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HomeMy WebLinkAboutWELL-10-2022-182427.TIF i ,T CATAWBA COUNTY� ' t .�.� a Public health Deportment Subdivision 2 , - * Environmental Health Division PINT 462801469069 Apt � PO Box 389.25 Government Drive.Newton,NC 28658 LOT# 1 Site Address: 9685 ISLAND POINT RD, SHERRILLS FORD NC 28673 Name on Permit: •BLUEFIELD BUILDERS, LLC Property Size: Acres 0.91 Directions: Take Island Point Rd all the way to end past Riviera Dr.Empty lot to right,next to 9667 Island Point Rd. Owner/Authorized Representative Acknowledgement of Permit Receipt 0\ certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the pl foperty described above. A(s the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-04-2022-40885,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) _... PofAs the property owner or authorized representative I have reviewed and understand the specific conditions 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(ISA 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: 10/17/2022 Owner/Authorized Representative Signature , I ...I AL .k'°.1Date IQ dt Q IA3\ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time 44)3 Method: Fax Nimail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ENCusttomerService ci JaSyrIesiiE0 0-19 etiptrms1 10/18/2022 15:02 1 Q AC rr d� lie o y-2 W— tterir Catawba County Environmental Health aka Dy-2ot3_ 1t 9 tie w .t1 I..-oINsiN.,,\\\.\\<c 6�z- Ire 7 1- -------\ 0 TO sk 111Sib 01 Zr \ b 1�, ti C •a889 1bc�3 X::\ii ti yw/ ��, n i i av .9685 462, ,` s' by 0 30 • w o> SiK__J u" er \� u _r d r:rc-'°y 1r * ; $ ` ; .t0 Ai 34.94 Vf re. Yes 28.9(1 y ' I I 1 Parcel:462801469069, 9685 ISLAND POINT RD 1in=50ft SHERRILLS FORD, 28673 i i This mapfrepoit product was prepared from the Catewte Cot. ,NC(eospetld Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information combined on this map or data on this report Catawba County promotes and recommends the independent verirkation of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,diseMlm,and shal not be held liable for any and al damages,loss ar liability,whether direct.indirect or consequential vend/arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC t 04/28/2023 Prot borWELL GONS1'RU.l ON RECORD � _ . For]DtcrnaUSotn1y'i-.'Well Coutractor Woamotion:RANDY UWN,BEY P'zilContrmc:tariwnu 3 -__ 7d.'\Y+17'ER'LONES � � r FROM TO DESCRIPTION.. -289 : 290 IJC fWult Cantraatn(CcruOcatiaa ku:11w �� _ A!R•�RiLL�NG INC IS.OITTERCASING ror'mntf-mined vctk "OtLLINER, ra liable. PROM T°- 'DIAMETEit C•"att;tanyMtnte 0 Tt!lCttNkag 6IATERtt1 "� �( '7 fG gg fr. 6 in. 2,Well Catts7rtretisn.Permit lt: "0-2022- +8242[ IC-I,NNER.C,CSING OR'rtIDING wcotherumlerased-too . PVC, /.rstrr/fa,/g rnutT:erelireuctr Fnatt ` 1NAaterkrc nevr.ctlq<eruisl'r.c, t'burr,�t:Stutr,J:rr,..,r ,t t •- ,;f • T11iChA'tq A7ATERIAl. 