HomeMy WebLinkAboutWELL-06-2023-197608.TIF ' Pipit
WELL CONSTRUCTION RECORD(GW-1) For internal Use Only.:
1.Wen Contractor information:
Robert Teague ; 14.WATER ZONES —
NtflCanCactotNsme ' IRON I TO ( DLSCRI/r10s __,__
2857-A l (it ;J Y d R Gp t+r� ,_ __
1 � i ftl
NC Well Comaetor Cere6ca ion Number mber —_
' 15.OUTER CASING lice mild-cased was)ORrin te lYapktecabatl
B&K Well Drilling Inc FROM I Aw DIAMETERTH1CK'I!S MATERIAL __
0 ft _)1 it 61.1 ice. SOR-21 I WC
Compuls Name c� 16.LNNTX CASING Oft TIMING(aeadasrt eleee 4a.pl
2.Well Ceastr■ctloa Perm*N:a.Q3 3-IC. I I ib b FROM I TO l DIAMETER i THICKNESS I MATERIAL _.,-
Las p+:."J..ell couaecnoa perwrta 1 Cowry.Starr L7C.Co .Starr ruiverr.no 1 R rt.
ni
3.Well Use(check well me): rt. 'is ( _y
Water Supply Well: 17.SCREEN
FROM TO DIAMETER SLOT SIZE TIICTCjac , 2114TERIll
QAgtcultutal ❑Municipa1Public ft. R is
°Geothermal(Heating Cooling Supply) ElResidential Water Supply(single) R• R in.
rObldtlstriallCarumercul °Residential Water Supply(shared) is.cur
'1 Irrigation FROM TO MATERIAL 1 EMPLACEMENT METHOD&/MOT NT
Non-Water Supply Well: R. R.
0 Monitoring DRecovery ft. n.` _.___
Injection Well:
Aquifer RechargeR ft.
A9 ❑Groundwater Rcmcdiatial -
19.SANn9 RAVEL PACK(K'w o°)
Aquifer Storage and Roomy Salinity Earner ruose TO MATERIAL _EMPLACEMCYT METHOD
AQuiferTest 5tormwaterThainage R ft.
Experimental Technology �Subsideace Control R R --
Geothermel(Closed Loop) Tracer 21 DRILLING LOG(attar ad�tfaol afeeb i[arae�)
❑Geothermal(Heating,Cooling Return) (Other(explain under e21 Remits) FROM TO EscRlrTto.terry. ,.,r,.rt t�,.a••s•a.err l
b ft 5 R ,c1 r\ e j ar1r.
4.Date Weil(e)Completed:t?L!- . well 1n+T c 5 R ao_S"- is, ) ,5(5 fi ./-��/v-+.
Se-Weill Loaders:�., 1O h D S 6 5 rt• 5a (/a-'
Mllkl.'1"''er 1 IIt0t16 R ft
Faciyty/OwaaName '1 Facility ID,Ofapplicable) ft ft
7C) �3 CRIB Crati1t U' . rt. rt.
Pb ateo1 Address,Cay,and Zap ft, R.
��\ S� 2LRTh6ARXS
Casey�` Parcel identification No.ON)
511 Latitude and lode in degrees/minutes/seconds or decimal degrees:
(dwelt field doe keliona is sufficient) 22 Certi lion
6.b(are)the well(s)EpPermaacot or ]Temporary Si o(Certficd Conlracwr Dour
Bi%germs,this lam.I herein ct ryj that the well(,)MITI(Wren/constructed is arcoidaAce
7.1s this a repair to an existing well: Ei Yes or NNo with IISSANCAC 02C.0100 t_ or ISA rsCAC ox.0200 Wert can Standards that a
fair is a mate.fur oat taowt well roratntetiaa usfarwatu,m aa exclaim the twe of the 'WS'7 Ni4 record Ali fRrn pernsded Iv the cell cotter
repair tattler aN'markt section err on the bast of thin fora
23.Site diagram or additional well details:
8.For CeoprobeiDPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide additional well site details or well
caasutrtion,only I -t is needed. indicate TOTAL NUMBER of wells constriction details. You may also attach additional pages if necessary.
drilled: SUBMITTAL lNSTRUCTIO\$
9.Total well depth below lead surface: iJ:,Jr.0 (rL) 24a. i W : Submit this For canticle wilt au all i di teem. e- 200For Ai form within 30 days of completionw! d�11 pr 3@ and 2�r00) construction to the following.
of well
40
10.Static water level below top of adng: (ft.) Division of Water Resources,Information Processing Unit,
y wow keel tr chow maw use - 1617 Mall Service Center,Raleigh,NC 27699-1617
11.Borehole diameter: 6 1/$ U■.)
24b.For Infection Wells: in addition to sending the form to the address in 24a
12.Well coaetrnede■ trod; Air Rotary above,also submit one copy of this form within 30 days of completion of well
(LC sc r.ice,,ant*,d p�etc..) eonetruction to the following:
FOR WATER SUPPLY WELLS ONLY: Division of Wailer Resources Underground Injection Control Pretreat
1636 Mali Service Center,Raleigh,NC 27699-1636
13a•Yield(torn) 3 D Method of test: Air Flcivi 24c.For Water Snouts&'erection Welts: In addition to sending the form to
130.Diti■teetioaChbr T 1 to Loa the address(es) above. also submit one copy of this form within 30 days of
type: Amoa■t: completion of well construction to the county health department of the county
where Constructed.
