HomeMy WebLinkAboutWELL-06-2022-174371.TIF y4,0Air� CATAWBA COUJ rry '
�7 la Public Health Department Subdivision PINE VALLEY
2..�.m.s, Environmental Health Division PINT 372317118586
1;y� PO Box 389,25 Government Drive,Newton,NC 28658 W Lt7rN 32
Site Address: 975 26TH ST NE,HICKORY NC 28601
Name on Permit: *OAKWOOD HOMES#712
Property Size: Acres 0.45
Directions: McDonald Pkwy,right 12th Av Dr NE(Spencer Rd),right 25th St NE,left 12th Av NE,right 26th St NE just
past 10th Av NE
X; Owner/Authorized Representative Acknowledgement of Permit Receipt
1` iY I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
�(
/" V As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2022-39763,by the following method(s):
Received in Person
---f- Facsimile Transmittal(Return form with signature required)
4 Electronic Image Transmittal/E-mail (Return receipt required)
11 1-1" As the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date:06/22/2022 /
Owner/Authorized Representative Signature
--7z.z—
Date 7 6 -
Documentation of Permit(s)Transmittal
(perm(-transmitted by electronic or other means)
[
Permit transmitted by (name of person sending permit)
Signature _ Date/Time ., 11/ ()7
Method: Fax i Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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6/23/22,8:17 AM
WPDT Report
Area of Interest (A0I) Information
Area : 3,134,508.63 ft2
Jun 23 2022 8:16:12 Eastern Daylight Time
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6/23/22,8:17 AM
975 26th St NE
Hickory,NC 28601
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212
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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: MI r�' C-tic .1%2 ' Es('I isD Sample ID Number: 11 N 31
Location: cI 1 2 + \ 5 7 1,1 G Reviewer: Jason Boyd
Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
XNo 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.
1 t
N 0 R T H C A R 0 L I N A
ee i , .No% Private Well Information
-�. R and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: etc.r G e v}-L- E s.P t n-D et C Z C±k$-r hi F N 6.71
Sample ID#: I7't 37 I Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1. Your well water meets federal drinking water standards for inorganic chemicals.Your water can be used for
dri king, 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 inorganic chemical results only.
❑Arsenic ❑Barium ❑ Cadmium ❑ Chromium ❑ Copper ❑Fluoride LI Iron
❑Lead ❑Manganese ❑ Mercury n Nickel ❑Nitrate/Nitrite ❑ Selenium ❑ Silver
❑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 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 n 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.
n 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.