HomeMy WebLinkAboutWELL-10-2023-206813.TIF moi_-"st (•',.F%%n%(.4)1\'fl
lit li. 1'uhlt Ilcalth thtuttrnrnt suh,h%,,,+m
Ill. rli tmrroil:Dotai Health Dilr;inn Mt; 461703407819
V,,, N I ltuA 3sLi.25(i+s etntneni Ini%e heals".NC' -'\h¢
Site Address: 8477 BABE DR TERRELL NC 28682
Name on Permit: HUNTER LUNSFORD
Property Size: Acres 1 86
Directions: Down Kiser Island Rd 1 5 miles Right on Babe. Lot is on the left
Owner/Authorized Representative Acknowledgement of Permit Receipt
certill that I am the ow irt
ner or authorized agent tom ner authorizittirrn requiredI representing the owner at
(i
he prapert:‘ JereriheJ afx+%e.
Kpss the property owner or authorized rcprecentati%e. I ha%e reeeic ed the aho%c• reterenced
ermit(s I as requested in the application for service Rl3t'R-10-2023-4502.by the tbIlowiti inethoths):
Received itt Person
Facsimile Iransmittal (Return tilrm with signature required)
,1 I`Iecuronic Image Transmittal F.-nail (Return receipt required)
)( As the property owner or authorized representat i'e I have re%iecceJ and understand the specific conditions
(` 'f the permit issued. and further understand that all applicable regulators requirements specified under the
North Carolina taws and Rules Tor Sewage Treatment and Disposal Systems(154`CAC ISA.19011),
and/or Well Construction Standards(15A NCAC 2( .0100), shall apply to the issuance of this permit and
the construction of the‘s.asteskater system and or water supply dell permitted.
Permit issue Date: 10118i2023 v‘---.
Owner'r\uthorized Represent:in\c Sienaturc
Date ,6-2-(1- Z3
t)ocumentalion of I'errnit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (mime r,//'er.woz ye/tiling permit)
Signature V I)ate:lime 1O Je/7P3
Method: Fax Email UIS Mail Other
Owner's request to send by the above indicated method of transmittal in lien of signature
We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHtusttomerService
1eOiar )ma.
f
t �
4. • CATAWBA COUNTY Case# WE[.L-10-2023-206813
111. Public Health Department Subdivision
I MI
It, , • Environmental 1lealth Division PIN# 461703407819
PO Box 389,25 Government Drive,Newton,NC 28658 l O"I'#
I.
Site Address: 8477 BABE DR, TERRELL NC 28682
Name on Permit: HUNTER LUNSFORD
Property Size: Acres 1.86
Directions: Down Kiser Island Rd 1.5 miles, Right on Babe, Lot is on the left
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 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 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 be sampled in accordance with the North Carolina Rules Regarding Private
Drinking Water Well Testing(I5A NCAC l8A.3800).The fee for this sampling is included in the cost of the well pemiit.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.
10/18/2023
Authorized State Agent Permit Issuance Date
10/18/2028
Permit Expiration Date
ehpemtit 10/19,2023 12:46
•
VVt j(- j 0 .. 2oZ3 - 206213
SHEET TITLE: PROJECT NAME: Soil$Forestry Services n cl V g
D !c * y of the Carolinas,PA u O[jJzt; 0 O O �'
p M SEPTIC SYSTEM LAYOUT LBABE DR !!IL ! F!!EI IIi Concord�NC 2 025 - Z 2
'� tii SKETCH MAP CATAWBA COUNTY .. ul
-3 SEPTEMBER 2023 IE1 ICE! x
wTMs n,► usableso 9-50 ail.com x O
980-439-5007 F
soiland forestryservices.com
<00.Y
Q 1
GRAPHIC SCALE <2
I,/
40 0 40 80
i I ,1
s `
'ILZ
o, .� tiU' ? o
044
‘ 47
s tip >�, 9
n ,per \�....)1'•_e\, \�. tS cqi?`- G1,
ir,
" c . , OLD SEPTIC (y �`�t��\
p4) —OLD TANK .41 s'(, \
Apt 0-N- ��-7
o o C � `
J� ,� c�1'��rs
'' �o cc�f'rS oNc•e e
• f •6 4v,
•X w \-\ ' p.0Q I TS J,°'`.1,0Q0 1'�' s' t�ti R
�'�QN '9R CA Y 7 40'
1
vo .‘
QC
„-
25' `,. 0 7.3 40'
R 7.6 40'
N84'56'02"W / kf
`� 4
101.02 S�eq
e 0'
EMA FLOOD LINE --- - ,SOLDVW NE
l9ss3 4•-3
T
4 0T :IPS
<447Z 80
POOL MUST BE ass•
25' FROM WELL s,�I,>'ik So,
eR