HomeMy WebLinkAboutWELL-06-2023-198359.TIF •
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sits Addy.... 4278 f MAIDEN RD MAIDEN NC 28850
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(htacr/Authorized Representative Acknowledgement of Permit Receipt
KMt•,1 i rib I)Ihal I am the ttssnct or authrmied agent(m►nefsauthoriiatxm rcyuireJI rcjur cnung the owner of
the rn,tterty des rrhed ahrse
;V'JAs the property owner or Authorized representative.I fuse received the above referenced
pertnit(s)as requested in the application for service EJIPR-06-2023-44523,by the futlowinh n,e(hIlsiIs)
Reserved In Person
_ I'acl1m,le Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
`( NO As the property other or authorized representative I have reviewed and understand the spec iI conditions
of the permit issued, and further understand that all applicable regulatory requirements specified under the
North Ca robes Laws sad Rates for Sewage Treatment and Disposal Systems(ISA NCAC 18A.1900).
sndlor N'eIl Construction Standards(ISA NCAC 2C.0100). shall apply to the issuance of this permit and
the construction of the wastew*er system and'o►water supply well permitted
Permit Issue Date:OtS/19,2023
()s.vier Authorized Reptesentative Signature`_I 0.12(3 LL:k --.
- Date 10-i3-().
Docaeentatlon of Permll(sl Transmittal
• (permit treueitted by electronic or other means)
Paoli trardmivad by -_(j` -� --.---- (name ref person sen.Jm,;permit)
Signature, .._. `�_.- Datef Time 7 131 )3
Method: tan Euwail US Mad _ Other
Owners request to send by the above iadicatrd method of transmittal in lieu of signature
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Catawba County Environmental Health
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Parcel: 367601265681, 4276 E MAIDEN RD 1in=50ft
MAIDEN, 28650
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
06/30/2023
6/9/25,8:31 AM about:blank
pWPDT Screening Report
Area of Interest (A01) Information
Area : 3,134,508.59 ft2
Jun 9 2025 8:31:03 Eastern Daylight Time
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6/9/25,8:31 AM about:blank
4276 E Maiden Rd Maiden NC
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North Carolina Division of Public Health
Occupational and Environmental Epidemiology Branch, Epidemiology Section
BIOLOGICAL ANALYSIS REPORT
Private well water infounation and recommendations
County: Catawba Name: Mom` • \ Sample ID Number: (,J/t.- OC - L3 - 19 S351
Location: L-(21L r M61JU- Pc" ICL' � �. Reviewer:
J,Sv �
Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
xNo conform 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 Colifour]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 conform 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 depar trnent 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,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.
Wi Private Well Information
and se Recorn.n . endation:s
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: ill,„a A u;k(e.. t 7 E. Id
Sample ID#: $3 5`i Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1.KYour 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.
(l Arsenic E.Barium ❑ Cadmium ❑ Chromium E Copper Fluoride ❑Iron
❑ Lead Manganese ❑ Mercury n 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 fdr 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. WA he following substance(s)exceeded aesthetic drinking water standards. Your water can be used for drinking,
co% ing,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 Iron Manganese
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/I 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.