Loading...
HomeMy WebLinkAboutEHPR-06-2023-44628.tif -4 13A � TIIIS IS NOT A PERMIT Case# EIIPR-06-2023-44628 CAIAWI3A COUNTY 111,AI;1'III)1 ARtI'MI:;NT u 115 4$ PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Environmental I lealth Plan Review- OSWP IMPROVEMENT 01503 'h-white Site, ve) Applicant .IOI IN WHITE,PO BOX 368,TERRELL NC 28682 C':7044026226 JOI IN WHITI RBS@GMAI I .('OM 0%%ner ALBERT I IARKI:Y. 1585 AMITY 1111.1,RI).('LEVELAND NC 27013 NAME TO APPEAR ON PERMIT John White SITE ADDRESS: -1897 KISER ISLAND RD,TERRELL NC 28682 PIN# 461604634563 NAM?of SUBDIVISION: I of it 48 Section/Block PROPERTY SIZE: Square Feet 18,730.80 Acres 0.43 - -. ....__._..--- DIRECTIONS: E NC 150 Hwy,right Kiser Island Rd cros causway on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well ESCRIEWOR : 6/15/23 home size revised to 38 x 78 per John White IP only ATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DI 38 x 78 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct). ACCEPTED: ALTERNATIVE. CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: PPBPS cllapplication 06/15/2023 11:20 Page 1 of 3 • . \ I NI tit II 1 I (11 \I 1 t Jo;1) I I I I'I('u6-'1)2 i.,1 I6) _ .. „r I ,i ,'n' NO,1 t•.t.'n '! 151 �i I r',r.q.l. .1.11 I IV.dllf Ibt Lanl Pito 461604634563 IY t Itl,s K•. Il,l.A�uuthae.;WO \r',Nlr t 't 21 n9N 11- NAME ON PERMIT' 1 it III\ 11 III11.I'f 1 Ill)\ ;h$, I i It HI I I Nt .?x6x2 i John White) Site Address' IK`I-tii1.l It I' I ,\\I)ItI). II Itltl I I \t 2xh$2 Properly Size N..,..I, I.•I IS;31J13C ,v.,„ ft43 Cirections E N(: 150 Hwy.'Ight KI..'i:Skald Ri1 c.ms C;nrsrmi orl tigla ' q( ' '' • ', ... , r...•1.'yr,lin nrpro.en:Ua Penults rbe Od!'a not.(na.pf.•., , ' , I .. ,. .1' .. • .•e ' . •..I I,.r it••i v&11 in long;is III Irrprov.,rir,rt Pmrl., ,• . ....Ir•.,•.;,,, I , ' .,t,..•c“,4C4.1 II ti++NI I nl.th0n of.(ti,S Jpl%'CJ'Iun, tc f.;4r CI1.3n4C'.1(.' I!' .- II rl•;I I... 'c'I'Ir: ^r.5el!d::'f::I,., s.: - I y s,,:.:.,•Llr)nt me ne,,, d surh nu11 ill],vei.c.i perind cr)r1!Ilhtp•..pr In5!A11.11:-:::•.-•i.arr•:nCn,• :8rv. 'I. .lws.icy'n.iOn d",,I • . ,•n•,01.1:1 ru o 1?rl hpfl.,n In'WV rl,ng,I.•I.fin.1 CYmI•I I Au'li ii,,II u. Iiner JoJ ,tnl•;cY,ad'•..al: gia•Ilecl rgnt ut t:'•:Iy tb CL.ra,r•'o_... :ry,-, 10I.S to dolo':n•ne rnlrpl..frv'p vol.,Ji c l,r.it,'e I,)H5 aria npus 1 unrle(St ind In i pir'SJ,.N! ;o•t•, ',IA:'.n•"r pn'(1,'• Ill-PI t.-..YIG'.,utnO iabe rn r,l r,ll pmcf'tr •n!,0"0 r.n.rl' aria ralt,nq I.19 S,to oCCOBL.tto SO .'et,! .Si'.C l3i•m ;.'.•i;.,•CT'W Ir+C.1 ••,•'.h.., .ten'5,!,e.,v.nei:it in,r•I a e•ir nl Ir-a'J(tnni Or the IYN'N•I `w / {' I),d,' '�,�i ✓ Z3 \!ruihu.:IIi llildicanl'•r A,2rnl I I•ti'u 1I.A.11 furllint iiilllrht.niun or Jssil.mite pi;.r.c t,dl x214•IIIC•K.+70 AREAS 1411N 111F. DV!F. FEE:111(11AT I Improvement Permit Fee Uh'I 12(I2 M 5II no I 1(11.1I.I I.I.S S I511•00 FEES ARE NON-REFUNl)ABL1? ONCE A SITE VISIT IS MMAI)E OR WORK ON A PLAN REVIEW HAS(f()MMEN('EI) SYSTEM REDESIGN ANDIOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) i, ', i i i ,p I'.il•: of t —' a (f f ish3 $ k p1O n ' �f ocirtveciASla+ as &Ll c 5 read 1111 Per (I'h c 7 MV ki kL ,� a: Y / 4- ::..,---CC CO 6 CD En ti N On ti M - ,"V : i~ a ro CL i viii,.. /Z .�. Aa). O .•.i-l...l1.,..0..,,P -6.. '•1„.„-)._,:- t.t,.o.dt p_ '! /// ~ mt.. :' ' m 'cam 01. .. />,.- .y..%..v ,\.0. y \clA " t�47� cQ {..L • . A ., 1 ti i Ilr"`f "4411r(41 , .. i , ; , r id ?-: a. Q. -- _ r_ _ „ ',�a, /Q iC) / a �., fry ``'- `� " '� N . fp, pfS -- L., _ N 36.59'24„E z. n z - 103.0� z r, W. -.% -* ti u -; L J. -L— --,4,---4----*---;- --1--: -1:--. ---T, , , , i 11 11 i . ! , ._.. „,_,i._....,1__...t_301 ., 4: • _,1 t. ) , 1 J __, ..•.,• ••!--'------1----T4---1-----4-• -1"--r----7-7--' -1'- ' ' . , Z i1 i •', ,,1 t _:_____..- . ',.._..i.- , ,!, I -4-1-1-----1 ------ 1 I 1 .1 I • •a Trirr".4 - ---4-- ' I / f i . 1 +.. i- , 1 , , __4_ __T_,......................., _ .. „..r....„ , i i I L, I 1 ..........., .,.. ! 