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HomeMy WebLinkAboutWELL-06-2021-152175.TIF 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: Catawba County Sample ID Number: 152175 Location: pump track well, Mountain Creek Park—6550 Little Mountain Rd, 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 a„u STiTf ryti;, •,r. � r Private Well Information� ..._ and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: pump track well,Mountain Creek Park 6550 Little Mountain Rd. Sherrills Ford,NC 28673 Sample ID#: 152175 Reviewer: IVlegen 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 only. 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 on(v. El Arsenic El Barium El Cadmium El Chromium El Copper El Fluoride El Iron El Lead El Manganese El Mercury El Nickel El Nitrate/Nitrite El Selenium El Silver ❑Zinc 3.El 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. El 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 only, 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. El Chloride El Copper ❑ Fluoride ❑ Iron El Manganese ❑pH El Silver ❑ Sulfate ❑ Zinc 6. 0a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of 20 mg/I.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. MEMORANDUM Le. � �' I c�— o?Od�oZ. TO: I P+OLfYI i� i/1 Caste � �t 11/4 171� 1\ n e �/tirll II SC k ' RD L ;c_ Ph e Ips System Name / Responsible Person/Person Contacted i. �2g — Sao- 3D �7 PP r3&X 3 System Phone II Mailing Address n3 e ab liM9,0 �Q an Nc ag‘s8 Wat r System S // City .... State�r /�rZip Cade FROM: (Jl/CA^. PJt, -SS7n✓1So/1 /O`�`Liln .F 1Cc 99 Name {/ /� Regional O ce Phone Abe s(�, / Public Water Supply Section Regional Office RE: Monitoring Requirements&General Information Transient Non-Community Water Systems The North Carolina Department of Environmental Quality has determined that your water system is a transient non-community • (TNC) public water system.Transient non-community public water systems are legally defined as a water system which serves at least 25 people (not necessarily the same people)for sixty or more days each year. It is not necessary that the water system furnish water for drinking, only that the water system is available for drinking, bathing, cooking, dishwashing or oral hygiene. Examples of TNC public water systems include churches, convenience stores, and restaurants.The items listed ' below were discussed with the above-listed Person Contacted. [ ] Testing requirements for TNC systems:what tests, how often and where they should be collected. • Coliform Bacteria:Collected quarterly from faucets such as a kitchen or bathroom sink. • Nitrate:Collected annually from the Entry Point identified below. • Nitrite:Collected one time from the Entry.Point identified below. SAMPLING SITE LOCATION AND CODE . Test: Sample Location Code: Location: 7� Nitrate/Nitrite E 0 1 (Entry Point) A E� / e!e • Coliform 2 Q L •1 ill - 00v1 • 11 002- / . n✓!S •. rN tc.rn • SAMPLE SITING PLAN COMMENTS: If you have further questions, please contact the Regional Office at the phone number listed above. ' White copy—Central Office Yellow copy—Regional Office Revised 8/2018 Pink copy—Water System TRANSIENT, NON-COMMUNITY WATER SYSTEM REFERENCE SHEET CERTIFIED LABORATORIES AND SAMPLE REPORTING: It will be necessary for you to contract with one of the North Carolina State certified laboratories on this website, https://slphreporting.ncpublichealth.com/Certification/Certifiedlaboratory.asp, to perform the required analyses.The selected laboratory will send you a sample collection bottle (sample kit)and a form, which you must complete each time a sample is taken.The water system number(either printed on the reverse side of this memorandum or it will be furnished later),type of sample, date collected and time collected must be included on the laboratory report form. Additionally, the sample location and location code (from the SAMPLING SITE LOCATION AND CODE section on the reverse side of this memorandum) must be included on the form as well. Contaminated samples will require additional testing. Your laboratory will send results of water sample analyses to the state and to you for your permanent records. Records of bacteriological analyses must be kept on-site for at least 5 years while Nitrate/Nitrite test results must be kept on-site for at least 10 years. Questions concerning testing procedures, contracts or forms should be directed to your laboratory. SAMPLING TIPS: • Follow the instructions provided by your laboratory and only use sample containers they provide. • Collect samples only from designated sampling sites. Sample taps should be clean and in good working order. • Remove strainers, aerators,vacuum breakers or hoses from the sample spigot prior to sample collection. Bacteriological Samples • Disinfection of the sample spigot with chlorine and/or alcohol is recommended. • Open cold-water valve and allow water to run freely for 5 minutes.Then adjust the flow until there is a slow, gentle and steady stream. • Handle the sample container and lid with care. Never touch the inside of the bottle or lid and do not allow water to splatter or splash into either. • Do not rinse out the container. Slowly fill the container to or slightly above the 100-milliliter mark and carefully replace the cap. • Sample analysis must begin at the laboratory within 30 hours. Nitrate/Nitrite Samples • Open sample spigot an allow water to run freely for 5 minutes. Then adjust the flow until there is a slow, gentle and steady stream. • Fill sample container and immediately store on ice. • Nitrite samples must be processed by the laboratory within 48 hours. Nitrate samples must be processed by the laboratory within 48 hours, or within 14 days for chlorinated water systems. WELL HEAD DETAIL: 1.Sanitary well Seal (required) DRILLED WELL 2. Insect-proof Casing Vent(downward opening&screened) 3.Check Valve 4.Sample spigot(with vacuum breaker if threaded)** 2N 3 4/ 5.Concrete slab extending 3 feet in all directions from well casing** **These items are required for systems that were installed After July 1, 1993 and are inspected by your local Health Department for food grade or lodging purposes. 