HomeMy WebLinkAboutWELL-10-2023-207011.tif isiitilFo ti
WELL CONSTRUCTION RECORD(GW-1) For Internal Use Only:
I.Well Contractor Information:
Robert Teague I&WATER ZONES
Well CoaOaaorName FROM TO DESCRWTIO ,
2857-A ??Sdt' G of* 2 6 .
NC a iellOa=ae:=CeniSenionNambcr h 5'C3rt. ;AO h //�+/= -p/►—
MOUSER CASING(far mina-Wed,seils)OR LIiQ;R f[tapptltable)'
$&KWellDrilling Inc FROM I TO DIAMETER i THR7CIESE I atATERIAL
Co y,N o /('2( n- 6.t78 in' .SDR.2t PVC
I6.IItTVERC+ASIN+++ GORTUBING(geatbermilelt p)
2.Well Construction Permit#:'�) (3 FROM I TO I DiAMEiER I TIHCI`ITSS MATERIAL ,
Liu all applleoble welt corurrrrsion pamfts fix.UM Cmouy,State.Variance,ercJ ft. ft. i in.. _
3.WeU Use(check well use): ft- R. in.
Water Supply Well: 17.SC REEN (
cultural FROM i TO I DIAMETER 1 SLOTSIZe I T CX EGS I MATERIAL 1
QMunicipal(Public ft. ft. In.
Geothermal(Heating/Cooling Supply) IZIResidential Water Supply(single) it. is is
Indusaial/Commerciai DResidential Water Supply(shared) is.GRou L
Irinanon FROM 1 TO I MATERIAL EMFLACEME\TAIEi'HOU&:iMOUNT 1 '
Non-Water Supply Well: ft. I ft.
Monitoring DRecovery ft. I ft. {
Injection Well:
A uiferR I
q rxhrJgc �GroundtitiatcrRcmcdiation
•
q fQ m Recovery very ['Salinity Battier FROM I'TO I MATERIAL 1 EMPLACEMENTMIEIHOD
Aquifer Test Stone aterDrainage R. f<.
ExperimentalTtdmology OSubsidenceControl f- I ft
Geothermal'(Closed Loop) OTracer 20.DRILLING LOG(attach iddidooatabeebifaccessary) • -
13Geothermal(Heating/Cooling Return) rn FROM I TO i D sCRIPna.from.baxa rdadltracktyp.arni:Sa.etc.)�Other.(explainvader-_I Remarks) 0 Ic6 7 ft. d!�� - )20 c',/j
--
4.Date Well(s)Completed-.5- Well ID; C6 7 R',P'6 /�t Y� % 5a-ci sf �
5.,.Well Location: �f fL D. 2/
" c„- c y-c1.\.cl 12e/e 1 6 .) e1-.4 a o 74 hct�rJ c c$!. / .-
Facility/Owncrli FaiiiitylD;(ifappiicablc) rt. ft.
3. 1-4C1 VI eKkC tr Y2JCO-4 !ZrI rt. I H.
PhysicalAdddruss,City,and Tip ft. I ft. I
e , . 21.REMARKS _ _
County Parcel Idcntification No.IPIN)
5b.Latitude and longitude In degrees/minutes/seconds or decimal degrees:
(ifweIl eld,one Istfong is sufficient)
22.Certitica on _ t� 1.�
N W ��L��'`� U - -
6.Ts(are)the svell(s)EPermanent or Temporary Signature of0:alliiedWellConnector Dare
I.
ily signing this jam I hereby cent fr that the wars)uus(litre)cans:racial in accwrdansY
'7.Is this a repair to an existing well: EiYes or' No with 1SANCAC(I?C.0101)or 15A MAC.02C.0200 Ire(1.Conmrraion Standardrand that a
IIf hit is a rePcdr.filio°.rtla oFR well construction information a d fain the nature ofthe ropYofthis record has heen prodded to The xeI1 comer.
repairunder#21 remarks srd7ion,oron the backafddsjonn. 23.5(te diagram or additional well details:
S.For GeoprobelDPT or Closed-Loop Geothermal Wells havingthesame You may use the back of this page to provide additional well site details.or well
consnuctitnt,only 1 isneeded.IndicateTOTAL NUMBER of wells construction details. You may aiso attach additional pates ifnecessary.
