HomeMy WebLinkAboutWELL-11-2023-208246.TIF + � CATAWBACOUNTY Case# WELL-11-2023-208246
(Mr
. Public Health Department Subdivision WINNIE R HOLLAR
Environmental Health Division PIN# 375402882251
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 5530 REST HOME RD, CLAREMONT NC 28610
Name on Permit: GARRETT HOLLAR
Property Size: Acres 6.27
Directions: NC 16, Right on Oxford School Rd, Left on Rest Home Rd, Property on Right
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 I8A.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.
iefi..........„..••' ice„ 5,0i s
11/10/2023
Authorized State Agent Permit Issuance Date
11/10/2028
Permit Expiration Date
clipe mit 11/10/2023 16:06
Catawba County Environmental Health
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Parcel: 375402882251,5530 REST HOME RD 1in=100ft
CLAREMONT,28610
Ibis mephapmt product sus pnopr.d tom M Cdasiba CalM NC CmospaNl In on Undoes. Catawba County has made substantial efforts
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Os idepende d vrMmma of any data ommMted an this`� '0`plt p bhr s: f y County of Catawba.its employees,agents,and
personnel.dladstrn.and shall not be Meld ibis for atry and al d.napK Ices or lehlity.whether dr.d.Indirect or consequential wr,kn arises or may
miss Iran asks tnapheport product or the tau thereof by any person Q eniky.
Copytta!2023 Catawba CoLmty NC
11l1012023
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WPDT Screening Report
Area of Interest (AOI) Information
Area : 3,134,508.67 ft2
Nov 10 2023 16:12:49 Eastern Standard Time
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5530 REST HOME RD,CLAREMONT
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makes no warranty of any kind,express or implied,concerning this Information,
including but not limited to any warranties of merchantability or witness for
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concerning the Data's accuracy,reliability,completeness,timeliness,or
usefulness.The data is not intended to constitute advice nor Is it to be used
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The NCDEQ disclaims responsibility for the spatial accuracy and attribution of
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$ACO Case WELL-11-2023-208246
frFiji CATAWBA COUNTY HEALTH DEPARTMENT
Case
Environmental Health Section
Y-47'. 'VI
I8 42 sm 06/16/2025
WATER SAMPLE TEST RESULTS
Applicant GARRETT&MADISON HOLLAR,166 GRESHAM LN,MOORESVILLE NC 28117
C:6787638369 GARRETTHOLLAR642@GMAIL.COM
Land Owner GARY HOLLAR,5538 REST HOME RD,CLAREMONT NC 28610-8120
Site Address: 5530 REST HOME RD,CLAREMONT NC 28610
Name of Subdivision: WINNIE R HOLLAR
Parcel Number: 375402882251
Lab Coliform Analysis Results: Total Coliforms: 0/WA- Fecal/E.Coli: wl' l 1
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials 014 Date/Time Received V VC A/1-1*'\6"° Date/Time Completed 01 "1%W I tOW
RECEIVED
J U N 1 9 2025
Environmental Health
rsam$eldreport
06/16/2025 16:50 Page 2 of 2
,Vr$A � Case# WELL-11-2023-208246
CATAWBA COUNTY HEALTH DEPARTMENT
V\. , �:/,,5, Environmental Health Section
I g 42 sM 06/16/2025
WATER SAMPLE FIELD REPORT
Ali lit�..t OVIN P 5 GARRETT&MADISON HOLLAR,166 GRESHAM LN,MOORESVILLE NC 28117
C:6787638369 GARRETTHOLLAR642@GMAIL.COM
Land Owner GARY HOLLAR,5538 REST HOME RD,CLAREMONT NC 28610-8120
Site Address: 5530 REST HOME RD,CLAREMONT NC 28610
Name of Subdivision: WINNIE R HOLLAR
Parcel Number: 375402882251
Driving Directions NC 16,Right on Oxford School Rd,Left on Rest Home Rd,Property on Right /
Sample Collected by: UIK,'31,00 �� Date/Time Sampled: dC�l 7(J-� ���9 �
Sampling Point: 10V-P---A P 9
Is well head accessible? Yes & No Reason for inaccessibility
Well New or Existing? New V. Existing
Type of Well: Drilled L, Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: 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:
7
rsamfieldreport 06/16/2025 16:50 Page 1 of 2
Analytical Results _ STATESYILLE
ANALYTICAL
Catawba County Public Health � �.
