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Home My WebLink AboutWELL-02-2022-166369.TIF Catawba County Environmental Health 0 CD 1E7 le lt .3 `t 5°\4 ..-ram R.44�-\1/1A �3� 15 -45\a 14 - �1.4',\R' � ,�13' 143�5� _ 8- 1l N t % D r �� to -1- Q 450 3 W� 5a f C N 1# PofCh Is, .. P(p S/B� Lta � � a1/1J7 0 St) s z Noust 'if ;, �a 11 1. 2Y \o4 t■ ,'• �.5. p. •1 • i :J \\.7 q' q a —IS b k $ 1. •1068 ' 614 N1 1. SMYRE FA RD Ili ib 111.1n �p C ,4,2 .�_:. o C.1\ 2126 MI A 5O to -1... TrE±71773111 •2128 1 •1105 �1.7- 1 �11I9•T;29 7� _( r— ■) Parcel: 364917028135, 1140 SMYRE FARM RD 1 in=100ft NEWTON, 28658 This map/r•port product was prepared from the Catawba County NC Gewpatlal Information Services. Catawba County has made substanbal efforts to ensure the accuracy of location end Iab&Ing Information contained on this map or data on this report.Catawba County promotes and recommends the Independent verKicatlon of any data contained on this map/report product by tho user.The County of Catawba,Its employees.agents.end personnel,dlsdann,end shall not be held liable for any end all damages,loss or liability,whether direct,Indirect or consequential which apses or may arise from thn meplreport product or the use thereof by any parson or entity. Copyright 2023 Catawba County NC 04/14/2023 WELL CONSTRUCTION RECORD(GW-1) For Internal Use Only: I.Well Contractor Information; Chris C Russell 14.WATER ZONES Well Contractor Name FROM TO DF.SC'RII1ION 3254 A 50 R 185 R ft. ft. NC Well Contractor Certification Number Inc. 15.OUTER CASING(for multi-cased wells)OR LINER(If ap (cable) Russell Well Drilling, c FROM TO DIAMETER THICKNESS MATERIAL Company Name 0 tt• 72 R• 6.25 In- SDR21 PVC WELL-02-2022-166369 16.INNER CASING OR TUBING(geothermal closed-loop) 2.Well Construction Permit#t FROM TO DIAMETER THICKNESS MATERIAL List all applicable well construction permits(i.e.WC,County.State,Variance.etc.) R• R. in. 3.Well Use(check well use): ft. R. In. Water Supply Well: 17,SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL ❑Agricultural ❑MunicipaVPublic R. ft. In- ❑Geothcrmal(Beating/Cooling Supply) IIIResidential Water Supply(single) R. ft. in. ' Glndustrial/Commercial ❑Residential Water Supply(shared) IR,GROUT ❑lriigstlon ❑Wells>100,000 GPD FROM TO MATERIAL EMPLACEMENT METHOD&AMOUNT Non-Water Supply Well: 0 ft. 20 ft. Grout Poured ❑Monitoring ❑Recovery ft. rt. Injection Well: ft. ft. ❑Aquifer Recharge ❑Groundwater Remediation 19.SAND/GRAVEL PACK(If applicable) ❑Aquifer Storage and Recovery ❑Salinity Barrier FROM TO MATERIAL EMPLACEMENT METHOD ❑Aquifer Test I]Stortnwater Drainage ft. R. ❑Experimental Technology ❑Subsidence Control ft. ft. ❑Geothermal(Closed Loop) ❑Tracer 20.DRILLING LOG(attach additional sheets If necessary) ❑Geothermal(Heating/Cooling Return) ❑Odtu(explain under#21 Remarks) FROM TO DESCRIPTION(enlnr,hardness,sail/rock type,arson dte,etc.) 0 f' 67 f' Dirt 4.Date Well(s)Completed: 2-22-23 Well IDfl 67 ft. 185 't• Rock Sa.Welt Location: ft. It, Alexander Sigmon /unc 3,L it( Nolncs ft. rt. Facility/Owner Name Facility lot(if applicable) ft. R. 1140 Smyre Farm Rd, Newton, NC 28658 ft. ft. Physical Address.City,and Zip ft. ft. Catawba 21.REMARKS County Parcel Identification No.(PIN) 5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: (if well field,one l I/long is sufficient) 22. '( k€ flcatlon: 35' 63.051 N 081' 21.810' W 4- 41,-j.4.4&el 4/3/2023 6.Is(are)the well(s): t7Pcrmanent or ❑Temporary sign..of Certified Well Contractor Date Ill.signing this fount,I hereby certifi•that the well(s)wars(were)constructed in accordance with 7.Is this a repair to an existing well: ❑Yes or l!INo 15,4 N('AC 02C.01011 or 154 NCR('02C.0200 Well Construction Standards and that a cope If this is a repute,fill out known well constructioninformutinu and explain the nature of die of this record has been provided to the well owater. repair under n21 minutia section or on the hack