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Home My WebLink AboutWELL-01-2023-187247.TIF ,.1.I , CATAWBA COUNTY Case# .i. Public Health Department Subdivision BARRINGER WOODS PH 2 d '-.4 Environmental Health Division PIN# 366903129484 PO Box 389,25 Government Drive,Newton,NC 28658 LOT/ 29 /842 Site Address: 3166 TIM CT, NEWTON NC 28658 Name on Permit *ALEJANDRO ANAYA Property Size: Acres 3.05 Directions: NC 16, Left on Balls Creek Rd, Left on Corida Circle, Let on Tim Ct, Lot at the end of the road 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. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-08-2022-41955, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/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 18A.1900), 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:01/04/2023 Owner/Authorized Representative Signature —9 Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature (::)i.e Date/Time _ /t I)3 . Method: Fax 4 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 0 IQnaq4nti 61" .:; , 01/05/2023 11.22 N'F1 I CONSTRUCTION i ID\ RI•:( ()RI) ((;11.1) For Internal 14Only 1.Hell Coatraetnr Information: Robert Teague -- 14.H----.TONES •-__ ________ Hklll,,nra,.,w Vann ._..._.. ....__.......... 2857-A ys fr- ' ,s n. ... , h -_.. --- A. _ __-_- at- YC Ubll t ontn'trn r'•rn tit:woo\urrJa7 I5.OUTER CA,INt:(fact!____ d»r IL1 OR LINER 1 g& K Well Drilling Inc , FROM .., 10 _ DIAM[TER 1f11CKNT$S MAIkRt�L_ ...._____ I ftft. a Ito la. 50R.2t WC 16.INNER CA5114G OR TU91NG(teat��end- ).._ L FTtoN To DIAM[T[N TIIICKN/Sa MAT1104L j,Well Construction Permit a:Q,- ��- - 1 1]Ca � rt. In. .01 ail r ,,, rratktr r n't eact .r. ..,n fse,ami r,a L7t:.C ototo,Start l Arian,r.et t n. _. rt- ft. In, t,Well tie(rbtck Is ell use): ..- -Water SupplyWell. in. 340T SUS !Ht(-livltcs 17.SCREFX - NOM TO pUsl[1kN -MATERIAL Agricultural DM inicgsal,Puhlic ft. R. IN. -- __ °(icothc.mal(Heating:Cooling Supply.) �Rcsidcnti;tl Water Sultlil)(single) `ft..r It ; Qlndustnal'Cotnmerclal ❑Residential Water Supply(shared) - Irn at1on I tfl.GROttI isirjaf[MINT METHOD`AMOUNT I ITto>I 10 1 MATERIAL. _.:._-• .-......-..._ Non-Water Supply Well: r----- ft, . — _ QMonannrig EIRno+cr}' I ft. ft. -_- - Injection Hell: ---- Q4 ft._ f t- i Quifcr Recharge �Groundwatcr Rcmcdiatiun g' Aquifer Storage andReco>cn �SalinityBamer I !Ro>I n) MAlERIAI._, [NP4ACFM6YiM[THOO Aquifer Test DStnrmwalerDrainage j ft. ft. — Experimental Technology DSubsidrnee Control t9.SA-�'D'GRAVEL PACK((f apPWble) R. ft. Geothermal(Closed Loop) Tracer 120.DRII.LLYG LOG(attach additional abort!if necessary) 1 UI:SCRIrT 10'(color.har,ivn�loll roes qr.Irvin sae..._, nGeothtrmal(Heatinc-Gosling Rerum) rlOther texplain under e21 Remarks) 4 F'H0+1 i to rt. i rr. 4.Elite 11tills)Completed:2 - ( 1'' '3 tI/� ft. f1. / - f.. _. P fill!Mg _.. — +-"'e -�� 1')Gsr�� -/� Si.Well Location: lab d*• is ft. .�4 --J AL ..N.t\1 IV fk 11\ n. 1J-- ft ; ft. F'tulnr!Cw.lser Nam: Facility IDM Of applicable) I _,_-.-. .._...._ 3 I �6 1 )�) C 1 VC SC n f1- - — - -— - Physial Addrns•C ns and lip I.$c r r,� \- ( 5. ft. I ft. _t L 1 tttt��^ M `^ " 21.REMARKS - Counts )�_;t' Parcel Identification Nu (PI\! Sh.latitude and longitude in degreeshninutes'seconds or decimal degrees: -" --.pf writ field onc;at'nrg is sulticicr.O 22.Certific N H - /(- a---) 6.Is(are)the well(00Permanent or 0 Temporary Signature Cl(.cn.ificd WeIJ Con l r Oak! 8s fiynwg thi.Item, 1 hrrehe Crrlrfl•that the ge/!t/nag(were!cunenut:ed In.ucaraance 7.Is this a repair to an existing well: °Yes or Vo nir/r 13.4 VC.TCO2 C 0100 or 1i.4 NCACO2C.0200 IF•eO Consn-ucrica Srondardf and that., If(hit u a report.Pi i oat Oolong,Ile/cone.rac(urn Infnrns.tra..an t.y>iu.n the nature it the cupc,f this record ha,1•eea prasided to the hell"'der repair under F21 remark.sernon or on Ike