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Home My WebLink AboutWELL-04-2022-169416.TIF UM- 0 i - 1O7Z- 3/7g2 5i 171an TAN- We.IL 'o`l`ZoZZ- lb°l�{ly r U�� 5` !ti' x RUTIi - 0i{- z -Ib°t` I 0� �ti Wa ' W1.� i.— Dq' 2o2Z' (l0°l�lt1v � fir,t 04k :, 3�.8' �� f I 00 to 0 I C"41t! . 501111111 . -e -- o vnin 1D' ° *� o. �1/q. , 00k- >0 3 , 7- : 1 9 ` vo VG c cor ter), a- � 0O " . 'N ?- 1. 1. Fed L G 5 c c c 1{n�iyon�a1 15, c 510� C and �faiYt0.°ie Ice).31 \}1leik wa 1i� ,, akolkc ritlit Pic( l ilmbea'` i<<5 Dr NEA°n, NC OS _ dot Scale : -II: I Print COfm ��FaC()\ti]'R1'tT�.1 Th R1kORI)(G\l'-11 Fot Internal Use Only, 1 N rli('oorractot Intkrnatton: Rot rt Teague Ia H'A1TR 7,,crm - — ___� fptlst .13) _ O!'H wrioN 11, 8& K�VoU Dnlllnq inc _ __1E _ .Ili.. __ .� .�_ +i tYr i,•+�n•i e^,14 u1/4:NI:� �tAr ER C4 IN('' ar 11t4t a_rtk 11R n , 2857-A ruo%t TTI lu ulANri!R ttpxtiNts Mt fltlAL ._-_._, n ft 7 h. _a vs la. SOR.21 PVC ccTa, Name '16,UvNl.R UMW:OR TU61l Q O aegamaf shred-loop) I.Nell contl1Vctlen Permit a:�� f ,c J _� -FRO,,1 TO nr.MtitR T1114R NIP, rMA MINA/ :of.. .uv•°tal,k.ri:na,.-Ia..Y tu..:,n r t':s;1.y.ryY.NAiv,(art.he.a 1 ft. ft is 3.Nell t se!check well ux1: 11. R. In, f�'i Seer Sunni-TV.ell: I7.�CR=1JM_ - _ —�, ~Fnisi. rt T(1 n1Antua/ i(IA)T else TH1E:IMES," M+TCRFAf. itn:uturai �1luntelpal,Public R R. In. ti th:n:u!(Heaney Cooling Supply) �R.yidCnnal Water Supply(single) �`--� '- it, tn. —�-� txlustrialt',o:Tinlcrcial 0 rsidenual Wale:Suppl)tshunl) — l8 GROUT lam:tato', -.TRoSi TO H\rtilLU. ks(1LACFMLoT RfiTt14D a.t/,snitM j Non-Water Supply Ndd: R. ft. El\1,r,r'mr. ORecou'ery ft. ft. Injection Nell: _--- oA..;a:ferReatatge ft. R. �i,rcundwatcl Act-titillation 19.SANDitRA\'EL PACK elf ippt caakt Q{.,tufcr Storage and Recovery DSalinityBamcr 'FROM , TO , unt(RLkL etrt_Icthrrr'ICTHnp r)Aquifer Tat Dqlormwata Drainage it. ft. r ELspa:tneatal Technology nSubsideace Control rt. ft. QCrctixhemla'(Closer!loop) aTraeer 2ADIULLINrCLOC(aratckadditlsada►eetsgerae�er» FKpnl TO DESCRIPTION(color.RaNnesf pMYnck Opt,Emil It(e.<tC) QCecxhe.Toa1 tHeatingCayltng Return 1 [�fkhet(«plain under a21 Remarks) R. S ft. 4.Date N"el1(a}Completed: '2�• �' .Well INS ft. ft. \ a.Wen •Selo • • ,f b.5It.3 Q3It. ' lu-� 50 Fa1'.:tn.Oroer Sane.a I Ls.c:,n facility LD=i:rapplrahlel t � t�l 1 (' ":1 . L ♦,.,,.i ) G Y� - a� 71 �rl � \� ,\1s i) -. ft. ft 11- N t� n. ' R. Physa:lA ,Cuy.Sad1� G(J � ^.1:RE11ARhs Cw•ry � P.,ccl Went.ruaton No.IPN) Sb.Latitude and longitude in dogreearnsinutc secun4a or decimal degrees: . titucll Re4L ale daylong ii safTieient) 22.Cer gtio j 7.4 w 1// -DCi - 6.Wane)the well(s)0Permanenl or Temporary Sltautan ufCoidi J WcllCun cb,r DAL B,eing this form.I hardy cerrm5i that the Kenai,vas Men)coma-hard in acco loner 7,Is this a repair to an existing well: 7'a or �N'o um,'1SA h'c'.tCI)2C 0100 or 114.VCAC JIC.0200*ail Cuawt u: rw 4 Standun and that a :i rh,..isa,eyes•f I!as kno.a sir?'eon oct:cw in/rt.atrotr and /at.M.e,,,,,r o(the ropy o(thn record has been provided iio the well o„ner. •river a.1n s_!rrsrub s&tton or on Mr Iv,k',IA,.form 23.Site diagram or additional well details: 6.For Gcoprobe.'DPT or Closed-Loop Geothermal Wells having the same You troy use the back of this page to provide additional well site details or well cons-suet-loc.only I GW-1 is needed. Indicate TOTAL NUMBER of wells construction devils. You may also attach additional paces if necessary. drilled: $UBMITTAI.INSTRUCTIONS 9.Total well do below land surface: seis tn-) 24a.for All Wells: Submit this form within 30 days of completion of well F-.eia:::fr'r,.ells::v all depths i(different f trotnirir-i(.'tl0'and? 100') construction to the following. 10.Static water level below top of casing:40 (ft) Division of Water Resources,Information Processing Unit. h,.err.Ir.,::I.u/n.e Crraag use-•• 1617 Mail Service Center,Raleigh,NC 27699-1617 11.Borehok diameter: 6 1/8 (in.) 2-lb.For Infection Wells: In addition to tending the form to the address in 24a Air Rotary above.also submit one copy of this fumy within 30 days of completion of well . 12.Well construction method: r - construction to the following: I,' a.gu.tot_.:y.ubic.Creel p.sl.cl. 1 Division of Water Resources,Underground Injection Control Program, FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh.NC 27699-1636 13L Yield(ypm) 5 Method of tat: Air Flow 24c.For Water Supply&Injection Wells: In addition to striding the foam to the eddress(cs) aoose, also submit oar copy of this form within 30 days of lib.Disinfection type: CNor Tabs Amount: 1 in Les completion of well coearucaon to the county health department of the county whet c consttuctcd. form CW-I Norm Carolina Department of Environmental Quality.Donlon of Water Resources Revised 2-22-2016 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: Cynthia Prioste Sample ID Number: 1694I6 Location: 2491 Timberland Hills Dr,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 °!SUIT i"} Private Well Information and Use Recommendations NC DE PAP 1 Mt N I Of HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Cynthia Prioste—2491 Timberland Hills Dr,Newton NC 28658 Sample ID#: 169416 Reviewer: Megen McBride TEST RESULTS AND USE RECOMMENDATIONS 1. ® Your well water meets federal drinking water standards for inorganic chemicals. Your water can he 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. El 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 El Fluoride ❑ Iron ❑ Lead ❑ Manganese El Mercury El 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{horvartic 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/l.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 on(v. ❑ 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.