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HomeMy WebLinkAboutSAM-05-2016-072448.TIF $A � Case a SAM-05-2016-072448 fire 4 c:t, CATAWBA COUNTY HEALTH DEPARTMENT ti " ePe Environmental Health Section /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 (l ���� ��iifl� iEPTAE Fces'I,IIhIR�9'D��'r` 16�Ililiiil�Ili'9nllilllilil�Hl!ilii'l� �11IIIIkGI `Slhdlll111111102s7 60 91 I Il° 17`! V R1 ihaIIWLit2u, 1",f1101111111111 i10lallill illitilifi �,�:IIhJ4G +.iilhiI;IIPJIIA(WIIOIIAIIWiuI rsamapplication 5/16/2016 Page 1 of 2 . . 05/16/2616 13: 11 7044334111 PAGE 01/61 S 1 Yid 11 '■ ��� 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 /� � ppI� fd� Qed;+ Cd 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- 1� d�• . l 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" aPubUUC: . 8°Health '" :; ' �A � CATAWBA COUNTY /y , IQUA SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT d mrm '211V r a PHONE: 828.465.8399 U ‘ ....,It.tii v9 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 ( \ } 2 ( } f2 { . m = & / 3•';19 A ° G ~ 3 co tri tn co \ ' \ % \ o @ / , - r » ; Ui - � : % ° ) 2 ( _ 7 .40 t: : ( - � � c ? } { \ \ \ k ; | 2 G ! , s : + f \ Cr : ; CA } § \ ( / \ 'Fie cc\} I » \ / >. \ Q® r � ^ f , _ f e CI Z \ • A C \ \ \ tit » § — 2 % rg ® 2 / 0 1 _ _ - 0 '� Cl r- c / / , ) } § • - m -C % ! » % g r 2 : ! ® ( \ \ { / ? \ � � 2 / ` 2 ` c ri,\ § � / - / I / / � 1 { C / 4 \ / rr iK / / \ R 2 I S < < • 16>( 3 3 \J / - d, " 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 Elf gPrT."I'Z'A• ,7cfim K, >;3P9tr o . A, -`' "a 4.' i 4 ;t a'c ,r e sr ,;.. -.cc N� .04 T } H 4 -k Y ,C ,u ,-,p Ri ` O,5` L l 'N�`C r�A ..r ..,vt,, ., 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 iT z''ia»''.`xa.. V-..vk-F.a`r2".,.'L"d�"'z.`� . mknmi47d`" °': ..'c � a ,fir r.:'?➢;33 m�...:Ri ' ',.±.} '..:3. "�.a.5. ,"_ k...,,a`�a +�tt�...�,. ',F.'i. ,' 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 as :t t. 1 O P 4� Lam(m� •. fi i t t ooa�21 "Keeping the Spirit Alive Since 1842!" GREATER HICKORY ';mint J'� METRO E9-rsamwatersampleletter 6/17/2016 Page 1 of 1