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Case tt W ELL-10-2020-139768
�� CATAWBA COUNTY HEALTH DEPARTMENT
., 05
® ,,�, Environmental Health Section
1$[}?. sM 02/13/2023
WATER SAMPLE FIELD REPORT
Applicant STEVE CANNON,5500 DEER RUN CT,DAVIDSON NC 28036^�
C:7047064645
Land Owner BRYON COOKE HEIRS,PO BOX 249,TERRELL NC 28682
Owner THOMAS NORWOOD,404 N LAUREL AVE 20,CI IARLOTTE NC 28204
Site Address: 4955 SURFWOOD DR,SHERRILLS FORD NC 28673
Name of Subdivision: MOON LITE BAY
Parcel Number: 460604843059
Driving Directions Hwy 150,L on Slanting Bridge,L on Vista View.L on Surfwood,Lot on Left
Sample Collected by: a„1` e.c3 DatefTime Sampled: V 21/23 Ix 05 itt M
Sampling Point: a„ "P e- l&F
Is well head accessible? Yes / No Reason for inaccessibility
Well New or Existing? New / Existing
Type of Well: Drilled 1/ Bored Hand Dug /Punch
Does well meet adequate construction standards from what can be observed: ✓ Yes No
Items of non-compliance: Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
Well head not term at>= 12"above finished grade
Well head missing vent
Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
Comment:
rsamfieldreport 02/13/2023 12:34 Page I of 2
�$A C� Case# WELL-10-2020-139768
� CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
1$4 Z sM 02/13/2023
WATER SAMPLE TEST RESULTS
Applicant STEVE CANNON,5500 DEER RUN CT,DAVIDSON NC 28036
C:7047064645
Land Owner BRYON COOKE I IISIIRS. PO BOX 249,TERRELLNC 28682
Owner TI IOMAS NORWOOI).404 N LAUREL AVE 20,CI-IARLOTTE NC 28204
Site Address: 4955 SURFWOOD DR, Sl WERRILLS FORD NC 28673
Name of Subdivision: MOONLITE BAY
Parcel Number: 460604843059
Lab Coliform Analysis Results: Total Coliforms: C\ Imo' 111— Fecal/E.Coli: C\Writ
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab'l'ech Initials Date/Time Received OP"i())1•+b{t 1010 Date/Time CompletedM 79`•9 `t 0 4
RECEIVED
FEB
Environmental Health
rsamtieldreport 02/13/2023 12:34 Page 2 of2
Analytical Results r STATESVILLE
ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 02/22/2023
Reported: 02/23/2023
For: 10-2020-139768: Steve Cannon, 4955 Surfwood Dr
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
230222-34-01 Nitrate 139768 14.3 mg/L 3532 02/22/2023 CL
230222-34-01 Nitrite 139768 <0.1 mg/L 353'2 02/22/2023 CL
Respectfully submitted,
i9 Q,0_, - ./�Z (/&_)
Melissa Myers UU
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
.t. STATISYi!J_E
�aNAt7TIt:AL
122 Court Street Statesville,NC 28677
704-8/24697 tiYww•_A-Qc..,corn
NITRATFJNITRITE AN AI 1'sis
AL,rf•;-r,t<rube e<wee . . .
-
NA.1 LER SYS'I E11 ID t): ( 0 - ),°`.-) - (59 r)(.;p (aunt.; Catawba
Name of Water S)stcm: 3.(".?v e. C 0.r,r, lh _ ...
Sample T)pc: L7 F'ntr Point IgSpeciarSon-compliance
t� �l3 '',.1 `-r!_.j he Jka re: l+s r,r,,,./ NC ,9a?3
Location H here Collected: ,: >!._
Facility ID No. 1311 '?C'•Y
Sample Point: l.. P Collection Dale Collectiun'Ihue
pet
Collected R): _ • ___ [-... —
Mail Results to Iwater s)stcnt reprt entatise):
CATAWBA COUNTY PUBLIC HEALTH t'h,!ne u: (828)465-8270
ENVIRONMENTAL HEALTH Fax„. (828)465-8276
,
PO BOX 389 Responsible I t.6,r,'...Mil.
•
EHAdmin@catawbacountync.gov
NEWTON, NC 28658
I,:Alil)RA I OR1 II)a: 37755 n SAMPLE t NSA ht sCIORY 0 kI s t+1Ft I Rtt1t Jul rl
t"N'A•• Cll`T.A;LMINAS1 ntt:Tttr�0 R IIitIl\l,11.tiI _. • R K: , ...
i�,:)F ((MI' (it ?tv , :N.
