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Home My WebLink AboutWELL-04-2018-098519.TIF 44N1. a CATAWBA COUNTY Case N .Q'is ) Public Health Department Subdivision yyy< � api,; L; Environmental Health Division FINN 269803100097 K\�� Lop, Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO , i2 w NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041 Site Address: 3301 LEDFORD RD,VALE NC 28168 Property Size: Square Feet:3,962,217.60 Acres:90.96 Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd Owner/Authorized Representative Acknowledgement of Permit Receipt I certify'that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. irpti As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service R13PR-03-2018-28666, by the following method(s): _Received in Person _ Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific conditions M/1--- the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems (I5A NCAC 18A,1900), and/or Well Construction Standards(I5A NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 04/20/2018 / p / Owner/Authorized RepresentativeJSignature a r Date !/ 2, S/ i S Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yotPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService clipcmiit 04/20/2018 09:26 ytiA CATAWBA COUNTY E �i l ■ Case# WELL-04-2018-098519 r .f• • Public Heatth Department "1� -41.4.• Subdivision 14 < " Environmental Health Division f• .. • C ! FINNe. 269803100097 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 LOT# 784 w i1 NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041 Site Address: 3301 LEDFORD RD, VALE NC 28168 Property Size: Square Feet:3,962,217.60 Acres:90.96 Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd WELL PERMIT WATER SUPPLY: Individual Well SETBAC KS: 1. BUILDNG FOUNDATIONS 25 FT. 2. EXISTING & PROPOSED SEPTIC SYSTEMS MIN. 50 FT. 3. EXISTING & PROPOSED SEPTIC REPAIR AREA MIN. 50 FT. 9 . SEWAGE PUMP SUPPLY LINE 50 FT. 5. UNDERGROUND STORAGE TANKS 100 FT. 6. STREAMS/BROOKS/CREEKS 50 FT. 7. LAKES/PONDS RESERVOIRS 50 FT. ALL OTHER POSSIBLE SOURCES OF GROUND WATER CON"FADIINATION 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 welt. Grouting Depth: Minimum 20 Feet Casing Height: 12" Above Land Surface All newly constructed private drinking water wells are required to be sampled in accordance with the North Carolina Rules Regarding Private drinking Water Well Testing(ISA NCAC 18A.3800). 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. Water samples will be drawn from an outside faucet unless otherwise specified. Please note that all water samples are taken during one visit. The processing laboratories have different protocols and timeframes for reporting results: therefore,you may receive several different reports concerning your water sample. For questions or more information. please contact Catawba County Environmental Health at(828)465-8270. frx—er- 04/20/2018 AU'1'IIORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/19/2023 etipnndi 04/20/20 It 09:26 i - aUl5� A_ Go nd1 &�, atawba County Environmental HealthRBPR-o3- a1(064, 1.00 Sr (' :moi IealitiketilL - .'10‘ . 0 ' ' 1, i 4? "1111 .I , wag° .4474 1 :it'• r� io5 � Alerillieresit :1 ii irke ,t‘iniati: ,p, ;# . , p ., i ‘litroppaaST p\ il+� t v tailia•-:401/4 • 1I11�1�►,'�ir�. lc ."N".\C:\).)\%\\*•\:.- . , . thrEC T 1 ` I'A rill • { ) /17:""/ Parcel: 269803100097, 3301 LEDFORD RD 1in=200ft VALE, 28168 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this ma product by the user.The County of Catawba.its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 04/192018 Case# WELL-04-2018-098519 ,�� CATAWBA COUNTY HEALTH DEPARTMENT V , Environmental Health Section 18 4 2 sM 08/17/2022 WATER SAMPLE FIELD REPORT Owner DOUGLAS MILLER,431 4TH ST NE,HICKORY NC 286041 C:828-310-2282 Site Address: 3301 LEDFORD RD,VALE NC 28168 Parcel Number: 269803100097 Driving Directions west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd Sample Collected by: l aC Nf Date/Time Sampled: Sqi l'2 L S'u 0 444 Sampling Point: Sa Yyite 4rp / Is well head accessible? Yes ✓/No Reason for inaccessibility Well New or Existing? New Existing Type of Well: Drilled V Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: L Yes No Items of non-compliance: Evidence of improper grouting or no grouting Well does not meet a required setback(comment) Improperly constructed sanitary well seal Well head not term at>= 12"above finished grade Well head missing vent Well head does not have a threadless tap Well missing identification plate or pump tag Wire conduit opening not sealed Other(comment) Comment: r,amfieldreport 08/17/2022 14:43 Page 01'2 A Case# WELL-04-2018-098519 CATAWBA COUNTY HEALTH DEPARTMENT� V ,, 1115 Environmental Health Section 1 g g Z sM 08/17/2022 WATER SAMPLE TEST RESULTS Owner DOUGLAS MILLER,431 4TH ST NE,HICKORY NC 286041 C:828-310-2282 Site Address: 3301 LEDFORD RD,VALE NC 28168 Parcel Number: 269803100097 Lab Coliform Analysis Results: Total Coliforms: Fecal/E.Coli: co e.M2.0 No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials Date/Time Received(A ' 1�' " �� '" Date/Time Completed o$Iit!20 22 14.6E.c-r14. rsaintieklrepoti 08/17/2022 14:43 Page 2 of 2 North Carolina Division of Public Health Occupational and Environmental Epidemiology Branch, Epidemiology Section BIOLOGICAL ANALYSIS REPORT Private well water information and recommendations County: Catawba Name: Douglas Miller Sample ID Number: 098519 Location: 3301 Ledford Rd, Vale NC 28168 Reviewer: Megen McBride Initial Sample X Confirmation Sample: BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR PRIVATE WELL WATER(These recommendations are based on biological analysis only.) X No coliform bacteria were found in your well water. Your water can be used for all purposes including drinking,cooking,washing dishes, bathing and showering. Total coliform bacteria were detected in your water sample. Total Coliform are a group of related bacteria that are(with few exceptions)not harmful to humans. A variety of bacteria, parasites, and viruses, known as pathogens, can potentially cause health problems if humans ingest them. EPA considers total coliforms a useful indicator of other pathogens for drinking water. Total coliforms are used to determine the adequacy of water treatment and the integrity of the distribution system It is recommended that your well water be re-tested to verify that the result is accurate. Fecal coliform bacteria were detected in the sample. Do not use the water for drinking, cooking,washing dishes,bathing or showering. If the re-test shows contamination by bacteria contact your local health department for assistance. There may be a problem with the construction of the well, the groundwater source, or operation of the well. The well needs to be inspected by the local health department or a local well contractor to determine the problem with the well and to give guidance on how to correct the problem. Your well water was tested for biological contaminants(total coliform and fecal coliform bacteria).The results were evaluated using the federal drinking water standards. Drinking water may contain substances that can occur naturally in water or can be introduced into water from man-made sources. Total coliform bacteria are found in soil and fecal coliform bacteria are found in animal and human waste. Total coliform or fecal coliform bacteria in well water indicate that the well may have structural problems or that the well was not properly disinfected. If you have been drinking the well water and are pregnant, nursing, have a child in the household under 5 years of age, or immunocompromised (such as an individual with AIDS, cancer, hepatitis,dialysis or surgical procedures) inform your physician of these results at your next visit. If the contamination continues, you should investigate the possibility of drilling a new well or installing a point-of-entry disinfection unit which can use chlorine, ultraviolet light, or ozone. For further information please contact your county health department or the Occupational and Environmental Epidemiology Branch at 919-707-5900. N 0 R T H C A R 0 L I N A , ups Private Well Information V51 � and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba I Name: Douglas Miller—3301 Ledford Rd,Vale NC 28168 Sample ID#: 098519 Reviewer: Megen McBride TEST RESULTS AND USE RECOMMENDATIONS 1. ® Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for drinking, cooking,washing, cleaning, bathing, and showering based on the inorganic chemical results only. You may have other water sampling results that are not taken into account in this report. 2. ❑The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health levels. The North Carolina Division of Public Health recommends that your well water not be used for drinking and cooking, unless you install a water treatment system to remove the circled substance(s). However, it may be used for washing, cleaning, bathing and showering based on the inorganic chemical results only. ❑ Arsenic ❑ Barium ❑ Cadmium El Chromium ❑ Copper ❑ Fluoride ❑ Iron ❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium El Silver ❑Zinc 3. ❑ While your lead levels do not exceed federal or state standards,the North Carolina Division of Public Health has concerns with any detection of lead. Should you have any questions please contact the NC Private Well and Health Program at(919) 707-5900. 4. ❑ Re-sample for lead and/or copper. Take a first draw and 30-second flush sample inside the house (preferably the kitchen sink)and a first draw and 4 minutes flush sample at the wellhead to determine the source of lead and/or copper. 5. ®The following substance(s)exceeded aesthetic drinking water standards. Your water can be used for drinking, cooking, washing, cleaning, bathing, and showering based on the inorganic chemical results only, but aesthetic problems such as bad taste, odor, staining of porcelain, etc. may occur. You may want to install a household water treatment system to address aesthetic problems. ❑ Chloride ❑ Copper ❑ Fluoride ❑ Iron ® Manganese El pH El Silver El Sulfate El Zinc 6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's (USEPA) Health Advisory level for sodium of 20 mg/I.The North Carolina Division of Public Health recommends that only individuals on no or low sodium-restricted diets not use this water for drinking or cooking. It may be used for washing,cleaning, bathing,and showering based on the inorganic chemical results only. El b. Your sodium level exceeds 30 mg/I and may pose aesthetic issues such as bad taste, odor, staining of porcelain,etc. 7. n Re-sampling is recommended in months, to reinvestigate For more information regarding your well water results,please call the North Carolina Division of Public health at 919-707-5900.