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Home My WebLink AboutWELL-10-2022-182843.TIF w`IM*. CATAWBA COUNTY (.... it.s+, Public Health Department , ri Subdivision R , i Environmental Health Division PINK 361903003962 PO Box 389,25 Government Drive,Newton,NC 21658 LOT" Sit.Address: 3538 ZION CHURCH RD,HICKORY NC 28602 Name on Permit *OAKWOOD HOMES#712 Property Sim Acres 5.54 Directions: Left Old Conover Startown Rd,Left Startown RD,Right Hwy 10,Right Ziopn Church RD,End at 3528 Zion Owner/Authorized Representative Acknowledgement of Permit Receipt CrI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of �/the property described above. J(�° As the property owner or authorized representative,I have received the above referenced 1 permit(s)as requested in the application for service RBPR-08-2022-41940,by the following method(s): _ Received in Person 4 Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal!E-mail (Return receipt required) 2 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 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(1 SA 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: 10/24/2022 Owner/Authorized Representative Signature -2 CIA-. Date IU-'(.� -Z� Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time 17/_)03 Method: Fax t/ Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt to hear from yosPtease ttake a few momentts no complete our customer service survey an http://www.surveyrnonkey.com/s/EHCusttomerService r71)e milutoSA,#s.& '17,r ,,,„a„„, I0252022 16:17 UST Section Description of Dataset The Underground Storage Tank(UST)Section's data presented here is representative of two different programs within the Section;the UST program and the Aboveground Storage Tank/Non-UST(AST) program. While the UST data specifically relates to UST systems,the AST data may be related to a variety of release sources, l.e.MT systems,fuel tanker spills, illegal dumping, etc, Whereas,the UST data Is specific to releases of regulated substances from USTs.All UST Section features presented in this tool represent locations where the latest reports document confirmed or assumed exceedance(s)of the NC Groundwater Quality Standard and/or the Soil-to-Groundwater Maximum Soil Contaminant Concentrations (MSCCs). Contaminants Potentially Present UST and AST Program Sampling Recommendations: • Volatile Organic Compounds • Semivolatile Organic Compounds • Metals (Cr and Pb) Contact information To request additional information from the UST Section please contact the NCDEQ Regional Office assigned to the area of Interest and ask to speak with a member of the UST Section.A map of the UST Section's Regional Office coverage areas and phone numbers can be viewed by following this link,The UST Section's Regional Office contact Information is also presented below. UST Section-Regional Office Contact Information Asheville(ARO)—2090 US Highway 70,Swannanoa,NC 28778(828)296-4500 Fayetteville(FAY)—225 Green Street,Suite 714,Systel Building,Fayetteville,NC 28301(910)433-3300 Mooresville(MOR)—610 East Center Avenue,Suite 301,Mooresville,NC 28115(704)663-1699 Raleigh(RRO)—1628 Mall Service Center,Raleigh,NC 27699(919)791-4200 Washington(WAS)—943 Washington Square Mall,Washington,NC 27889(252)946-6481 Wilmington(WIL)—127 Cardinal Drive Extension,Wilmington,NC 28405(910)796-7215 Winston-Salem(WS)—450 West Hanes MIII Road,Suite 300,Winston-Salem,NC 27105,(336)776-9800 Guilford County Environmental Health,400 West Market Street,Suite 300,Greensboro,NC 27401,(336)641-3771 Analytical Results , STATESVILLE ANALYTICAL 1- Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 06/11/2024 Reported: 06/12/2024 For: Mong Vue 3538 Zion Church Rd Hickory NC 28602 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 240611-33-01 Nitrate 182843 <1 mg/L 353.2 06/12/2024 CL 240611-33-01 Nitrite 182843 <0.1 mg/L 353.2 06/12/2024 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 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: Mong Vue Sample ID Number: 182843 Location: 3538 Zion Church Rd, Hickory NC 28602 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 mayhave structuralproblems or that the well was not properly disinfected. p P Y 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 osTAreq Private Well Information ko 0 44,kta and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Mong Vue—3538 Zion Church Rd, Hickory NC 28602 Sample ID#: 182843 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 on(v.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 ❑ 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 LI 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 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. etED WPDT Report Area of Interest (AOI) Information Area : 3,134,508.63 ft2 Oct 24 2022 9.43:56 Eastern Daylight Time p Yr ,, r & .. c / J a /1„a _ .. w .a4. \t"'.1/4, //' /// ' ' ' ' 00,,, .7,-* * jj 1 0 - 4 4 ,, '�� Yk iv .r f r .. „..., , N ri 0 :*Si AlkiWk ' -. -`rig . . us. # . . \ „...._____________—,07-., ,-14, 1614...r.,, ' .'",-: ® 1:4,614 Ko.ai Releases of Contammatlon Other Syste-r Roods 0 0.03 a 06 . I 1 1 % 4 4 4 , 'i Q Underground Tank fr*acderts — Ramps Rest Areas,Nouktaell re 0 0.06 C.t Parcel(Pdygors}.Parcel P-cptbd Route Nat-System Roods — Ot-.er State A.^eruy Route --., Federal Route — Secndary Route wool-d'9 LMr.NC CO*Wex flan—System Prerar y Roads IMerstats 3538 Zion Church Rd Hickory Known Releases of Contamination # Site ID Site Name Site Type Data Current As Of I Count 1 3043 T AND P QUICK STOP Underground Tank 12/18/2019 1 Inicidents Underground Tank 2 20091 WILLIS GROCERY I 12/18/2019 1 Inicidents 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. UST Section Description of Dataset The Underground Storage Tank(UST)Section's data presented here is representative of two different programs within the Section;the UST program and the Aboveground Storage Tank/Non-UST(AST) program, While the UST data specifically relates to UST systems, the AST data may be related to a variety of release sources, I.e.AST systems,fuel tanker spills, illegal dumping, etc. Whereas,the UST data Is specific to releases of regulated substances from USTs.All UST Section features presented in this tool represent locations where the latest reports document confirmed or assumed exceedance(s)of the NC Groundwater Quality Standard and/or the Soll-to-Groundwater Maximum Soil Contaminant • Concentrations (MSCCs). Contaminants Potentially Present UST and AST Program Sampling Recommendations: • Volatile Organic Compounds • Semivolatile Organic Compounds • Metals (Cr and Pb) Contact Information To request additional information from the UST Section please contact the NCDEQ Regional Office assigned to the area of Interest and ask to speak with a member of the UST Section.A map of the UST Section's Regional Office coverage areas and phone numbers can be viewed by following this link.The UST Section's Regional Office contact Information is also presented below. UST Section-Regional Office Contact Information Asheville(ARO)—2090 US Highway 70,Swannanoa,NC 28778(828)296-4500 Fayetteville(FAY)—225 Green Street,Suite 714,Systel Building,Fayetteville,NC 28301(910)433-3300 Mooresville(MOR)—610 East Center Avenue,Suite 301,Mooresville,NC 28115(704)663-1699 Raleigh(RRO)—1628 Mall Service Center,Raleigh,NC 27699(919)791-4200 Washington(WAS)-943 Washington Square Mall,Washington,NC 27889(252)946-6481 Wilmington(WIL)-127 Cardinal Drive Extension,Wilmington,NC 28405(910)796-7215 Winston-Salem(WS)—450 West Hanes Mill Road,Suite 300,Winston-Salem,NC 27105,(336)776-9800 Guilford County Environmental Health,400 West Market Street,Suite 300,Greensboro,NC 27401,(336)641-3771