1 Note: Detail is for a submersible pump setup and your well pump setup may be different.Your local Health 5 Department may have additional requirements. White copy-Central Office Yellow copy-Regional Office Revised 8/2018 pink copy-Water System ..>. C4--.�...:. .. "w:7'F..:1w �r.✓'t.4:'1.±; <,'.ey,. .. a;a..:+x.n-.tt:...n--, ::/ $ �. ,.:`".-_C. ._ +�.; .-. .. ^aC,r, ,•�,,o NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY 411 �- Public Water Supply Section , '� COMPLIANCE INSPECTION REPORT a . System Name: Moon 441n et&el�. Jf� +/Il�G' /G/M� //4C/�PWSID#: &C orn to . Owner: e444W44 a ,1441 #of Connections: . / A) �[ Address/Phone#: to ,boy /R9, s)e dD✓t , We n2 b'/"h Population: 9T Source: ❑Surface`ri Ground ❑goy type of System: o Community o Non-Transient,Non-Community i I n• / //+� /C ��S / ��'firansient ❑Adjacent _� _ � Responsible Person: ,(��7 /� y� ,L yam/ `J / r0- ry� '• Address/Phone#: 43 SGV L,/:/e ///Off /G'i � /1�i1. i /A'/i�// gel Aire at6„,, DEFICIENCIES/VIOLATIONS: Each item below is a deficiency/violation of the NCAC Title I5A Subchapter I 8C, Rules Governing Public Water Systems. • Rule / • n� Specifics• y • \ / f 1[� rt� 17,571-9.44 ' . \/ PICt/ t/4Oh. A . / - I . ACTION REQUIRED: , You are required to take all necessary steps to comply with applicable laws and regulations. The following corrective actions must be ken within t e time frame listed bel,o,((yyvv: (. 7f). /� (/�' -Merit ( �IooUef/' MOes 14 Cn//PC/144"fe/Pe /�/ �./ 4✓,04 m o rrir rr// Sff el "/e, Ili de" O/I r;14 T/�ern '/%f S Pry •en///re_t iz/r e4/' /V. aTR ,, )56i/1? /ram 4o/d►, /� /4Ja/� 7ia rai rt7 a n✓7e -14/Chit' iUifit//r %4'.ny7/e 7�iorrt tle ALM# #r/ A written response must be filed with the Regional Office once these violations are corrected. • NOTICE is given that this and any further violations may result in enforcement actions, including civil penalties. '. R COMMENDATION /COMMEN S: / J• I , c'e01et v +o pC I-AOT N.�'Tt3� 3-Ave"! /fl �Ae./' a1,,cee 7, on,$ . -AarTAr /A)e // cat✓4 /S" y eai/9,hor1 4, Stye 5 -ii1149 P/orJ �j e/� r.G/; ame and Signature of System Representative: Date: lime: kanm of inspector Agency/Office Region: Alpo rAer(////e. EVALUATION SUMMARY: • ��/17J7/�' �J •�/ S . / �j ❑ Significant Deficiency(ies) MvYsIC�' 10�/1Nso4 Telephone: / Ol/ 57 V �`/ 7 ❑ Minor Deficiency(ies) On-site action taken: /I1 Recommendation(s) Made -t71SPet /iO n / s 3/ eA ' 0 No Deficiencies/Recomendations I 75 `7/ Regional Files(white/original copy) Central Files(yellow copy) Owner(pink copy) Recipient(goldenrod copy) CI12-I01 Rev.8/18 RULES GOVERNING PUBLIC WATER SYSTEMS ❑ .0201 - Surface Supplies ❑ .0203 - Public Well Water Supplies - Site Approval ❑ .0305 - Contracting or Constructing before Authorization to Construct ❑ .0306 - Deviation from Approved Plans or Specifications ❑ .0309 - Operation Prior to Final Approval ❑ .0402 - Improper Well Construction ❑ .0403 - Surface Source Deficiencies ❑ .0404 - Water Treatment Facilities Construction • • ❑ .0405 - Storage of Finished Water ❑ .0406/.0900 - Distribution Systems ❑ .0407 -Electrical Systems ❑ .0409 - Service Connections ❑ .0502 - Design thr Source Under the Direct Influence ❑ .0600 - Raw Surface Water Treatment ❑ .0700 - Surface Water Treatment ❑ .0800 - Hydropncumatic Storage Tanks El .1000 -Disinfection ❑ .1200 -Protection of Filtered Supplies ❑ .1300 - Operation of Public Water Supplies ❑ .1400 - Fluoridation ❑ .1500 - Water Quality Standards ❑ .1600 - Variances & Exemptions ❑ .1900 -Administrative Penalties ❑ .2000 - Filtration/Disinfection SWT.R. ❑ .2100 - Operating Permits ❑ .2200 - Ground Water Systems rigarlywl6r."'"++., t.. - - . '"R"MR':..<ve+g•: 64. , e. ,avz. 011111 !i1i3i ' 4 }'A.K.. � -pm..: .• 9 ,. ryNo NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY 40411 , 45101 Public Water Supply 1 Section 4r,a COMPLIANCE INSPECTION REPORT System Name: fl be -f-4 ;A Ce,e � d' Is 5rIBC' r', It4C/PWS ID#: Ail('�0/6'[20 Owner: CCi ^ #of Connections: D Address/Phone#: i s•9' DN � g s-g• Population: &S.— Source: o Surface/Ground ❑Purchase Type of System: o Community ❑Non-Transient,Non-Community ff Responsible Person: � / h/ fe X e /,p...s ❑Adjacent __ _3077 Address/Phone#: 4 c5q L4..-/g/e /+ 7 -, /l 4/5 4,,,i�/h /t ec / �( o`,r.e:', DEFICIENCIES/VIOLATIONS: Each item below is a deficiency/violation of the NCAC Title 15A Subchapter 18C, Rules Governing Public Water Systems. Rule Specifics " ( r y,-;)t /4-/e0/1 7\ / tJ4 r v "A ACTION REQUIRED: You are required to take all necessary steps to comply with applicable laws and regulations. The following corrective actions must-T be en withinTtha time frame listed below: 1 y ! •09Cf. e /►f1Prf15 . LL.O/ pe oey-4ij' /Pr° /(j/ rD /r A e-f-e) .G l r-t it 6bi 15 rI' ".G. 'brl .: / _5fi4'.41 • (. lie/ 1'10ei 4.4/ / re; 7` a to e T 1O A9 /A P// 7 m .� , Le q �r'J� ���'h'C /�rr �' /C ,orh 7',4t lt# r . A written response must be filed with the Regional Office once these violations are corrected. NOTICE is given that this and any further violations may result in enforcement actions,including civil penalties. R COMMENDATION /COMMEN S: ��Q� / / i / C'err r e v p4 a c',E' ,,A 3�19e f1 �/ e4 r! , D4.4 l'i fil / eg S/4 i'...s- 7c R/i).4-71.v.