HomeMy WebLinkAboutWELL-08-2023-201869.TIF "• p CAim%d%till N11'
t Yublic Hualth Dcpuunent ',utdrv,uon CHARLES A HOWARD(JNREI
s Fmuonmenil Health Division t'INN 481703419180
4 r PO Hos 3s�2,25 Government[hive.Newton,NC 2*6SR tots 2
Sits Address: 4185 YELLOWBELL OR,TERRELL NC 28882
Name on Roma: TABITHA MOCILAN
Property Sue: Acres 1.01
Directions: Kiser Island rd,Right on Bate Dr,Right on Yellowbell,Lot on LeR
Owner/Authorized Representative Acknowledgement of Permit Receipt
42,-)
certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the rty described above.
the property owner or authorized representative,I have received the above referenced
c it(s)as requested in the application for service RBPR-01-2023-43294,by the following method(s):
_ Received in Person
Facsimile Transmittal(Return fonn with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
the property owner or authorized representative I have reviewed and understand the specific conditions
e 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 ISA.1900),
and/or Well Construction Standards(1SA NCAC 2 .0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or w pply well permitted.
Permit Issue Date:08/04/2023
Owner/A,uutho ized Rep senlative Sign lure
Date �J 2 (9
Documentation of Permit(s)'Iransmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature
4/6
Date/Time /)))73
Method: Fax I Email _US Mail Other
Owner's request to send by the above indicated method of transmittal In lieu of signature
We wantt tie hear from ytuPlease hake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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� CATAWBA COUNTY Case# WELL-08-2023-201869
t Public Health Department Subdivision CHARLES A HOWARD UNREI
• 11511 "l Environmental Health Division• PIN# 461703419180
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
. :w
Site Address: 4185 YELLOWBELL DR,TERRELL NC 28682
Name on Permit: TABITHA MOCILAN
Property Size: Acres 1.01
Directions: Kiser Island rd, Right on Babe Dr, Right on Yellowbell, Lot on Left
NEW WELL PERMIT
REQUIRED WELL SETBACKS:
Septic Systems and Repair Areas for Single Family Dwellings 50 ft.
Septic Systems and Repair Areas for Businesses and Multi-Family Residences 100 ft.
Underground Storage Tanks 100 ft.
Animal Barns 100 ft.
Lakes/Ponds 50 ft.
Streams/Brooks/Creeks/Rivers 25 ft.
Building Foundations 25 ft.
All Other Sources of Groundwater Contamination 100 ft.
Saprolite Septic Systems and Repair Areas 100 ft.
Septic Systems and Repair Areas to Wells with 2 or more connections 100 ft.
Wells shall be constructed in accordance with state regulations:
Article 15A North Carolina Administrative Code Subchapter 2C
The well driller must verify all setbacks before drilling the well.If the well driller is unable to maintain any of
the above setbacks,contact Catawba County Environmental Health at 828-465-8270,before drilling the well.
Grouting Depth:20 feet minimum
Casing Height: 12 inches minimum above finished grade
All newly constructed private drinking water wells are required to be sampled in accordance with the North Carolina Rules Regarding Private
Drinking Water Well Testing(I5A NCAC 18A.3800).The fee for this sampling is included in the cost of the well permit.It is the applicant or
property owner's responsibility to notify Environmental Health when the well is ready for sampling.Water samples will be drawn from an
outside faucet unless otherwise specified.For questions or for more information,please contact Environmental Health.
08/04/2023
Authorized State Agent Permit Issuance Date
8/4/2028
Permit Expiration Date
chprrntit 08/22/2023 08:13
pWPDT Screening Report
Area of Interest (A0I) Information
Area : 3,134,508.67 ft'
Aug 16 2023 8:41:18 Eastern Daylight Time
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4185 YELLOWBELL DRIVE,TERRELL
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 NCDE}'s Data.The Data is collected from various sources and may be
modified over lime 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.
Julia English
From: 'tabithafirst name Hulse <tabithamocilan@yahoo.com>
Sent: Wednesday, August 16, 2023 9:13 AM
To: Julia English
Subject: Re:4185 YELLOWBELL DR SEPTIC/WELL PERMITS ATTACHD
We have already closed in the land and it is now in my name Tabitha Mocilan. Can we change that on this permit. We
closed in May.
