HomeMy WebLinkAboutWELL-11-2023-207827.TIF :: CATAWBA COUNT'i
.�. Public Health Department Subdivision
NMIy Environmental Health Division PIN 460602991298
PO Hoy 389.25 Government Drive.Newton.NC 28658 l t)I p 1
Site Address: 4443 GILES AVE, SHERRILLS FORD NC 28673
Name on Permit: EDGEWATER INVESTMENTS LLC
Property Size: Acres 2.58
Directions: Slanting Bridge Rd Left Drena Dr, Right Giles RD, Lot on Right on the curve
Owner/Authorized Representative Acknowledgement of Permit Receipt
nit') that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
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X ' Ae property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-09-2023-45501,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
,r Electronic Image Transmittal/E-mail (Return receipt required)
roperty 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
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North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC I8A.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: 11/03/2023
Owner/Authorized Representative Signature
Date 11-8-23
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature (IQ', Date/Time 1 ��� 3
Method: Fax J �Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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http://www.surveymonkey.com/s/EHCusttomerService
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3vi5• • CATAWBA COUNTY Case# WELL-11-2023-207827
ti(......t ii Public Health Department Subdivision
Ag C� "1 Environmental Health Division PIN# 460602991298
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
/8.2 w
Site Address: 4443 GILES AVE, SHERRILLS FORD NC 28673
Name on Permit: EDGEWATER INVESTMENTS LLC
Property Size: Acres 2.58
Directions: Slanting Bridge Rd Left Drena Dr, Right Giles RD, Lot on Right on the curve
NEW WELL PERMIT
REQUIRED WELL SETBACKS:
Septic Systems and Repair Areas for Single Family Dwellings 50 ft.
Septic Systems and Repair Areas for Businesses and Multi-Family Residences 100 ft.
Underground Storage Tanks 100 ft.
Animal Barns 100 ft.
Lakes/Ponds 50 ft.
Streams/Brooks/Creeks/Rivers 25 ft.
Building Foundations 25 ft.
All Other Sources of Groundwater Contamination 100 ft.
Saprolite Septic Systems and Repair Areas 100 ft.
Septic Systems and Repair Areas to Wells with 2 or more connections 100 ft.
Wells shall be constructed in accordance with state regulations:
Article 15A North Carolina Administrative Code Subchapter 2C
The well driller must verify all setbacks before drilling the well.If the well driller is unable to maintain any of
the above setbacks,contact Catawba County Environmental Health at 828-465-8270,before drilling the well.
Grouting Depth:20 feet minimum
Casing Height: 12 inches minimum above finished grade
All newly constructed private drinking water wells are required to be sampled in accordance with the North Carolina Rules Regarding Private
Drinking Water Well Testing(15A NCAC 18A.3800).The fee for this sampling is included in the cost of the well permit.It is the applicant or
property owner's responsibility to notify Environmental Health when the well is ready for sampling.Water samples will be drawn from an
outside faucet unless otherwise specified.For questions or for more information,please contact Environmental Health.
f14„
11/03/2023
Authorized State Agent Permit Issuance Date
11/3/2028
Permit Expiration Date
ehpemtit 11/03/2023 15:24
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Op, WPDT Screening Report
Area of Interest (AOI) Information
Area : 3,134,508.65 ft2
Nov 6 2023 16:57:18 Eastern Standard Time
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4443 GILES AVENUE, SHERRILLS FORD, NC
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 for the spatial accuracy and attribution of
GIS features and makes no warranty concerning same.
Analytical Results STATESVILLE
ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 12/19/2024
Reported: 12/20/2024
For: Blake Jeffrey 4443 Giles Ave. Sherrills Ford NC
28673
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
241219-59-01 Nitrate 207827 3.77 mg/L 353'2 12/19/2024 CL
241219-59-01 Nitrite 207827 <0.1 mg/L 353.2 12/19/2024 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
, 'TAT'EWilta.t:
ANALYTICAL
122 Court Street Statesville,NC 28677
704-872-4697 www,sa-nc.com . -
NITRATE/NITRITE ANALYSIS ,
NowAllinrarnationanetbeidppucdrarcompliancecrdtt,
WATER SYSTEM ID#': MIL_-isZ� ^Lpmil- . County: Catawba
Name of Water System: VA V o �.acre,t.{
Sample Type: 0 Entry Point Cd Speciall//Non-compliance
Location.Where Collected: Ll(-I'-4 Go kve., c\rr(lc led, AK `18,(4,73
Facility ID No. ZP Ls-z:'
Sample Point: 54111L lT f Collection Date Collection Time
Collected By: l Y1 l 0,(TI\Q, M,oJf � 2�_l_i,L Z� • ( Z:. 1, f M
(Pkue hint) ,/ (MMIOOIYY) (Specify AM or PM)
Mail Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#•i,(828)465-8270
ENVIRONMENTAL HEALTH gaz#: 1 (828)465-8276
, PO BOX 389 Responsible Peratia'semail;
• EHAdmin@catawbacountync.gov
NEWTON,NC 28658
•
LABORATORY ID#: 37755 ❑SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED
• REQUIRED NOT DETECTED QUANTIFIED ALLOWABLE
CONTAM CONTAMINANT METHOD REPORTING LIMIT (i.e. R.R.L.)
CODE CODE (R RL I (� RESULTS LIMIT
1040 Nitrate 353,2 1,00 mg/L ❑ • _a/1_ mg/L 10.00 mg/L
1041 Nitrite 3532 0.10 mg/L c _ ___ 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: ,p
i ANALYSES BEGUN: i2/ L 1 / � • _B: 3 u r M
PRP.Pin2 .�,u .gpatnast..1to..
ANALYSES COMPLETED: teZ / 1 —5 z 3� I �.
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Laboratory Log1Q:a--110,lg.cc—ai Certified By: c
COMMENTS:
2008
X.abarntory should Mall Results tar ,
Public Water Supply Section,Attn:Data Entry,.t.1634 Mail Service Center,Raleigh,NC 27699-1634
PO Box 228 • Statesville,NC 28687 • 704/872/4697
Page 2 of 2
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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: p--r-r A (( -. Sample ID Number: lb-7$27
Location: L'j N 3 L 10-s A ye, J).N.-r.-;I l 5 Fe ri' lU'- Reviewer:Jason Boyd
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 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
I 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
*y Private Well Information
.0 74tdr,e
NC DEPARTMENT OF and Use Recommendations
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: r P.I le.n 4 Li 3 {Qv a- 5trc.rt..11a R')
Sample ID#: ?'4'-1 2 1 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
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 only.
❑Arsenic n Barium ❑ Cadmium n Chromium n Copper n Fluoride ❑Iron
n Lead ❑Manganese n Mercury ❑Nickel ❑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 fdr 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.
❑ Chloride n Copper n Fluoride n Iron n Manganese
n pII ❑ 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 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.