HomeMy WebLinkAboutWELL-05-2023-196364.TIF �jA_4's,, CATAWBACOUNTY
i j• - .1 Public Health Department Subdivision ELLENS WAY
lettieEnvironmental Health Division PINS 266801398584
./% PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6
Site Address: 2376 BAYLEIGH DR, VALE NC 28168
Name on Permit: 'OAKWOOD HOMES-DEALERSHIP
Property Size: Acres 0.84
Directions: Hwy 10W right Providence Church Rd left old Shelby Rd night jacob fork river rd right bay leigh on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2022-39880,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative 1 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:05/22/2023 /
Owner/Authorized Representative Signature
Date ) 2 Z
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature EE- Date/Time 51D(r )'
Method: Fax -1 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 yo+Please ttake a few momentts tto compiette our custtomer service survey aft
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05/252021 07.57
Catawba County Environmental Health
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VALE, 28168
This map/report product was prepared from the Catawba County.NC Geos aUal 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 uw.The County of Catawba.Its employees,agents,and
personnel.disclaim.and shell not be held liable for any and all damages,lose or liability,whether direct,Indirect or oonaquentisl which arises or may
arise from this map/report product or the usa thereof by any person or entity.
Copyright 2023 Catawba County NC
10/11/2023
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Catawba County Environmental Health I."Pv "
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Parcel: 266801398584, 2376 BAYLEIGH DR 1 in=50ft
VALE, 28168
This map/report product was prepared from the Catawba County.NC Geosppanal Information Service,. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information confoinod 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.Tho County of Catawba,its employees,agents,and
personnel,disclaim,and shall not bo held Ileblo for any end all damages.loss or liabihly,whether direct,Indirect or consequential which apses or may
arise from this map/report product or the use thereof by any parson or ontity.
Copyright 2023 Catawba County NC
05l22/2023
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;,k-ii,___ = .% North Carolina State Laboratory of Public Health MSC Raleigh,1NC27699-1918
/�t. 1 `1 J Environmental Sciences http://slph.ncpublichealth.corn
,,.���,. , 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 Michael Regan
P 0 BOX 389 2376 Bayleigh Dr
NEWTON,NC 28658 Vale,NC 28168
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES250519-0008 Date Collected: 05/15/2025 Time Collected: 13:37 By: Dwight Mikeal
Date Received: 05/19/2025 Time Received: 07:46
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-05-2023-196364
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 16 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 0.375 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 3 mg/L
Manganese 0.077 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.0 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 4.3 mg/L
Sulfate 12.6 250 mg/L
Total Alkalinity 48 mg/L
Total Hardness 53 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 06/04/2025REC Raa Reported By:
Marc Komlos
J U N 1 7 2025
Environmental Health
Page 1 of 1
r.
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: IMA_dl v _t r Sample ID Number: 1963.61
Location: 2.I L F� I¢-� j)r' ��I" N CY 2s I'`‘ 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 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 colifouats 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 colifoini 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
• 4 Private Well Information
4. itz.,7 5:-
▪4 , ` and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name/Address:
ph,e7.6, z l a rv. v31 cg�yl rq� iv we_
Sample ID#: 190 b+ Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1 Your well water meets federal drinking water standards for inorganic chemicals.Your water can be used for
7dng, 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.
n Arsenic n Barium ❑ Cadmium n Chromium ❑ Copper ❑Fluoride ❑Iron
n Lead ❑Manganese n Mercury ❑Nickel n Nitrate/Nitrite ❑ Selenium ❑ Silver
n Zinc
3.n 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. 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.
❑ Chloride n Copper ❑ Fluoride N Iron g Manganese
❑ pH n Silver ❑ Sulfate ❑ 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 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 Division of Public Health at 919-707-5900.