Loading...
HomeMy WebLinkAboutWELL-03-2023-191623.TIF 84. * CATAWBACOUNTY Case# WELL-03-2023-191623 ,e' .t.K ,Z Public Health Department Subdivision v, � "j Environmental Health Division PIN# 364711651167 - PO Box 389,25 Government Drive,Newton,NC 28658 LOT# \84 s. Site Address: 1617 MAYS CHAPEL CHURCH RD, NEWTON NC 28658 Name on Permit: ANDREW&JENNIFER MCCANN Property Size: Acres 56.39 Directions: Hwy 321 S,exit 33, Left Startown,0.3 mi Right W Maiden RD, 1.7 mi Left Zeb Haynes, 1.1 mi Right 321 bus S, 0.5 mi Left Mays Chapel church 1.0 mi Right Deer Hyn dr destin Left 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. � G� 03/17/2023 Authorized State Agent Permit Issuance Date 03/16/2028 Permit Expiration Date chpermit 03/20/2023 11:40 RBPk1i? 5 Zni PV 03 ,3— lq Cocf Catawba County Environmental Health PP7-1-1-O3 -X3 -116 „ lin, 1,0F7-2--a.3. --, 76,725...... icct13 549.24 """" T.,,..„.,..7,___„.............___, ____ r , .4....p____Ki___. 4)(? �,,1 / --(es s k---'-c--1 -c.. ,e) G g (7? ---/4 0Q Ckj E f 1p • ; •1617 NA �iy OP -N.) /r N ,bo � Fyn \\:. / / 4 N. i �q/ ,2�., r �g N. ' 17.27 -Try �/ �C /\\\\ -ro lam• 1 ti� d e? � N N4� sts \CP/ } ` Si?1 N7 --V \-__4„/ Parcel: 364711651852, 1617 MAYS CHAPEL 1 in=60ft CHURCH RD NEWTON, 28658 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 2023 Catawba County NC 03/17/2023 3/17/23, 11:12 AM about:blank WPDT Report cl::;)aa p Area of Interest (AOI) Information Area : 3,134,508.67 ft2 Mar 17 2023 11:11:21 Eastern Daylight Time s a {F � c ' Z. t,tSr'' tvip'' ,ram E sii-taw c • o • wtilor,t,r:i,:r 17 ' -a, 0- • FF F O 'lU\_ ,(lit\Ch r,9,l.t•ddr Si. • c, b 2' © J Sty",$10. �l A, i en! d ;c 1 l+ s t 1 c� .l 8$ ry�ti i ,t, (f 1:9,028 Known Releases of Contamination Otter System Roads 'U 0 US 0.1 0 2 rn+ �nr/ Lledergromd Tar*Intc:derta — Ramps.Rest.Areas,Non-Ma:nl�ne I r 't . r ' r r r U U f 0.2 0.4 km _..T1 Parcels(Polygohsy-Parcels -- Projected Route Non-System Roads — Other State Agency Route --- Federal Route — Secondary Route Acoo-r c a r,e_, waxy a:aa,_u : =cu.r.£,:i,,t„oo,:,,aw.» =nnn.mr. Meta,:of 9nr1 r:arolna OW a 0p,S1..xlfnn r.<n-sun .._ Non-System Primary Roads r_,,.,t_eE.g e;,r.,u•,v,;,or_hr.:,.....:_i, tdCts^t.xsn ascs i'a•J^.`.,ala .,Cera,.(3.rua.,,15).4 Interstate about:blank 1/2 3/17123, 11:12 AM about:blank 1617 MAYS CHAPEL CHURCH RD NEWTON NC 28658 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. about:blank 2/2 WELL CONSTRUCTION RECORD (GW-1) Far Internal Use Only: 1.Well Contractor Information: Chris C Russell 14.WATER 7,ONF.S FROM TO _ DESCRIPTION Well Contractor MOM 60 ft. 385 ft. 3254 A ft. ft, NC Well Contractor Certification Number 15.OUTER CASING(for multi-cased wells)OR LINER(If ap licable) Russell Well Drilling, Inc. FROM TO DIAMETER THICKNESS MATERIAL. 0 ft' 107 ft• 6.25 In. SDR21 PVC Company Name WELL-03-2023-1916923 16.INNER CASING OR TUBING(geothermal dosed-loop) 2.Welt Construction Permit#: FROM TO DIAMETER THICKNESS MATERIAL. List all applicable well construction permits(i.e.UIC,County,Stale, Variance,etc.) ft. ft. In. 3.Well Use(check well use): ft. ft. In. Water Supply Well: 17.SCREEN FROM TO DIAM F ER SLOT SIZE THICKNESS MATERIAL :Agricultural ❑MunicipaUPublic ft. ft. in. :Geothermal(Heating/Cooling Supply) l lResidential Water Supply(single) ft. ft. In. :Industrial/Commercial :Residential Water Supply(shared) IS.GROUT :Irrigation ❑Wells> I IIO.00II GPO FROM TO MA tERIAI. FIMPLACEM ENT METHOD&AMOUNT Non-Water Supply Well: 0 rt. 20 ft. Grout Poured :Monitoring :Recovery ft. ft. Injection Well: ft. ft. :Aquifer Recharge ❑Groundwater Remediation 19.SAND/GRAVEL PACK(If applicable) ❑Aquifer Storage and Recovery (]Salinity Barrier FROM TO MATERIAL EMPLACEMENT METHOD ❑Aquifer Test OStormwater Drainage rt. ft. :Experimental