HomeMy WebLinkAboutSAM-06-2016-073907.TIF g,A C- Case# SAM-06-2016-073907
c` / . 1 y''6 CATAWBA COUNTY HEALTH DEPARTMENT
/vv<su ) Environmental Health Section
842 sm 06/24/2016
WATER SAMPLE APPLICATION
Applicant NOAH CROUSE, 1915 MCREE RD, NEWTON NC 28658
C:828455 1 8 12 NTCO I a AOL.COM
Site Address: 1915 MCREE RD, NEWTON NC 28658 SELECTED SAMPLES
Bacterial
Name of Subdivision:
Parcel Number: 374016942506 Lot: Block:
Specific Directions
Description: Bacteriological Only*
Reason for Sample:Loan Approval
Type of Well �'Ij,r.;tL 1Diiii&A=101ifdli Is the well on this same property? I t li;Yes7 1f
Is outside spigot available to collect sample? 1;Yes :i; Is power on? i�tlioes 34
Has well been tested before? t Unknown] Results
Does the plumbing come out the top of the well through a sanitary well seal? gillnkriown
Does the well ever become cloudy or has there ever been a problem with taste and/or odor? 01111W71
.9 7
Explain
Does the well top extend twelve (12) inches above the ground or well slab? " �,4
1 ( ) g UnkriowniU
TT61„ , nt
The well is in: [ IyFFrontl� ri!Na1iG7i;w
Does this well supply water to more than one home? FIZEICI61M.
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 C/zy�/
T • Signature or Owner or Agent fly
Area 2
I II FFF�DL''6'C..77-Er �i�f u;l __.— 7y�}7� nlV ti._ 1 "T 7:177E-77:1
11, 1 2IPTION 'V■„I!g,ii',y d,, ;,. DATEli(�I, li,l,# ,_ FEE,AMOUN
Bacteriological Sample Fee 06/24/2016 558.00
ty i11 T0TALFF ES Ll h16 '' ' 461y1W 'i �1 iii d 0s' $5800 ■
v� _ i‘
1
rsamapplication 6/24/2016 Page 1 of 2
r, P'rint F�ori*
CATA\ \ isA
Catawba County Public Health =Ku %
COUNTY �s� "* www.catawbacountync.gov/environmentalhealth
1 �;n4 Environmental Health
North Carolina P.O. Box 389, 100-A South West Blvd., Newton, NC 28658
Phone (828) 465-8270. Fax (828) 465-8276
Water Sample Application
Sample Requested By )\----/ Home���'"SQL Home Phone e-6 `/56 --( (?
Property Address lei/ / LI?cE re Business Phone
Mailing Address 161)5 •'b ``6, e i G
Driving Directions So I
Sample Requested: Bacteriological /Inorganic Chemical Other
Sample reason: i()co aJ)pcovc
Type of Well: Drilled `7 Bored Dug Other
Is the well on this same property? Yes 17-No
Is outside spigot available to collect sample? Yes ✓No Is power on? Yes 7No
VHas well been tested before? Yes No Unknown �/ Results
Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown
Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No /
Explain
Does the well top extend 12 inch es above the ground or well slab? Yes No Unknown/
The well is located in front / rear left side right side of the house.
Does well supply water to more than one home? Yes No
/�
Date /2 IX Signature of Owner or Agent /�f- q a2-...az-e—'
"Leading the Way to a Healthier Community"
3zPubU c .
°Health � �° sf
gA \ CATAWBA COUNTY
1 OOA SOUTHWEST ES"f BLVD
_ � NEWTON, NORTH CAROLINA 28658 RECEIPT
d, t,~ tG$ Ijl ~
PHONE: 828.465.8399
\\1vs b C
Friday, June 24, 2016
\8 4Z�sn
www.catawbacountync.gov
PAYOR:
Crouse, Noah
PAYMENTS
TRANSACTION NUMBER: TRC-702379-24-06-2016
PAYMENT DATE : 06/24/2016
PAYMENT TYPE: Credit Card
INVOICE NUMBER FEE NAME FEE AMOUNT
06-16-329825 Bacteriological Sample Fee $58.00
TOTAL PAYMENTS : 558.00
SAM-06-2016-073907
CASE TYPE: Water Sample WORK CLASS: Bacterial
SITE ADDRESS: 1915 MCREE RD_, NEWTON NC 28658
Applicant NOAH CROUSE, 1915 MCREE RD,NEWTON NC 28658
C:8284551812 NTCOI n AOL.COM
** NO PEOPLESOFT ACCOUNT ASSIGNED **
receipt 06/24/2016 12:42 Page 1 of 1
o
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: Noah Crouse Sample ID Number: 73907_
Location: 1915 McRee Rd. 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.
yy,3a
EQ. CATAWBA COUNTY
U :����$ P 0 Box 389 -Newton,North Carolina 28658 -(828)465-8270- Fax(828)465-8276 -TDD(828)465-8200
" ` Public Health - Environmental Health Division
/842 sM
•
NOAH CROUSE 7/11/2016
1915 MCREE RD
NEWTON NC 28658
REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY
Property Address: 1915 MCREE RD, NEWTON NC 28658
WATER ANALYSIS
This certifies that a sample of drinking water was taken from the above address on
06/30/16 and examined under laboratory number SAM-06-2016-073907, 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
I 9,t L`I�
ala a e a 9
lfzm: "Keeping the Spirit Alive Since 1842!" GREATER
" HICKORY
�memn � METRO
E9-rsamwatersampleletter 7/11/2016 Page 1 of 1