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Parcel: 368613222702, 5272 E NC 150 HWY 1 in=100ft
MAIDEN, 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 data on this report.Catawba County promotes end 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.and shall not be held 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.
Copyright 2023 Catawba County NC
08/15/2023
2/27/23, 10:57 AM about:blank
WPDT Report
Area of Interest (AOI) Information
Area : 3,134,508.67 ft2
Feb 27 2023 10:55:56 Eastern Standard Time
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2/27/23,10:57 AM about:blank
5272 E NC 150 HWY
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,
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advice from a professional. Users should not act(or refrain from acting)based upon information in the Data without independently verifying
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about:blank 2/2
Print Form
WELL CO\S'L R1;('-I lO\ }RFC'OIRI) (G\%-I} For lntcrn,ll Use i)nly
I.11 eli Contractor Information:
Robert Teague i�.HAT ER roar
Well I(infractor Name FHost 1 to OFu WM,.
is IL (sft. o 6:00)Th
2857-A1 d�
n. rl.
NC Well('onineroi Crri)Gi ahon Number
15,011i ER CASING(for multt-cued wells OR 1,INF.R(If apecable)
B & K Well Drilling Inc ..ERO\I TO 1IAMEIf IIu Fs cK' ) MATFRIAM.
0 ft. �C rl H. 6Ira In. SDR-21 `IPVC
C'ompan)Name CC
16.INNER CASING OR TARING f,rothermaI closed-loop)
2,Wen Construction Permit sq.)).-e;61-3—) 3 cq,03 ,HMI It) DI%MITER tincKafss MATERIAL,
(it)all applicable weh'con,lmitOiO prima,0 c CIC'.Gnat/), lint Ian,rnie,dr 1 ft. ft in.
3.Well Use(check well use): tt• ft. In.
Water Supply Well: 17,SCREEN
FROM to to smErER SI.or,SIZE. fFFICR♦F.SS M ATF RIAI.
Agricultural aMunicipal//Public ft. fl. in,
0Geothermel(Ileaung Cooling Supply) EgResideniial Water Supply(single) ft. ft. in.
0InduslriaL'Commcrcial DResidenital Water Supply(shared) I3.GROAT
II IrrigationFR011 ' TO i MAfFRIAL ( EIIPLFCC MEN T METHOD&AMOI'YT
Non-Water Supply Well: rt. ft.
(:)Monitonng ❑Recovery n. rt.
Injection Well:
II. ! ft.
0Aquifcr Recharge OGtoundwatcr Rcn,cdiauon
19.SANDIGRAVEL PACK_Ilf MATERIAL
Aquifer Storage and Recovery D$;Il Salinity Barrier FROM TO SIATFRLU, FMPI-AC'E:SIENT METHOD
0 Aquifer Test ❑StormwatcrDrainage ft. 1 ft.
0 Experimental Technology ()Subsidence Control ft. ' ft.
Geothermal(Closed Loop) OTracer 20.DRILLING LOC(attach additional sheep if necessary)
FROM 10 tilSCHIVI io.(color.h nrss,saitru5I pe.grain WE me.)Geothermal(Heating'Cooling Return) Maier(explain under 02I Remarks) / !t, -
r• rt,6 jam
4,Date Well(s)Completed 44) Well IDO n. ft, -i '4,5 _
5a.Well Location: ft' 1 fr.
N t �4 L-YN N /�,rlty it. 1 ft.
Facday;Ouncr Name Facility IDn(if applicable) rt. ft.
_c 7 A A1 C, 130 (-Awl Mc68cn iL
It. ft.Physical Address,C'ily,and Zip
s.r-uA c J 21.REMARKS
County Parcel Ideniit'icaiion No(F'IN)
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees:
of well field,one laclong is eul iicicnt) 22,Certlficati /
N 1V ... S`,/ .--.Q"-2
6.Is(are)the well(s)OPermanent or DTemporary gn.dure„r cemticd w nnrueeor Date b
H, ,ignmg the,h.,m, If h;ieh, tertife(hat(hr iu17(ri sax Beret tonaruc(ed in aeaurdance
7.Is thin a repair to an exiting well: Dyes or./lho iioh 151.1t'fC tl:C extra)or 154.N('4C iUc 0:00 I'WI Cnn,vuenon Standard,and that a
/fthi,is a erpo)r,fill out known wr!/eon.urucnon inJrirmation an r yrlarn die manure of tin. i rip,al(hit,rt r,rd,ia,hrra p,rnolyd n,the„ell'inner
repair under o21 remarks section or on the hack o/this form
23.Site diagram or additional Nell details:
8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same You Wily use the back of this iwge to prulide additional well site details or well
construction,only I GW-1 is needed. Indicate TOTAL NUMBER of wells
construction details. You may also attach additional pages if necessary.