-44zfr: Sitfe 54"/1/' 4, i r44 A,,,,--/ ,„,....6,7,.. .,,, „me and Signature of System Rzrpresentative: Date: Time: ,1 Name of inspector: Agency/Office Region: // f fl0 rPS 14/4/Lr EVALUATION SUMMARY: ❑ Significant Deficiency(ies) Gib510 _M 41 i4 Soil Telephone: -�)D1 5'���/�3 0 Minor Deficiency(ies)/ On-site action taken: Recommendation(s) Made _ifir .,Is rN d . ✓ /_.q,p 0 No Deficiencies/Recomendations Regional Files(white/original copy) Central Files(yellow copy) Owner(pink copy) Recipient(goldenrod copy) CIR-101 Rev.8/18 RULES GOVERNING PUBLIC WATER SYSTEMS ❑ .0201 - Surface Supplies El .0203 - Public Well Water Supplies - Site Approval .0305 - Contracting or Constructing before Authorization to Construct .0306 - Deviation from Approved Plans or. Specifications n .0309 - Operation Prior to Final Approval .0402 - Improper Well Construction u .0403 - Surface Source Deficiencies .0404 - Water Treatment Facilities Construction. ❑ .0405 - Storage of Finished Water .0406/.0900 - Distribution Systems El .0407 - Electrical Systems .0409 - Service Connections ❑ .0502 - l.)csign for Source Under the Direct Influence t;l .0600 - Raw Surface Water Treatment .0700 - Surface Water Treatment ❑ .0800 - Hydropneumatic Storage Tanks ❑ .1000 - Disinfection [.1 .1200 - Protection of Filtered Supplies .1300 - Operation of Public Water Supplies .1400 - Fluoridation .1500 - Water Quality Standards ❑ .1600 - Variances & Exemptions ❑ .1900 -Administrative Penalties .2000 - Filtration/L)isinfection SWTR .2100 - Operating Permits O .2200 - Ground Water Systems MEMORANDUM 7' I9' , 9D -- t TO: j�'�,�;.a :; tt CitC� r f 1A 7. J- c e I PS System Name Responsible Person/Person Contacted 1 , 3 377 P )0X3 System Phone# Mailing Address Wat rSystem# City State / Zip Code FROM: /. +< ';.:, ' "(• �a t�'1✓1..5�,'1 —7O/( /C Cr�.' ' / / Name Regional Office Phone# 1 Public Water Supply Section Regional Office RE: Monitoring Requirements &General Information Transient Non-Community Water Systems The North Carolina Department of Environmental Quality has determined that your water system is a transient non-community (TNC) public water system.Transient non-community public water systems are legally defined as a water system which serves at least 25 people (not necessarily the same people)for sixty or more days each year. It is not necessary that the water system furnish water for drinking, only that the water system is available for drinking, bathing, cooking, dishwashing or oral hygiene. Examples of TNC public water systems include churches, convenience stores, and restaurants. The items listed below were discussed with the above-listed Person Contacted. [ ) Testing requirements for TNC systems:what tests, how often and where they should be collected. • Coliform Bacteria: Collected quarterly from faucets such as a kitchen or bathroom sink. • Nitrate: Collected annually from the Entry Point identified below. • Nitrite:Collected one time from the Entry Point identified below. SAMPLING SITE LOCATION AND CODE Test: Sample Location Code: Location: /f Nitrate/Nitrite E 0 1 (Entry Point) P I Coliform (Q L !) OQ s ,^ca.r'� -Q3 S SAMPLE SITING PLAN COMMENTS: If you have further questions, please contact the Regional Office at the phone number listed above. White copy—Central Office Yellow copy—Regional Office Revised 8/2018 Pink copy—Water System TRANSIENT, NON-COMMUNITY WATER SYSTEM REFERENCE SHEET CERTIFIED LABORATORIES AND SAMPLE REPORTING: It will be necessary for you to contract with one of the North Carolina State certified laboratories on this website, https://slphreporting.ncpublichealth.com/Certification/CertifiedLaboratory.asp, to perform the required analyses. The selected laboratory will send you a sample collection bottle (sample kit) and a form, which you must complete each time a sample is taken. The water system number (either printed on the reverse side of this memorandum or it will be furnished later), type of sample, date collected and time collected must be included on the laboratory report form.Additionally, the sample location and location code (from the SAMPLING SITE LOCATION AND CODE section on the reverse side of this memorandum) must be included on the form as well. Contaminated samples will require additional testing. Your laboratory will send results of water sample analyses to the state and to you for your permanent records. Records of bacteriological analyses must be kept on-site for at least 5 years while Nitrate/Nitrite test results must be kept on-site for at least 10 years. Questions concerning testing procedures, contracts or forms should be directed to your laboratory. SAMPLING TIPS: • Follow the instructions provided by your laboratory and only use sample containers they provide. • Collect samples only from designated sampling sites. Sample taps should be clean and in good working order. • Remove strainers, aerators, vacuum breakers or hoses from the sample spigot prior to sample collection. Bacteriological Samples • Disinfection of the sample spigot with chlorine and/or alcohol is recommended. • Open cold-water valve and allow water to run freely for 5 minutes. Then adjust the flow until there is a slow,gentle and steady stream. • Handle the sample container and lid with care. Never touch the inside of the bottle or lid and do not allow water to splatter or splash into either. • Do not rinse out the container. Slowly fill the container to or slightly above the 100-milliliter mark and carefully replace the cap. • Sample analysis must begin at the laboratory within 30 hours. Nitrate/Nitrite Samples • Open sample spigot an allow water to run freely for 5 minutes. Then adjust the flow until there is a slow, gentle and steady stream. • Fill sample container and immediately store on ice. • Nitrite samples must be processed by the laboratory within 48 hours. Nitrate samples must be processed by the laboratory within 48 hours, or within 14 days for chlorinated water systems. WELL HEAD DETAIL: 1.Sanitary well Seal (required) DRILLED WELL 2. Insect-proof Casing Vent(downward opening&screened) 3. Check Valve 4.Sample spigot(with vacuum breaker if threaded)** 2� I I 3 4 / 5.Concrete slab extending 3 feet in all directions from well ^ co 0. casing ** I f **These items are required for systems that were installed —I After July 1, 1993 and are inspected by your local Health Department for food grade or lodging purposes. \ 1 Note: Detail is for a submersible pump setup and your well pump setup may be different.Your local Health 5 Department may have additional requirements. White copy-Central Office Yellow copy-Regional Office Revised 8/2018 Pink copy-Water System Analytical Results STATESVILLE ANALYTICAL 00 '4 ` Catawba County Parks PO BOX 389 Newton, NC 28658 Receive Date: 12/12/2022 Reported: 12/13/2022 For: Bike Pump Track Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 221212-11-01 E. Coll E01 Absent 92238 12/22/2022 WC well 221212-11-01 Total Coliforms E01 Present ' 92238 12/22/2022 WC Yell 22 1 21 2-1 1-02 E. Coll 001 Absent 9223E 12/22/2022 WC pp 221212-11-02 Total Coliforms 001 Absent 92238 12/22/2022 WC ns 1SE 221212-11-03 E. Coll 002 Absent 92238 12/22/2022 WC 0,mlatit_31. 