NC0382536_Mintz Academy_20210615

Roy COOPER
Governor
JOHN NI C , QLSON
Interim Secretary
S..DANIEL SMITH NORTH CAROLINA
Director Ey v*onitiental Quality
Preliminary Well Site Approval Letter.
June 15, 2021
Mr. Jim Workman.
Mintz Christian Academy
2761 Mintz Road
Roseboro, NC 28382
Re:
Dear Mr. Workman:
Preliminary Well Site Approval
Mintz Christian Academy
NC0382536
On May.3, 2021,1 met with Ron Cannady and Ronald Cannady of Cannady Brothers Well
Drilling.and conducted a preliminary investigation of the proposed well site listed'below
and shown on=the attached drawings provided by Cannady Brothers Well Drilling. The
proposed well has been assigned a Water System Facility (WSF) Identification Number and
Sampling Point Code as indicated below.
WSF ID
Sampling.
Description of Well- Site
Preliminary Latitude and
No:
'Point Code
'
Longitude
W03
RW3
Approx. '1700feet north east of
34.89530,-78.47137
the intersection: of Old Mintz
Highway and Mintz Road
This letter is provided by Public Water Supply (PWS) Section, in accordance with
rule .0305(b) of the Rules Governing. Public Water Systems (15A NCAC 18 C), to provide
permissiori to drill a well at the listed site. in order to establish water quality and quantity
and suitability of the well as a source for a public water system..
In addition, this "preliminary well site approval' is to acknowledge that according to the
information and documentation provided, we understand that the proposed well is located
on a lot so that the area within 100 feet of the well is owned or controlled by the person
supplying the water and that the supplier of water will protect the well lot from potential'
sources of pollution and construct landscape features for drainage and diversion of
pollution as required. in rule,.0203 (1). In addition, we understand that you have.
determined that the proposed well location satisfies the minimum horizontal separation
distances specified in rule .0203 (2) and summarized in the following table:
■_-V d
Uepaitramt al f,TvimnmcVat �oFY�
North Carolina Department of Environmental Quality I Division of Water Resources
Fayetteville Regional Office 1 225 Green Street, Suite 7141 Fayetteville; North Carolina 28301
910.433.3300

Distance (in
Potential Source of Pollution
feet
100
• From any sanitary sewage`disposal system, sewer, or sewer pipe (unless sewer is
constructed of water mainmaterials. and joints, in which the sewer pipe shall be -
at least 50 feet from the well.
• From buildings,. mobile homes permanent structures, animal houses or lots,
- - - — - - -----cultivated=areas-to=which
" chemicals -are -applied--
• From. surface, water...
• From a chemical or petroleum fuel underground storage tank with secondary
containment
• From any other potential source of pollution not listed in this table.
200
• From a subsurface sanitary sewage treatment and disposal system designed for
3,000 or more gallons of wastewater a day, unless your well water source isa
confined aquifer.
360
• -From any cemetery or burial ground.
500
• From a septage disposal site.
• From.a chemical or petroleum fuel- underground storage tank without "secondary
"
containment
• From the boundary of a ground water contamination area.
• From a sanitary landfill or non -permitted non -hazardous solid waste disposal
site.
1,000
• From a hazardous waste disposal site or in any location which conflicts with the ,
North Carolina Hazardous Waste Management Rules cited in NCAC 13A.
Vlle also understand that the owner.will ensure that the lot.is graded or sloped so that
surface water, is diverted away from the wellhead and the weld shall not have greater than a
1 percent chance of flooding in accordance with 15A NCAC 18C .0203(a)(4).
PWS Section "Authorization to Construct" and "Final Approval"
Subsequent to well drilling and evaluating water quality and quantity (e.g., collecting and
analyzing samples and performinga 24-hour well drawdown test) the owner must submit
an `.`Application for Approval of Engineering Plans and Specifications For Water Supply
Systems" to document proposed well completion" (e.g., selected pump, wellhead and well
house details) and associated transmission lines, treatment and/or storage facilities and
other critical information about the public water system. In accordance with rule .0305(a).
no construction shall.be undertaken until the PWS Section issues an "Authorization to
Construct" letter. In addition, in accordance with .0309(a) the new well and all associated
treatment, storage or transmission/distributions lines shall not be placed into service until
the P.WS Section has 'issued a "Final Approval." These steps are described in the
Engineering Planning and Development Guidance Document available at T ^^ n
Be aware that plans, specifications and reports for the new well must be certified by a
Professional Engineer. Therefore, it is recommended that a Professional Engineer or
Licensed Geologist (or their designated representative) experienced in the construction of
water supply wells, conduct on -site monitoring of well construction. At a minimum, certain
critical phases of well construction such as installation and grouting of casing should be
c` North Carolina Department of Environmental Quality i Dhislon of Water Resources
,lJ Fayetteville Regional Office 1 225 Green Street, Suite 7141 Fayetteville, North Carolina 28301
nrsTt+amr�ia �' y "
91OA33:3300

