HomeMy WebLinkAboutWELL-02-2023-189074.TIF $: . CATAWBA COUNTY
.�,ii 2 Public Health DepartmentE. Subdivision
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'� Environmental Health Division PIN# 375307784107
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PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 2710 COMMUNITY RD, CLAREMONT NC 28610
Name on Permit: DAVID&LORIE MORGAN
Property Size: Acres 8.68
Directions: 40 E to 16 N, Right on Shook&Left on Community
�,�// 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.
/(. 'lW As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2023-43173,by the following method(s):
I_ Received in Person
_ , Facsimile Transmittal (Return form with signature required)
_ - Electronic Image Transmittal/E-mail (Return receipt required)
f., -1M_____ 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: 04/24/2023
Owner/Authorized Representative Signature
1 Date '—34-2-3
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature _ Date/Time
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 yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
l.:..n n i 04/24/2023 13:54
AVW•• CATAWBA COUNTY Case# WELL-02-2023-189074
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Public Health Department Subdivision
Environmental Health Division PIN# 375307784107
J PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
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Site Address: 2710 COMMUNITY RD, CLAREMONT NC 28610
Name on Permit: DAVID&LORIE MORGAN
Property Size: Acres 8.68
Directions: 40 E to 16 N, Right on Shook&Left on Community
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(15A 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.
/7
04/24/2023
Authorized State Agent Permit Issuance Date
4/24/2028
Permit Expiration Date
ehpennit 04/24/2023 14:03
S Catawba County Environmental Health
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n WPDT Report
Area of Interest (AOI) Information
Area : 3,134,508.67 ft'
Apr 24 2023 14:07:37 Eastern Daylight Time
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2710 Community Rd,Claremont, NC
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.
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: 13 K (0) IA 0 Sample ID Number: I t 0-1 f
Location: L1 1T G�«�^�y.,.�f 12� Glc Reviewer: Jason Boyd
Initial Sample ><. Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMIlVlENDATIONS 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 colifonn 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 colifonn 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 colifonn and fecal colifonn 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 immunocomprornised(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.
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NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
o t a7 Y u• -S t=�Y - t Uwii ti, 7('L�' .P(^ Lgy e L�Inorganic-..l ,%,. . y ALLY �7..y�a�..t�:.s m u s7 •-r ,:M'. .�
��t,`c.'• .tF'r+�`��i•LfAt�W�� 2i>�i�'�ar.F.�.t.r.2.`.}�"vr���tc��.5s1u.r � , :ice n_>�-,�i-27�ci.A��t3.ir.t'�r2'et. '-L;as:TT :SI��>.- c_c._.t� .r�`3
County: Catawba Naine/Address: C.l o ,�,
Dc.v.� 14/1ar)o.v, 1.--?(t. C,4„,�,.u4,.4'�Qa)
Sample ID#: ( $C.i „-1 f Reviewer: Jason Boyd
x • 4 L14kC's tr.'6*--i e'''' ._ . 4,, _.. ,. va 1.604.14 saiRs.iN 4
TEST RESULTS AND USE RECOMMF NDATIONS
1.N.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. 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 only.
n Arsenic C Barium ❑ Cadmium n Chromium n Copper ❑Fluoride n Iron
n Lead n Manganese ❑Merctuy n Nickel n Nitrate/Nitrite ❑ Selenium n Silver
n 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 fist 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 detennnine 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 install a household water treatment system
to address aesthetic problems.
. Slori-dc--- -Cropper — i ender—==H 1r-o -— ga-nrese=_------ ---- ---
❑pH ❑ 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/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 clzenzical results only.
n b.Your sodium level exceeds 30 mg/1 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 Dipisiorz of Public Health at 919-707-5900.