HomeMy WebLinkAboutWELL-08-2023-202588.tif ��,`� CATAWBA COIIICTY Case 11
�(..,
i` Public Health Department WF,LL-08-2023d02588
Subdivision
lai ^ s Environmental Health Division
PO Box 389,25 Government Drive,Newton.NC 28t558 PING 4161704733329
�t:�Y� LOTir 1
SIN Address: 3954 CEDAR WOOD TR,TERRELL NC 28682
Name on Permit: NED WILLIAMS
Property Size: Acres 0.66
Directions: head on 150,turn on Kiser Island Rd,Across from the light at Marshall Steam Station, 3rd Left onto Cedar
Wood Trail
Owner/Authorized Representative Acknowledgement of Permit Receipt
Ni/I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of'
the property described above.
L V As the property owner or authorized representative, I have received the above referenced
)(
permits)as requested in the application for service RBPR-05-2022-41156, by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
7 Electronic Image Transmittal/E-mail (Return receipt required)
LA/'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 I8A.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:08/14/2023 ,/
Owner/Authorized Representative Signature /i
i 3" ite-104-1---C---....
Date Thy!! 2.,_3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name a/person sending permit)
Signature ed i _Date/Time U !� 73
Method: Fax I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from ytu Please hake a few momentts Ito complette our custtomer service survey att
http://www.surveymonkey.com/s/ENCusttomerService
oed,s IAA 110M 6g pa- 4n''v
`t 3"" 08/14/2023 164E
CATAWBA COUNTY Case# WELL-08-2023-202588
f Public Health Department Subdivision
S,,� y Environmental Health Division PIN# 461704733329
liklpt PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
att-
Site Address: 3954 CEDAR WOOD TR,TERRELL NC 28682
Name on Permit: NED WILLIAMS
Property Size: Acres 0.66
Directions: head on 150, turn on Kiser Island Rd,Across from the light at Marshall Steam Station, 3rd Left onto Cedar
Wood Trail
NEW 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 verity 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(I5A NCAC I 8A.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.
41%A
08/14/2023
Authorized State Agent Permit Issuance Date
8/14/2028
Permit Expiration Date
elipernul 08/14/2023 16:46
der do,v4 I r w.,tl I 08- 2023,-20251.6,
h/ aX1A
�TKhks
f/t hjy
v►i tiA 1 S'a-pl L 140
New CI
311
43'CiA a—
nd /
8/14/23,4 49 PM about:blank
P. WPDT Screening Report
Area of Interest (AOI) Information
Area : 3,134,508,67 ft'
Aug 14 2023 16:48:12 Eastern Daylight Time_________________________ ----"\\,.
•,,\ A\t, ,-,"--- ----
VI
"?,...3, - Wt5+11
5-1 - -1— 7 - _lit/----- \'/
rtres , ��' .. ,,,./ isk
\\N:\1
\\\)
\\ : \•
,
f----/ .--yis____
4 ,..,. . \,
1 L
154. .......„__, ..._____40 1
....
•
...__ j t:: . . • ..--A
ic
w�
,..t.. '�, a "-
.; .., \\.. it
1`
4
P 4 I
,r }
(l j --
---- -i
\ 7.---lk
\........_„. .
/ \\\_.„
1'4,514
0 0 03 G 0G 0.12 ml
Parcels(Polygons)-Parcels I y 1 1 il ti ti , r i
0 0.05 0.1 0.2 I n
_.J County Boundary
Non-System Roads
EYI Cul,msnit Mole CiVIYOIA.ss.Mtltlet CnvMy.Slur sf*,11h CORJ73.•
Non-System DOI A g1+a•rraa111a Mussulr. Esn HERE Gamn S240,4111
Geer iuldOpva.4c 11ETMASA.USGS.CPA,NOS US Census urea,
USDA NCOO1 GS Wet Sous Em Arbaf OS JSGS.I GA NASA
— Secondary Route
about:blank 1/2
8/14/23,4:49 PM about:blank
3954 Cedar Wood Tr
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.
about:blank 2/2