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Home My WebLink AboutWELL-06-2022-174163.TIF 1/25/23,6:10 AM about:blank WPDT Report Area of Interest (AOI) Information Area : 3,134,508.72 ft2 Jan 25 2023 6:09:27 Eastern Standard Time 1r' .., .. k_______„\ f _._ 414," - i , Ar E- .ram ....„,, ,,,, i /1PW , Ilirl *4, \--- . Ai.. alltairt unielopi;,-, alb - 00---11:.iiV. / I iiii rtac; • / , 1 119> -....—.'-'jl 1 I • 1 1 tk--. \ 1 i 1:4,614 Parcels (Polys)-Parcels -' Prolenea Route U 03 0 06 0.12 r I 1 1 1 11 ti ti ti I Non-System Roads — 01.1er State Agency Route U 0.05 0,1 0.2 km — Federal Route — Secondary Route Non-System Primary Roods 01ner System Roads — Interstate NCDO1 COS UM Saone Eia4 AA..Da DSCS NC.%NASA C4kAN N Nate ',N:1AH Nt.9 O9 NVA.Oemtlnwn,,cm N41.4NOu icu OSA Ramos.Rest Areas,Non-Mea,ttr — US Route 0.11.4 FCNA ..a..au wu ow as„..,.....I.aro E..Cuowniotv Mow Cam$wvn Sum A Nvm, C.,. DOt .. CANmSwaAlev — NC Route about:blank 1/2 1/25/23,6:10 AM about:blank 8515 Brittain Rd,Vale NC 28168 All North Carolina Department of Environmental Quality(NCDEQ)GIS data is expressly provided"AS IS"and"WITH ALL FAULTS".The NCDEQ makes no warranty of any kind,express or implied,concerning this information,including but not limited to any warranties of merchantability or witness for any particular purpose.The NCDEQ assumes no responsibility or legal liability concerning the Data's accuracy, reliability, completeness, timeliness,or usefulness.The data is not intended to constitute advice nor is it to be used as a substitute for specific advice from a professional. Users should not act(or refrain from acting)based upon information in the Data without independently verifying the information and obtaining any necessary professional advice. Users are solely responsible for ensuring the accuracy, currency and other qualities of any products derived from or in connection with the NCDEQ's Data.The Data is collected from various sources and may be modified over time without notice to improve spatial andattribute accuracy.The NCDEQ disclaims responsibility for the spatial accuracy and attribution of GIS features and makes no warranty concerning same. about:blank 2/2 r rf'0r ` . r I1vRESIDENTIAL WELL CONSTRUCTION RECORD North Carolina Department of Environment and Natural Resevrces-Dvson of Water Quality WELL CONTRACTOR CERTIFICATION# 6?-56 1.WELL CONTRACTOR: g. WATIZONES(depth): TONY R DAVIS Top,3 oParn, g , ToR Bottom Weli Contractor(Individual)Name Tap Bottom Top ____Bottom DAVIS WELL BORING Top Bottom Top Bottom Weil Contractor Company Name 1481 I,ARRY DAVIS ROAD Thickness/ 7. CASING: Depth Diameter Weight Material Street Address • Top, 24 1 .5 Cement �Botfom �Ft. LAWNDALE NC 28090 Top Bottom Ft. City or Town State Zip Code ( 704) 276-3434 Topes Bottom _Ft. Area code Phone number @. GROUT: Depth Material Method 2.WELL 1NFORMATION:n _ �0 n j� Ica Top 0 Bottom 70 Ft. Concrete Truck WELL CONSTRUCTION PER 7# i ( Top Bottom Ft. _ OTHER ASSOCIATED PERMIT#(it applicable) Top Bottom _Ft. SITE WELL ID#{d applicable)_ • 9. SCREEN: Depth Diameter Slot Size Material 3.WELL USE(Check Applicable Box): ResidenHal Water 5uppiy Top 3ottom FL .in. in. CATE DRILLED e ' G.a Top Bottom Ft. in, in. In g1� Top Bottom Ft in. in. TIME COMPLETED U AM 4.WELL L CATI N: 10.SAND/GRAVEL PACK: C;OUNTYC /"1 Depth \ Stze Material QCf'Y. Top _Bottom (� t. r 8—M Gravel iL 5 R i 77/N4 Top Bottom Ft. (Street Nam .Numbers,Com unity,Subdivision,Lot