4,: i I -- ---• -I -I! .. " --1--- ..., ., !......._4...i ..._I---4---,--I-"-- - . ; -I— '— 4 i t - 1 i i1i 1 i i --4----, k [ 1 1 _. ...1 ___.,_____ _,...._, ___, i . t I ._.......t...-....- i 1 I 1 , . .. t i ' "-- ; . . ..r....._[:- '; . - 4 + I 1 • 1 1 1 .--4..--r-/ +-. .....,.,/ _ ,_, ii 4--1 i : , 1 ,....... , 1 , , , . _„....___. ___ -1--- t ,. 1 -r-- , i ,. : i 1 , , , „ , , , , ....1 ' - -t- li e T--- I-4_ • 4-43' ' -134 / I tielr--4--•---i- • t.rt........1_...T....J _ ......... ___ ......... ....... ....„.... .„.. . .___ _....._.........,...,...._. .. . ...._ _...___.._.___.1 .... .......i....... , [ I__ I f . 1 ___I t i I MI 7-- i t i L _ ---4 I 1 1 -1---4- ' 4---4 --i--J-.-- i -i- !----_L._. -r , 1 , , r I • I i ; I . * I I ;. _....j____ 4.,...4_____ tt it f tilt , , , 1-- --, 4 t t i i 31- 0. — --r-t--i----------- 1 _____ „........ , , i... I ______ -,---, ,.. --, , ___ ______.,H......__. 1 I 3 I I . .....1 1.. 1. '..........4 1 ---il 1 ...........,.... . 4,......,.............. ....... 1 . i i 1 ' 1117 , 0 -..-1.,. ." 1...- .......-1 -.4.•.-..i-.1,.-,... ...''' -.4.»' i ! L_ i i i.- •.-... 1 I 4 ; i --- - • I it ••• 1 ! 1.-- " ---- --4----/: * ! t ___t i III I 1 1, , ! t :---- ---i---i 1 i 4_.....„...,..._,............„.......-4-....,--o--4 • („t 1 i ' _,. 1 1 ! 1 i ". . I 0 1 1 I i 1 1 r ! . , . ........_ _.....,........k.,......... ._.4- i !. , i , , , f , I 1 , ; t274 ,,, I 1 t „, 4 I i .1 1 ''''''.1". . .- ----- -1-...-J, . ____._..___,..___;„„_.. _______ t-71 1 _1 T -4-- - 1 i. J..- ,, 1 ' I I 1 * -'-"-•--'4 ... ...,-.._ • ..... I 1 i ; i --1---1-- - ._ ______ 1 1 -t, 1 . i , 1 , , . , _________,_--1-.........f.--...-........-,- t‘ .........._ --.. • i II 1 .._......„ Th--1-. 1--- , ! _ ,_ _....i_L____. ..... ......__„. I A -.- 1 [ i ; .......r_______....... i 1 1 -." '-.------1--r- '•FL i , ,........____,„. ,....„ ...........1.....„..L 1_......,.......i,. 1 1 t , •; , ___.......,....._ , t I , i ' . .._-___... • , r 1 , f -4 ---1-•-.--• - f t , t i ,___i_______ ---.•- i 1 t I i 1 , . . 1 iP i 1 f_ , -4-- L.' _.I. 1 .___I_____ I 1 ---,-_____.,.... -- , - --------7.----- 4--T---r-- -- +4...-..t._-_ L,- . 1 i , 1 - _, .._ „ . 1 ,.......1_ ......._.......L. ..............___ , ......„.._ .• , .: _........... ._ _,... ; , , ? ___ ........1 1 1 Nil 1 —1 1 I 1 ____ ; t i I 1 i---- ----r----1V----1------ 1 -1-----L I_ 1----.1 , - .......i.—............1_, ic 4=P: I-. I do ---1- --I _ .I. ______4-_ 1 1 --i-•----1 -•---- -,-----T--- . ...:4--I ....._.! _..i ', L --1---------.....-1-------, I.----.-----,-....1_ ‘ r ,............r____,4 ...___..,i:_..,,,.._,....._ . . ., . , , , 1,1 ...,---1-: ; ,: ,:;;;; - ,P.... '7! ,. • ,. , ,. ,,...;,...,! iH:.• Julia English From: John White <johnwhiterbs@gmail.com> Sent: Thursday,June 15, 2023 10:57 AM To: Julia English Subject: Re: FW:4897 Kiser Island Rd lot 48 application and receipt ' . [ t x Lll' k 1l �,flk.r 0 44? t, I t I 1,01111i 1t1� I rlirt1 ` tPtfilr1 rt:lftfl I1k4{91` 4 ti :4IL$ t u I i lit; iilitLliii!l L .�:n .4,i; - -i I Yes this is correct thank you for your time. I will have the survey work prepared. John On Thu, Jun 15, 2023 at 10:25 AM Julia English<JENGLISH@catawbacountync.gov> wrote: I showed the site plan you sent to County Zoning. They were ok with it as long as the front door faces Kiser Island Rd. Looking at the drawing with house dimensions the overall length x width will be 38 x 78? If this is correct I will revise the application to show the measurements. Julia English Administrative Assistant II PO Box 389 I ?