WV0800314_Application_20220912

Aqua Well Drilling
1706 Kennedy Road Wilmington, NC 28409
910-395-1987 Aqua [e-mail]
E-mail
TO: Geoff Kegley FROM:GaryJones
E-MAIL [e-mail] PAGES. 0')
PHONE: DATE: G y - /a - off, a
RE: Variance CC: [Name]
Urgent
❑ For review 0 Please 6 Please reply ❑ Please
comment recycle
Comments: includes coverage sheet - Variance Applications
Thanks
Gary

V Rn-CEAY LC .'::O[2 n J n5'ea C :oN STANDARDS:
DATE. 9- //
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Win-1145-1989

REASON FOR VARIANCE REQUEST —Include type of well
heing wwes:aD description of how the alternate cantructou rreill nd;
q and reason why eons:mot on and/or aperabon in acwzdaurccc wit
and/orpmv'des equal or better protection of the groandwamr.
rOA %szeea.ip
4 rule for whin
uman health and
da ds is not techtucelre feasi d
ATTACHMENTS— Provide he following baormaOon as atwehmens to this appGemvm=
A map 'bowing glSIOrsti location C thc pioadali Laingdnanten NC State ROOS. _sOsOsIber, di stances. any
boy lanchwts etc) sufficient fortinding the well location.
Detailed site map with scale showing location of proposed well relevant fo septic systen(c} buildSg
foundations. propely bias water bo ies, poteatlal sauces of contmnlnarrouo r wm0;etc.
and (Sapp
Anv other
nfatelocel wall to the vana�'oe request sad asua wul map on [ru aion d]asr
key jUmmaowatronxlovnnem, wrlanw hotssad asawWl wuspuedov dme}am snowing pfoposed
crdllim,re cal co_.wccon uatensis/maehods.
SIGNA'TERF(S)
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hkfor Woe Comtudron
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Sigustu of County Evnronmenml Health
Prints _p FNf Name sort de of moray dwuwmennd Health SaHyee
Per 1i1 NCAC 02C'. 0118 No Secretor) o/NeDNision of Water Resold ces or the a oison of Public Health rury rsgelre.
s than c[oftnlrmatton deemed necessary m make a dennon on the vanonce tam; impose con&(torts as part f1he
dean d ska11 respond In If nil m the request wAM 90 dove lrecelpr of he rcrianc .mgnesi. A vanenee
apY1 H ryssslnfid wah (he dvvtaimt of the Director sorry evmnencaacanles(edc b /':nyape!iNan ar
GWd2! Vasa Riquoet Pon.%m. H+10i y ryaoe 2/

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