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Home My WebLink AboutWELL-05-2023-195535.tif CATAWBA COUNTY Case# <`;� 1� WELL-05-2023-195535 , a: Public Health Department Subdivision F F ABERNETHY EST PROP 2,� at, Environmental Health Division . PIN# 365602850757 �� PO Box 389,25 Government Drive,Newton.NC 28658 LOLOP, 32-35 W Site Address: 4703 BUFFALO SHOALS RD,MAIDEN NC 28650 Name on Permit JIMMIE AND DEBORAH DRUM Property Size: Acres 0.36 Directions: US 321,left onto Island Ford Rd,then immediately turn right onto E Maiden Rd,take a sharp right onto Buffalo Shoals Rd,property on the right Owner/Authorized Representative Acknowledgement of Permit Receipt 1"J D I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ID As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-0S-2023-44236,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) ,Electronic Image Transmittal/E-mail (Return receipt required) XD 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 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:05/11/2023 Owner/Authorized Representative Signature - )Date 5/19/2023 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature ____ Date/Time Method: Fax Amail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttornerService J' C'r`f'' 'e l/1 r, e hc-�a-1- coin ,, :61.a mrt 05,122023 13.28 44 • CATAWBA COUNTY Case# WF,LL 05 2023 195535 Public Health Department Subdivision F F ABERNETHY EST PROP d Environmental Health Division PIN# 365602850757 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 32-35 18. 1Prsm Site Address: 4703 BUFFALO SHOALS RD, MAIDEN NC 28650 Name on Permit: JIMMIE AND DEBORAH DRUM Property Size: Acres 0.36 Directions: US 321, left onto Island Ford Rd,then immediately turn right onto E Maiden Rd, take a sharp right onto Buffalo Shoals Rd, property on the right REPLACEMENT 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(I 5A 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. /1,4s4.—€0-- /-- Z52,:e_y_ 05/11/2023 Authorized State Agent Pennit Issuance Date 5/11/2028 Permit Expiration Date chprrntit 05/12/2023 13:28 5/17/23, 10:04 AM about:blank Inn WPDT Screening Report Area of Interest (AOI) Information Area : 3,134,508.72 ft2 May 17 2023 10:03:27 Eastern Daylight Time i A // t 1 414P..41 1 ,rdssF /.------ - . at, 7 ,.. ... _____. ._._ L' . ,,,..., _ ,.... 1 \40116 e------------------------- 4• .;4 6 ..„..".- Y .,e, ....-'..."1//7 \ . 1:4,514 UST Indents Otte;System Roads 0 0 07 D 06 0 12 mi 1 1 S , ' ', 't ill Hgh Reek — Ramps,Rest Areas.Non-Mainline 0 0.06 0.1 0 2 4r Parcels;PotyQora)•Parcels ' Pr erected Route 0 County Bounda^r — Otlxx State Agency Route Non-System Roads — Secondary Route t CAS Unit Sawcw Er Aerbn PS aSC,S N(..A NASA.Ct AA.N Ruw+xn 4CEA3 Mi OS NIA.Orrrd+anu,".ss^R¢arAveraN.GSA Federal Route Pruner,Roads cadaq rEUA.aw.+a4.m w•as aa.aannr.ay C anthem", eba Ca+rbwas GeeV cc tocce. Sac*N Nail Camino CAT O NonSystem — Interstate about:blank 1/2 5/17/23, 10:04 AM about:blank 4703 BUFFALO SHOALS RD MAIDEN, NC 28650 UST Incidents # I IncidentNumber IncidentName Address Cityrown DateReported F Count 2896 EAST 1 8411 B&G GROCERY MAIDEN ROAD MAIDEN 8/20/1991,8:00 PM 1 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 denved 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 and attribute accuracy. The NCDEQ disclaims responsibility for the spatial accuracy and attribution of GIS features and makes no warranty concerning same. about:blank 2/2 UST Section Description of Dataset The Underground Storage Tank(UST)Section's data presented here is representative of two different programs within the Section;the UST program and the Aboveground Storage Tank/Non-UST(AST) program.While the UST data specifically relates to UST systems, the AST data may be related to a variety of release sources, i.e.AST systems,fuel tanker spills, illegal dumping, etc. Whereas,the UST data Is specific to releases of regulated substances from USTs, All UST Section features presented in this tool represent locations where the latest reports document confirmed or assumed exceedance(s)of the NC Groundwater Quality Standard and/or the Soll-to-Groundwater Maximum Soil Contaminant Concentrations (MSCCs), Contaminants Potentially Present UST and AST Program Sampling Recommendations: • Volatile Organic Compounds + Semivolatile Organic Compounds • Metals(Cr and Pb) Contact Information To request additional information from the UST Section please contact the NCDEQ Regional Office assigned to the area of interest and ask to speak with a member of the UST Section.A map of the UST Section's Regional Office coverage areas and phone numbers can be viewed by following this link.The UST Section's Regional Office contact information is also presented below. UST Section-Regional Office Contact information Asheville(ARO)—2090 US Highway 70,Swannanoa,NC 28778(828)296-4500 Fayetteville(FAY)—225 Green Street,Suite 714,Systel Building,Fayetteville,NC 28301(910)433-3300 Mooresville(MOR)—610 East Center Avenue,Suite 301,Mooresville,NC 28115(704)663-1699 Raleigh(RRO)—1628 Mall Service Center,Raleigh,NC 27699(919)791-4200 Washington(WAS)—943 Washington Square Mall,Washington,NC 27889(252)946-6481 Wilmington(Wil)—127 Cardinal drive Extension,Wilmington,NC 28405(910)796-7215 Winston-Salem(WS)—450 West Hanes Mill Road,Suite 300,Winston-Salem,NC 27105,(336)776-9800 Guilford County Environmental Health,400 West Market Street,Suite 300,Greensboro,NC 27401,(336)641-3771