PO Box 389
Newton, NC 28658
Receive Date: 06/18/2025
Reported: 06/19/2025
For: Garrett and Madison Holler: 5530 Rest Home Rd,
Claremont NC 28610
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250618-41-01 Nitrate 208246 <1 mg/L 353.2 06/18/2025 CL
250618-41-01 Nitrite 208246 <0.1 mg/L 353.2 06/18/2025 CL
Respectfully submitted,yiG Q,0 ip a)
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville,NC 28687 • 704/872/4697
Pagel of 2
122 Court Street Statcavill;NC 28677
704-872-4697 www.se-nc.com
NTTRA.EINKER.O. .;ANALYSIS
xo=.A4Warned esit Celle Lc4 tismmPlimce crash.
WATER SYSTEMIC)ff: LVF Lt - { _ 9-0:13-;?-06 0 51,21 County: Catawba •
Name of Water System: G.o.er e,44 a A-01 iSo r. I a r
Sample Type: 0 Entry Point l Special/Non-compliance ems-
Location Where Collected: 5-53 O too- 1 s� ee
2 , NC &E1D
Facility ID No. Os°c�4 C
Sample Point: of r 11 Collection Date Collection Time
;�
Collected By: visk t>''*-eet, • d6/ ( I ;tS' ' _?:- r A M
(Pkgw) (304P]C/r0 (wry Alsic.Pst)
Mill Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone (828)465-8270
ENVIRONMENTAL HEALTH Fax!: 1 (828)465-8276
, PO BOX389 Re-yensiblePerson'semail:
•EHAdmin@catawbacountync.gav
NEWTON,NC 28658
LABORATORY ID II.-: 37755 Cl SAMPLE UNSATISFACTORY 0 RESANIPL E:REQUIRED
•
' REQUIRED NOT DETECTED QUANTIFIED ALL041A5LE
CONTAM CONTAMDIANT METHOD REPORT-i IGmin' C�a<FraL.) mar
CODE CODE• �R-I-) RESUL•TS'-
1040 Nittate 3532 1.00 mg/L 1`" mg/L 10.00 mgFL
1041 Nitrite - 353.2 0.10 mg/L mg/L 1.00 mg2
`Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed.
DATE: TIME:
ANALYSES BEGUN: Q(o/ t$ /2'S 3 :33 Pm
ANALYSES COMPLETED: OC / t S /25 _ :9
P r .roann ay..1,AX.rr.8
Laboratory Log ig: aC 9up(%'4I'of Certified By:
COMMENTS:
2008
Laboratpry should Man Results to:
Public Water Supply Section,Ate Data Eaty,1634 Mail Service Cealor 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 Environmerital Epidemiology Branch, Epidemiology Section
BIOLOGICAL• ANALYSIS REPORT
Private well water information and recommendations
County: Catawba Name: U4r"-f{' P.o r Sample ID Number: LOB 'i$
Location: S:S3a }2cs-(- Reviewer: Jason Boyd
: Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WA l'hR(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 deteiarine 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 conform 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 waterwas tested for biological contaminants(total colifonn and fecal conform bacteria).The results
were evaluated;using the federal drinking water standards.
Drinking watermay contain substances that can occur naturally in water or can be introduced into water from
man-made sources.Total conform bacteria are found in soil and fecal coliform bacteria are found in animal and
human waste.Total coliform or fecal coliforimbacteria.in well water indicate that the well may have structural
problems or that the well was riot 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 immunocomprornised(such as an individual with AIDS,icancer,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.,
s .For-further information please:contact your county health.department or the Occupational and Environmental
• Epidemiology Branch at 919-707-5900.
•
•
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Ci R LT H. R C A O. <L I, • N yA.
'' Private Well Information
- f
hi41 n-
� ' ,,- .1 ! and Use Recommeneations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name/Address: Gl .�46. -f Nt11er SS,a 12gs-+' U.(,,.`12c\ a
Sample ID#: 2-aa..qb 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. ❑ 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 n Barium ❑ Cadmium n Chromium n Copper n Fluoride ❑Iron
n Lead ❑Manganese ❑ Mercury n Nickel I I Nitrate/Nitrite ❑ Selenium ❑ 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. In 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. n 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-Chlor-ide -n--C pper —n Fluoride —n Iron E-Manganesc
Lf pH n Silver ❑ Sulfate n 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/1 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.