HomeMy WebLinkAboutWELL-04-2023-194539.TIF yt� C.t e, couN7v Cam:N
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-' Puhlic I loath Depannicnt Subdivizion GRASSY MEADOWS
1
it Envi,onmental Health Division PIN/ 373305292848
PO l 389,25 25 Government Drive,Newton,NC 284158
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Site Address: 1781 RAD DR,CONOVER NC 28613
Name on Permit: ASKEY PROPERTIES LLC
Property Size: Acres 0.52
Directions: Left on NW Blvd.Right no Conover BlvdW Keep Left onto Conover Blvd.Left on 1st ST E,Right on County
Home RD,Left on Rad Dr
^� Owner/Authorized Representative Acknowledgement of Permit Receipt
t. 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-03-2023-43687,by the following method(s):
_ Received in Person
_ facsimile Transmittal(Return form with signature required)
IElectronic Image Transmittal/E-mail (Return receipt required)
I'', As the property owner or authorized representative I have reviewed and understand the specific conditions
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(ISA NCAC 18A.19011),
and/or Well Construction Standards(1SA NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
re.o&lelsri
Permit Issue Date:0,027/2023
Owner/Authorized Representative Signature , a Y�._) jl,, Pmfaitti_ '1 L L G
Date 5./l S�`y3 �"�'C J► I
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by. _(ornate efperson.sending permit)
Signature
cc\i __.
Datc/Time 51cJ1j_
Method: Fax f Email _US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wants tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EfiCusttomerService
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15• CA3'AwBA COIISI'I Case N WELL 04-2023-194539
FT it i ,1 Public Health Department Subdivision GRASSY MEADOWS
, .�® 'I Environmental Health Division PIN# 373305292848
I PO Box 389.25 Government Drive.Newton.NC 28658 Ion 4
28• is
Site Address: 1781 RAD DR, CONOVER NC 28613
Name on Permit ASKEY PROPERTIES LLC
Property Size: Acres 0.52
Directions: Left on NW Blvd, Right no Conover BlvdW Keep Left onto Conover Blvd, Left on 1st ST E, Right on County
Home RD, Left on Rad Dr
WELL ABANDONMENT PERMIT
Well Type: Bored
Wells shall be abandoned in accordance with state regulations:
Article ISA North Carolina Administrative Code Subchapter 2C
The Well Abandonment Report must be submitted to the Catawba County Environmental Health within
30 days upon completion of a well abandonment.
Well contractor must schedule well abandonment inspection with Catawba County Environmental Health.
PERMIT CONDITIONS
'WELL MUST BE ABANDONED BEFORE ANY OTHER SEPTIC PERMIT CAN BE ISSUED
*Well must be abandoned by a licensed well driller.
B �/�+� eq4 5,40 1
77 04/27/2023
Audio(ized Stale Agent Permit Issuance Date
4/27/2028
Permit lispirai ion Date
ehllennil 05705/2023 I4:53
r-" Catawba County Environmental Health
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Parcel:373305292848, 1781 RAD DR 1in=60ft
CONOVER, 28613
This map/report product was prepared from the Catawba County NC Geri anal 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 eeriflcellon of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall nol be hold liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may
else from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
04/27/2023