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WELL-08-2015-064177.TIF
$A Case a WELL-08-2015-064177 E ;. I Co�% CATAWBA COUNTY HEALTH DEPARTMENT d ."5- Environmental Health Section U G U adsv 4 sM 06/27/2016 WATER SAMPLE FIELD REPORT Applicant BETTY NIXON, 8054 MOUNTAIN SHORE DR, SHERRILLS FORD NC 27673 H:7049660925 Owner BETTY NIXON, 8054 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673 Site Address: 8000 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673 Name of Project: Parcel Number: 461603011610 Lot: 1 Block: Specific Directions From mNewton South on 16 turn left atr Initial Collected by: I p 1 - Z7..Date/Time Sampled: 0 Ps' Type of Sampling Point: 1/kit-ti Irbil Well New or Existing? New 1,..--- Existing Type of Well: Drilled ✓ Bored Dug Spring City Does well meet adequate construction standards from what can be observed: v"-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 6/27/2016 Page 1 of 2 _- CO Case# WELL-08-2015-064177 7� 14Itt CATAWBA COUNTY HEALTH DEPARTMENT v es ' „�t li sC Environmental Health Section /842 sn+ 06/27/2016 WATER SAMPLE TEST RESULTS Applicant BETTY NIXON. 8054 MOUNTAIN SHORE DR, SHERRILLS FORD NC 27673 1 H:7049660925 Owner BETTY NIXON, 8054 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673 Site Address: 8000 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673 Name of Project: Parcel Number: 461603011610 Lot: 1 Block: Lab Coliform Analysis Results: Total Coll forms: 0 + Fecal /E. Coli: Q rYX,Vn-'- No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine (Lab Accident Lab Tech Initials r' Date/Time Received OW I a ROW Date/Time Completed NIA I RS GO 9'0 IN RECEIVED JUN 292016 CATAWBA COUNTY ENVIRONMENTAL HEALTH E9 - rsamfieldreport 6/27/2016 Page 2 of 2 • 2 % Cv , AI ƒI / O % fl 0I d \ 01 5 • § I NI CC /. / } 7 « / $ / ( : ! / § : a a u \ . _ .. y " K \ \ L9 II uz cs \ / I. ) i \ \ \ \ I. \ ! \ ƒ a 3 ! , w [ j _ g = « VI ® / , m / 2 \ / • . z } ; •/ } ° ./ \ \it 00 in in Lo: * j / \ } } ....\ _ 1 7 j \ ± / § f 2 k ! k § 5 - • } `o. � ® S ± } » \ : _ ER Iii } z £ \ f c. \ ) \ \ \ \ � � 2 t _ m ! - ! ƒ \ Z ° ` • 2 C. - c 6 ) c To ) { Z3 / j . 0 'c t } = '0•C• \ Cc* k » } & : ƒ = © a \ / 3eo+ a y� v i b . North Carolina State Laboratory of Public Health P.O. Box 28047 tb, ��} 4312 District Drive Raleigh, NC 27611-8047 Environmental Sciences�, http://slph.ncpublichealth.com '' : Inorganic Chemistry Phone: 919-733-7308 °Sla" .,.*°'. Fax: 919-715-8611 Certificate of Analysis Report To: Name of System: CATAWBA CO ENVIRONMENTAL HEALTH BETTY NIXON P O BOX 389 8000 MOUNTAIN SHORE DR NEWTON, NC 28658 Courier#09-70-01 SHERRILLS FORD, NC 28673 EIN: 566001814EH StarLiMS ID: ES062916-0008001 Date Collected: 06/27/16 Time Collected: 12:30 PM Date Received: 06/29/16 Collected By: Robbie Phelps Sample Type: Raw Sampling Point: Well head Well Permit*: WELL-08-2015-064171 Sample Source: New Well Temp. at Receipt: GPS#: Sample Description: Comment: New Well - No Nitrate I (Profile) Analyte Result Allowable Limit Unit Qualifiers) 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 < 5.00 250 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 2 mg/L Manganese < 0.03 0.05 mg/L Mercury < 0.0005 0.002 mg/L pH 7.4 N/A Selenium < 0.005 0.05 mg/L Silver < 0.05 0.10 mg/L Sodium 8.10 mg/L Sulfate < 5.00 250 mg/L Total Alkalinity 42 mg/L Total Hardness 26 mg/L Zinc < 0.05 5.00 mg/L Report Date:07/08/2016 Reported By: Dellie.sloncol RECEIVED JUL 11 201E CATAWBA CO U N1'' ENVIRONMENTAL HEALTH Page 1 of 1 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: Betty Nixon Sample ID Number: 64177 Location: 8000 Mountain Shore Dr. Sherrills Ford NC 28673 Reviewer: M. McBride 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. 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. O R T:- ' H '` C A R, p - mxL4 N Private Well Information department nc and Use Recommendations eof health end human services For Inorganic Chemical Contaminants County: Catawba Name: Betty Nixon Sample ID#: 64177 Reviewer: M. McBride TEST RESULTS AND USE RECOMMENDATIONS 1. ® Your well water meets federal drinking water standardsJbr 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 DZinc ❑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 bad 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 minute 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 had 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 ❑pli ['Zinc For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900. MA �. CATAWBA COUNTY U /4�ij `< P 0 Box 389-Newton,North Carolina 28658-(828)465-8270 - Fax (828)465-8276 -TDD(828)465-8200 \ ;84/ Public Health - Environmental Health Division BETTY NIXON 8/26/2016 8054 MOUNTAIN SHORE DR SHERRILLS FORD NC 27673 REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY Property Address: 8000 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673 WATER ANALYSIS This certifies that a sample of drinking water was taken from the above address on 06/27/16 and examined under laboratory number WELL-08-2015-064177. 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 samp If you have any questions concerning your water sample analysis, please call me at the number below. Robbie Phelps (828)320-3077 Environmental Health Specialist 14:1 -2:-/2j3.5 "Keeping the Spirit Alive Since 1842!" GREATER ; , HICKORY rtmern 14- METRO E9-rsamwatersampleletter 8/26/2016 Page 1 of 1