1040 Nitrate 153.2 I.00 mglt. Jy•..5__._ nil 1000 mg I
I03 i Nitrite qt2 0.10 mg'I. I s ''!t' I 100 mg I
'''sutc II.result cccecds allowable limit.the laboratory must Lit srt.r}u.,!I rt.,.i,:,I, the'?.u, ov ,1.,,, I,.,•., :I•.r:n'
_. UYIF: _ IIMI:
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j(= 1• Certified Bs:
( c1l%ENTS:_._ _.
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f P4bi!c K'ur...1p.;:.Section.A"n t ra I rIn.:614 SicI sien,:c Center,Rale,aa.\t:27099-it'
14
Fat.914'1,16617
PO Box 228 • Statesville, NC 28687 • 704/872/4697
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: Thomas Norwood Sample ID Number: 139768
Location: 4955 Surfwood Dr, Sherrills Ford NC 28673 Reviewer: Megen McBride
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 your water sample. Total Coliform are a group of related
bacteria that are (with few exceptions)not harmful to humans. A variety of bacteria, parasites, and
viruses, known as pathogens, can potentially cause health problems if humans ingest them. EPA considers
total coliforms a useful indicator of other pathogens for drinking water. Total coliforms are used to
determine the adequacy of water treatment and the integrity of the distribution system
It is recommended that your well water 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.
N 0 R T H C A R 0 L I N A
STATE ry`0,„ Private Well Information
ti)!J .,.
•
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Thomas Norwood—4955 Surfwood Dr, Sherrills Ford NC 28673
Sample ID#: 139768 Reviewer: Megen McBride
TEST RESULTS AND USE RECOMMENDATIONS
1. ❑ Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking, washing, cleaning, bathing, and showering based on the inorganic chemical results on(v. You may
have other water sampling results that are not taken into account in this report.
2. ® The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking, unless you install a water treatment system to remove the circled substance(s). However, it may be used for
washing, cleaning, bathing and showering based on the inorganic chemical results only.
❑ Arsenic n Barium n Cadmium ❑ Chromium ❑ Copper n Fluoride n Iron
❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ®Nitrate/Nitrite ❑ Selenium ❑ Silver
❑ Zinc
3. ❑ While your lead levels do not exceed federal or state standards,the North Carolina Division of Public Health has
concerns with any detection of lead. Should you have any questions please contact the NC Private Well and Health
Program at(919) 707-5900.
4. ❑ Re-sample for lead and/or copper. Take a first draw and 30-second flush sample inside the house (preferably the
kitchen sink) and a first draw and 4 minutes flush sample at the wellhead to determine the source of lead and/or copper.
5. ❑The following substance(s) exceeded aesthetic drinking water standards. Your water can be used for drinking,
cooking, washing, cleaning, bathing,and showering based on the inorganic chemical results on(v, but aesthetic problems
such as bad taste, odor, staining of porcelain, etc. may occur. You may want to install a household water treatment system
to address aesthetic problems.
❑ Chloride n Copper ❑ Fluoride El Iron ❑ Manganese
❑ pH ❑ Silver n Sulfate n Zinc
6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium-restricted
diets not use this water for drinking or cooking. It may be used for washing, cleaning, bathing, and showering based on
the inorganic chemical results on(v.
❑ b. Your sodium level exceeds 30 mg/1 and may pose aesthetic issues such as bad taste, odor, staining of porcelain, etc.
7. ❑ Re-sampling is recommended in months, to reinvestigate
For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.
Nitrate, _ .
Nitrite &
PRIVATE WELLS
. ,.
What is nitrate and nitrite?
Nitrate and nitrite are nitrogen compounds,with nitrogen,
a natural gas,bound to oxygen.Nitrate and nitrite are What level of nitrate and nitrite
found in water,air,soil,and rocks deep underground. should I be concerned about?
Nitrate and nitrite are used to preserve food,in medical The NC Department of Environmental Quality developed
drugs and to produce ammunition and explosives.Nitrate a groundwater standard of 10 milligrams of nitrate per liter
is used in most inorganic fertilizers. of water(mg/L)and 1.0 milligram of nitrite per liter of
water(mg/L).Ground water standards are developed to
protect public health.This standard was developed in 2013.
