HomeMy WebLinkAboutWELL-02-2022-164805.TIF VS'rOtiTCSTRICON RCOR )O (__ -I i•tif Internal . cy
I,Well contractor Information:
Robert Teague - — '- -
_, 16.WA I LN___i
Weil('ns raiser 4athr fowl -. lei halal girl h'►► 1 ,•„_
2857-A _ it .. It, ___
No Weil(nnrracua(cr11 rIInn\urrrrr 1—
�If,(IUT/.R CAIlltrG LM.I 4.N wells)ON LIM/.R[W 11!6M,
8 & K Well Dnlling Inc i- Iwo Tu r n1AN11r.11 ! MglOstA1 NAf0NIAh.
<orr►Pany Fi.nI
,L fr, - f1. it,, ; A 1
l&IN SLR CARING OR Tunw:fiest,,r roof elsw0. ../4
2.Kell('onalruction Permit a:4).' 2 ). y 16 q r} IMgN /0 _ rN1M1111 1( I TUN k�111 i MAI/MIAI. ,_}
(.uf all applaGM,..ri1 man left(don pane,/A a CH.,(nu.tt. St..ar I'a„u•.t Nr C 1 rt, ft. ter. l
3.well list(check well user I ft. I ft, — — , la. i ____.
Wittier Supply Well:
Agricultural HUM 10 MOO tiler tire lNNa(1111a NAYRI1 I
❑Munlctpal.Poetise I7,tiCR/,PN II. ft. is
0Cieothermai(llat+ngtooing Supply) ViKnadtnt,al Natcr Supply(single) " - ,L
— -;- ---
t. 1a. I
RIndustrutCommettal ❑RcidetialWaterSupply(shared) It GROUT
ling:„„ _1RVM i, M,51 ,-„. Is1 I►etMfsl NIfNVUf 0s194,4
Non-Water Supply Well: m n. h. G/r__..
blrxlnmtng liecurcr _ [J. __-._i✓a ez
Injection Well: -- -. 1 .
Aquifer Recharge ❑(iroundwatct Rcrrcduutm
f N.SAND/GRAVEL PACK(H applkable
Aquifer 5wnge and Recovery Flamer , fp/iN ' I/ NAtI RI/1 if M/I.AIfMFNT ILTNryO
Aquifer Tat ❑Slormwater Drainageh. iI, — i
❑Eapulmental T(zhnoloKy ❑Subsidence Control ft• ft.
O(icothermal ICluxd Loup) ❑ facer LOC WW1 additional dwelt If aecs saryj 1
I V 1L1,1.tier 1-DIM NI/I Ir)%i 4 Yrrd_., ...Lear►ryye.v /kRy elr.
nCirahcmui(ilcati> '(ooling Krum) �Chhrr(expl,ln under a.i Kemari a 11+f1►) II)
ft
4.Date W'AI(1)Completed -L4.�, . Well llYa 6s r,' (asl'.. r�_ s .27
51.Well Location: 1L i f1.
rt. I r).
acrinyQwnet Ns -. Fat.iluy 10/ t tm114 i,r ft. (L
.5-41 ) . )Ziytr 12, 1
Physical Address.City.and Zip ft. ___.
Cf 21.RLMARKb
Cpanry Parcel triennia ale,r,ho IPI\) .-.. - ._---
Sb.Ladtide and Longitude In degre a!tnInutesiseconds or decimal degrees; ----•-- — - --
lit well ffctd.ore 1st org is sufficient) 22.Certification:
N VS' _..Z )0. 44'.f7s-)N.
