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Home My WebLink AboutSAM-03-2016-070150.TIF �A ( Case# SAM-03-2016-070150 `1 IPA CATAWBA COUNTY HEALTH DEPARTMENT U\ "!asp Environmental Health Section /842 SM 03/17/2016 WATER SAMPLE APPLICATION Applicant TIMOTHY MILLER, 4078 LEFEVERS RD, VALE NC 28168 C:(828)244-2130 MILLERTG @BELLSOUTH.NET Site Address: 4078 LEFEVERS RD, VALE NC 28168 SELECTED SAMPLES Inorganic Name of Subdivision: Parcel Number: 267704912962 Lot: 2 Block: Specific Directions Description: Inorganic to be taken from Kitchen Sink` Reason for Sample:Test for Lead in water at Kitchen Sink Type of Well F9!5 l} DStI?"`x Is the well on this same property'? Elites`wj 1 Is outside spigot available to collect sample? Noa w- Is power on? I:=Yesr Has well been tested before'? FilYOS:02 Results Areeriie4Rtrriblrieit Present foi;Leithignyagq Does the plumbing come out the top of the well through a sanitary well seal? [ Yes o r Does the well ever become cloudy or has there ever been a problem with taste and/or odor? t 1 NP'7.a I Explain Filtemsi s e m{has:reaaeo■ie dodoe&aresnica ; � � p Does the well top extend twelve (12) inches above the ground or well slab? les °q,t The well is in: 'z t Ateft,3ide J Does this well supply water to more than one home? Mrilla Water samples will be drawn from an outside faucet unless otherwise specified. Please note that all water samples are taken during one visit. The processing laboratories have different protocols and timeframes for reporting results; therefore,you may receive several different reports concerning your water sample. For questions or more information, please contact Catawba County Environmental Health at(828)465-8270. Date hulk' Signature or Owner or Agent s 2 Z�r� /. Area 2 f FEEIDESCRIPTION 4 ` ;4th rtoi 5' DATE p!FEE.AMOUNTi., tin^(eP afire ,4,-!V,.i ..1 .a --- Inorganic Chemical Sample Fee 03/17/2016 $114.00 vfs x k.�?°"s i.; � TiOTA C%tFiEES � s�" a�''�. '�.�" 1jiii ur��E�diii � `ItsX� n�.<$114rU(1�.'� �xr -�.fu:wraW. � s.�y r,.,.vuP�.�iPt;t ru,:'sn�cl.t,Gai- E .a.;.`:?' rsamapplication 3/17/2016 Page 1 of 2 ilot4 e} q -4 " arint Forme° .. , D Catawba County Public Health COUNTY ° ' - . - ten www.catawbacountync.gov/environmentalhealth a . - ' Environmental Health North Carolina \ P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 Phone (828) 465-8270. Fax (828) 465-8276 Water Sample Application Sample Requested By Tim Miller Home Phone 828-244-2130 Property Address 4078 Lefevers Road Vale NC 28168 Business Phone 828-327-4990 Mailing Address 4078 Lefevers Road Vale NC 28168 Driving Directions Hiway 10 west to Banoak Elementary,left on Banoak Road, then immediate right on Lefevers Road. 1 Mile to the bottom of the hill on the left. Sample Requested: Bacteriological Inorganic Chemical X Other Sample reason: Test for Lead in water at Kitchen sink. Type of Well: Drilled X Bored _Dug Other Is the well on this same property? Yes X No Is outside spigot available to collect sample? Yes No X Is power on? Yes X No Has well been tested before? Yes X No Unknown Results Arsenic removed Does the plumbing come out the top of the well through a sanitary well seal? Yes X No Unknown Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No X Explain Filter system has removed odor and arsenic. Does the well top extend 12 inches above the ground or well slab? Yes X No Unknown The well is located in front rear left side X right side of the house. Does well supply water to more than one home? Yes No X Date 3-17-16 Signature of Owner or Agent "Leading the Way to a Healthier Community" l=Publie vy1 ,.