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Home My WebLink AboutSAM-06-2016-073692.TIF $A ( case# SAM-06-2016-073692 � OG FY ', S 2 CATAWBA COUNTY HEALTH DEPARTMENT �� "�� svP �' Environmental Health Section /842 sM 06/20/2016 WATER SAMPLE APPLICATION Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 _ C:7046585288 _ Paid By CANTELMI &ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCANTELMI@BELLSOUTH.NET BELLSOUTH.NET Site Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 SELECTED SAMPLES Bacterial Name of Subdivision: Parcel Number: 462802570040 Lot: 2 Block: Specific Directions Description: Reason for Sample:Required for Loan Closing Type of Well D'iilled':,,sc n; :' Is the well on this same property? liateg1l' Is outside spigot available to collect sample? Kes;�" `� Is power on? BF tiYe:in Has well been tested before? 11111t1YO'NE Results Rosltrve�:Cohforrii$ ' n' l d ME Ai ;1175119 Does the plumbing come out the top of the well through a sanitary well seal? TLUP W_P IP. Does the well ever become cloudy or has there ever been a problem with taste and/or odor? (! I i NoltilA'== Explain Does the well top extend twelve (12) inches above the ground or well slab? I :P±Yes1 The well is in: CON31111110blit a,uALta151 Does this well supply water to more than one home? Fri Na7tw.`! 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 s ran a Signature or Owner or Agent As • I '.. a . wain- rasa aawas_uImwitm Area 1 FEDESCRPTIIONI ' .�jl�l4r,l IIld1,Y '1Ill DATE4j" IL: ji;;jIIFEEA 10 NT Bacteriological Sample Fee 06/20/2016 $58.00 1 , hr��I�,,,plirrTOTAIi FE ESIII i ' III' l Ill lll11111i!IIIIIhIIC�liIIl�n .L 44kljll�!HIIlI&Ilksss oo :1N�I�I�LI,Isi::' atag;tu4ligikl gti■ `9111116 'yy; NfillfitlCillIN IIIMM141ilt�IL.::r....l n1:uCIrP acid�' rsamapplication 6/20/2016 Page 1 of 2 C i i 'b �i �� ae a ,l Ri? i A\,. 11 'ir &\ ,t . } bl i c e`' ife '14k� �a .y. l l COUNTY ,Tni"""^!Bnatzne„„ p w cataw cou c. ,v -n ro mentalhealtl 'Cit�j :u ,� '`M,,, Envlan � rial t�� '1 North Orth curouna t Vey }�10 ,of ( e 8 .; Newton, NC 28658 Phone (828) 465-8270. Fax (828) 465-8276 7 Water Sample Application L Dennis Lee home owner and Agent Linda Cantelmi ''Z &42.1617 Sample Requested By Home Phone Property address 9482 Bayleaf Lane Business Phone 704-658-5288 7t.7.4,cs Mailing Address 9482 Bayleaf Lane Sherrills Ford, NC 28673 L. Driving Directions Sherrills Ford Road (R) Island Point Road, slight left onto Bayleaf, Sample Requested: Bacteriological )( 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 spigotavailable to collect sample? Yes X No Is power on? Yes X No Has well been tested before? Yes X . No Unknown Results Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown X 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 X No Unknown The well is located, front X rear left side right side -of the house. Does well supply water to more than one home? Yes No X Date a Signature of Owner or Agent (---.-- e---/-•- 554" "Leading"Leading the Way to a Healthier Community" i)ZPubUgc 4. ct t f1,°9leal b " , WtmJ € Katherine Harris From: L Cantelmi [Icantelmi @bellsouth.net] Sent: Saturday, June 18, 2016 7:25 AM To: Katherine Harris Cc: Dennis Lee Subject: RE: Well Disinfection Attachments: Scan0205.pdf Hi Katherine; Lee's have treated the well water and will be ready for a retest first of the week so we can close on this home. Mike Cash asked we contact you and Julia to get this expedited, since time is of the essence. Thank you in advance for your help. Linda From: Katherine Harris [mailto:KHarris@CatawbaCountyNC.gov] Sent:Thursday,June 16, 2016 3:48 PM To: 'Icantelmi @bellsouth.net' <Icantelmi @bellsouth.net> Subject: Well Disinfection Katherine Harris Administrative Assistant I Environmental Health Catawba County Public Health 100A Southwest Blvd Newton NC 28658 828-465-8270 828-465-8276 fax The information contained in electronic transmissions is confidential and may be subject to protection under the law, including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed.If you are not the intended recipient,you are notified that any use,distribution or copying of the message is strictly prohibited. If you received a message in error, please contact the sender immediately by replying to the email and delete the material from any computer. 