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HomeMy WebLinkAboutSAM-07-2016-074655.TIF �$A. ( ,Case# SAM-07-2016-074655 �`C 4 1 CATAWBA COUNTY HEALTH DEPARTMENT K Enviv� 1 s ronmental Health Section 18 42 sM 07/18/2016 WATER SAMPLE APPLICATION Applicant NOAH CROUSE, 1915 MCREE RD, NEWTON NC 28658 C:8284551812 NTCO I @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 Type of Well Ell! H1 U Drilled' 13 Is the well on this same property? ( Ye'_s k Is outside spigot available to collect sample? [ eSAL t Is power on? fl1jYgs i`' Has well been tested before? rianieb _ „ Results Prese it frr Colltf—o„rr_i sl L B, �1--u 1119, gr Does the plumbing come out the top of the well through a sanitary well seal? Unknown 1. Does the well ever become cloudy or has there ever been a problem with taste and/or odor? D!1Y,es;fl1 f Expl alll EIDUfty.Slii4ll3dlinli!u, V11�i1T1 1lilii0 u 6.: '•r 9tl Jl kills �1;k'liikillllylim:9 III P:5- i C7715p ^I ilk ,I;-°ty i.,I Does the well top extend twelve (12) inches above the ground or well slab? The well is in: [ii il�`.STI Front allkf I Does this well supply water to more than one home? f,EN_o' 11 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 1/,57I� Signature or Owner or Agent — Area 2 !f j—777— a.Iif11 "" . 0fifi 7 1111171:7 fro lirli N1iFEE1DESCRIRTIONc , I ,! DATE 1II FEE;AMOUNT' y Bacteriological Sample Fee 07/18/2016 S58.00 " y 13,g7 (TOTAL FEEs ' .I.,,ll Ill �I t;i4 l / tll ul .,858.00 1��• ii 1IllIitillli:. L 1 - z1 IIIii 4,.1 1∎:, I!� k ��k i"lkul � till-PTA .ILI'`'IiL,d9l -Le:a.u... Pi lilloalitladj. .,wlddiii.:_ ,.. y.4LE11LL. G rsamapplication 7/18/2016 Page 1 of 2 '` \ t Catawba County Public Health COUNTY mnrmn^,^ www.catawbacountync.gov/environmentalhealth gC6 h "+ Environmental Health North carmine P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 Phone (828) 465-8270. Fax (828) 465-8276 1 II� / Water Sample Application Sample Requested By 0O0k C01,15 e_ rr Home Phone (523 V53 113 12 Property Address Vii .�clztc rc NEalx NCzg6< BuusinessPhone Mailing Address (9) 412« fe ,A cwie''l NL 206 S8 Driving Directions Sample Requested: Bacteriological Inorganic Chemical Other Sample reason: lOcI A Type of Well: Drilled Bored /Dug Other Is the well on this same property? Yes ✓ No / Is outside spigot available to collect sample? Yes V No Is power on? Yes '� No Has well been tested before? Yes No Unknown Results I aS. hf 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 V No Explain (ot�y / Does the well top extend 12 inches above the ground or well slab? Yes No Unknown The well is located in front V7 rear left side Zght side of the house. Does well supply water to more than one home? Yes No Date —7/Y/6 Signature of Owner or Agent /%liw.e ®p g�p►�7� "Leading the Way to a Healthier Community" ° ublic 1 ,\ /�, a ` °`q Z c Q Health r + 1 : ° , '68 Health +: - II. ¢ • Y'A CATAWBA COUNTY ,,c, IOOA SOUTHWEST BLVD LT/ NEWTON, NORTH CAROLINA 28658 RECEIPT Ci--gr PHONE: 828.465.8399 l Monday, July 18, 2016 \1842 srt www.catawbacountvnc.gov PAYOR: Crouse, Noah PAYMENTS TRANSACTION NUMBER: TRC-73 9202-1 8-07-20 1 6 PAYMENT DATE : 07/18/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330563 Bacteriological Sample Fee 558.00 TOTAL PAYMENTS : 558.00 SAM-07-2016-074655 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 NTCO I a AOL.COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 07/18/2016 11105 Page 1 or 1 4$A C Case# SAM-07-2016-074655 is #� C:2 CATAWBA COUNTY HEALTH DEPARTMENT \ _ lw� / '2, 4 Environmental Health Section i /842 sM 07/25/2016 WATER SAMPLE FIELD REPORT Applicant NOAH CROUSE, 1915 MCREE RD,NEWTON NC 28658 C:8284551812 NICO I a AOL.COM Site Address: 1915 MCREE RD, NEWTON NC 28658 Name of Project: Parcel Number: 374016942506 Lot: Block: Specific Directions East NC Hwy 16 from Newton, Cross over Hwy 10, Right onto McRee Rd before you get to Mt Olive Church Rd. House is the 3rd on the right, Brick Ranch House# is on mailbox. Initial Collected by: S )elgA �yt'. Date/Time Sampled: Zi eK 7/24 • Type of Sampling Point: t&id( i'lCc-cli Well New or Existing? New Existing X Type of Well: Drilled Bored A Dug Spring City Does well meet adequate construction standards from what can be observed: Yes I 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 owner notified that well does not meet adequate construction ? Yes No Date of Notice: UVit diLfte4.Ics 4-0 N ow' Eiji E9 - rsamfieldreport 7/25/2016 Page 1 of 2 $A C' „, case tt SAM-07-2016-074655 f'�� � CATAWBA COUNTY HEALTH DEPARTMENT U '''Ors ` ' Environmental Health Section 1842 so 07/25/2016 WATER SAMPLE TEST RESULTS Applicant NOAH CROUSE, 1915 MCREE RD, NEWTON NC 28658 C:82845518!2 NTCOI@AOL.COM Site Address: 1915 MCREE RD, NEWTON NC 28658 Name of Project: Parcel Number: 374016942506 Lot: Block: Lab Coliform Analysis Results: Total Coliforms: c,&tO K- Fecal /E. Coli: c2_ X No Collection Datc Over 30 hours old Invalid Results: Excessive turbidity_ Excessive Chlorine Lab Accident Lab Tech Initials ee(u.e. Date/Time Received °lid 5/a0ie it" Date/Time Completed e ?folio/at/i. t V5g E9 - rsamfieldreport 7/25/2016 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: Noah Crouse Sample ID Number: 74655 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 arc 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. 11ACATAWBA COUNTY U �ll�r C P O Box 389- Newton, North Carolina 28658 -(828)465-8270- Fax(828)465-8276-TDD(828)465-8200 '" i" Public Health - Environmental Health Division 1842 sM NOAH CROUSE 7/28/2016 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 07/25/16 and examined under laboratory number SAM-07-2016-074655. 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 Steven Price (828)320-3079 Environmental Health Specialist .fid 9P '413/40.N �r�. L It'J3oPBp: ' ira "Keeping the Spirit Alive Since 1842/11 a {+`` HICKORY'�m�a`O' METRO E9-rsamwatersampleletter 7/29/2016 Page 1 of 1