How does nitrate and nitrite
get in my private well water? The US Environmental Protection Agency used the same
values for public drinking water standards.Public drinking
Nitrate and nitrite can enter your private well water from water standards are based on public health protection and
erosion of rocks underground and leaching from soil into cost of treatment/testing at large utilities.These standards
groundwater.Rain may wash out nitrate and nitrite from were developed in 1992 and validated in 2017.
animal waste and nitrogen containing fertilizers at the
surface to groundwater.
How do I test for nitrate and
How can nitrate and nitrite
nitrite in my private well?
affect my health? Use a certified lab to test your well water for nitrate and
nitrite every two years,as part of the inorganic panel
Nitrate and nitrite are sources of nitrogen for your body. screen.Contact the private well program at your county
Nitrogen is a major part of proteins and deoxyribonucleic health department to assist you with getting your water
acid(DNA).However,drinking high levels of nitrate and tested.Pricing of testing varies from county to county.
nitrite may cause adverse health effects.You can't smell,
taste or see nitrate or nitrite.
What if my nitrate and nitrite
Drinking high levels of nitrate and nitrite can lead to levels are high?
decreased oxygen transport throughout the body.
This may cause: If there are infants or pregnant women at the residence,you
• Decreased blood pressure can install a treatment system to reduce the levels of nitrate
• Increased heart rate and nitrite in your private well.Treatment systems that reduce
• Headaches the levels of nitrate and nitrite in your well water include:
• Vomiting • Anion exchange
• Stomach cramps • Distillation
Pregnant women and infants less than six months of age
• Reverse osmosis
are very sensitive to nitrate and nitrite toxicity. You can also reduce your exposure by using bottled water
or connecting to public water supply,if possible.
Percent of Private Wells Tested Exceeding State Itiff - ``
and Federal Standards for Nitrate, 2011-2013 f „ rW� �� ier
tilizeirtitto4 ,414
ar r :�hr T
„,
Aidorikak
ithmip.
vie
Percent of Private Wells Tested Exceeding State "AIM — ■4.11144111111111111211411114
maiwa
and Federal Standards for Nitrite, 2011-2013 �► am=AI Ilk OR
illy 1�''y i i 407.441
- >25%exceeded health standards > 1�
10-25%exceeded health standards i
<10%exceeded health standards 4W
0%exceeded health standards Nr
Insufficient data(<10 wells tested)
Where are nitrate and nitrite There you can find:
found in NC? • Contacts for your county private well program
• Nitrate and nitrite in well water maps
Nitrate is found at varying levels(1-97 mg/L)throughout • A guide for selecting a treatment system
NC.Less than 1%of wells sampled for nitrate in NC from • Other private well resources
2011 to 2013 exceeded state and federal standards.Yet,
there are several areas in NC with at least 10%of the wells You can also call the Private Well and Health Program
at 919-707-5900.
exceeding state and federal standards.See map for areas
with elevated nitrate.
Nitrite is found at varying levels(0.1-2.1 mg/L)throughout Where did this information
NC.Less than 1%of wells sampled for nitrite in NC from come from?
• 2011 to 2013 exceeded state and federal standards.Yet, Agency for Toxic Substances&Disease Registry:
there are several areas in NC with at least 10%of the wells www.atsdr.cdc.gov/toxfaqs/tfacts204.pdf
exceeding state and federal standards.See map for areas
with elevated nitrite. World Health Organization:www.who.int/water
sanitation health/dwq/chemicals/nitratenitrite2ndadd.pdf
Where can I find more National Sanitation Foundation:www.nsf.org/consumer-
resou rces/what-is-n sf-certification/water-fi lters-treatment-
information about nitrate and certification/contaminant-reduction-claims-guide
nitrite and my well? Water Quality Association:www.waa.org/Portals/0/
Visit the NC Division of Public Health's Private Well and Technical/Technical%20Fact%20Sheets/2014
Health Program website:http://eoi.publichealth.nc.gov/ NitrateNitrite.pdf
oee/programs/wellwater.html.
""' y NC Department of Health and Human Services•Division of Public Health•Epidemiology Section•Occupational and Environmental
Epidemiology Branch• Private Well and Health Program•httos://eoi.oublichealth.nc.gov/oee/programs/wellwater.html•NCDHHS is an
,�Fi: N•.aco.•r�xa equal opportunity employer and provider.•09/2019
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