HomeMy WebLinkAboutWELL-06-2023-198389.TIF Catawba County Environmental Health
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This ntsPirsOcet Prodiffl,Was prepared from the Catawba County,NC Geoppettal Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and!abating Information contained on this map or data on this report:Catawba County promotes end recommends
the Independent Wolfication of any data°ordained on this map/report product by the user.The County°,Coombe,Its employees,agents,and
personnel..disdalm,and shell not be held liable for any and damages.loss or liability,whether direct.Indirect or consequential which arises or may
arlse.from this map/report product orthe use thereof by any person or°May.
Copyrfght 2023.Catawita County NC
06/19r2023
WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1.Well Contractor Information:
--.1,,
14.WATER ZONES
�y � u PROM TO DESCRIPTION
Well Contractor Name It, It.
<-,/c ----A ft. ft,
NC Well Contractor Certification Number 15.OUTER CASING(for multi-cased svelte)OR LINER(If ap Itcablo)
Morgan Well & Pump, I N C FROM TO DIAMETER THICKNESS MATERIAL
1 IL Sjb rt, 61/8 In. SDR21 PVC
Company Name / _ �(7�j 16.INNER CASING OR TUBING(geothermal closed-loop)2.Well Construction Permit#: �tj J�YV v V(J FROM TO DIAMETER THICKNESS ?LATER/AL -
List all applicable well construction permits(i.e,UIC,YCount)+,Stale,Variance,etc.) It. . ft. In.
3.Well Use(check well use): It. IL In.
Water Supply Well: : 17.SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
❑ nAgricultural ❑Mt icipalfPublic ft. ft. In. -
OGeothermal(Heating/Cooling Supply) )Residential Water Supply(single) ft. ft. in,
OIndustriat/Commeroial (Residential Water Supply(shared) i IR.GROUT i
(Irrigation ❑Wells>100,000 GPO PROM TO MATERIAL EMPLACEMENT METHOD&AMOUNT
Non-Water Supply Well: 0 n• 20 It• bentonite poured
DMonitoriug 0Recovery ft. ft.
Injection Well:
ft. ft.
DAquifer Recharge ❑Groundwater Remediation
19.SAND/GRAVEL PACK Of applicable)
❑Aquifer Storage and Recovery OSalinity Barrier FROM To MATERIAL EMPLACEnIFarl-METHOD
[Aquifer Test ❑StormwaterDrainage it. ft.
❑ExperimentatTechnology 0 Subsidence Control ft. ft.
DGeothermal(Closed Loop) ❑Tracer 20.DRILLING LOG(attach additional gheeti 11 ñsceiaary)
❑Geothennat(Heating/Cooling Return) DOther(explain under#21 Remarks) FROM TO DESCRIPTION(color,buying?,solVrack tyPq grata she,etc,)
1 it. 0 ft, ; dt,r
4.Date Well(s)Completed: '1 11S\22 Well ID# h.O ft. 5 ft. i - y el C 9,
5a.Well Location:
� It. 41 ft. (owe 43GIL
Faaility1OwacrName FacilityfDN(if applicable) ft. ft,
�6 /75 IA &) ft. ft.
Physical Address,City,and Zip ft. ft.
6e1d6 lit/ 21.REMARKS
County Parcel Identification No.(PIN)
Sb.Latitude and Iongitude in degrees/minutes/seconds or decimal degrees:
(if well field,one let/long is sufficient) 22.Certification:
35 s66'7/�7 N .— /' ` .3I7 3 CS W 1 ) "Z�-"�3
6.Is(are)the well(s): ClPermanent or ❑Temporary Signature Certi el C1 o otos Date
By signing thlsform,'hereby cent fy that the well(s)was(were)constructed in accordance with
7.Is this a repair to an existing well: ClYes or LJNo I SANCAC 02C.0100 or 1SA NCAC 02C.0200 Well Construction Standards and that a copy
flails is a repair,fill oat known well constriction Information and explain the nature of the of this record has been provided to the well owner.
repair wider i121 remarks section or on the back of this form.