ed' / ! SUB,MITTAL INSTRUCTIONS
9.Totalwell depth belowlandsurface: 7yEr (ft) 24a. For All Wells: Submit this form within 30 days of completion of well
For multiple wells litrol depths(different(crumple.31m200.and?Whit)j/00') construction to the following:
10.Static wafer level below lop of casing:40 (ft) Dhision of Water Resources,Information Processing Unit,
limier.ie r1 uahmecasi caul,' nnew" 1617 Mail Service Center,Raleigh,NC 27699-1617
IL Borehole diameter.61/8 (in) 24b.Foriniection Wells: In addition to sending the farm to the address in 24a
Air Rotary above,also submit one copy of this farm within 30 days of completion of well
12.Well construction method: construction to the following:
fie.anger,mealy,cable,dfrect push.ems)
DivisTonof WaterResources,Underground Injection Control Program,
FOR WATERSUPPLY WELLS ONLY: 1636 MailService Center,Raleigh,NC276991636
13a.Yield(gpm) j Method oftest:Air Flow 24c.For Water Supply&Injection Wells: In addition to sending the form to
ClilorTabs t linesthe addresses)above. also submit one copy of this form within 30 days of
136.Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
PoemGW-1 Noah Carolina DcpatnnentafEmironmaml Quality 'Division of WaterResoutca Rcsised2-22 2016
Analytical Results STATESVILLE
ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 03/26/2025
Reported: 03/28/2025
For: Well-10-2023-207011 Eskay Child Development Inc
2649 Water Plant Rd Maiden NC 28650
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250326-40-01 Nitrate 207011 <1 mg/L 353'2 03/27/2025 CL
250326-40-01 Nitrite 207011 <0.1 mg/L 353'2 03/27/2025 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
Atti7Al iii CAL
r •
I
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com . '
_ NITRATE/NITRITE E ANALYSIS
Note;Allinfaramtion aaatbe itippaed for mmpliaeee eesdit.
WATER SYSTEM ED#: (7,1 L l) - I D-203- i i9g011_ County: Catawba '
Name of Water System: Lk Q i f CA\.X�DeveIsTny/1-I` 't- •
Sample Type: ❑Entry Point i�I SpeciaUNo�n-compliance J_
Location Where Collected: 7(0 IN. (J4.r Pief, — r'lAI f Mald eI NC os°
Facility ID No. Zo 7 011
Sample Point: SQMIL Art I Collection Date ,i Collection Time
`
Collected By: I n,Y1 QUOtv�A Q MD ra 1 I) 0 3 fail.,/z.5 ' _/:,Y.O R M
J (Pkm Prim) J (MMXIDNY) fed8J AM or PBQ
Mail Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone##:i (828)465-8270
ENVIRONMENTAL HEALTH Fax#: 1(828)465-8276 •
,PO BOX 389 Responsible Person's email:
• EHAdmin@catawbacountync.gov
NEWTON,NC 28658
LABORATORY ID if: 37755 • 0 SAMPLE UNSATISFACTORY ❑RESAMPLE REQUIRED
I • I
• REQUIRED NOT DETECTED QUANTIFIED ALLOWABLE
CLOD CONTAMINANT • CMETHODE
REPORTING LIMIT (.e. •
<RILL.) RESULTS" LIST
(R.RL.) (X)
1040 Notate • 3532 1.00 mg/L mglL 10.00 m
1041 Nitrite • 3532 0.10 Mgr, k __ mg/L 1.00 mg/L
`Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed.
DATE: TIME:
4 ANALYSES BEGUN: 40 S /1-1 /26 • 7/:5 3 , A M
g l:esgnalrv,( . . •. . k csFerArsxr?9..
0 ANALYSES COMPLETED: 0�J / VI / 2',.- _3:3? A M '
F =arm pp,rtnAKarrm).,
Laboratory Logy: Z5r33 Zto-LID-D) Certified By:
COM'yi TENTS: .
2008 ,Laboratory should Man Results to: •
Public Water Supply Section,Attn:Data Entry,1634 Mail Service Center,Raleigh,NC 27699-1634
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: C-�;l a 0�-��-1. m-a am le ID Number: /� - Z� Z3 - 2-°7 e'
IrsLa., p P
Location: ?&y 9 W 4-I-�r .Q(..„+ (1) pe c 30-.. Reviewer: ja5oh Bayd
Initial Sample 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 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 deteiuiine 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 coliformbacteria are found in soil and fecal coliformbacteria 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 depat[anent 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 y Private Well Information
4-4.3f
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Eskay Child Development Inc.—2649 Water Plant Rd,Maiden NC 28650
Sample ID#: 207011 Reviewer: Megen McBride
TEST RESULTS AND USE RECOMMENDATIONS
1. n 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 onty.
n Arsenic n Barium ❑ Cadmium n Chromium ❑ Copper ❑ Fluoride ®Iron
❑Lead ❑ Manganese ❑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. ❑ 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. 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 n Iron ®Manganese
❑pH n Silver ❑ Sulfate ❑Zinc
6. n 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 onty.
