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Home My WebLink AboutWELL-08-2023-203048.TIF n CATAWBA COUNTY Public Health Department Subdivision .� Environmental HealthGovernment DivisionDrive, PIN# 3770031108471 Newton,NC 28658 LOTn # rw Site Address: 4093 TROUT POND RD, CLAREMONT NC 28610 Name on Permit: *CLAYTON HOMES#81 (BILLING ACCT) Property Size: Acres 1.67 Directions: Turn right onto SW BLVD,Turn Left onto W C St,Turn L on NC-10 HWY E,Turn Right onto Balls Creek Rd, Turn Right onto Trout Pond Blvd Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. X As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-06-2023-44726,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) V 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: 08/22/2023 Owner/Authorized Representative Signature 2 Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Ofq/ Date/Time U 3j 1 )3 Method: Fax 1 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 yooPlease ttake a few momentts tto complette our custtomer service survey aft http://www.surveymonkey.corn/s/EHCusttomggrService g ct k ehpermit 08/222023 15:24 c.FI5 WPDT Screening Report Area of Interest (AOI) Information Area : 3,134,508.67 ft2 Aug 31 2023 12:44:00 Eastern Daylight Time soh ....,..•1111 111 4 I I 2003 1:4,614 0Parcels(Polygons) - Parcels ` 003u ne o`2 s5 11 .1 L� County Boundary a 0.06 a. 0.2 hm Non-System Roads CcnkbJ - Non-System E*n Cu«rrunty I�WPa ora.krrdd Coady Ma*or Nwm Ca whw ow ( «S►wwa� tt SWS EMI. MERE, (Lamy ti>aGtcm CwoTsni.fiop+i Ira UIETUNASA.USGS EPA NPS US Canaan Ms.° USDA.MCOOT StE Una.&Roc. Eat Aran 05 USGS NGA NASA — Secondary Route 4093 Trout Pond Rd Claremont 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 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. Analytical Results STATESVILLE ANALYTICAL Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 05/14/2025 Reported: 05/16/2025 For: Bonnie Weaver:4093 Trout Pond Rd, Claremont NC 28610 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250514-32-01 Nitrate 203048 <1 mg/L 353.2 05/15/2025 MD 250514-32-01 Nitrite 203048 <0.1 mg/L 353.2 05/15/2025 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 2 122 Court Street Statesv lte,NC 28677 704-872-4697 www.sa-nc.coi • ' • NITRATE/NITRITE ANALYSIS . NcAlia.tanntiou smut be'ri p1t d fer etarglimee(met. WATER.SYSTEM ID#: W6.LL - D g - -D3O L{ ' County:. Catawba + - Name of Water System:_8.6fl E.. .WR-Ot( r * Sample Type: ❑Entry Point Y4 Special/Non-compliance Location Where Collected: L(0 9 3 Tr'd' �nQ c Pod f� t C 1 re w-on i liC 2.3(,/O Facility ID No.�D 3 O Li S" Sample Point: 1.L. at. 41 11 Collection Date I Collection Time Collected By: D w;. k.k- rA i ke I d rl/3 l u' - / :a-c- P M (?I>sePriaQ (MV/LI ) (specify AM err PM) Mail Results to(water system representative): • CATAWBA COUNTY PUBLIC HEALTH Phone#::(828)465-8270 ENVIRONMENTAL HEALTH Fax#: 1(828)465-8276 . , PO BOX 389 ResponsiblePerson's email: •EHAdmin@catawbacountync.gov NEWTON,NC 28658 • LABORATORY ID#: 37755 • 0 SAMPLE UNSATISFACTORY ❑RESAMPLE REQUIRED . TAM MEihoD • REQUIRED l DE ECTED QuAtir tsn ALLONABLE CONTAM 'ANT TDE REYORTRIGLTMST (t.c.<RILL.) ODE RESUF?5* LIMIT(RILL) Og1040 ' Nitrate 353.2 I.00 mg/L �r mg/L 10.00 mg/L 1041 Nitrite - 3532 0.10 mgfL mgfL1.00 mg/L[CIN 'Note:If result exceeds allowable limit the laboratory must fax analytical results to the State on day test completed. DATE: TM: 22 ANALYSES BEGUN: 0 1 J`,Lj .Z - _af_:SC A hM ' ticnmzrz . .(kiudrPY'l,. ANALYSES COMPLETED: fL`�/ ,1 C 9:J i e�4,0,, 334 F. - rcrn7 d•u etrat _ J Ujt 0(12 Laboratory Log Wr "f 3 •0) Certified By: - • COMMENTS: . Zoos . Laboratory should Pilaff Results to: . Public Ware:Supply Section,Attn:Data Entry,1634 Mail Service Cater,Raleigh,NC 27699-t634 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 „d ,,ym4 4312 District Drive r• 1-- °'� North Carolina State Laboratory MSC 1918 -��- �%j-: �, of Public Health 7 99-1918 I' 1 l Raleigh,NC 2 6 ;.11 „..i>� .. Environmental Sciences http://slph.ncpublichealth.com ',,,,c��__=' 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 Bonnie Weaver P 0 BOX 389 4093 Trout Pond Rd NEWTON,NC 28658 Claremont,NC 28610 EIN:566001814EH Delivery: NC Courier StarLiMS ID: ES250515-0050 Date Collected: 05/13/2025 Time Collected: 13:25 By: Dwight Mikeal Date Received: 05/15/2025 Time Received: 07:49 Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-08-2023-203048 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 4 mg/L Chloride <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 <0.06 0.300 mg/L Lead <0.003 0.015 mg/L Magnesium 2 mg/L Manganese <0.005 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 7.0 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 5.8 mg/L Sulfate <5 250 mg/L Total Alkalinity 31 mg/L Total Hardness 17 mg/L Zinc <0.05 5.0 mg/L • Report Date: 06/04/2025 Reported By: i'-” E P I E Marc Komlos J U N 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: • r. 0-avQ-r Sample ID Number: o 36 H s Location: 4 L, "Jr Reviewer: Jason Boyd Initial Sample X Confirmation Sample: BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR PRIVATE WELL WA I'ER(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 e�ej. t"°P Private Well Information jsci ,. . and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name/Address: p 1.)tAnic GJo-cve.P LivcC3 �r.,v-- yY oe1dI<d Gi--P-. AT Sample ID#:I '1'0 3 o y e Reviewer: Jason Boyd TEST RESULTS AND USE RECOMMENDATIONS 1.X 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 ❑Barium ❑ Cadmium ❑ Chromium n Copper ❑Fluoride n Iron ❑ Lead ❑Manganese n Mercury ❑Nickel ❑Nitrate/Nitrite ❑ 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 onto,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 n Fluoride n Iron ❑Manganese ❑ pH ❑ Silver ❑ Sulfate ❑ Zinc 6. ❑ a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of 20 mg/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. ❑ 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.