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HomeMy WebLinkAboutWELL-08-2023-203538.TIF li 114711 ,t..aate. � Cates Patnak. i Oua rw Suirfir mom %,,;, �i Eaven rarrW Health La,neon Yon+ 266801290641 %F.ey/ po&s stv,15Coaramnrni D.Isr.titan V._aesa I ois TR t 1tae A/aeaa: 2347 FD RD,VALE NC 28168 Mere ea Perna TRAVIS MUFFMAN Property Ike: Acre*7 54 Orscasns: OW Snots,Rd Jacob Fork Rrvw Rd 1 4 mien.Rght on FD Rd.property On Nit Owner/Authorized Representative Acknowledgement of Permit Receipt ccrtily that I am the owner or authnri red agent lossner'a authorisation require-di representing the o..ncr of ,pen.dcunbod ah'.c. zis the property owner or authorized representative,I have receised the above referenced it(s)as requested in the application for sees ice RBPR-07.2023.15063.by the following methodts). Received in Person / Facsimile transmittal(Return firm with signature required) 0. 4 l.kctnxiic Image Transmittal,F•.•nud (Return receipt required) .f 1 t s the properiv owner or authunred rcprescntau.e I has r res iewcd and understand the specific conditions if t permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rues for Sewege Treetmeat and Disposal Systems(ISA NCAC ISA.14OO), aodtor Well Construction Standards(I5A IvCAC 2C.0104 shall apply to the issuance of this permit and the construction of the wastewater system and'or water supply-well permitted. Permit Issue Date 08r26,2027 Owner Authorized Representative Sig Date ytiy/z-- _____-- Dorm nee tatioa or Permits)Transmittal (permit transmitted by etectronk or other means) Permit transmitted by cit /na._____. me of person sendlnrg peanut Signature llalc'I tmeg Jl 1)3 I Method: Fat _LFinail US Mall Other Owner's request to send by the above indicated method of transmittal la lieu of signature We want*tto hear from ypAlease ttake a law nsomentla tto complete our custtomer s/evtce survey Mt http://www.suiverisociktrc.com/s/DtCosttooveslervke te,i)Lt ril 3 0)tzlt 6 b. etwk ,,..,. w.:.,w, _ �� 0 WPDT Screening Report ,11 Area of Interest(AOI) Information Area : 3,134,508.61 ft2 Aug 28 2023 12:25:41 Eastern Daylight Time \ ......„ ,,‘,,, 177t . f N../77 Ilk )-- ....... \ ,, 1133/t lii ,..____ 1 - Q . „36 fr if '',..s,‘,.. 71 R •\.\ .77 / \ \ 7 , 1 1:4,514 0 0.03 0.06 012 Fro -J Parcels(Polygons)- Parcels 11 t s % ti 'I County Boundary o 0.06 0.1 0.2 1m Non-System Roads NCACT GS Will Sou,.Ear.Pt.OS.li:GS.MCA.NASA.CC AR.N - -- Non-System RIOnDe,.N F.A9 Net OS NIRA.Goolobintroo.R1t'ty ArsAM GSA Game./INA Mbmnl aM tho OS we mmmovT E.Cvmmnely Mu;> CbltAultn Sum d Novi Caauu DOT G CCni6rmltibp — Secondary Route 2347 FD Rd.,Vale,NC 28168 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 far the spatial accuracy and attribution of GIS features and makes no warranty concerning same. . —A :8(gaitql -Tittfal WELL CO.NST)217SMON RECOD cqw-i) i Fiiil.UE 4:133-1317 ' - I F 1,,Weik Ordittattor Inform biota ......, ,.....