HomeMy WebLinkAboutWELL-08-2015-063534.TIF $A C O Cased WELL-08-2015-063534
�
[5: t y • , CATAWBA COUNTY HEALTH DEPARTMENT
U ��,��milsp;! ' ).c Environmental Health Section
1842 sm 05/19/2016
WATER SAMPLE FIELD REPORT
Applicant NCDOT, 840 WALLACE GROVE DR, SHELBY NC 28105
B:7044805472F:7044805476 JDANGEL@NCDOT.GOV
Owner TIMOTHY WILSON, 4682 S NC 16 1-IWY, MAIDEN NC 28650
H:254-290-2368
Site Address: 4682 S NC 16 HWY, MAIDEN NC 28650
Name of Project:
Parcel Number: 367702679705 Lot: Block:
Specific Directions Hwy 16 5, on left past Rant Drum Rd
Initial Collected by: 6 I / Date/Time Sampled: 5'0— lb / I'L/Opyr
Type of Sampling Point: V-t i( hn a�t
Well New or Existing? New v" Existing
Type of Well: Drilled V Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: I/ Yes No
Reason for non-compliance: Defective well cap and /or seal
Piping does not exit through top of well by approved cap and sanitary well seal
Evidence of improper grouting or no grouting
Opening in the well casing or cap
Supply too close to source of potential contamination
Notification: Existing well owner notified that well does not meet adequate construction ? Yes No
Date of Notice:
E9- rsamfieldreport 5/19/2016 Page 1 of 2
$A O Case# WELL-08-2015-063534
76741 4 CATAWBA COUNTY HEALTH DEPARTMENT
d •►` y Environmental Health Section
/U Mgr ''C'
842 sM 05/19/2016
WATER SAMPLE TEST RESULTS
Applicant NCDOT, 840 WALLACE GROVE DR, SHELBY NC 28105
B:7044805472F:7044805476 JDANGEL @NCDOT.GOV
Owner TIMOTHY WILSON, 4682 S NC 16 HWY, MAIDEN NC 28650
H:254-290-2368
Site Address: 4682 S NC 16 HWY, MAIDEN NC 28650
Name of Project:
Parcel Number: 367702679705 Lot: Block:
Lab Coliform Analysis Results: Total Coliforms: film+ Fecal / E. Coli: ,cuivi"jk
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials ecru.c, Date/Time Received °5/01/ie ita.ys Date/Time Completed D3INI! 5I(OW b
RECEIVED
MAY 232016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
•
E9 - rsamfieldreport 5/19/2016 Page 2 of 2
("7 > Cl) n Cl) 2 o Z C. _ §
.. /
. m } @ / `
ro
; = \ i ( %
o >
{ :: Z
cn
' ; [ + ® 2
el
\ / )
-
til _CIJ _ _ + ± ,or in,
- 0 — / ( \6 -1 ± 2 ■ ;
3 w
\ / � A ` \ \ � /
; > _ } eri ,
@ 2 a is
to
` .2 t ) = §CD to
` \ - •J• LO t .. t > A °\•) \ 9kP -
/ ( a. ` \ ) E@
� Z \ r \ /
\ Z4 - _ / \ I \ ) ul
o
,
ral , ( -- E
j \ _ ® { —4....
k
_ . m @
R - e / : _ ]
G P. •e @
~ \
! ,
\ r \ \
\ k ; ) ! ` r
( \ / /
¥ % \
\ _
/ - ! }\ / � J _ l
eo/ i § - ® � a -
-
/ ,
, _
/
/ �� = f R I
% § 10 I -
R , • (w
r .0 c lE I3 {`
% %
r. ff Q'•..