-5 Government Drive, Newton, NC 28658 (828) 465-8270 office (828) 465-8276 fax https://www.catawbacountync.gov/county-services/environmental-health! We want to hear from you. Please take a minute to take our customer service survey. English 1 y'A •G THIS IS NOT A PERMIT Case# EIIPR-06-2023-44628 CAIAWRA COUNTY HEALTII DEPARTMENT _) O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \t_842 5A Environmental Health Plan Review-OSWP IMPROVEMENT Applicant JOI IN WI II FE.PO BOX 368,TERRELL NC 28682 C:7044026226 J0IINWIIIIl:RI3S@GMAILCOM Owner ALBERT I IARKI;Y, 1585 AMITY IIILL RD,CLEVELAND NC 27013 NAME TO APPEAR ON PERMIT John White SITE ADDRESS: 4897 KISER ISLAND RI),I ERREI.I.NC 28682 PIN# 461604634563 NAME of SUBDIVISION: . Lot II 48 Section/Block PROPERTY SIZE: Square Feet 18,730.80 Acres 0.43 DIRECTIONS: E NC 150 Hwy,right Kiser Island Rd cros causway on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: IP only SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 27 x 70 x40 x 40 x 62 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: PPBPS cl,applicai .n 06/14/2023 16:40 Page I of3 fic': (Al.t% vlllt it (n Nrl t c :r,t f; i'l ii'it u(t ..).()- ; 4 ill- " +" !'obits I ir:.tlih I k'panni•rt1 S ;utxiit i,ion '�`.' j.!...:;.! i nV11'0HlO I Iite Ilcallh I)!t t>+r,n ]'iVlr 4r:T1fiO4tiJ4!i(i3 '� 1'O It'.>< PO) 14iU•.ti tit+uthttcst lilyd. Netr'!uti,t`t' :.Rn; '\ . ,3. w NAME ON PERMIT: ( It)!iN ' III I i':). I't t lit tx i68. I I.It ttl.I I N(' 18()82 ( John White) Site Address: •Ilitl7 NISI:/( ISI.AAN!) RD. ITRItf:l I N(' 2K(11{2 80 730. Property Size; titl4r;nr:reel 18,730.80 At:tc: 0.43 Directions: E NC 150 Hwy, right Kiser Island Rd cros ca tsway on right Carnpleted applications arse valid for o period of:years rmpiovement Permits are valid with complete site plan= 60 months(5 years) with contuktle plat •,without expiration. An Atithori:•rtrion to Construct will remain valid as long as the Irnprovoment Permit is valid An Authorization to Construct issued for septic tveair is valid for 130 months(`i yenis) 1'errttits m.3y be revoked i1 the information on this appilr:atiorti's+te pt,in changes or if Cite intended use for the proposed Molloy changes. Pormits may be revoked It site conditions are altered such that they effect permit conditions or instal:ation requirements l have read this application and certify that the information provider Ir rein is true,complete and correct Authorized cowtty and state officals are granted nght of entry to conduct necessary inspections to determine t.omplrance with applicable laws and rules. I understand that I am solely tesponslbte for the proper identification and labeling of all property lines and corners and makh'ig tie site a:.t essrhtt!5c'tin .tplete site evaluation can be performed The undersigned is the owner or the property or legal agent or the owner o--- /t("-- ?-3 -4(----------- .. 1);r(4:: !hilt;titer:ul'Applicruil or Alton . ' '•W.:, ., . if s,ut need further inlonnivion or at-,sia , et.: 17lclur call h.+8-165.82 Alt '41 qul Yt t il:;t` L1 .;;. iki �r 'lI,,'04 AREAS .. ...,Ph.,*,..tre.,;,.. ,4 .I13,Y.f4*3*t.+3*$,y*1lilt......,.....Y,4* +*:.is*b'it....,4 *+ ....44*.r.,'t*.tttt$k.44t tt.a•. ..* ' E 1:I';N;1114; pA'Tt': 1'F:4:AN1OtiN'I' improvement Permit Fee OW1<1/1(123 S i 5t).(i() '1'U'1'�1,I,FEES; S1;(lAll) • ONCE A SITE VISIT IS MADE OR WORK ON A ('I.AN REVIEW HAS COMMENCE!) SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 'y„ uu�, y , ,ki., 1 1 , Fit ?. - F' ;lit.. 4T4,,,, T r; I tF • i " I.',7 4 � I � 1A;i y tTa rl r1 ::� Iry;s,i ° }�}.1.. ,��y���.'.a:`�' ' m' '1,.'� � �°� i' 3 ` 1 ,P (' 1 i 1 Y kn; t AN 1 'f. I. 4r { f f_ t iT {, . I i i F 41,, r.., d ... ;�I. tf, 1 t1[l�"1! I 1 'I tia '' 1 r i �' $�41 1itl tf flee F {i- i 'Ii'''. 11 .'RNIt' 1 t. ''. ! 0;;I. FS t,. l I I,I Is,i. I :oil n11i,1 r''I§:ii it iI ,ll]r.Pii i al n ik`ilel,i4lt1R. . Y l +r it j;I Iag1;. 6 it` liar' 1uo II 1 !) I`a :li .S ,'P I Pill .� a l'ldi l 1.1. 4 ,> 1 Mt s �. V Ir r F �t l+k ..�, t �..i { i 3, , f.4' i93� i a ' I r i;': 1.1 t^H , r a It.In ilt41 l IF I t t ..E` . t�rt;ti' x ti�� ,t�• 1yaTk q : ,. 3;- �(,ar 1 1 x<1'iilf % i' , I iMr`i d 1.. 06 1 "I , e I 0 ;' 1R L FI R1 r .4004 T •.'',1r 11 r r a IK'i :-. r.' l, 1 !L.,,T 1 ] �r ii +:1. I!..:vi; ,�Py i 4 i a�x �a i hYY ro 1 1U,u 1t.141,. `j{�" 4 i - t ,r � ' 1� it I '. 11 it 1 1 a 1�in� � lit ��^� 0410110 � F '.