HomeMy WebLinkAboutSAM-05-2016-072448.TIF $A � Case a SAM-05-2016-072448
fire 4 c:t, CATAWBA COUNTY HEALTH DEPARTMENT
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/842 SM 05/16/2016
WATER SAMPLE APPLICATION
Applicant BARBARA BUFF, 6585 LOVE POINT RD, DENVER NC 28037
C:828308394I
Contact Person WEST NORMAN REAL ESTATE, 756 N 16 HWY, DENVER NC 28037
C:7044003448 SGDONALDSON@BELLSOUTH.NET
BELLSOUTH.NET
Site Address: 6629 LOVE POINT RD, DENVER NC 28037 SELECTED SAMPLES
Bacterial
Name of Subdivision: Inorganic
Parcel Number: 369604547793 Lot: 4 Block: Nitrate/Nitrite
Specific Directions
Description: All 3 Samples*
Reason for Sample:VA Loan
Type of Well ! . i i��p lir e Ji y �IJ�J� p Is the well on this same property? MOP'Yea MR
Is outside spigot available to collect sample? WES= Is power on? su'u�yYes '^- 91
Has well been tested before? 1100141611tin Results
Does the plumbing come out the top of the well through a sanitary well seal? Yee
Does the well ever become cloudy or has there ever been a problem with taste and/or odor? MAIO, In
Explain
Does the well top extend twelve (12)inches above the ground or well slab? "o T
p ( ) � g +�'yUnknowna
The well is in: PlirssItiiRight SidalU
Does this well supply water to more than one home? FAR No`ifl] {�
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 Signature or Owner or Agent
Area 1
` FE DESCTO lj R " AnE11J t
�tl; :�tal l 'llN 1?IMIIIIMhillllllllfllli
.11,111 FEE AMOUNT/,I
Bacteriological Sample Fee 05/16/2016 $58.00
Inorganic Chemical Sample Fee 05/16/2016 5114.00
Nitrate Sample Fee 05/16/2016 $85.00
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rsamapplication 5/16/2016 Page 1 of 2
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'■ ��� Catawba County Public Health C °""
COUNTY www.catawhacountync.gov/environmentalhealth
Environmental Health
",�.: '-- North Carotins
P.O.Box 389. 1.00-A South West Blvd.,Newton, NC 28658
Phone (828) 465-8270. Fax (828) 465-8276
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Water Sample Application L"C( ll 7�cg 1.1-4��_3 uy u
Sample Requested By Home Phone ZS j d -SO?-3q171/
pro ,3i�bo` 4'7143?DX-
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Property Address �a _ q Ln0e- ` O: nt cRa Business Phone
truer Nc- ag33-7 a8� 3�
Mailing Address '15 &I. �1 LOLf l La Nct``J Cr NC,
Driving Directions kl,, ) t 1 L S IA u-i Li 15 n t -R'i-- n Y-1 G rctS LI
°cep RA ) 2.-'i- nn Loae.po�n* lid. 1 ac+-46oe. i n h,R+: bef�r-
L mono- Love. Rd . len9 �-r ueuxL t/
Sample Requested:`VA- X Inorganic Chemical x Other Al 1trct c- 6 N; +rt.*-c
Sample reason: _ V A- LF i I1
Type of Well: Drilled k_ Bored Dug Other
Is the well on this same property? Yes x No
Is outside spigot available to collect sample? Yes x No V Is power on? Yes X No
KHas well been tested before? Yes No_ 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 X
Explain ``//
Does the well top extend 12 inches above the ground or well slab? Yes No Unknown
The well is located in front rear left side right side of the house.