of this faun. 23.Site diagram or additional well details: You may use the back of this page to provide additional well construction info 8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same construction,only 1 GW-I is needed. Indicate TOTAL NUMBER of wells (add'See Over'in Remarks Box).You may also attach additional pages if necessary. drilled: 24.SUBMITTAL INSTRUCTIONS 9.Total well depth below land surface: 185 (ft.) For multiple netts list all depths ifd Brent(example-3(5 (10'and 2(n 100') Submit this GW-1 within 30 days of well completion per the following: 10.Static water inset below top of easing: 50 ,.. 24a. For All Wells: Original form to Division of Water Resources (DWR), IJ'water level isahrrvernsirtg,use"+" ) Information Processing Unit,1617 MSC,Raleigh,NC 27699-1 61 7 24h. For Injection Wells:Copy to DWR, Underground Injection Control OW)Ii.Borehole diameter: 6.25 On.) ,I Program, I636 MSC,Raleigh,NC 27699-1636 12.Well construction method: Air Drilled ((.c.au er,rotary, 24c.For Water Supply and Open-Loop Geothermal Return Wells:Copy to the g cable,direct push,rw.) county environmental(tcalth department of the county where installed FOR WATER SUPPLY WELLS ONLY: 24d.For Water Wells producing over 100,000 CPI):Copy to DWR,CCPCUA Permit Program,1611 MSC,Raleigh,NC 276t19-1611 13a,Yield Wm/ 20 Method of test: Air I3b.Disinfection type: HTC Amount: 1/2 Cup Forst GW-f North Carolina Department of Environmental Quality-Division of Wafer Resources Revised 6-6-201 R �6 ,,� 4 4312 District Drive �_.. ,;= North Carolina State Laborato of Public Health MSC 1918 Ji�� ` i Raleigh,NC 27699-1918 v' Iiiiiii �� Environmental Sciences http://slph.ncpublichealth.com *cam , x Phone: 919-733-7308 Inorganic Chemistry Fax: 919-715-8611 Certificate of Analysis FINAL REPORT • Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH Alexander Sigmon P 0 BOX 389 1140 Smyre Farm Rd NEWTON,NC 28658 Newton,NC 28658 EIN:566001814EH Delivery: NC Courier StarLiMS ID: ES240620-0047 Date Collected: 06/19/2024 Time Collected: 11:13 By: Dwight Mikeal Date Received: 06/20/2024 Time Received: 08:07 Sample Type: Raw Sampling Point: Sample tap on well head Well Permit No. WELL-02-2022-166369 Sample Source: New Well Receipt Temp. : GPS Number: Profile:New Well-No Nitrate I Analyte Test Result Allowable Limit Unit Qualifier(s) Arsenic <0.001 0.010 mg/L Barium <0.1 2.0 mg/L Cadmium <0.0005 0.005 mg/L Calcium 21 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride <0.1 4.00 mg/L Iron <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 8 mg/L Manganese <0.005 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 7.5 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 6.7 mg/L Sulfate <5 250 mg/L Total Alkalinity 89 mg/L Total Hardness 83 mg/L Zinc <0.05 5.0 mg/L Report Date: 07/09/2024 ice EC, E1VE D Reported By: .0.01414Cittg Marc Komlos J U L 1 5 2024 Environmental Health Page 1 of 1 _ 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: Alexander Sigmon Sample ID Number: 166369 Location: 1140 Smyre Farm Rd,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 depat liuent 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. 1 N 0 R T H C A R 0 L I N A vT ;" Private Well Information 4rie .� p. and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Alexander Sigmon— 1140 Smyre Farm Rd,Newton NC 28658 Sample ID#: 166369 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. n 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 n Cadmium ❑ Chromium ❑ Copper n Fluoride ❑ Iron ['Lead n Manganese n Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium n Silver n Zinc 3.n 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 deteiniine 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 n Fluoride n Iron n 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/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 oniv. ❑ 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.