��rina Pi/��,�. 1t i,, i.� ikF t�'�t t,R II.����AM1 Y 7 Rv.at" �p C • 1 , 1r l ! q i "��1?>£'+ ;.'4t t4 F� t ' , }I �. . r n 1'i^,S r r» i t .. i P 1, skx t;`tP ;' h, ' y'r v'Y ', FIj }J v si ,i'Pry 4 Y .-' E% a}�, ,*r§ e 4., r d , , S'i 011'.. ,kt i3;-7 1 ,1 h, �1); = r ":4;%• . .i '..; rf0"�.,ei r.t r" .3.£ StS p .rs It ! :q.� pl �''. "1` - - j , .,F4 Viz.. •n �t�K �r�r?°+y '!�r}t'fi'r,r'ryT FP � ��P�S"�s� �n�.�4t� .h.l r o'�" r 1 � ��� � 1 1 , .1 1;,•) 1 r a l r i Iv r ' +H�p 41 g:':1- �, t Il , i 11..; ` 1(:h Il �1� ' ' ,! � r titl� �lI t t " +I y. Fi ,.•Irl Ili 41 rti ir�ri�n� . ela r t ��itt+; � >r , , .t i. 1-) r . l,.i r - I i •`rr,l: �7),iriiW+ r : �{ , j�5. 1„p �. i"C'1:tY^}' r+. £ 1 ; " 1. t i,}�a`1'3'TM' ire 4a� zi:du; r R i ', >. l a !,',4 iGtilt N 1 Ft• y gVn r,i .t dP te1 1 ' ,.4Icra t' i ', i •tn I Pr , ; f>r lr� i ✓r �+-An { is 7 t ; rr L , 1 rl l` I h. t" "`'iiria tp R"�t ii4 i*°li{Il?ti ti `"',inipi!!tit iHtiM ,I .N..t'r` . ': ri 1 1 f, + !r r 'Ti i e. L.h 1,,T £i H i i' i:• 7 4 401/01 -'1 1 i.i l CATAvBA THIS IS NOT A PERMIT l m N l CATAWBA COUNTY HEALTH DEPARTMENT N..,„ Application for Environmental Services Page 1 Improvement Permit ❑■ Authorization to Construct❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address Parcel#461604634563 Subdivision q Sa7 K,'S(/ (s Idite 1?d Lot# Acres Section/Block/Phase Driving Directions to Property HWY 150E,TR Kiser Island Rd across the causeway on the RT NAME TO APPEAR ON PERMIT? ❑ Owner ❑■ Applicant ❑ Contractor Applicant Contact Information Name John White Address , t?hrW kite,r I)c (,6Alt __. etrn Phone Cell Phone 7044026226 L a ) r 4,, �.j/y� (' Owner Contact Information ``T Name Albert Harkey Address 1585 Amity Hill Rd,Cleveland,NC 27013 Phone Cell Phone Contractor Contact Information Name Michael Athanas Address 556 Walden Tr,Weddington,NC 28173 Phone Cell Phone 7045763887 WIIO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant it Contractor Description of Existing Structures on Sitc X #of Bedrooms *t Structure Dimensions #of Occupants Basement ❑ Yes 0 No Basement Fixtures CI Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes", applicant must attach supporting documentation. ® Yes 0 No Does the site contain any jurisdictional wetlands? 0 Yes No Does the site contain any existing wastewater systems? ❑Yes CI No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes C]No Is the site subject to approval by any other public agency? 0 Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted 0 Alternative 0 Conventional 0 Innovative B Other PPBPS 0 Any � T r t CATAWBA THIS IS NOT A PERMIT courc r, CATAWBA COUNTY HEALTH DEPARTMENT North Cnrel`In� Application for Environmental Services Page 2 Proposed Facility Type ■❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t 4 Project Description Stick built house a4 7d00 x00% itt Structure Dimensions See site plan #of Occupants 8 Basement ❑ Yes No Basement Fixtures Yes O; No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence#Units #Bedrooms per Unit*t Total II Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Arca(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space #of Employees per Shift #of Shifts ❑ Other Facility Type Specify II'Church#of Scats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or maybe non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that 1 am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent Date Printed Name of Owner or Agent (�kr► s lim be ( ILL t Scale ` 8 ytodop L15 /%►cwvL. 1 "=30' ,tr-tici.ek hits rn+&s r 4ta_. I4,15c.A...97(et,cs Jed N 1/2" PIPE \ `� PIPE /nal-A-50i 6* bk&ill A•10-ki 5 k tati-zd � �(44e-\ �O � �FO • LINE I ti �aqQ \ I S 4,4 �q), vstki \ I \ � � o 1 S 30' 7Sr• I0�1i� \(\ \ 7�, `39 O , 40 \ / \\ Drive 2�' O F r _J 1 / /, Pit 1 I 44k C)1,...0 •AB 1 r� � Y�Se o A,,kcNN -_W 4 P3 it z # PIN ( ► 70' „� B2 93' ' 62' 2 / \ I Propo ed B 01 o ' Hous PT � e AC 3. BMZ \ 35 m \ j40' Ac�'y ` ST 5.4' Off; 41' 36 ,2� CA r `I '- , 15' 1a�g� 01 - 40' - 3.5' al I,; 2� B2 - 51' - 3.7' Well • P3 - 55' - 4.2' rTi r Irir Welly 47Y4 - 70' - 4.9' 05 - 30' - 5.4' NEW PB 13 PG 20 4ld PINI Catawba County Environmental Health c 4 ,,, O ' ttsV,4,..