221212-11-03 Total Coliforms 002 Absent 9223E _ 1,�/22/2022 WC S 221212-11-04 E. Coll 003 Absent 92238 12/22/2022 WC 92238 VIDPYP S 221212-11-04 Total Coliforms 003 Present 12/22/2022 WC Respectfully submitted, > 40 j. 2 Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 5 STATESVILLF. s ANALYTICAL �'r K` 122 Court St.stateswlle,NC 28677 700-872.4697 BACTERIOLOGICAL ANALYSIS Note Al applicable mformalwn must be supplied for compliance milt et�rarr Water System Number: NCI 2 0 I - 1.1 18 I - I-0J1 O I County: [Catawba Name of Water System: Min Creek Park Bike Pump Track System Type. NC Water Source: I lailetributlon System—Revised Total Coliform Rule (RTCR) Facility ID: DO1 Sample Type: . Routine(RT) I —I'l0-1-peat[RP) Special I Noncompliance(SP) I Location Code:__ _ _ Tap Location: LA If Street Address: - City: /1/Yw10.--, E5 I .Check(4)if sample site Is owned or controlled by water system. I I ,Check(J)If sample site is a daycare or a N•12 school. Sample Point: I I Routine Original IRTOR) [_ Repeat-Original Tap IRPOR) (—I Repeat-Upstream(RPtW) n Repeat-Downstream(RPDN) ISource Water—Ground Water Rule (GM) Sample Type: []Triggered(TG) []Additional/Confirmation(CO) I I Anessment(RT) [—I TriggerediDielributlon Repeat[ID]+ Facility 10: [ I I I Semple Point: rff i (or systems with a popuiahon r1,000 Collected- Yj B.Janvrin ICATE: I /kJ I rilZi I I__[.2; i1 ME:,/17-1 : I f I . r,I m Mall Results to(water system representative): Complete for Repeat Triggered,or Additional 1 Con flrmation Samples: CetawO*County Petite Previous Positive Laboratory 10 Number: I -i I I I, ( PO Box 389 ` Positive Laboratory Log Number: I I Newton,NC 28858 - I " Positive Location Code: I 1 1 Phone#: 8I 2 8 4 8 8 1 712I 7I_9J - Positive Collection Date: I_.L_I I L—I_ J / EL Disinfectant Used: J Responsible Person's email: Total Chlorine Residual Ichloramines). —I melt I ditilAMMOSt Free Chlorine Residual(chlorine) I Mk Laboratory ID Number: FT-T-F-F n Repeat Samples Required[rom Client Resemple Required from Client CONTAM METHOD RESULTS Invalid CODE CONTAMINANT CODE RULE Proem" Absent Code INVALID CODES: 3100 I Total CoTdorm — I RTCR/GAR 1 Confluent Growth r {— � / I - No Coliform Grant Found 3014 I E.Cot _� RTCRK_R L T_ t/ 1 2 TNTC/No Coldcum Growth Found 3002 I IOCOCd GWA_ I -1 J TurbidCutMei - - _No Cditcrm Growth Found 3928 C IIphaQe fwVVR IL 4 Over 30 Hours Old 3001 I HeterOtrophic P C.' T I —_I a. M pro PN 5 Imper Sample or Analysis' 'If E.col,enlerococd Or coliphege is present.lab must report resat State do day test completed 1If total colifarm bacteria is present lab must report results to State within 0 hours.'If HPC is absent enter a'0'len et the'cluhnt or MPtr unds,if present enterer a whole number. 'Explain itvaad code below in comments. Analyses Begun—DATE• r 111[2I I rIR ! I2E2 Marl*' : I3DI , • ! m (Dole as: rmtMdfry) Analyses Completed—DATE: n11 l I ( 113 ! r`i21 TIME Q 1 : [-tQQj , Ina (Ttneea Irwin WPM) Laboratory Log Number: ' 22121 2,►k r L I Certified By: I WD (Print and sign name) COMMENTS: 2016 NCOEO Public Water Supply Section PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 5 A' STATFSVILLE ANALYYit'AL .4' :\ 122 Court St.Statesville,NC 28677 704•e72-4697 BACTERIOLOGICAL ANALYSIS Note.All applicable infaimanon must he supplied rut compliance creol. Water System Number: NC 12L0J - 1_1 Si - I o i 2 f 01 County: ICatawha 1 Name of Water System: I Mln Creek Park Bike Pump Track I System Type: I NC Water Source: IOW I 41stributIon System—Revised Total Coliform Rule (RTCR) Facility ID: D01 Sample Type: yoRoutine(RT) [ Repeat(RP) I 1 Special I Non-compliance(SP) I Location Cod ( Tap Location:E.1_(-Pi S g Street Address: _ City: r-. 7 o . 1 Check(v)If sample site In owned or controlled by water system. I I Check(J)If sample site is a daycare or a 11.12 school. Sample Point: r i Routine Original(RTOR) I /rRepeet.oripinei Tap(RPOR) I Repeat-Upstream(RPUP) r I Repeat•Downatrsam(RPDN) _ Source Water—Ground Water Rule (GWR) sample Type: U Triggered(rO) r 1 AddilwnaUContirmaion(COI [1 Assessment(RT) r—I Triggered/Distribution Repeat ITO)" Facility ID: Sample Point: r-1T. •for systems with a population<1.000 Collected- §LIB.Janvrin -112Alli I,/I_ZI I I/{LJ I I .]zi Emil/ 1 L I : l: ] , ! m I Mail Results to(water system representative): Complete for Repeat Triggered,or Additional/Confirmation Samples: Catawba Courtly Parks 1 Previous Positive Laboratory ID Number: 1 1 i 1 PO Box 389 ' Positive Laboratory Lop Number, I Newton,NC 28858 " Positive Location Code: Phone*: 181 21 B] 4 B 81 7 2 7 9 " Positive Collection Date: EC l I Q] I L J-__1 Disinfectant Used: _I Responsible Person's email: Total Chlorine Residual(chloraminest mig clad arns@call lftync 0cv I Free Chlorine Residual Irntorine)- 1 mglL Laboratory ID Number: L.I Repeat Samples Required from Client Resample Required from Client RESULTS CONTAM CONTAMINANT METHOD RULE Invalid CODE CODE Pm.M r.r I Apaent Code INVALID CODES: 3100 Total Coliform I RTCRIGWR --I � 1---� 1 Co fluent Growth __ J No Calton Growth Found 3014 E.Coll T Y l j 2 TNTCINo Cohform Growth Found 3002 I Entermoocci I GWR I Turbid Culture 1 ,,d.,1,_ _ No CaGbrm Growth Found I-3028— I Cotiphage I I GWR_L_ I _I I 4 Over 30 Hours bid [ OO1 I HeletoircOlc P.C.' I I 7 car mL or MPN S Improper Semple a Arrdyais' 'II E.cos,enema:dor eesphsee kpeeerit lab mint mpatllewaa to Stale on day teat odmpleted. 