The URL can be used to link to this page

Home My WebLink AboutSAM-06-2016-073128.TIF $A Cases SAM-06-2016-073128 cy j 4 �� CATAWBA COUNTY HEALTH DEPARTMENT ► Y Environmental Health Section • 84en I$4 Z sM 06/06/2016 WATER SAMPLE APPLICATION Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7046585288 Contact Person CANTELMI & ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCANTELMI@BELLSOUTH.NET BELLSOUTH.NET Site Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 SELECTED SAMPLES Bacterial Name of Subdivision: Parcel Number: 462802570040 Lot: 2 Block: Specific Directions Description: Bacteriological Only Reason for Sample:Required for sale of home. Concerned buyer. Type of Well Mj ll.I. Drilled II81lUili1,.11 Is the well on this same property? III! Yee Is outside spigot available to collect sample? Liaienla Is power on? HMV°Yes,' Has well been tested before? INi1 lVYes,: ! Results Does the plumbing come out the top of the well through a sanitary well seal? ;-Unknown Does the well ever become cloudy or has there ever been a problem with taste and/or odor? gril No Explain Does the well top extend twelve(12) inches above the ground or well slab? illW.!YesN The well is in: notonom Front�r � '"'.•." Does this well supply water to more than one home? .Nol�iu�n! 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 ((t ( 0 Signature or Owner or Agent ( t ma_ Area 1 +tr1EE 1 F CRIPTIIIONI .,'hifllki,!A ,±!!� I ",��'t'i1I '(ha!l��JDATFII j„,,,7gplll!�IIJ�jFF E�.AMOUNT7 -1l"� III h�,��Il Bacteriological Sample Fee 06/06/2016 $58.00 l mR �'��' 's" h ._ SIII'llV.�4'q ,cU'I"q"1l"lill�lJ 1"` ' , ��Bp,iI�IN�� " I I TOTAGFEES �ilnthil,��l�{I,�, ,xl�llli,,u �I��IfIII16,Ffa..S�800;Ii �t unl'l[h ., .o.nni IIRDWO innis ,n , to,o iu rsamapplication 6/6/2016 Page 1 of 2 iMall70/17 It i,Print+Form'&' CALl A; ; 1, '�`; Ax, Catawba County'Public Health" °' COUNTY - 0,tµ'• .4 www.catawbarountync.gov/environmentalhealth +.- ZdAU ' " rVHMrotut�i o iia North;; Epvronm e ntal Health P.O. Box 389; 100-A.South West Blvd.,Newton, NC 28658 . Phone (828)465.8270.Fax(828) 465-8276 ,tom L rte/ Water Sample Application Dennis-Lee home owner and Agent Linda Cantelmi, call agent for payn,ent704-562-1617 Sample Requested By Home Phone, Property Address 9482 Bayleaf Lane Business Phone.704-6558-55288 Pea/5- Mailing Address 9482 Bayleaf Lane Sherrills Ford, NC 28673 Driving Directions Sherrills Ford Road (R) Island Point Road, slight left onto Bayleaf; • Sample Requested: iBacteriological Inorganic Chemical Other Sample reason: . Type of Well: Drilled X Bored Dug Other Is the well on this same property? Yes X NO Is outside spigot available to collect sample? Yes X No Is power on?' Yes X No Has well been tested before? Yes .X No Unknown_ Results Does,the,plumbingcome-out the top of the well through a sanitary well seal?- Yes No Unknown Does the water ever become cloudy,or has there ever been a problem with taste,onodor? Yes No X Explain Does the well top extend 12 inches above the ground or well slab? Yes. • No Unknown The well is located in front.X_. rear left side right side of the house. Does well supply water to more than one home? Yes No-X Date 6/62016 Signature of Owner or Agent — "Leading the Way,to a Healthier Community" u =riPublac � �°Heal$h � � � �M �1 11 a �'A CATAWBA COUNTY �� 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT rau- °!SI PHONE: 828.465.8399 U '4 ,-, � v��. C Monday,June 6, 2016 1842 sm www.catawbacountync.gov PAYOR: Lee, Dennis PAYMENTS TRANSACTION NUMBER: TRC-686631-06-06-2016 PAYMENT DATE : 06/06/2016 PAYMENT TYPE: Credit Card payment by phone via Linda INVOICE NUMBER FEE NAME FEE AMOUNT 06-16-329072 Bacteriological Sample Fee $58.00 TOTAL PAYMENTS : $58.00 SAM-06-2016-073128 CASE TYPE: Water Sample WORK CLASS: Bacterial SITE ADDRESS: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7046585288 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Contact Person CANTELMI&ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCANTELMI@BELLSOUTH.NET BELLSOUTH.NET receipt 06/06/2016 12:28 Page 1 of I �$A Case ti SAM-06-2016-073128 4 ,t G 7 CATAWBA COUNTY HEALTH DEPARTMENT v1�oa Environmental Health Section /842 SM 06/14/2016 WATER SAMPLE FIELD REPORT Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7046585288 Contact Person CANTELMI & ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCANTELMI@BELLSOUTH.NET BELLSOUTH.NET Site Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 Name of Project: Parcel Number: 462802570040 Lot: 2 Block: Specific Directions Sherrils Ford Rd, Island Point Rd, Slight Left onto Bayleaf. House is at the end of the Road. / Initial Collected by: _ t ,a5/ Date/Time Sampled: 6414 o 2700 p IV Type of Sampling Point: e�, Well New or Existing? New Existing K Type of Well: Drilled / ` Bored Dug Spring City Does well meet adequate construction standards from what can be observed: X Yes No Reason for non-compliance: Defective vveIl 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 6/14/2016 Page 1 of 2 -y,A CCase tt SAM-06-2016-073128 H5 , r 4 � CATAWBA COUNTY HEALTH DEPARTMENT C ►• Environmental Health Section 0 /8 4'1 '06/14/2016 WATER SAMPLE TEST RESULTS Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7046585288 Contact Person CANTELMI & ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCANTELMIaBELLSOUTH.NET Site Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 Name of Project: Parcel Number: 462802570040 Lot: 2 Block: Lab Coliform Analysis Results: Total Coll Forms: P" ' ' Fecal /E. Coli: A I I No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials N Date/Time Received OI I MI I I L Date/Time Completed0119 1611Q))1Q) [OM Q4 RECEIVED JUN 16 2016 CATAWBA COUNTY ENVIRONMENTAL HEALTH E9 - rsamfieldreport 6/14/2016 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: Dennis Lee Sample ID Number: 73128 Location: 9482 Bayleaf Ln., Sherrills Ford, NC 28673 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. $A ICATAWBA COUNTY Uo �4 '.0 P O Box 389-Newton,North Carolina 28658-(828)465-8270 - Fax(828)465-8276-TDD(828)465-8200 842 M Public Health - Environmental Health Division DENNIS LEE 6/17/2016 9482 BAYLEAF LN SHERRILLS FORD NC 28673 REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY Property Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 WATER ANALYSIS This certifies that a sample of drinking water was taken from the above address on 06/14/16 and examined under laboratory number SAM-06-2016-073128. 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 On 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 Mike Cash (828)320-3067 Environmental Health Specialist e�� k N III gs.oa � � "Keeping the Spirit Alive Since 1842!" GREATER 4143rtec as HICKOR Y m METRO E9-rsamwatersampleletter 6/17/2016 Page 1 of 1