HomeMy WebLinkAboutWELL-4-11-17253.TIF � CATAWBA COUNTY Case # WELL-4-11-17253
Public Health Department
Q ,y, Subdivision CRESCENT LAND AND TIA
.� Environmental Health Division
''�' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot # 74
�8 5� P�N# 460717106898
Applicant/Owner JORDAN COOK
Site Address: 4255 BARBRICK ST, Shenills Ford, NC
Property Size: SF 0.79 ACRES
Directions: HIGHWAY 16 S- TURN LEFT ONTO HIGHWAY 150 - TURN LEFT ONTO LITTLE MOUNTAIN RD - TURN LEFT
ONTO STATIC WAY - TURN LEFT ONTO BARBRICK ST - HOUSE ON WGHT
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 - MIN. 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 04/21/2011
ISSUED BY PERMIT ISSUANCE
04/21/11 11:13
�y,A
Case # EHPR-4-11-10466
�Q" �, CATAWBA COiTNTY Subdivision
� Public Health Department Section/Bl/Ph/Lot#
V Q'"4' Environmental Health Division p�#
18 2 S�, PO Box 389, 100A Southwest Blvd, Newton NC 28658
(828)465-8270 Fax (828)465-8276 TDD (828)465-8200
A licant/Owner Jordan Cook
Site Address: 4255 Barbrick St Sherrill's Ford NC
Pro e Size:
Directions:
Improvement Permit ❑ Authorization to Construct ❑ Well Permit �
SITE PLAN
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System components represent approximate contours onty. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not
install system under et conditions. Thi ermit is subject to revocation if the site plan or site conditions are altered.
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