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HomeMy WebLinkAboutWELL-03-2023-191964.TIF ►►V t 1 (OO\STR;t•C TI(O\ RF('ORI)Itc:►►-1) I,,t 1111,111.11 I cc ILIA, I.\1 ell Contractor information: Joseph Bailey (i+,u-11 t K TOMS _ , _., !Kti+l I Id .�... vim Klrlli' A ea C hln•AY,V\ink` -� -� _ - _ 7,.� !/1,0 II.1 /bp tt. ' sm.e �.� _ _ z - join \:wrc:.•rra nr:ernval,•n\Ir.:fsT A9$-". 1 A,1 tt. l Jtlf iJ 4(rwre_J4!Ie _. 1%.tit I I K I.1N1\G 1(w d mil s!1)K 1.1\FR llf spi kabk) B &K Well DnIlingInc i !Roos! _i it! -i masuItIi nutl,..is• 11111Hitt. L�(i-f- 1 ti rt;' �f 94�f E Ia l\\!K t'1SINt:t1K Il'NI\t:lgwtbermal el.ad.Imap)-T ---- :,11 Al Construction Permit a;like 3^�Od3 I I K,,N _- III I'I Nl1 11 K ' 111n As!•• 1.1 111 0111 ..`.it-J.^.\w'J'. rY.. \,\.�fn'::.`+V•f . i . , \.`4•.\ \.:.r .. ., . II. It. In. i.11 ell I.se tchecl well use): ft. II. III I11aierSuP1•h Hell: 17.SlKt!♦ __ _ I Ia,1sl III {I mI.III it It �•I II!Ni l Imt!Look. M111K1+1 a 4'•'cl.l:u;a! \1.thi.4-1 l\ihl,c 1 n n. 10. ns:nst'e,.,,_t•,lice:n.C oo:ins Sa c'lsl I..... .._.. - -.. .._ - -- - -- . Rts;J:rma11\attY Sunnis i,ln.lcl h. ft. i in. OK:s..;enttal!lout St:P01‘ isham1. - oboe rla s r -IKnsil Diu-._-_-- si.tlliili -vSlri:r-iiu.i:iiiut,nx :ii,i_.1 ' I\on-\\ater$urPh hell: 1 i p u. 1, fl• p,u.d Hope l+vll Pow _iy.Alf_ . .1,,,.,,„,„) �i s'scv 1 n. ci. Injection 11 ell: L - - - - n. ft.\.Ut.:t I:n"arc Ql;n+un.!uatct Krn+\i,ah.•n 1:1Aquifer Storage and Rlv�set\ ❑Salimt+ Barnet Pt.SiNIVCR11'6l.PACK Of applkahle) _.._--� "I111 _ )u . +I1t�Ktst � islet u►+n\I+lliu un aiwaitscr Teta 13Slonmuater htamage li. ft __ 0Experimental Te dt'olog+- InSubsidence Control It. tt. (:]Cicothcrnal tC nosed 1.opt El Ira:et O.[Mill I\G Iill:ot_tarA.dtllliu.d!Ann if nreeasan)_ I `I Kt„1 _-Ll ii DIM 1111'I n1\Irdur_aud.rw.wl is..►1rr.`Iain ur..r1,.1 n:.nKhenne!iHca::n.C.untie Return) ❑iNhcr iesplam undtY=:1 kcmaiksl - - - -- - _ d.Ilate11rills)Completed: !-'a4'g23 11rllflu iOl-yt ' _� n. } on.1.� ` �O!I 1� �6 _ la►�// hod _ Sa.,X ell l oration: 14' f �10(I. ,j h. ari Ottlf t� J#f - 01rod 1111 /4�l17 it idytt. wgrPhA `I S.-I. jQ c(�t•-. ,,h_ii g e � 3 Fa::l.:,Om x:Name Ia IIS ,ltla t it arpllcabirl •, A['� � V Tt. w'.N r]�, !*o �/5r 'cL3 M L�yy"S /Oran/ 1Psreif7, as v ,i 3o . .i so_n. .5 Q orbey��j�oA rb:,st;a:A.S,f:'rs1.l I:,,and.::, / `i �0- .-3O `.. 6„ 1i-fi_ga_ _ CsT‘,/h¢ r_4 3 loy7,4132s, `t_K!_\IiR1w i•�'•^ Parect Lkwtic.mer:No ili\I Sb.Latitude and longitude in degrees minuses.seconds or decimal degrees: L_ ---- - ,t!acli field.one 1stkr.a s.i ii:terat : .Certification:• 1 � ti.!stare)the wells) i�Pern anent or QTcmpural-7 Sig , 1 it. d 1 JI Mira;Ir.r h Si :14,1,w this ra-.n.1 he-et,‘ tie.tl5 : the,.YUI II rJ,r ia.iel huU(L.',.J In JC1J41J.Cr 7.Is this a repair to an existing well: Dies or D\o ri :1'I\'C.+l'J:C MINI Or 1.i.1,Nell.0:1.'0:00 Wen CoisrAuehon S:Js1JL1,JaJ rMJX J :his u J rapt:' :06,tn...."'WI;e, :',el. :rt..t,:a.•n ,eip:.:,n:he n.:r.'e..:he ,•1:hn,c.,vJ har No,!n,',..Los t,,the rell...se'. •ca'a.r whirr.:/re++a'U srcra+e or os the twit oerh r r.'