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Home My WebLink AboutWELL-07-2022-176551.TIF A* CATAWBA COUNTY .j. Public Health Department Subdivision d ...,....) Environmental Health Division PINK 375307782570 PO Box 389,25 Government Drive,Newton,NC 28658 LOTtt /8.2 vA Site Address: 2668 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: MARTIN GONZALEZ Property Size: Acres 33.73 Directions: Hwy 16 heading to taylorville turn right onto shook turn left onto community rd first land on left Owner/Authorized Representative Acknowledgement of Permit Receipt yA Lai certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-10-2021-39185, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 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: 07/28/2022 // Owner/Authorized Representative Signature A,.,. Z.,----- 7Date 0e_6 --,) Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoLPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService fiP c111,inili 07/29/2022 09:14 I CATAWBA COUNTY Case# WELL-07-2022-176551 r t Public Health Department Subdivision Q .,ili�� i Environmental Health Division PIN# 375307782570 PO Box 389,25 Government Drive,Newton,NC 28658 /g. su LOT# Site Address: 2668 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: MARTIN GONZALEZ Property Size: Acres 33.73 Directions: Hwy 16 heading to taylorville turn right onto shook turn left onto community rd first land on left NEW WELL PERMIT REQUIRED WELL SETBACKS: Septic Systems and Repair Areas for Single Family Dwellings 50 ft. Septic Systems and Repair Areas for Businesses and Multi-Family Residences 100 ft. Underground Storage Tanks 100 ft. Animal Barns 100 ft. Lakes/Ponds 50 ft. Streams/Brooks/Creeks/Rivers 25 ft. Building Foundations 25 ft. All Other Sources of Groundwater Contamination 100 ft. Saprolite Septic Systems and Repair Areas 100 ft. Septic Systems and Repair Areas to Wells with 2 or more connections 100 ft. Wells shall be constructed in accordance with state regulations: Article 15A North Carolina Administrative Code Subchapter 2C The well driller must verify all setbacks before drilling the well.If the well driller is unable to maintain any of the above setbacks,contact Catawba County Environmental Health at 828-465-8270,before drilling the well. Grouting Depth:20 feet minimum Casing Height: 12 inches minimum above finished grade All newly constructed private drinking water wells are required to be sampled in accordance with the North Carolina Rules Regarding Private Drinking Water Well Testing(15A NCAC 18A.3800).The fee for this sampling is included in the cost of the well permit.It is the applicant or property owner's responsibility to notify Environmental Health when the well is ready for sampling.Water samples will be drawn from an outside faucet unless otherwise specified.For questions or for more information,please contact Environmental Health. , -, --,,_ /1:5: 07/28/2022 Authorized State Agent Pennit Issuance Date 7/28/2027 Permit Expiration Date ehpennit 07/29/2022 09:19 1 (P u 2BPk ID-zozl- S9rtS' Catawba County Environmental Health ,ttt - If-zo.z— IP3Ylr1 r - R"'- 07-zo22-t76S3-/ .! ! ! .40 .el r_. ! ,..44.- t...nl __ ! . I ! ! ! I "_ ..... •2680 ! ! I ! NI yo' S'M- oo"' 2y ! re a 0 — N Sr Q� Cd-lac I 2 fit. p ,O `ft, ti o ��r ° 4d, 3 . _ .. tip. -� r r u`—� . h ,,,f I- PP ' 1 \ .TO' Ng / I. s'-',\ --,.. i illowilippoimP., '. ..... Parcel: 375307782570, 2668 COMMUNITY RD . 1 in=60ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent verification of any data contained on this mapreport product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which apses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 11/03/2022 een WPDT Report N-As, Area of Interest (A01) Information Area : 3,134,508.76 ft2 Jul 28 2022 8:06:42 Eastern Daylight Time Y., I • 1 z .... . , -. GemfACne , ...