HomeMy WebLinkAboutWELL-05-2023-196970.TIF , • f.
/��}�1.tt', CATAWBA COUNTY ..
/ 'Ij Public Health Department Subdivision WILDERNESS TRACE PH 5
t Environmental Health Division PINK 375504846638
\mili PO Sox 389,25 Government Drive,Newton,NC 26656 LOU 160
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Site Address: 3194 MEDICINE BOW, CLAREMONT NC 28610
Name on Permit: "OAKWOOD HOMES
Property Size: Acres 0.46
Directions: Right Radiostation, Left321, Right Conover Blvd,S Rock Barn RD, L 16. Right, Right Oxford school RD,Left
Rest Home,Right Wildner Trace, Left Great Divide, Right Medicine Bow
Owner/Authorized Representative Acknowledgement of Permit Receipt
Xcertify that I am the owner or authorized agent(owner's authorization required)representing the owner of
ciS.
the property described above.
t'f As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-03-2023-43811,by the following method(s):
_ Received in Person
Facsimile Transmittal (Return form with signature required)
I Electronic Image Transmittal/E-mail (Return receipt required)
IAs the property owner or authorized representative I have reviewed and understand the specific conditions
:::��ToFthe 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:05/31/2023 !�
—�' (l/ = / / ., I
Owner/Authorized Representative Signature , /r,.z
Date e j 7i 2Di r
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sendingpermil)
Signature _._._ C).
Date/Time 41/47/
Method: Fax 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 hake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.comis/EHCusttomerService
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Case# WELL-05-2023-196970
ETI 1 , CATAWBA COUNTY HEALTH DEPARTMENT
V „ = ,,� Environmental Health Section
III518 4?, 5M 04/23/2025
WATER SAMPLE TEST RESULTS
Applicant *OAKWOOD HOMES,1265 HWY 70 W,NEWTON NC 28658
B:8284642662C:7047547097 DANNY.ODDIE@GMAIL.COM
Owner LANDVESTCO HOLDING COMPANY LP,1381 GRAND OAKS.LN,HICKORY NC 28602
B:8283244455
Contractor *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON),1265 HWY 70,NEWTON NC 286f
B:8284642662C:8282171862F:828-464-4301 R712@CLAYTONHOMES.COM
Site Address: 3194 MEDICINE BOW,CLAREMONT NC 28610
Name of Subdivision: WILDERNESS TRACE PH 5
Parcel Number: 375504846638
Lab Coliform Analysis Results: Total Coliforms: WO MA- Fecal/E.Coli: Cri v+
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials C6.k Date/Time Received lam'` ' "' \IVO Date/Time Completed' ' V'i 10 tO
RECEIVE/
APR 2 8 2025
Environmental Health
rsamfieldreport 04/23/2025 17:52 Page 2 of 2
Case# WELL-05-2023-196970
(:71MaL%.
CATAWBA COUNTY HEALTH DEPARTMENT
= Environmental Health Section
�►42 sM 04/23/2025
WATER SAMPLE FIELD REPORT
Applicant *OAKWOOD HOMES,1265 HWY 70 W,NEWTON NC 28658
B:8284642662C:7047547097 DANNY.ODDIE@GMAIL.COM
Owner OMPANY , 1 OAKS L ,
�:8-2-83-24.t455 C t
re e_e. Sl &r pe. Jr
Contractor *CMH HOMES,INC./DBA OAKWOOD HOMES#712(NEWTON),1265 HWY 70,NEWTON NC 286.
B:8284642662C:8282171862F:828-464-4301 R712@CLAYTONHOMES.COM
Site Address: 3194 MEDICINE BOW,CLAREMONT NC 28610
Name of Subdivision: WILDERNESS TRACE PH 5
Parcel Number: 375504846638
Driving Directions Right Radiostation,Left321,Right Conover Blvd,S Rock Barn RD,L 16.Right,Right Oxford school RD,
Left Rest Home,Right Wildner Trace,Left Great Divide,Right Medicine Bow
Sample Collected by: �` ��' rA i Date/Time Sampled: oq/2 q/2.s- p./0 A
Sampling Point: WI-U I
Is well head accessible? Yes 1/ No Reason for inaccessibility
Well New or Existing? New ✓ Existing
Type of Well: Drilled V Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: ✓ Yes No
Items of non-compliance: Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
Well head not term at>=12"above finished grade
Well head missing vent
Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
Comment:
rsamfieldreport 04/23/2025 17:52 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: C-1 c•^�-�►'-� �^�rpa:5 C Sample ID Number: U'v fr.Li- S J Z� — I `r 7 o
Location: 14 Li rne-a+l'-I g e,.,, Cl Reviewer: sy�
Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMEENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
No coliformbacteria were found in your well water. Your water can be used for all purposes
including drinking, cooking,washing dishes, bathing and showering.
Total coliformbacteria 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 occurnaturally in water or can be introduced into water
from man-made sources.Total coliform bacteria are found in soil and fecal coliformbacteria 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,orimmunocompromised (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.
Privotte ell o.rmation
NC DEPARTMENT OF
and Use Recommendations
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Gl�rx..c� S�v..,� 3r. 31cr1 6. ,,
Sample ID#: 1 g&91 6 Reviewer: Jason Boyd
•
TEST RESULTS AND USE RECOMMENDATIONS
I.).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 I I Barium ❑ Cadmium n Chromium I I Copper ❑Fluoride Iron
n Lead Manganese ❑ Mercury n Nickel Nitrate/Nitrite n 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. 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 Copper ❑Fluoride n Iron n Manganese
pII _ 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/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.
•
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.