HomeMy WebLinkAboutWELL-2-10-4560.TIF
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~A CATAWBA COUNTY Case # EHPR-10-09-2218
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Public Health Department Subdivision Sherwood Shores
Environmental Health Division Section/Bl/Ph/Lot# 11
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 4619-02-77-8832
1$ Z SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 45wo
Applicant/Owner Walter Conine
Site Address: 8772 Popular Lane, Sherrills Ford, NC
Property Size: 0.759 acres
Directions:
WELL PERMIT
Proposed use: Private ® Public ❑ Semi-Public ❑ Other
GROUTING DEPTH: MINIMUM 20 FEET
SETBACKS:
1. BUILDING FOUNDATIONS 25 FT. 5. UNDERGROUND STORAGE TANKS 100 FT.
2. EXISTING & PROPOSED SEPTIC SYSTEMS MIN. 50 FT. 6. STREAMSBROOKS/CREEKS 50 FT.
3. EXISTING & PROPOSED SEPTIC REPAIR AREA MIN. 50 FT. 7. LAKES/PONDS RESERVOIRS 50 FT
4. SEWAGE PUMP SUPPLY LINE 50 FT.
ALL OTHER POSSIBLE SOURCES OF GROUND WATER CONTAMINATION 100 FT.
The well driller must verify all separations are adhered to before drilling the well.
If the well driller is unable to maintain any of the above separations, contact the Health Department at (828) 465-8270 before drilling the well.
SEE SITE PL N F 7ITTED WELL LOCATION
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ISSUED PERMIT ISSU NC DATE
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CUSTOMER SIGNATURE DATE
WELL INSPECTION:
GROUTED DEPTH: 20' ❑ DATE: INITIALS:
APPROVED CASING: PVC ❑ STEEL ❑ DATE: INITIALS:
CASING HEIGHT 12' ABOVE LAND SURFACE ❑ DATE: INITIALS:
WELL COMPLETION REPORT RECEIVED ❑ DATE: INITIALS:
WELL HEAD APPROVED ❑ DATE: INITIALS:
WATER SAMPLES TAKEN: BAD IO ❑ N/N ❑ DATE: INITIALS:
WELL DRILLER DATE DRILLED
Well permits are valid for 5 years from the date of issuance and are subject to suspension and/or revocation for 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.
CERTIFICATE OF COMPLETION
AUTHORIZED STATE AGENT APPROVAL DATE
Additional Permit Conditions for the Improvement Permit
And Authorization to Construct the Wastewater System
Walter Conine Residence - 8772 Popular Ln. Sherrills Ford, NC
Catawba County Case #EHPR-10-09-2218
1. This system is designed to serve a 2-bedroom single family residence only with
a daily design flow of 240 gallons per day. All construction and system
component installation shall be in accordance with plans approved by NCDENR,
DEH on January 26, 2010 prepared by Piedmont Design Associates, PA, dated
December 28, 2009, and referenced as attached.
2. The septic system contractor shall be required to lay out the entire system and
schedule a pre-construction conference with a representative of Catawba County
Environmental Health on site prior to initiating construction of the system.
Installation Contractor shall be certified at a minimum Level 4.
3. All prefabricated concrete pump tanks shall be leak tested and approved prior to
installation of pump system components. Pre-approved and specified plastic tanks
are exempt from this requirement.
4. All components of the system shall be installed in accordance with design
engineer and manufacturer's specifications and shall be demonstrated as properly
functioning prior to approval.
5. The design engineer shall be present at construction as sufficient to verify that the
installation has been completed in accordance with all plans and design
specifications.
6. A complete set of "as built" diagrams, certified by the design engineer, shall be
submitted to Catawba County Environmental Health upon completion of
installation and prior to final approvals.
7. Final landscaping of the nitrification fields shall be performed by placement of
approved soil cover over the entire field, slightly mounded in the center, and
gently sloped to the sides to shed surface water from the field. Seed and straw
shall be applied to the finished surface and appropriately maintained.
8. Pressure head at headworks shall be maintained as per drip system manufacturer's
specifications.
9. The system is categorized as a Type V. A contract with a certified subsurface
system operator, signed by all required parties shall be submitted to Catawba
County Environmental Health upon completion of installation and prior to final
approvals. Required ORC inspection frequency is twice yearly.
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