HomeMy WebLinkAboutWELL-11-10-13054.TIF N3 • CATAWBA COUNTY Case # WELL -11 -10 -13054
d �� E nv Health • Public Health Department Subdivision
ir onmental D ivisi on
v e '< PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # 2
/8, sM PIN# 368901251608
Applicant/Owner EDWARD GABBERT
Site Address: 5140 E BANDYS CROSS RD, Catawba, NC
Property Size: SF 4.03 ACRES
Directions: 10E/ BUFFALO SHOALS RD/ LEFT BANDYS HIGH SCHOOL RD/ LEFT E BANDYS CROSSROADS
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
INSPECTIONS
INSPECTION# COMPLETED INSPECTION TYPE STATUS INSPECTOR
INSP- 102538 01/07/2011 EH Well Grouting Annroved Robbie Phelps
INSP - 102539 01/07/2011 EH Well Head Approved Robbie Phelps
INSP- 102541 02/01/2011 EH Well Certificate of Completion Approved Robbie Phelps
INSP- 102542 02/01/2011 EH Well Record Received Approved EH Admin
Whisnant Well Service 01/04/2011
WELL DRILLER DATE DRILLED
Well permits are valid for 5 years from the date of issuance and are subject to suspension and/or revocation fro non - compliance with
appropriate state and local rules and regulations, or if false information was given in order to obtain a permit. Wells shall be constructed
in accordance with all state and local regulations and rules. The Well Completion Report must be submitted to the Health Department
within 30 days upon completion of a well.
Robbie Phelps 2/1/2011
AUTHORIZED STATE AGENT APPROVAL DATE
02/01/2011 15:12
000-000-00000 page 1
FEB 01,2011 10:38A WHISI1ANT WELL SERVICE
'..!:‘... r• Hi.L.
—...
- ,
in, ti,-.::-. ' , 1").,.] I Y.,■.,.•, ..,(,) :..; .
2,„. " . „: , )74 ; ,i 7 ,) I ,' : .'. ,.
.1(L,S ID EN I 1.4.1 cklc,,r4ots kt () au
It IlfA', -
N,.„1, , .1r, ,I mg I Atitmitermt ot I m intntrem1 Ant) NItsturn.1 TY.t... 1 ttf \A• At t't 'tt tit!
. t\l, ' /:•/
lt --.' ' I ' ),:."•••7:ttI) . -,- .
IA 1 ( ON 112ACT()R (. ER I IFICATION Yr •-• -
.. .
1
LL cSZLITIAL Y0,1 J ii. WATER ZOM W
ES ep
.( thl
. .:._42..h (-.• ..-.'.- - ________ ....
i .
kr a 10.-1)) Name Top.
for Bettorn......
op . - T.lotv _ ..
)00 11 at
f ')
I op
llottp4n
) 1..,-)eiy 7:-.-.)(720( V -.L---- 1 ' -C , ._ Etottom .. _. 700
I e V 104 ("ortrac.ler t.:,:drotatt4 (Joint,
I hickrouttut/
,,, ) ,
.....1.. '' (c-. 1 7 CASING. llopm .. 0 lefrmme.• W
A. g arysen WyYterhol r .....
/enst ..
r up I___ hertom_ 7 !' - .
41
,/ ... .,_,.. ! , - • .. . 6.0c,o.„._. . r
,
..
(..ly e)r I own / 0 .51all /10 Code
j • , -./., ,,. c ,.. ,, - ) ,... ''' TN) . . I:M(0M ...... El ...
„ ,, . s, _.) ,1 .,' .. ..) .› •,
.-.
Arta rJr(14! 14K.Kie r14irntx.1
• ti (.;PC)t.) 4 1.1 DODU1 ,. ...444)If! , 1“1 CArIlwe
L IOMATIOM
i -, i•-•
WELL 44 . tic:01nm k-/ 11 (..___ . • `ii t
t
r oc,) (2 „).__ _ail c
_
Cli'iNS I 'III. il 44 .k. MI 00 - - -
('- /1...1 )- 2.-... '7 - I t:o r
t;r1 Aj P I I i. 11.14/A1111m uca.i6-argo I op . :- P -
.._ _....
SITE vv't 1 i ii) sif .01.1,..ci,
---- .• .. - - ... 9 SCREEM• O o p t l 0 iernow i;lot Sit. m3tenai
3 WELL uSt i (..i WC* r WOR I k).ki Fni5oclerilial vvter Suppir l I lop ..... Bonviit ....._ -1
.. .. tiortoet
11ATF t 301 t 1) / V /1
' op . _. . orog,
' 'Mt '.1,)0.4 e
.■ I- .' ' ' /C2 tsb.,,,..„„..
la SAMO/GRAVEL PACK.
4 %NELL ler A ?ON / 1 .^% i
i .
0 **Pilh Slim Stsbparl
' ' t t 1 ' !' . c .
im iwtirwri , 1
- '' w --.