3.Well Use(gitecst tired r,,5ci: MIMI in lYntcr SUII]gy Ytdlt In t�rnatL�,- g rlgrietdtural [Imkltmicipalflruldre FROM 'TO DIAMETER scot SIZE T!IlCfihFSs sr IrERL(L 1: ■Geothermal(Ilcating/CoctiiagSupply) L_trreSltlential Wino Stt i (single) in 1111 Igeltistriat7Cotrtnttrcint Y(, 3i. fr. ;a [ikesitlennal Water Stepp)e(shared) IN lair.rimsiA GROAT ?Ion-Wafer Saltpl}!\�`CIi: Fnant To n7ATERtA7, t Fart lCEb7EYrVETTt00&iiilOLlhT �latiftbting ©` 0. 28 rt, GROUTwigniiinaiiiiiiiiiisioniniiiiii�?.OL7EiEt? injection Well: DIttx°v4tyr 'ALlufrerl.:Titarse DGnunclttonrMertes.anon Aquifer Storage rind acCovel 4nsig(t•1lutritr 17,SANDJGRt\'E1I't4Ct:VA :Ocnhle t\yuiftlefost FROM" TO ;:IATFXIAL Earnt,rt¢E.4tEt+n'sik`rStaD DStonnwatcr Drama.: ft. 4xperntt:rta(Icchnok>g • 5 �SLtb;ii(ali c I ct;cyztr , . Geothermal Loosed Loop) IV, tL _— �}traccT' za.DRILLING'!NG'LOGfntrnrhiWitiliow[shceisdfrmrcrtsnrvl Clhotlicmmal(Ilcutin Caatpit ILEUM). 20.,D G'Other tmn.t,n PLI llonuriss)_ DFscatrrroty miner nnratte'--Vrndtir'r:ra- rtc}- 4.nate Welt(s)'Cnmpleted:3-22-24t 0 :rt 79 rt` DlRi — —_ Well il)11 79 ti, 3 li. __"'.----- ' ROCK B.LUE-FIELD BUILDERS. tk 1,„0.2t,-0,,,Cm" nac - trnmilih�t,t,:Adel 9685 ISLAND POU'IT RD,SHERRiLLS FORD. C.28673 Phy,nal rInsl'r riry,unt laE CATAVVBA 4628014 90,69 rutnoy ttemrm•r:r :cc11tletttlliuOtt \y;(Pfl$ b.Latitude and longitude io.degreeslmit utcs/saeoncl:.;ar t[ec minrt degrees: litt.a.dt lien!.one tau-Ions rs0tifiitue u} 356 37_18`3 _� 80° 56,08; care m (ion: w 6'.'Ware')thr,tirtil(s) permanent or t��''}'f'��..�.� - —" 3-22�24 t,_r�+,,etnjfarnry ;sirn'ititre,or dined':veil Crttumcrar' ° _Date 7_Is this a repair to On existing",vell: [ S-t s or Ilya/gnaw ilit.k.:r rn,1 herckt•crnrf}•'thut fLe vetle#mix(were)ennstructrif In ai ratans P \ Q n rui tStit.-r een-iC.(Irrovu•fritlei ti,htiowellowner.atFfimttttraeltrruxlmrrlatrtt uei{7horrt reArr tFo/re II NOW, ttS+tks.. +tum//erynsrr6, -lVilarj,s,,. rnrdr)%el lrN&, 6.ittif0r ltrc f:et}t}?f tfJ1$tYtiCril.Ju4t:Ir�r,4rjftrif4r�El1'tU�r1FC 11Yr(Wtr r, rr1i.rlt mare ?l riraimrtkr emv'tiuti r.r un rG„�imrmk Vila-CAM. L Lttit•(;coprohetIYPT'orClused-Loop Geotharrn:il Was ltattt1(..6v some Y3:Stl iagnun or attditiondt well details: conxrroetion.cr i f. \V- , •, You m Use the back Of this page_to tirov}da;odditional well.site details to?Min 0 Y C I is needed, (nrlioa t TOTAL Nt)jtt[31.1i.FI wells t niifitri.wFion derails. Yati may nisi;uitach additional pagan if rtcerssar3, drilled, imiyrcti depth it quo'taint snrGt'ra `O St9.IiR7t7•T"At.INSTRIIC'Trt7lVS, t nrtnurnj,te uvttsJrOt drpdtsl/rtlf/ri.rtt fttrtigwiv 3ir'r-y?ttu�irrr<t 1t<137fitry----- c•(a_aic h r1(c. $ n}(I shin form w h1 in 30 days of cbmteictior7 or Wall belowltJ,5farictt:uarierol 1a1ro1'c;tsing:`�0 COn���ioa idlhG[oi(D\vityg, l0 Stade e-t enter le el b o.^ (fi.) Dir<isian-of\Yates•Resources;;Informnt(on Processing Unit, I I.