„„,„,..... Cr'iu•G Russdl sms... - trwAvazzo_ . 7,41103straltbrecatt ---.1D 3 DEW:farirgeK 254 A SO ft, ,203 IL 1. 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Egesid'en'Eel Wrow SliftlIrr Clim211) - j2irrion EiWg IN ICO,0110 cann. i Fiipm 1 70 --7 si.4.1-mnr . r .:.ZflangattrerNMEgkelfgatit Na-Wittit 314E117WD 0 2+ 20 ft emit Rd:VW 1:1611)6110ria*_FL_ ClE.ottipuy it ff., • -- 1.4-iit 8 uri Writip ......- - ClAquifer Sexborge DEkoor-clogrer Xwiltezatian 1 1'4- EL • Ut SAND.Cmdi. .iirjr7", -Tc;04-r), Clikquirur Slump Ald.kceb-orry [many Bm•Far ) ritiaw ,--- '.EirkqUiftiTest MStOtittv.ttzr Eivriniv I . (SSW 'LIEnclitatittal TecEmIpmr figalki&Wr CAlatro3 , dr. rL"j —1- :EttlerrlimitEa liatx1 Lou) 121Trzegr :IA,3213.1=00, t .13:b siimiindaxteattrqmswryi— EmEurentoi rot= .502,1,61, 1 •Liamilicarfpl 4,11azgnOrkipiii] ElOther,fexp Mit uiArk21 Eten-Arbk "r1:7 tila 7ft-Dat 4-17-2024 — 4-DzIm%Ws)eciiiiphril Well HIV 93 f1' PM fL Mick Sn.ill4.111L Itataeosu Er, _ — Travis Harman ft ft. . _ t - EttaTstrtEtwrt,gr —.gimg• Elf,A.iDOCy'aiplizzble) L M ,,---,>---- .. .---_ 2347 FD.Rd,Vale, Nc:26168 r---- . - ft. i It ft .P.Itcsial A rtirevi, ital.A? — __....__. Catawba 1.1gounreaks ---- • Gr447 'Nlivimetifirtein- nwo. .....i 61:4 141111030 amd 311,11.114411 4,egreestooleeL-Ontorals tk-desitrei&gees; -,,,,--- ,.., --- 1. (claonz Wong is si...EGeitnr) 22,CttrElfitarfitu. 12 35,0213.77* 4sr 61A78.99.2 .0 '. , •-•• .4._ w , 6117/2024 1K11 • — 6, 1 11i 10 m l'AANI Ce iPrizzagnt 43 c DTeraparxr, nil trtifcciimaw ___....- sPtiqii Iftfla4-1/11TAr wit,Ilan the litILW wps fsittiV ramittrtedixt•zii.,-..a.ith 1;LS iltit a repair to sia el%Um ivelh ErAsq or &Jo; 454 Med:COCAIN ar IM NCA V i 9e r am frell Cikutrarkiwr,S1.v3sUAIs atidaum taw Ultra imPdf.Jar dig iLlIP,'I Well rOkrEr4111CU 141=tiol aqapide Mt Joirkruzyri,kg ex1/4117rJ;zwil init.&131.rrn:rdalli to Mt+tiar&Awe. 4,49ilimikiler1t21.rcrwx4mciim a?isti Ad El..it,i npfirn M,Re gaze=or eddiRlonag well&tads: &For GeoprebeDirr or 041044N?.Geollertral WIN;ftbriog tr.SI= 'OM thlY'J3 lbe luck cif 1:14pege to yroyide edditimai wtil cme--rudinn,Mb *V1111121kalp.riag3i 1 GYM t nwlio,3, Moto 11YFAIARIMB ER.of‘irgis Odd'See amor'in Maria"Box):Yam may alprk Aftscil adaignat pages 5r2,=ssuy, i1416§; " a,SUIRETTAISTRUCITONS Ittgot ivklt aiiiii baling foal surgitet 265 &ritooiTtalk weal'al 017474eo,Efdiffemetr4=hp-77.--*Wa.ii,/26.1M take GVIT-1 Tritii.1 SO days cif wolf teit(ptetim ircr ih*terayirint,.; SO ,,,„ 24 Egr,_&11 Welkr.WEirist fart lo ili•&ino..of W.2= mati*Tpvial, 1,4.Stzil#woler brpal Mow imp,of mane - IfiLK7 Ilikttustiati Prc:pwifilg trilX 16'12 IriS,p,Rik i210,10;459R-f6S7 rvmsgr.1.-.4i4 6ot/real-CO&i...74 : I L Brweliglit dloriteikei 625 (kW, 24b.Far IrricOlYn VREit C4y ro•DWP.,Uw rgi rufeeloo Czatral at?c) A ProgKo,t 636 POP,Fatig64 XC tt65744 ir Drilled 12..Well crientrniiim ninthoth..., 24t.Re-Vt 'aiu/ en- -Lr° . . ilerurnWell=Crurit the i.E. 1.146*,'D'4zril r711.k.dir-13:063,E0 cutAllY=Viretan hiIb 15,1Xtrultzli 13( o%.