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WELL-05-2023-196350.TIF
r 4s. fiM;imi. CATAWBA COI NI s ri`9 l'uhhc health Dcpanmeni tiuhdv ian ENOCH AND INA SIGMON ES Vim /. I noronmcntal lieuIth Osvision PINit 460602982581 V.�� Po flux 389,25 tancrnnrCnt Dime.Nratua,NC 210,58 1010 198 PT 21 Site Address: 7989 REDBIRD LN, SHERRILLS FORD NC 28673 Neme on Permit: TOMMY FLORES Properly Size: Acres 0 94 Directions: 150 to Slanting Bridge Rd, left on Drena Dr,right on Ina Ln, right on Redbird Ln, property on the left ,{ Owner/Authorized Representative Acknowledgement of Permit Receipt )( 1 I ccrtil) that I am the owner or authurited agent Om ner's aulhunialiun required)representing the owner of the property described above ?'era ' As the property owner or authorized representative, I have received the above referenced permits)as requested in the application for service EHPR-94-2023-43915,by the f011owing method(s): Received in Person Facsimile Transmittal(Return form with signature required) II Iectronic Image Transmittal E-mail (Return receipt required) fcrAs the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements speciticd under the North Carolina Laws and Rules fur Sewage Treatment and Disposal Systems(ISA NCAC 18A.1900), and/or Well Construction Standards (ISA NCAC 2C.0100). shall appl to the issuance of this permit end the construction of the wastewater system and:or water mipply well permitted, Permit Issue Date:05122/2023 / 7'i ._,6_ Owner Authorized Representative Signature Date 6--ez—A)01-3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) t'crinit transmitted by (nrrmt.(4 pc/errs A enrhng/iernil) Signature {,i Date. lime 5 hi/)3 Method: Fox—JJJJ J 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 yoiPlease stake a few momentts tto complette our custtomer service survey att http://www,surveymonkey,com/s/EHCusttomerservico iI91 , Wk.p9e\feli 7DA. ner 3- 6 r ' 4f `i . pill Ol ,, 'Ill 1611 ntz WPDT Screening Report .,„. Area of Interest (AOI) Information Area : 3,134,508.61 ft' May 31 2023 11:03:17 Eastern Daylight Time 1.......,:::/ --.,:. ,.... 4.... 440" R�y: 837 Jt . ,..., 1 1 —� ,,,--- ..... . . • i t � ,/, ._..... ./7 _. ..................„,, \ / / .....„ i ____ / ..„..._ ......, I 1y ti .............._, i t i 1 y it / `\,t+e*4th . , ../- l p....../ , / ..-- , , , 1:4,514 j 0 0U3 C.U6 0.12m, _I Parcels(Polygons)-Parcels F i i ti '1 ti ti ., 11 r 0 0.05 0.1 0.2 km County Boundary Non-System Roads Esn Cna'nay Ahyb CmlrtAlers belle%Cnvn•+ Stele s4 Noel,Ce ehsa - Non-System [)OT Q OpanStasPdas Lar;msnll Est; HERE. G.rmn >ix.Gaah GaeTeauagas,Ira 1.4:TO Sr{,USGS,CPA.NPS US Census pu sau USDA NCOOT GrS Una.&Ames Esn Amus OS.JSGS NG4 NASA — Secondary Route 7989 Redbird Ln,Sherrills Ford,NC 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 and attribute accuracy. The NCDEQ disclaims responsibility for the spatial accuracy and attribution of GIS features and makes no warranty concerning same. Analytical Results STATEsvILLE ANALYTICAL IN Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 08/27/2025 Reported: 08/28/2025 For: Tommy Flores: 7989 Redbird Ln,Sherrills Ford, NC 28673 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250827-30-01 Nitrate 196350 <1 mg/L 353.2 08/28/2025 CL 250827-30-01 Nitrite 196350 <0.1 mg/L 353.2 08/28/2025 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 2 122 Court Street Statesville,NC 28677 704-872-4697 www.sa-nc.com • • Ni'i'RATE/NITRITE ANALYSIS Nue:Amoron©:icanvstbeseppaed Car eatgtisaeeae i. • WATER sYsTBM ID if: WALL-o c 0 a3-13 c 35'a County: Catawba • Name of Water System: 7o r^I .y F 0 re_s • Sample Type: ❑Entry Point At Special/Non-compliance Location Where Collected: s! 1 f 4 Ki'01 1,1 oaf L n, .SA a rt.:l it Fo fe{! NC e2 cps 7.2 Facility ID No. t/.631S50 D Sample Point: unseal h�`'/ i Collection Date , Collection Time Collected By: AI►fhb /%key ) • 081a Cl ems" - 1/•' A M tpt=Prim (t/.SUDP/YY) CSP.i rA24cent) Mail Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone n:t (828)465-8270 ENVIRONMENTAL HEALTH Fax U.828)465-8276 •, PO BOX 389 Restpansltrle Petson's email: . •EHAdrninC)catawbacoentync.gov NEWTON,NC 28658 • LABORATORY IO iI: 37755 . ❑SAMPLE UNSATISFACTORY 0-RESAMPLE RIEQURtED kl CONTAM METHOD REQUIRED NOT DETECTED QUANTIFIED - ALLOWABLE CODE CONTAMINANT CODE RaORTING LIMIT (i.e.<R LL) RESULTS* LIMIT (R.R.L.) (A) 1040 Nitrate 3532 1.00 mg/L G - - mg/L. 10.00 mg/L 1041 Nitrite • 3532 0.10 mg!L P'j . mg/L 1.00 mg&I °Note:If result exceeds alowable limit,the laboratory must fax analytical results to the Stain on day test completed. DATE: MO: 1 ANALYSES BEGUN: O S/ 2 S / 2 . _. oG:0 S M ' C err) 0F4.r%?Q;Crn. ANALYSES COPt'PLETED: o`$1 Zg /ZS _i `6- . Azr P t mnrrrt _-_a tswir;4 s.rrao • Laboratory Lae: e a50 Kai.3 o-01 Certified By:�t - gr--- COlI MENTS: • 2C08 Laboratory should Nall Results to: • Public Water Supply Section,Attn:Data Entry,1634 Mall Service Center,Raleigh,NC 27699-1634 PO Box 228 • Statesville,NC 28687 • 704/872/4697 Page 2 of 2 .,: m ' % 4312 District Drive, MSC 1918 Is / O . North Carolina State Laboratory of Public Health Raleigh,NC 27699-1918 �- .Mil , �c Environmental Sciences http://slph.ncpublichealth.corn *4: "� Inorganic ChemistryPhone: 919-733-7308 g Fax: 919-715-8611 Certificate of Analysis FINAL REPORT Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH Tommy Flores P 0 BOX 389 7989 Redbird Ln NEWTON,NC 28658 Sherrills Ford,NC 28673 EIN:566001814EH Delivery: NC Courier 1 StarLiMS ID: E8250828-0073 Date Collected: 08/26/2025 Time Collected: 11:05 By: Dwight Mikeal Date Received: 08/28/2025 Time Received: 08:14 Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-05-2023-196350 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 34 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride 0.539 4.00 mg/L Iron <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 2 mg/L Manganese 0.021 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 9.5 mg/L Sulfate 17.8 250 mg/L Total Alkalinity 87 mg/L Total Hardness 92 mg/L Zinc <0.05 5.0 mg/L Report Date: 09/09/2025 RECEIVED Reported By: Marc Komlos SEP 1 2 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 County: Catawba Name: IM ' c-1'a'2-, 1')3 h Sample ID Number: 1 .05 0 Location: 1 9`a 1 R �� �+� .5��r r=1 i 5 f' 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 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 depai[went 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. 1 -. R' 'p L I° NE ' N 'O R�, T H: C A assArr�. Private Well Information „,,,.;�„" and Use Recommeniations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chi emicll Conts nit ;a i ts County: Catawba Name/Address: • a p ya b, L y,,,r r:l I o F r) 1,-,1 iC�r .2. US� lin 12 Sample ID#: I c\(,)')5 Reviewer: Jason Boyd r .- . . -- • TEST RESULTS AND USE RECOMMENDATIONS 1. [ C 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. n Arsenic n Barium ❑ Cadmium n Chromium n Copper n Fluoride ❑ Iron n Lead n Manganese n Mercury n Nickel n Nitrate/Nitrite n Selenium n Silver n 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. ---❑-Ghlor-ide--n-C peer —❑Fluor-idiom--}�Iron ❑Mimganesc ❑ pH n Silver n 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.