Sent from my iPhone
On Aug 16, 2023, at 8:44 AM,Julia English <JENGLISH@catawbacountync.gov>wrote:
Please initial x's, sign, date and return permit receipt form by fax or email.
Thank you!
Julia English
Administrative Assistant II
PO Box 389 125 Government Drive, Newton, NC 28658
(828) 465-8270 office
(828) 465-8276 fax
https://www.catawbacountync.gov/county-services/environmental-health/
We want to hear from you. Please take a minute to take our customer service
survey. English
Queremos escuchar de usted. Tc mese un minuto para realizar nuestra encuesta
de servicio al cliente. Espanol
<image001.jpg>
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1
•
CATAWBA COUNTY
- 1.I,,rc
Public Health Department Subdivision CHARLES A HOWARD UNRE(
•(.......
i Environmental Heals Division, PIN# 461703419180
PO Box 389,25 Government Drive,Newton,NC 28658 LOTJl 2
Site Address: 4185 YELLOWBEI;L DR,TERRELL NC 28682
Name on Permit: JIMMY HOWARD
Name on Permit: LISAADAMS
Property Size: Acres 1.01
Directions: Kiser Island rd, Right on Babe Dr, Right on Yellowbell, Lot on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
_1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
r4 the property described above.
K _ As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2023-43294, by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
vi 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: 08/04/2023
Owner/Authorized Representative Signature
Date
ACAWL1L
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature_ Cyf _ Date/Time 01-4)3
Method: Fax j 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 youPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
fat ;wtmotsir 4kbo.lapn
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ehpennit 08/04/2023 16:13
$A L' Case# WELL-08-2023-201869
:ET Z � CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
ely5'
5M 02/12/2025
I842
WATER SAMPLE TEST RESULTS
Applicant TABITHA MOCILAN,3601 MELICA DR,TERRELL NC 28682
C:7046586655 TABITHAMOCILAN@YAHOO.COM
Owner JIMMY HOWARD,4182 YELLOWBELL DR,TERRELL NC 28682
C:8283086338 Owner LISA ADAMS,4182 YELLOWBELL DR,TERRELL NC 28682 RECEIVED
Site Address: 4185 Yellowbell DR,Terrell NC 28682
MAR - 3 2025
Name of Subdivision: CHARLES A HOWARD UNREC
Parcel Number: 461703419180
Environmental Health
Lab Coliform Analysis Results: Total Coliforms: Fecal/E.Coli:
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials CV 4 Date/Time Received C110 U' ' o '"/ Date/Time Completed D 2/2ss/2v 2 5 � °
E CJti.(,
rsamfieldreport 02/12/2025 16:23 Page 2 of 2
•
$A CI 1 1-3
CATAWBA COUNTY HEALTH DEPARTMENT
#
V • � Environmental Health Section
1$42 5M �o�N t/ e y "(-0 s-Ax eL
WELL-08-2023-201869 02/12/2025
WATER SAMPLE FIELD REPORT Poi+ 1,44Avid- Gvte4-
Applicant TABITHA MOCILAN,3601 MELICA DR,TERRELL NC 28682
C:7046586655 TABITHAMOCILAN@YAHOO.COM
Owner JIMMY HOWARD,4182 YELLOWBELL DR,TERRELL NC 28682
C:8283086338
Owner LISA ADAMS,4182 YELLOWBELL DR,TERRELL NC 28682
Site Address: 4185 Yellowbell DR,Terrell NC 28682
Name of Subdivision: CHARLES A HOWARD UNREC
Parcel Number: 461703419180
Driving Directions Kiser Island rd,(Right on Babe Dr,Right on Yellowbell,Lot on Left l
Sample Collected by: ,51II'f /" ►� � Date/Time Sampled: 02/ "2-7/2S q: / Aft.,Sampling Point: k/,e i l /hP.et.Gto
Is well head accessible? Yes 1/ No Reason for inaccessibility
Well New or Existing? New I/ Existing
Type of Well: Drilled V Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: 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 02/12/2025 16:23 Page 1 of 2
I --
� y f
Analytical Results " STATESVILLE
ANALYTICAL
Catawba CountyPublic Health
PO Box 389
Newton, NC 28658
Receive Date: 02/27/2025
Reported: 02/28/2025
For: WELL-08-2023-201869 Tabitha Mocilan
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250227-20-01 Nitrate 201869 1.15 mg/L 353.2 02/28/2025 MD
250227-20-01 Nitrite 201869 <0.1 mg/L 353.2 02/28/2025 MD
Respectfully submitted,
Melissa Myers
NC Cert#110,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 •Statesville,NC 28687 • 704/872/4697
Page 1 of 2
•i aAtA CA4AC
ef:(
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com . '
_ NITRATE/NITRITE ANALYSIS
Nan:,611i:farzatica s.:tt be sdpplW rarscrapeunce era''t.