back o;7ias form 23.Site diagram or additional well details: S.For GeoprobefDPT or Closed-Loop Geothermal Wells has mg the same You may use the bark of this page to provide additional well site details or well construction,only I O V-1 is needed. Indicate TOTAL NUMBER of wells construction details. Yuu may also attach additional pages if necessary. drilled' - SUB.MI ITAL INSTRUCTIONS 9.Total well depth below land surface; 3os (ft-) 23a. For .All Wells: Submit this toms within 3n days of completion of well Foe mulnpie Wei i6t al;depth,,f drtTrrent tumrple-3•1I50 a:e:4!Oi ) con;:ruction to the follow ins: 10.Static eater level below top of casing: 40 (ft.) Iris Won of µater Resources,Information Processing Unit, lf wage,ieirl,s a/,o,c:as,nS ale 1617 Mail Set-Nice Center,Raleigh,NC 27699-1617 II.Borehole diameter: 6 1/8 (in.) 24b. For Infection Wells: In addition to sending the form to the address in 2Sa Air Rotary above, also submit one copy of this form within 30 days of completion of well 12.Well construction method: construction to the following. :.e.auger,rvt2.",able.doe.(push.etc l __... hivision of Hater Resources.l ndrrground Injection Control Program, FOR HATER SI'PPL1 IS ELLS ONLY: 1636 Mail Service("enter.Raleigh.VC 27699-1ti3b 13a.Yield(>pm) ' J 4ltdhod of test: Air Flow 24e. For µ Ater Supply& Injection Hells: In addition to sending the farm to the aduress( torte w es) above. also submit one copy of this ithin 30 days of 13b Disinfection tape: Chloe Taos Amount: ``t completion of sell construction to the count health department of the counts where onstructed. Form GR•-1 Nano Carolina Dcparnncnr of Ens ironmenral Quilt)-Division of 1Cancr Resources R.vined 2-22-2016 ' 4312 District Drive 4ArkTr-, North Carolina State Laborato of Public Health MSC 1918 \ i � Raleigh,NC 27699-1918 ., /. Environmental Sciences http://slph.ncpublichealth.com •ems v030, 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 Alejandro Anaya P O BOX 389 3166 Tim Ct NEWTON,NC 28658 Newton,NC 28658 EIN:566001814EH Delivery: NC Courier StarLiMS ID: ES240620-0045 Date Collected: 06/19/2024 Time Collected: 10:09 By: Dwight Mikeal Date Received: 06/20/2024 Time Received: 08:07 Sample Type: Raw Sampling Point: Sample tap on well head Well Permit No. WELL-01-2023-187247 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 13 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride <0.1 4.00 mg/L Iron <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 4 mg/L Manganese <0.005 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel - <0.01 0.1 mg/L pH 7.2 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 3.7 mg/L Sulfate <5 250 mg/L Total Alkalinity _ _ 51 mg/L Total Hardness 48 mg/L Zinc <0.05 5.0 mg/L Report Date: 07/09/2024 RECEIVED 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: Alejandro Anaya Sample ID Number: 187247 Location: 3166 Tim Ct,Newton NC 28658 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 depai tanent 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 sr Private Well Information pt � y5 .0.} and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Alejandro Anaya—3166 Tim Ct,Newton NC 28658 Sample ID#: 187247 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 onto.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 onty. ❑ Arsenic ❑Barium ❑ Cadmium ❑ Chromium ❑ Copper ❑Fluoride ❑Iron n Lead n Manganese n Mercury ❑Nickel n Nitrate/Nitrite ❑ Selenium n Silver ❑Zinc 3.n 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. n Chloride n Copper ❑Fluoride n Iron n Manganese ❑pH n Silver ❑ Sulfate n Zinc 6. ❑ 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 only. ❑ b.Your sodium level exceeds 30 mg/I and may pose aesthetic issues such as bad taste,odor,staining of porcelain,etc. 7. LI 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.