HomeMy WebLinkAboutEHPR-07-2023-44873.TIF OigiSign Verified-d5114089-9941-4cd6-b43c-cfa036d9dc5b
• NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
VARIANCE APPLICATION FOR 2C.0100 WELL CONSTRUCTION STANDARDS:
PRIVATE DRINKING WATER WELLS UNDER ISA NCAC 02C.0300
WATER SUPPLY WELLS UNDER ISA NCAC 02C.01U7
Ail r'orrr civilly relit not consnikrarl'P.inou Drinker:Crater tl'emr-md including lrr,gorion,industrial.a.doon•w+treiel wells.
WELLS OTHER THAN WATER SUPPLY UNDER ISA NCAC OW.0100
Including monitoring and recovery wells
Print clearly or type information. Illegible submittals will be returned a Inconrplda.
DATE. A to U. .1 .. -I 20s23 PERMIT NO.: (to be completed by DWQ+DPM)
P0-e./,N`‘'(),A (,u.y e.r
A. irrebb-OWNeR-For single family residences list the property owner(s). For all others,list name of the business,
organization,or government agency ane person delegated signature authority:
. E N.%v% s).v>a_9.0.�r i e-c 0. A S\ e y --
Mailing Address e2 L
' 1. TV k S+ r rdFSTILOWIV USD
EX( f PA a TA- State: 7.i Code: '3'2ouoty: MIt r+G_�-
City: _
Day Tele No.. 7c<.?,,�-;- .23`7 - 6� 84 Yeviii etl Ne.: 4 V.us 7a —eo41• 44 g
EMAIL Address: _ 1.E. al1s Fax No.:
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B. PHYSICAL LOCATION OF WELL SITE y C,Oorsd Cgval� A.NM On t C.C.- C61ti,
(I) Parcel Identification Number(PIN)of well site. LILAq n W Q 64 I I
County: l .0.-k-qu.,tb�
(2) Physical Address(if different than mailing address)'
_2.0y 3 K owns SA-•_ —
City arkt.. b A. State: v_c Zip Codc: »?$6,0 Gl
C. WELL DRILLER INFORMATION Of known)
V
/( Well Drilling Contractor's Name IVA— Work nD c.EnA ran 1
I NC Welt Drilling Contractor Certification No.:
Company Name: Contact Person:
City: State: Zip Codc: County:
Day Tcic No-. Cell No.
EMAIL Address. Fars No.:
Farm(IW-11 V Pap I Reviaod f ebnary 2013
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ID. REASON FOR VARIANCE REQUEST - Include type of well(s)to be constructed; ruk for which the variance is
N • being requested, description of bow the alternate construction will not endanger human health and welfare and the
Ohenwronmeat,and reason why construction and/or operation in accordance with the standards is not technically fusible
Ili and/or provides equal or Netter protection of the groundwater
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F E. ATTACHMENTS-Provide the following information as attachments to this application:
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4 LtN (1) A map showing general location of the property(including road names, NC State Route Number.distances,
Cv any kcy landmarks,ate.)sufficient for finding the well location.
ri` (2) Dctailed she map with scale showing location of proposed well relevant to septic system(s), building
),n t-,,/ foundations,properly lines,water bodies,potential sources of contamination,other wells,etc.
:l (3) Submit a copy of the local well permit application Dad she evaluation map(if applicable).
(4) Any other information relevant to the variance request such as a well construction diagram showing proposed
I
well liner or atypical construction matetials/roethods.
F. OTHER b1INIMUhl CONSTRUCTION REQVLRFJttENTS
1 For water supply wells, approval of a variance will require that additional construction requirements beyond those
I specified in 15A NCAC 02C 0107 be met. Minimum additional construction requirements for Coastal Plain and
Piedmont and Mountain region wells are referenced on Attachments A and B on pages 4 and 5 of this apptien6oc.
I Approval of a variance will not be considered in casts where the specified minimum additional construction
requirements cannot be met.
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i G. SIGNATURES
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( )__Ai4-44.±.4Ted44442/14.6_47______—_—______2.a& gt041&We�„i 'creature of Perwa Responsible fastruction bL �e f
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Kevin and Patricia Askey
1 Print or Type Full Name of Person Responsible for Well Construction
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Signature of Comity Eaviroameotal fleahh Specialist
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Print or Type Pat1 Naar of Comity En.iroornenlal Health Specialist
Per 1 SA NCAC 02C.0118 the Secretary of the Division of Water Qualiry or the Dh Trion of Public Health may require
submittal of information deemed necessary to make a decision on the variance, may impose conditions us part of the
decision, and shall respond in writing to the request within 30 days of receipt of the variance request A variance
applicant trho is dissatisfied with the decision of the Director may commence a contested case by filing a petition as •
described in G.S. 1 50B-23 within 60 days after receipt of the decision.
Farm G,V.22V Page 2 Roo/dad February 1013
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, atz, ROY COOPER•Governor
:'yl141 y` NC DEPARTMENT OF KODY H. KINSLEY• Secretary 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
September 8, 2023
Kevin and Patricia Askey
2871 Taft St
Export, PA 15632
Re: Approval No.JMB3161
Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C
.0107(a)(2)(P)]
Property location:
8043 Rowe St
Catawba,NC 28609
Dear Mr. and Mrs. Askey:
On August 28, 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 15feet.
3) A preconstruction meeting shall be required with the Catawba County 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 bit 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
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