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Home My WebLink AboutSAM-06-2023-197731.TIF ti ROY COOPER • Governor NC DEPARTMENT OF KODY H. KINSLEY • Secretary titv. ' '�� . HEALTH AND HUMAN SERVICES HELEN WOLSTENHOLME • Interim Deputy Secretary for Health MARK T. BENTON •Assistant Secretary for Public Health Division of Public Health Onsite Water Protection Branch June 15, 2023 Jamie Laily 4199 Fisherman's Lane Maiden, NC 28650 Re: Approval No.JMB3057 Private Well Located Less Than 100' to a Septic System [Rule 15A NCAC 2C .0107(a)(2(C)] Property location: 4195 Fisherman's Lane Maiden, NC 28650 Dear Ms. Laily: On June 12 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 a variance concerns a water supply well on the referenced property proposed to serve more than one connection. Specifically, the variance request grants you permission to use an existing water supply well at a distance closer than the one-hundred-foot setback to a septic system. Achieving the one-hundred setback would be difficult given the challenges of the property. Based upon information provided by the Catawba County Health Department, and the property owner, 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: 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, having a thread-less sample tap etc. 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 I AFFIRMATIVE ACTION EMPLOYER 2) The well shall be sampled for the same parameters as required for a newly constructed well. If samples indicate contaminants, further repairs/treatment may be required. 3) No potential sources of groundwater contamination shall be stored near the wellhead. 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, John M. Brooks R.E.H.S, MS 2 „ A Co Case# SAM-06-2023-197731 7 WIL CATAWBA COUNTY HEALTH DEPARTMENT rb�L-�e vEnvironmental Health Section \00rjo-A s`C... 1$l�Z sm 06/09/2023 WATER SAMPLE FIELD REPORT Owner JAMIE LAITY,4199 FISHERMANS LN,MAIDEN NC 28650 C:4044068248 LAITY.DVM@GMAIL.COM GMAIL.COM Site Address: 4195 FISHERMANS LN,MAIDEN NC 28650 Parcel Number: 367703408744 Driving Directions Hwy 16 S,turn right onto Buffalo Shoals,turn left onto S.Olivers,turn left onto Burton Dr,right onto Fishermans tL}n,house at the end of the road /, Sample Collected by: .�w''s�k '/t 4'� Date/Time Sampled: b 6�r 3/2 3 i i y0 A(L Sampling Point: -rk rLa,dt64 1 r Is well head accessible? Yes ✓ No Reason for inaccessibility Well New or Existing? New Existing V Type of Well: Drilled V. 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 sealed Other(comment) Comment: rsamlieldrepoo 06/09/2023 12:28 Page 1 of 2 w � A Co Case# SAM-06-2023-197731 � CATAWBA COUNTY HEALTH DEPARTMENT v :� ,�, Environmental Health Section I8 4 2 SM 06/09/2023 WATER SAMPLE TEST RESULTS --- ()liner JAMIE LAITY,4199 FISHERMANS LN,MAIDEN NC 28650 C:4044068248 LAITY.DVM@GMAIL.COM Site Address: 4195 FISHERMANS LN,MAIDEN NC 28650 Parcel Number: 367703408744 Lab Coliform Analysis Results: Total Coliforms: COM' Fecal/E.Coll: (Milt No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials Date/Time Received O"''��' ° I "' Date/Time Completed"tD1I 1.91/ I7 19)4 fEC99VE D Jl! ?3 Environmental Health rsamfieldrepon 06/09/2023 12:28 Page 2 of 2 �c`: 4 4312 District Drive . r MSC 1918 North Carolina State of Public Health I� =��; Laboratory Raleigh.NC 27699-1918 r' Ilr� di Environmental Sciences http:/lslph.ncpublichealth.com "•��' Phone: 919-733-7308 `� �'� Inorganic Chemistry ry Fax: 919-715-8611 Certificate of Analysis FINAL REPORT Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH Jamie Laity P 0 BOX 389 4195 Fishermans Ln NEWTON, NC 28658 Maiden, NC 28650 EIN: 566001814EH Delivery: NC Courier StarLiMS ID: ES230614-0044 Date Collected: 06/13/2023 Time Collected: 11:40 By: Dwight Mikeal Date Received: 06/14/2023 Time Received: 08:07 Sample Type: Raw Sampling Point: Threaded tap on top of well hE Well Permit No. SAM-06-2023-197731 Sample Source: Well water Receipt Temp. : GPS Number: Profile: Inorganic Chemical+ Metals I Analyte Test Result Allowable Limit Unit Qualifier(s) Arsenic <0.001 0.010 mg/L Barium <0.1 2.0 mg/L Cadmium <0.0005 _ _ 0.005 mg/L Calcium 5 mg/L Chloride 6.0 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride <0.1 4.00 mg/L Iron 0.096 0.300 mg/L _ Lead <0.003 0.015 mg/L Magnesium 4 mg/L Manganese 0.011 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 6.4 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 4.6 mg/L Sulfate <5 250 mg/L Total Alkalinity 19.7 _ mg/L Total Hardness 30 mg/L Zinc <0.05 5.0 mg/L Report Date: 06/26/2023 Reported By: RECEIVED Marc Komlos JUN `23 Environmental Health Page 1 of 1