HomeMy WebLinkAboutWELL-04-2020-130998.tif Case# WELL-04-2020-130955"
f•,� "'t" CATAWBA COUNTY HEALTH DEPARTMENT
sir Environmental Health Section
I8 42 s►n 06/29/2023
WATER SAMPLE FIELD REPORT
Applicant CAROL GRAHAM, 178 ELIZABETI I HEARTH RD,MOORESVILLE NC 28115
H:7046636337C:7046772093
Site Address: 8511 SYLVAN DR,TERRELL NC 28682
Parcel Number: 461602570766
Driving Directions 150 East,right Kisers Island Rd,2 miles to Sylvan Dr,right 3rd house on left
Sample Collected by: DA) f k\r I/A, l.(CAA Date/lime Sampled: 0')/I V2 3 /0:OO A PI
Sampling Point: rat 101-p
Is well head accessible? Yes V No Reason for inaccessibility
Well New or Existing? New V Existing
Type of Well: Drilled ✓ Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: trYes No
Items of non-compliance: Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
Well head not term at>= 12"above finished grade
Well head missing vent
Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
Comment:
rsamficldrepon 06/29/2023 14:00 Page I of 2
LCase# WELL-04-2020-130998
(i31 `f' CC. CATAWBA COUNTY HEALTH DEPARTMENT
0 Al
Environmental Health Section
I8 42 sM 06/29/2023
WATER SAMPLE TEST RESULTS
Applicant CAROL GRAHAM, 178 ELIZABETH HEARTH RD,MOORESVILLE NC 28115
H:7046636337C:7046772093
Site Address: 8511 SYLVAN DR.TERRELL NC 28682
Parcel Number: 461602570766
Lab Coliform Analysis Results: Total Coliforms: a 9W(1+. -v-4. jib_
Fecal/E.Coli: C i 1
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
1."72
I.ab Iech Initials IN` Date/ Time ReceiN ed 01.I l- in 400 Date/Time Completed 'I 1 00 IN
RECEIVED
JUL 137123
Environmental Health
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ew
Analytical Results , STATESVILLE
ANALYTICAL
gam`
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 07/12/2023
Reported: 07/14/2023
For: Caro Graham 8511 Sylvan Dr Terrel NC 28682
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
230712-22-01 Nitrate 04-2020-130998 6.99 mg/L 353.2 07/13/2023 CL
230712-22-01 Nitrite 04-2020-130998 <0.1 mg/L 353.2 07/13/2023 CL
Respectfully submitted,
J.
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
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PO Box 228 • Statesville, NC 28687 • 704/872/4697
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