'II total coliform bacteria Is present,lap most report results to State wglq gi hours Ili PPC is absent sew 6'00 telt or lie't1Wml or MPN'cants:if present.enter a whole number. 'E►plrtt Maid Code below in comments. Analyses Begun—DATE; I 12. ' I rir I I 2—4 TIME:i1141 : , �jmJ (Dalees: naNddyy) Analyses Completed—DATE: I '2 I I 11,5 I ( � TIME QIel : .i9 , ! r"I (Time as: h:mmarnfpm) Laboratory Log Number: 122_I 21 9.I 11 I•0 2. j Certified By: 1 (Print end sign name) COMMENTS: -.y Z.Z..v;_.:LS1re1,7[ .Jr..rr:.ar•Ai;11--....s.emu_.. 231 h NC DEO Public Water Supply Section PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 5 STATESVILLE iiii, ANALYTICAL 122 Carl R.Statesville,NC 28677 704-S72-697 BACTERIOLOGICAL ANALYSIS Note All applicable nformanon muss be supplied for compliance credit Water System Number: NC L2, 0 i - 1 18 - i 0 , 2 L] County: (Catawba I Name of Water System: I Mtn Creek Park Bite Purge Track Spleen Type: r NC - ]wear Source: LGw J Distribution System—Revised Total Coliform Rule (RTCR) Facility ID: DO1 Sample Type: a(RT) "(Repeat(RP)I n Special f Non-compliance(SP) I Location Code 4 Tap Location: t-94S,'Jo.(;,,rtr( Street Address: City:/VC w>•.a.� ES I [Check(4}R sample site Is owned or controlled by waterlsystem. I I Check(4)I sample site is a daycare ore N-12 school. Sample Point: lr ;Routine Original(RTOR) [j Repeat-Original Tap(RPOR) I I Repeat-Upstream(RPIP) lr Repeat-Downstream(RPM) IL _ Source Water—Ground Water Rule (GWR) Sample Type: n Triggered(TO) Additional/Confirmation(CO) rl Assessment(RT) I I TriggeredIDietribution Repeat(TD)' [ 1_ I 1 •for systems vnth a population<1.000 Facility ID: � � � Sample Point: Collected- B1:LB Janvrin l& f / Z 1 I ,L, i 1 c- MI /I Z I : I/I y' , ''-1,-PI Mall Results to(water system representative): Complete for Repeal,Triggered,or Additional f Confirmation Samples: I I_ Catawba County Parks Previous Positive Laboratory ID Number: , j f I L_ PO Box 389 I - Positive Laboratory Log Number: I__ _ 1 L - Newton,NC 28658 " Positive Location Code: r Phones: [e_J 2] 8] 4 6 1 6 1 7 12 17 19! " Positive Collection Date: 1 1 Disinfectant Used: Responsible Person's email: Total Chlorine Residual icnlaammes) I mgA L_fiaififirnsigicittawbacountina- v I Free Chlorine Residual{chorine) I mg Laboratory ID Number: C Repeat Samples Required from Client Raample Required from Client IMMO RESULTS CONTAM CONTAMINANT RULE invalid CCOE Mount'•' Absent Cede INVALID CODES: I 3100 Total Coliform I I RTCRA3IN0 I I 1�] I 1 Confluent Growth f --- _ No Colilam Growth Found 3014 E.coli RTCRGWR ✓/ ] I 1 TNTCINo Coldam Growth Found 3002 Enierocacci OVeR I 1 3 Turbid Culture I _ No Colifam Growth Found Coliphage GWR __I J 1____I 4 Over 30 Hours Old [3001f Helerotrophic P C 3 I ow,*a IPM _I 5 Improper Sample or Analysis' `If F cob.enterococc or coliphago is present lab must report results to Shea on day test completed. 'If total coliform bacteria Is present,lab must report results to State within 48 hours 'll HPC is absent enter a'0'left of the'ekrent a APM units;if present.enter a whole number 'Explain invalid code below in comments. Analyses Begun—DATE; r1r�`1 I 1 TIME:' , , L` © (Date as: mmlddlyy) Analyses Completed—DATE: I I HI I [ fl ] I I !J T _El 0 p I : 1 IaI , j © (Tlmrees: h:mm envpm) Laboratory Log Number: j 2.Z(zt2. 1 .O -j Certified By: I wt.,morn and and sign name) COMMENTS: 1C'6 - NCDED Public Water Supply Section PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 4 of 5 .. .. olitit STATESVILLE ANALYTICAL 122 Court St.Statesville,NC 28677 7M e72-4697 BACTERIOLOGICAL ANALYSIS Now Mapsfaable information must be suppled for compliance c edd Water System Number: NC f 2 10_ - 1 18 - 0 2 00] County: Catawba Name of Water System: I Mtn Creek Park Bike Pump Tract System Type NC Water Source: IGW Distribution System—Revised Total Coliform Rule (RTCR) Facility ID: 001 Sample Type: Routine2 (RT) Repeat(RP) Special I Non-compliance(SP) I Location Code:OV_) Tap Location:G.r,1,'r J R/( Street Address: City: /vc.---(4,--, g L i Check(v)If sample site Is owned or controlled by water system. 1 [_f Check(v)If sample site is a daycare or a 1412 school. Sample Point: Routine Original(RTOR) Repeat•Original Tap(RPOR) / I Rapeet•Upotroun(RP'IP) [ ]RepeM.Downstream IRPDN) f1 4 Source Water—Ground Water Rule (OWR) Sample Type: Triggered ITC) I I AddklonattConflrmation(CO) I I Asaasemrnt PIT) I 1 Triggered/Distribution Rape!(ID)* I Facility ID: Sample Point: l 'for systems with a population_1,000 Collected- BY: B Janvrin 1DATE: j / 2) I / t 1 I r ZfEI 11M- ` / 1 : 1 'J , I/?'l m_I Mail Results to(water system representative): Complete for Repeat,Triggered,or Additional IConllrmalion Samples: Catawba County Parks j Previous Positive Laboratory ID Number: [ I 1 1 I I PO Box 389 " Positive Laboratory Log Number. I Newton,NC 28658 _ • Positive Location Code: I I Phone N: 8 12 8 4 16 16 7 12 7 19 • Positive Collection Date: I---E—I l I . . / h iJ Disinfectant Used: - __J Responsible Person's emelk Total Chlorine Residual(chiotammes). J rugs l'edams[ y I Free Chlorine Residual(chlorine): I ''mot Laboratory ID Number: 71—] C 1 Repeat Samples Required from Client I Resample Required front Client CONTAM METNOO RESULTS Invalid CONTAMINANT RULE CODE CODE Present" Absent Coda INYAUO CODES: 3100 Total Coliform I I RTCwcwR I/ [ 1 1 connuent Growth r _No Collam Growth Found 3014 I E.Poi RTCRIGWR l 1/ 2 TNTCtNo Conform Growth Found Enlerococci I "^" I I ;Turbid CultureNo Conn G f 3028 Coliphage I ONIR I I l 4 OOte Hours CM Foundh 3001 HelerotrophiCP.C.t __ l _ duke._ _MPN I 5 Improper Sample orAnerysis' 'II E.pap,enlerococcl or coliphage Is present,lab must report results to State on day lest completed 1)f Ma collfam bacteria is present lab must report mute to State within.t hours 'II HPC is absent,enter a'0'left of the'clulmL or MPN'units;if present,enter a whole weber.'Explain Invalid code below in comments. Analyses Begun—DATE: I12 I [l 7] I I nldF.i.r 24 : 1 , IeI m I (Data es: mmfdd y) Analyses Completed—PATE: } IJ 1 L.i I3I I ( r2-1 Ilfal 0 1 : ROI • I' +Tm I (Time as: h:mm am/pm) Laboratory Log Number: 12'21 . f1- U7--' Certified By: `Alla�.