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
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N1iFEE1DESCRIRTIONc , I ,! DATE 1II FEE;AMOUNT'
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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��•
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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
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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
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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
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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
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