drilled: /], ]] SUHMI I FAA.INSTRUCTIONS
9.Total well depth below land surface: (It.) 24a. For All 11'ells: Submit this form within 30 days of completion of well
For multiple well,list all drpikc of different(example- n'2i) and 2'4000'I eunstractiorn to the following:
10.Static water level below top of casing: 40 (ft.) Ills[slim of 11 ester Resources,Information Processing Unit,
If water/nei is ahoic easing.ate'! 1617 Mull Service Center,Raleigh,NC 27699-1617
11.Borehole diameter: 6 1/8 (in.) 24b, Fur Injection 11 elk: In addition to sending the form to the address in 24a
Air Rotary ;ibiile,iibu subnut one copy of this hum within 30 days of completion of well
12.Well construction method: construction to the following:
tee,auger.misty,cable,dim.,push.me.)
Disislon of Water Resources,Underground Injection Control Program,
FOR HATER SUPPLY WELLS ONLY: 1636"lull Service Center,Raleigh,NC 27699-1636
13a.Yield(gpm) IOC) Method of test: Air Flow 24c.For fluter Supph & injection Wells: In addition to sending the form to
the address(esl abuse. also submit one copy of this form within 30 days of
13b.Disinfection type:
Chlor Tabs Amount: 11,2 Lbs completion of well construction to the county health department of the county
where constructed.
Form GWI North Carolina Department of Emvunmental Quality-Dntalon of Wont Resources Revised 2-22-2016
. , fPRoi 3-Li 31 QC
Im01)-q ja3 1 S9 g9°
Catawba County Environmental Health
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Parcel: 368613222702, 5272 E NC 150 HWY 1in=100ft
MAIDEN, 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 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,and shall not be held 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.
Copyright 2021 Catawba County NC
02/23/2023
? �. 4 ,,1 4312 District Drive
;;- North Carolina State Laborato of Public Health Msc,9,8
�'� '� � y�� ry Raleigh,NC 27699-1918
; >cr "' - Environmental Sciences http://slph.ncpublicheaith.com
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 Nick & Lynn Ramey
P 0 BOX 389 5272 E NC 150 HWY
NEWTON, NC 28658 Maiden, NC 28650
EIN: 566001814EH Delivery: NC Courier
StarLiMS ID: ES250731-0067 Date Collected: 07/30/2025 Time Collected: 11:00 By: Dwight Mikeal
Date Received: 07/31/2025 Time Received: 08:08
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-02-2023-189903
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 26 mg/L
Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride 1.95 4.00 mg/L
Iron 0.100 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 6 mg/L
Manganese 0.055 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 8.0 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 9.8 mg/L
Sulfate 15.8 250 mg/L
Total Alkalinity 89 mg/L
Total Hardness 89 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 08/12/2025 �_
p REC EIi/®f Reported BED p y:
Marc Komlos
A U G 2 1 2025
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 t�
County: Catawba Name: N ,1.-(� 4-a May Sample ID Number: I�o `°'"-_
Location: S 7 L F ►`i c. H�'Y I S o vv c 'J"-,- 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 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 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 colifonn or fecal colifonn 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 immunocoinproinised(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
F� T`Tti°y Private Well Information
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name/Address: u• + 62.7 e L
Sample ID#: f c6 yCtn3 Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1.t'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. ❑ 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 on y.
❑ Arsenic ❑ Barium ❑ Cadmium n Chromium ❑ Copper ❑ Fluoride ❑ Iron
❑ Lead ❑ Manganese ❑ Mercury n Nickel n Nitrate/Nitrite n 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 -0 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/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/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 Division of Public Health at 919-707-5900.
" . --
Total Coliform
Bacteria, E. coli &
PRIVATE WELLS
What are total coliform bacteria
and E. coli? SIO
' TM
Total coliform bacteria are a group of microorganisms found ,. N
in soil and surface water.Total coliform bacteria water tests
look at all coliform bacteria in water.This includes fecal
coliform bacteria,which are a group of bacteria found in the
intestines and feces of animals and humans.
E.coli or Escherichia coli is a type of fecal coliform bacteria.
There are many strains of E.coli. When should I be concerned
about coliform bacteria or E. coli?