6.Is(arr)the well(►)�Permanent or ❑Temporary 1 6neturc n!Ccr lf..d Vic::( uta
N, utn,ne.,n Jo,w, r fir,f'I rrtnl, rhal the.,ea(.,•w(•r•rl I'N,W/W led Nat tin.lake
7.Is this a repair to an existing well: ❑Yes or \ •,r6/J 4 4CAC n2[' !lfr3 .1J1,tiZ'AC OR (t1O,Ili!!(:.errs rmn Va+Jardr erne!AaI a
If,ku u a repay.jai nu!mown wei!tonrPurhun InG,rnwn' pturn,h,nuit,rr,, ow r.,p..4IAu«ro►J hat been pr,,.aJ41•.the..ell u•M e
repair faller 011 rema/iu)t hoes or or,the bor 6I Ma/Ones
23.Site diagram or additional well details:
8,For Geoprobe/UPT or Closed-Loop Geothermal Wells having the same You may jsc thc back of II)15 page If,p(u.,dc addil+r)nal wdi site details a will
construction,only 1 GW-1 is needed indicate TOTAL'`t.f18ER of wells rntrictu n detail► 1'i,u may Blur attach err dlu.-a,al page I(necessary
dulled SI 1i111 f I Al,(\ST Ili( f l+i\\
9.Total well epth below land surface: .310-) 2-la. tor All Hells: Si,:-,in I +h•'. !oral within 30 days of completion of well
Fr onodyter rah Mt ell depth;if d,llrrrnt rr,anq In• u.fit*'o'.J.',I,',', construction to the follow;ri
10.Static water level below top of casing: 40 (ft.) hhloon of V.atrr Resources,Information Processing 1 nit,
tr.',k,r1a atr,.e.,. .,g uu • 1617',bail Srrske(enter,Raleigh.M.276$i.1617
II.lsorehole diameter: 6 1/8 (la.) Llb. for Infection Wells: lit addition to sending thc form to the address in 24a
Air Rotary eM„r. ..I,) .uhrmr otic copy of this fom)within 30 days of completion of well
12.Well construction method: _—_ -- c.,n.,Just:•on ur the following
h e auger,rust,table delete push.ro 1
I)is+sion of Wslrr Resources,I ndergruu,ul Injection(antral Pr.rlre n,
FOR WATER SLPP1.1.W F LLS U\L'u: 1636\latl Service(enter.Raleigh.S( 27644.1616
13a.\geld(gpm) 1,it) %ltthod of test: err F':on 24c.}or Water Supult 4i, Inir(Iinn W elly: In addition to sending the farm to
thc at:dressrnt abuse. also suhnut one .opy of this horn within 30 days of
13b.Disinfection type: Chior Taos Amount: • •i uu
.c. co.npictiun of well conscuun a,the county health department of the county
where constructed
F Um,(ilk-I North Carolina U:hartrr ll of Lnsttt,nna:n,al f)aalny-Utstswn of V.alcr ftesorccs R,stscd 2 22.2i)16
catawba county
public health
Memorandum
May 31, 2023
To: Nou Ae Thao
From: Robert Phelps, Environmental Health Supervisor
Re: Well Samples Required: WELL-02-2022-164805,Site Address: 5476 River Bend Rd, Claremont
Since July 15Y, 2008, a program mandated by the State of North Carolina to regulate private drinking
water wells required all county well programs to sample new wells constructed after that date.
According to Rules .3801, .3802, and .3803 of the North Carolina Administrative Code (15A NCAC 18A)
all wells must be sampled for bacteria, nitrate, nitrite, pH, and a number of naturally occurring inorganic
minerals.
Our records indicate that we have not been notified that your well has power and is ready for sampling.
Despite this,our office has made several attempts to check the status of the well and potentially
collect the samples but have been unable to do so. Please contact our office so that we can schedule a
time,at your convenience,to meet at the property and collect the required samples.
The fees normally charged for these samples were included in the cost of your well permit, so there is
no additional charge for this service. The samples will be taken from an outside source.The sample test
results will be sent to you when they are received by our office. Typical process time is 6-8 weeks.
Please contact our office if we can answer any questions or provide additional assistance. You may reach
our office at (828) 465-8270, or by e-mail at: EHAdmin@catawbacountvnc.gov.
catawbacountync.gov
Environmental Health
Cctewhc County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
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: Nou Thao Sample ID Number: 164805
Location: 5476 River Bend Rd,Claremont NC 28610 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
spa"% Private Well Information
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Nou Thao—5476 River Bend Rd, Claremont NC 28610
Sample ID#: 164805 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 El Cadmium ❑ Chromium ❑ Copper ❑ Fluoride LI Iron
❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ❑ Nitrate/Nitrite 0 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 El 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.
n b.Your sodium level exceeds 30 mg/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain,etc.
7. 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.