monitored. In many situations it may be necessary to go beyond the minimum
requirements in order to. protect the public health and ground water resources.
Other Agency Approvals -Required
-- --T_his-P-VUS.S.ectio pr-ejjminar-y-w-elLsite_approval.letter_does:not_addres.s_otl-er_agency -
applicable rules and requirements pertaining,to well construction=and registration.
Local county well construction rules and ordinances may include additional requirements.
Well construction must meet the standards specified in the Well Construction Standards
(15A NCAC 2C).. Be awarcthat these rules -require a permit to be obtained from the Water
Quality Regional Operations Section of the Division -Of Water Resources before the well is
constructed, if it is anticipated that the new well will be part'of a water system with a design
capacity of:1.00,000 gallons per day or greater: 1h.addition, these rules require: that wells
be'constructed by a properly certified well driller.. For more information contact the Water
Quality Regional Operations Section. at919-807-630O:.or
hUps./Ideq.ne.gov/about/divisions/water-resources/Water-resources-
bermits/Wastewater-branch/ground-water_protection/well-program.
Sincerely,
John H. "Larch III, MPA, PE
Assistant Regional Engineer
Fayetteville 'Regional Office
Cc: Central Files, Public Water Supply Section
Heidi Lane Cox, Regional Engineering Supervisor
Sampson. County Health Department -Environmental Health
Tre ,,upe
Cannady Brothers Well .Drilling,-1366 Bass Lake Road, Roseboro, NC 28382
Scott Owen, System Operator in Responsible Charge (ORC), Town Hall,100
Methodist Drive, Salemburg, NC 28385
North Carolina Department of Environmental Quality I Division of Water Resources
Fayetteville Regional Office 1 225 Green Street, Suite 714 1. Fayetteville, North Carolina 28301
h^..TN CAStOUN4. '- 4 .
� o+Eawouurenatcrosute 91O t33.3300

i
NORTH CAROLINA
I. Jimmy F. Cain. a Professional Land Surveyor, certify that this
map was drawn under my supervision from an actual survey made
under my supervision, deed and description remrded inDeed
Book 1639 Page 428 of the Sampson County Registry, and that
the ratio of precislon as calculated by latitudes and departures Is 1
/ 10.000+ that the boundaries not surveyed are shown as broken
lines plotted from information found in boel¢ referenced. that 11-
map was prepared in accordance with G.S. 47-30 as amended.
-Witness my. hand and seal this 1st day of April. A.D. 2021.
F.
N
NOTES:
(1) PIN#09910147308
(2) Deed Reference: Deed
look 1639 Page 428
j
r•+
`
l
NCGS Gnd North
(3) Bearing Basis: NCGS G
North
8
NAD 83 (2011)
Found
(4) Elevation Basis: NAV0.
No NCGS Monuments
E Iron Stake
(5) .
thin 2000'
gown
d`
-
(6) The Iocallon of utilities s
evidence of above grou
hereon are from observed
C appurtenances only. The surveyor
`
vnt. not provided vAlh u
elgrouM plans or surface ground
S
�Z6E
N5ti gZg1
markings to delertnine 1
(7) Flood Zone: X .
FIRM #3720144000J'
Effective date: 01/052
e location of any subterranean uses.
I
j
7
Found
(8) All distances are horizoqq
(9) No file provided. Subject}o
(10) Surveyed from existing comers.
(11) Ovmership shown was ta.Len
1.
all easements of record.
from the Sampson County GIS.
hon Stake
(12) Thisoffice does not duo
mea or cenily Thal tha property
shown Is adequate for Ir
(13) Plat may be subject lb ri
I pendent sewer systems.
t, iew.
NGwvG
Os��0�y0.
OF Retie
Spike
'— in Power
Po e
PPower Benchmark
\ _ 127.38'
i \ Pala INSET
-i
on \
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0 5
%
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i
Found
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F V'09
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. GNJRC',b3 o t,�oe
o ��N�20PAN51 Oae Q�p�o
/ MONS
IIAO o p4papo0006
FINAL MAP P1N q0
For Review Purposes Only
Cain Surveying, P.C.
License No.. C-4491
6333 N.C. Highway#242 South
Bladenboro. N.C. 28320
(910) 6484509 Office
I (910) 648<389 F.
jmmyQcainsurvaying.oam
Found `
Iron Stake r
01 NI TZ BAPTIST CHURCH
OFiROSEBORO, NC INC
Deets Book 1639 Page 428
TOwrsNp: Zaniele
County Made.
i tate: Date: 04nwol
I NorthCarolina
E Scale: !, yawn y: 4.a col
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