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Home My WebLink AboutWELL-08-2022-177814.TIF CATAWBA COUNTY Case# WELL-08-2022-177814 • a Public Health Department Subdivision 1.1 , y Environmental Health Division PIN# 373009075335 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# :EL s, Site Address: 1451 WHITE OAK DR, NEWTON NC 28658 Name on Permit: THOMAS&SHARON SCOTT Property Size: Acres 18.81 Directions: Startown RD, Settlemyer Bridge RD,White Oak DR,vacant lot on Right 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. 3/1/6"'t ()lig, 08/15/2022 Authorized State Agent Permit Issuance Date 8/15/2027 Permit Expiration Date clnumnii 09/01/2022 10:26 .M..r e _ ► I s f 1 ' II r tolp J. . ; . Ili, , i I fit li II 1 1 11Il; . III1ih !h1i l'h1 i 4 1 j1[ ill !IIi= 1• IJ� i g twricel ,yr u.w,n•■w.v arv. '' I.N'.iaBo s-- r„,M II llal 11! 1!.! bi ' 1 I DA t: I le I 1;i: I ;., 111 t 1 lili/:1 i i lii 1 i'i ! 1 L k RI 1 1 4° tl _! --3.acrcao N .avtr, d q«q ii n ,or s►a - ' I il 1% r ! -°jam t kit 1 ( � Sk l q .G w it S►// / otio� I .� �,$o _�}2� I os �.1 II� 7,K! ti • j I pi 1 ii:ipe 11 i it lotl.l - 114-30-N44i : ; 5ihih -Zt°2-010-Vd91J I a.....3 n la I. i la > iI 13141 I c....,.a,r � K - 14 ; r arIZ WPDT Report Area of Interest (AOI) Information Area : 3,134,508.61 ft2 Aug 15 2022 16:01:12 Eastern Daylight Time lat tt1 1 I • 1.., — �t t t\ , 1 \ :• olitii/ I t• • .` �� 1 N. I 1 -...---..... — .,-.-_L_ i —.......-...-.--.....--- \-..— ...... .J—.__._.__,....___. 1 • i { i 4 I ''C 1:4,514 _!Pateeki(Polygons;•Parcels Projected Route 0 0.03 006 0.12 rn 1 1 1 % ti % ti 'I Non-System Rows — Other State Agency Route 0 0.06 0.1 02 km — Pede x Route — Secondary Route Non-System Primary Roads Otter System Roads — Interstate wcaot o.s IrM MC Cw..lb. — Ramps,Reg Neu,t1on.Mantne — US Route — NC Route 1451 White Oak Dr, Newton 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. Oct 2523,05:15p p.2 WELL CONSTRUCTION RECORD(GW-11 Forirnemal Use Only: 1.Well Contractor Information: Kyle C. Shaw 14.WATER ZONES Lt+c11 Cor.;rnc:or Name i FROM TO ➢ESCRIPTlON 4521-A 11>jft ! 1ti i l f;'>" ns?rft 2 tt. NC Well Con7acter Certification Number L.OUTER CASING(for aid-eased wens OR LINER(ifapplic eb1e) Advanced Well Drilling, LLC FROM TO DIAMETER THICKNESS i MATERIAL • a it 11 ft. 6 in"J Heavy PVC Canny Name / �/_ 1 16.INNER CASING OR TUBING(peothermst closed-bop) 2.Well ConstrucifonPermitIV: ( fit-06 0<�atZ f 1 1q 114 _ FROM TO DIAMETER l Tic itss MATERIAL LW all applicable weicormrucrion permits(i.e.UKC.Cocain;State,iariarre etc) ft. IL In, 3.Well Use(check well use): ft ft. in- Water Supply Welk _17.SCREEN FROM TO DIAMETER I SLOT SIZE I THICINESS MATERIALClAgricultural ❑Municipal,Public _ rt. rt. ir< ❑Geothermal(Heating/Cooling Supply) niResidential Water Supply(sinele) rt. ft--- in. i I l °Industrial/Commercial °Residential Water Supply(shared) 1$.GROUT ❑Irrigation 0 Wells>100.000 GPD FROM TO MATERIAL I EMPLACEMENT\METHOD.0 A.\IDUCT Non-Water Supply Well: - 'U f- Q - Beritonite Poured ❑buiritoring ]Recovery ft rt. • I Injection Weil: ft. it. ❑A.quifer Recharge ❑Grouadtwter Remediation 19,SAND/GRAVEL PACK(if appltenbie) _ °Aquila Storage and Recovery ❑Salinity Barrier FROM -TO _MATERIAL Ell 1PLaCEMCa METHOD OAquifi Test ❑Stornuater Drainage rt. It. °EiperimentaI Technology ❑Subsidence Control it. it °Geothermal(Closed Loop) El Tracer 211.DRIiLINGLOG((Mach additional sheets if necessary) . ❑Geotherlttal(HeatinafCnolina Return) ❑]titer(s lain under-21 Remarks) FROM CTO DESCRIPTION teeter,bn:dr ,scat/reek e.,min art ec.] 4.Date Well(s)Completed: 4C-a.