HomeMy WebLinkAboutWELL-08-2023-202387.TIF CATAWBA COUNTY Case# WELL-08-2023-202387
• ��_ Public Health Department Subdivision CRESCENT LAND AND TIMBI
si(...4 -_ Environmental Health Division PIN# 462802571968
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•� PO Box 389.25 Government Drive,Newton,NC 28658 LOT# LAKE LOT 260
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She Address: 2520 CROSSGATE TR, SHERRILLS FORD NC 28673
Name on Permit: AFSHIN&NADIA GHAZI
Property Size: Acres 0.52
Directions: Hwy 150 E Left Sherrills Ford RD, Right Island Point RD, Left Bay Leaf LN, Property at end of Crossgate Trail
NEW WELL PERMIT
VARIANCE WELL
See attached state well variance approval for well construction standards and setbacks.
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 the
required setbacks, contact Catawba County Environmental Health at 828-465-8270, before drilling the well
Casing Height: 12 inches minimum above finished grade
All newly constructed private drinking water wells are required to he sampled in accordance with the North Carolina Rules Regarding Private
Drinking Water Well Testing(15A 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 I lealth.
/1,444-40--- Z-- ,/es±: __
08/10/2023
Authorized State Agent Permit Issuance Date
8/10/2028
Permit Expiration Date
ehpennit 08i16/2023 15:II
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ROY COOPER •Governor
4 4 s,. NC DEPARTMENT OF
Irr e ! KODY H. KINSLEY• Secretary�y,� ► . ' HEALTH AND
% le „ ,re HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health
.,8,9 MARK T. BENTON•Assistant Secretary for Public Health
Division of Public Health
Onsite Water Protection Branch
August 3, 2023
Afshia Ghazi
5131 Gorham Dr
Charlotte,NC 28026
Re: Approval No. JMB3122
Private Well Located Less than 25' from Building Perimeter and Located Less than 50'
from Surface Water [Rule 15A NCAC 2C .0107(a)(2)(P)(Q)]
Property location:
2520 Crossgate Trail
Sherrill's Ford, NC 28673
Dear Mr. Ghazi:
On August 1, 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 and surface water on
the property will be within fifty 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 and at a
distance closer than the fifty-foot setback to a surface water body. Achieving the twenty-
five-foot and fifty-foot setbacks 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 10feet.
3) The well shall be located as far as possible from the surface water where, depending
upon where well rig can actually set up, will possibly encroach upon the 50foot
setback, but not be closer than 30feet.
4) A preconstruction meeting shall be required with the Catawba County Health
Department staff to ensure that the maximum possible distances are achieved.
5) The well will be required to have casing installed to a minimum of 50 feet below land
surface or to bedrock, whichever is greater.
6) The well shall be at least fifty feet from any part of the septic system including repair
area.
7) Grout will be required the entire length of the casing from land surface into bedrock.
8) 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.
9) Grout must be either pumped into place with the use of a tremmie pipe or pressure
method.
10)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.
11)The well must be constructed outside of any road right of way.
12)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
WPDT Screening Report
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Area of Interest (AOI) Information
Area : 3,134,508.65 ftZ
Aug 10 2023 15:28:59 Eastern Daylight Time
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Parcels(Polygons)- Parcels I 1 1 ti 5 ti 'r r l I
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Non-System Roads
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USDA N0007 Gc5 Urm.Semmes Ev. A.bme OS USGS.NGA,NASA,
— Secondary Route
2520 Crossgate Trail,Sherrills Ford
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 derived 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.
WALL CONSTRUCTION RECORD(GW-I) .FurhMtrnal Use Only: wormatmay
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FROM i 40 DeSC7t@770.Y
wr2rtasse4654A 145 965 do
094
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NCVJdlCotdxtorcrolaceanaMamba. LS.OUTER cAsNG(fararalg titseis 10RISNER(1iaazrierlae)
Rowan Well Drilling Yaom zo , o LrTEA Tftft.aoli.+T 1 AsAraa,,u.
ConisarsName it. 82 k' 8114 &tt21 j�
WELL 08 2023 202387 1tc12iN ER CASING OR1UIIING( • • orals-larval
2 Well Construction Permit 0: FROM TO MAME= 1 J w k-n.rmas : amaLTLIAL
ltgeatorprmtst meamrimsrrsar pious/F.e WC e .Brow.Vanasac tic) it. m. is, I
3-Welt Use(cheek wen ace): it IL hi. I
1 Wales' 17-SCREEN
f FP(!r Well: r.71tOra I TO t mamma ' siOTs= 7ttaartl0 nwtr ttAs•
Agiruisucsl L.t:" i�Puhlic 0 lL I ft. is
Geothermal(H owling Shy) { ' ..,: Water&Pp1F(single) it. ' t4. Is ' .
indosniabtmomereiti DResa inl Water Supply(shored) 1rL.rtottt
Lripaian • 1ROt+t j Tq mrinn7Ar. FrsnarsatrrrarE nmawacassar
:tea=WaterSuppyWr11 U ' 20 d holfipug TM* 28
Monitoring DR.�..,....y ft. m.
