HomeMy WebLinkAboutWELL-09-2023-204637.TIF Ma, WPDT Screening Report
Area of Interest (AOI) Information
Area : 3,134,508.65 ft2
Sep 22 2023 10:12:52 Eastern Daylight Time
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5984 Winebarger St, Conover
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WELL CONSTRUCTION RECORD(GW-1) For Print
internal Uu Only:
I.Well Contractor Information:
Robert Teague
Well ContractorName 14.WATER WNES
YROM 10 DESCRIPTION
2657-A 15 L�' 1 dt• 1 G' �.,
NC Well Contractor Certification Number ii Oft 5 ,7 0lot fie(
15.OUTER CASING r otti ttdb DR LINER Of bra)
B&K Well Drilling Inc FROM TO � } la DIAMETER THICKNESS MATERIAL
Company NWT* 0 rL [� 3/� I 611E SDfi•21 PVC
2,Well Construction Permit IY:1� 3 �0—(C 16.INNER CASING OR TUBING(room
dnedaap) . •
Lsr all applicable melt eour / FROM TO DIAMEIEp THICKNESS MATEIUAL
truclioa rmlu !a U1C,County.Suite.Variance,etc.) ft. R. is
3.Wen Use(check well use): ft. n. In.
Water Supply Well:
A�,,�, rt.SCREEN�}Agrwllurai ERO\I TO DIAMETER SLOTSI7E THICKNESS MATERIAL
DMulticipaVPublic tr. ft. Ia—
❑Geotbtamal(Heating/Cooling Supply) IDResidential Water Supply(single)
Qlndustn fcommereial it n ter
Residential Water Supply(shared)
Ira lion IS,GROUT
Non-Water Su I W FROM TO MATERIAL EMPLACEMENT METHOD 4 A.MO,IVT
PP Y ell: n, n.
MonitoringInjection ell: Recovery n. n.
Aquifer Recharge ❑Groundwater Rcmcdiation n, rt.
;> __Aquifer Storage and Recovery ❑Salinity Barrier 19.&ND/GRAVEL PACK Of applicable)FROM TO MATERIAL EMPLACEAE..7 METHOD
1:3Aquifer Test OStormwater Drainage n. n.
0Expmmental Technology 0Subsidence Control R. n.
0GeodterTnal(Closed Loop) Tracer 20.DRILLING LOG(attach)eldldoual sheds if aeaesary)
❑Geothermal(Heating/CoolingReturn) EKOAI TO nY.SCRIPt10N(color.aaroatw teiYrnta sit,trite,I>:nr l
( Other(explain under f+21 Remarks! ;�� ,C b
�ff P f4 ins sx?
4.Date Well(s)Completedtl •6-a 7 Well1DN I tJ 31L .14 Sft. kL -1 )? ) ¢.. C l '
Well Location: 1 z1�� �1• 1 �- 1
1 2_05� 3 b �ft � , s So-'�-t
f- 1 .h4f Q-r _54 3dsfL 16 5_c.- .. kc,.,- i / -- - I
Facilityy//Ow�nerName ,� Facilily ID.(if appliablc) IL rt.
J Ct—i w %Vl C, le:s e__J, n O lies n. rt.
Physical Address.Coy,and Zip 4.A 4_ ._ n. rt , . ,
(.t/l�W� al.REMARKS
Comity Pared Idcnriflcanon No.(PIN)
ti5b.Latitude and longitude to degrees/minutes/seconds or decimal degrees:
Of well field,one laVlong is sufficient) 22.Certification:
rkl
N W , ' Is6.Ih(are)the well(s)0Permanent or Temporary Sig,I+t" f '41042.--
ofCcnificd well Co too Die
Sy signing this form.I hereby certify that the w41(sr wise Nee)coastrwted le aradance
7.Is this a repair to an existing well: 0Yes or No xith 1M NCACOIC.0100 or/JA NC.0 OK.0200 Well Constructive Ste avid,d char a
If OW it a report,f1U our!arson well construction informattwn and plain the not/are oldie coPY of chit rtcwd hat hten yrmWded ro Ihr Melt Saner.
repair under 02/remarks ration or on the back plied form.
23.Site diagram or additional well details:
You may use the back of this page to provide additional well site details orwell
8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
construction,only I OW-I is needed. Indicate TOTAL NUMBER of wells construction details. You may also attach additional pages if necessary.
drilled:
SUBMITTAL INSTRUCTIONS
9.Total well depth be;r0hind surface: VC. M.) 24a. For All Wells: Submit this fo1Tn within 30 days of completion of well
For multiple wells llsr all depths if different(trample-3(1g IAtT'and 2@I0l7)
construction to the following:
10.Static water level below top creasing:40
(ft.) Division of Water Resources,Information Processing Unit,
11 St level is dhow easing use-+"
1617 Mail Service Center,Raleigh,NC 17699-1617
11.Borehole diameter: 6 1/8 (in.) 24b.For Inlection Wells: In addition to sending the form to the address in 24a
IZ Well construction method: Air Rotary above,also submit one copy of this form within 30 days of completion of well
(i-a.Suga,rotary,cable,direct push,en) Construction to the following:
FOR WATER SUPPLY WELLS ONLY: Division of Water Resources,Underground injection Control Program,
1 636,Mall Service Center,Raleigh,NC 27699.1636
., 13a.Yield m (). Air Flow
(iP ) Method of tat 24c for water Supply&[Rtectloa Wellt: in addition to sending the form to
Chlor Tabs the address(es) above, also submit one copy of this form within 30 days of
` t rn Lw., 13b.Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form OW-1 North Carolina Department of Enironmmntal Quality•Division of Water Resources Revised 2-22-2916
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Imo.
I
a o' 4312 District Drive
y^�6 soa..uss
MSC 1918
` :15 , North Carolina State Laboratory of Public Health Raleigh,NC 27699-1918
\�` Environmental Sciences http://slph.ncpublichealth.cornij
7 .R Phone: 919-733-7308
QfA,.,___ Inorganic Chemistry Fax: 919-715-8611
Certificate of Analysis FINAL REPORT
Report to: ENVIRONMENTAL HEALTH Name of System:
CATAWBA COUNTY ENVIRONMENTAL HEALTH Brent Winebarger
P 0 BOX 389 5984 Winebarger St
NEWTON,NC 28658 Conover, NC 28613
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES240626-0061 Date Collected: 06/24/2024 Time Collected: 08:14 By: Dwight Mikeal
Date Received: 06/26/2024 Time Received: 08:06
Sample Type: Raw Sampling Point: Sample tap on well head Well Permit No. WELL-09-2023-204637
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 6 mg/L
Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride 0.150 4.00 mg/L
Iron <0.06 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium <1 mg/L
Manganese <0.005 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.4 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 18 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 07/12/2024 RECEIVED Reported By:
Marc Komlos
JUL 1 8 2024
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: Brent Winebarger Sample ID Number:204637
Location: 5984 Winebarger St, Conover NC 28613 Reviewer:Megen McBride
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.)
X 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
ydE 4 - Private Well Information
04 a
PC
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Brent Winebarger—5984 Winebarger St, Conover NC 28613
Sample ID#: 204637 Reviewer: Megen McBride
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 onto.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.
n Arsenic ❑ Barium ❑ Cadmium n Chromium ❑ Copper ❑Fluoride n Iron
❑ Lead ❑Manganese ❑Mercury n Nickel ❑Nitrate/Nitrite ❑ 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 onty,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 n Fluoride ❑Iron n 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/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 onto.
❑ b.Your sodium level exceeds 30 mg/l 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.