure is proposed to be within twenty-five feet of the well.
Specifically, the variance request grants you permission to use a water supply well at a
distance closer than the twenty-five-foot setback to a building perimeter. Achieving the
twenty-five-foot setback would be difficult given the challenges of the property.
Based upon information provided by you, and the Catawba County Health
Department, it is my finding that based upon current conditions as the site exist today
(as well as the current proposal for use of the structure)you meet the conditions
necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2).
On that basis and if the following conditions are met,the requested variance is
approved:
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH
LOCATION:5605 Six Forks Road,Raleigh,NC 27609
MAILING ADDRESS:1642 Mail Service Center,Raleigh,NC 27699-1642
www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER
1) The well/wellhead shall meet all current 2C. 0100 standards, including but not limited
to being properly grouted,terminated at least 12" above land surface,properly
sealed, and having a thread-less sample tap etc.
2) The well shall be sampled for the same parameters required of a newly constructed
well. If samples indicate contamination, further repairs or treatment will be necessary.
3) No potential sources of groundwater contamination shall be stored near the wellhead.
4) No termite treatment shall be applied to the structure within twenty-five feet of the
well unless alternative methods are approved by Catawba County Health Department.
The granting of this variance is for the well location only. It in no way relieves the owner
or agent from other requirements of the North Carolina Well Construction Standards
including, but not limited to the requirements in 15A NCAC 2C .0113(b)to repair or to
abandon any well which acts as a source or channel for the migration of contamination.
This approval does not imply sufficient water quality. Further,the approval does not
relieve your responsibility to comply with any other applicable Federal, State, or local
laws or regulations.
If you have any questions regarding this variance,please contact me at(828) 713-3335.
Sincerely,
cyg, CL l i�t ha
John M. Brooks R.E.H.S, MS
2
-41\ailfjC
NC Division of Water Resources (DWR) / NC Division of Public Health (DPH)
VARIANCE APPLICATION FOR WELL CONSTRUCTION STANDARDS:
WATER SUPPLY WELLS UNDER 15A NCAC QZC.0107
III water supply wells unl considered"Private Drinking Water Wells"(e.g.,irrigation,industrial and commercial wells,ate)
WELLS OTHER THAN WATER SUPPLY UNDER 15A NCAC 02C.0108 '
Includes monitoring and recovery ;i el..
PRIVATE DRINKING WA-I'ER WELLS UNDER 15A NCAC(12C.0309(administered by[)PH)
Print clearly or type iiJornnrliaa. Illegible submittals will he returned as incomplete.
DATE:_W gV 20252
Existing Permit Number(if applicable): WELL-01-2023-187719 Issued Date: 1/18/23 Exp.Date: 1/18/2028
Permit No.for new projects(to be completed by DWR/DPI•I,ifapplicahle)
A. WELL,OWNERS)-•For single family residences,list all persons appearing on properly deed. For all others,list name
of the business/government agency and person and title with delegated signature authority:
) 0• 6..rri l )
f�z.l
Mailing Address: et7- 2.1.1
City: -�',M/ ( � Stale: e Zip Cody County_1,.;i iNi
DayTele No.: ,C of -`i 31- v2.,OO Cell No.: 704 `[37'" 2--vo
C MAiI,.Address:t0-t r\ \ d'r>,PI 4 , C O Fax No.:
H. PHYSICAL LOCATION OF WELL SITE ��Q
(1) Parcel IdentificationNumber(PIN)of well site: 3`p1Q\p (v 01 J \
County: Qr.
(2) Physical Address(if dil.crept ban mailing address :
City: County:C.i3.)"4 4- %ip Code: 176-0
C. WELL DRILLER INFORMATION(if known)
Well Drilling Contractor's Name: 041 ; L tE1.reA-o`Ct rt_,pi
NC Well Drilling Contractor Certification No.: t
Company Name: Contact Person:
City: Slate: Zip Code: County:
Day Tate No.: Cell No.:
EMAIL Address: Pax No.: •
G14.22V Variance Request Vona Rev.1-3I-202't Page I
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g.5 •- -
n
i
E I). REASON FOR VARIANCE REQUEST—Include type of wefl(s) to be constructed; rule for which the variance is
I being requested; description of how the alternate construction will not endanger human health and welfare and the
t environment;and reason why construction and/or operation in accordance with the standards is not technically feasible
and/or provides equal or batter protection of the groundwater(rcfenccs to attached documents are acceptable).
i 111,,e_ I/..)44) •..1:4, ..c... io t rdtc9.„ c....14 , Wk_ Peg& V6......rt fv,,,Lst, to b>r
k .3.‘Y +-L ka_\ +\,¢ \o . a 6:;)-e
: 4.61, ), • 9_ ...,__,:_. S... __NQ QL.31\?___ argil kid-
1�� i-fls Po N W= h;t-1 `f - a ' tj
E. A`E"1'ACHME NhS—Provide the following information as nttncltmcnts to this application:
(1) A general location Dig)showing property(including road twines,NC Stale Route Number,distances,any key
landmarks,etc.)sufficient for I°uuIing the well location.
