HomeMy WebLinkAboutWELL-08-2022-176959.TIF 0 i .f a CATAIVBA COUNTY ,
,�j�i(.....i.in' Public health Department Subdivision THE RETREAT
ti,1,_,,'et Environmental Health Division PINt 460701398091
��� PO Box 389,25 Government Drive,Newton,NC 28658 1,OT8 12
:L•yt
BiteAddrees: 3687 LAKE BLUFF DR,SHERRILLS FORD NC 28673
Neme on Permit: 'NIBLOCK HOMES LLC
Property Size: Acres 0,98
Direationr Hwy 150 to Lanting Bridge RD,Left Sherrlls Ford RD,Left on Beatty Right Lake Bluff
Owner/Authorized Representative Acknowledgement of Permit Receipt
C ti
ertify 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
rC pennit(s)as requested In the application for service RUPR-04-2022-40829,by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
I' Electronic Image Transmittal/E-mail (Return receipt required)
�` � s 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),
andlor 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:08/03/2022 toiry:717/44
Owner/Authorized Representative Signatur
Date ,YI rI2 2-
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ _(name of person sending permit)
Signature_ __ ___ fl
Date/Time D I z)z,z—
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 youPlease ttake a few momentts tto complette cur custtomer service survey att
http://www.s u rve ym on key.co m/s/E H Cu stto me rSe ry i ce
d. eoloP b4o block 1uvac.Crr,,n
ie
411pennn 08/032021 10:00
A4 STATE o
e 4312 District Drive
f44
91;ice.: North Carolina State Laboratory of Public Health Raleigh,NC276991918
%ii .11 "`� Environmental Sciences http://slph.ncpublichealth.com
_�« ," Phone: 919-733-7308
Inorganic Chemistry Fax: 919-715-8611
Certificate of Analysis FINAL REPORT
Report to: ENVIRONMENTAL HEALTH Name of System:
CATAWBA COUNTY ENVIRONMENTAL HEALTH Michael Trustee
P 0 BOX 389 3587 Lake Bluff Dr
NEWTON, NC 28658 Sherrills Ford, NC 28673
EIN: 566001814EH Delivery: NC Courier
StarLiMS ID: ES230324-0006 Date Collected: 03/23/2023 Time Collected: 13:45 By: Bryan Forsee
Date Received: 03/24/2023 Time Received: 07:37
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL08-2022-176959
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 <0.0005 0.005 mg/L
Calcium 37 mglL
Chloride <5 250 mg/L
Chromium <0.02 0.10 mglL
Copper <0.01 1.3 mg/L
Fluoride 0.200 4.00 mg/L
Iron 1.06 0.30 mg/L
Lead <0.003 0.015 mg/L
Magnesium 7 mg/L
Manganese 0.150 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.4 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 11.4 mg/L
Sulfate 21.3 250 mg/L
Total Alkalinity 113 mg/L
Total Hardness 121 mg/L
Zinc 0.05 5.0 mg/L
Report Date: 04/03/2023 1 ['� Reported By:
i f r.w
Marc Komlos
APB, 1 ;.,,23
E wironrnonta.l Health
Page 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: Michael Meyer Trustee Sample ID Number: 176959
Location: 3587 Lake Bluff Dr, Sherrills Ford NC 28673 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
��dn.sZiirj°, Private Well Information
4
m ��'r and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Michael Meyer Trustee—3587 Lake Bluff Dr, Sherrills Ford N( 28673
Sample ID#: 176959 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 ❑ Nickel ❑Nitrate/Nitrite n 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 Fiealth
Program at(919)707-5900.
4. n 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 ❑ Zinc
6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of
20 mg/1. 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/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain,etc.
7. n 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.