�.�/ (Prof end sign name) COMMENTS: 2016 NCDEO Public Water SuopIv Section PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 5 of 5 ,a dr..S1,A,Tr„..,o+yt,. (1 ,,....11 3 Iliti ROY COOPER i 1`} Governor ELIZABETH S,BISER r Secretory ::. fi { y - RICHARD E.ROGERS,JR. NORTH CAROLINA oh-coo, Environmental Quality N C2D 18020_20221215_R TCR_MON_OC T2022_D01.pdf December 15, 2022 TO: CATAWBA COUNTY RE: MOUNTAIN CREEK PARK BIKE PUMP PO BOX 389 TRACK ATTN: JOHN CAMERON WATER SYSTEM NUMBER: NC2018020 NEWTON, NC 28658 COUNTY: CATAWBA FACILITY ID/ SAMPLE POINT ID DO1 / RTOR NOTICE OF VIOLATION Total Coliform Monitoring Violation: Our records indicate that valid Total Coliform (three additional routine samples) analytical results for the monthly compliance period beginning October 1, 2022 were not reported to this agency. Failure to monitor for Total Coliform is a violation of 15A NCAC 18C .1539. You will receive an administrative penalty, assessed under G.S. 130A-22(b), for a confirmed monitoring and reporting violation for the compliance period cited above. ADMINISTRATIVE ORDER IT IS HEREBY ORDERED that CATAWBA COUNTY shall return to compliance as follows: 1. Resume monitoring: If you have not already done so. collect your water sample(s)to be analyzed for Total Coliform during the current compliance period and continue sampling as required by 15A NCAC 18C .1539. Water samples must be analyzed by a North Carolina certified laboratory. (See website: https://slphreportinq.ncpublichealth.com/EnvironmentalSciences/Certification/CertifiedLaboratory.asp for a list of NC certified laboratories.) Your laboratory is responsible for electronically reporting your analytical results to the Public Water Supply Section within required timeframes. We recommend that you check our website links to"Sampling Status" and/or"Drinking Water Watch" and follow-up with your laboratory, as necessary, to ensure we receive your sample results on time; and 2. Provide public notification: Provide public notification of the monitoring violation cited above as required by 15A NCAC 18C .1523. See the enclosed sample notice with instructions Failure to provide public notification as required is a violation of 15A NCAC 18C 1523; and 3. Submit a copy of your completed Notice to the Public and Public Notification Certification to the Public Water Supply Section: Immediately after you have distributed the notices to your customers, use our web-based certification process "ECERT"to submit a copy of the completed notice with your signature and date on the Public Notification Certification (located at the bottom of our template notice) indicating full compliance with all the public notification requirements. Access to ECERT is available from our website at https://pws.ncwater.oro/ECERT. If you do not have internet access, mail the completed notice to Bethany Goodwin at 1634 Mail Service Center, Raleigh, NC 27699-1634. Retain a copy of these documents for your files. Note: If you do not provide the required public notification to your customers and submit a signed certification with the notice to the Public Water Supply Section, you may be subject to an additional administrative penalty. ENFORCEMENT AUTHORITY This Notice of Violation and Administrative Order are issued pursuant to authority in G.S 130A-325 and G.S. 130A-326. Any person who violates, fails to comply or refuses to comply with any of the provisions of this Order is subject to an administrative penalty under G.S. 130A-22(b). The agency reserves the right to take enforcement action for any new or additional violations of the NC Drinking Water Act or North Carolina's Rules Governing Public Water Systems, 15A NCAC 18C Qi Nonh('arolina Depmmnent nr Environmental Quality I Division or Water Resources , - 512 North tiafishtuy Street 11634 Mail Senicc Centel I Raleigh,North Caroline 27699-1634 ADDITIONAL INFORMATION Please include your water system's name and number on all correspondence. Our website contains links to"Sampling Status"which allows systems to view their current monitoring schedules for each contaminant group and to"Drinking Water Watch"which allows systems to view their monitoring results and other system information. Copies of North Carolina's Rules Governing Public Water Systems can be found on our website at www.ncwater.ora/pws. CONTACT INFORMATION If you have questions or need assistance regarding this violation, contact the Total Coliform Rule Team Leader,Travis Brooks at(919)707-9080 or by email at Travis.Brooks a(�.ncdenr.pov. If you have questions or need assistance regarding public notification, contact Bethany Goodwin, Public Notification Rule Manager, at(919)707-9079 or by email at Bethanv.Goodwint ncdenr.00v. Sincerely, Rebecca Sadosky, Ph.D., Chief Public Water Supply Section Division of Water Resources, NCDEQ Enclosures: Notice to the Public/Public Notification Certification cc: MOORESVILLE REGIONAL OFFICE Administrative Contact: PHELPS, ROBBIE BOTH SIDES OF THIS NOTICE MUST BE COPIED AND DISTRIBUTED TO YOUR CUSTOMERS IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER MOUNTAIN CREEK PARK BIKE PUMP TRACK HAS NOT MET MONITORING REQUIREMENTS We are required to monitor your drinking water for specific contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not our drinking water meets health standards. During the compliance period specified in the table below, we('did not monitor or test'or'did not complete all monitoring or testing]for the contaminants