-J:v.:rely/tem VIM)aid ,FOR:liVATER.Kinue 37 ii911 i Si,°my;12a.Yield timi 2f3 cup t, typc: . Millhdd Eartest, Air - Among ; i 2411 Far W2ta went. Lim va o ,I ili GliDr Cam b,ITswx 1 2 HTC Minna Etilriani.t 51 345C h 0 Let neVkaticm i aiN/ION..--•— .. Ftrt1431414 gorft;carol=ftartrafrd dEsecertet#0,Qualkw.latvkar,oriNcrir,Escumas Rciiised G-6-aint �$A C Case# WELL-08-2023-203538 �,�/ j 11 CATAWBA COUNTY HEALTH DEPARTMENT V „ ��= ,,5, Environmental Health Section � o $11 Z sM 04/29/2025 WATER SAMPLE TEST RESULTS Owner TRAVIS HUFFMAN,8940 JACOB FORK RIVER RD,VALE NC 28168 C:828-308-6055 TCHUFF83@YAHOO.COM Site Address: 2347 FD RD,VALE NC 28168 Parcel Number: 266801290841 Lab Coliform Analysis Results: Total Colifonns: 00Ca4". Fecal/E.Coli: WWI+ No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials 'Dr' Date/Time Received UM• U r5 l"I-1''J Date/Time Completed O14` O' V O DO DA RECEIVED MAY 6 2025 Environmental Health rsamfieldreport 04/29/2025 13:48 Page 2 of 2 �$A C Case# WELL-08-2023-203538 5(Fin\C� CATAWBA COUNTY HEALTH DEPARTMENT k)-4 .= 5, Environmental Health Section sM 04/29/2025 WATER SAMPLE FIELD REPORT Owner TRAVIS HUFFMAN,8940 JACOB FORK RIVER RD,VALE NC 28168 C:828-308-6055 TCHUFF83@YAHOO.COM Site Address: 2347 FD RD,VALE NC 28168 Parcel Number: 266801290841 Driving Directions Old Shelby Rd, Jacob Fork River Rd, 1.4 miles,Right on FD Rd,property on left Sample Collected by: JW 1 g1 '' `'k I Date/Time Sampled: (3 /2'R/ 2 5 1,P-2 0 3 pTh Sampling Point: 1N U� Is well head accessible? Yes V No Reason for inaccessibility Well New or Existing? New V Existing Type of Well: Drilled V Bored Hand Dug ' Punch/ Does well meet adequate construction standards from what can be observed: v 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 04/29/2025 13:48 Page 1 of 2 Analytical Results k - STATESVILLE ANALYTICAL Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 04/30/2025 Reported: 05/02/2025 For: Huffman: 2347 FD Rd.,Vale, NC 28168 Comments: Acceptable limits for drinking water are: Total Coliform=Absent, E.Coli=Absent, Lead<0.015 mg/L, Nitrate<10.0 mg/L, Nitrite<1.0 mg/L Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250430-37-01 Nitrate 203538 <1 mg/L 353.2 05/01/2025 MD 250430-37-01 Nitrite 203538 <0.1 mg/L 353.2 05/01/2025 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 122 Court Street Statesville,NC 28677 704-872-4697 www.sa-nc.com . • NITRATE/NITRITE ANALYSIS . No.=Aliafa-=tioa mat be sdppuea for mmpl'mo:e atilt. WATER SYSTEM ID if: WELL - 0 8 -'a oa 3-403 5-3 g County: Catawba Name of Water System: i f C v i c H k-Ce•r.al, . Sample Type: El Entry Paint St Special/Non-compliance Location Where Collected: 2 3 LI`) r Rai, Vet{ A -• g(6 Facility ID No. 0'0 3 53 g Sample Point: 7- a p � 1 Collection Date Collection Time Collected By: Xw4gkk ttl:k�.e�l egiagi�5 ' /2:O3 PM (Piss.Pitt) @'..moi Y) _ — 0,....y A1(rPM) Mail Results to(water system representative): CATAWBA COUNTY PUBLIC HEALTH Phone thi_(828)465-8270 ENVIRONMENTAL HEALTH Fax#: j(828)465-8276 4 , PO BOX 389 RespansiiblePersoats email: • • •EHAdmin@catawbacountync.gov NEWTON,NC 28658 . LABORATORY ID#: 37755 • EI SAMPLE UNSATISFACTORY ❑RFSAMPLE REQUIRED • ' REQUIRED NOT DETECTED QUAdT CD CONTAM METHOD • ALLOWABLE CONTAMINANT REPORTING IIMIT (i.e.<R-R.L) CODE • CODE OZ RLl RESULTS LIMIT * 1040 : Nitrate 353.2 1.00 mg/L _____ mg/L 10.00 mg/L I041 Nitrite 3512 0.10 mg/L _ ___ mg/L 1.00 mg/L *Note:If result exceeds allowable limit,the laboratory mustfax analytical results to the State on day test completed. DATE: Tli : t d ANALYSES BEGUN: Q 5./f0 /Z5 ' _ad:J O , /4 M Rrd:'r ..,41 ANALYSES COMPLETED: O f/,Q�/�6_ © :g Co_, , I S 16p..tryAD:R 74 . J Laboratory Lagl#:PI-6 0 tf,?(7• J 7.O/ Certified By: . - Lak.,,,, COMMENTS: =8 • Laboratory shottld Mail Results to: . Public Wei=Supply Section,Attn:Data Entry,[634 Mail Service Cmt r,Raleigh,NC27699-1634 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: u Sample ID Number: w -23 - 3 5 3 5 Location: -3 41 Fi go) '\/ 1\1 c. -2-1,16T Reviewer: 0",,5Dn 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.) XNo coliformbacteria were found in your well water. Your water can be used for all purposes including drinking, cooking,washing dishes, bathing and showering. Total coliformbacteriawere detected in your water sample. Total Coliforni 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 depai intent 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 occurnaturally 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 him-i an waste.Total colifoiul 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 information please contact your county health departarent or the Occupational and Environmental Epidemiology Branch at 919-707-5900. N.- .. .. „v.., ~ . Private ell IInformation �=° and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Tv,vi, Ltul=F•vv+�r 2341 l:tO Th \/c1Q- (mil: • Sample ID#: v3 S?j g 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 d 'rig, 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. El Arsenic n Barium n Cadmium n Chromium n Copper n Fluoride ❑Iron I- Lead n Manganese ❑ Mercury n Nickel n Nitrate/Nitrite n Selenium n 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. El 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 deteuuine the source of lead and/or copper. 5. The following substance(s)exceeded aesthetic drinking water standards. Your water can be used for drinking, c oking,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. El Chloride n Copper ❑Fluoride I Iron n Manganese n pII n Silver [ Sulfate n Zinc 1 6. El 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. El b.Your sodium level exceeds 30 mg/I and may pose aesthetic issues such as bad taste, odor,staining of porcelain, etc. 7. El 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.