HomeMy WebLinkAboutWELL-02-2023-188557.TIF f
�4 ie CATAWBA COUNTY
mk Public Health Department Subdivision
yot Envirolrnental Health Dtvtaton PlNa 470002862501
� PO Box 389,25 Govemment Drive.Newton.NC 28658 LOIN 2
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Sits Address: 1291 LIVE OAK LN,CATAWSA NC 28609
Name on Permit: THOMAS JONES
aroparty Slxa: Acres 10
Dlrectlona: Private road with gate off of Monbo Rd after going thru gate take 2nd left
Owner/Authorized Representative Acknowledgement of Permit Receipt
1:-Ti certify that i am the owner or authorized agent tot\ner-s authorization required)representing the owner of
the properly described above.
1J As the property owner or authorized representative. I have received the above referenced
permit(s)as requested in the application for service RBPR-l0-2022-42467,by the following method(s):
Rci:rrvcu iii I'c13,01.
Facsimile Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
11As the property owner or authorized representative I have reviewed and understand the specific conditions
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North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(1SA 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: 02/03/2023
Owner/Authorized Re resentative Signature a'r:14440?..6_
Date j' 7 a3 ------.____
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ _ (name of person sending permit)
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Signature (e Date/Time 1!d3�a 13
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 yoaPlease stake a few momentts tto comptette our custtomer service survey att
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Parcel:470002862501, 1291 LIVE OAK LN 1in=50ft
CATAWBA, 28609
This map/report product was prepared from the Catawba County,NC Geaspatial 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 Independent verification of any data contained on this map/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
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Copyright 2023 Catawba County NC
05/08/2023
catawba county
public health
July 27, 2023
Thomas Jones
1313 Old Mill Road
Lincolnton,NC 28092
Reference: WELL-02-2023-188557
Dear Sir or Madam:
It has come to our attention that due to a computer error, the permit numbers referenced above are
displaying an incorrect expiration date.
This issue has been corrected and permits reprinted showing the corrected expiration date. Please
replace the copies you were given with the enclosed corrected copies.
We apologize for any inconvenience this may have caused.
Sincerely,
Megen McBride
Environmental Health Supervisor
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 828.465.8270
MAKING. LIVING. BETTER.
Analytical Results sTATESVILLE
— ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 08/01/2024
Reported: 08/02/2024
For: Thomas&Sue 1291 Live Oak Ln. Catawba NC
28609
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
240801-18-01 Nitrate 188557 <1 mg/L 353.2 08/02/2024 CL
240801-18-01 Nitrite 188557 <0.1 mg/L 353.2 08/02/2024 CL
Respectfully submitted,
>7,%G1¢2 LC ii-a
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
STATES'1ILLE
NALYTICAL
11.
,f ai, 1
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com
NITRATE/NITRITE ANALYSIS .
Nate:All inrcerneioa suet be i.Vplicd fxereeprtcce went
WATER SYSTEM ID#: 07, -ya,23- f 56$ 7 County: Catawba .
Name of Water System: ----I f4r) att 4- sLA( Jortei
Sample Type: ❑Entry Point LT4ecial/Non-compliance
Location Where Collected: V.9 I li!Yt Oat' LNt Ce' tdoG, 4/(. `2.SI. (1
Facility ID No. 1 3 SS?
Sample Point: 5G jf 4r, if— Collection Date 11 Collection Time i
Collected By: I6/ 2e Ay Wm I ?/ 3 t 12! - a: o� A- M.
Print) {r4.4JDOPIY) (Spzify AMo tom)
,
Mail Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#:i (828)465-8270
ENVIRONMENTAL HEALTH Fax#: j was)465-8276 I
,PO BOX 389 Responsible Person's email:
1 EHAdmin@catawbacountync.gov
NEWTON,NC 28658
LABORATORY ID#: 37755 0 SAMPLE UNSATISFACTORY ❑RESAMPLE REQUIRED
rCONTAM METHOD REQUIRED NOT DETECTED QUANTIFIED ALLOWABLE
CONTAMINANT REPORTING LIMIT (i.e.<R.RL)
CODE CODE R L) RESLL•TS* LIMIT•
1040 ' Nitrate • 353.2 1.00 mg!L __ mg 1010.00 mg/L 1
I041 Nitrite 353.2 0.10 mg/L ' mg1L 1.00 mg/L
'Mote:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed.
.q DATE: TIME:
i ANALYSES BEGUN:. O tJ 10 2 /.,� 1:52 , a M
.1 . ..(u wnnr) ,— gg.— Isp«gsAat....R:4.
ANALYSES COMPLETED:1 0$102 12 4 .__.3L: K 5 A-.
p Awefan'rri Apera,AMer MO
.
Laboratory Log;4': r��(")B--o I Certified By:
.
COMMENTS:
zoos
f..aboratory should Mail Results to:
Public Water Supply Section,Attn:Data Entry,1634 Mail Service Center,Raleigh,NC 27699-1634
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
'�`; 4312 District Drive
"1: North Carolina State Laboratory of Public HealthCi MSC 1918
�i/I �
. .i
/ i. .`,` Raleigh,NC 27699-1918
'5,�,�I� At Environmental Sciences http://slph.ncpublichealth.corn
' ��, •>`_ 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 Thomas &Sue Jones
P 0 BOX 389 1291 Live Oak Ln.
