GW1--03746_Well Construction - GW1_20240621

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Permit: 404030 Currltuck rvww,ache-nc.oT
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PIN: 087,K19001909Q' All{MAR&FftnrWNALHMI t+SenvFca
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PERMIT TO CONSTRUCT PRIVATt
DRINKING WATER WELL . `
Owner: Applicant:
Mark Handel Mark Handel
480 Beauregard Dr 460 Beauregard Dr • •
• • Chesapeake,VA 23322 ' • • - Chesapeake,VA 2332.2 lavr `
Location: O
/ 2337 False
fCappe Rd
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'"The well pump must be Installed by a Licensed Weil Driller,a licensed pump installer Level C or D, • .•,...% ,n ,,,
or a Licensed Plumber with approved education within the last 2 years on pump installation and well _ .
disinfection.Only a Licensed Electrician or Licensed Well Driller can wire the Pump" •• SHALI,MAINTAIN 25F7+FROM BUILDING PERIMETER -
_ SHALL MAINTAIN SOFT+FROM ANY PART OF SEPTIC/REPAIR AREA -
MUST BE INSTALLED BY CERTIFIED WELL CONTRACTOR . . ',
• PERMIT MUST BE ON-SITE DURING ALL PARTS OF THE INSTALLATION •
CALL AT LEAST 1 BUSINESS DAY PRIOR TO GROUT AND WELLHEAD INSPECTION .
• "WELL AND PUMP SUPPLY MUST BE PROPERLY DISINFECTED FOR AT LEAST 24HRS PRIOR TO tUSE`" .
•
Permit By: /r ek;1 • Dab; 12/20/2023
. Melton,Tucker ,
Certification Cy: 1
. Date:
. Construction has been completed, a Residential Well Construction Record Form OW-la has been '
. submitted and Inspections have been completed in accordance with 15A NCAC 02C.0300.

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+ ROY COOPER • Governor
,
,0 \1, NC DEPARTMENT OF
KODY H. KINSLEY • Secretary
•
HEALTH AND
' . HUMAN SERVICES HELEN WOLSTENHOLME • Interim Deputy Secretary for Health
44111%
w , / MARK T. BENTON •Assistant Secretary for Public Health
Division of Public Health
Onsite Water Protection Branch
February 13,2024
Mark Hendel
460 Beauregard Dr.
Chesapeake,VA 23322
RE: Approval No.WWM1789
Well Cased to Less Than 20 Feet—Rule 15A NCAC 2C.0116
2337 False Cape Rd.,Corolla,NC 27927
On February 12,2024,the On-site Water Protection Section received your request to approve construction of a
private drinking water well ob aining water from a depth less than 20 feet in an area not covered by 15A NCAC 02C
.0116(b). The approval request is for the construction of one(1)water supply well at 2337 False Cape Rd.,Corolla,
NC. In your request,you indicated that due to the inability to obtain potable water at deeper depths,a shallow well
was the most reasonable option at this property.
Based upon available information provided by Albemarle Regional Health Services staff,you are approved to
construct a well obtaining water from a depth less than 20 feet below land surface,in conformity with the
requirements of 15A NCAC 02C.0116(c)(3),that will serve the above referenced site. A copy of this approval
should be attached to the required Well Construction Record(GW-1)as well as the county well permit at such time
that it is issued. Furthermore,it is strongly recommended that you sample your well annually for
bacteriological contamination,as shallow wells can be more susceptible to bacteria.
The approval of this variance does not affect any of the other requirements or limitations of the Well Construction
Standards,including but not limited to the requirements in 15A NCAC 2C.0113(b)to repair or to abandon any well
which acts as a source or channel for the migration of contamination or to your responsibility to comply with any
other applicable Federal,State,or local laws or regulations.
The granting of this approval is for the well location only,and in no way relieves the owner or agent from other
requirements of the North Carolina Well Construction Standards,or any other applicable law,rule,or regulation that
may be regulated by other agencies,nor does it imply sufficient water quality.
If you have any questions regarding this variance,please contact Wilson Mize at(919)-270-9665
Sincerely,
Wilson Mize R.E.H.S.
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH
LOCATION:5605 Six Forks Road,Raleigh,NC 27609
MAILING ADDRESS:1642 Mail Service Center,Raleigh,NC 27699-1642
www.ncdhhs.gov • TEL:[phone] • FAX:[phone]
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER