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HomeMy WebLinkAboutWELL-11-2023-208414.TIF AEU,C INIUll{1111 �( )Zr Cr��,t} irur7utetn.nf I�s {Iufy:............ .. .. ._ . ... _ I..1Wl.tet?ntt>.ctnrl7nIIa ions '�[+ • r)t_`\.I lJ�'` .f_�--- ._... _ .._--•_. fi'4Yt7F71HK9........ :.ru ,....�.. ..._._. —. — yauet rrs nracarrrrtca WellCommetctlhmo .. .__ ..... ....__— jf 61. I it. is NC Well CloonvcterCarilot,.y.Noe I9. r7 CASIT IO(or tead-Wed?R URI.WE+Lgt.ipyr{xtpl:._. . k Morgan Well & Pump, INC mom_ v maniocTtrtOt MA-MAL _ t it_LIt, f 1/R 1' SD721 PVC — yh ? I- 02 s- tl/ ,S; tl tell RxtoiThr ie t,eA-> , ,.:•,'._:_:,:--;'.. - 2. irUCbnsicuctl6n Permit f: kit l)— elnas _ Jo__ � nt}xrrrn rupytocy s runny-l n. , N.r— -- unacpp ,b4 war mvtnk-ionp_;;;“(a(4tCov[) Tar°,rifccclr) _ . ________ it. n. 1u. Kwat Usk Cal ca.Wllnse)r, l t7,SCRI1W t ' . .+ „, . 'Watts Supply Well: YAM i` To nLAwrn strYreeze ,_7FACRYfS9... .MA7Y.AIAL-- t]Agricultural 1]MunicipaN'ublic tr. 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IL ' DOoolhumal(closed Lop) 011aecr RAIMILLINO7AC_I■Itmh'id 4R ditienaloBiaceeeiiari) ., - '-'• :.• _ OGeothrrmel ltatinr'Coolina Return) 130drer(end ain tasdaifll Remarks) reOyr To nrstzmrrn°era,Lrd+m,wtVrxkerpyrreh et:e,etal 4.Dale Well(a)Completed:_ q4+4q..0 Wd11DP 1 0 oa } n n ic: t:i.i [ 5st.Well Location: p[ L.S tL L U. 1w r` ` 'rili pulffl'7(1'1h /2///L.1 1C Pulltytt)p(dappinbk) n. 4 5 n C'nr4r};`[Q- rA y y� it +n.. g3a3 e2e Aka'/h �d n. R. ft. a.physical Address,City.sad Zip • C9i41W1;U4 •21:tRFl7ABKS , . + •.;ii .. .:•i,.__ _ ,..`..._• ,t Co.mty FacdId:ntiiatiea No.(P1N) Sb.Latitude end longitude In dcgr etsfnduuteslsecondl or decimal degrees: Or 14 as lr+alaeg if sufficient) 3 22.Certification. , 111 gli/ Ce N 1, 1� W IP 01--s- 211 Stffutvre ofC-+re•Welltootneor Oak 6.Ir{are)the welt(s); 6Permaneat or 1.7Temporitry PYrfignt C.tC01�01d 15 NCAG WCQ2OO W1 o Ss4 Isar(am) ee1,aai a In !aco 7,It this a repair to an misting wells Wm or C1No ^y &AA Is a sepals-Jill ox(J oOn frail coabnetion WarmaNas and rrplatn du psalm oyfria oJeht naor41w bexaprmldrd to 11.trctlo;mer. repair each Bt 1 rararls:vim arca de Back oJrilr farm 23,Site diagram or additlotul well details: 8,For Geoprabe/DPI or closed-Loop Ge tthervrsl Wells having the sun* You may use the back of this page to ptovido additional well construction info epasttuctian,only 1 13W-1 is needed,Indic-Ito TOTAI.NUM ISt.of wells (at Teo Om'higtMarks Box).You may also attach additional pages it:memory. drilled:+ + t,� Zd.SUISItIFI 1'AI.ItVSI AUCITONS 9.Total well deiith below land surface: O d (R') Submit this GW-1 within 34 days at wen completion per the following; Poe enuleiv+a felt Ea4-11&pat 4t emir bore-IC'ygi'and MUM 00 (tt) 243.For All Walla Original rums to Division of Wenk Rmcnsces(DWlt), IC Slade water level below tap atoning: Information Pesxdssing Unit,1617 