❑ 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.
f ,�,
Iron 8� 14:,-1. • /,.. _, .,..
,... , . .1,4i0,...,,:, - ,
PRIVATE WELLS ,, 4c,,,.. : i ,
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What is iron?
Iron is a natural element found in rocks deep
underground.Iron is found in the environment as What level of iron should
iron compounds joined to other elements like sulfur, I be concerned about?
carbon,and oxygen.
Iron is used for constructional material and pipes. The NC Department of Environmental Quality
Iron compounds are used as pigments in paint and calculated a health based value of 2.5 milligrams of
plastics.Iron compounds are also used in water- iron per liter of water(mg/L).This calculation was
treatment plants as a coagulant. developed with consideration of health effects in 2017.
The US Environmental Protection Agency and
How does iron get in NC Department of Environmental Quality
my private well water? developed an aesthetic standard of 0.3 mg/L.This
standard was developed to prevent staining,rusty
Iron compounds can enter your private well water color and metallic taste.
from erosion of rocks underground.Iron can also
enter groundwater from industrial practices.Acidic How do I test for iron
water(water with low pH)can make iron compounds in my private well?
more soluble.
Use a certified lab to test your well water for iron
How can iron affect my health? every two years,as part of the inorganic panel
screen.Contact the private well program at your
Iron is an essential element,meaning your body county health department to assist you with getting
needs it in small amounts.It helps with oxygen your water tested.Pricing of testing varies from
transport,electron transport,and deoxyribonucleic county to county.
acid(DNA)synthesis.However,drinking high levels
of iron may cause adverse health effects.You can't What if my iron levels are high?
smell iron.Iron may have a detectable taste or have
a rusty color. You can install a treatment system to reduce the levels
High levels of iron can cause gastrointestinal of iron in your private well.Treatment systems that
problems.For people with preexisting conditions,
reduce the levels of iron in your well water include:
like hemochromatosis,drinking high levels of iron • Oxidizing filters
may cause heart,liver and pancreas toxicity. • Cation exchange,also known as a Water Softener
You can also reduce your exposure by using bottled
water or connecting to public water supply,if possible.
Percent of Private Wells Tested
Exceeding Federal Standards for
Iron, 2011-2013
AVildieL:_-_- Wag; 2000,,,,P,..eril
4043Y4. 1Ritillil '
..„,..41,9 it -11-4414110 1_Ptil'*':4 vimir -
±-7-,_ t_io A alinitorsiviimpoirfole
itiontomfiliAtof
IMI>25%exceeded health standards411111**
-10-25%exceeded health standards �^-i
i <10%exceeded health standards u
1 0%exceeded health standards
Insufficient data(<10 wells tested)
Where is iron found in NC? Where did this information
Iron is found at low levels(0.1-62 mg/L)throughout come from?
NC.About 6%of wells sampled for iron in NC from World Health Organization:www.who.int/water
2011 to 2013 exceeded the state health-based value sanitation health/dwq/chemicals/iron.pdf
(2.5 mg/L).Yet,there are several areas in NC with at
least 10%of wells exceeding the state health-based Nazanin Abbaspour et al.Journal of Research in
Medical Sciences Review on iron and its importance
value.See map for areas with elevated iron.
for human health 2014:www.ncbi.nlm.nih.gov/
pmc/articles/PMC3999603/
Where can I find more
information about iron
and my well?
Visit the NC Division of Public Health's Private Well ��
and Health Program website:http://epi.publichealth. ''
nc.gov/oee/programs/wellwater.html. 1 f
There you can find: -p„. 0 r
• Contacts for your county private well program ;�-
• Iron in well water maps -:
I s"' rl ,, -'
• A guide for selecting a treatment system I
t '
• Other private well resources � ��� -- ))
Y
at 919-707-5900.
l '°" N NC Department of Health and Human Services•Division of Public Health•Epidemiology Section•Occupational and Environmental
4 Oa' Epidemiology Branch•Private Well and Health Program•httusJ/eni.nublichealth.nc..gov/oee/programs/wellwater.html•NCDHHS is an
NPu6GcHnhh.nhc,.,r•, equal opportunity employer and provider.•09/2019