-,,:':4,..*'..!,,;.:.':;,•,.,.,,....!,•,.1,-.--„,'1:,.'1,.„t ° " _< p•,•..i...,'.k.„''•'-'.:.•,'.' tK xty aM. nt l l Npt },, S,,"v•..,.'.. ..,--. .. . . ':....-.'' , I 4 s ,' r .. . '.,•, 1$1y, z 7 Pr 23. may,,.. , . ..... '?; "t '. 'Ff' t ' n zY 5 ra - '. ids, lv y ' 'dt a# 1+ „`,t `` yyr Sr x 5� It 4* ,pp�1 a it it t� O 1 M.. 1 �3 tt 171 I. il � v to t 13 k4, t, ,. ;�4 .. •4897 o 0, Z r _ O 1 q • 48 l /VP• �...«. 202, 0 ...stir /• .% •4903 0 47 259.00 • cr 15.0 •4909 Parcel: 461604634563, 4897 KISER ISLAND RD 1 in=50ft TERRELL, 28682 This map/report product was prepared from the Catawba County,NC Geospatial 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 verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 06/09/2023 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461604634563 Owner: HARKEY ALBERT RANDALL Parcel Address: 4897 KISER ISLAND RD Owner2: City: TERRELL, 28682 Address: 1585 AMITY HILL RD LRK(REID): 805262 Address2: Deed Book/Page: 2021 E/1713 City: CLEVELAND Subdivision: State/Zip: NC 27013-9239 Lots/Block: 48/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 13/20 Legal: LOT 48 PLAT 13-20 Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: .430 High School: BANDYS Tax Map: Township: MOUNTAIN CREEK School Map State Road #: TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $624,400 Zoning3: Assessed Total Value: $624,400 Zoning Overlay: WP-O, CRC-O, FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: Building Permit Address Search for this parcel. Firm Panel #: If available, Building Permits for this parcel. Septic 2010 Census Block: 3024 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P41/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial 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 verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability, whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2023, Catawba County Government, North Carolina.All rights reserved. C G4 0 c� 4 v 0 a t i V a \Z •w ,1 `24 o •� 0 7 N I q Vu 1 o •oa.i,, k hkv t� � _r3 ^ • G a o a at " Via'.1e W " oa; vp4�. 4 e Fh Z � .psaxss rosyh W al�k . . +i�C • wac Q) •"pra"'c, _.J ¢i�,l tij. t ‘ 2 •o. k�. U 9E, 4,l 3 c fie , , vc ,qy X * er ]'-i I 4;1\ 1 \ • ® � + a � s. . ap w•� f�HGBs " e 11 :71\ ' 4'1 Sri •:3W ^V .6 ror br ::: :: , 01 • h 5� y u: ‘ u�1o'b �y4L V 4t �� o try V 1 s > ._e. F 4 b N o ce c / . d V v 0 S �: g [±\41149.. MA&A SOIL&ENVIRONMENTAL CONSULTANTS MICHAEL ATHANAS&ASSOCIATES LICENSED SOIL SCIENTIST 556 Walden Trail Weddington,NC 28173 (704)576-3887 4/7/2023 Reference: Data Sheet for Kiser Keys Extension Lot 48, PIN 461604634563 House Footprint: See attached plan Building Setbacks: 30' front/rear, 15' side Water Source: Private well Number of Bedrooms/Daily Flow: 4/480 GPD Proposed LTAR: 0.325 GPD/FT2 Proposed System Type: PPBPS Proposed Repair System Type: Exempt(BK/PG— 13/20—3/29/1966) Distribution: Low Pressure—Central Valve Box Flow per Orifice: 0.59 GPM Orifice Size: 3/16" System Flow: 33.6 GPM Dosing Volume: 205.2 gallons Pump Run Time: 6.1 minutes Elevation Head: 5' Friction Head: 1' Pressure Head: 2' Total Dynamic Head: 8' Supply Line Length: 40' of 2" PVC Septic/Pump Tank Size: 1000/1000 gallons Proposed Trench Bottom: 36"minimum Line Design Length # of Panels Actual Length Elevation Orange 1 40' 9 40' 3.5' Blue 2 51' 12 50' 3.7' Pink 3 55' 13 55' 4.2' Yellow 4 70' 16 70' 4.9' White 5 30' 7 30' 5.4' Initial System: 246' Repair System: Exempt Pump Tank: 3.4' House Corner: 3.6' Benchmark: 5.4' (Top of Iron) 1 • • Comments: The well will need a variance to be closer than 25' to the house. The septic area should be fenced off and the fence maintained during construction. Failure to do so will result in