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HomeMy WebLinkAboutWELL-10-2023-206745.tif 4.„,6: � CATAWBA COUNTY Case# WELL-10-2023-206745 . ., .. Public Health Department ,Newton,NC 28658 Drive Subdivision Environmental POBox389,25 HealthGovernment Division PINatt # 378002563247 LOT# tw Site Address: 5529 LAVON AVE, CATAWBA NC 28609 Name on Permit: QUINTIN WILLIAMS Property Size: Acres 5.35 Directions: Sherills Ford RD to Lowrance RD onto Lavon Ave,Left Drive to 5529. Owner/Authorized Representative Acknowledgement of Permit Receipt i _1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. y _ As the property owner or authorized representative, I have received the above referenced /� permit(s)as requested in the application for service EHPR-10-2023-45644,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 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 18A.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: 10/17/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending[permit) Signature cE:_ Date/Time !°hit/} 3 Method: Fax 1Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService ti1 n _ o C. .Of4• yaAbe.cam N. clgxmut 10/18/2023 08:37 �y6' CATAWBA COUNTY Case# WELL-10-2023-206745 (....... pl. Public Health DepartmentSubdivision 1 EnvironmentalHealthDivision PIN# 378002563247 ►i + PO Box 389,25 Government Drive,Newton,NC 28658 LOT# w Site Address: 5529 LAVON AVE,CATAWBA NC 28609 Name on Permit: QUINTIN WILLIAMS Property Size: Acres 5.35 Directions: Sherills Ford RD to Lowrance RD onto Lavon Ave. Left Drive to 5529. 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 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(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 Health. L3cya.' Fonrc 10/17/2023 Authorized State Agent Permit Issuance Date 10/17/28 Permit Expiration Date ehpennit 10/18/2023 08:37 Catawba County Environmental Health Li 5004 .5530 t14 6 � pt..4 / ' � •552' 36R i______________7 -/ eill cV iF © I, 0° 425 td X . 0 Parcel: 378002563247, 5530 LAVON AVE 1 in=50ft CATAWBA, 28609 WELL- 10 - 2,oa3 -a06-7116. This map/report product was prepared from the Catawba County,NC Geospatioi Informal on 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 urger.llie County of Catawba,its employees.agents,and personnel.disdalm,and shal not be held liable for any and al damages,loss or liability,whether direct,Indirect or consequential which raises or may arise from this map/report product or the use thereof by any person or arApy- Copyright 2023 Catawba County NC 10/17/2023 pra,.."„ WPDT Screening Report Area of Interest (AOI) Information Area : 3,134,508.74 ft2 Oct 17 2023 17:16:59 Eastern Daylight Time y57h .9 77- if 1:4,514 0 01)3 006 0.12mi Parcels(Polygons) Parcels I ti 5 5 0 0.05 0.1 0.2 km EL: County Boundary Non-System Roads EM Cowl-4mq Aldus C.A0Mcn.Vetle!vainly.Stale a/Nunh Can:dne fJon 5 Stem 001 a CvnnSraer./.p. 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USVA NCOOT CAS UnR Scums tan A-roes DS USGS.MGA NASA 5530 LAVON AVENUE, CATAWBA 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.