MSC,Raltlgh,NC 27699-1617 IJudtaIntl b aborr assist,fad"d•" • t bib.For Wedeln Wells:Copy to Dn.Undagro nsl tbjcctton Ceatrel PO 11.Borehole diameter:6 00 Program,1636 hISC,llaltigh,NC 27699-1636 12.Well corfrtraction method:rotary 24e.For Wu ler Sunnly and Open•Luo:Geothermal Rt{rtrn_WrAei Copy to ties (ea.ter,ray,aabt,da et peab,r1o.) county envlmomentat health department of)iie malty Eissc lestuad FOB WA TM SUPPLY h'LU.S ONLY; 24d,For Water Wells produrinp orer l0 1_•Copy to 1)WI1.CC^t C11A (> ale ressure Pusan Program,1611 '0,Rn 27699`1611 13a.'YieldWM),__ method i„ . geade`nsdtatr3 Amount: 33b,Dbinfocdon typo: pmmOW1 Noah CnubmlkputrocatelEnvitcoonnedQo4oy.J) 4l&tofWuitltrsvracts Roared[+-20I8 Case# WELL-11-2023-208414 �� CATAWBA COUNTY HEALTH DEPARTMENT V 1 ` : ,, , Environmental Health Section 18 411 sM 08/06/2025 WATER SAMPLE TEST RESULTS Land Owner BENJAMIN BEEVERS,9291 REEPSVILLE RD,VALE NC 28168 Owner 4 i LAND PEDDLERS LLC,PO BOX 1747,LINCOLNTON NC 28093 C:7044724801 TROYMOTZ@AOL.COM Contractor *MOTZ CONSTRUCTION&DEVELOPMENT,PO BOX 1747,LINCOLNTON NC 28093- B:(704)472-4807C:(704)472-4807F:(704)538-0923 TROYMOTZ@AOL.COM Site Address: 9303 REEPSVILLE RD,VALE NC 28168 Name of Subdivision: ; Cf,ATLIN Parcel Number: 360602672203 %4_ Lab Coliform Analysis Results: Total Coliforms: Fecal/E.Coli: ales aA- No Collection Date Over 30 hours old Invalid Results: Excessive turbiditys Excessive Chlorine Lab Accident as Lab Tech Initials ECSv.1, Date/Time Received o3/23/2025 sca Date/Time Completed 0It/24/202518 c R ECEIVED SEP 2 2025 Environmental Health rsamfieldreport 08/06/2025 09:15 Page 2 of 2 Case# WELL-11-2023-208414 �,�/l�tilV CATAWBA COUNTY HEALTH DEPARTMENT Y-79 '/� H I. 1 nvironmental Health Section 1$42 SM /1 1 K5 -co r AA*toh Ca.I/ t i f 1i C' +acr-+ 08/06/2025 WATER SAMPLE FIELD REPORT Land Owner BENJAMIN BEEVERS,9291 REEPSVILLE RD,VALE NC 28168 (Owner) LAND PEDDLERS LLC,PO BOX 1747,LINCOLNTON NC 28093 10f J Q C:7044724801 TROYMOTZ@AOL.COM C/� Contractor *MOTZ CONSTRUCTION&DEVELOPMENT,PO BOX 1747,LINCOLNTON NC 28093- B:(704)472-4807C:(704)472-4807F:(704)538-0923 TROYMOTZ@AOL.COM Site Address: 9303 REEPSVILLE RD,VALE NC 28168 0 r/O-C/2`� ca..r;s 4-a kt' oct- or. ,o0'r Name of Subdivision: CATLIN HEIGHTS �o ra a.%s Ceo-a� Parcel Number: 360602672203 Driving Directions Hickory Lincolnton Hwy,Right Reepsville RD property no the left just before Lincoln/ County line Sample Collected by: s M i+4A�n l 'l /Date/Time Sampled: 0 8 1 S 11:110 A1h Sampling Point: well ktz-dAit Is well head accessible? Yes 7- No Reason for inaccessibility Well New or Existing? New Existing Type of Well: Drilled ✓ Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: VYes 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: rsamfieldreport 08/06/2025 09:15 Page 1 of 2 Analytical Results 0 STATESVILLE ANALYTICAL Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 