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Home My WebLink AboutWELL-06-2022-174557.TIF (Cr. e% s r -- 1 7'f CATAVBACODNTY . .--- —•- n,?• Public Halm Dew S�dnmm +, Balm Divisor PI M 362703301944 e '® j1.POBo■389,25Ga®ntDrive.NewtatNC28658 LOTO _MbAddress: 4190 HERTER RD.LINCOLNTON NC 28092 Kazuo on Pa u& TYLE ARDREY Prorwar tuna Acres 29.38 Dwamm let driveway on the left past driveway on Right of 4169 Herter RD i ) Owner/Authorized Representative Acknowledgement of Permit Receipt I catify that I am the owner or authorized agent(owner's authorization required)representing the owner of 0 the property described above. II II As the property owner or authorized representative,I have received the above referenced ennit(s)es requested in the application for service RBPR-05-2022-40961,by the following method(s): ' _ Received in Person Facsimile Transmittal(Return form with signature required) Nar Electronic Image Transmittal/E-mail (Return receipt required) • As the property owner or authorized representative I have reviewed and understand the specific conditions 1( f 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(ISA NCAC 18A.1900), and/or Well Construction Standards(ISA NCAC 2C.0100), shall apply to the issuance of this perriit and the construction of the wastewater system o water supply well permitted. Permit Issue Date:0624/2022 Owner/Authorized Representative Si 1 't' Date 1 kZ(Z-t-- Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of sending permit) Signature ()f Date/lime elkal» Method: Fax Email US Mall Other Owner's request to send by the above indicated method of tranamiusi in lien of signature '" WewamtttohearfromyortleasettakeafewmomenttsttocompletteowctattomerseMcesurvegatt > http://www.simreyrnorikey.com/s/ERCusttomerServica aline k® monarch 69 warn dimwit 06a7m022 06:54 AP ‘v-,A CO Case# WELL-06-2022-174557 CATAWBA COUNTY HEALTH DEPARTMENT ,, ,1-3 Environmental Health Section 11 lg 42 sM 06/12/2023 WATER SAMPLE FIELD REPORT Owner TYE ARDREY,4700 MAIDEN HWY,MAIDEN NC 28650 C:828-461-4398 KMAVETI@AOL.COM Contractor *DEMENY ENTERPRISES LLC,522 N LAUREL ST.LINCOLNTON NC 28092 C:7044009056 KEVINDEMENY a,BELLSOUTEI.NET Site Address: 4190 HERTER RD, LINCOLNTON NC 28092 Parcel Number: 362703301944 Driving Directions j�1st driveway ion the left past driveway on Right of 4169 Herter RD r� Sample Collected by: d/1.I'G�'1^k I t ��'." Date/Time Sampled: /� Z3 I Z ' / �M Sampling Point: Cat p.pLe Tat Is well head accessible? Yes No Reason for inaccessibility Well New or Existing? Ncw V /Existing Type of Well: Drilled ✓ Bored I Dug Punch Does well meet adequate construction standards from what can be observed: 1/ Yes No Items of non-compliance: Evidence of improper grouting or no grouting Well does not meet a required setback(comment) Improperly constructed sanitary well seal Well head not term at>= 12"above finished grade Well head missing vent Well head does not have a threadless tap Well missing identification plate or pump tag _ Wire conduit opening not scaled Other(comment) Comment: rsamfieldreport 06/12/2023 13:19 Page 1 o1'2 Ccase# WELL-06-2022-174557 Kg'A f' CATAWBA COUNTY HEALTH DEPARTMENT Environmental Health Section I g 4 2 SM 06/12/2023 WATER SAMPLE TEST RESULTS ) ncr TYE ARDREY,4700 MAIDEN I IWY,MAIDEN NC 28650 C:828-461-4398 KMAVETI(@,AOL.COM Contractor *DEMENY ENTERPRISES LLC,522 N LAUREL ST,LINCOLNTON NC 28092 C:7044009056 KEVINDEMENY u,BELLSOUTH.NET Site Address: 4190 IIERTER RD,LINCOLNTON NC 28092 Parcel Number: 362703301944 Lab Coliform Analysis Results: Total Coliforms: WW1 Fecal/E.Coll: Lk No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials IN Date/Time Received OW 171. 1v NJ' Date/'rime Completed Rt•I1))• 1"4 09) RECEIVED JliN 1 - 2023 Environmental Health rsamfieldrcpori 06/12/2023 13:19 Page 2 ol'2 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: Tye Ardrey Sample ID Number: 174557 Location: 4190 Herter Rd, Lincolnton NC 28092 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 F Private Well Information t`NriC. ' and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Tye Ardrey—4190 Herter Rd, Lincolnton NC 28092 _ 1 Sample ID#: 174557 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 ❑ Cadmium ❑ Chromium ❑ Copper ❑ Fluoride ❑ Iron ❑ Lead ❑ Manganese ❑ Mercury n Nickel n 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 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 0 Silver ❑ 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 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.