Injectloa Weil: - A.
12.
Aquifer
Rmnaliatian 19SAPGIIJGRAVELPACIcttappiieaki
Aquifer&muse and Remarry 13Salikity Ramer' Boat to SWIERtAL rMltACIAffirr3tETrlam
Aquifer Test DS000Dowaterlras>ge ft. ft.
lamcriannotal Tccimulogy riSdimiecnee Ccatml ft. rt.
Geothermal(Closed-Loop) arm= DR11.1.ke11)11:tma afirdlissal shads ft'.e uro)
Y8Ir9N 2r] DC mla �a bl 4r_ oatsit Ow-ffisQ>a<�!
Geadtcrmai(1icalint .notingRe otun) rICkher(explain under 021 Remadmi 0 70 tail
d.DateWdi(s)Completed:712/25 Weil IDN 2023202387 '70 It. 75 m sail!rack
5a.Well LCeadoo: 75 b' 82 R BO1ld rock
Afshin Ghazi re. I n
FaoliM9s n r) nc Fat:041M(iifawiest+ie) ft. ft.
}2�5�2�0(Crro�ssgate�Trail,Sherrilis Ford a- a-
Pbr.+w1 raids a. r 1 Zip 0- t4.
Catawba 462802571968 aLstmtARKS -
Crotty Paccetkiemitaatioatio.( )
Sb,Latitude gad luagitmee la det;rceshaiaamJs eomda or decimal degrecx
(if well th14 core ha!ktna hi smmerAl 22. radon: ,
35 624915 80 934416 w J' 1 -
l*ire) N .+r 2 '
6, flee i L(s)x Permatteat or DTempoary SigaammatCerndaff WetCacaarmr :Dior
ay itrarg A+v e,y brrcbj sorry Ma the weft)was(tear)aired m m.navIal c
7 b Ibis a repair feu edging well: DYes or ONO 1,41 iSA3rti.ACM4/60or).f41it{Cd2C41209 DWI e tarSoydovaFraidMoexi
;aka Oartpairjrawllmvan mil ty+ntraeirois+r46rmsawrard twsAa arsrear irle,Vredsrmiardh2s64rnyxuriCaf0t6 welt0+na
rrpatrax3rr:21 murk;secrdoncratrigbmtefsbuiara.
23,Site diagram or additional well details:
S.For Geoprabe/DFT or aersed-Loop Geothermal Wells basing the same You may use the back of this pale to provide ndsiuonai well site dinalb or well
construction.ally 1 GW-)i needed. bidrwto TOT AU.NUMBER awl: construction details. You may also numb*Idivaoal pages if=canary.
drilled SW3M1TFA1.ITw'4i7111CTIONS
9.Toed well depth helow road sarraee 165
(IL) 2Aa.For All Wien Sobmit this Eisen witbm 30 days or completion of well
Far aakige was lutask 3ld$r+adri yeo-3azosr $4431001 Con3Ytmcelon tote Mowing:
10,Static water level below top of caclag: ( Division of Water Resources„ie formatium Processing Uni4
t.warrior-1 a above rzutag.wse`-4 1617 Mail Semite Center.RakeWr.NC 27659-1617
11,BSYenole diameter:6 (isr.) 241s.For ioleetMA Wells: In addition to sending the furor to the address in 24a
1:,>Yell caasuxt6sa method: construction above,also submitl one ropy of this form within 3D days or completion Orwell,
construction lotto lb/towing
(IA aseerr wary.cable,direct p ukese.)
Division of Water Reworks.ifmdcrgro+ted Iojectlon Control Program.
FOR w.ATERbt:rr'LYW1rb1 N ONLY 1636 Mail Service Caere,Re3eigh,Ii•C 276994636
I3t.Yield(gpa)40 Method aItest:weir 24c.For Water Sonee,Set iv4ectiao Wes: In addition to sending the loan to
the address(es)above. also submit one copy of this.form within 30 days of
13b.Disinfection type:chlorine .Amount:9 az coati: of ail 000stru dim to the cutesy health department.of the cotmty
' where consar ctol
Fu uVF-1 Nook cooties prposamtnfEledrocormed9:slily-°;disk:Mau Removes Revised2- -2016