the permit being voided. This lot does not have repair area. Extra care must be taken to protect the system area. 2 • Sheet I of_1 PROPERTY ID#:461604634563_ COUNTY:_Iredell SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER:Albert Harkey APPLICATION DATE ADDRESS: 1585 Amity Hill Rd,Cleveland,NC 27013 DATE EVALUATED:_3/2023 PROPOSED FACILITY:_4 BDRM PROPOSED DESIGN FLOW(.1949):_480 GPD PROPERTY SIZE: LOCATION OF SITE:Kiser Island Rd,Kiser Keys Extension Lot 48 PROPERTY RECORDED:_3/29/1966 WATER SUPPLY: C Private Public C Well Spring Other EVALUATION ME I l IOD: C Auger Boring C Pit Cut TYPE OF WASTEWATER: C Sewage Industrial Process Mixed P R SOIL MORPHOLOGY OTHER (.1941) PROFILE FACTORS I .1940 L LANDSCAPE HORIZON E POSITION! DEPTH PROFILE A SLOPE /. .1942 (IN) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ [,S 5% 0-16 R C SBK FR SS SP SXP N/A 55" N/A PS 0.35-0.4 16-40 R CL WSBK FR SS SP SXP 1 Corn SAP 40-55 R L WSBK VFR SS SP SXP 1 [,S 5% 0-7 Br Cl.WSBK FR SS SP SXP N/A 55" NA PS 0.35 7-21 R C SBK FR SS SP SXP 2 Com SAP 21-55 R CL WSBK FR SS SP SXP @ 45" LS 5% 0-4 Br CL WSBK FR SS SP SXP N/A 48" N/A N A PS 0.3-0.35 Alt 4-24 R C SBK FR SS SP SXP 1 24-48 R CL WSBK FR SS SP SXP I,S 5% 0-6 Br CL WSBK FR SS SP SXP N/A 48" N A N/A PS 0.3-0.35 it 6-24 R C SBK FR SS SP SXP 2 24-48 R CL WSBK FR SS SP SXP DESCRIPTION INITIAL SYSTEM I REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1945) 492 P I' : EXEMPT • EVALUATED BY: MA&A System Type(s) PPBPS ' OTHER(S)PRESENT: Site LIAR O.3? COMMENTS: .�4'A ,0 CATAWBA COUNTY �' '{� 100A SOUTHWEST BLVD ` 4 NEWTON.NORTH CAROLINA 28658 RECEIPT U� ��� PHONE:828.465.8399 lbw Wednesday,June 14, 2023 1 p 'Z sM www.catawbacountync.gov PAYOR: White,John PAYMENTS TRANSACTION NUMBER: TRC-66322823-I4-06-2023 PAYMENT DATE: 06/14/2023 PAYMENT TYPE: Credit Card 306763769 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-424098 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EHPR-06-2023-44628 CASE TYPE: Environmental Ilcalth Plan Review WORK CLASS: OSWP SITE ADDRESS: 4897 KISER ISLAND RD,TERRELLNC 28682 Applicant JOHN WilliE,I'O BOX 368,TERRELLNC 28682 C:7044026226 JOHNWIIITERBS@OMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Contact Person MICHAEL ATI IANAS&ASSOC,556 WALDEN TRAIL,WEDDINGTON NC 28173 C:7045763887 Owner ALBERT HARKEY, 1585 AMITY HILL RD,CLEVELAND NC 27013 receipt 06/14/2023 15:13 Page I of I A • . \ I NI tit II 1 I (11 \I 1 t Jo;1) I I I I'I('u6-'1)2 i.,1 I6) _ .. „r I ,i ,'n' NO,1 t•.t.'n '! 151 �i I r',r.q.l. .1.11 I IV.dllf Ibt Lanl Pito 461604634563 IY t Itl,s K•. Il,l.A�uuthae.;WO \r',Nlr t 't 21 n9N 11- NAME ON PERMIT' 1 it III\ 11 III11.I'f 1 Ill)\ ;h$, I i It HI I I Nt .?x6x2 i John White) Site Address' IK`I-tii1.l It I' I ,\\I)ItI). II Itltl I I \t 2xh$2 Properly Size N..,..I, I.•I IS;31J13C ,v.,„ ft43 Cirections E N(: 150 Hwy.'Ight KI..'i:Skald Ri1 c.ms C;nrsrmi orl tigla ' q( ' '' • ', ... , r...•1.'yr,lin nrpro.en:Ua Penults rbe Od!'a not.(na.pf.•., , ' , I .. ,. .1' .. • .•e ' . •..I I,.r it••i v&11 in long;is III Irrprov.,rir,rt Pmrl., ,• . ....Ir•.,•.;,,, I , ' .,t,..•c“,4C4.1 II ti++NI I nl.th0n of.(ti,S Jpl%'CJ'Iun, tc f.;4r CI1.3n4C'.1(.' I!' .- II rl•;I I... 'c'I'Ir: ^r.5el!d::'f::I,., s.: - I y s,,:.:.,•Llr)nt me ne,,, d surh nu11 ill],vei.c.i perind cr)r1!Ilhtp•..pr In5!A11.11:-:::•.-•i.arr•:nCn,• :8rv. 'I. .lws.icy'n.iOn d",,I • . ,•n•,01.1:1 ru o 1?rl hpfl.,n In'WV rl,ng,I.•I.fin.1 CYmI•I I Au'li ii,,II u. Iiner JoJ ,tnl•;cY,ad'•..al: gia•Ilecl rgnt ut t:'•:Iy tb CL.ra,r•'o_... :ry,-, 10I.S to dolo':n•ne rnlrpl..frv'p vol.,Ji c l,r.it,'e I,)H5 aria npus 1 unrle(St ind In i pir'SJ,.N! ;o•t•, ',IA:'.n•"r pn'(1,'• Ill-PI t.-..YIG'.,utnO iabe rn r,l r,ll pmcf'tr •n!,0"0 r.n.rl' aria ralt,nq I.19 S,to oCCOBL.tto SO .'et,! .Si'.C l3i•m ;.'.•i;.,•CT'W Ir+C.1 ••,•'.h.., .ten'5,!,e.,v.nei:it in,r•I a e•ir nl Ir-a'J(tnni Or the IYN'N•I `w / {' I),d,' '�,�i ✓ Z3 \!ruihu.:IIi llildicanl'•r A,2rnl I I•ti'u 1I.A.11 furllint iiilllrht.niun or Jssil.mite pi;.r.c t,dl x214•IIIC•K.