NEWTON,NC 28658 Catawba,NC 28609
EIN:566001814EH Delivery: NC Courier
ti4-a L,5:11f0
StarLiMS ID: ES240801-0061 Date Collected: 07/31/2024 Time Collected: 09:05 By: Blake Perkins
Date Received: 08/01/2024 Time Received: 08:04
Sample Type: Raw Sampling Point: Sample tap Well Permit No. WELL-02-2023-188557
Sample Source: New Well Receipt Temp. : GPS Number:
Profile: New Well-No Nitrate I
Analyte Test Result Allowable Limit Unit Qualifier(s) I
Arsenic <0.001 0.010 mg/L
Barium <0.1 2.0 mg/L
Cadmium <0.0005 0.005 mg/L
Cafci a., 23 mg/L
Ch'fa'rrde <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper 0.027 1.3 mg/L
Fluoride <0.1 4.00 mg/L
Iron 0.106 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 3 mg/L
Manganese 0.176 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
So 1u '; 4.2 mg/L
Sulfate <5 250 mg/L
Total Alkalinity 73 mg/L
Total Hardness 69 mg/L
Zinc 1.60 5.0 mg/L
Report Date: 08/20/2024 RECEIVED Reported By:
Marc Komlos
AUG 2 9 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: Thomas Jones Sample ID Number: 188557
Location: 1291 Live Oak Ln, Catawba NC 28609 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 depaitinent 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.
1 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 1 N A
v¢g"E)"°� Private Well Information
_,
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Thomas Jones—1291 Live Oak Ln, Catawba NC 28609
Sample ID#: 188557 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 onty.
n Arsenic n Barium ❑ Cadmium n Chromium n Copper ❑ Fluoride n Iron
n Lead n Manganese ❑Mercury n Nickel ❑Nitrate/Nitrite n Selenium ❑ 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. 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 n 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/I 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.
Zinc &
PRIVATE WELLS
a 9'
mks
What is zinc? -
Zinc is a natural element found in rocks deep
underground,air,soil,and water.Zinc is found in What level of zinc should I be
the environment as zinc compounds joined to other
elements like chloride,oxygen and sulfur. concerned about?
Zinc is used to produce metals,batteries,and pennies. The NC Department of Environmental Quality
Zinc is also used as a metal coating to prevent rust. developed a groundwater standard of 1 milligrams
of zinc per liter of water(mg/L).Ground water
Zinc compounds are used to make paint,rubber,dyes, standards are developed to protect public health.
ointments,and wood preservatives.
This standard was developed in 2013.
How does zinc get in my The US Environmental Protection Agency
developed an aesthetic standard of 5 mg/L.This
private well water? standard was developed to prevent metallic taste.
Zinc compounds can enter your private well water
from erosion of rocks underground.Zinc can also enter How do I test for zinc in
groundwater from industrial practices like mining,steel my private well?
production,coal burning,and burning of waste.
Use a certified lab to test your well water for zinc
How can zinc affect my health? every two years,as part of the inorganic panel screen.
Contact the private well program at your county
Zinc is an essential element,meaning your body health department to assist you with getting your
needs it small amounts.It helps with enzyme water tested.Pricing of testing varies from county
function,structure,and regulation throughout the to county.
body.However,drinking high levels of zinc may
cause adverse health effects.You can't smell or see What if my zinc levels are high?
zinc.Zinc may have a detectable taste.
Drinking high levels of zinc over short periods can You can install a treatment system to reduce the
lead to: levels of zinc in your private well.Installing a filtration
• Stomach cramps treatment system can reduce the level of zinc in your
• Nausea well water.
• Vomiting You can also reduce your exposure by using bottled
Drinking high levels of zinc over long periods can water or connecting to public water supply,if possible.
cause anemia,decreased good cholesterol levels and
reduced copper absorption.
Percent of Private Wells Tested
Exceeding State Standards for
Zinc, 2011-2013
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410
>25%exceeded health standards L
®10-25%exceeded health standards
I I<10%exceeded health standards '
r�0%exceeded health standards
Insufficient data(<10 wells tested)
Where is zinc found in NC? Where did this information
Zinc is found at low levels(0.05-43 mg/L)throughout come from?
NC.About 8%of wells sampled for zinc in NC from Agency for Toxic Substances and Disease Registry:
2011 to 2013 exceeded the N.C.Department of www.atsdr.cdc.gov/toxfaqs/tfacts60.pdf
Environmental Quality groundwater standard
(1 mg/L). Yet,there are several areas in NC with at World Health Organization:www.who.int/water
sanitation health/dwq/chemicals/zinc.pdf
least 10%of wells exceeding state standards.See
map for areas with elevated zinc. National Sanitation Foundation:www.nsforg/
consumer-resources/water-quality/water-filters-
Where can I find more testing-treatment/contaminant-reduction-
information about zinc and claims guide
my well? King,J.C.The American journal of clinical
nutrition Zinc an essential but elusive nutrient
Visit the NC Division of Public Health's Private Well 2011:www.ncbi.nlm.nih.gov/pmc/articles/
and Health Program website:http://epi.publichealth. PMC3142737/pdf/ajcn9420679S.pdf
nc.gov/oee/programs/wellwater.html.
There you can find:
• Contacts for your county private well program
• Zinc in well water maps
• A guide for selecting a treatment system
• Other private well resources
You can also call the Private Well and Health Program
at 919-707-5900.
°• s NC Department of Health and Human Services•Division of Public Health•Epidemiology Section•Occupational and Environmental
N111,1 E Epidemiology Branch-Private Well and Health Program•htt s//e t ublichealth.nc. ov/oee/ rorams/wellwater.html•NCDHHS is an
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