(Iorchoie diameters1617 MaI1 SenrireCcntcrr rtnitigit,:11C Z7699-I6I.7- 24b.Fgr•Inicr. S[�egst Iit addition to sending the form to.thanddre s.in 24a copy 13,\\`ell coltttruction rnetitt7d: about,alsoalsosubmit o�ta tic.sensor,touryi uatite:Ariv:tplalr.ru,r -•-- c•onsUDct On:to.thefOTIOwin of this Soren within 30 days n eomptetion of well -`"-' Division of Water Resources,Underground.Injection Contr:oi'Progsanr, b'QIL U,LIIS[C SIrI PI.l`WELLS O\t,\; I630 Mail Scriiira•C nter,'Raiciglt,isie 7L9-rb36 l3it lirh((Lpi1)- 0 Method nrtrst:AIR , 24e.For'Water Su rle LS[in(eetion Welts: in aiidilinn to srnding,the 1•onti ter I74.1114inrtctian tti+ s or pe: HTI�' the Oddness eS)shove;,'also submit quo c Annum!: completion of ss-ell:conStrucLtgn'to the tour y-health'Ofy department af- a ccounty Where constructed, trenn,C.\tt_i Ntlnlr L`amlinn Liclia,rtrm:At niTnrimpnruaed•alquAliry Die•%e'taa of Water Resolucas Ilerr"sed 22-2Q16 Case# WELL-10-2022-182427 CATAWBA COUNTY HEALTH DEPARTMENT V . - Environmental Health Section 09/09/2025 WATER SAMPLE TEST RESULTS Owner LIONEL WADEY,9685 ISLAND POINT RD,SHERRILLS FORD NC 28673 C:336-207-4540 Contractor *BLUEFIELD BUILDERS,LLC,127 PROMENADE DR SUITE B,MOORESVILLE NC 28117 B:7047463536C:7046587674 DHARDY@ARHOMES.COM Site Address: 9685 ISLAND POINT RD,SHERRILLS FORD NC 28673 Parcel Number: 462801469069 xx : • Lab Coliform Analysis Results: Total Coliforms: a + Fecal/E.Coli: VtAGI2tJ► I No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident 014 Lab Tech Initials Date/Time Received oR'1,0 9.0 K Date/Time Completed 0 ''1 3 1 °D 19)4 F1ECEIVED SEP 1 2 2025 Environmental Health rsamfieldreport 09/09/2025 15:57 Page 2 of 2 $A C'O Case# WELL-10-2022-182427 kP19 CATAWBA COUNTY HEALTH DEPARTMENT a& �S' Environmental Health Section I$G�2 shf 1`�-0;,� T® eiLse x^ {t 09/09/2025 WATER SAMPLE FIELD REPORT (Owner? (LIONEL WADEY,9685 ISLAND POINT RD,SHERRILLS FORD NC 28673,)\C:336-207-4540 Contractor *BLUEFIELD BUILDERS,LLC,127 PROMENADE DR SUITE B,MOORESVILLE NC 28117 B:7047463536C:7046587674 DHARDY@ARHOMES.COM Site Address: 9685 ISLAND POINT RD,SHERRILLS FORD NC 28673 Parcel Number: 462801469069 Driving Directions Take Island Point Rd all the way to end past Riviera Dr.Empty lot to right,next to 9667 Island Point Rd. Sample Collected by: D 1"'&`5104 / 17 0 Date/Time Sampled: O g!l d/as 1l 32 M Yti Sampling Point: W. Is well head accessible? Yes V 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: rsamfieldreport 09/09/2025 15:57 Page 1 of 2 Analytical Results ' STATESVILLE ANALYTICAL Catawba County Public Health r. PO Box 389 Newton, NC 28658 Receive Date: 09/11/2025 Reported: 09/12/2025 For: Lionel Wadley: 9685 Island Point Rd, Sherrills Ford NC 28673 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250911-39-01 Nitrate 182427 <1 mg/L 353.2 09/11/2025 CL 250911-39-01 Nitrite 182427 <0.1 mg/L 353.2 09/11/2025 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 l l" 122 Court Street Statesville,NC 28677 704-872-4697 www.sa-nc.com • ' NITRATE/NITRITE ANALYSIS . Nam AltEran.tion r.