- SR-1788 2 ., --t- , ,2 .,...^' 1 I __------- . , t i • . I / .,i •A .-k, ---t . . ...../ ..,,. 1 1 1 i .. ..71 ,..,...... ... 1 1 i --/ l 1 , t „d_ . ... .„.. , --. --p ..--.- ••- ..-- - , % .. , i - / / , \ 1 .,---- 1 .1. t r A \ \ 1, s ./ ei;" ' ?ON°.''',:.i•%‘ 1:45/4 Pun',a.(4,..::cp.ial-Piire.ti., Pi..z.,e,..t,:t•141.N.-:e I Ilo^.Sy.le.r Rcace — 0114i Stole Aeii Route '1 ::.1 :t l• Feoe,a Po...te — Secoenni.,Ro.ee ilor-Sy;terr Pr nay Poen Otitr Syt,Ten-,p,ocs .... lith.151..fle — Rarrr3 Rest AS.Ito^War r — LIS Rce.te ' NC Route 2668 community rd 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. 1 print f~d WELL CONSTRUCTION RECORD(CW--1) For Internal Use Only: 1.Well:Contractor information: - Robert Teague `14.WAIVER ZONES , mom tO DESCRIPTION 1 • eV�,C)!ttt'.Oat7t�dCl'Orx tAllfC � 1 R.Asb iL - [ , NC Well Contractor Certification'Number 11.- '. fL is. rH 15.OUTER CASING(formuttl-cos d Dells)Ott LINER Rep !feeble) B&K Well Drilling Inc FROM TO_ DIAMETER THICKNESS MATERIAL , 0 h. ft. 0 118 In* SDR31 PVC CompattyNamr y/ { 16.man CASING DR TUBING feeathermal closcdJorm)' 2 :al1a onstruction Permit ti: � (f U1 `r 14a�-5 11 111O81 TO DIAMETER THICKNESSS MATERIAL R. 514 14 D. in. list allapplitabieurlleonstnrtrtagpcnnlrs(le UfC,Cotmry,Stara Variance.ctt,J j 3.Well Use(chee well'use): R. R. In. WaterSupply Well: 17.SCREEN FROM TO DIAMETER srorslrn THICKNESS MATERIAL. °Agricultural QMunicipaliPublic ft. n. in. Geothermal(Heating/Cooling Supply) EiRcsidential WaterSupply(single) n, R, in. °Industrial/Cotmnercial DResidential Water Supply(shared) 18.GROUT flirrigation FROM TO MATERIAL EMPLACEMENT AIETIIOD&.AMOUNT' Non-Water Supply Well: n. R. 0 Monitoring °Recovery R., R. Injection Well: ft. ft. °Aquifer Recharge °Groundwater Rcmcdiation 19.SANDIGRAVELPACK(Ifapplfcabte) E3Aquifer Storage and Recovery EDSalinityBarrier FROM To MATERIAL EalPLACEM ENT METHOD p Aquifer Test QStormwaterDrainage R. ft. riExpetimentalTechnology °Subsidence Control ft. ft. °Geothermal(Closed Loop) °Tracer 20..DRILL4NGLOG(attach additional sheets lfnecessary) Geothermal(HeatingICooling Return) Other(explain under#21 Remarks) FROM TO DESCRIPTION(calor.hard... alurock„nt.grils,ke.An) e� � lS n. '9 R. �;tl--� ,Sr- ) �I ,. 4.Date Well(s)Completed,).'l3 Yh-S Well ID# r� n' I` L./ e� ' .4r.. 5a.Well Location: ) �17`)_'IA( t -7 -4 g/u -P . R. Facility/OwncrName Facility ID if pplicable) n. ft. oZ4 C i CAM Yt(J h i--1- led (lo,fcn d j il. ft. Physical.Address,City,and Zip R. ft. 21.REMARKS C O*0.4.3 J, , County Parcel Identification No.(PIN) Sb.Latitude and longitude In degrees/minutes/seconds or decimal degrees: (if well field,one lattlong is sufficient) 22.Certi • n: N W J�-,�- 3 b.Is(are)the well(s) Permanent or Temporary Si t rcofCcrnficdWellContmftor - Date 11k signing this farm,I hereby crrtlp that the twilit)++nr(Herr)constructed hr accordance 7.Is this a repair to an existing well: °Yes or with!Sri NCAC 02C.0i00 or ISA NCAC 02C.02001f Well Cnrutruction Standards and that a If this is a repair.,ill out known well construction infarmai1on and cap Ida thenasureaf Me copy of this record has been prndtled So the well owner repair under#21 remar/ssection or on the back of this form 23.Site diagram or additional svdl details: 8.For Geoprobe/DPT or Closed-Loop Geothermal Welts having the same You may use the back of this page to provide additional well site details or well construction,,only 1 GW 1 is needed. Indicate TOTAL NUMBER of wells construction details, You may also attach additional pages if necessary". drilled: /h SUBMITTAL INSTRUCTIONS 9.Total well dept elow land surface: . [J� (ft.) 24a. For All Wells: Submit this form within 30 days of completion of well For multiple wells tall depths ifdlfferen!