+70 AREAS 1411N 111F. DV!F. FEE:111(11AT I Improvement Permit Fee Uh'I 12(I2 M 5II no I 1(11.1I.I I.I.S S I511•00 FEES ARE NON-REFUNl)ABL1? ONCE A SITE VISIT IS MMAI)E OR WORK ON A PLAN REVIEW HAS(f()MMEN('EI) SYSTEM REDESIGN ANDIOR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) i, ', i i i ,p I'.il•: of t —' a NORTH l'AROI INA DEPARTMENT ENVIRONMENT AND NATURAL RESOURCES VARIANCE APPLICATION FOR 2C.0100 WELL CONSTRUCTION STANDARDS: PRIVATE DRINKIM WATER%1:I.I.s I N'DER !SA CAC 02C.0300 WATER SUPPLY WELLS UNDER 1S 1 NC.1C 01('.0107 N8 wank cupph "al! not r'm nio',! 'l'i uri l)rrnktnp 1I'strr fi'c'11.1 ',rru! anal,and comn+rrn,l wrllt WELLS OTHER THAN WATER S1UPP1.1 I SUER 15A NCACO2C.0108 J I'..,h i l.•1•;.AIL,.,. ;h,!i; .. -�� Print clearly or ore information. Ilh•,'ibI ,ahmia„lh nil!herr turned atincomplete. 20 2:i PI.R\In'NO.: (!ohecrnptckcdbyU1i'llDPH) A. WELL OWNER_ For single l mil) residences list the properly owncrtsl. For all others, list name of the busines., urganvanon,or government agency aryl person debuted signature authority: Albert Harkey �— Mailing Address! 1585 Amity Hill Rd. Cfly. Cleveland Stan: NC 'Lip Code:27013t•ounly, Rowan —_ Day Tele No.: Cell No..704-450-9130 EMAIL Address: mrharkeysnn``ahoo.com Kix w B. PHYSICAL LOCATION OF WELL SITE (I) Pared Idcntlti&.ation Number tPIN)oFwcll sat: 461604634563 co„rily Catawba__ _. t i Physical Address if different than Ina,link .uldre.. _Lot 48 Kiser Island- No address has been assigned yet C . that we are aware of. �I _ C.__.__ ,ski nC�l City . _- /_C {1-�'_ .._.. . __.. ---- State:NC Zip Code: ,c2 4 �� C. WELL DRILLER INWI-01,1T10N(il known) Well Dnlline Contractor',Name N/)! NC Well Drilling Contractor Certification No: ___—_w_-- --_ Company Name. ____------__- -- -- .._-..._ ___.._. Contact Person: City. _-- State: Zip("ode:_.__ County: - Day Tcic Nu. _---__._ _ _ - ---__.—_-- Cell No.;__�_ _ EMAIL Address: _--__ __..__.,..._ _ .-._.._ Fax No: Rum Gw-12 V Nye I B }tc•vgtri rctrn:ms �!rt I). 1ff\fit)\ FOR 1 AR1ANCE REQUEST Include type of well(s) to be constructed: rule for which the variance is t'eutg rcgnesietl• (lexcnptron of flow the alternate construction will not endanger human health and welfare and the environment.and rcawn why cnnstrrtction 411110f uporauun in accordance with the standards as not technically feasible and/or provides equal or better protection of the groundwater. The purpose of this request is due to the setback from the house to the well. We are requesting .-ii'0 Toot setback from the well to the house. Enclosid you wd'itndthe site plan (to scale) 1emonstrating.house-location*-well.iocation and ssptic catiota.—Catwaba- hasaiready been to the site. Please contact me with any questions. Michael Athanas LSS 704-576-3887. E. ATI-A('II%IENTS Pro%ide the following information as attachments to this application. (I) 1 map showing genentl location of the ptuperty (including road names. NC State Route Number, distanres. any key landmarks.etc.)sufficient for finding the well location. (2) Detailed site map with scale showing location of proposed well relevant to septic system(s). building foundations.property lines,N%aler bodies,potential sources of contamination,other wells.etc. (3) Submit a copy of the local well permit application and site evaluation map(if applicable) (4) Any-oilier information relevant to the variance request such as a well construction diagram showing proposed well liner or atypical construelian matenalynicthuds. I . OTHER MINIMUM CONSTRUCTION REQUIREMENTS For water supply wells. approval of a variance will require that additional construction requirements beyond those specified in 15A NC:AC 02C .0107 be met. Minimum additional construction requirements for Coastal Plain and Piedmont and Mountain region tcells are referenced on Attachments A and H on pages 4 and 5 of this application. Approval of a %ariance will not be