Does well supply water to more than one home? Yes No X
Date
5 11 l 1 to Signature of Owner or Agent
"Leading the Way to a Healthier Community"
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8°Health '" :; '
�A � CATAWBA COUNTY
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NEWTON,NORTH CAROLINA 28658 RECEIPT
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a PHONE: 828.465.8399
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Monday, May 16, 2016
842
sM www.catawbacountync.gov
PAYOR:
Buff, Barbara
PAYMENTS
TRANSACTION NUMBER: TRC-673955-16-05-2016
PAYMENT DATE : 05/16/2016
PAYMENT TYPE: Credit Card
INVOICE NUMBER FEE NAME FEE AMOUNT
05-16-328423 Bacteriological Sample Fee $58.00
05;,,1,6'-328423,1,:: , 19!x' L t ,ry 1'i1 ithi1fl91N trace Samplaeeburl .n.MI,L I!t '4ltIIII!ONIdig$85R
05-16-328423 Inorganic Chemical Sample Fee 5114.00
TOTAL PAYMENTS : S257.00
SAM-05-2016-072448
CASE TYPE: Water Sample WORK CLASS: Multiple Different Samples
SITE ADDRESS: 6629 LOVE POINT RD, DENVER NC 28037
Applicant BARBARA BUFF, 6585 LOVE POINT RD, DENVER NC 28037
C:828308394I
** NO PEOPLESOFTACCOUNTASSIGNED **
Contact Person WEST NORMAN REAL ESTATE, 756 N 16 HWY, DENVER NC 28037
C:7044003448 SGDONALDSON@BELLSOUTH.NET
BELLSOUTH.NI T
receipt 05/16/2016 1626 Page 1 of I
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4T d _, North Carolina State Laboratory of Public Health P.O. Box 28047
.n s Laboratory 4312 District Drive
t e Raleigh, NC 27611-8047
` Environmental Sciences htto://sloh.ncpublichealth.com
�'�� 2�, Phone: 919-733-7308
¢tee , Inorganic Chemistry Fax: 919-715-8611
- -- Certificate of Analysis
Report To: Name of System:
CATAWBA CO ENVIRONMENTAL HEALTH BARBARA BUFF
P 0 BOX 389
6629 LOVE POINT RD
NEWTON, NC 28658 Courier#09-70-01 DENVER, NC 28037
EIN: 566001814EH
StarLiMS ID: ES052616-0026001 Date Collected: 05/24/16 Time Collected: 1:10 PM
Date Received: 05/26/16 Collected By: Robbie Phelps
Sample Type: Raw Sampling Point: Outside spigot Well Permit#: SAM-05-2016-072448
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 10 mg/L
Chloride < 5.00 250 mg/L
Chromium < 0.01 0.10 mg/L
Copper 0.07 1.3 mg/L
Fluoride < 0.20 4.00 mg/L
Iron 0.33 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 6.8 N/A
Selenium < 0.005 0.05 mg/L
Silver < 0.05 0.10 mg/L
Sodium 7.60 mg/L
Sulfate < 5.00 250 mg/L
Total Alkalinity 43 mg/L
Total Hardness 33 mg/L
Zinc 0.07 5.00 mg/L
Report Date:06/13/2016 Reported By: Deddie✓/tonCOI
RECEIVED
JUN 16 2016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
Page 1 of 1
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Private Well Information
human services and Use Recommendations
nc department
of health and
For Inorganic Chemical Contaminants
;4;; ": + a`-.J, -l e a i-..aq�NY ':a t ,7-:y �.w
County: Catawba Name: Barbara Buff
Sample ID#: 72448 Reviewer: M. Cash
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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 I '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 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 minute sample at the well head to determine the source of the
lead and/or copper.
6. Z 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 ❑pl-1 ❑Zinc
For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-590(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: Barbara Buff Sample ID Number: 72448
Location: 6585 Love Point Rd. Denver. NC 28037
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.
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.
ICATAWBA COUNTY
,r .ti P O Box 389 -Newton, North Carolina 28658 -(828)465-8270 - Fax(828)465-8276 -TDD(828)465-8200
4'4"� Public Health - Environmental Health Division
1842 c.
BARBARA BUFF 6/17/2016
6585 LOVE POINT RD
DENVER NC 28037
REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY
Property Address: 6629 LOVE POINT RD, DENVER NC 28037
WATER ANALYSIS
This certifies that a sample of drinking water was taken from the above address on 05/24/16
and examined under laboratory number SAM-05-2016-072448. 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
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