HomeMy WebLinkAboutWELL-08-2023-203065.TIF ..s1'+�,v CATAWBA COUNTY 4 Cox• WELL-08-2023-203065
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0 lib;, Public Health Department Subdivision J C HOW4RD PROP
%I.i,u . P. Environmental Ham'Division PIN" 481t301495033
4.....� PO Box 329,25 Government Drive,Newton,NC MilLOTI 8
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Stt.Address: 8450 TIMBERLAKE LN,TERRELL NC 28882
Name on pm* ANDREW PRATT
Property hie: Acres 0.77
one : Hwy 16 S, Left on Hwy 150, Right Kiser Island,Right Fieldstone, Left Beachwood, Right Timberlake
Owner/Authorized Representative Acknowledgement of Permit Receipt
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required)representing the
I od'dfi thu I am the owner or authorized agent(owner's authorization epr g owner of
the ., described above.
As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-08-1023-45155,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
4 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
NortS Carolina Laws and Roles for Sewage Treatment and Disposal Systems(1SA NCAC 18A.1900),
sod/or Well Construction Standards(I5A 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:08/22/2023
Owner/Au rized Representative Sign
...-"/
Date
Documentation of Permits)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person se ing permit)
SignatureDite _--Date/lime_ i9_11).3
Method: Fax Email US Mall Other
Owner's request to seed by the above indicated method of transmittal In lieu of signature
We want tto hear from yoiPiesse take a few momentts tto eornplette our custtomer service survey att
http://www.survaymonitey.com/s/tHCusttomarServka
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e CATAWBA COUNTY Case# WELL-08-2023-203065
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h1` Public Health Department Subdivision J C HOWARD PROP
.� j Environmental Health Division PIN# 461601495033
PO Box 359,25 Government Drive,Newton,NC 28658 LOTH 8
Site Address: 8450 TIMBERLAKE LN, TERRELL NC 28682
Name on Permit ANDREW PRATT
Property Size: Acres 0.77
Directions: Hwy 16 S, Left on Hwy 150, Right Kiser Island, Right Fieldstone, Left Beechwood, Right Timberlake
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 I5A 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 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 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 Health.
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08/22/2023
Authorized State Agent Permit Issuance Date
8/22/2028
Permit Expiration Date
ehpennit 08/23/2023 09:44
WPDT Screening Report
CFP
Area of Interest (AOI) Information
Area : 3,134,508.7 ft2
Aug 24 2023 15:26:02 Eastern Daylight Time
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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.
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`-' North Carolina State Laboratoryof Public Health Msc,9,8
/-�'; �--��t_ Raleigh,NC 27699-1918
hill. ;\I Environmental Sciences http://slph.ncpublichealth.com
*c . * Phone: 919-733-7308
Inorganic Chemistry Fax: 919-715-8611
Certificate of Analysis FINAL REPORT
Report to: ENVIRONMENTAL HEALTH Name of System:
CATAWBA COUNTY ENVIRONMENTAL HEALTH Andrew Pratt
P 0 BOX 389 8450 Timberlake Ln
NEWTON,NC 28658 Terrell,NC 28682
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES251009-0047 Date Collected: 10/07/2025 Time Collected: 10:59 By: Dwight Mikeal
Date Received: 10/09/2025 Time Received: 07:54
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-08-2023-203065
Sample Source: New Well Receipt Temp. : GPS Number:
Profile: New Well-No Nitrate 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 52 mg/L
Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride 1.31 4.00 mg/L
Iron <0.06 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 6 mg/L
Manganese 0.119 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.2 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 10.2 mg/L
Sulfate 98.3 250 mg/L
Total Alkalinity 78 mg/L
Total Hardness 152 mg/L
Zinc <0.05 5.0 mg/L
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Report Date: 10/23/2025 Reported By: KOZolsig‘dizELE"'
RECEIVES Kathy Schnizler
Nov 3 2025
Environmental Health
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