considered in cases where the specified minimum additional construction requirements cannot be met. G. SIGNATURES %gaaturr Person Resiannsible fur Well Construcrfu®(t)piran die ail driller) Print or Fyne Full Nano of arson Responsible for Well Construction (typically the well driller) Signature of(aunty Environmental Health Specialist Randy Ross-Catawba County Env. Health Dept. Print or Type Full Narnr of County Enstrnurueolul Health Specialist Pee 154 NCAC U'(' si11.k the Sca re-rars.0.1 the Division al Water Quality or the Division of Public Health may require Autumnal nl trtf rrmatiun deemed uccrvari to make a deri.ranrr on Me variance, may impose conditions as part of the decision, rr11,1 %hall respond ur %tiding so they request within 30 days of receipt of the variance request. 4 variance applicant +thee as dissaticiird with the tilt earn of the I)irecto, may commence a c onrrsted case by filing a petition a% described in G.S. 1 Sti13-23 within On days after receipt of the decision, Munn r w.22V pal'' kcv wd Frntsaus :!i N./ k...,.._ g.), N r �Y- 8S c)k r : / -.--W�„*. / .. w, r _.,,' r 1 — ._ C7 O 'r �.7 lLi o I'' 3 .fi :' ,/ el / Z {II j r r a , _. r" 1 ►' w. / / I r0" 4.) fir .// f /// »-13 -4 ![. / - "1- / / cri co iV _A. a l 1\j CA) '^J U`t C71 .p 14" d� / / • 07 .1 . 4 Ca Oa elf / / / h'i%'''''..) 1[G,1 .1 ,, / (-„,,,,,.. R r 411''t V 1 H. -IliVI 1 C.14.1 I ) `''ILO .A2� ��' ', pQOJ S J;r1J loop 417 SO 57f 5'0 PahQJ� ' u91d 1 (c fc/9J9 uir co, . 4, ROY COOPER•Governor v , O e� 1, -sr, NC DEPARTMENT OF KODY H. KINSLEY•Secretary i 41Kie., A, 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 July 17, 2023 Albert Harkey 1585 Amity Hill Rd Cleveland, NC 27013 Re: Approval No. JMB3095 Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C .0107(a)(2)(P)] Property location: 4897 Kiser Island Rd Terrell,NC 28682 Dear Mr. Harkey: On July 14, 2023, 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 proposed water supply well on the referenced property that will serve a single-family dwelling and part of a structure on the property will be within twenty-five feet of the well. The home is on a lot with very difficult topography. Specifically, the variance request grants you permission to construct a water supply well at a distance closer than the twenty-five-foot setback to a building perimeter. Achieving the twenty-five-foot 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: 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!AFFIRMATIVE ACTION EMPLOYER 1) The new water supply well shall be constructed of either PVC, steel, or galvanized metal casing. 2) The well shall be located as far as possible from the structure where, depending upon where well rig can actually set up,will possibly encroach upon the 25foot setback, but not be closer than l Ofeet. 3) A preconstruction meeting shall be required with the Catawba County Health Department staff to ensure that the maximum possible distances are achieved. 4) The well will be required to have casing installed to a minimum of 43 feet below land surface or to bedrock, whichever is greater. 5) The well shall be at least fifty feet from any part of the septic system including repair area. 6) Grout will be required the entire length of the casing from land surface into bedrock. 7) A drill hit with a diameter of at least one third greater than the diameter of the casing must be used to drill the cased portion of the well. 8) Grout must be either pumped into place with the use of a tremmie pipe or pressure method. 9) If a full-length grout is not possible due to site conditions, then a packer-liner must be installed in the well. The liner must extend at least five feet beyond the end of the casing and grouted entirely with a neat cement grout. 10)The well must be constructed outside of any road right of way. 11)A grout inspection must be performed by the Catawba County Health Department. 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