How does coliform bacteria and You should be concerned if coliform bacteria or E.coli are
E. coli get in my private well water? present in your well water.
Rain may wash coliform bacteria or E.coli from soil on The NC Department of Environmental Quality
the surface to groundwater.Coliform bacteria or E.coli developed a groundwater standard of 1 colony of
can also enter your water if your private well is poorly coliform bacteria in 100 milliliters of water(colonies/
constructed,cracked or unsealed. mL).Ground water standards are developed to protect
public health.This standard was developed in 2013.
How can coliform bacteria The US Environmental Protection Agency requires
follow up testing and treatment when coliform bacteria
or E. coli affect my health? or E.coli is found in any public water supply system across
Most coliform bacteria and E.coli strains will not make you the country.Public drinking water guidance are based on
sick.The presence of some types of coliform bacteria in the public health protection and cost of treatment/testing at
water signal the presence of feces or sewage waste. Feces large utilities.These rules were established in 1989 and
and sewage wastes are usually the source of the disease- updated in 2014.
causing organisms.
Total coliform bacteria and E.coli water tests are used as How do I test for total coliform
indicators for the presence of disease-causing organisms. bacteria or E. coli in my
The following are some disease-causing organisms or private well?
pathogens that could be present in your water:
• Bacteria that cause diarrhea and vomiting, Use a certified lab to test your well water for coliform
• Protozoa that cause dysentery, bacteria and E.coli every year.Contact the private well
• Viruses that cause polio and hepatitis,and program at your county health department to assist you
• Helminths,such as roundworms and tapeworms, with getting your water tested.Pricing of testing varies
that cause chronic diarrhea. from county to county.
Percent of Private Wells Tested �� �� ���� 11�' i��
With Detection of E. coli, 2011-2013 "' >� ��■„�� OA.
0 i
dm0110114101frali MAIM
ariliviltiagatir Al INIOOPI11411
a'
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Percent of Private Wells Tested With �gp` ��j �AP r.
Detection of Total Coliform, 2011-2013 , 2ir0 ia!iiipa��11pgic 4r45,21.4146/�
ir
MI >50%with detection ,.' ` *.t
. 25.1-50%with detection !as4t#A4iIftFV"I L10 r
16
<25%with detection 0
0%with detection ei17
r114
Insufficient data(<10 wells tested)
What if total coliform bacteria Where can I find more
or E. coli levels are present? information about total coliform
Shock chlorination is a method to remove bacteria bacteria, E. coli and my well?
contamination in private wells.If contamination persist Visit the NC Division of Public Health's Private Well and
you can install a treatment system to reduce the levels Health Program website:http://epi.publichealth.nc.gov/
of bacteria in your private well.Treatment systems that oee/programs/wellwater.html.
reduce the level of bacteria in your well water include:
• Ultraviolet(UV)filtration treatment system There you can find:
• Contacts for your county private well program
You can also reduce your exposure by using bottled water • Total coliform bacteria or E.coli in well water maps
or connecting to public water supply,if possible. • A guide for selecting a treatment system
• Other private well resources
Where are total coliform bacteria You can also call the Private Well and Health Program
and E. coli found in NC? at 919-707-5900.
Coliform bacteria are detected throughout NC.About 26%
of wells sampled for microbial contamination in NC from Where did this information come
2011 to 2013 tested positive for coliform bacteria.Yet, from?
there are several areas in NC with at least 50%of wells with
coliform bacteria present.See map for areas with high Centers for Disease Control and Prevention:www.cdc.gov/
coliform bacteria detections. healthywater/drinking/private/wells/disease/e coli.html
E.coli is detected throughout NC.About 2%of wells Environmental Protection Agency:https://safewater.
sampled for microbial contamination in NC from 2011 to zendesk.com/hc/en-us/sections/203309158-E-coli-0157-H7-
2013 tested positive for E.coli.Yet,there are several areas National Sanitation Foundation:www.nsf.org/consumer-
in NC with at least 25%of wells with E.coli present.See resources/water-quality/water-filters-testing-treatment/
map for areas with high E.coli detections. contaminant-reduction-claims-guide
qc NC NC Department of Health and Human Services• Division of Public Health•Epidemiology Section•Occupational and Environmental
Epidemiology Branch•Private Well and Health Program• httns://eni.publichealth.nc.gov/oee/programs/wellwater.html• NCDHHS is an
�, N•nhcarob°a equal opportunity employer and provider.•09/2019
Public Health