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Home My WebLink AboutWELL-02-2023-190218.TIF `7, ('ATM%OACOCN11 �%J. Public!teeth Detartmcnt 1 elry it i Subrnun HEFNER HEIGHTS ` F wirnnmentat llohh the iron' NW 372412854111 ,i.'7q PO lk+s 30.25 Government Drive.Nrwtun,NC 2A6515 1.(714 1-4 .I(t Sit*Address: 3525 33RD ST OR NE.HICKORY NC 28601 Name on Permit: 'FOUR CORNERS OF CHARLOTTE LLC Property sue: Acres 0.46 Directions: Left off of Sulphur Springs Rd onto 34th Ave Ct NE.Right onto 33rd St Dr NE.3rd lot on left(corner lot) 14 Owner/Authorized Representative Acknowledgement of Permit Receipt certify that I am the(miler or authorized agent(owner's authorization required)representing the owner of the property described aft it e. �( ►` gels the property owner or authorized representative.I have received the above referenced permit(s)as requested in the application for service Rlll'It-Oh-2022-42074,by the following method(s): Received in Person _7_ Facsimile Transmittal(Return form with signature required) n �I Electronic Image Transmittal/E-mail (Return receipt required) . As the property owner or authorized representative I have reviewed and understand the specitic conditions r 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 ISA.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 andiior water supply well permitted. Permit Issue Date:02/28/2023 • Owner/Authorized Representative Signature _ �r Date 3 7( /2 t� Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ _(mime of person ssenling perm!) Signature s _ Date/Time `' 111)3 Method: Fas v Entail US Mail Other Owner's request to send by the abm a indicated method id-transmittal in lieu of sir„nature We wantt tto hear horn yoa.Please*take a few rnomentts tto cornplette our custtorner service survey att http://www.surveymonkey.rom/s/ENCusttomerServire Vb. tin I edrnetta(J Auld. et.)l algrenmr u_.'n 1o'I II,r l CATAWBA COUNTY Case# WELlr02-2023-190218 ak Public Health Department Subdivision HEFNER HEIGHTS e l Environmental Health Division PIN# 372412854111 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1-4 w Site Address: 3525 33RD ST DR NE, HICKORY NC 28601 Name on Permit: 'FOUR CORNERS OF CHARLOTTE LLC Property size: Acres 0.46 Directions: Left off of Sulphur Springs Rd onto 34th Ave Ct NE. Right onto 33rd St Dr NE. 3rd lot on left(corner lot) 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. PERMIT CONDITIONS *DRILL IN LOCATION SHOWN ON SITE PLAN 'WELL AREA CAN NOT BE MOVED 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 I8A.3800).The fee for this sampling is included in the cost of the well permit.II is the applicant or property owners 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. oc..7 E✓4►m 02/28/2023 Authorized State Agent Permit Issuance Date 2/28/2028 Permit Expiration Date 03/01/2023 08:47 Catawba County Environmental Health RI3pg - ogoIc(c)7 )wao 1g .... d, �� VT q - 0 3.19oa3 . i 90 • , WEL - o do - 4 — 170Q18 0104E- be, 5051 L.,. 1.:.„.. -\,, RS 290 °-i SLJ 4Qt y n� 4?- 1' L-ow ,��S�a�& CY�� S : nOe' ` 07.s-! \ ''''' "R6 1 / 30' el 7 ra $0,0 c 4- -Oes5(,e � r CI' aL) fo wv ... Parcel: 372412854111, 3525 33RD ST DR NE 1in=40ft HICKORY, 28601 This map/report product vies prepared from the Catawba County,NC Geospeual Information Services. Catawba County has made substanUal efforts to ensure the aearreey d bcidlon and labeling information contained on this map or data on this report.Catawba County promotes and recommends the Independent verlItelion d say data cceitalned on this map report product by the user,The County of Catawba,its employees,agents,end Personnel.disdelm,and shall not be held gable for any and all damages.bsa or liability,whether direct,Indirect or consequential which arises or may arise from this rnspirepcel product or the use thereof by any parson Copyright 202entity. Ci awba County NC 02/28l2023 Analytical Results sTATESYILLE ANALYTICAL Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 06/12/2024 Reported: 06/14/2024 For: Dorothy Whitener 3525 33rd St Dr NE Hickory NC 28601 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 240612-40-01 Nitrate 190218 <1 mg/L 353.2 06/13/2024 CL 240612-40-01 Nitrite 190218 <0.1 mg/L 353.2 06/13/2024 CL 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 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: Dorothy Whitener Sample ID Number: 190218 Location: 3525 33rd St Dr NE,Hickory NC 28601 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 STATEa"�� Private Well Information �, et!" and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Dorothy Whitener—3525 33rd St Dr NE,Hickory NC 28601 Sample ID#: 190218 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 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. ❑Arsenic n Barium n Cadmium ❑ Chromium ❑ Copper ❑Fluoride n Iron n Lead n Manganese n Mercury n Nickel ❑Nitrate/Nitrite ❑ Selenium n 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. 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. ❑ 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 on*,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 ❑Iron ❑Manganese ❑ pH ❑ Silver ❑ Sulfate n Zinc 6. n 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 onfr ❑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.