- J WellD3#_ 50 R ,(. l rt._ -,{nr [ Die c` set.1i'ek1 Location: 4 l n 2> ye- ��at�`� �O JL I �y V %r /)1 0(7 .� be- c)n.-kcar,. IL , f Facility/O'.xa m er Nance Facility'Ire(if applicable: ) ft. St f )L/,1 ci :r ,, t)r A -j1^.\. kJ . ft. , ft" I Physical Add:ass,City,end Zip rt. i�- :ql d =1 -31.REMARKS County Parcel ld rtitimtion Nc.(RENT) .Latitude and Iongitude in degt•eesltninutcsfseconds or decimal degrees: (if well field,one latiiong is sufficient) 22.Certification: 6.Is(nre)the n•ell(s): CPerznnnent or DTemporan Siam ofCe:tfiedt\rellContraclor pate • By signing tdra form.I hereby certt5'that the well(s)ma(were)constnrcred ire accordance with 7.Is this a repair to an existing well: °Yes or tNo 15..Ar.4cor..olaoorlSaA'GACO2C.ft7OO)WeilConrrntrtionStandardsandThatacopy If-this is a repair,fill out known well conrtnrcSon irfonraaou and'espiaarr the nature of the of this record has been provided to the well owner, repair under i2.1 renmriz section or on the back oj'Mir form. 23.Site diagram or additional well details: S.For GeoproberDPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide additional well construction info construction,only 1 GW-1 is needed. Indicate TOTAL NUMBER of Wells (add'See Over'in Remarks Box).You may also attach additional pages if necessary. drilled: 24.SUBMITTAL INSTRUCTIONS 9.Total well depth below land surface: '? ft For multiple r ells IFS'all depthsevent a. �' ( ) Submit this GW-1 within 30 days of well completion per the following: p if'J ( ample-ra-4D'and 2,Z100'. 24a. For All Wells. Original form to Division of Water Resources (DI1Tt), 10.Static water level below top of casing: Ili() if tracer level is above casing.irse"+" (ft-) Information Processing Unit,I617 MSC,Raleigh.NC 27699-1 b 17 11.Borehole diameter: 6 An-) 24b. For Injection Wells: Copy to D1I‘Tt,Underground Injection Control(IUC) Program, 1636 MSC.Raleigh,NC 27699-1636 12.Well construction method: .A i` igo.i-&-e-(—f 24c,For)later Supply and Open-Loop Geothermal Return Wells:Copy v to the {t.e augs,rotary,cable,direct push.etc.) t county environmental health department of the county where installed FOR WATER SUPPLY LLS ONLY: 24d,For Water Wells producin5 otier100000 GPD: Copy to DWR,CCPCUA 13a.Yield(gpm) Method of test: Air Permit Program,1611-MSC,Raleigh,NC 27699-1611 13b.Disinfection type: HTH Amount: f� Amount: k_ =ar71 G�:t'-: North Carotins Department of Emile rumet al Quality-Ditision crwaler Renoure= Rw,,is_d._t , �A c Case# WELL-08-2022-177814 1., CATAWBA COUNTY HEALTH DEPARTMENT Environmental Health Section g 4 2 sM 06/01/2023 WATER SAMPLE FIELD REPORT Applicant THOMAS&SHARON SCO ,6581 MALCOLM RD,VALE NC 28168 t'l;�' MA I t �p H,8282284310 8282285769 SHERR11951@GMAIL.COM w,.v„,.w�.,.,,....,,..,.w..,.,.,..M...w..:...................�.. �..w..,�,...,�.-�..,�..V..,...�..,M.,,�..,,,...,V...w...w,..v.,.��....�...�..w,....�,...m..,,....�,,....w....�........w...�.,....M..w.....,.w...W�._�..._...........�. Land Owner STEVEN CERRITO, 1340 STELLAR WAY,NEWTON NC 28658 ..,M...,....�.....,..,.w..wH..v,,,...,................�.....,x.. *:v,....,,,..,�..-,.,...x.:.�....w.��,�.-,....._...,.....w�.�..,..,.,.»..,_..,,.....x...�....,.,...,.,..,.....�...�w,r..,m..,,....,.,..�,....,..,..�...,.�._,....m.,,�....N.v.,..w.,..�.....,�.