7, _ __Bit/tont .._ ).1
S
..---. 77 4(..- °-° '6 .
:IVWe. NIV:;;r t ■• .- . •,,Lf.,,,,, ty - ....,1 ...K.' . I..e.rr .......P(Ctl :.c. (.• Tco ._..., Hrtftcyll t I
■• ■,/.7 4,444_ : , A Nl `..1 i 1 ON •., .. ■••••4:1. •p.pt...0 tr '
11 DRII I.ING t OG
!Sinew; ■ !vtitlr. ,flal I Pop. ; ,C7Ther. -- .-
- Top 144)11e811 ; -, ) ,- 0.1..1 I 4-
IA1'111.101 " ' VA( S OR 3 X..0.X.Xxx. 1 c3Ot DO
.....
..--• •...._.. ..._ .. _ . . .
-- (aka.; ()R r JUOLX X )1:1( X X D .
r: ,/__ . __. _ _._. — . .....-.-
t ■ rattoti::: ! 1 ',I l ', : IT opov3prtic rtylp .... / .-- ......
.....
c104.rfilorl a,....oi -num ,!k• .014 II., ,q'i .1 l; IWO fr,..;ip Ark7.01foctle..i (0 • ..._...._. .. ....... ., .. ...-. ._....... ... ------.
frrf 11.1in 4 ' ,J. cli
. -.- ... . ..
Z.
' .
-- •
5 WELL ilfirrit-.R ( /
........ —• __. .. __ --- • • •- •
d 1-(01 ..j( .._.i
i - --- _
Yofir4 Nilf110, C — - '- . • •
_ ..- i
2.: 13c(ik3 ._.... '
lq_
. . ___.. .. . .. ...,. .... _
y.
_ ......
.. .. .
_.. .. _ ... .. ..._. --- .
. -.- -- - . . ._ .
--- . ... .. _.....
-
,,ity et' 4 0%72
5tale >4.)CnKik, i
1 ,I,l, ___ _._.. .__ . ..... _..
...._ . .. . _. ...
ATiea a
11 RCN1
6. WE i. L OE 1 AILS
f ) C
e. TOTAL tlEPT}1 1 1 a ._)
b i-X)ES WEIL REPt.ACE LXI5T1140 WELL? 'IFS, 'i3• / ....7
1 DO HElitaf HI RTIF"r T 11AT I 11I5 WI ! 1 wk.: I. ( )Ni ; rkt).1t. I r C., ty,
/
c WATER LEVTI i14:1nw 1 0c.) of !--.. A CCOROANCi, WiTH 15A NCA(". 24.. vvI i ,• , 0, 1: 0 ,11:fli( I ;1 IN
C T / _
a ql„„,,,.. l',,p ,..f (":15 Si Artr); ANC) 41 A (Pi hit': Ly! l't ■Rit l tto i •••;
1 c"Iihr I+ ./..• .---,
,
n TOP Dr CASING it: . / _. ;•• I Above t,..yrn7 :.*.ttItyce' .., t •'"'") -.) , Y" . ' '
' lop ol c..te:tel'4 N .11/01 belev. land surta . fenalor
4 vignAnn:, ,,, iti , f3 3 r wrlh 'ISA NCA(' 2C 1 •I ii
4,37
3 YIELi3 (gprell / r) itf, TH Of TF• - ■1-.!.. L StC;ti,A4Ft - 4 eETiiiriEfflivFli , :.".f.wi 1 HA: • I
..ii...1./
. .._ _ ■Al
l U1,1.10if EC nON. I Vile 47..-..-------nr. cl ‘ ' 1'; (\i,.‘:,'
6e...,--71 ) i
...._-
Qr..) rrn •.,4,..4r Lir rr:F !...I. I i•fi 1' , IN! • 11 41 ■,•',/, I I ...
Submit within 30 days of completion to: • ision of Water Quality - infomlation Processing,
, ,..,(■!,
1617 titAil Service Center Raleigh, NC 27699-161. Phone : (919)8.3j
•
MAR 10,2011 01:07P WHISNANT WELL SERVICE 000 - 000 -00000 page 1
rte\
RESIDENTIAL wEl.l. CONSI NUC RE( .u1(I)
d • � . � , ' „,rnh t .troina IN;pnrtmrnt I■f 1'.nvirontntnt anti NaturB] tt1, lure:.- Uwr,wn of W 1 ualu
L
wY :l.t. (ON ERA( CIKR IFI('n'1'1ON # L.30 j -
/ 7 /
1 . ..1. CONTRACT()it f g. WATER ZONES (depri1
AO-SC L _' e)J1. k Top R Ononl I uv Lwnt, n
/ Wetl recto/ I b. }ivrtltadtyNenw
l / .! S. i 1 < / �, � / .3 t' , e/ C - LAC --
1 up r° ° Hnna,, T Kr rwnl>nr
I op bottom f n .... Uuoom
1 :rum. (• rmp / y IJ�nr - ...__. ..
