HomeMy WebLinkAboutWELL-09-2023-204105.TIF { r
Aiitt r CATAWUA COUNTY .
,�', 1-Ilk Public I leelth Department Subdivision
clit`1t t3 tatvironmcntal Health Division PI Nil 369601390742
*\\\r.o', PO[lox 389,25 Govemmenl Drive,Newton,NC 28658 LOP/
Site Address: 2394 JOE JOHNSON RD, CATAWBA NC 28609
Name on Permit: 'MOSS-MARLOW BUILDING CO INC
Property sire: Acres 69.5
Directions: Sherrills Ford Rd to Joe Johnson Rd turn Right 1.5 miles property on left.Gravel driveway.
Owner/Authorized Representative Acknowledgement of Permit Receipt
61i 1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
i( 51,1 As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service R13PR-05-2023-44486, by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
7 Electronic Image Transmittal!E-mail (Return receipt required)
)( s6it 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 1 SA.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: 09/06/2023
Owner/Authorized Representative Signature__ 1, D 1-eve di Ate)
Date_ 4. , —
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ (name of person sendingl permit)
__________(4
Signature _i Date/Time (ItT 1/—)3
Method: Fax i Email US Mall Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yoi.Please ttake a few momentts tto complette our custtomer service survey att
http://www,surveymonkey.com/s/ERCusttomerService
5 h lire le M05Sr (10w,Cito
c1i crutit .0002023 05:22 + V'
i
Catawba County Environmental Health
c�7 4, y,4
.
• J
it
Qs 4 44040 ,
Ji3 /4"
K
,h
• aka• /
\ q 'Z'ra; /
\\tip
//
i 5 ,
Gti
i,,,_ /*/ ...4; 4C. ge . -.
•
•
cO
Parcel: 369801390742, 2394 JOE JOHNSON RD 1in=6Utt
f`ATAIMRA 9RRAO
T- 1 P-09 4.6/3- 2,04iO3
.fir,++,-o9-at,2 -21 i 4
Weil - O 9- 9,0'13-aok 10 5--
Ills map report product was prepared from the Catawba County,NC Geospatial information Services. Catawba County has made substantial efforts
b emus the accuracy of location and labeling information contained on this map or data on this repgrt Cara Countmo notes and recommend*
the Independent Vet IIle atlon of any data contained on this map/report product by the user.The Corny of Cataiwba,its employees,agents,and
personnel,disclaim and shall not be held liable for any and ad damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this mapfreport product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC 023
'1� ; 1` -OS-P043-1-111tf?`'
Analytical Results STATESVILLE
- a ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 04/09/2025
Reported: 04/14/2025
For: WELL-09-2023-204105 Christopher Wiley
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250409-36-01 Nitrate 204105 2.71 mg/L 353.2 04/09/2025 MD
250409-36-01 Nitrite 204105 <0.1 mg/L 353.2 04/09/2025 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
et., , .
it
, .
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com .
_ NITRATE/NITRITE ANALYSIS .
New Ag blot d n ala ataplied torcomplmc o atbt
WA.KEtt.MT-AWED ffi l,v�ll-- 0 9 -A02,3-201/l25 County: Catawba •
Name of Water System: •C kcIs-I p s W,let, .
Sample Type: 0 Entry Point Slpecial/Non-compliance
Location Where Collected: 2%-3q:Y J O e. J 0 k,t�--, rd, C4.fr-t.-&. NC' L1'6'09
Facility ID No. 4 10 5-
Sample Point:• 1 c`- T 1 Collection Date l Collection Time
Collected By: 1" sl�i /1111<aa 01//LV12S —9.g: �rek..Pal) 04YaD Din) ra*rM
Man Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#:is(828)465-8270
ENVIRONMENTAL HEALTH pax l(8T8)465-8276
,PO BOX 389 Res/mate Perzon's mail:
. •EHAdmin@catawbacountync.gov
NEWTON,NC 28658 -
LABORATORY BD raim: 37755 . El SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED
REQUIRED E_QTDEIECTED QUANTIFIED ALLOWABLE
CCODE Co,TAMLYANT : "ODED REPORTING}Tura (i.e. ) RESUI:TS* LIMIT t
1 1040 : Nittate 3532 1.00 mg/L ❑ • ,Z. it mg/L 10.00 mg/L 11041 Nitrite - 3532 0.10 mg/L ----- mil 1.00 mglL
=Note:If result exceeds allowable limit the laboratory must fax analytical results to the State on day test completed.
DATE: ! TIME: ,�
d ANALYSES BEGUN: •Q I/ 10 Q/ ?•,7 : / (D • -,az�TM;i
ANALYSES COMPLETED: c() j g/q `? , �c : it' r ivil
trZi.rre0
J
Laboratory Loa:Q5UM -31p se I Certified By: L/ . 1,0 01`_., .
COMMENTS: •
2005 •
Laboratory should Mail Results to: •
Public Water Supply Section,Attu:Data Entry,1634 Mail Service Center,Raleigh,NC 27699-1634
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
3 4312 District Drive
MSC; `'i� _ North Carolina State Laboratory of Public Health Raleigh,lNC27699-1918
� � fir` ; �q'�`�- tag �-
'', lll� , s.:?..' Environmental Sciences http://slph.ncpublichealth.com
"�s,7 p 00!"/ 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 Christopher Wiley
P 0 BOX 389 2394 Joe Johnson Rd
NEWTON,NC 28658 Catawba,NC 28609
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES250410-0067 Date Collected: 04/08/2025 Time Collected: 09:47 By: Dwight Mikeal
Date Received: 04/10/2025 Time Received: 08:18
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-09-2023-204105
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 13 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 6 mg/L
Manganese 0.029 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.3 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 3.1 mg/L
Sulfate <5 250 mg/L
Total Alkalinity 53 mg/L
Total Hardness 57 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 05/05/2025 Reported By: *00/M -----"....--'
Marc Komlos
MAY 9 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 mid recommendations
County: Catawba Name: C-L ,t -r 6) y Sample ID Number: l�P�L -1-3 - ?104 rag
-
Location: Z-1�� 3 S�t,r�.�, {Q? �.c �4�,,b� Reviewer: Zr.,
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 coliformbacteria were found in your well water. Your water can be used for all purposes
including drinking, cooking,washing dishes, bathing and showering.
Total colifoim 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 asp athogens,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 lrnent 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 deparlurent 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 colifoini 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 information please contact your county health depar lrrrent or the Occupational and
Environmental Epidemiology Branch at 919-707-5900.
4y: Private Well Information
R
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: C,4.,r,;}-0,ot,t.r L I -7 -314 31 tnAson RJ
Sample ID#: )b( MSS Reviewer: Jason Boyd
TEST RESULTS AND USE RECOMMENDATIONS
1. 0 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. 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 on4v.
❑Arsenic n Barium ❑ Cadmium n Chromium ❑ Copper ❑Fluoride n Iron
n Lead n Manganese n Mercury ❑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. 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 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 n Iron ❑Manganese
E pII (- Silver n 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/I 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.