HomeMy WebLinkAboutWELL-01-2023-187633.TIF . ('A1'01114Ctx STV
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PP: 1• 1_nb.tunn rrxal I PIN. 268902980427
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51a Address: 1444 SHADO M AX WYND, HICKORY NC 28602
Nemo ea Permit VINO PAUL
Properly Ste: Acres 1.33
Dlratiorss: S NC 127 Hwy onto Deerfield LA left onto Fawn Tr, right onto Shtrebourn Right onto W'towbottom Rd 2nd
tot on right after Wridemere In
Owner/Authorized Representative Acknowledgement of Permit Receipt
] certif., that I am the owner or autdwri.ncd agent i.n►ner's authorization requiroi 1 representing the nw ncr of
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the property deserihsd alms c.
p representative,
_. s property ro rt) owner or authorized y rc esentative, I have received the:those referenced
permit(s)as requested in the application for service RHPR-11-2022-42810, by the following Incthod4s1:
Received in Person
Facsimile Transmittal (Return form with signature required)
- Electronic Image Transmittal! /:•email (Return receipt required)i;i_
V ...ClAs the property owner or authorized representative l have res levied and understand the spccihc 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(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:01/1712023
OwnerAut rived Re csentativc Signature
lio
Date y Z.3— es_ l
Documentation of Permiill.$)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by irrerwIe.<J./per.«,n.St•rldow;.rmtri
Signature {/ l)atc:Time 1/) )3
a�
Method: Fax so Email 1.S Mail Other
<hs.er's request to.tend by the abase indicated method of transmittal in lieu of signature
We waritt no hear from VosPlease hake a few momenns tto complette our customer service survey att
http://www.surveymonkay.corn/s/E HCusttornerServke
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Analytical Results STATESVILLE
ANALYTICAL
It
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 06/27/2025
Reported: 07/01/2025
For: Vino Allen Paul: 1444 Shadowfax Wynd, Hickory NC
28602
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250627-06-01 Nitrate 187633 <1 mg/L 353.2 06/27/2025 MD
250627-06-01 Nitrite 187633 <0.1 mg/L 3532 06/27/2025 MD
Respectfully submitted,
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
V ,. .
•
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com . '
•
NITRATr/iti ilia! ANALYSIS .
NutcAIU:amnion=ottlestpFEedkr=gra=wit.
WA kat.SYST i. ID#: WELL- d ( a
n_ 023-1.37633 County: Catawba '
Name of Water System: U++moo AILe11 1'''It 1 -
Sample$ype: 0 EntryPoint Ig S
ecial/Non-compliance
/f
Location Where Collected:_ / q Si gclu'•�ctX W n0l, [7i ckoc•. NC a8Co2.
Facility ID No. IL`?'?6 3 3
'
Sample Point:• "4 ca_f (I Collection Date Collection Time
Collected By: P 4/r11-1 iti t �l • 6Ct2S/zs' /.•:_3� A M
ll O JODIYT7 "� (.5 TyAMcc PM)
•
Mail Results to(water system representative): '
CATAWBA COUNTY PUBLIC HEALTH Phone4.,i (828)46S-8270
ENVIRONMENTAL HEALTH Fax i,(828j 465-8276
,PO BOX 389 ResralePerson's email:
. •EHAdmin@catawbacountyncgov
NEWTON,NC 28658
LABORATORY ID#: 37755 - ❑SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED
" REQUIRED NOT DETECTED QUANTIFIED CONTAM • ALLOWABLE J
CONTA:JtANT METHOD REPORTING (i.c.<RR.L) LIMIT•
!
CODS CODE (RRL) (X) RESUlaS"
1040 ' Nittate 353.2 1.00 mg/L g • . mil. _10.00 mg/L
I 1041 Nitrite • 3532 0.10 mgiL lki . mg/L 1.00 mg/L
*Note:if result exceeds allowable lid the laboratory must fax analytical results to the State on day test completed.
DATE: TIME:
i ANALYSES BEGUN: a1n 1.2.71 aq' . 1 : cf , ya m.
o:wMum aa�?2-
.NA.YSES COMPLETED: /,g 7 12 g /Le :l7_, 1
,
n
LaboratoryLogfi: d ,9(q:1'-MO'01 Certified.By: (it D(2....,...,
•
CO1VI1t t'TS: • .
Zoos .
Laboratary should Mad RecoIts to: .
Public Water SupplySeeiou,Aeu Dam Eaty,1634 i41tI Service Center,Relish,NC27699-1634
ie..r
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
P I
North Carolina Division of Public Health
Occupational and Environmental Epidemiology Branch, Epidemiology Section
BIOLOGICAL ANALYSIS REPORT
Private well water information and recommendations 1
`, PCW 1' Sample ID Number: 11'1 633
County: Catawba Name: V_ 1Yla
Location: 14 4 i‘t2at.. Ocx W yAD N �ko'7 R�c_ Reviewer: Jason Boyd
Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
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.
I
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 colifoi.n 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.
I
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.
1
° Private Well Iriformation
' r"� and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name/Address:
Vino Pow( iy t.{ .S wr.,47 P,,X
Sample ID#: 1 s Z 6G 3 Reviewer: Jason Boyd
it
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. E. 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 n Barium n Cadmium n Chromium ❑ Copper j j n Fluoride n Iron
n Lead n Manganese ❑ Mercury n Nickel n Nitrate/Nitrite I n Selenium n Silver
T 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. n 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 installt a household water treatment system
to address aesthetic problems.
n Chloride Copper ❑Fluoride ❑Iron I Manganese
n pH C Silver n Sulfate n Zinc j I
6.CJ a. Sodium levels exceed the U.S.Environmental Protection Agency's (USEPA)Health Advisory level for sodium of
20 mg/I. 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. 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.