.< a.Sitr diagram or additional well details: S.For Geoprobe.'DPT or Closed-Loop Geothermal M ells has IMF the same You may use the hack of this pis}e to Pro,idr additional well site details or well e,x tractior only 1 G\1'-I Is needed Indicate TOTAL NUMBER of well: construction details. You mtay,Il%)attach additional pages it necl...uv. drilled Sl nisi rr 11.INSFKI'('1'Kl\S 4.Total well depth below land surface: 3O5-r 01.) 24a. For All %fells: Submit this bait! within )tl drys of completion of well roe ni,,:ripie►Y::.i tut a:::p:hi if ir'erent rri.in,ie-Jr::,a> .,td .14rl ct.n+TIIIt TI 111 to thi following. 10.Static water lest]below top of casing: 40 Ift.) 1)i.ision of)Paler Resource.,Information Processing!Unite .Y....:to.let-:o ih,,r..u:se.use _ 1o17 Mail Service!'enter.Raleigh,Ml':7o99-Io17 II.Borehole diameter: 6 1/8 (in.) 241.For Injection 11sj: in addition to sending the farm to the adobes.in:`ta Rotary chose,also submit one copy of this farm within 10 doss Of completion of well 1:.V.eU construction method: consuuctl.'n to the tollou Ilse II a auger,Nl.r..u?k.dlrcel s's1.eta 1 I)i.ision of V.ater Resources,t'ndcrground Injection Control Program, FOR HATER St PP1.1 V.ELLS ON Into Mail Sets ice Center.Raleij h,Vl'27ewi-lob 13a.1 field(spin) fr !It-thud-thud!It-thudof test: Air lift tilc. For Niter Sunnis A Inlrt'tinn !!ells: In addition to sending the form to the addressicat ah,ne. also submit one cops of this form wlthim )0 drys of 13b.Disinfection hpe: Chior Tabs Amount. t Fa Iota completion of well construction to the county health department of the count) where constructed. Fors 11-1 \orthc'r,•Inallrparr.,end.,al Frttionmenud1Qt.:l,n•[III umn„1w Ale/Kr...unes 1t.neJ:-::::01t• Analytical Results STATESVILLE!' ANALYTICAL /11 Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 09/26/2024 Reported: 09/26/2024 For: 02-2023-189914 Roger Myers 4513 East Maiden Rd. Maiden NC 28650 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 240926-26-01 Nitrate 189914 1.32 mg/L 353.2 09/26/2024 CL 240926-26-01 Nitrite 189914 <0.1 mg/L 353.2 09/26/2024 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 a NAI.Y tI1.AE ` �;. ai~fAP;eICLt� aN illiVfq 122 Court Street Statesville,NC 28677 704-872-4697 www.sa-nc.com NITRATE/NITPJ'I +.ANALYSIS Nate:al informition rent be sr,ticd far cotrpfen:e crc.'ir. WATER SYSTEM 1!)if: 0 a -2.D:,3 - 1$qq 1 y- County: Catawba Name of Water System: A��/t.r. Sample Type: 0 Entry Point IiII Special/Non-compliance Location Where Collected: 4'513 E 0-5 r441,1,t~ Rai M p'1 e et. N a og5c7 Facility ID No. S."I 9 114` Sample Point: �4 __7 ,} !� Collection Date Collection Time Collectedl3y: tI W Lk1 I 'ik,:1 7 I° J1 ©l t as I` t+ ' /n:O_ A iti2 Olur..Ptim} — (tt.75rutY5 — .�.. (Spcltynh:or,P1.0 Midi Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone tk0828)465-8270 rr, (828)465-8276 ENVIRONMENTAL HEALTH ]'axrr. 1. , PO BOX 389 Responsible Person'.semail: • EHAdmin@catawbacountync.gov NEWTON,NC 28658 LABORATORY ID#: 37755 Q SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED G �] REQUIRED NOTDETECTED QUANTIFIED A(Lgp/ABLE I CONTAx�I _ FL! HODREPOGLIMIT (tDE. .._ �..,.