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Home My WebLink AboutWELL-12-2022-185650.TIF V, CATAWWBA COUNTY Case if ALITI I-12-2022-185648 M1 .. Public health Department Subdivision SOUTHBRIDGE < "i Environmental health Division PIN# 376404736279 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 21 &22 w Site Address: 4919 GATEWAY DR, CLAREMONT NC 28610 Name on Permit: 'FOUR CORNERS OF CHARLOTTE LLC Property Size: Acres 1.6 Directions: N NC 16 right Riverbend Rd, right Bolick Rd, right Gateway Dr lots on left 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. VAs the property owner or authorized representative, I have received the above referenced �i.'j jl�permit(s)as requested in the application for service l tb,� ! 69Y following method(s): Received in Person Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) t , / 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(I SA NCAC 18A.1900), and/or Well Construction Standards(I 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: 12/06/2022 Owner/Authorized Representative Signature Date 5/24/23 Plalliall Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) F.t. 1Signature (4..,n Date/Time /I" '3 Method: Fax Y 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 yaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService rG' { ,,,,0-6(1iihce,. curl (u/trzn,.s 14- 4 Catawba County Environmental Health RfPR-O(9 -aoa - y1a6 7 .... 9 A A gi 'il - la- aoaa - 18 R c1I - 1a - aoas - ig�(o i w 349.96 a.co 8/7 WT I � el y I,.. y El qg e4919 Profbased • Nr • ` _ 352.18 352.25 �`i * ,1/"\\> ..if ,.. -., Parcel: 376404736279, 4919 GATEWAY DR 1 in=60ft CLAREMONT,28610 This mepheppA product was prepared from the Catawba County,NC GeoepiUal Inforntatlon Services. Catawba County has made substanUai efforts to ensure the socuecy of location end lebafrng Information contained on Uds map or data on Ns report Catawba �s its independent e dfloollon of any dots contained an this ma product by the user.The County of Catawba,Its employees,promotes agents. personnel.disdain and shed not be held liable for any and•I d) emepes,loss a lability,whether direct,Indirect or consequential which arises car may Ns from s mep,1rspal product or the use thereof by any persona entity. Copyright 2021 Catawba County NC 12/28/2022 r . 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: Cody Lutz Sample ID Number: 185650 Location: 4919 Gateway Dr, 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 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 N.,jd STATNo Private Well Information g ► y and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES 4 Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Cody Lutz—4919 Gateway Dr, Claremont NC 28610 Sample ID#: 185650 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 ono,.You may have other water sampling results that are not taken into account in this report. 2. n 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. n Arsenic n Barium n Cadmium n Chromium ❑ Copper ❑Fluoride ❑Iron ❑Lead n Manganese ❑Mercury ❑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 ®Iron ®Manganese ❑pH n Silver ❑ Sulfate ❑Zinc 6. n a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of 20 mg/l. 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 onty. ❑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. CCfA\VBA COUNTY • . Public Health Department Subdivision SOUTHBRIDGE �ifn. Environmental health Division PINt: 376404736279 1 :,if PO Box 389.25 Government Drive.Newton.NC 28h58 LOfa 21 &22 Site Address: 4919 GATEWAY DR, CLAREMONT NC 28610 Name on Permit: 'FOUR CORNERS OF CHARLOTTE LLC Property Size: Acres 1.6 Directions: N NC 16 right Riverbend Rd, right Bolick Rd, right Gateway Dr lots on left Owner/Authorized Representative Acknowledgement of Permit Receipt )(Rix, I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. RAC As the property owner or authorized representative. I have received the above referenced permit(s)as requested in the application for service RBPR-06-2022-41267. by the following method(s): Received in Person Facsimile"Transmittal (Return form with signature required) 4 Electronic Image Transmittal/E-mail (Return receipt required) `f RAC 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(I5A NCAC I8A.19(10), 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: 12/06/2022 Owner/Authorized Representative Signature Xk..K,:L'_4t1+e• Date 1/10/2023 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name n/'perso);sending permit) et Signature Qt. .. . ... Date/lime j fAl 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 1d met ie03C l41100. euvl 14' a,,,.,,,„, i2 na 2u22 i t ni. w_______ Catawba County Environmental Health ~' 8, RQpg -ot9 - oa .- 91247 z:-, A ' ig6y8 �l _ �a„ aosa s g K WeIla0a 1 gS-4so g 8h r. 349.96 o GS 1.4 r S y • 4O` S 0 o i It t— a t, _NA A a$ •4919n. 0 Proposedo H. NO!MC $ ra I 352.18 352.25 h •4927 1A� . , 1> , . Parcel: 376404736279, 4919 GATEWAY DR 1 in=60ft CIAREMONT, 28610 This map/report product was prepared from the Catawba County,NC Geoepallal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the itlQependent verification of any data contained on this mep/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim.end shall not be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may arise from ahb map/report product or the use thereof by any person or ant ty. Copyright 2021 Catawba County NC 12/28/2022