�,..,m..m...H, Contractor RIDGELINE CONSTRUCTION LLC, 151 ZION CHAPEL RD,HIDDENITE NC 28636 C:8282924527 RIDGELINECONSTRUCTION4U@GMAIL.COM Site Address: 1451 WHITE OAK DR,NEWTON NC 28658 t3 Hi5 ft\a. b oX ak 4K s o,(I4r,ecs Parcel Number: 373009075335 Driving Directions Startown RD,Settlemyerl Bridge RD,White Oak DR,vacant lot on Right Sample Collected by: IX 5Lk 1 ,kP�-1 Date/Time Sampled: OG/0'/) 3 9- 35AI/1 Sampling Point: S'a k. L&p Is well head accessible? Yes ✓ No Reason for inaccessibility Well New or Existing? New Existing Type of Well: Drilled / Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: 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 sealed Other(comment) Comment: CI,LI Der c c f vc;/,a./.2 , oh Ale.? 11u `i 30 AID /Vew rog/os,,„„31 raamfieldrepon ( NU /J w'e� 06/01/2023 10:52 Page 1 of 2 , 1°)"A C Case# WELL-08-2022-177814 `q7t CATAWBA COUNTY HEALTH DEPARTMENT 105 Environmental Health Section 18 4 Z sm 06/01/2023 WATER SAMPLE TEST RESULTS _:.......w...,..,....,....:..,.:..,,_.., .. ...w...w_.w:.. . ,w... ...M._M... .. .,._...m.. ...M...x�..:.....:...._.....:...:::...::....,::....v..,.: .:n.w:....w:.,,,,, Applicant THOMAS&SHARON SCOTT,6581 MALCOLM RD,VALE NC 28168 H:8282284310C:8282285769 SHERRI1951 a GMAIL.COM m...:.................�..:.w...::�..:.....::�....r..::�,.:m..::,..:�...M...,H,...�....w:....::.�..r...._Wm..�....w...�...v....V....x.,.,w,..w...w:..�,...�,,....,.........,..,..:.......�...M..m...w.....::::..,x:...:M.,m...:.::...,:::.,x::...:::....,...�...,::.....:..,...........w:..,. Land Owner STEVEN CERRITO, 1340 STELLAR WAY,NEWTON NC 28658 .::m.M...::m,v::...�..,.:m..:.�...::,,,wn,.»n....M...:n....,,...M.,.M....w:...,.,..x::....M.V.::.W._.w,..w_..::,..w,...�:,...V,....,_,...w._,.:,.._,..V,.,..w,..�...,_M.,„.,.,:,,...w��:m..:M_.w,..�H,�.w....v:.....,,..,M.YM...::..._.::.._.r...:,....r,..:.....:,...w....w:. Contractor *RIDGELIKE CONSTRUCTION LLC, 151 ZION CHAPEL RD,HIDDENITE NC 28636 C:8282924527 RIDGELINECONSTRUCTION4U@GMAIL.COM Site Address: 1451 WHITE OAK DR,NEWTON NC 28658 Parcel Number: 373009075335 Lab(oliform Analysis Results: Total Conforms: „'1 OOP t Fecal/E.Coli: (1;1 OW No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident im 141' Lab Tech Initials Date/lime Received ' � ') �� Date/Time Completed"`0'I "'' " i"D 9°1-1 RECEIVED J(H'; 1 2023 Environmental Health • rsamfieldreport 06/01/2023 10:52 Page 2 o1'2 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: Thomas& Sharon Scott Sample ID Number: 177814 Location: 1451 White Oak Dr,Newton NC 28658 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 "� r Private Well Information r , 4Ef..„ and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Thomas& Sharon Scott— 1451 White Oak Dr,Newton NC 28658 Sample ID#: 177814 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 oniv.You may have other water sampling results that are not taken into account in this report. 2. El 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 on jv. ❑ Arsenic El Barium ❑ Cadmium ❑ Chromium El Copper El Fluoride [' Iron ❑ Lead El Manganese ❑ Mercury n Nickel _ El Nitrate/Nitrite El Selenium El Silver ❑Zinc 3. El 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. El 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. El 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. El Chloride ❑ Copper El Fluoride ❑ Iron ❑ Manganese El pH ❑ Silver ❑ Sulfate El 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. ❑ 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.