HomeMy WebLinkAboutWELL-07-2023-200035.TIF r
(C) WPDT Screening Report
Area of Interest (AOI) Information
Area : 3,134,508.72 ft?
Jul 20 2023 9:56:22 Eastern Daylight Time
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1:4,514
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0 0.06 0,1 D.2 km
County Boundary
Non-System Roads
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— Secondary Route
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9689 Island Point Rd
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
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(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,
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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.
•
CORD GW-1 per internal Use Only:
WELL CONSTRUCTION RE
I. Contractor Information:
:;aafWAT tzo •s 7:rs'>;stw._r . `P O.
FRO To DESCRIPTIONN
Mill
We11C tra torName . -
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FROai TO DIAMETER M Well Contractor Cerlificamp, INC n
61/8 in'
Morgan Well&Pump, INC ::.q •..-V':.:,w;a:r•<:;:::_s�
OB TUB t 12 b'ottiei m6 F Sia'-too
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;76;Iril�r>zRCAi': THICKNESS MATERIAL
CompanyWell Construction
, 5 PRost TO DIAhETER—"
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2.WelaConsbrwell construction n e.UIC,County,Slate,Variance,etc.)
•
}Ie well permits
List all applicable ,::f'. ,....r•?;;,'ry;1;c':.;:•t ..
b.+,:f• ,fit.'' .,�sa':.
(checkuse): 17::SCItEEIQ,.'.'"''''�•'" ,DfAPII:TER SLOT SIZE TrrIC10VBSS 1112 >.a+'�'•- I
3,Well Use well T� �
Or
Water Supply Well: nog
cultural ioResMunicipal/Publicdtialat
p�ResidentialWater Supply(single) ,,„r:,,_, ,..'1_,,„,
i Geothermal(Heating/Cooling g/Cooling Supply) ,:.,•).t,. t;,^`.,,,:. ,,_,t.:{..,:,: ;;`.. .0.', v.
Residential Water Supply(shared) ':FROM 001 ; i '' EMPf,i.' 'b). '•'.MEETEl OD&AMOUNT
it Industrial/Commercial FROM TO
it. 20 ft. poured
Non,aatIl °
Non-Water Supply Well: ft.
110 Recovery
*Monitoring ��
1111111111111111111
Injection Well: ,•.:..., 1,. 'ia r,,....
Si Aquifer Recharge Groundwater Remediation 19i SADNlGttAV�rf RAMC tf.a f~EMPLACEMENT METHOD' '
Salinity Barrier FROat TO���Aquifer Storage and Recovery n iL
OStotmwater Drainage It. B
It Aquifer Test ,
Subsidence Control `r�"" .°... ..d:`�.�:Li,n'�"`
IIMI •
*Experimental Technology f.2p''b t, t G'LOG'ousel:iciattlina this, if,ficceaaa s etc.
�TYacet FROM TO DESCRIPTION color hardness sollfrock •
Geothermal(Closed Loop)
Cooling Return *Other explain under#21 Remndcs b fr. ft. i • to
Ng Geothermal satin: � ft.
WellIDil SS ft' ' %
4.Date Well(s)Completed: ® ft 1
ft. ii, a
5a,Well Location: a� �.
♦ •
/ C � Facility ID#(if applicable) 111111111111111131
pacthty/Owner Nana ..1:171111IM
allia
Physical Address,City,and Zip r h .;25'B�+i1'll*RXCS. ...: �r;', t:
_t�""�j -- . Parcel Identification (PIN)
County
5b•Latitude and longitude in degrees/minutes/seconds or decimal degrees: 22 C '•cation:
(if well field,one latlbng is sufficient) � 2 /� t t t +3
35 2oa-- W 4 V U L1
N � Date
Signs f y;ified Well Contractor
permanent or ®'•Temporary
6,Is(aYe)the well(S)� By s. ng th rm,I hereby certify that the well(s)was(were)constructed in accordance
with 13A NCAC 02C.0100 or I SA NCAC OW.0200 Well Construction Standards and that a
�Yes or copy 5Af is record has been provided the l. 200er.