WATER SYSTEMID#: WELL_ _D g -'1D13�,ao i 86q County: Catawba
•
Name of Water System: Tab t+-k A. fit,c.rla.7-.
Sample Type: 0 Entry PointC Speccial/Non-compliance
Location Where Collected: Lt) U
g 1 e't.i Div be)I Dr / Terrell rJ C a g c 2
Facility ID No. 16 l 2a 9
Sample Point: Y a c i Collection Date l Collection Time
Collected By: DV. s11± (1'\;k e-61.J a 21 a7 i s ' _2_: l 2 A M
tin se pri;0 4:775O/YYI OF.*AM ar?M)
Mail Results to(water system representative):
CATAWBA COUNTY PUBLIC"HEALTH Phone#:l (828)465-8270
ENVIRONMENTAL HEALTH Fax#: r ({ 828)465-8276
,PO BOX 389 Responsible Person's email:
. •EHAdmin@catawbacountync.gov
NEWTON,NC 28658
•
LABORATORY ID#: 37755 ❑SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED
II
' REQUIRED NOT DETECTED QUANTIFIED ALLOWABLECONTAti CONTAMINANT METHOD REPORTING LIMIT (i.e.<R.R.L) LIMIT
CODE CODE (RR-L) OQ RESULTS • I
1040 ' Nitrate 3532 1.00 mglL ❑ - ^j.1 5__ mg/L 10.00 mg/L
1041 Nitrite • 3532 0.10 mg/Lki _ _ __ mglL 1.00 mg/L
'Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed.
DATE: TIME:
i ANALYSES BEGUN: Id tz/ 2 e I1_5 • iv :1 Q , /`" M
GistnSQml t,.pr.tiucn!q,
{ ANALYSES COMPLETED: O o2 I C' ! g`✓ L5: q&, f
WI
I envntarrt rsseLfy- .trn)
0 Laboratory Log II:Q5c,Qal "", `Vx Certified By: \/ - ` , w"_—_
COMMENTS:
2008
Laboratory should Mail Results to: .
Public Water Supply Section,Attn:Data Entry,1634 Mail Service Center,Raleigh,NC 27699-I634
,
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: 1-a 611-I-ric,1/4 V" C- 1 1,qh Sample ID Number: '- I (,5
Location: 9. (d $ Ye,' (o,) \1 D r H L Reviewer: 'Tc. (3�
Initial Sample 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,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 infounation please contact your county health depaituient or the Occupational and
Environmental Epidemiology Branch at 919-707-5900.
~. % Private Well Information
.e
lit it
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: rt e. VOA . g ; I c.v\ ti I g' y�I low 6 U11 pr 1e red, l
Sample ID#: '2. 1 $.,q 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
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.
❑Arsenic n Barium n Cadmium n Chromium n Copper ❑Fluoride ❑Iron
❑Lead ❑ Manganese n-Mercury ❑Nickel n Nitrate/Nitrite n Selenium n 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.jXI 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.
❑ Chloride n Copper n Fluoride n Iron n Manganese
.pII ❑ Silver ❑ Sulfate ❑Zinc
6. ❑ 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/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.
---ri,, , g...-- ____________--
pH, Total
, ,
, ....