(example-3@200'and 2@/00') construction to the following: 10.Static water level below top of casing:40 (ft.) Division of Water Resources,Information Processing Unit,, If sorer level is above easing.use"f" 1617,Mail Service Center,Raleigh,NC 27699-1617 11.Borehole diameter: 6 1/8 (in.) 24b.For lniect(on Wells: In addition to sending The form to the address in 24a Air Rotary above,also submit one copy of this form within 30 days of completion of well 12.Well construction.method: construction to the following: (i.e.auger,Color,cable,direct push.etc) Division of Water Resources,Underground Injection Control Program, FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh,NC 27699-1636 13a.Yield(gpm) 1-5 Method of test:Air Flow 24c.For Water Supply&infection Wetis: In addition to sending the form to the address(es) above. also submit one copy of this form within 30 days of Chlor Tabs 1112 Lbs completion of well construction to the countyhealth department of the county 13b.Disinfection type: Amount: P P where constructed Form GW-i North Carolina Department of Environmental Quality-Division of Water Resource 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: Martin Gonzalez Sample ID Number: 176551 Location: 2668 Community Rd, Claremont NC 28610 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 \ Private Well Information * o & and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Martin Gonzalez—2668 Community Rd, Claremont NC 28610 Sample ID#: 176551 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. n Arsenic n Barium n Cadmium ❑ Chromium n Copper ❑ Fluoride ❑ Iron n Lead n Manganese n Mercury ❑Nickel ❑Nitrate/Nitrite n Selenium ❑ Silver n 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. n Chloride n Copper n Fluoride n Iron n Manganese ® pH n Silver ❑ Sulfate n Zinc 6. n 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. n 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. l�H Total - - -- - . , y , . �. Alkalinity 8� ,-,, , ., „.___,.. PRIVATE WELLSb. -,,,- . „,.. ,, ... ‘,.. ,00-,, 4 4 .41 , 1 -. _.ram i:', `f ri N � What are pH and total alkalinity? �,�� pH is a measurement of the acidity or basicness of Iid I ::4, . ; water.Water with a pH less than 7 is acidic.Water /' }} - that has a pH greater than 7 is basic.Water the has a I; ; _.,,,, pH of 7 is neutral,neither acidic nor basic. (7 „ 'I t Total alkalinity is a measurement of the capacity for � . ,. water to resist changes in pH. = t> >: What affects the pH level acceptable range for pH.This standard was developed and total alkalinity in to prevent metallic or sour taste,slippery feel,and pipe my private well water? corrosion.There are no health-based standards for pH. pH levels and total alkalinity depend on the amount The US Environmental Protection Agency or of minerals like carbonate,bicarbonate,and NC Department of Environmental Quality have not hydroxide in groundwater. developed standards for total alkalinity. How can pH and total How do I test for pH and total alkalinity affect my health? alkalinity in my private well? High and low levels of pH can cause gastrointestinal Use a certified lab or buy test kits at your local home problems.Low pH(less than 4)can cause skin and improvement store to test for pH and total alkalinity eye irritation.High pH(greater than 10)can cause in your well water.Contact the private well program hair damage.High and lowpH can cause corrosion 9 9 at your county health department to assist you with r which may cause more harmful contaminants to getting your water tested.Pricing of testing varies :-; enter groundwater. from county to county. Alkalinity cannot impact your health. What