7.Is this a repair a kn a sting well: o=t °
IJthislr a repair,fill out knoiw:well construction information and explain the nature of the 23.Site diagram or additional well details:
repair under#21 remarks section or on the back oJlhfs jornt.
he
of this page to
rovide
ionat
ell
e
having
Y
S.For Geon,on only GW- Closed-Loop IndicateGeot TOTrmal AL
NUMBER
the same cYou onstruction use details.back
kou may also attach additional tpages`if less Smyails or well
construction, 1 GW 1 is needed. TOTALNIIMEER of wells SUBMI'T'TAf INSTII.IJCTIONS
drilled:I___________9
'��� —(ft-) 24a. ttnr A�ll Wells: Submit this form within 30 days of completion of well
For Total l wellw depth below s land surface: 00'and 2(a}1003 construction to the following:
multiple wells Tar al!depths if different(example-3Q2
(ft.) Division of Water Resources,Information 769ssing Unit,
10.Static water level below top of casing:
1617 Mall Service Center,Raleigh,
If water tel is above casing.use"+"
(in.) 24b.For In action Wells: In addition to sending the form to the address in 24a
• 11.Borehole diameter: G rotary in' above,also submit one copy of this form within 30 days of completion of well
• construction to the following:
•
(L Well construction able,direct push,eto.)
(l.o,auger,rotary, Division of Water Resources,Underground Injection Control Program,
13a.Yield(gpm)
1636 Mail Service Center,Raleigh,NC 27699-1636
FOR WATER SUPPLY WELLS ONLY:•
In addition to sending the form to
in.Disinfection typo: Method of test: air pressure 24c.F r ate:Supply&Injection Wefts:
the address(es) above, also submit one copy ofthisform
mil within
h of 30 days of
•
ty
ranulated chlorine completion of well construction to the countyP
8 Amount; where constructed.
health.---
•
Revised 2-22-2016
North Carolina Department of Environmental Quality-Division of Water Resources 1?or GW-1
1
1
Case# WELL-07-2023-200035
rerITirlikCATAWBA COUNTY HEALTH DEPARTMENT
.�. �, Environmental Health Section
1$ 1, 5M 09/09/2025
WATER SAMPLE TEST RESULTS
Applicant *R MORGAN HOMES,LLC,PO BOX 801,DENVER NC 28037
C:7045823818F:8669996921 MARK@RMORGANHOMES.COM
Owner THOMAS CARAVELLA,8502 PINE LAKE RD,DENVER NC 28037
C:860-798-8504 TACARAVELLA@GMAIL.COM
Contractor CRAIG THOMPSON GRADING,228 ALLEN RD,HARMONY NC 28634
C:7049044441 CRAIGTHOMPSON157@GMAIL.COM
Site Address: 9689 ISLAND POINT RD,SHERRILLS FORD NC 28673
Parcel Number: 462802560125
Lab Coliform Analysis Results: Total Coliforms: M- Fecal/E.Coll:
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
9(110, v Y✓ 64Time Completed Ca A . 0
Lab Tech InitialsDate/Time Received Date/ p
RECEIVED
SEP 1 2 2025
Environmental Health
rsamfieldreport 09/09/2025 16:10 Page 2 of 2
Case# WELL-07-2023-200035
7fif CATAWBA COUNTY HEALTH DEPARTMENT
Y711' :: ,,5, Environmental Health Section
I$42 5M 09/09/2025
WATER SAMPLE FIELD REPORT
Applicant *R MORGAN HOMES,LLC,PO BOX 801,DENVER NC 28037
C:7045823818F:8669996921 MARK@RMORGANHOMES.COM
(Owner (THOMAS CARAVELLA,8502 PINE LAKE RD,DENVER NC 28037)
C:860-798-8504 TACARAVELLA@GMAIL.COM /
Contractor CRAIG THOMPSON GRADING,228 ALLEN RD,HARMONY NC 28634
C:7049044441 CRAIGTHOMPSON157@GMAIL.COM
Site Address: 9689 ISLAND POINT RD,SHERRILLS FORD NC 28673
Parcel Number: 462802560125
Driving Directions Sherrills Ford Rd from 150/right Island Point Rd/approx 2 mile to flag shaped lot on left/also accessible
from dead end of Southern Breeze off Rivera Da I� h.« /
Sample Collected by: PW 1 3 Lk. )(h. kr s1 I Date/Time Sampled: 0 9//o/a.S //�5S'A Aft
k'Sampling Point: C. .v1
Is well head accessible? Yes ,/ No Reason for inaccessibility
Well New or Existing? New t/ Existing
Type of Well: Drilled ✓ Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: fYes 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 09/09/2025 16:10 Page 1 oft
Analytical Results / STATESVILLE
Thx ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 09/11/2025
Reported: 09/12/2025
For: Thomas Caravella: 9689 Island Point Rd, Sherrills
Ford NC 28673
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250911-40-01 Nitrate 200035 <1 mg/L 353.2 09/11/2025 CL
250911-40-01 Nitrite 200035 <0.1 mg/L 353.2 09/11/2025 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
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122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com . '
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?'TRA.4 61NE'rEITEANALYSIS .
tiotc Al(bimmuiaa c'rl be ieFlir.d I=ecr.liace cr"t..:t.
