HomeMy WebLinkAboutWELL-08-2020-137313.tif UST Section
Description of Dataset
The Underground Storage Tank (UST)Section's data presented here is representative of two different
programs within the Section;the UST program and the Aboveground Storage Tank/Non-UST(AST)
program. While the UST data relates only to releases of regulated substances from UST systems,the AST
data may be related to a variety of release sources, such as AST systems,fuel tanker spills, illegal
dumping, etc. All UST Section features presented in this tool represent locations where the latest
reports document confirmed or assumed exceedance(s) of the NC Groundwater Quality Standard and/or
the Soil-to-Groundwater Maximum Soil Contaminant Concentrations (MSCCs).
Contaminants Potentially Present
UST and AST Program Sampling Recommendations:
• Volatile Organic Compounds
• Semivolatile Organic Compounds
• Metals (Cr and Pb)
Contact Information
To request additional information from the UST Section please contact the NCDEQ Regional Office
assigned to the area of interest and ask to speak with a member of the UST Section. A map of the UST
Section's Regional Office coverage areas and phone numbers can be viewed by following this link.The
UST Section's Regional Office contact information is also presented below.
UST Section - Regional Office Contact Information
Asheville(ARO)—2090 US Highway 70,Swannanoa,NC 28778(828)296-4500
Fayetteville(FAY)—225 Green Street,Suite 714,Systel Building,Fayetteville, NC 28301(910)433-3300
Mooresville(MOR)—610 East Center Avenue,Suite 301,Mooresville, NC 28115(704)663-1699
Raleigh(RRO)—1628 Mail Service Center,Raleigh,NC 27699(919)791-4200
Washington(WAS)—943 Washington Square Mall,Washington,NC 27889(252)946-6481
Wilmington(WIL)—127 Cardinal Drive Extension,Wilmington,NC 28405(910)796-7215
Winston-Salem(WS)-450 West Hanes Mill Road,Suite 300,Winston-Salem,NC 27105,(336)776-9800
Guilford County Environmental Health,400 West Market Street,Suite 300,Greensboro, NC 27401,(336)641-3771
Print Form
WELL CONSTRUCTION RECORD(GW-1) For Internal Use Only:
I.Well Contractor Information:
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2.Well Construction Permit sl:J _)earls n(K\r.%J MATERIAL
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\fonrtariii 0R[emery ft. 1 ft.
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Geothermal(Cloned Loop) ❑1 taccr ) 20.DN1I.I INC LIK:(smell additional sheets if nrcesaary) __
l t D M_.--_, TO __ !lrM.ftrhlt INlruluyhrrdnt_tn_tell:ruck tips.cola.toe.eve)
firothennai I liedting'Cu lino Return) )(Elect.(explain under 0(2! Rcrnat is+, I - - - - ..
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54.latitude and longitude in degrees tuinutesfsecoads or decimal degrees: ------ --- ___..._._._.. -. — _. ..3
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7.Is Ihh R repair to an classing well: Dl cs or Okia .+:+. I '.t ft -., . '<1 '.r tl',,71 .it':..r...i,rrarraa Moo:iarr1,aua)Mar a
it Mir n a u-pa.'.till nut Amon eo-iI.mrlrut ti.;.r In/-Irmorinn an./Ciplalm the marvri ter the "VI„t!Fro r,.• rz-.+'-.<-- .':,,I,1 a t . .„ .
t.-f:,;r,uttcicr 2!'Mari'..-s.11.111 or(AI!Kt.Ivn.k.,t it,.)Soso)
23.Site diagram or additional well details:
For Genprube OPT or Closed-Luo Geothermal Wells having the satnc You may use the back of this page to provide additional well site details or well
s.r•n.tntctwn,only i(itt'-I in needed. indicate TOTAL NUMBER of wells coltstnlctian details. You may also attach additional pages if necessary.
)I:d---------- _--- �,�.y, SCB\IITT,1L INSTRUCTION&
9.Total well depth below land surface: (90 tit.) 24a. For All )\'oils: Submit this limn within 30 days of completion of wed
Fur traut,plc:.r1h ii.t all deo:4,il:act;s+rn te.teiep.'.-i iT,Nol mil?n 1Jdi 1 •.;,aruc!lni:to the followingo
i(l.Static water level belowtop of casing: tJ (ft) Di%htlon of Water Resources.Information Processing Unit.
Ii waro ,i,,:e CIII1,, ,.•...
1611 maServlte('eater,Raleigk.NC 27699-1617
t 1.tiurehule diameter: (ill.) 24b.k'or Infection wells: in addition to sending the form to the address in 2•ia
(\0 ✓ abobC.also submit one copy of this from within 30 days of completion of nell
12.'Wen rouyurocfIon method: j corr.rructiorl to the tilli.umg:
,a,p., n.. .Jb)C.thnx f p<1.<14.etc)
i isisiun of Water Resources.l:aderground Injection Control Program,
1 FOR W Al'ER Ml PP1.Y WELLS ONLY: ) 1636 Mail Service C enter.Raleigh.NC I7699-1636
Method of lest: ,Pre 7s3 vfc'- 24c. or Willer Sunnis &lnittilon W ells: In addition to sending the form to
E3a.1'leld(Rpml �•
the address(es) ahoce, also .submit one copy of this form within 30days of
1131).Disinfection type: C. ( OlAZ- Amount: l/02- completion of well constructitm to the county health depanment of the county
I where constricted.
I nr:n i,tit'.t Ninth(.uafin..ihpx:1:rest di fin I)untnc'n!at()la Illy•Dirt-jon oft!atcr Raarc.. Resi.cd 2-22.21)16
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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: r r rs,. E 3b-- Sample ID Number: (3 7 3 13
Location: .S(1 3 +. 1 o ca YYl a 19G" N L Reviewer: Jason Boyd
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 depai tinent 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
<`7. D Private Well Information
•4W,,N„,a•. and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: i r ^ C r'1le . 5113 Ad.rs, Mt," Y J
Sample ID#: f. .313 Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1. I 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 n Barium ❑ Cadmium ❑ Chromium ❑ Copper ❑Fluoride ❑Iron
n Lead ❑Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium ❑ 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 n Iron ❑Manganese
❑pH n Silver ❑ Sulfate ❑ Zinc
6. ❑ a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/1. 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.
❑b.Your sodium level exceeds 30 mg/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain, etc.
7. ❑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.