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Home My WebLink AboutWELL-02-2022-188568.TIF .0�i�_ CATAWBA COUNTY L .t.1 Public Itealth Department. Subdivision CROSSING CREEK Environmental I ealth Diision PIN>i 376304747611 PO[3ox 389,25 Government Unve,Nc++ton,NC 28658 [,OTtr 4 Nt i W She Address: 4218 DEAL RD, CLAREMONT NC 28610 Name on Permit: CLAYTON HOMES#81 (UNLICENSED GC-BILLING ACCT) Property Size: Acres 0.46 Directions: Left off of Bunker Hill School Rd onto Deal Rd 4th lot on right after passing Crossing Creek Dr Owner/Authorized Representative Acknowledgement of Permit Receipt X _ _i certify that I am the owner or authorized agent(owner's authorization required)representing the owner of 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-01-2023-43163, by the following rnethod(s): Received in Person Facsimile'transmittal (Return form with signature required) 4 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 S. North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(1 SA NCAC 1 SA.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:02/03/2023 Owner/Authorized Representative Signature 6,./____ . Date_ ,- / ' 3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ___ __ /Hume n/person sending permit) Signature E Date/Time 3 f�3 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 yoiPlease ttake a few momentts tto complete our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService Ma 11 Aga9, J (tali 6,11 113 02 07.2023 11 36 _• CATAWBA COUNTY Case# WELL-02-2023-188568 F. .t.III Public Health Department Subdivision CROSSING CREEK (...... ni `y Environmental Health Division PIN# 376304747611 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 Site Address: 4218 DEAL RD, CLAREMONT NC 28610 Name on Permit: CLAYTON HOMES#81 (UNLICENSED GC-BILLING ACCT) Property Size: Acres 0.46 Directions: Left off of Bunker Hill School Rd onto Deal Rd.4th lot on right after passing Crossing Creek Dr. 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 UNDER GROUND POWER LINES ON BACK OF PROPERTY 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. fl „ E,4.+s 02/03/2023 Authorized State Agent Permit Issuance Date 2/3/2028 Permit Expiration Date chpcnnit 02/07/2023 11:36 _____, Catawba County Environmental Health \--1 .\ . rib 11" vAil WELL. oaoa3 w luso; 1 l'f'Sv y 02 - ace23 - .... s► V 20 200 Lp` �t 0a. .._ -ao 8 Est . Ni 0. ,-i � . (, • 0 Fr 0 •.418 CI c2'r 200 0 0 •4210 g 0 C 200 Parcel: 376304747611, 4218 DEAL RD 1 in=40ft CLAREMONT, 28610 Thls map/report product was prepared from the Catawba County,NC Geospallat Information Services. Catawba County has made and t substanomimends efforts to ensure the accuracy of location and labeling Information contained on this map or data on this report Catawba County promo the Independent verification of any data contained on this malpp/�report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall notheld liable eor af by any and ailed person s,loss or liability,whether direct,indirect or consequential which arises or may erl9e from thb R18plfeP productCopyright 2021 Catawba County NC 02/07/2023 2/7/23,8:42 AM about:blank ntrz WPDT Report Area of Interest (AOI) Information Area : 3,134,508.53 ft2 Feb 7 2023 8:41:51 Eastern Standard Time \,,,,,., . . 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Ohio st %An roar ]CDT .kwrut.remtap NC Route about:blank 1/2 2/7/23,8:42 AM about:blank 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