08/29/2025 Reported: 09/02/2025 For: Jordan Cook: 9303 Reepsville Rd,Vale, NC 28168 Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 250829-07-01 Nitrate 208414 <1 mg/L 353.2 08/29/2025 CL 250829-07-01 Nitrite 208414 <0.1 mg/L 353.2 08/29/2025 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 2 122 Cctnt Street Stater sville,NC 28677 704-8724697 www.sa nc.com . - 1NTrATEE/ t-TR p 'ANALYSIS . Nar.ADID "a.islop,pr.ar ire.eiit. WAA'Ztt SYS 0 if: W LL-11- 2©23-20 9 4 14- county: Catawba - Name of Water System: Jot et 4n. Co 1' - Sample Type: 0 Entry Point iXSpedal/Non-compliance Location Where Collected: q?03 AelaffU;11 Q Not) V�f A-t'Q1 Arc a l s I Facility ID No. 20811141 Sample Point: WC 11 II Collection Date 1 Collection Time ,' i O iae r?s' - 11 : qv A l Collected By: Pus i�� ! `�> Mini Results to(water system representative): - CATAWBA COUNTY PUBLIC HEALTH Phone#:i-(828)465-8270 ENVIRONMENTAL HEALTH ga#. [(828)465-8276 PO BOX 389 ResTonaie Peaos§email: EHAdmin@cataWbacountynC.gnv - NEWTON,NC 28658 LABORATORY m ii: 37755 - 0 SAMPLE UNSATISFACTORY t7 RTsSAMPLE REQUIRED • i T CONTAM IaTFOD ALLOWABLE CONTA IANr REFORTDIG LIMIT (ix.<R-R. ) - LEAD'' CODE CODE (RILL)L) (F) • RESULTS* 1a4o Nrt:tate 3532 1.00 mga, )4 . . ing/L. 10.00 mg/L 1 1041 Nitrite - 3532 0.10 mg/L )5* --—_— mg/L 1.00 mg/L *Notes If result exceeds allowable limit,the laboratory must fax analytical resins to the State oa day test completed. _ DATE: TIPlP: - i ANALYSESBEGUN: O?/2C1 i25 3 :02 -P IYL ANALYSES COMPLETED: 4"3,) /� —14:C7 L, e L [ fm, is arxi: Labor•tnsy Log i:: 5 XJ 2-l-61• 0 } CtrtifedBy: - -- J"*, COMMENTS: . 2c08 Lotion tory Acrid Nail Rrsnita to: . Public Water Supply Sectimt,Atli:Data Entry,1634 Mail service Caster,Rai igh.NC 27699-1634 1 1 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: S° �� —^ k Sample ID Number: 7_0 8 LI IL Location: Ci 3 0 b e— 1 Q_ 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.) V /� 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 depai latent 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 sT,.Tt:" 7-) Private Well Information T � � n• ,2.' and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name/Address: �,Q^ C t[ 30 Re--e 4; 1 Lt. la- Sample ID#: z 4 I Li 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. ❑ 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 ❑ Chromium ❑ Copper ❑ Fluoride ❑ Iron ❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite n Selenium ❑ Silver ❑ 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. 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 -- -E Copper ❑fluor-ide- -E-Iron- -❑- 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 only. ❑ b. Your sodium level exceeds 30 mg/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain, etc. 7. n 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 9I9-707-5900.