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Home My WebLink AboutWELL-02-2022-165142.TIF t1 F:i I,C(lNSl Rt�CT]Q\ Rf'.(7t)1j)((:11'-11 Fur Internal Use Only n� I.11'e11 Contractor Informat!on: Robert Teague _. Well Corw ae,r slime it WAS _.-- FRO*- TO ��111.RRnnv ^-- B&K Well Drilling Inc .5t .5 tt. `j� `— NI;Well Contrwla Cththulwr Numbs'Num ft. ft. , 2857-A 15.OffijaCASI►rc tear1noa me ear+e walk OS t at • I TO DIANLTIR TRICKY!CkYs}]a alit ruum. )Coe patty Nam ^/ u h- s' 6 tr6 th• SON-:1 Pvc 2.Well Construepon Permit M �`JpZ�' J �INNERC. ORSUEllsGf raise •ansp) Lur ne,Constr ctson ra room TO 1 OI Asian* TMKk NaSs Na TGILLt t>r*,ur A a L1C Lau niv Parr. is race n;I ft. (C. IR, 3,11eIi Uw(check well use); ft h. u. 'aterS„ h "en' Apeuhuhl IRV�J 1E4TU pp 01s.1CTLR 1 iLyTtl[a TNIQN[ Y.TCaI.t ❑Aluatc,paiiPublic tt. ft. Ia. . Goth;ntul(Hating Cooling Supply) Raid ntial Watzt Su IDJustnal•Comnur ial DD Y(single) t� ft to Reside/n al Water Supply(shared) m anon IR.I;R I ()LT Nun-Water Supply Will: rao`I TO .uTIRLk [+tn,vcrat[Jrr strrRcrp a sxocnrr Murttonne ft. tic Injection W 11, ReCQ1eTy h. tr. QAquifer Recharge rt. Groundwater Retoodtatton n. 0AquiferStodgeand Recovery �y 19.SA.ND,'GRAVEL PACK 1NgrpbeaL 0AquifcrTest ❑Saliniry wm1wGarner rAo;J To MATERIAL LN►LaCF.M[,YrlyFTetflp �•��yy 0Stormwatcr Drainage ft. ft. {_.tCape:newel Technology DGeothe ❑Subsidence Control h." ft. I muI ICloscd Loop} _1 Geothermal 0Tracer 1A.DRILLINt lob(attach a4dreMadsauaoJ6srmown4. - • - Hearin oolin Return) Other at lain under all Remarks) Fuom To mot ks.rr. rYnet rear,p.l.�,.rim _ h. f ! a.Date W'cllls!Completed + •! MI Well IDS; Lis ft. fJ S[. VC_. 1T1 \I.e.✓ Sa,Well Location: � • au 5-.9'- 0 Sn A�Y -SQ L C. Fa d,ryOwncrNaase qw- .. $ . se., Lit., faeiLty Me I if applicable) II. ft ft. ft. Physical Addreis,City.and Zip ft. ft County - Parcel Identification No.IPIN) Sb.Latitude and longitude In degrra/minutesisecunds or decimal degrees: (if well held.one t.ntonc u rutfirIenl) 22.Cernftcati • N W / cia — a-a).!; 'D.:), 6.Ware)the well(s)Ox Pertaaneot or QTempor•ary aturcufCmtficJ Wd1 C o..tyr Ds 81'Irons nits form I Amity coney dw the wettest sac r.ero)co,,onaed n nrtenimor 7.Is this a repair to an rusting well: QYea or c "ins NC.A 1 IC OK '.0/n0 ur Ide.C4C OK.0200 Nsk Cunsaw.Dvn Sterna nal and that a IfGeo,r a,cpar,till ota biol.,rill rnnrtnurrcon(noncom'', nil lam the nature of Mt caP1 of tku"Ord hat Ike,pmadcd to:he well ou wr, ',Isom coder o21 resin h DV.flu.,✓un ter lurk/t4,a turn. 23.Site diagram or addtdonal well details: S.For Geoprobe/DPT or Closed-Loop Geothermal Weller having same You may use the back of this page to provide additional well site derails or well construction,only 1 GWl 1s needed. indicate TOTAL NUMBER of wells consttucnon details. You may also attach additional pages if necessary, drilled SURAIITTAI.INSTRUCTIONS 9,Total well h below land surface: 3i[1+5 Ifs} 24a For All Wells: Submit dos form within 30 daysof con le,iou of well Fir.,ultplr.�vu (avail&pvat daaffrre.t rata,nplr-I�a'INt'a.C'®1001 P construction to the following. 40 10.S[abc water level b Melow top of casing:ag: ry uurr.:nrl:,e le ra, :,urn (ft) Division of Water Reaounes !promotion Processing Unit. 6 /S 1617 Mail Service Center,Raleigh.NC 27699-1617 11.Borehole diameter: (in.) 246.Far Iniection Wells: In addition to scalding the form to the addrms in 24a 12.Well construction method: Air Rotary : above. also submit one copy of this form within 30 days of completion of well „e air.,,wary..able direst post.tl I exssn echoerCO the following: Division of Water Resources,Underground Injection Control Program, f FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Cuter.Raleigh NC 27699 1�6 l 13a Yield(gpm) CO.� Method of teat: Au Flow lac.For Water Supply&lnircrion Walks: In addition to<codmo the fain to Chloe Tags t t the addresses) above, also submit one copy of this form eithtn 30 days of 13b.Disinfection type: Amount: R Lbs ' cotnplebou of well caasaucncn to the county health department of the county whole.Lunsmar.cd. Fern C.Wii I North Ceroima Department of Ennronrrennl Quality•Dnnion of Water Resources Re veil 2 12 2DIa 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: Linda Franks Sample ID Number: 165142 Location: 2026 Crestdale Ln,Newton NC 28658 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 1r4'r Private Well Information and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Linda Franks—2026 Crestdale Ln,Newton NC 28658 Sample ID#: 165142 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 ❑ Chromium ❑ Copper ❑ Fluoride ❑ Iron ❑ Lead ❑ Manganese 0 Mercury ❑ Nickel n 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 ® Iron ❑ Manganese ❑ pH ❑ Silver ❑ Sulfate ❑ 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. ❑ b.Your sodium level exceeds 30 mg/I 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.