Technology :Subsidence Control re. ft. :Geothermal(Closed Loop) :Tracer 20.DRILLING LOG(attach additional sheets If necessary) :Geothermal(Heating/Cooling Return) :Other(explain under#21 Remarks) FROM TO DESCRIPTION(color,hardness.soil/rock type,groin'Lee,da) 0 ft• 102 ft. Dirt 4.Date Well(s)Completed: 9-20-2023 Well ID# 102 rt. 385 r` Rock ft. IL 5a.Well Location: Andrew&Jennifer McCann Julie Belle Homes tit. rt. Facility/Owner Name Facility ID#(if applicable) ft. f 1617 Mays Chapel Church Rd, Newton NC 28658 ft. It. ft. ft. Physical Address,City,and Zip Catawba 21.REMARKS County Parcel Identification Nu.(PIN) i 5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: (if well field,one let/long is sufficient) 22. . r ficadon: 35. 640.69' N 81 .211 .91' w I hz--1 i.2 y 10/16/2023 6.Is(are)the well(s): I Permanent or :Temporary Signature of Ccttil'ted Well onuactor Date fly signing this,/arm.!hereby certify that the well(s)was(were)constructed in accordance with 7.Is this a repair to an existing well: ❑Yes or ttNo 15A NCAC 02C.0100 or ISA NCAC'02C.0200 Well Construction Standards and that a copy !f this is a repair,fill out known well construction information and explain the nature of the of this record has been provided to the well owner. repair under#21 remarks section or an the bark of this form. 23.Site diagram or additional well details: 8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide additional well construction info construction,only I GW-1 is needed. Indicate TOTAL NUMBER of wells (add'See Over'in Remarks Box).You may also attach additional pages if necessary. drilled: 24.SUBMITTAL INSTRUCTIONS 9.Total well depth below land surface: 385 (ft.) Submit this GW-1 within 30 days of well completion per the following: For multiple wells list all depths ifdifferent(example-3(4200'and 20r)100') 60 24a. For All Wells: Original font to Division of Water Resources (DWR), 10.Static water level below top of casing: (ft.) Information Processing Unit, 1617 MSC,Raleigh.NC 27699-1617 I/water level is above curing.use"-I" 11.Borehole diameter 6.25 (In.) 24b. For Injection Wells:Copy to DWR,Underground Injection Control(IUC) Program, 1636 MSC,Raleigh,NC 27699-1636 12.Well construction method: Air Drilled 24c.For Water Supply and Open-Loop Geothermal Return Wells:Copy to the (i.e.auger,rotary,cable,direct push,etc.) county environmental health department of the county where installed I FOR WATER SUPPLY WELLS ONLY: 24d.For Water Wells producing over 100,000 GPO:Copy to DWR,CCPCUA Permit Program,1611 MSC,Raleigh,NC 27699-1611 13a.Yield(gpm) 1 00 Method of lest: Air r� 13b.Disinfection type: HTC Amount: 1 Cut•' Form G W-I North Carolina Department of Environmental Quality-Division of Water Resources Revised 6-6-2018 s'- 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: Andrew&Jennifer McCann Sample ID Number: 191623 Location: 1617 Mays Chapel Church Rd,Newton NC 28658 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 919-7707-5900. N 0 R T H C A R 0 L I N A �(¢f �Fa"��Tn Private Well Information u Ft �� '�: °= and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Andrew&Jennifer McCann 1617 Mays Chapel Church Rd,Newton NC 28658 Sample ID#: 191623 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. ❑ 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 or*. n Arsenic n Barium ❑ Cadmium ❑ Chromium n Copper ❑Fluoride n Iron ❑Lead ❑ Manganese ❑Mercury ❑Nickel ❑Nitrate/Nitrite ❑ 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. n Chloride ❑ Copper ❑Fluoride ❑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/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/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain,etc. 7. ❑Re-sampling is recommended in months,to reinvestigate