listed and therefore cannot be sure of the quality of your drinking water during that time. CONTAMINANT FACILITY ID NO.! COMPLIANCE PERIOD NUMBER OF SAMPLES! WHEN SAMPLES WERE GROUP" SAMPLE POINT ID BEGIN DATE SAMPLING FREQUENCY OR WILL BE TAKEN (Water System to Complete) Total Coliform DO1 October 1, 2022 3/ month **See back of this notice for further information on contaminants. What should I do? There is nothing you need to do at this time. What is being done? [Describe corrective action.] Please share this information with all the other people who drink this water, especially those who may not have received this notice directly(for example, people in apartments, nursing homes, schools, and businesses). You can do this by posting this notice in a public place or distributing copies by hand or mail. For more information, please contact Responsible Person System Name System Address (Street) MOUNTAIN CREEK PARK BIKE PUMP TRACK Phone Number System Number System Address (City/State/Zip) NC2018020 Violation Awareness Date: December 15, 2022 Date Notice Distributed: Method of Distribution Public Notification Certification: The public water system named above hereby affirms that public notification has been provided to its consumers in accordance with all delivery, content, format, and deadline requirements specified in 15A NCAC 18C .1523. Owner/Operator: (Signature) (Print Name) (Date) Contaminant Group List (BA)Total Coliform Bacteria—includes testing for Total Coliform bacteria and E cat bacteria. Testing for E.coli bacteria is required if Total Coliform is present in the sample. (B) Bromate—includes testing for Bromate. (CD)Chlorine Dioxide/Chlorite—includes testing for Chlorine Dioxide and/or Chlorite (DI) Disinfectant Residual must be tested with the collection of each compliance bacteriological sample, at the same time and site. Fecal Indicators—includes E co/r, enterococci or coliphage. [HAA5)-Haloacetic Acids- includes Monochloroacetic Acid. Dichloroacetic Acid, Tnchloroacetic Acid, Monobromoacetic Acid, Dibromoacetic Acid (IOC) Inorganic chemicals- includes Antimony,Arsenic, Barium, Beryllium, Cadmium, Chromium, Cyanide, Fluoride, Iron, Manganese Mercury. Nickel, pH, Selenium, Sodium, Sulfate, and Thallium (LC)Lead and Copper are tested by collecting the required number of samples and testing each of the samples for both lead and copper. (NT)Nitrate!(NI)Nitrite—includes testing for nitrate and/or nitrite (RA)Radionuclides— includes Gross Alpha, Radon. Uranium, Combined Radium, Radium 226, Radium 228, Potassium 40(Total), Gross Beta, Tritium. Strontium 89, Strontium 90. Iodine 131, and Cesium 134. (SOC)—Synthetic Organic Chemicals/Pesticides—includes 2,4-D, 2,4,5-TP(Silvex),Alachlor(Lasso), Atrazine, Benzo(a)pyrene, Carbofuran, Chlordane, Dalapon. Di(2-ethylhexyl)adipate, Di(2-ethylhexyl)phthalate, Dibromochloropropane(DBCP), Dinoseb. Endrin. Ethylene dibromide(EDB), Heptachlor, Heptachlor Epoxide. Hexachlorobenzene, Hexachlorocyclopentadiene, Lindane (BHC-Gamma). Methoxychlor. Oxamyl(Vydate), PCBs. Pentachlorophenol, Picloram, Simazine,and Toxaphene. (TOC)-Total Organic Carbon -includes testing for Alkalinity. Dissolved Organic Carbon(DOC). Total Organic Carbon(TOC)and Ultra•vio:et Absorption 254(UV254). Source water samples must be tested for both TOC and Alkalinity Treated water samples mi.ist tie tested for TOC. Source water samples and treated water samples must be collected on the same day. (TTHM)- Total Trihalomethanes-includes Chloroform, Bromoform, Bromodichloromethane, and Dibromochloromethane. (VOC)-Volatile Organic Chemicals-includes 1,2,4-Trichlorobenzene, Cis-1.2-Dichloroethylene, Xylenes(Total), Dichloromethane, o- Dichlorobenzene. p-Dichlorobenzene. Vinyl Chloride, 1,1,-Dichloroethylene, Trans-1.2.-Dichloroethylene, 1,2-Dichloroethane, 1,1,1- Trichloroethane, Carbon Tetrachloride, 1,2-Dichloropropane, Trichloroethylene, 1,1,2-Trichloroethane, Tetrachioroethylene, Chlorobenzene, Benzene, Toluene, Ethylbenzene, and Styrene. (WQP)Water Quality Parameters (for Lead and Copper Rule) -includes Calcium. Orthophosphate (as PO4), Silica, Conductivity, pH, Alkalinity and Water Temperature. 1. Complete ALL the missing information on the "Notice to the Public." (Note: Under the section of the notice entitled"What is being done?"describe corrective actions you took, or are taking. You may choose the appropriate language below, or develop your own: • We have since taken the required samples,as described in the last column of the table above. The sample results showed we are meeting drinking water standards. • We have since taken the required samples, as described in the last column of the table above. The sample for[contaminant] exceeded the limit [Describe corrective action; use information from public notice prepared for violating the limit.] • We plan to take the required samples soon, as described in the last column of the table above. 2. Provide public notification to your customers as soon as reasonably possible after you learn of the violation as follows: Community systems must use one of the following: Non-community systems must use one of the following: • Hand or direct delivery • Posting in conspicuous locations • Mail, as a separate notice or included with the bill • Hand delivery • Mail For community systems. this notice is appropriate for For non-community systems, if you post the notice, it must insertion in an annual notice or the Consumer Confidence remain posted as long as the violation or situation persists; in no Repon(CCR), as long as public notification timing and case should the notice be posted less than 7 days, even if the delivery requirements are met[CFR 141.204(d)] violation is resolved. [CFR 141.204(b)). (Note: Both community and non-community systems must use another method reasonably calculated to reach others IF they would not be reached by one of the required methods listed above[CFR 141 204(c)]. Such methods could include newspapers, email, or delivery to community organizations. • Both sides of this public noticelcertification MUST be delivered to the persons served by the water system in order for your customers to have access to the required Contaminant Group List. • If you mail, post, or hand deliver, print your notice on letterhead, if available • Notify new billing customers or units prior to or at the time their service begins. • Provide multi-lingual notifications if 30%of the residents served are non-English speaking. • Should you decide not to use this notice and develop your own version instead, the mandatory language in bold italics may not be altered, and you MUST include the ten required elements listed in CFR 141 205. The certification located at the bottom of this sample notice MUST also be submitted. 