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Home My WebLink AboutWELL-08-2023-202957.TIF �jo► er CATAWBA COUNTY 11 't'li Public Health Department Subdivision g, ,� et" Environmental Health Division PIN# 460604837585 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Sits Address: 7889 VISTA VIEW DR, SHERRILLS FORD NC 28673 Name on Permit: LAKE NORMAN VACATION RENTALS LLC Property Size: Acres 0.91 Directions: Sherrils Ford RD, Slanting Bridge RD,Vista view DR on Right Owner/Authorized Representative Acknowledgement of Permit Receipt X1<%CI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. XkiC As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-08-2021-38619,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) 7 Electronic Image Transmittal/E-mail (Return receipt required) ?Ckfc 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: ::::ative • rthorized Signature Date August 31, 2023 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature (i Date/Time IC/34 73 I Method: Fax �/ 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 yotPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ENCusttomerService )&&)Kath4 boSSo9cap;Al ifi4A cl--4? chprmui 08/21/2023 16:12 CATAWBA COUNTY Case# WELL-08-2023-202957 Public Health Department Subdivision ,� Environmental Health Division PIN# 460604837585 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# v+ Site Address: 7889 VISTA VIEW DR, SHERRILLS FORD NC 28673 Name on Permit LAKE NORMAN VACATION RENTALS LLC Property Size: Acres 0.91 Directions: Sherrils Ford RD, Slanting Bridge RD,Vista view DR on Right 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(15A 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. A."_.,....„___ /._ /,,sz:e...,r____ 08/18/2023 Authorized State Agent Permit Issuance Date 8/18/2028 Permit Expiration Date ehpennh 08/21/2023 16:14 ti et-M WPDT Screening Report Area of Interest (AOI) Information Area : 3,134,508.8 ft2 Aug 21 2023 16:20:15 Eastern Daylight Time lratlrwYnds Ih� j 0/ - I____ \-'---- \ 7,______-- _. : -r) ,.„4,1___ I -----:.1, — 1 T\ _ . I. 9C ). m '\ c Sx�N e S — -- SR- [ry •� iii,, ,,,,N....„. ----<,-- _ _ .....,, •„, , N.,/ ---- J / ) A. . ,.L \ ‘Plilb,10111).` '''-e-') t. j'\ ) / ...---f.- 1 ? 1:4,614 0 0 G3 0 06 0.12 m+ Parcels(Polygons)- Parcels I t t- k, ti ., a, Al 11 County Boundary o 0.05 0,1 0.2 an Non-System Roads HCAOT GIS Una.Ev0 Canxnowty kW CanldnrbPo.C...ey 01 O.* Non-System to+w County Stu.A NMI"C,,.a..r DOT a op...w.asaap Ilet.ornit flu,HERE.Gun-..SaMG.ayn.GeoTecl.wkpna In.PAGUNAiA.USGS E9A MS US Ce,mn Swab USDA Soma.Lr. 'DS.USGS — Secondary Route 7889 VISTA VIEW DRIVE, SHERRILLS FORD All North Carolna 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. 1 WELL CONSTRUCTION RECORD(CW-11 For Internal Use Only: I.Well Contractor Information: Robert Teague -14.WATERZONIS ._ _ FROM , 10 DI-SCRIM 10S Well Contactor Name --- 2857-A akt. ____ �t R..g/• R• -� -its - NC well Co Certification Number15 OU of TER CASING(for i• - 'teem)OR LW=gerelkabkContractorContractor _ _ _. B&K Well Drilling Inc FROM TO DIAMETER THICKNESS MATERIAL Company Name 0 R- [.Ylt 6 IM le. sop.21 PVC �Qa S- a o a its 7 1ti TO VVOR Tt>afAM(geothermal ) _ 2.Wen Construction Permit M: FROM To DIAMETER THIC'KVEss MATERIAL.__,. R. ft In. List all applicable%ell construction permits p t UIC.County.State.Variance,tee,1 _ ............ 3.Well Use(cheek well use): R• ft.' la. __. Water Su 17.SCREEN •_ Pply Well: FROM TO DIAMETER SLOT SIZE THICKSLAS MATFRL9._ )Agricultural °Municipal/Public R• • n, - to _ ]Geothermal(Hating'Cooling Supply) ID Residential Water Supply(single) ft. ft. in. olndustriaVCoumsercial °Residential Water Supply(shared) It GROIA' Ira )lion FROM TO MATERIAL LMfLAC7MEVTMETHOn!