North Carolina State Laboratory of Public Health P.O. Box 28047 4312 District Drive
f ", - ->@ r,1 II Raleigh, NC 27611-8047
i Environmental Sciences http://slph.ncpublichealth.com
�� " Inorganic Chemistry Phone. 919-733-7308
Fax: 919-715-8611
Certificate of Analysis
Report To: Name of System:
CATAWBA CO ENVIRONMENTAL HEALTH TIMOTHY WILSON
P 0 BOX 389
4682 S NC 16 HWY
NEWTON, NC 28658 Courier#09-70-01 MAIDEN, NC 28650
EIN: 566001814EH
StarLiMS ID: ES052316-0003001 Date Collected: 05/19/16 Time Collected: 1:40 PM
Date Received: 05/23/16 Collected By: RP
Sample Type: Raw Sampling Point: Well head Well Permit#: WELL-08-2015-063532
Sample Source: New Well Temp. at Receipt: GPS#:
Sample Description:
Comment:
New Well -No Nitrate I (Profile)
Analyte Result Allowable Limit Unit Qualifier(s)
Arsenic < 0.005 0.010 mg/L
Barium < 0.1 2.00 mg/L
Cadmium < 0.001 0.005 mg/L
Calcium 7 mg/L
Chloride 14.00 250 mg/L
Chromium < 0.01 0.10 mg/L
Copper < 0.05 1.3 mg/L
Fluoride < 0.20 4.00 mg/L
Iron < 0.10 0.30 mg/L
Lead < 0.005 0.015 mg/L
Magnesium 4 mg/L
Manganese < 0.03 0.05 mg/L
Mercury < 0.0005 0.002 mg/L
pH 6.3 N/A
Selenium < 0.005 0.05 mg/L
Silver < 0.05 0.10 mg/L
Sodium 5.70 mg/L
Sulfate < 5.00 250 mg/L
Total Alkalinity 19 mg/L
Total Hardness 32 mg/L
Zinc < 0.05 5.00 mg/L
Report Date:06/06/2016 Reported By: nettle Moncol-
?ECECVED.
JUN 10 2016
.TAvv3A COUNTY
"/ ijko v: NTAI. HEALTH
Page 1 of 1
T H C A F R O L
_ .. ... ..,... •
and Private Well Information
nc an co anT n ( y Use Recommendations
of health and \A
human services
For Inorganic Chemical Contaminants
County: Catawba Name: Timothy Wilson
Sample ID#: 63534 Reviewer: M. Cash
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.
['Arsenic ['Barium ['Cadmium ['Chromium ['Copper ['Fluoride ['Lead 'Iron
❑Manganese ['Mercury ❑Nitrate/Nitrite ['Selenium ❑Silver ['Magnesium nZinc ['pH
3. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's (USEPA) Health Advisory level for sodium of
20 mg/I. 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. Levels over 30 mg/I may pose aesthetic problems such as had taste, odor, staining of porcelain, etc.
4. ❑ Re-sampling is recommended in months.
5. ❑ Re-sample for lead and/or copper. Take a first draw, 5 minute, and 15 minute sample inside the house (preferably
the kitchen) and if possible a first draw, 5 minute and a 15 mnute sample at the well head to determine the source of the
lead and/or copper.
6. ❑ The following substance(s) exceeded federal 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.
❑Barium ❑Cadmium ['Chromium ❑Fluoride Iron ❑Magnesium
❑Manganese ['Selenium ['Silver ❑pH Zinc
For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.
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: Timothy Wilson Sample Ill Number: 63534
Location: 4682 S NC 16 Hwy Maiden. NC 28650
Reviewer: M. Cash
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 the sample which indicates that harmful bacteria
from human or animal waste could enter the well. Do not use the water for drinking or cooking
unless it has been boiled for 3 minutes. You may use your water for all other purposes including
washing dishes, bathing or showering.
Your well water needs to 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.
lithe 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.
4-f2 111% CATAWBA COUNTY
U s*re t' ''C P O Box 389-Newton, North Carolina 28658 -(828)465-8270 - Fax(828)465-8276 -TDD(828)465-8200
�rs i�,4! Public Health - Environmental Health Division
18 2 :H
NCDOT 6/13/2016
840 WALLACE GROVE DR
SHELBY NC 28105
REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY
Property Address: 4682 S NC 16 HWY, MAIDEN NC 28650
WATER ANALYSIS
This certifies that a sample of drinking water was taken from the above address on 05/19/16
and examined under laboratory number WELL-08-2015-063534. Laboratory findings reveal
that this sample was FREE from coliform bacteria at the time of collection of the sample.
CONDITION OF SUPPLY
Your water supply was observed to MEET adequate construction standards
(in regards to well head protection).
NOTES
*The results of any water analysis only reflects the quality of the water at the time of the sampling.
If you have any questions concerning your water sample analysis, please call me at the number bel
Robbie Phelps (828)320-3077
Environmental Health Specialist
1 4 HC RO„,,,
tl,dr 'll.
E �H ItM1 �I��g dpi
4L 1'.,11114'.77k,0 i'
' 3 "Keeping the Spirit Alive Since 1842!"
i ovtat[v
q HICKORY.
"?artmei,i N:` METRO
E9-rsamwatersampleletter 6/13/2016 Page 1 of 1