HomeMy WebLinkAboutWELL-4-11-16900.TIF �g CATAWBA COUNTY Case # WELL-4-11-16900
� � Public Health Department Subdivision
y Environmental Health Division
v �� "� PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
SM P�1# 460803243402
Appiicant/Owner �MBERLY C DAVIES
Site Address: 2864 MT PLEASANT RD, Sherrills Ford, NC
Property Size: SF 0.99 ACRES
Directions: HEAD EAST ON HWY 150- MAKE LEFT ON LITTLE MOUNTAIN RD-MAKE RIGHT AT BLINKING LIGHT (MT
PLEASANT RD) HOUSE TS APPROX 2 MILES ON RIGHT
WELL PERMIT
WATER SUPPLY: Individual Well
SETBACKS:
1. BUILDNG FOUNDATIONS 25 FT.
2. EXISTING & PROPOSED SEPTIC SYSTEMS - MIN.50 FT.
3. EXISTING & PROPOSED SEPTIC REPAIR AREA - M1N. 50 FT.
4. SEWAGE PUMP SUPPLY LINE 50 FT.
5. UNDERGROUND STORAGE TANKS 100 FT.
6. STREAMSBROOKS/CREEKS 50 FT.
7. LAKES/PONDS RESERVOIRS 50 FT.
ALL OTHER POSSIBLE SOURCES OF GROUND WATER CONTAMINATION 100 FT.
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: Minimum 20 Feet
Casing Height: 12" Above Land Surface
SEE SITE PLAN FOR PERMITTED WELL LOCATION
All newly constructed private drinking water wells in North Carolina are
required to be sampled in accordance with
15A NCAC 18A .3800 (Rules Regarding Private Drinking Water Well Testing).
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.
Jason Boyd 04/12/2011
ISSUED BY PERMIT ISSUANCE
04/13/ll 09:45
��' 'O Case# Wt�.i'�{-/l�9Cp
� �,� CATAWBA COUNTY Subdivision
� � � � � Public Health Department Section/Bl/Ph/Lot#
V,,� w��• `'C Environmental Health Division PIN#
1g42 sM PO Box 389, IOOA Southwest Blvd, Newton NC 28658
(828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
A licant/Owner
Site Address:
Pro ert Size:
Directions:
Improvement Permit ❑ Authorization to Construct ❑ Well Permit �
SITE PLAN
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System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not
install system under wet conditions. This permit is subject ro revocation if the site plan or site conditions are altered.
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AUTHORIZED TA"EAGENT DATG
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