(2) Detailed site nail with scale showing location of proposed well relevant/distance to septic system(s),building
foundations,property lines,water bodies,potential sources ofconlamination,other wells,etc.
(3) Submit•a copy of the local well permit application and site evaluation map(if applicable).
(4) Any other information relevant to the variance request such as a well construction diagram showing proposed
well liner or atypical construction malerials/methods.
N. SIGNATURE(S) .
--t12.1kat 0.4...4Aaitti..2.4.-1--'
Signature(s)nf\Vell/Propert•0 wit er(s)
N4,164.1) ems. - I ;Lt
Print or Type\'ell/Pruperty Owner(s)Name(s) .
1
Sig \D' D•eletelt•-g-
Sigfrafure of Person Responsible far Well Cunstrticlil'n ✓
(Typically,the well contractor)
I
Print or Type Name of Person Responsible lirr Well Construction
(Typically,the well contractor)
CAAVallint
Signature of County Environmental I•lealih Sp Mist(for Private Drinking Water Wells only per 02C.300)
Cheyanne Morgan REHS
Print or Type Full Nance gal Title nfCounty Environmental Iteulllr Specialist(far Private Drinking Wntcr Wells only per 02C.0300)
Per 1541 NCAC 02C.0118 the Secretory o/•the Division of K rtel.Resources or the Division of Public Health may require
submittal of injorrnatiarr deemed necessary to make a decision an the variance, may impose conditions as part of the
decision, and shall respond in writing to the request within 30 cloys of receipt of/he variance request. d variance
applicant who is dissatisfied with the decision of/!le Director may commence a contested case by filing a petition as
described in G.S. 15013-23 u'ithln 60 days after receipt((the decision.
•
(iW-22V Variance Request Point Rev. 1-31-21124 Page 2
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Catawba County Environmental Health
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Parcel:366601091185,4418 WENTZ RD 1 in=80ft
MAIDEN, 28650
This map/report product was prepared from the Catawba County,NC GeospaUal 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,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 2023 Catawba County NC ,. ,_
44 � CATAWBA COUNTY Case# WELL-01-2023-1877I9
-�-fl Public Health Department Subdivision MAGGIE C WRIGHT HEIRS U
, , Environmental Health Division PIN# 366601091185
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6
Site Address: 4418 WENTZ RD,MAIDEN NC 28650
Name on Permit CRAIG HORAN
Property Size: Acres 5.9
Directions: From Maiden go S on E Maiden Rd, L on Buffalo Shoals Rd,Travel 3/4 miles turn left on Wentz Rd, Property
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.
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 arc 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.
art- ,/fA°ft
01/1812023
Authorized State Agent Permit Issuance Date
1/18/2028
Permit Expiration Date
ehpermit 01/192023 16:39
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Catawba County Environmental Health
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Parcel:366601091185,4418 WENTZ RD 1In=60ft
MAIDEN,28650
This mapireport product was prepared from the Catawba County,NC Gsospatisl Information Sentices. Catawba County has made substantial efforts
to onsure the accuracy allocation 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 tho user.Tho County of Catawba.Its employees,agents,end
personnel,oe thisdisclaim.and andrt the use thereof
shall not
be held liable for any all damages,loss or liability,whether direct.Indirect or consequsnWl which arises or may
by any person or entity.
Copyright 2021 Catawba County NC
11114/2022
nt,...„, WPDT Report
Area of Interest (AOI) Information
Area : 3,134,508.51 ft2
Jan 18 2023 15:55.40 Eastern Standard Time
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Parces IPorygons) Parcels - Protected Route 0 003 006 0 12 re.
1 t 1 1 al . '1
Agency 0 0.05
Non.System Roads — Other State Route 00.1 02 Wn
— Federal Route — Secondary Route
- Non-System Primary Roads
Other System Roads — Interstate NC1101 CPS u,n SC d%M u...
— Ramps,Rest Areas,Non-Mainkne — Us Route
— NC Route
4418 Wentz Rd.Maiden
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.
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