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Home My WebLink AboutSAM-04-2016-071327.TIF $A C'O case i SAM-04-2016-071327 `c , _ �A CATAWBA COUNTY HEALTH DEPARTMENT v cgr Environmental Health Section 1842 sM 04/18/2016 WATER SAMPLE APPLICATION Applicant CLAUDE & SALLY ROJZMAN, 3485 BRIDGEFORD LN,NEWTON NC 28658 H:8282946789C:8282447393 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 SELECTED SAMPLES Bacterial Name of Subdivision: Inorganic Parcel Number: 371018427043 Lot: 2 Block: Specific Directions Description: Reason for Sample:need to know Type of Well I IIL n DFilletl j 1E11E "1 Is the well on this same property? IIIIIliYe li .' Is outside spigot available to collect sample? iillilillYeL, ower '�i Is on? , 1 power >nYes'N�7iI Has well been tested before? fjllJ,ll[NiiJ Results Does the plumbing come out the top of the well through a sanitary well seal? Does the well ever become cloudy or has there ever been a problem with taste and/or odor? WI NTT_ Explain Does the well top extend twelve (12) inches above the ground or well slab? IIINo> The well is in: iijli ez54!'a?':Rearaj 111 jt. Does this well supply water to more than one home? ftNoti 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 titneframes 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 /.( • Pig -ft) Signature or Owner or Agent `ILL_ / +� //, Area 2 "i 11P�1r .:NIJl91'PIP llt C — P f;?f R I' . +t �u it ,r / iiromb ,;ipl�I81�llfnlllli ijFEE DESCRIPTION; , "y :x�I1 � ti DATE .j lit h" AFEEIAMOUNTj Bacteriological Sample Fee 04/18/2016 $58.00 Inorganic Chemical Sample Fee 04/18/2016 $114.00 f,�7Il11 1O'AL'FEES^i�^:,,I'�illilVll itil;�. � ' ljliII ;illlllll:'n � 'tl(iI:$172'00;,r;: �L i t II hA`Ailrl{N Uidc. �r n Wh,7iW L�Jt ialktili e6i:L1� w.W.ue,I�JLIIi ARi,li� "snialtu tii'llIIWuailthWM m_., rsamapplication 4/18/2016 Page 1 of 2 „,„„,„.,--,--.1/4,[7-y,„ c A PrintF,orm :' � � �� f�f Catawba County Public Health --- C.OUNTY �e ''�” www.catawbacountync.gov/environmentalhealth a„rgg ` — ,' Environmental Health North carorna P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 Phone (828) 465-8270. Fax (828) 465-8276 1 nWater Sam, pleAfpplication y� / Sample Requested By < 7+-tl..(r.QI� \PoT( P 1, J./ Home Phone S�1��- aCl'4 ' e 7 Property Address 6 e:Aii- l,f re>f j-.. Business Phone Mailing Address Driving Directions Sample Requested: Bacteriological i/``,, Inorganic Chemical Y Other Sample reason: A O '{`O �1.t-- 113 Type of Well: Drilled gored Dug Other Is the well on this same property? Yes I/ No Is outside spigot available to collect sample? Yes (V No Is power on? Yes I No Has well been tested before? Yes No L.,--Unknown Results Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown // Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No i/ Explain Does the well top extend 12 inches above the ground or well slab? Yes No l/7-- Unknown Vleft well is located in front rear j/ left side ✓ right side of the house. Does well supply water to more than one home? Yes No I a l ) � Dat .`�S i i Signature of Owner or Agent ,i 0 4 L "Leading the Way to a Healthier Community" R°HeaUth re.,_, . ' " p'A CATAWBA COUNTY 100A SOUTHWEST BLVD �� NEWTON, NORTH CAROLINA 28658 RECEIPT d r- a --.m y eaPe PHONE: 828.465.8399 U v aas' Monday, April 18, 2016 1842 sn+ www.catawbacountync.gov PAYOR: Rojzman, Claude& Sally PAYMENTS TRANSACTION NUMBER: TRC-657377-18-04-2016 PAYMENT DATE : 04/18/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-327325 Bacteriological Sample Fee $58.00 04'31'6 32_7,325 i "' ! , 1:, iff organicjGhemicaTrS�.a Feer a I', a..tga I'!$hlBE TOTAL PAYMENTS : $172.00 SAM-04-2016-071327 CASE TYPE: Water Sample WORK CLASS: Multiple Different Samples SITE ADDRESS: 3485 BRIDGEFORD LN, NEWTON NC 28658 Applicant CLAUDE& SALLY ROJZMAN, 3485 BRIDGEFORD LN,NEWTON NC 28658 H:8282946789C:8282447393 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 04/18/2016 I :42 Page 1 of 1 N r., . $TA e, Case# SAM-04-2016-071327 L a 1] CATAWBA COUNTY HEALTH DEPARTMENT K. yr Environmental Health Section /842 sm 04/22/2016 WATER SAMPLE FIELD REPORT Applicant CLAUDE& SALLY ROJZMAN, 3485 BRIDGEFORD LN,NEWTON NC 28658 H:8282946789C:8282447393 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Name of Project: Parcel Number: 371018427043 Lot: 2 Block: Specific Directions From Newton, Down Sandy Ford Rd, Go past Catawba Country Club, 1st Left Bridgeford Lane (one way St) before