3. After issuing the"Notice to the Public" to your customers, sign and date the"Public Notification Certification"at the bottom of the notice. Within ten days after issuing the notice [CFR 141.31(d)], use our on-line ECERT application located on our website at: https:llpws.ncwater.org/ECERTIpages/default.aspx to submit your completed Notice/Certification to the Public Water Supply Section. If you do not have access to the internet, mail your completed Notice/Certification to: Public Water Supply Section, ATTN: Public Notification Rule Manager, 1634 Mail Service Center, Raleigh, NC 27699-1634. Keep a copy for your files. (06/2019) ROY COOPER 4 4 4 Guyer nu, ELIZABETH S.BISER 1...,,. 1) Secretor RICHARD E.ROGERS,JR, NORTH CAROLiNA Director Environmental Qualify NC2018020_20221215_RTCR_LV 1 2022DEC_D01.pdf December 15, 2022 TO: CATAWBA COUNTY RE: MOUNTAIN CREEK PARK BIKE PUMP TRACK ATTN: JOHN CAMERON WATER SYSTEM NUMBER: NC2018020 PO BOX 389 COUNTY: CATAWBA NEWTON, NC 28658 RTCR— LEVEL 1 ASSESSMENT REQUIRED MOUNTAIN CREEK PARK BIKE PUMP TRACK exceeded a treatment technique trigger under the Revised Total Coliform Rule (RTCR)on December 13, 2022 (trigger date). [See 15A NCAC 18C Section .1539(§141.859)I. Therefore, CATAWBA COUNTY is required to conduct a Level 1 Assessment within 30 days of the trigger date indicated in the first paragraph as follows: 1. Conduct a Level 1 Assessment and Perform Necessary Corrective Actions-As soon as practical, review and evaluate each of the listed elements on the attached assessment form and perform corrective actions for the issues and/or sanitary defects identified. The Level 1 Assessment can be conducted by a water system representative, but you are encouraged to contact the Public Water Supply(PWS) Section's regional supervisor Clinton Cook, P.E., by phone at (704)235-2140 or by email at Clinton.Cookncdenr.qov for assistance. 2. Complete the Level 1 Assessment Form and Certification: Document your findings and actions on the assessment form. Be sure to identify and describe any potential causes of contamination, sanitary defects detected, corrective actions completed, and a proposed timetable for any corrective actions not already completed. Provide additional information to support your findings, as necessary. Complete the assessment certification block. Be sure to include your signature and date the assessment was completed. 3_ Submit a copy of your completed Level 1 Assessment Form (including the Certification)to the PWS Section: Immediately after you have completed the assessment and corrective actions, mail a signed copy of the completed form to the RTCR Rule Manager at 1634 Mail Service Center, Raleigh, NC 27699-1634 or email a copy to: PWSS.RTCRencdenr.gov. The completed assessment form must be submitted to the PWS Section within 30 days of the trigger date. Retain a copy of these documents for your files. Should events or conditions beyond your control prevent you from completing any corrective actions within the 30-day period, you must notify the Rule Manager noted below immediately, in writing (mail or email). You must describe in detail the reason for the delay and get State-approval for an extended compliance schedule. Failure to conduct the required assessment or corrective actions within 30 days or within an extended timeframe approved by the State will result in your system receiving a Tier 2 Treatment Technique violation that requires 30-day public notification, ADDITIONAL INFORMATION Please include your water system's name and number on all correspondence. The assessment form is also available on the PWS Section's website at: http://www.ncwater orq/pws—4 Compliance Services —0 Revised Total Coliform Rule. Our website contains links to"Sampling Status"which allows systems to view their current monitoring schedules for each contaminant group and to"Drinking Water Watch"which allows systems to view their monitoring results and other system information. Copies of North Carolina's Rules Governing Public Water Systems can also be found on our website at www.ncwater.org/pws. CONTACT INFORMATION If you have questions or need assistance regarding this notice, please contact Travis Brooks by phone at (919) 707-9080 or by e-mail at Travis.Brooksancdenr.gov. Sincerely, 1 ktam -4 Miranda Harper P.E. Compliance Services Branch Head Enclosure: Level 1 Assessment Form Public Water Supply Section Cc: MOORESVILLE REGIONAL OFFICE Division of Water Resources, NCDEQ North Cadina Depatm it ot Environmmt�Qt ity I DIvisicn or Wafer Reeovrae 512 North Seliabury Slyest 11634 Mail Suite Carta I Raleigh,North(;arch 27699.1634 819.707.9100 Ma✓M+r d Fm•e..a,n.U..I+r 1-1 a) c o z ❑ ❑ z ❑ ® ❑ LE LE LEI LEa o v to a m -0 z (� f-1 z ❑ ® ❑ ❑ 0 ® ❑ x TO +, a v CU vi a) aci } L] Li L M ❑ ❑ 0 0 0 ❑ ❑ 0 ++ J c 3 -0to Y c CO y, CI •0 ra CU {� .�. rya M = — trr C C) c u a r o !� O OD L aca v a a C N U N 4 C Ct N \ O < O C N E ,--i t0 -, ° C E .a, yi a. Q L d y \ a N r6 a C ut O u H L rA ' -0 OD 44 >.- to rE0 Nll a C = U E 'O a Oap w ul j 'O 'o ro 3 H ? 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