�tbe'sd,^pli�cd[etc ,1=e cask WATER.SYS.�EP ID r: W 5 Lt_.- I d__bad 1,82`!z1 County: Catawba . Name of Water System: Lionel try 4 I C tj Sample Type: 0 Entry Point IgSpecialiNon compliance Location Where Collected: et RS fs14,4 p0J1t1• ju, She("i/r c.fd ?P673 Facility ID No. 1 !2 L 2'�, Sample Point: W-61I IN 1 Collection Date y CoIlection Time PI ; ke 1 a9r/0j .s ' /I •3'2 74 ivt Collected By: W'g�+� iv ) othonorrr) (Sp=iry AM=Ili) l'6i1 Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone r:l (828)465.8270 ENVIRONMENTAL HEALTH Fazes: (828)465 8276 •,PO BOX 389 Res?ansible Person's email: EHAdrlin@catawbacountync.gov NEWTON,NC 28658 LABORATORY I rr: 37755 • ❑SAMPLE"UNSATISFACTORY 0 RESAMVtPLE REQUIRED • METEOD - REQUIRED NOT DETECTED QUANTIHED ALLOWAB• LE CONTAdvf CONTAMINANT REPORTING LIMIT G•e-< DI , ��T LIMIT CODE CODE �RyI (X) • 1040 Nitrate 3532 1.00 mg!!, X 1041 Nitrite - 3532 0.10 mg/L Xtt _____ mg/L 1.00 mg/L *Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed. I DATE: T ME: . ANALYSES BEGUN:14 C / L I /2.6. • 3:2"L a N! i ANALYSES COMPLETED:i e/9 / 6 1 /Z 5 ItC9—$ P.m P /� } LaboratoryLogtnr: 250qI I-3-1 a 1 Certified By: - . COMMENTS: . 2008 - Laboratory should Mail Results to: • Public Water Supply Sectiaa,Attn:Data Entry,1634 Mail Service Center,Raleigh,NC27699-1634 PO Box 228 • Statesville,NC 28687 • 704/872/4697 Page 2 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: 1-' '''k --C>e-y Sample ID Number: ; 5 Location: 5G f SS(c (- it) 5+.-^r.1 5 F,e) Reviewer: Jason Boyd Initial Sample )( Confirmation Sample: BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR PRIVATE WELL WATER(These recommendations are based on biological analysis only.) 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 intent 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. „e • r vats \A' eil informatio - cr d an. NC DEPARTMENT OF s e Recommendations HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants --------- County: Catawba Name/Address: L , d*_y y 6 “-Si -.r ,f k� iuns- Sample 11)#: )$i, 41; Reviewer: Jason Boyd <.�,yv�n�,..fw Ott-P ;ti,: ti;• "tr eta TEST RESULTS AND USE RECOMMENDATIONS 1.IX 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 n Chromium n Copper ❑ Fluoride n Iron ❑Lead ❑Manganese ❑Mercury I Nickel n Nitrate/Nitrite ❑ Selenium n 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 fu-st 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. n 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. — C-hioi do 4 Capper 0-F'Iuor3tic-❑tea-- H-Mmigan ❑pH fl 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. ❑ 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.