the bridge, 4th house on the Left. Initial Collected by: MtQf�{,1�I' 1�31{�Q. Date/Time Sampled: s/ti 16 11' qM Type of Sampling Point: �J (ct-kit Y't Si/x' Well New or Existing? New Existing ')( Type of Well: Drilled X Bored Dug Spring City Does well meet adequate construction standards from what can be observed: X Yes No -Al 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 ji / Opening in the well casing or cap Supply too close to source of potential contamination re- Notification: Existing well owner notified that well does not meet adequate construction ? Yes No A . Date of Notice: . E9 - rsamfieldreport 4/22/2016 Page 1 of 2 I A �B \O� Case n SAM-04-2016-071327 , 6� i CCATAWBA COUNTY HEALTH DEPARTMENT c7 �� ' Environmental Health Section a 1842 sm 04/22/2016 WATER SAMPLE TEST RESULTS Applicant CLAUDE&SALLY ROJZMAN, 3485 BRIDGEFORD LN, NEWTON NC 28658 H:8282946789C:8282447393 Site Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 Name of Project: Parcel Number: 371018427043 Lot: 2 Block: Lab Coliform Analysis Results: Total Coliforms: WWII— Fecal / E. Coll: QOM No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab;Tech Initials £C . Date/Time Received oS/ON/ib Hal Date/Time Completed r 0'10 I1Q 1 RECEIVED MAY 0 9 2016 CA-rpm_A COUNTY" ENVIRCrw1jNTA!_ HEALTH 1 i E9 - rsamfieldreport 4/22/2016 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: Claude and Sally Rojzman Sample ID Number: 71327 Location: 3485 Bridgeford Ln Newton, NC 28658 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.) 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. X 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. 4,aA t a, CATAWBA COUNTY <5,979-40-11 ,- P O Box 389-Newton, North Carolina 28658 -(828)465-8270- Fax(828)465-8276 -TDD(828)465-8200 & Public Health - Environmental Health Division /842 sm CLAUDE&SALLY ROJZMAN 5/11/2016 3485 BRIDGEFORD LN NEWTON NC 28658 REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY Property Address: 3485 BRIDGEFORD LN, NEWTON NC 28658 WATER ANALYSIS This certifies that a sample of drinking water was taken from the above address on 05/04/16 and examined under laboratory number SAM-04-2016-071327. Laboratory findings reveal that this sample was potentially unsafe and should not be used unless boiled or otherwise disinfected. Steps need to be taken to correct the condition of your water supply. 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 Megen McBride (828)320-3079 Environmental Health Specialist -lil '!aI 7a eL9'. Y ,' I IIa o it "Keeping the Spirit Alive Since 1842!" iCKO a HICKORY mmen,P,°�` METRO E9-rsamwatersampleletter 5/11/2016 Page 1 of 1 %"°.STATE 4••• i'; . North Carolina State Laboratory of Public Health P.O. ox 2a Drive Environmental Sciences Raleigh, NC 27611-8047 �, ;; 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 CLAUDE & SALLY ROJZMAN P 0 BOX 389 3485 BRIDGEFORD LN NEWTON, NC 28658 Courier#09-70-01 NEWTON, NC 28658 EIN: 566001814EH StarLiMS ID: ES050616-0005001 Date Collected: 05/04/16 Time Collected: 11:25 AM Date Received: 05/06/16 Collected By: Megen McBride Sample Type: Raw Sampling Point: Kitchen sink Well Permit#: SAM-04-2016-071327 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 16 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 3 mg/L Manganese < 0.03 0.05 mg/L Mercury < 0.0005 0.002 mg/L pH 7.5 N/A Selenium < 0.005 0.05 mg/L Silver < 0.05 0.10 mg/L Sodium 7.40 mg/L Sulfate < 5.00 250 mg/L Total Alkalinity 66 mg/L Total Hardness 52 mg/L Zinc < 0.05 5.00 mg/L Report Date:05/27/2016 Reported By: nettle✓4loncoI RECEIVE: JUN 0 3 2016 CATAWBA COuNTY ENVIRONMENTAL HEALTH Page 1 of 1 .+q.•. .,�. .T lam. }, � erE _t mod' r � ca t ...TrN¢'�"af v 'aES� r rj /n.cC elder R' 'O #` m' 'L s N q: x z y 4g.. . . . 2 7. r+ . . £'.h>t4 .�,. . ,. x�' • _ .r rod `e f 't w it k� :`4`!S.f„a >.' ? n ':`.a:.r.�s.>.'rr . ;, „.s°;:. Private Well Information human noel/lees Use Recommendations ne department of health and For ksk. 1e Inorganic Chemical Contaminants hi- rN h dF p Zj"° VEev ik nmpz tz:-.4 ters F! x4 w,,e 3 T County: Catawba Name: Claude and Sally Rojzman Sample ID#: 71327 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 ['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/1 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 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 ❑pI-I ❑Zinc For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.