�. _ w.............�... .n,.�..� 1040 Nitrate 3532 1.00 mg/L o -__L.��,._ mg/L 10.00 mg/L } 1041 Nitrite 353.2 0.10 mg/L X __ ___ mg/L 1.00 mg/L °Note:If result exceeds allowable limit;the laboratory must fax analytical results to the State on day test completed. DATE: TIME: 1 ANALYSES BEGUN: OCi 1 Z� f_2 A( Z:p 2 . REF*.104'XYI �sFanYhX..PA.9., 9C2u 3 P tP {'.. . ANALYSES COMPLETED: � 2-(O/ �_. �q I i nc tut ..........___ s rruyntr.rPnt1 R g____.„3 Laboratory Log,': l,l't,9En 6-0 t Certified By: ` COMMENTS: 20€5 - Laborntory should Mail Results to: Public Water Supply Section,Attn:Data Enny,1634 Mail Service Center,Raleigh,NC 27699-1634 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 M',,,,;�. 4312 District Drive ,.� /it North Carolina State Laboratoryof Public Health MSC 1918 /ir cRaleigh,NC 27699-1918 '+, Il1 yC( Environmental Sciences http://slph.ncpublichealth.corn • "°"R: ./ Phone: 919-733-7308 `'-""""` Inor anic Chemist Chemistry Fax: 919-715-8611 Certificate of Analysis FINAL REPORT Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH Nathan Smith P 0 BOX 389 4513 North Wynswept Dr NEWTON,NC 28658 Maiden,NC 28650 EIN: 566001814EH Delivery: NC Courier StarLiMS ID: ES240619-0068 Date Collected: 06/17/2024 Time Collected: 09:00 By: Dwight Mikeal Date Received: 06/19/2024 Time Received: 08:12 Sample Type: Raw Sampling Point: Sample tap on well head Well Permit No. WELL-03-2023-191964 Sample Source: New Well Receipt Temp. : GPS Number: Profile:New Well-No Nitrate I Analyte Test Result Allowable Limit Unit Qualifier(s) Arsenic 0.004 0.010 mg/L Barium <0.1 2.0 mg/L Cadmium <0.0005 0.005 mg/L Calcium 10 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride <0.1 4.00 mg/L Iron <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 5 mg/L Manganese <0.005 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 7.7 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 5.1 mg/L Sulfate <5 250 mg/L Total Alkalinity 56 mg/L Total Hardness 47 mg/L Zinc <0.05 5.0 mg/L Report Date: 07/08/2024 RECEIVED Reported By: �+ Marc Komlos JUL 1 5 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: Nathan Smith Sample ID Number: 191964 Location: 4513 North Wynswept Dr,Maiden NC 28650 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 edt : y Private Well Information �y f and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Nathan Smith—4513 North Wynswept Dr,Maiden NC 28650 Sample ID#: 191964 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 only. ❑Arsenic n Barium ❑ Cadmium n Chromium ❑ Copper ❑Fluoride ❑Iron ❑Lead n Manganese ❑Mercury n Nickel n 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 n Copper ❑Fluoride n Iron n 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/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 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. 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.