HomeMy WebLinkAboutWELL-06-2023-198170.tif r
/{g" CATAWBA COUNTY Case k
.t.a Public Health Department Subdivision
1.1 _ * Environmental Health Division
1•42 s.. PIN# 363816944302
PO Box 389.25 Government Drive,Newton.NC 28658 L.O"111
Site Address: 871 CARRIAGE ST. NEWTON NC 28658
Name on Permit: ERIC &VENUS LONG
Property Size: Acres 2.03
Directions: Turn on carriage St, go to the end and follow the gravel rd and the lot will be on your left
Owner/Authorized Representative Acknowledgement of Permit Receipt
xI 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-04-2023-44142, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
V Electronic Image Transmittal/E-mail (Return receipt required)
As 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 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: 06/15/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson sending permit)
- --Signature L. _ Date/Time 6/9S/)3
Method: Fax Y 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 ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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$A�' (,'O Case# WELL-06-2023-198170
1�� CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
\
/8 42 5M 06/16/2025
WATER SAMPLE TEST RESULTS
Applicant JOSH HELTON,101 PALISADES DR APT 206,LINCOLNTON NC 28092
C:8282392119
Applicant LAILAH LONG,101 PALISADES DR APT 206,LINCOLNTON NC 28092
C:8282382119
Owner ERIC&VENUS LONG,1002 CARRIAGE ST,NEWTON NC 28658 RECEIVED
C:828-312-8646
Site Address: 871 Carriage ST,Newton NC 28658 J U N 1 9 2025
Parcel Number: 363816944302
Environmental Health
Lab Coliform Analysis Results: Total Coliforms: 1 Fecal/E.Coli: l/m1 Ii-
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
ra-
Lab Tech Initials ' Date/Time Received O11'I�` "J `"'") Date/Time Completed OW 'a` \ " J
ra-.1
rsamfieldreport 06/16/2025 16:54 Page 2 of 2
Case# WELL-06-2023-198170
(,T Titt�� CATAWBA COUNTY HEALTH DEPARTMENT
t4 fit: ,,-, Environmental Health Section
I$4Z SM 06/16/2025
WATER SAMPLE FIELD REPORT
Applicant JOSH HELTON,101 PALISADES DR APT 206,LINCOLNTON NC 28092
C:8282392119
Appli.dat 0'1 N t R LAILAH LONG,101 PALISADES DR APT 206,LINCOLNTON NC 28092
C:8282382119
Owner ERIC&VENUS LONG,1002 CARRIAGE ST,NEWTON NC 28658
C:828-312-8646
Site Address: 871 Carriage ST,Newton NC 28658
Parcel Number: 363816944302
Driving Directions Turn on carriage St,go to the end and follow the gravel rd and the lot will be on your left
Sample Collected by: Do I'c �S - i 2-e&.V Date/Time Sampled: OG/1 ?( 5 I' P
ill
Sampling Point: wt�l I--e-e„i
Is well head accessible? Yes l' No Reason for inaccessibility
Well New or Existing? New ✓ Existing
Type of Well: Drilled ✓ Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: 1../.-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 06/16/2025 16:54 Page 1 of 2
Analytical Results ` STATESVILLE
ANALYTICAL
Ir .;
Catawba County Public Health -a
PO Box 389
Newton, NC 28658
Receive Date: 06/18/2025
Reported: 06/19/2025
For: Lailah Long:871 Carriage St, Newton NC 28658
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250618-37-01 Nitrate 198170 1.52 mg/L 353.2 06/18/2025 CL
250618-37-01 Nitrite 198170 <0.1 mg/L 353.2 06/18/2025 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 vrww.sa-nc.coa
NITRATE/NITRITE ANALYSIS .
uor.Alibr.imncutboatorr:dfcceaagti=ec:.
WA.'EERSYSTEMID#: WE/L - D C - � �3:r`1$170 County: Catawba •
Name of Water System: Lai(a.G+ 1,1.9
Sample Type: CI EtttryPoint Xi Special/Non-compliance
Location Where Collected: g 7 b Ca.�r r c,,j. .S-f/ N 6, Ale 2 P S"P
Facility ID No. (g e l 0
Sample Point: t? Collection Date Collection Time
Collected By: I1.lk-e-ve I • 0 C//7 j L5 /: 2 7 p
(P.,e-Frci) {>RNDONY) AM or t'64)
Mail Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#:t (828)465-8270
ENVIRONMENTAL HEALTH g _ (828)465-8276
, PO BOX389 RrstionsffiiePersoa'semail:
•EHAdmin@catawbacountync.gov
NEWTON,NC 28658
LABORATORY ED#: 37755 D SAMPLE UNSATISFACTORY ❑RESAMPLE REQUIRED
CONTAM COA1TAhfINA1vT METHOD R OR�LY LG IMTI NOT DETECTED QUAtriL9ED • ALLOWABLE
CODE CODE ('Z R L) ()1) tESUZTST LIMIT
1040 Nitrate 3532 1.00 *ng/L 0 • 1 +52 mg/I. 10.00 mg/L
1041 Nitrite • 3532 0.10 mgll. --—_ — ntg2 1.00 mglL
*Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed_
//�11 DATE: TIME:
ANALYSES BEGUN: u` / I Li 26 . _3:33 P1yt
ANALYSES COMPLETED: " OAP/ 12 /25 5:-0 5 , i L
ii esoTr,ex.�il�
1
Laboratory Log{:a9Ig•3 1.01 Certified By: Cc:=3"1
COMMENTS:
2008 •
Laboratory shozld Ma Results to:
Public WaterSupply Sextiea,At:n:Data Fnay,1124 Mail Scvice Center,Raleigh,NC 27699-1634
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 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: L"` Sample ID Number:icla 170
Location: $7 l Cc rrt 45e— 5+ N(- Reviewer: Jason Boyd
Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WAl'ER(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
trealuient 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 Ri R 10
r
� f ti �m Private ell Information
NC DEPARTMENT OF and Use Recommendations
HEALTH AND HUMAN SERVICES
Division of Public Health For Ino gi nic Chemical Contaminants
County: Catawba Name/Address: tab_
�A+1--A6— 10 /`-S �i ( Ce r r• S-- Nc-..0-1- ie
Sample ID#: j� E7� Reviewer: Jason Boyd J
L • L
TEST RESULTS AND USE RECOMMENDATIONS
1.X 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 n Cadmium n Chromium n Copper n Fluoride n Iron
❑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. 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.
❑-ehler-ide—-El-Copper -E Fluori-dc -8 Iron 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/I. 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 wafer results,please call the North Carolina Division of Public Health at 919-707-5900.