if my water is acidic What level of pH and total or alkaline? alkalinity should I be If you are concerned about the taste of your concerned about? well water,you can install a treatment system to The US Environmental Protection Agency or neutralize the acidity or alkalinity of your private well. NC Department of Environmental Quality developed A neutralizer is a treatment system that can reduce an aesthetic standard for pH of 6.5 to 8.5 being an the acidity or alkalinity of your well water. Percent of Private Wells Tested Outside of State and Federal Guidelines for pH, 2011-2013 I 114 nor plan 1111111 iok . _ it T , �- C• ipii �► rerAwiti.. _ I I I 101 non' H- a, " „ „ i + '' >75%outside guidance range 1 .p -50.1-75%outside guidance range -25.1-50%outside guidance range I I<25%outside guidance range 0%outside guidance range v Insufficient data(<10 wells tested) What are the pH and total Where did this information alkalinity levels in NC? come from? The pH of private well water varies across NC US Environmental Protection Agency:www.epa. (3.2-11.6),see map for areas with pH outside gov/sites/production/files/2015-09/documents/ of guidance range(6.5-8.5). 2009 03 13 estuaries monitor chap11.pdf Total alkalinity of private well water varies across and https://safewater.zendesk.com/hc/en-us/ NC ranging from 0-1,020 mg/L. articles/211406048-What-is-the-difference-between- pH-and-alkalinity- Where can I find more World Health Organization:www.who.int/water information about pH, total sanitation health/dwq/chemicals/ph revised 2007 alkalinity and my well? clean version.pdf Water Quality Association:www.wga.org/learn- Visitthe NC Division of Public Health's Private Well about-water/perceptible-issues/corrosion/acidity- and Health Program website:http://epi.publichealth. low-ph- nc.gov/oee/programs/wellwater.html. There you can find: • Contacts for your county private well program • pH and Total alkalinity in well water maps • A guide for selecting a treatment system • Other private well resources You can also call the Private Well and Health Program at 919-707-5900. NC Department of Health and Human Services•Division of Public Health•Epidemiology Section•Occupational and Environmental q�,; "} Nc''V Epidemiology Branch•Private Well and Health Program•httos://eoi.oublichealth.nc.gov/oee/programs/weilwater.html•NCDHHS Is an N•the.,U. equal opportunity employer and provider.•09/2019 Nazar IPfA-c, ti.ie-11 gf3PR /o-2ou R- 39f - Catawba County Environmental HealthA,,,m. raj_Utz_ 174rys/.3 A J✓.P 1. - b WO( 0.7..2 Z2 17L'..] / •S.r i{{ fin. �lr"n'f 1 1 ,;,r,,.•r' .•- ,yam' t ,e• A .'"r"' ZLrA 40. 3Q� ,'� �30 :. =Y ` Bb +jam' r +r7 40 s a , ","'• 4 emu =�' k .'r 0) • • ; [ ' N I 216 ! bliss'vs6-- GOVAlltleitri eRale 0551 i I Parcel: 375307782570, 2668 COMMUNITY RD 1in=100tt CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Gaospa information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on tt►is mmaap or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 07/28/2022 it tV i,�u ?se ID-zozr- 31r7s- Catawba County Environmental Health Awl-4- it-e02z_ 1 P3Y' /Rweil 07-zou-i76Sr/ i i I �- I i I I / / I 1 \ ,..n p4,71 I I 1 M_ .I •2690 / / .I MNYo 3 a• r z.y I re ■ •,..,__ p,,,r N w , 5, Q��Cd-l' at 2 yr. r ' �j r Ll—` rri S it ---`co N IPPS Lb' \ I \ SD qc / 001161"41"RD Parcel: 375307782570, 2668 COMMUNITY RD . 1 in=60ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location end labeling information oontaloed on this map or data on this report Catawba County promotes and recommends the Independent verification of any data contained on this map repot product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or Iiabiity,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 11/03/2022