_�M(yle�i„ Non-Water Supply Well: R. R• )Monitoring )Recovery R. R. —Y Injection Well: ft. --__ ---- ()Aquifer Recharge ()Groundwater Rcmcdiation -- It()Aquifer Storage and Recovery )Salinity BarrierOMANfD/GRTO L PACK MATaLRIALble) EMf ACEM T METHOD 1 ()Aquifer Test 0 Stormwater Drainage R. R. ()Experimental Technology )Subsidence Control ft. R. ()Geothermal(Closed Loop) )Tracer 20.DRILLING LOG(attach additioaalsbeeblreaoew� FItO.M TO lc); DF CKI/rm%(color.►ard Yroek ry {rail aba.N,�t_ _ aGtothetmal(Heating'Cooling Return) IjOther(explain under a21 Remarks) ^ ft. / �jj I�1 ' 1< '' _-_H 4.Date Well(s)Completed:11_3,1.a'3 Hell!DO 1 C %rt• O_/: f) j31e/e rei t)11 e _. _ , 5a.Well Location: -1^5 rL 6 5 R• 4 S'„�Q c.' i i_. L,ay lt,.t'bYfr+an V4 c c vt0 1 — ft ft. ---C]——'—` —_ Facility/Owner Name Facility IDa(if applicable) ft. R 23'51 yrsr6kV/r.� .,r. s/1c-.Yri115 ft) --- _ — n. ft. Physical Address,City,and Zip ft. — R —'-- CrA^ ,a,T' I _ 21.REMARKS County A {�('� Parcel Identification No(PIN) _ __ —__— _ — . 5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: — — ----- - bf well field.one IA/long is sufficient.' 22.Certifle NW 11• a,. 3 6.Is(are)the well(s)0 Permanent or )Tern rimy Si t of Certified well Con for Daly By rignrng this form.I herrbi certiJ)that the*rills)was Dim/constnictru In ac,a ids• 7.Is this a repair to an existing well: OYa or No afib Ile NCAC 01C.0/00 or I SA NCAC 02C.0200 Neil Construction Standards and I,1.1•., If this u a repair.fill out brown nen cmuiructian infarmaiio splits,'die mturr rt/the cops of this sewed has been provided w the well cooler repair under 021 remarks section or on Me back of this farm 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 site details or we, construction,only 1 GW-I is needed. Indicate TOTAL NUMBER of wells construction details. You may also attach additional pages if necessary. drilled: _.—_ T� $UBSIITTAL INSTRUCTIONS 9.Total well depth below land surface: (It.) 24a. For All Wells: Submit this form within 30 daysof completion of well multiple ultiple sells tut all depths/fdifferent(example-iP 200'and 1,g NRY) construction to the following: 10.Static water level below top of casing:40 (ft.) Division of Water Resources,Information Processing Unit, tf nater kNtl is°hove casing,use'•" 1617 Mall Service Center,Raleigh,NC 27699-1617 IL Borehole diameter: 6 1/8 (in.) 24b.for Injection Wells: In addition to sending the form to the address in 24s Air Rotary above,also submit one copy of this form within 30 days of completion of well 12.Weil construction method: construction to the following- lie auger,rotary,cable,dyed push,etc) g Division of Water Resources,Underground Injection Control Program, FOR WATER SUPPLYS WELLS ONLY: 1636 Mail Service Center,Raleigh,NC 27699-1636 I3a.1'Ield(gpm) 30: . Method of test:Air Flow 24c.for Water Supply&Injection Welk: In addition to sending the form to Chbr Tabs 1 12 Loa the address(es) above, also submit one copy of this form within 30 days of 13D.Disinfection type: Amount: completion of well construction to the county health department of the counts where constructed Form GR-I North Carolina Depamncnt of Environments)Quality•Division of Water Resourcca Revised 2-22 20 i n Analytical Results A STATESVILLE ANALYTICAL Catawba County Public Health =. PO Box 389 Newton, NC 28658 Receive Date: 05/21/2025 Reported: 05/22/2025 For: Lake Norman Rentals LLC: 7889 Vista View Dr, Sherrils Ford, NC 28673 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250521-41-01 Nitrate 202957 <1 mg/L 353'2 05/22/2025 MD 250521-41-01 Nitrite 202957 <0.1 mg/L 353.2 05/22/2025 MD 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 T: MCINLI 5lr•Ma. 122 Court Street Statesville,NC 28677 704-872-4697 www.sa-nc.con - NITRATE/NITRITE ANALYSIS . 