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HomeMy WebLinkAboutWELL-06-2023-198362.TIFIIIIIIIIP QV,: • CATAWBA COUNTY Case WELL-06-2023-I98362 G Public Health Department Subdivision LULA MAE P WILLIS PROPEF d „ ,� Environmental Health Division PINK 361803119667 PO Eiox 389,2�Government Drive,Newton,NC 28658 LO:4 1 I: . w Site Address: 4478 HICKORY LINCOLNTON HWY, NEWTON NC 28658 Name on Permit: ZACHARY TIGNER Property Size: Acres 5.28 Directions: left onto Radio Station Rd, .3 miles left onto Long Drive, right onto NC 10, 5.4 miles left onto Hickory Lincolonton Hwy Owner/Authorized Representative Acknowledgement of Permit Receipt �/ I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of' J( the property described above. 1-, As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-06-2023-44577, 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 I have reviewed and understand the specific conditions T 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: 06/19/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) 7/&/)3 Signature )"(..-- Date/Time _ Method: Fax .fEmail 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 complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService ZO('h . tilAe-('._J- e `) , lift. chpcnnit OG'19 2023 13'31 F 0.e g- 06) P-- 0)3 —11 9 S -4 u1 E 1 L_No- a.6,9-3-'Ic-1 3toa Catawba County Environmental Health (406) 668.78 179.53 IIIIPt 123.77 -. rn 200.48 It , 6NI 3 .. ! • 134.81 ` , ^ \\ PtceeK 179.84 �1 w 179.80 I 0 x 1005T X En z •4478 t�,d _{ Ex,"s�inrj C - q� �� 124.53 `� •well 0278 z z 325.08 6N' 11.29 925-°° • 26525 S C- 0 2,a�a Ls •c)it \-----\in 2)0,10 1 _ t, Parcel: 361803119667, 4478 HICKORY 1 in=100ft LINCOLNTON HWY NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial 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 user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 07/06/2023 (..1 ;PQ) WPDT Screening Report Area of Interest (AOI) Information Area : 3,134,508.67 ft2 Jun 21 2023 16:29:33 Eastern Daylight Time I r — -�- -L.--'Y I r - .. 1•0141-- ( 1 _....------ r ,_ 9 " ;'T r'' it. r1 C WCr / S0.h0 0 l .,...kr''''.--'''\\4\ .........„. \\ \ \7,,,,,__. ...; \t \ / 1:4,614 0 003 006 0.12' Parcels(Polygons)- Parcels t 1 1 ti LI ti ti , 11 r—i 0 0.05 0.1 02 kir L County Boundary r Ion-System Roads NCOOT C45 11SL 5n.wns Ew,Arlan D5 VSGS PGA MSA CAP Al IJon-S stem u Pnenn NCSAS MS OS 1iLrAG.rue..Mss• P*rstirsdr GSA Y G.11.1 FEW ~Menus><'d no OM sow mr..u.h [v Cw+.>tinry Arou. Ccnrwm 4st d Mot" Cs1a10 DOT C Oxw9xellnu — Secondary Route 4478 Hickory Lincolnton Hwy,Newton 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. 13442 a gill ii'ii' (o419nd) id,A1 ,09 9001 liS I ' �[ 6Qeeg8IH uo3uioouri Lawton' 777,t1Ff I S --.-- 'Pig B B ,/,� .ec •c'u — ► to t :- _':H7 --.--. .�— \ ESN-/�� \ \ \ xer6 , 3� : \ •emu � 41 rv. �` JDIl C' :I c I t a I . E I: tJ °✓� unn li :8.: Et■ Eta 13 tieit > €f •1= II! : II. _ _ 1. - o. s e$F ta f IPL __ 1i e#i S Ji.fi t t 3! I t 1 �t ; 8. lin GiP[ 8 i �m u S lit i' 1! 4{ ii [ r I�8;fTi fil .{al ,. t I r� IT 1[$ s ' i it tII fi ill t ilk : ti {� NO9,. ( �i n s;aag:3►••oC C 8 iiiiillfisA ��Fe & 3 a a d i ail II PE i Sg. EE i 1 {I= gg G:LG=�' $ PP gge a 2 / toii : .1; & 1 $ t ill g id I c 'i.e.RSS tll i ti tu o rn !ii [, s a i11 11 1 I it lir 1"1 p i.frIlit IR it i4 s 41 rimilswg Iv i 11.1 a3f iY is i t y�• 11.1 i i S lir 1 .114 P• _ .s y 01/16/2018 05:09 FAX 8286351581 U001 A „kr� /r / 'nrth C SCltlti.7E� "1:c`r Erb rc-.*r4.-r,1 and•�glll. ;RaewU'C.•.i 1;-.:.n .V.DU-r1'ip;*- .1 32 •�, WELL.CONTRACTORCERTIFICATIONaY _... 1.WELL GcNTRACTOK 0, WATER ZONES(court to r r a,1 d _ s L --co i 0 Boi oN SS ' a`4r, Sottor'_ -(- a Contradof(Infikk tketl MITI C` { t ? --� Tu _ 9C!to'r l'tC r+,r�BatrT"- I a k. j4 r 5 V`1!it, W i.1 i 1^tt 11 I is ;IN a. . TOC Boron-,, 7#-Tar:_.. "am, he Comfuter company Name Thtckossr .63 el 9 4 L 1 n C t•. - - , 7. CASING: D.