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Home My WebLink AboutWELL-04-2023-192896.tif CATAWBA COUNTY Case# WELL-04-2023-192896 4N• Public Health Department Subdivision CAROLINA CENTERS LLC ,1 3 Environmental Health Division PIN# 461801193017 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 8178 ISLAND POINT RD, SHERRILLS FORD NC 28673 Name on Permit: CANESIAN THEORY HOLDINGS LLC Property Size: Acres 64.04 Directions: Sherrills Ford Rd, right Island Point Rd,on left 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 See attached conditions. 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 dnnking 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. 04/03/2023 Authorized State Agent Permit Issuance Date 4/3/2028 Permit Expiration Date ehpemtit 04/06/2023 09:41 Well Permit Conditions for 8178 Island Point Rd WELL-04-2023-192896 15A NCAC 18A.1722 WELL HEAD PROTECTION (a)The base plate of a pump placed directly over the well shall be designed to form a watertight seal with the well casing or pump foundation. (b) In an installation where the pump is not located directly over the well,the annular space between the casing and pump intake or discharge piping shall be closed with a watertight seal designed specifically for this purpose. (c)The well shall be vented at the well head to allow for pressure changes within the well except when a suction lift type pump is used.Any vent pipe or tube shall be screened or otherwise designed to prevent the entrance of insects or other foreign materials. (d) For a well constructed after July 1, 1993, a hose bib shall be installed at the well head for obtaining samples. In the case of offset jet pump installations, the hose bib shall be installed directed downward on the pressure side of the jet pump piping. A vacuum breaker or backflow prevention device shall be installed on the hose bib. (e) For a well constructed after July 1, 1993, a continuous bond concrete slab or well house concrete floor extending at least three feet horizontally around the outside of the well casing shall be provided. The minimum thickness for the concrete slab or floor shall be four inches. The slab or floor shall slope to drain away from the well casing. (f) Any establishments permitted or licensed after July 1, 1993 shall have a continuous bond concrete slab or well house concrete floor extending at least three feet horizontally around the outside of the well casing. The minimum thickness for the concrete slab or floor shall be four inches.The slab or floor shall slope to drain away from the well casing. History Note: Authority G.S. 95-225; 130A-5(3); 130A-230; 130A-235; 130A-236; 130A-248; #.A CO Case# WELL-04-2023-192896 7 CATAWBA COUNTY HEALTH DEPARTMENT Environmental Health Section 1$4 2 sM 07/20/2023 WATER SAMPLE FIELD REPORT .\pplicant ( -\Ni'.SIAN I I IiORY HOLDINGS LLC,2548 I'I:RRYVIEW LN,DF.NVI{IZ NC 28037 C:7049893I38 CCANE36@GMAIL.COM Site Address: 8178 Island Point RI), Sherrills Ford NC 28673 Name of Subdivision: CAROLINA CENTERS LLC Parcel Number: 461801193017 Driving Directions Sherrills Ford Rd,right Island Point Rd,on left / n Sample Collected by: �W l5 '��'1 Date/Time Sampled: °?/ 2-L/I2-9 /o ' /s / t ih Sampling Point: S�►,n l.t- a I Is well head accessible? Yes ✓ No Reason for inaccessibility _ Well New or Existing? New V Existing Type of Well: Drilled ✓ Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: ✓Yes No Items of non-compliance: Evidence of improper grouting or no grouting Well does not meet a required setback(comment) Improperly constructed sanitary well seal Well head not term at>= 12"above finished grade Well head missing vent Well head does not have a threadless tap Well missing identification plate or pump tag Wire conduit opening not scaled Other(comment) Comment: rsamfieldreport 07/20/2023 13:26 Page 1 of 2 #A Case# WELL-04-2023-192896 FT t 111— C'4 CATAWBA COUNTY HEALTH DEPARTMENT Environmental Health Section 18 4 2 s i 07/20/2023 WATER SAMPLE TEST RESULTS Applicant CANESIAN'1llliO10' IIUI.I)INGS LLC,2548 PERRYVIEW I,N,DENVER NC 28037 C:7049893138 CCANE36@GMAIL.COM Site Address: 8178 Island Point RD,Shen-ills Ford NC 28673 Name of Subdivision: CAROLINA CENTERS LLC Parcel Number: 461801 193017 Lab Coliform Analysis Results: Total Coliforms: v 1tA 't Fecal/E.Coli: C'� ,�,'I I}- No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials Date/Time Received 011411(1). \" OV Date/Time Completed 03*ir13)(1) I O L iVLSD Jl1l. 2 23 Environmental Health rsamlieldreport 07/20/2023 13:26 Page 2 of 2