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Home My WebLink AboutWELL-11-2022-183593.TIF c ti C'AT'A'?,BA COUNTY ('tie It Alf, .t.111 044 Puhlic health Dcpariment Sandivision PINE VALLEY :jlr/ linvironmcnlal Ilculth Division !INN 372317117677 I'O pox 389.25 Government Drive,No+tan,NC 28658 L(rI8 30 Site Address: 2560 10TH AVE NE, HICKORY NC 28601 Name on Permit: 'OAKW00D HOMES#712 Property Size: Acres 0.43 Directions: Right onto Old Conover Startwon RD, Left St Pauls Church RD, Left 20th Ave SE. Right Fairgrove ChurchRD, Lefet Tate Blvd,Right McDonald Prkway, Right 12th Ave.Right 25th, Left 12th,Right 26th,Right 10th Ave Ov►'ner/Authorised Representative Acknowledgement of Permit Receipt � V.� 1 certify that I am the owner or authorized agent(owner's authorization required)representing the o++ncr ul' the property described above. As the property owner or authorized representative, I have received the above referenced pennit(s)as requested in the application for service RRPR-0S-2022-41952,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) .__,I Electronic Image'I'ransmittal/E-mail (Return receipt required) 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 1 SA.1900), and/or Well Construction Standards(1SA NCAC 2C.0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. 7,....-) Permit Issue Date: 11/04/2022 ,19 ' Owner/Authorized Representative SlinaSignature l Date 1 t v 1 " t O ZL Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by` . _ (name of person sending permit) Signature b ._. - ___ Date/Time '/ 'T), f -- Method: Fax Y Email [IS Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoiPlease ttake a Few momentts tto complette our custtomer service survey att http://www.sunreymonkey.com/s/EHCusttomerService 1-71 Q Oak wtot) itatitS. ecoet f-f 'Apo mil 11,u44022 no 41 Analytical Results -_ STATESVILLE ANALYTICAL Ifs' `t Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 04/09/2025 Reported: 04/14/2025 For: WELL11-2022-183593 Ivan Zavala Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250409-41-01 Nitrate 183593 2.31 mg/L 353.2 04/09/2025 MD 250409-41-01 Nitrite 183593 <0.1 mg/L 353.2 04/09/2025 MD Respectfully submitted, g ire Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 Pa ayaN icy • 122 Court Street Statesville,NC 28677 704-872-4697 www.sa-nc.corn • NITRAi'1.1Nr'IRITE ANALYSIS . t1am.Allearoutioa u:u1601 ltca for oarep3=ecal. WA.a.R.SYSTEM ID#: welt.- 1/ - Qa—.1g35y3 County: Catawba Name of Water System: • /t cM Z't visa i Sample Type: ❑Entry Point A SpeciallNon-compliance ,J Location Where Collected: 2 7 1O Alit NE , I7�/Y.k)1t.? ,i]/C o��6'O/ Facility ID No. /.9 3 5q 3 ✓ Sample Point:• T 6- Ii Collection Date I� Collection Time Collected By: AAA$'.i.r- /'7;k- / 3 9 Iv.Y-/as -: I Q ' WIJ (2wseeel tM.tirrootrn — 1sa:,rs Amer Pan Mail Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone#:1(828)465-8270 ENVIRONMENTAL HEALTH I Raz;#: l(82$)465-8276 PO BOX389 RespansthlePerson'semail: • •EHAdmin@catawbacauntync.gov NEWTON,NC 28658 — • LABORATORY ID#: 37755 . ❑SAMPLE UNSATISFACTORY El RESAMPLE REQUIRED 1 CONTAM METHOD REQUIRED NOT DETECTED QUANTIFIED • ALLOWABLE CODE CONTAMINANT CODE REPORTING min-in- (i.e.<RILL.) RESULTS* LIMIT IL(RILL) (X) I 1040 ' Witte 353.2 1.00 mg/L ❑ . .2 .U I mg/L 10.00 mg/L t 1041 I Nitrite 353.2 0.10 mg/L 71 -- -- mg/L 1.00 mg/L °Note:If result exceeds allowable Limit,the laboratory must fax analytical results to the State on day test complete& DATE: TIME: ,Q d ANALYSES BEGUN: Q i!1 tQ Q l g 5 • _.& :i2 , Y —M /1 /� / usc.x� ANALYSES COMPLETED: v ce 1 a'7 1 g .`(.. �O+ �,,M 1 1 — voavrn away Laboratory gl�� :Lo -;k1CP-1•1 i—01 Certified By: - COMMENTS: . 2003 Laboratory should Mad Results to: . Public Water Supply Section,Attu:Date Enby,1634 Mail Service Cotter,Ralcisi,NC 276994634 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 ✓° 4312 District Drive 3', MSC 1918 North Carolina State 1;194j `,: Laboratory of Public Health Raleigh,NC 27699-1918 \0 iiii 11. Environmental Sciences http://slph.ncpublicheaith.com 's.,!f'4c µ OA4* Phone: 919-733-7308 -- Inorganic Chemistry Fax: 919-715-8611 Certificate of Analysis FINAL REPORT Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH Ivan Zavala P O BOX 389 2560 10th Ave NE NEWTON,NC 28658 Hickory,NC 28601 EIN:566001814EH Delivery: NC Courier StarLiMS ID: ES250410-0064 Date Collected: 04/08/2025 Time Collected: 14:10 By: Dwight Mikeal Date Received: 04/10/2025 Time Received: 08:18 Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-11-2022-183593 Sample Source: New Well Receipt Temp. : GPS Number: Profile:New Well-No Nitrate I Analyte Test Result Allowable Limit Unit Qualifier(s) Arsenic <0.001 0.010 mg/L Barium <0.1 2.0 mg/L Cadmium <0.0005 0.005 mg/L Calcium 11 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride 0.137 4.00 mg/L Iron <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 3 mg/L Manganese <0.005 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 7.3 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 8.5 mg/L Sulfate <5 250 mg/L • Total Alkalinity 50 mg/L Total Hardness 40 mg/L Zinc <0.05 5.0 mg/L #04007/44,7z;----............. Report Date: 05/05/2025 RECEIVED Reported By: Marc Komlos MAY 9 2025 Environmental Health Page 1 of 1 Fr- 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: Ivan Zavala Sample ID Number: 183593 Location: 2560 10th Ave NE,Hickory NC 28601 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 Private Well Information 44\1‘{v7 ?iji �=,_/ and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Ivan Zavala—2560 10th Ave NE,Hickory NC 28601 Sample ID#: 183593 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 ontv. n Arsenic ❑Barium ❑ Cadmium ❑ Chromium n Copper n Fluoride n Iron ❑Lead ❑Manganese n Mercury n Nickel n 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. 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. ❑ Chloride n Copper ❑ Fluoride ❑Iron ❑ Manganese ❑ pH n 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. n 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.