183:r.Al iafomxior.rntbs.4-y od Ear ce:-4as:e=St. u 1 _ $ - 10a.7;202.9 S County: Catawba WATER SYSTEM ID if: l�E 0 n ? Name of Water System: La Cam• rf`r'Nett. l .hk.a(S LLC Sample Type: ID Entry Point %Special/Pion-compliance Location Where Collected: '7(TQ b f"--t. V;cw Pr , cLee ;lfr r, fd , pVc )3672 Facility ID No. 0-02 q 5 Sample Point:. t 4 _ j� Collection Date Collection Time Collected By: D w;91 . m ikel • 0 't?-O /ar - _a: 9L, P1 (tat4racrrrl - Mail Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone#:i (828)465-8270 ENVIRONMENTAL HEALTH Fax#: ({82S]465-8276 . , PO BOX 389 acsponslblePeraon's ercaf: EHAdmin@catawbacountync.gov NEWTON,NC 28658 LABORATORY U3##: 37755 . U SAMPLE UNSATISFACTORY El RESAMPLE REQUIRED . • REQUIRED NOT DETECTED QUANTOIED CO tElHOD ALLOWABLE CONTAMINANT REPORTING;tMP (.e CODE CODE RESULTS LIMIT R �,/ m 10.00 mg/L1 1040 ' Nitrate 3532 1.00 mg/L `p . ' F 1041 Nitrite • 3532 0.10 mg/L 14 —-- mglL 1.00 mg/L L eMote:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed. DATE: TIME: ANALYSES BLG'UN. 7 / ,,,2_ .Ofe.�na. op�9r'2 n ANALYSES COMPLETED: 05.i 2 2 / .g 5 Qq.:tg n ,,7_., I , Laboratory g t ato Log'el:a5tk5a k-kA1-a1 Certified By: (-//LI- •/ COMMENTS: . 2038 Laboratory should Mail Remits to: Public Water Supply Seeder,Atm:Data Entry,1634 Mail Service Center,Raleigh.NC 27699-1634 PO Box 228 • Statesville,NC 28687 • 704/872/4697 Page 2 of 2 1 I r- _- .y,_o 4312 District Drive t.;, ,xi '°,, North Carolina State Laboratoryof Public Health MSC1918 s,, ,,,,tr.,, � � �: i, Raleigh,NC 27699-1918 l� ri 11�`, Environmental Sciences http://slph.ncpublichealth.corn :r* �,. 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 Lake Norman Rentals LLC P 0 BOX 389 7889 Vista View Dr NEWTON,NC 28658 Sherrills Ford,NC 28673 i EIN:566001814EH Delivery: NC Courier StarLiMS ID: ES250522-0089 Date Collected: 05/20/2025 Time Collected: 09:41 By: Dwight Mikeal Date Received: 05/22/2025 Time Received: 08:17 Sample Type: Raw Sampling Point: Spigot on side of well house Well Permit No. WELL-08-2023-202957 Sample Source: New Well Receipt Temp. : GPS Number: Profile: New Well-No Nitrate I 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 30 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride 0.415 4.00 mg/L Iron <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 8 mg/L Manganese <0.005 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 8.2 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 6.1 ' mg/L Sulfate 17.6 250 mg/L Total Alkalinity 99 mg/L Total Hardness 106 mg/L - Zinc 0.05 5.0 mg/L Report Date: 06/05/2025 RECEIVED Reported By: KA"iv. • Kathy Schnizler JUN 1 7 2025 Environmental Health Page 1 of 1 I 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: Le I"- N. �``°��`�' ��`' s G Sample ID Number: 2 u7- c 5 7 Location: 1 V$1 V t3+4 \/a i.v la�c.rP i i r) Reviewer: Jason Boyd 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, 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. Pr N 0 R T H C A R 0 L I N A <�`c i) . --.41°4T�,; Private Well Information '. �,,,,, 1� and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name/Address: 1 - ^� a 's+`�/,�.,, S1 ` rr; L -Le. N a r d�.aw v t+.+<�4 / '6 5 i y , r t are? Sample ID#: 2 o 2 9 s'-7 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 drying,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 onto. ❑Arsenic n Barium n Cadmium n Chromium ❑ Copper ❑Fluoride ❑Iron n Lead ❑Man anese ❑Mercury ❑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. ❑ 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 n Copper ❑Fluoride ❑Iron ❑ Manganese ❑pH n Silver n Sulfate n 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. n 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.