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WELL-10-2022-181611.TIF
._ CATAWBA COUNTY . 0 .`n Public Health Department(...,..) Subdivision L MCGEES POINT c Environmental HealthGovernment Division , , PIN#OT# 461703301423wit 8 Drive, SM. Newton,NC 28658- Site Address: 4227 MCGEE POINT RD,TERRELL NC 28682 Name on Permit: PASCAL&CHRISTINE HELOU Property Size: Acres 0.69 Directions: NC 150, R on Sherrills Ford Rd, R on Hob LN, L on McGee Point Owner/Authorized Representative Acknowledgement of Permit Receipt PHI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 1 ' IN As the property owner or authorized representative,I have received the above referenced . 1 ` permit(s)as requested in the application for service RBPR-04-2022-40851,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) _ Electronic Image Transmittal/E-mail (Return receipt required) ctofl 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 regulatoryrequirementsspecified s ecified 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: 10/03/2022 Owner/Authorized Representative Signature 6-2( gitai Date 6 2422219-- Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) • Permit transmitted by (name of person 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 yo&Please ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.com/s/EHCusttomerService ehpennit 10/04/2022 15:03 �� • CATAWBA COUNTY Case# WELL-10-2022-181611 .t. Public Health Department Subdivision MCGEES POINT "1 Environmental Health Division P1NU 461703301423 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8 /g,}2 9, Site Address: 4227 MCGEE POINT RD,TERRELL NC 28682 Name on Permit: PASCAL&CHRISTINE HELOU Property Size: Acres 0.69 Directions: NC 150, R on Sherrills Ford Rd, R on Hob LN, L on McGee Point 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. PERMIT CONDITIONS *A variance well will be required if the well cannot be drilled at least 25ft from the house. *The well must be at least 50ft from any part of the septic. Wells shall be constructed in accordance with state regulations: Article I 5A North Carolina Administrative Code Subchapter 2C The well driller must verify all setbacks before drilling the well.lithe 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 I 8A.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. ,,444.-e0-- /-- Z5pzy—____ 10/10/2022 Authorized State Agent Permit Issuance Date 10/10/2027 Pennit Expiration Date ehpennit 10/10/2022 09:39 . 0-PK-01--1 -;DJ-2- LiO(65 1 III PIPE N08'01'36"W , 1" PIf� , 4 ylc d on e y\A ELEEV:783.45'99-71' .`' l.JEL.L-O9- ) -1 iO,3?1 FR 713o �/ col ; REAR r^�V:76 4 • .• .LOT8 Au7N -IDd0,22-/M/b 41 (0.67 AC.) =© (JELL-1O 2O / i LI * HOUSE 80X t ri EIP' �'".. 11. 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"- .•'d . :• J,hi`degrees/in[itiites%seoondsordecliimI _ ' " ;�_'�, . ill' c"'„y(i.'fs cA'Sir'•1d,eiio la&laag is safficient) -< '?. °. rye' eel's.'' ``'"!r;r�.� �;r� ?� ;�, ?Z.CertiliatIon: ...:;; .�t,,�. �,y'�.� ;,�,„.,Kilegg , J/ %i% � om , • . 7 v .4,L4,..,c+, ,. `•fir x, :.. 5.'. q 4 7r.. ,.r :a " 'max,. 2 .V }x y; �,{.f,,6, Is(ale)�theTiali(s):'121Permm�ert•x or,;.❑Tern}y''ratty,-- • Swan of Certified tY_elicomr+ctor ,�. ,' Date ,r'"~``':�„'' ?fix- ,y, .,. - " •Fr,r : Y,µ,, .,RL,. f" that '4 x7:.Is.thisu Ye'� i,4 :`„d,Y .i,ri.^G a. _ �:�' ,. ( � ctrmdumce xi} .£" ` pair£oan well:'l`,i•'t 'tj\�` `'.:,', ' ..'e 15sihCrICOWrmllmrIS IGIC 0IRO r xsre e16nSauidfn thY, �'�.�rtlitnls'i �5� es.'ur� t , : �.`„_ �-,`lSdA=G?CO3C.0100arI.LlNGICR?C..R?OOIPeIICans>iucLianS7mrdmrha»ddmthcopyr':';'; is,;., fpat4 fill out brmvn:cull aottstniotlon lilfarmaaai aid Ian tha: :Ids record has 4 ;24trapatrinrdir131'ioitrar`lesecticni or en the ,ram slurs gjtlm,:;:1 oj.t bean pra?ided to the xuII mvner z ' 7,t: '4 s;+' ,s, r y a^.w�� i 6actcofdrtsfarnc.,.?.4„�" ,-•,r".:i,"``?4.'ss'k,; rt' �:y'�." <i;,:. .. J. '���ir""(•r", 's": .ice; } »„r -��„,�s�a`.cn.:_. ,.:.s �;,?3;'Slte diagramror additional well details: . "•;`' " M r &. 'orGeoproboIDPT or dosed L oo. "`" Y `;'' „ Y,i; "'��.��.,,s,;_3" ..,� .z ryr, ,}� �P Ge6thetrtatl`1Vells having tbz saale;�,.fi�� od ma)•:usa the back of thisPaga to provide tidditional«e[[conshuction ▪ -�^� . � ,_,t-otter}onl 1�OR► caIta;TOTi1L NUMBER of Hells e'.