1 CO CATAWBA COUNTY FT an a IOOA SOUTHWEST BLVD i" im NEWTON, NORTH CAROLINA 28658 RECEIPT vaVV ` PHONE: 828.465.8399 dD Monday, June 20, 2016 /842 sm www.catawbacountync.gov PAYOR: Cantelmi &Associates Cantelmi &Associates (Cantelmi, Linda) PAYMENTS TRANSACTION NUMBER: TRC-695487-20-06-2016 PAYMENT DATE : 06/20/2016 PAYMENT TYPE: Credit Card payment by phone INVOICE NUMBER FEE NAME FEE AMOUNT 06-16-329611 Bacteriological Sample Fee 858.00 TOTAL PAYMENTS : S58.00 SAM-06-2016-073692 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 Paid By CANTELMI &ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCAN ELMI a BELLSOUTH.NET ** NO PEOPLESOFTACCOUNTASSIGNED ** receipt 06/20/2016 09:32 Page 1 of 1 SBA ? Case If SAM-06-2016-073692 �� 'f i CATAWBA COUNTY HEALTH DEPARTMENT , gI"oj Environmental Health Section e►, 1842 sM 06/22/2016 WATER SAMPLE FIELD REPORT Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:70d6585288 Paid By CANTELMI & ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:70-15621617 LCANTELMI@BELLSOUTH.NET Site Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 Name of Project: Parcel Number: 462802570040 Lot: 2 Block: Specific Directions Sherrils Foul Rd, Island Point Rd, Slight Left onto Bayleaf. House is at the end of the Road. / Do Initial Collected by: Fe Date/Time Sampled: � �� y01., Type of Sampling Point: W4,0 Well New or Existing? New Existing t/ Type of Well: Drilled ✓ Bored Dug Spring City Does well meet adequate consi rile t nil sIn 11(1:)rds from what can be observed: ✓ Yes No 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 Opening in the well casing or cap Supply too close to source of potential contamination Notification: Existing well n,oner notified that well does not meet adequate construction ? Yes No Date of Notice: E9 - rsamfieldreport 6/22/2016 Page 1 of 2 6A CV Case ii SAM-06-2016-073692 'i" , CATAWBA COUNTY HEALTH DEPARTM ENT U ,4 1�elitr,l a,oi0 ,.� Environmental Health Section Ru�114 /842 SM 06/22/2016 WATER SAMPLE TEST RESULTS Applicant DENNIS LEE, 9482 BAYLEAF LN, SHERRILLS FORD NC 25673 C:7046585288 Paid By CANTELMI & ASSOCIATES, 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 C:7045621617 LCANTELMI rt BELLSOUTH.NET Site Address: 9482 BAYLEAF LN, SHERRILLS FORD NC 28673 Name of'Project: Parcel Number: 462802570040 Lot: 2 Block: Lab Coliform Analysis Results: Total Coliforms: a-Ial-AU Fetal / R. Coli: CO3,0-eiLt No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident �(�, � tfie° Lab Tech Initials �h Date/Time Received Ow uuiUP t*NJ Date/Time Completed obidD/dot�c Gam- RECEIVED JUN 2 4 2016 CATAVVBA COUNTY ENVIRONMENTAL HEALTH E9 - rsamfieldreport 6/22/2016 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: Dennis Lee Sample ID Number:_73692_ Location: 9482 Bavleaf 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.) 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. IICATAWBA COUNTY U limy ..c, P O Box 389 -Newton, North Carolina 28658 -(828)465-8270- Fax (828)465-8276 -TDD(828)465-8200 � 4Z Public Health - Environmental Health Division DENNIS LEE 6/30/2016 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 06/22/16 and examined under laboratory number SAM-06-2016-073692. 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 .GpmcAROr),:,,, J ~/ ' ! p . /H IM1 / \. ' 9h' "Keeping the Spirit Alive Since 1842!" �� 1 &IDI �I GREAT FR HICKORY 4i,,,�n.,pcGrll' METRO E9-rsamwatersampleletter 6/30/2016 Page 1 of 1