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HomeMy WebLinkAboutWELL-10-2022-182115.TIF I • 1I144 , CATAWBA COUNTY Public Health Department Subdivision WILDERNESS TRACE PH 5 d c'� Environmental Health Division PIN# 375504846417 ,'1 " PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 158 8_4 sM Site Address: 3118 MEDICINE BOW, CLAREMONT NC 28610 Name on Permit: *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON) Property Size: Acres 0.46 Directions: Head E on W 6th ST, Left NC 16, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left Great Divide, Right Medicina Bow Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of ,/ the property described above. JC, As the property owner or authorized representative, I have received the above referenced / permit(s)as requested in the application for service RBPR-09-2022-42226, 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 Iof 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: 10/12/2022 Owner/Authorized Representative Signature r Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) nn 44 . Signature Date/Time1t/ iU'7Z 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 our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService daoni. odd ie0Oakudeelhcims.(40., ehpennit 10/13/2022 08:47 ..•••••'"" Catawba County Environmental Health g gil g ci x, ,:2 —f ii.c7g 4)6 •3159c., lin ) V�o3aoa - 19aa44 ` c„, ,6 a, Au -o33; a3 -- 1922 Sa we \� I0 — aoaa - Pails . . ,_ .... .4,, 1 "L5- <-----> 184 4o CI zst z,-r _ J_____________---- ‘9 /0iT0m u 0 •3118 O � Z - .... ■ o j �g, w sot C P 8 kt( 0. NEW SPIRIT 191.40 7 0 co •3080 0 r7 0 ei 0 Parcel:375504846417, 3119 MEDICINE BOW 1in=40ft CLAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location end labeling Information contained on this map or data an 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 10/1212022 Analytical Results , sTATESYlLLE ANALYTICAL Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 09/26/2024 Reported: 09/26/2024 For: 10-2022-182115 Landvestco Holding Company LP 3118 Miducine Bow Claremont NC 28610 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 240926-25-01 Nitrate 182115 <1 mg/L 353.2 09/26/2024 CL 240926-25-01 Nitrite 182115 <0.1 mg/L 353.2 09/26/2024 CL Respectfully submitted, Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 B TAT E87IL1.E fx izfk ANALYTICAL ft hjx w 122 Court Street Statesville,I.iC 28677 704-872-4697 www.sa-nc.com NITRATE/NITRITE ANALYSIS Not=All.iafamntiaa teat Be it:ppUcit.for canr,;ttan:e credit WATER SYSTEM SO f 0 ,a0�a-j a t I S County: Catawba Name of Water System: LctSt`d ties+ t7 ta(d'r Czt p 01 LP Sample Type: 0 Entry'Point NAlSpecial/Non-campiiance Location Where Collected: 3!'6. Pk e,f t`c-i Ke-•tOW , Lk Ce.n- rvk gc 10 Facility ID No. 'k H (- Sample Point: 4 1 Collection Date Collection Time Collected By: 1)W 151,E ke- djf $ /)-Lt �:_02, A Mt (anePrint) (M 1/6617Yy) (specify Ahter PM) Mail Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone f/ t,(828)465-8270 ENVIRONMENTAL HEALTH Fpx (828)465-8276 PO BOX 389 Responsible Persons email: EHAdmin@catawbacountync.gov NEWTON,NC '28658 LABORATORY II)rr: 37755 ❑SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED REQUIRED NOT DETECTED QUANTIFIED ALLOWABLEj CONTAM METHOD T ti CONTAMINANT REPORTING LIMIT {i.c.<R.R.L} CODE CODE R L) RESULTS' LIMIT IT l 1040 Nitrate 3532 1.00 mg/L _ —., mgfL 10.00 mg/L 1.00 m r 1041 Nitrite 353.2 0.10 mg/L �! --- mg/L gfL *Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed. 'DATE: TIME: ANALYSES BEGUN: 0"1 I / z - . _2;o _tiF GSA.3,11. l �_ {5ptt7f,M1,STrAg!) M ANALYSES COMPLETED: �o"t I Z- 12M `3: 0 t' , �l 'sera ' is tivinrret Laboratory LogW:9i--1C a,6-5-o1 Certified By: COMMENTS: zoos Laboratory should Mail Results to: Public Water SupplySction,Attn:Data Entry,1639 Mail Service Center,Raleigh,NC 27699-1634 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 Pr 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: Henry Franklin Sample ID Number: 182115 Location: 3118 Medicine Bow, 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 depai tiiient 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 < 'era • � .446.000. and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Henry Franklin—3118 Medicine Bow, Claremont NC 28610 Sample ID#: 182115 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 n Fluoride ❑Iron ❑Lead n Manganese n Mercury ❑Nickel ❑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 DIpH ❑ Silver ElSulfate n 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. ❑ b.Your sodium level exceeds 30 mg/1 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.