WA l'A' (SYSTEEM ID kr: WELL, - 0 ? 0 a-3—.100035 County: Catawba •
Name of Water System: Tkom4S Ca.t'a.U211C,
Sample Type: LIEntryPoinnt 154Special/Non-comppliance
Location Where Collected: C € Lc I`^J Po;ri+ P n, Sf►Lr /l S C r'&1 /✓C. a PG 73
Facility ID No. 7--0 60 3 L,,s
Sample Point:' W 6 P i1 Collection Date l Collection Time
Collected By: 0))415 kk Ill;kes1 • a 9j/e as-- - I1:sg M
(41uobts) (MMJDDIrY) (SypearyAMcc PM)
Nail Results to(water system representative):
•
CATAWBA COUNTY PUBLIC HEALTH Phone n•l (828)465-8270
ENVIRONMENTAL HEALTH Fax#: i (828)465-8276 •
, PO BOX 389 Responsible Person's email:
. •EHAdmin@catawbacountync.gov •
NEWTON,NC 28658
LABORATORY ED r: 37755 . El SAMPLE UNSATISFACTORY El RESAMPLE REQUIRED
•
' REQUIRED NOT DETECTED QUANTIFIED ' ALLOWABLE
CONTAM CONTAMINANT METHOD REPORTING LIMIT (i.e.<R.R.L.) L
CODE • CODE � ) (X) RESULTS*
1040 Dlsttate 3532 1.00 mg/L . . mg/L 10.00 mg/L 1
1041 Nitrite - 3532 0.10 mg/L 14 ____._ mg/L 1.00 mg/L
*Not:If result exceeds allowable limit;the laboratory must fax analytical results to the State on day test completed.
I DATE: TLl' :
T
. . ANALYSES BEGUN: I Oq/ t I /25 . -5:27
ANALYSES COMPLETED: i OCl / t I / 25 _— : L -P m
li (41MDDJrr) eor atAM.:=l,
a
�j n
Laboratory Log 11: .504 I i-9 B• 0 1 Certified By:
COMIviENTS: '
2008
Laboratory should Mail Results to: .
Public Plater Supply Section,Ann:Data Entry,1634 Mail Service 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: ilrv.riN q•5 Gd rG Y'-I I G. Sample ID Number: Z o a b 3 5"
Location: at(hc6q 2 pi- fR,) 54,�-re.11.5 F, rJ Reviewer:Jason Boyd
Initial Sample )< Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WA1ER(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 colifonn 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.
p� - .�i n�7'^i' � �✓- F.t-� C r._'a:.�'.� �J�`"��'k a`�. c ,ti, �-�.,�7-z�n r-�"�"`�s?w''i t"` -'S�
=A�
ri',i�.;v 4•� .a I.tr a +6+ _.e-� c1�+^4 .�^� ,y.N ayi -
"�a� nPrivate or atio
a � - •a
and Use 1< ecornthendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Cont'mina►nts
[[���tc;Ke• � ..,�_ .as r. � ram, b. t-F�e.r,r•�+"-`e t'�"��.s5 C fk 'Sr' x a�r.'k•. r•x}. �.+c� �=F" c�;-i�'�.c6c�� ?�ti��� �r��a�
County: Catawba Name/Address:
4116,53
Sample ID#: 3 5— Reviewer: Jason Boyd
d.SY..:f ,tr �W�Te'.E +457t4.. .SBr:i�'__ s. ASS, I.e-,+a'Va,
TEST RESULTS AND USE RECOMMENDATIONS
1. Your well water meets federal drinking water standards for inorganic chemicals.Your water can be used for
dr niting, 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 ❑ Cadmium n Chromium n Copper n Fluoride n Iron
n Lead ❑Manganese ❑Mercury n Nickel n Nitrate/Nitrite n Selenium n Silver
n Zinc
3. P1 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 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.
C-131fliidc -=R.-60pper =[-FIumirle== rken.
-
❑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 mug/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. n 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.