No.,P ,Zp ) Top 3ottom ,Ft. TOPOGRAPHIC i LA.N ING: (check appropriate box) ❑Siope OValley fat ❑Ridge OOther 11, CR•LLiNGLOC Top Bottom Formation Description LAT'T UDE . MS OR 3X.XXXXODOOO(DD / LONGITUDE J •' MS OR 7X.XXXXXXXXX DD Latitude/longitude source: S Q1'000graphic map / (location of well must be shown on a USGS topo.map andatfached to I Ors form if not using GPS) / 5.W-LL AEF:4�/ i440 ri� t I 17Vytfti t / Ow Name I ` 1Jc)042 I&uct. / S ddress l rvo / / City or Town State Zip Code / t----) / Area code Phone number 6.WELL DETAILS: te �! 12. REMARKS:a. TOTAL DEPTH: (.� / _ b. DOES WELL REPLACE EXISTING WELL? YES O NG ^� I DO HEREBY CERTIrFf THAT THIS WELL WAS CONSTRUCTED IN c. WATER LEVEL Below Top of Casing:_, i FT, ACCORDANCE WITH 15A NCAC 2C,WELL CONSTRUCTION (Use'+'if Above T p oi Casing) STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDE TO'THE WELL OWNER d. TOP OF CASING IS 1 rt.Above Land Surface' r 'Top of casing terminated at/or below land surface may require • 7Z )c . J� /0 j 9 rj r� a variance in accordance with 15A NCAC 2C.0118. SI NATURE D. CERTIFIED WELL CONTRACTOR ( G G„� a. YIELD Wpm): METHODiRFTEST TONY R DAVIS yATE `.. DISINFECTION:Type AiNitnount2 W esz PRINTED NAME OF PERSON CONSTRUCTING THE'WEI L Submit within 30 clays of completion to; Division of Water Quality- Information Processing, 1 61T Mad Service Center, Raleigh, NC 27699.161,Phone :(919)80T-6300 S `r ag to Rev 2/0 ;'°a ° 4312 District Drive : ,I�/. ;! `s North Carolina State Laboratory of Public Health Raleigh,MSC 1NC27699-1918 %, lye' i_ry ' Environmental Sciences http:Nslph.ncpublichealth.com `�.�" / Phone: 919-733-7308 `°...___�= Inorganic Chemistry ry Fax: 919-715-8611 Certificate of Analysis FINAL REPORT Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH RSH Properties Family LP P 0 BOX 389 8515 Brittain Rd. NEWTON, NC 28658 Vale, NC 28168 EIN: 566001814EH Delivery: NC Courier StarLiMS ID: ES221205-0016 Date Collected: 12/01/2022 Time Collected: 08:55 By: Blake Perkins Date Received: 12/05/2022 Time Received: 11:46 Sample Type: Raw Sampling Point: Sample tap Well Permit No. WELL-06-2022-174163 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 <0.0001 0.005 mg/L Calcium 10 mg/L Chloride 14.6 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride 0.215 4.00 mg/L Iron 0.24 0.30 mg/L Lead <0.003 0.015 mg/L Magnesium 4 mg/L Manganese 0.021 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 9.3 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 18.1 mg/L Sulfate <5 250 mg/L Total Alkalinity 72 mg/L Total Hardness 40 mg/L Zinc 0.11 5.0 mg/L ice- Report Date: 01/03/2023 �-t.�Li L. ''r, �-- Reported By: ,rr' Marc Komlos JAN 1 2 An E_ ;vronmel-Ital Health Paqe 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: Quentin Smith Sample ID Number: 174163 Location: 8515 Brittain Rd, Vale NC 28168 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 1�, "°ajs Private Well Information and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Quentin Smith—8515 Brittain Rd, Vale NC 28168 Sample ID#: 174163 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 on(v. 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 ftrori'anic chemical results ono,. ❑ Arsenic ❑ Barium ❑ Cadmium ❑ Chromium ❑ Copper ❑ Fluoride El Iron ❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium El Silver El 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. TE 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.