�th D m ber . Weight Material Slrnat Ammo, �' #r .� �� �/ oO_To Bolton+j l) a. LE / .4-�R.._. .l : Top :r r ,Own 3`alo 7 C Cod! "no aatf uni FL : a)8: ,(D_a -Y377 ._.-- r, Arzt,CJde Phone^urrar B. ;VIOL.- Deutr, Mats-e JI 2,WALL INFORMATION: "oo Bodoo, .2. Ft-336 4k)i s ?atop GQ .: ^,01 JC-,GN PEgm,'Yt C 4-.3 a I '1 SS 4.2 - .. Satom e:ED PERM:TAM acoombic, Ma Dogom P!B CAJ)-'f-f_ C A }p$ TW 8R Ab50CJ►`� arTE WELL ID#Of pyphpb.e'. .2 + 6_.2 .' 9. SCREEN: Depth OtamsNt Slot Sirs Mu artat 3,WELL USE rC°ecc god,cati 30x; Rac•earnret Weter Suoo r)C Too r 9ottat, _- r _ A T E DR Li.CD 4 3 • .2.9 7 oo 8oroam tsi�,n wi .� T I CON0 ETED ___ AM- =u 4,WILL LOCATION: : 10.SANQrORAYEL PACK: L 1. Dlt SITA Ma rtal CT" GL...J,r.14 a IN ^ .COL;nrY _.. >L1 _. TOD Brow r• ._ 4t! Q r 115" �'Tit$ S' . Toa..Y...-.� "_.__-t _ -s- wN1 rur�•. v rY o«s arn+.+M i s ea•d W0'.t a tia. zw;Ode; T-n altom,__�___V_Ft. -Ct>OGRAP4'C i LAND SET'1NG retied(Docraon 15oxr '1 DR LONG LOW 3PAe -:'1a'•i4 ��at 74+oce :Omer — - Tot tiVfhxn Fon"+ettnnDe6c 14n La-ITLDE . _ -W -ins QIt 3x.)RQQ0I010(DO I ,3NGtTuDE •_._ -CPAs OR(X)OCXXX XXX DO O LI7+r 1't w• / LIIMudehoogil.Kw source '°8 L.T4¢4areoNc mac r �4 S '1' r tL�M+�`t� C roc000r+0`wee must De�edehOWm On 9 i19�&t000 moo and9tf80+teo to i M..g M'm if using r7P�7: _/ —- - 5.WELL OWNER • �•-� ! c,k A.ri y Y;I_Litt. ! cwrne,Nam , feet Address uN 4r Tpwn Stole Code ,—__ .�-..�. Area code Ph040 number 12 REMARKS: S,WELL DETAILS: - _ t3. DOES WSLL REPLACE EXISTING WELL? YES: NO1 HEREBY CEit7 tTFV THA f1.WAS G c. WATER LEVP.1.3caow"op of Cabrng' Q ACCORDANCE Wrt'H I A NCAC 2C.WELL COASTRUCTTt]N ;l..x'- Ma"'f Aoove n of Cersing; . STANDARDS.AND THAT A COPY OF T-ne riECORO HAS BEEN P v11E TO THE WELL OWNER, d, TOP OF CASING IS 1 FT,Ammo Lana Sutter*. `Top re Wing 1e ntinciard+NoK Orion ial+d setae*axe)wawa. • r + $'14`+g 5 a wartime ir aecoroarroe ugh 15A NCAG 2G.0'-t3. . i51 7r t=OF C , 1 LL G TOR e. YIELD Wpm!: ..1 D METHOD OF TEST ti i r b C1 Ki Q 1 a F- r 0 t1 S G i, t. DIa IFECTION:Typo k T H Amount lit 1,43 : 134Or:v NAME 8umitri*b Ulaig.Illlt WOW avis.larr etwaar f RRy'.rfdwin 30 aayyw,y.�.A,.im:inIeinna III i , Form GWo E 16,11.Mei$erv$od Carew RiIR#nh,l4-D1 -11017 •.'•Fhogolio (N!�arkost . . ""' - tNav,11 Analytical Results \� STATESVILLE ANALYTICAL ilk Catawba County Public Health ,, PO Box 389 Newton, NC 28658 Receive Date: 06/11/2024 Reported: 06/12/2024 For: Zachary Tigner 4478 Hickory Lincolnton Hwy. Newton NC 28658 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 240611-32-01 Nitrate 198362 1.94 mg/L 353.2 06/12/2024 CL 240611-32-01 Nitrite 198362 <0.1 mg/L 353.2 06/12/2024 CL Respectfully submitted, dip ) Melissa Myers NC Cert#440, NODW Cert#37755, EPA#NC00909 PO Box 228 • Statesville,NC 28687 • 704/872/4697 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: Zachary Tigner Sample ID Number: 198362 Location: 4478 Hickory Lincolnton Hwy,Newton NC 28658 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. I N 0 R T H C A R 0 L I N A v�,�� aH, .. Private Well Information i n u o p ' ,,. and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Zachary Tigner—4478 Hickory Lincolnton Hwy,Newton NC 28658 Sample ID#: 198362 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 of*. ❑Arsenic ❑Barium ❑ Cadmium ❑ Chromium ❑ Copper ❑Fluoride ❑Iron • ❑Lead ❑ Manganese n Mercury ❑Nickel n Nitrate/Nitrite ❑ Selenium ❑ 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. ❑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 on*,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 ❑Fluoride n Iron ❑Manganese ❑ pH ❑ Silver ❑ Sulfate ❑ Zinc 6. ❑ 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. ❑b.Your sodium level exceeds 30 mg/l 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.