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Home My WebLink AboutWELL-01-2023-187391.tif 1 . CATAM 1A CM!n T tO t�e1 P the Iies,*Depwnmsrt Soh:Imaumto • t;MYmwawrl I kel th It,.men MPH 363611764749 .jj Pe Boa 119 .-r,,2%Covenwnere th, Newton.NC 2V S1 U)Ta aes kooenree: 134 GIf 1 S CIR,MAIDEN NC 20650 Mt ,.on Permit DEVARTA MONROE Property aase• Aces 1 76 t3'•redlorle: From sokrmchord)id you would need to make turn on Giles circle and&Me to the home it theism!on the left Owner/A satborized ! epreseatstive Ae usow cdgentett of Perini Receipt DMi certify that I am the owner or suthorized agent(owner's authorization required)representing the owner of / the property described above. XAs the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service R3a R-10-2021-39140,by the following mcthod(s): Received in Person Facsimile Transmittal(Return form with signature required) 1 Electronic Image Transmittal/E-mail (Return receipt required) u As the property owner or authorized representative I have reviewed and understand the specific conditions IV) of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage'Treatment and Dispesai Systems(ISA NCAC IBA.1900), sad/or Well Constriction Standards(ISA 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:01/102023 1410OwrurlAuthori�z7ad Representative Signature.__. , - -. ......._..._ I Date /2,3 /.�023 ------------------- Documentation of Permit(s)Ttsnsmlttat (permit transmitted by r1.ectroaIc or other mesas) Permit transmitted by ______.__..— (name of person sending permit) Signature Date/lime � _�� Met tDJ: Fag 't,lEmelt US Meat Ct:,,z Owner's request to send by the above indicated method of erecsmittel in lieu of signature "— ---_.. We wantt tto hear from youPlease tytrhe a few momentts tto complete our custtomer service suet/aft trittp://www.starveymoney.corn/s/E14CuittoreedervIct deoiletinon(0663411 • lit sal 0 , OI/10,2021 16 16 elytesoent =� CATAWBACOUNTY Case# WELL-01-2023-187391 Public Health Department Subdivision Q. • '-1 Environmental Health Division PIN# 363611764749 Ig ., ,, PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Site Address: 134 GIBBS CIR, MAIDEN NC 28650 Name on Permit: DEVARTA MONROE Property Size: Acres 1.76 Directions: From salem church rd you would need to make turn on Gibbs circle and drive to the home at the end on the left NEW WELL PERMIT REQUIRED WELL SETBACKS: Septic Systems and Repair Areas for Single Family Dwellings 50 ft. Septic Systems and Repair Areas for Businesses and Multi-Family Residences 100 ft. Underground Storage Tanks 100 ft. Animal Barns 100 ft. Lakes/Ponds 50 ft. Streams/Brooks/Creeks/Rivers 25 ft. Building Foundations 25 ft. All Other Sources of Groundwater Contamination 100 ft. Saprolite Septic Systems and Repair Areas 100 ft. Septic Systems and Repair Areas to Wells with 2 or more connections 100 ft. Wells shall be constructed in accordance with state regulations: Article 15A North Carolina Administrative Code Subchapter 2C The well driller must verify all setbacks before drilling the well.If the well driller is unable to maintain any of the above setbacks,contact Catawba County Environmental Health at 828-465-8270,before drilling the well. Grouting Depth:20 feet minimum Casing Height: 12 inches minimum above finished grade All newly constructed private drinking water wells are required to be sampled in accordance with the North Carolina Rules Regarding Private Drinking Water Well Testing(I5A NCAC 18A.3800).The fee for this sampling is included in the cost of the well permit.It is the applicant or property owner's responsibility to notify Environmental Health when the well is ready for sampling.Water samples will be drawn from an outside faucet unless otherwise specified.For questions or for more information,please contact Environmental Health. °114"%t ill'Wr- 01/1012023 Authorized State Agent Permit Issuance Date 1/10/2028 Permit Expiration Date chpennit 01/10/2023 16:21 WPDT Report Area of Interest (AOI) Information Area : 3,134,508.65 ft' Jan 10 2023 14:54.01 Eastern Standard Time , • ..„.......4----__ , /----L_____i i alle 2,; f., +l�yi.t - t !/ I' • r ,'Isue~ u4 ' ,.terlie ' . _ ' _ � tom ' M. ri - " `\.... !� ;,• , ......',, i,.., • at 1:4.614 Parcels 1Pofygonsl•Parcels . Projected Route [u a i>t; t m Non•System Roads — Other State A enc Route I 1 t . 4 9 ! 0 11 O6 U.1 9.2 km — Federal Route — Secondary Route - Hon-System Primary Roads Other System Roads woo!O1Stsm NC CON.w.. S � Intcrslate — Ramps.Rest Areas,Non-Namara — US Route -- INC Route 134 Gibbs Cir,Maiden 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, �°'y SCAT�Q 4312 District Drive la's �% North Carolina State Laboratoryof Public Health MSC 1918 i ,i' 6Raleigh,NC 27699-1918 ,,�Iiii�1 ors:•; �c Environmental Sciences http://slph.ncpublichealth.com .�a ,« 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 Devarta Monroe P 0 BOX 389 134 Gibbs Cir NEWTON,NC 28658 Maiden,NC 28650 EIN:566001814EH Delivery: NC Courier StarLiMS ID: ES240619-0065 Date Collected: 06/17/2024 Time Collected: 12:15 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-01-2023-187391 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 6 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 7.3 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 4.2 mg/L Sulfate <5 250 mg/L Total Alkalinity 29 mg/L Total Hardness 32 mg/L Zinc <0.05 5.0 mg/L Report Date: 07/08/2024 RECEIVED Reported By: Marc Komlos JUL 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: Devarta Monroe Sample ID Number: 187391 Location: 134 Gibbs Cir,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 vd:n(4Y1ti Private Well Information and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Devarta Monroe—134 Gibbs Cir,Maiden NC 28650 Sample ID#: 187391 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 onty.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. n Arsenic ❑ Barium ❑ Cadmium ❑ Chromium ❑ Copper n Fluoride ❑Iron ❑Lead ❑ Manganese ❑Mercury n Nickel n 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 ❑Fluoride n 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/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/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. Catawba County Environmental Health Rape- Io-l0z1-39Iuo T-mpv- 01- 7-073 -I8:39a 4 ukt,-01 - Zo z 3 -18)-3 513 r?�, welt-of -z,z3 - 187311 (297) cep __ t^/4. tt/CII �e4 �j ? 10e.08 4s (102) Zor 25' I •r Pro r 380 50f _ Hoare Qok e134 Lx5f 128 BeJ->Ci sty in 5' * o ■�tyJ 51 (or vv ici Parcel: 363611764749, 134 GIBBS CIR MAIDEN, lin=50ft 28650 This map/report product was prepared from the Catawba County,NC Geospatial Information Services, Catawba County has made substantial efforts to ensure the accuracy of location and labeling Information contained on this map or dote on this report.Catawba County promotes end recommends the Independent verillceilon of any data contained on this map/report product by the user.The County of Catawba.Its employees,*gents.and personnel,disclaim,end shall not be hold liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. 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