HomeMy WebLinkAboutWELL-01-2023-187063.TIF ��� CATAWBA COUNTY
t. Public Health Department
Environmental Health Division Subdivision
�� PO Box 389 25 PINp 368704510094
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Government Drive,Newton,NC 28658
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Site Address: 4210 WINONA DR, MAIDEN NC 28650
Name on Permit *KERRI&ADAM MCBRIDE
Property Size: Acres 11
Directions: 16 South,Left on Mt Beulah, Left on Winona
�r�,�,,� Owner/Authorized Representative Acknowledgement of Permit Receipt
�fN.1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
�yy'"theme property described above.
As the property owner or authorized representative, I have received the above referenced
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permit(s)as requested in the application for service RBPR-08-2022-41982, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
I Electronic Image Transmittal/E-mail (Return receipt required)
f% \ "As the property owner or authorized representative I have reviewed and understand the specific conditions
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of the permit issued, and further understand that all applicable regulatory requirements specified
q p i led under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.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.
Permit issue Date:01/04/2023
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Owner/Authorized Representative Signature At, G
.Date f)l4 5 _.__._______
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson sending permit)
Signature _ Date/Time• i }
Method: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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� , North Carolina State Laboratory of Public Health MSC 1918
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:.�irrtt� ``���` Environmental Sciences http://slph.ncpublichealth.corn
',,!a., vco'Y 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 Kerri &Adam McBride
P 0 BOX 389 4210 Winona Dr
NEWTON,NC 28658 Maiden,NC 28650
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES240619-0070 Date Collected: 06/17/2024 Time Collected: 10:14 By: Dwight Mikeal
Date Received: 06/19/2024 Time Received: 08:12
Sample Type: Raw Sampling Point: Sample tap on well head Well Permit No. WELL-01-2023-187063
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 34 mg/L
Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride 0.590 4.00 mg/L
Iron 0.107 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 4 mg/L
Manganese 0.051 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 8.0 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 8.9 mg/L
Sulfate 39.7 250 mg/L
Total Alkalinity 77 mg/L
Total Hardness 102 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 07/08/2024 RECEIVE® Reported By:
Marc Komlos
J U L 1 5 2024
Environmental Health
Page 1 of 1
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: Kerri&Adam McBride Sample ID Number: 187063
Location: 4210 Winona Dr, Maiden NC 28650 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
.v°F Private Well Information
1
i,
,* p,• and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Kerri&Adam McBride—4210 Winona Dr, Maiden NC 28650
Sample ID#: 187063 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 oniv, 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
❑ pH ❑ Silver ❑ Sulfate ❑ Zinc
6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's USEPA Health Advisorylevel for sodium of
(USEPA)
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 on4v.
❑ b. Your sodium level exceeds 30 mg/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain, etc.
7. n 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.
WPDT Report
Area of Interest (AOI) Information
Area : 7.052.644.55 ft'
Jan 4 2023 14:40:09 Eastern Standard Time
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4210 Winona Dr Maiden
Known Releases of Contamination
# Site ID Site Name Site Type Data Current As Of Count 1
MAIDEN CAMPER i Underground Tank
1
SALES 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 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 Mail 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