Form GWl Nato Carolina Dcparmlem of Environmental Qualrry.Division of Wader Rcsourrrs Revised 2.22.201b
Analytical Results STATESVILLE
ANALYTICAL
•
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 07/24/2024
Reported: 07/26/2024
For: 06-2023-197608 Michael Walker 7943 Eric Crane Dr
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
240724-38-01 Nitrate 197608 <1 mg/L 353.2 07/25/2024 CL
240724-38-01 Nitrite 197608 <0.1 mg/L 353.2 07/25/2024 CL
Respectfully submitted,
i1;&,0a.,J. 2
Melissa Myers �/
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
1 STATESVILLF
u'4 ANAL'fTICAL '
ti,
t
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.cg_m .
NITRATE/NITRITE ANALYSIS
Note:An information mull be Wpiiied for compiurt cretin.
•
WATER SYSTEM ID#: W t,Ij,-UV- 1 f0 11 -- I Klb LA County: Catawba
Name of Water System:_.MLLI®)� I AA1 Yi II
Sample Type: 0 Entry Point f. pecial/Non-compliance
Location Where Collected: _ -- 3 EYl(. C(?At( ---
Facility ID No. 1
61. U0
I^ Collection Date N Collection Time
Sample Point: 5(ffnQ � t— _____ mot
y �'
Collected B t n9..._Lyt)r"tI kA _ d j/��/j U. . ► L: 5'i_, kM
(Plea.rrin) ) (MMm*vYY) (Specify AM or PM)
Mail Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#:i (828)465-8270
ENVIRONMENTAL HEALTH Fax#: j (828)465-8276
_ PO BOX 389 Responsible Person's email:
EHAdmin@catawbacountync.gov
NEWTON,NC 28658
LABORATORY ID#: 37755 ❑SAMPLE UNSATISFACTORY Li RESA:MIPLE REQUIRED '
METRO ''c'
D REQUIRED NOT DETECTED QUANTIFIEDALLOWABLE
CONTAM CONTAMINANT REPORTING LIMIT (i.e.<R.R.L.
CODE. R.ESULTS* LIMIT
CODE (R.R.L.) .�_..,.. (x)
1040 ' Nitrate 353.2 1.00 mg/I. �C _•____.. mg/L 10.00 mg/L
4
1041 Nitrite 353.2 0.10 mg/L 't __— ___ mg/L 1.00 mg/L
Note:If result exceeds allowable rout,the laboratory must fax analytical results to the State oncompleted.
� t' ,• day test completed.
DATE: TIME:
I ANALYSES BEGUN 01/ 2-4 / 2:t4 : 5'l_i _M '
' 3$ ANI
ANALYSES COMPLETED a"1/ 2 /2 __...g_� -._.
-� '-- to ti Ar.._,'Ur.r1L
Laboratory Log;tt:a 1_-IO p7--.3 ±-0 I Certified By: ( ' 1`_.
COMMENTS:
2038
4aboratortshould Mail Results to:
Public Water Supply Section,Ann':Data Entry,1634 Mail Service Center,Raleigh,NC 21699-1634
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
-;.Sr�Tfq,'•_•• 4312 District Drive
�` r 5,,, North Carolina State Laboratoryof Public Health MSC 1918
s� Mir�=��: f Raleigh,NC 27699-1918
',v, lid ,, :�. 1 Environmental Sciences http://slph.ncpublichealth.com
. "c ." 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 Walker
P 0 BOX 389 7943 Eric Crane Dr.
NEWTON,NC 28658 Catawba,NC 28609
1
'Uiff6001M1 M1�t•?�
EIN:56814EH Delivery: NC Courier
I
StarLiMS ID: ES240725-0112 Date Collected: 07/23/2024 Time Collected: 10:59 By: Cheyanne Morgan
Date Received: 07/25/2024 Time Received: 08:52
Sample Type: Raw Sampling Point: Sample tap Well Permit No. WELL-06-2023-197608
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
Cadriiium <0.0005 0.005 mg/L
Calcium 5 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 2 mg/L
Manganese <0.005 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 6.8 N/A
SeiP,Pil m <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 5.0 mg/L
Sulfate <5 250 mg/L
Total Alkalinity 28 mg/L
Total Hardness 21 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 08/16/2024 E IV Reported By: .00447/Cfl "."....---".--...*
RECMarc Komlos
kA a. A U G 2 9 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: Michael Walker Sample ID Number: 197608
Location: 7943 Eric Crane Dr, Catawba NC 28609 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
Private Well Information
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Michael Walker—7943 Eric Crane Dr, Catawba NC 28609
Sample ID#: 197608- 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.
n Arsenic ❑Barium ❑ Cadmium ❑ Chromium n Copper n Fluoride n Iron
n Lead ❑ Manganese ❑ Mercury n Nickel n 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. ❑ 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 n Fluoride n Iron ❑Manganese
❑pH ❑ Silver n 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.
❑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.