lrt;I 1 hs - '- i !' 7 C.�B►11G: Dap(9r D/xr+Mw Wsipf+4 wtoAw!
h � / y �(� L�
Top__ / tsonm, ,S Ft 4 r� / )fi /p (24 �. S .. ( — Tof Fxtvn t 1 /
h cool__ /�. 3k+M 71p tads — —
. -
T UOnom r:1
ATLa rite Phone number
_. _...
ti GROUT I )er7m ■:11cr 1 i I 14 et1Ktd
7 WEI L INFOR A1IOut
W I 1.1 r'. I • !p_IN 19_kMIi2
• - Tat __ �tGntxll N
1TrIFIr ti5.�1.1, ,IA (11• kktfif ,,
(e „�,AN.l _ _ To11 —... eutigm — f r
S7TE w1 1.1 In sot ....‘
.. ••• • • -- - 9 SCREEN' Depth 0L•motor Std 512.• M•tort•I
J. WELL USE r Apo/ ,atu ,t� r trnloenbal Water
�DPIY 1.1 r__ &an
ro F I
I IAI i11tt11! i. ._ ___ I .. r,.
. .....
1 IIt) _ f)uilOnl 1 1 If : rl'
' •M` ' . I )MI'11 f•I % I !.J , f ' M ' OU_. . Wlf1Am ■ I rn III _ ..
4 WELL t•oGA�(lie 10 SAMDIGRA �FAGK
1
Ca... (,410a.. t .1 , 11N f Y 6.✓ G C 1 Site KMrrisl
• l i
- :/:?4,1a 4 _= �� ]J /��1 f . . f I uv Fk i t
c.RM Nang ,irrnrl,r.rt -. .-.. • - -....
rn n..r, � ,., I - .-...
h nctarrrxr ld No _ 1 '•,rr� . 7r p C - ---
S t op udlom i t
1( ...).-' . • k'ti2A1'!tu • ( AN!) , ;-1 t t IN■ . '•r+ct..t,on O
vow..c ut; .__ .
c :lc,pc , !V;,ty.. . I I;tl k,tlgr. , iOther 11 t)NI(I 11 tO(�
1 nI fi11>I • Ir. _. — . .. — . Top floton, " +
- f)NSOR 3x•XXXZXXXtX wln,Iht�t77(,txwr
I?NCarT 1 ' ,
.. UMti OR 7 X.Xxxx xxxx 00 I -
1 atlllldr?Jiur,ym , ne s <wnI.tr I F;f 'i 1. ff o°oOrepnrc nwp •- ..__ / - . .._ - -.. ..--- .-- .. -.. —_ -- /
(Aocation of wei m,,.V De 3/k.wrr cn u USGS Wpo map a/x1a(teched (u I - -. _.
S W€Ll OWN -
r zdkicia
,...AVk'!t Name .. _ —. .. .. _._. ..
/�,' _.
_..- -/_ - S C 4 ,rte - . -
-.
SItte
CIU (:one
_a r•,M __ • ......
ti WELL OE TN1.5 1 7 Rf MARK
• rOTAL DF.PTN 7/r,.._ 1
• DOES WEl t. Rf_PLAcE EA1ST1NG• WELu7 YFS I r N4)
I DO HF,RF:. ®Y (:FRTIFY THAI I Hi$ WE WAS ci xv'1ku(; TF[) IN
r. WATER LEVEL It.rkrw 1 r:ro of l:anioy S r I ACCORDANCE WITi 15A N( :A(; 2( WEI 1 (c.> 1J( - tnrHN
rim. • rr ;J - ..hre Ir of ('.a.U,p) SIANDA.1 -/DS. A '0 TELKI
Al,l.)T'Y i)f'71 ii.: ,r V.1 f1F f'N
q PUP LH (.Stet; iS
P Of o f (} 1. 'WF I I r 1WNF t..
I
Tot) ul Idw■y IHrnlnra A U W l�R/rtrrr AOOvC l.arr.f Surtax'
.. vdn,slv.r In ..c :1 -,w Atw.er with 15A NCA 2C surface 01 1H r,zgt,.nr illy - �
/ f O CFRT1FlF(1 WFi i , Wlftn( t 44 tIAIE
e YIELD Egpml A,2 . IA/FT 00 OF TFST f
I IJISINfEI;;TI()N fryu � __ Z l s .tir,"�
_,�!_.... Amount
-•- 66114 NAME OC DFIttii1N 7 'r.N',Ileut, f INK; II II Vyf I I
Submit within 30 day. completGr9D46 of Water Qual' - In(
nter Ralel h °� "�^ PfOCOf�'tir►g, 1 / e t',w I•
1611 MALI Service (
� �►1C 27098 16t, Piwne : (9i9) 607300 l+cr 2./1.19