Alkalinity & „i____ ;,. , ,:,..:_-_ ,
_ _ ., , . „ ,f- i„,...,)
PRIVATE WELLS r 1.„.1, 0 _yT: _-, , di ..._ _
r ).-
What are pH and total alkalinity? 1 a`
I
pH is a measurement of the acidity or basicness of h;q t„t, :41
I
water.Water with a pH less than 7 is acidic.Water 1' .
that has a pH greater than 7 is basic.Water the has a
pH of 7 is neutral,neither acidic nor basic
E
Total alkalinity is a measurement of the capacity for w
water to resist changes in pH.
What affects the pH level acceptable range for pH.This standard was developed
and total alkalinity in to prevent metallic or sour taste,slippery feel,and pipe
my private well water? corrosion.There are no health-based standards for pH.
pH levels and total alkalinity depend on the amount The US Environmental Protection Agency or
of minerals like carbonate,bicarbonate,and NC Department of Environmental Quality have not
hydroxide in groundwater. developed standards for total alkalinity.
How can pH and total How do I test for pH and total
alkalinity affect my health? alkalinity in my private well?
High and low levels of pH can cause gastrointestinal Use a certified lab or buy test kits at your local home
problems.Low pH (less than 4)can cause skin and improvement store to test for pH and total alkalinity
eye irritation.High pH (greater than 10)can cause in your well water.Contact the private well program
hair damage.High and low pH can cause corrosion at your county health department to assist you with
which may cause more harmful contaminants to getting your water tested.Pricing of testing varies
enter groundwater. from county to county.
Alkalinity cannot impact your health.
What if my water is acidic
What level of pH and total or alkaline?
alkalinity should I be If you are concerned about the taste of your
concerned about? well water,you can install a treatment system to
The US Environmental Protection Agency or neutralize the acidity or alkalinity of your private well.
NC Department of Environmental Quality developed A neutralizer is a treatment system that can reduce
an aesthetic standard for pH of 6.5 to 8.5 being an the acidity or alkalinity of your well water.
Percent of Private Wells Tested
Outside of State and Federal Guidelines for
pH, 2011-2013
I 4,=1,YAIllar 4711uT 1 II— —.]
ikkosig
i' r r
I_ G1I"?1i � i= -4
IlIgni i filii II
I - _ tilitT ,,
1 ALWAIM4 IV . fir ■■? I ti 7
' `El I>75%outside guidance range J , II i ���
-50.1-75%outside guidance range
-25.1-50%outside guidance range
I I<25%outside guidance range ._ r L_-I fir-
e J 0%outside guidance range
1
Insufficient data(<10 wells tested) 0.---1
What are the pH and total Where did this information
alkalinity levels in NC? come from?
The pH of private well water varies across NC US Environmental Protection Agency:www.epa.
(3.2-11.6),see map for areas with pH outside gov/sites/production/files/2015-09/documents/
of guidance range(6.5-8.5). 2009 03 13 estuaries monitor chapl l.pdf
Total alkalinity of private well water varies across and https://safewater.zendesk.com/hc/en-us/
NC ranging from 0-1,020 mg/L. articles/211406048-What-is-the-difference-between-
pH-and-alkalinity-
Where can I find more World Health Organization:www.who.int/water
information about pH, total sanitation health/dwq/chemicals/ph revised 2007
alkalinity and my well? clean version.pdf
Water Quality Association:www.wga.org/learn-
Visitthe NC Division of Public Health's Private Well about-water/perceptible-issues/corrosion/acidity-
and Health Program website:http://epi.publichealth. low-ph-
nc.gov/oee/programs/wellwater.html.
There you can find:
• Contacts for your county private well program
• pH and Total alkalinity in well water maps
• A guide for selecting a treatment system
• Other private well resources
You can also call the Private Well and Health Program
at 919-707-5900.
3c14-ice' /� NC Department of Health and Human Services•Division of Public Health•Epidemiology Section•Occupational and Environmental
t' " � NCi 7 Epidemiology Branch•Private Well and Health Program•htt s//e i ublichealth.nc. ov/oee/ rorams/wellwater.html•NCDHHS is an
a 33 �'3 P 9Y 9 P� P•P 9 P 9
r-�". wnxcag equal opportunity employer and provider.•09/2019
Public Health