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Home My WebLink AboutWELL-08-2023-203170.TIF • CATAWBA COUNTY .f.a Public Health Department Subdivision LONG BAY ,� Environmental Health Division PIN# 470002796977 46 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# :4 Site Address: 1684 PARKSIDE DR, CATAWBA NC 28609 Name on Permit: STANLEY JOSEY Property Size: Acres 0.82 Directions: End of Long Island Rd , Left Kale RD, fe w hundred yards Left Long Bay, Left Longbay Owner/Authorized Representative Acknowledgement of Permit Receipt 16 I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of �( the property described above. `' As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-02-2023-43542,by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) NI' As the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand tfiat 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:08/23/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by 4/E (name of person sending permit) Signature Date/Time Method: Fax 4 Email US Mail $f 3 ) 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/EHCusttomerService 51-14nieli.30sey6 yak)°,lei ,--k 13 s itc, 11-1 ehpermit 08/23/2023 10:54 44,uklI Rgrg 0 Z-Zo 23- 4 3SY2 Catawba County Environmental Health Ateit os-2oz.3- 2o3I7y / We.lf £ '- Zot3- Zo317D 19.66 1f •1702 0-4 s� Bti az 41" .ram "'co' •1, , ..r�,; ,1110111r L� lI A r L L tz �. •1676 • QP •1660 Parcel:470002796977, 1684 PARKSIDE DR 1 in=50ft CATAWBA, 28609 This mapheport product was prepared from the Catawba Cou ,NC Geospafel biformation Services. Ca awb•County has made eubetandai efforts to ensue the accuracy of location and Meting 1Euim Yon linied on die romp«Am on this report Catawba County promotes and recommends the Independent vea l:Edon d any data=tined an this damages, product by the user.The County of Catawba.its empbyees, end end shsI not be held Rabb any and a and a mages,loss or lability,whether direct,indirect or consequential which wises or may arias from Ns report product or ihe we thereof by any person or @nay. Copyright 2023 Catawba County NC 08123/2023 Analytical Results 0, STATESVILLE ANALYTICAL Catawba County Public Health ` r PO Box 389 Newton, NC 28658 Receive Date: 10/24/2025 Reported: 10/27/2025 For: Stanley Josey: 1684 Parkside Dr, Catawba NC 28609 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 251024-13-01 Nitrate 203170 <1 mg/L 353.2 10/24/2025 CL 251024-13-01 Nitrite 203170 <0.1 mg/L 353.2 10/24/2025 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 '41;.0..p 122 Court.Street,Statesville,NC 28677 704-872-4697 www.sa-nc.com - ' _ NITRATE/NITRITE ANALYSIS • Slats: ,iarmrxicas_ntbar.Igpatd fatcrpliaa alit. WATER SYSTEM 1' if: W V-L-- O g- g0 -203/?0 County: Catatniba • Name of Water System:.•5--4rt.Lev'Jos-e-t, . Sample Type: ❑Entry Point gSpecial/Not-compliance 1 Location'Where Collected: / ij/ P4 r k s,,d j)r f Cartawby /VC 2 ecoq Facility ID No. Z°3170 Sample T ni • Loci/ k_ /�,, 11 Collection Date 11 Collection Time Pwi'sL-r Ill, 4 - /D,x-712r • _.�=t�t/ A NI Collected By: gia.trcorm (:pxly Al4a Pt) (Pl: 14iet) . Mill Results to(water system.representative): CATAWBA COUNTY PUBLIC HEALTH ?honeil:i (828}465-8270 ENVIRONMENTAL HEALTH Far.: (828)46T�-8276 • , PO BOX 389 Responsible Person's e:.ail: EHAdmin@catawbacountync.gov NEWTON,NC 28658 LABORATORY)1D r"r: 37755 . 0 SAMPLE UNSATISFACTORY 0 RESARIPLE REQUIRED METHOD REQUIRED NOT DETECTED• QUANTIFIED ALLOWABLE CONTAM CONTAMINANT • REPOR iNG LIMIT (Lc.<R R L.) LIMITCOTE CODE (R R.L) RESUcTST 1040 Nitrate LOU mg/L mg/L 10.00 mg/L 1041 Nitrite • 3532 0.10 mg/L. __ rllg/L 1.00 mg/L *Note:If result exceeds allowable limit the laboratory must fax analytical results to the State on day test completed. I DATE: TIME: ( ANALYSES BEGUN: 1 0 /2' � :59 , PI — lay —22�lV 2 . p ANALYSES COMPLETED: ('0 /2 4 -r2 _ 3: , i M I t. nanrl 15„e1)lazerr4 J Labor<toryLog j-`: o 5I O21 ' (3.01 Ce:tifed By: - COIb 1Ti2ENTt: ' 200E Laboratory should Main Results to; Public Water Supply Scotism,Attn:Data.Entry,1634 Mail Ser'Ice Center,Raleigh,NC27699-l634 • 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: 6±.44N tLy 34 9- Sample ID Number: 'j_as t�� Location: RvfSK ec.rk5ic}✓ 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 conform 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 maybe a problem with the construction of the well,the groundwater source, or operation of the well.The well needs to be inspected by the Iocal 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 conform 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 �mod,,.�1�nu�,P�, � f °' Private Well Information • and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Stanley Josey—1684 Parkside Dr,Catawba NC 28609 Sample ID#: 203170 Reviewer: Megen M.Thomas 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 oqv.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 ❑ Copper ❑Fluoride ❑Iron ❑Lead ❑Manganese ❑Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium ❑ 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. ❑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 mgv,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 ❑ Copper ❑Fluoride ❑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.