23.Site diagram or additional well details:
8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide additional well construction info
construction,only 1 GW-1 is needed. Indicate TOTALNUMBIIR of wells (add'See Over'in Remarks Box).You may also attach additional pages if necessary.
drilled: r 24.SUBMITTAL INSTRUCTIONS
9.Total well depth below land surface: .-•,v (ft.) Submit this GW-1 within 30 days of well completionper the following:
For multiple wells list all depths ifdii different(example-3®200'and 2®100') P
24a. For All Wells: Original form to Division of Water Resources (DWR),
10.Static water level below top of casing: (ft.) Information Processing Unit,1617 MSC,Raleigh,NC 27699-1617
If water level is above casing,we"+"
24b.For Injection Wells:Copy to DWR,Underground Injection Control(IUC)
11.Borehole diameter: 6 (in,)
Program,1636 MSC,Raleigh,NC 27699-1636
12.Well construction method: rota'1 t�� _______ 24c.For Water Suppli and Open-Loop Geothermal Return Wells:Copy to tho
(i.e,auger,rotary,cable,direct push,etc.) county environmental l'e lth department of the county where installed
FOR WATER SUPPLY WELLS ONLY: 24d.For Water Wells producing over 100,000 GM: Copy to DWR,CCPCUA
airpressure Permit Program,16 E 1 MSC,Raleigh,NC 27699-1611
13a.Yield(gpm) I� Method of test:
granulated chlorine A S OL
13b,Disinfection type: Amount: T.
Form OW-1 North Carolina Department of Environmental Quality-Division of Water Resources Revised 6-6-2011
rt
d'`4,,Yxi ' 4312 District Drive
' MSC 1918
ii ,w___ North Carolina State of Public Health
/�� ,I �� -C� Laboratory Raleigh,NC 27699-1918
ilil ,1 .� Environmental Sciences http://slph.ncpublichealth.com
*�. 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 Terrance Lang
P 0 BOX 389 9206 Reepsville Rd
NEWTON,NC 28658 Vale,NC 28168
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES250519-0003 Date Collected: 05/15/2025 Time Collected: 11:39 By: Dwight Mikeal
Date Received: 05/19/2025 Time Received: 07:46
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-06-2023-198389
Sample Source: New Well Receipt Temp. : GPS Number:
Profile: New Well-No Nitrate
Analyte Test Result Allowable Limit Unit Qualifier(s)
Arsenic <0.001 0.010 mg/L
Barium <0.1 2.0 mg/L
Cadmium <0.0005 0.005 mg/L
Calcium 14 mg/L
Chloride 5.5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride <0.1 4.00 mg/L
Iron 0.154 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 4 mg/L
Manganese <0.005 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 6.6 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 6.1 mg/L
Sulfate <5 250 mg/L
Total Alkalinity 47 mg/L
Total Hardness 54 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 06/04/2025 Reported By:
RECEIVED
Marc Komlos
JUN 1 7 2025
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:1 r(6"'-e I S• Sample ID Number: I $3 Z1
Location: `1 do 6 11<-zpsv i i Z e-c) V..16. IN c. Zg(6'8 Reviewer: Jason Boyd
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.)
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
ea r�)°\ Private Well Information
i0 ,mif
� 8
� � and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name/Address: I t r:,-%c [d-^3 91,04 t4e e_,ps,,;((e_10 vc I`.
Sample ID#: inty ) Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1. Your well water meets federal drinking water standards for inorganic chemicals.Your water can be used for
d nking, 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 ❑Barium ❑ Cadmium ❑ Chromium ❑ Copper n Fluoride ❑Iron
n Lead ❑Manganese ❑Mercury n Nickel ❑Nitrate/Nitrite n Selenium ❑ 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. ❑ 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 ❑Fluoride n Iron ❑Manganese
❑ pH n Silver ❑ Sulfate n Zinc
6. n 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/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.