-, Health ,ti t >>a;I Katherine Harris From: Tim Miller[millertg @bellsouth.net] Sent: Thursday, March 17, 2016 9:49 AM To: Katherine Harris Subject: Fwd: Lead water sample application Attachments: Miller Water Sample Application 3-17-16.pdf; ATT00002.htm Katherine: Good Morning. We need to now have a sample run for lead at our house. There was none there in the past, but after our Arsenic system was installed some is showing up. They think it is a fluke from a metal water Spigot used to pull the water sample. However, we now need to test at this kitchen sink. I will need to meet Megan on site again for her to pull the sample. My cell is 828-244-2130. Thanks, Tim Miller- Sent from my iPhone Begin forwarded message: From: Subject: Lead water sample application 1 giit: co CATAWBA COUNTY tirtila�� 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT as►a PHONE: 828.465.8399 �U\'m\ ar Thursday, March 17, 2016 I a L sm www.catawbacountync.gov PAYOR: MILLER,TIMOTHY PAYMENTS TRANSACTION NUMBER: TRC-639146-17-03-2016 PAYMENT DATE : 03/17/2016 PAYMENT TYPE: Credit Card Payment by phone with Tim INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-326223 Inorganic Chemical Sample Fee $114.00 TOTAL PAYMENTS : $114.00 SAM-03-2016-070150 CASE TYPE: Water Sample WORK CLASS: Inorganic Chemical SITE ADDRESS: 4078 LEFEVERS RD, VALE NC 28168 Applicant TIMOTHY MILLER, 4078 LEFEVERS RD,VALE NC 28(68 C:(828)244-2130 MILLERTG @BELLSOUTH.NET **NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 03/17/2016 13:15 Page 1 of 1 . North Carolina State Laboratory of Public Health P o. Box 2ao47 I' 4312 District Drive iii v Raleigh, NC 27611-8047 �:• Environmental Sciences http://slah.ncaublichealth.com Inorganic Chemistry Phone 919-733-7308 •ti; a,,,,,.�:;= Fax: 919-715-8611 - Certificate of Analysis Report To: Name of System: CATAWBA CO ENVIRONMENTAL HEALTH TIMOTHY MILLER P 0 BOX 389 4078 LEFEVERS RD NEWTON, NC 28658 Courier#09-70-01 VALE, NC 28168 EIN: 566001814EH StarLiMS ID: ES033016-0006001 Date Collected: 03/28/16 Time Collected: 10:50 AM Date Received: 03/30/16 Collected By: Megen McBride Sample Type: Treated Sampling Point: Kitchen sink Well Permit#: SAM-03-2016-070150 Sample Source: Well Temp. at Receipt: GPS#: Sample Description: Comment: Inorganic Chemical + Metals 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 15 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 1 mg/L Manganese < 0.03 0.05 mg/L Mercury < 0.0005 0.002 mg/L pH 7.7 N/A Selenium < 0.005 0.05 mg/L Silver < 0.05 0.10 mg/L Sodium 8.20 mg/L Sulfate 6.20 250 mg/L Total Alkalinity 48 mg/L Total Hardness 42 mg/L Zinc < 0.05 5.00 mg/L Report Date:04/19/2016 Reported By: Cindty Price RECEIVED APR 2 0 2016 CA1MWBA COUNTy ENVIRONMENTAL HEALTH Page 1 of 1 N 0 /R T' HC A R. Or; Thr Private Well Information human sorvlces and Use Recommendations nc department of health and For Inorganic Chemical Contaminants County: Catawba Name: Tim Miller Sample ID #: 70150 Reviewer: M. Cash _..... 00'11:,/ TEST RESULTS AND USE RECOMMENDATIONS 1. ® Your well water meets federal drinking water standards jor 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 ['Zinc ❑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 ❑p1-I ❑Zinc For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.