- a'(add Sec Over'in Remad:'s Ba) Yon ma also ailnt:G additi Pages If n v 'k' .vF ..ia Pit•_'rbr yea ?'+< 1?�s n ed•.iudik v Y, onel as' mk"`x`uAz"•"yt :•`Yr:^ -,- .t,,,. t.. .r ."s,-, 5.�,v,e-, .,' ,'o' ,t..t,',>-;: h�4„y,y;;.„''',:.` -?36 yrriii r:'.Y1 r. ,t^+';5�°r+•'.,,. t. ."n:�. $.,`'' ,Ay.,',, {':., .'k' `Zct.SlJBITT,*7��..�.��•l�•�.� �t�i r.i• `�,f''% ,:.Y,�%--"9�.i,Ss,xLd'.��"�RYTq`•k,. �.;. - sa�,rY'a�-.z:,t.�".c' .. •"v' }�y.k:l...- nL1fY71 AU�.i101\�i �t.: {T' \ ,rf`•'_�. ,F. ▪g °tnI' ISIep'tkbeialP'Inndsu face:.-i9�,.O s'a•'':r,: '. ' Dandy :boa,RsioiU'a_jiiiiit,dtfferrirfrsza�3 ego. ' .1`,f .SubmitthisGW1Tithin30• t sof ` " J Ji {„;,R !d lgti >and'�jpp� days(Swell ; `4.':. .. i i,•_5i*2;.: ' - ''��°x .'''v.°::E`a�%u,r' _ r:,n,,474 g r'-,'�`t '.4. '•`.' - - i",gin"'-;T" :« zwaterlaid�; ,,� of,Water ttrcas tux : ' , �. F:r� „cam_{,, ,�he[ui4�fup`oftasing��,"c�*(�'�`r`�'".�,;��"• R^•;�,'�'�.i�:;'T;(py� 24w For An' Wells Original form to.Division ResO (D �::."T. �" I �- 7avr7:sab"otismankiur'-• :=Y4W" ��'; yfe t'-•T ,-, r) Infannation;Processiti Uni I6171i'1 Rolm AI ;,'; ''+' '' 7, s :f _ ;t o,3. 1t44-`r.,,'„ '; 4 urs :ii.:e''.,rs; d g', S .. 1 :.C27699-1'''' .,.'` , x.. ,,-t ��, �rn a�tiz ,:a =`rr ,d� fiyti a.':^.�'•.� � .i{.? .v.; y.x.., .�_iris, . 'r dIameter,'x`a e''';4 h..,/:',z,;x`'-il 'F' f.a;7 T'k: ,''a:'kiln 2-lb.For r ,;,.,. �, °.,r - �,. ) ..� f 4 Iniectionliellr.Co to:; ," ": .',�" h�T• ' ;. {� ,� r. _ ;�. �° �� yv,;��#i�;"' "� ��t CopyDWR,Underg<nund,hijt�tion�ConhDl U '�.'�" :�s't, , �,• :>= ,,,, -, a',-fir'aS1,i `t ;'?a a; ;:,, 36 :. ' • , � _;. 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"."�`'„`8•` N .�,..'`f!s'"�iC+�';ib Uw; . �;fi.;;�t�:,} y...,tw, y' 2, F Case# WELL-10-2022-181611 CATAWBA COUNTY HEALTH DEPARTMENT H ; t „ ��= Environmental Health Section 4► 18 411 sM 02/28/2024 WATER SAMPLE FIELD REPORT Owner *PASCAL&CHRISTINE HELOU,4227 MCGEE POINT RD,TERRELL NC 28682 C:917-952-3620 PASCAL@HELOU.COM ;1 tteS'W 1+.r Site Address: 4227 MCGEE POINT RD,TERRELL NC 28682 Name of Subdivision: MCGEES POINT Parcel Number: 461703301423 Driving Directions NC 150,R on Sherrills Ford Rd,Ron Hob LN,L on McGee Point Sample Collected by: Dtk,4544 AN t k4A Date/Time Sampled: o 6//V l et 9°v!A PI Sampling Point: ��'��q t42. 4'q f c`r' W e t L.2 Is well head accessible? Yes 17- No _ Reason for inaccessibility Well New or Existing? New V Existing Type of Well: Drilled fr Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: VYes 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: r'ix,.:1 boa D 3(os/2 1 r)5''7 (ttL(N.> \ Lekv4r-chcR W e� Nb-1- r^i°ar s core( 2 73 OWkwr IA/; c,e.11 rsamfieldreport 02/28/2024 09:51 Page 1 of 2 Analytical Results 0, STATESVILLE ANALYTICAL Catawba County Public Health �� } PO Box 389 Newton, NC 28658 Receive Date: 06/12/2024 Reported: 06/14/2024 For: Pascal Helou 4227 McGee Point Rd.Terrell NC 28682 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 240612-42-01 Nitrate 181611 1.03 mg/L 353.2 06/13/2024 CL 240612-42-01 Nitrite 181611 <0.1 mg/L 353.2 06/13/2024 CL Respectfully submitted, ) Wagip ) Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 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: Pascal&Christine Helou Sample ID Number: 18 i 611 Location: 4227 McGee Point Rd,Terrell NC 28682 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 depai talent 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 y L.�f Private Well Information \\*,„, � and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Pascal&Christine Helou—4227 McGee Point Rd,Terrell NC 28682 Sample ID#: 181611 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 onty.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 oqv. n Arsenic n Barium n Cadmium ❑ Chromium [' Copper ❑Fluoride ❑ Iron n Lead n Manganese ❑ Mercury n 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 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 onty,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 n Sulfate ❑Zinc 6. n 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 onFv. ❑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.