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WELL-02-2022-165102.TIF
_ f Pro)! form 11 i ( I ( 11\�I _ ltl ( I Ill 141 «M11 _11_li lotll:,,• :I I ., i/1 s 1 111,'It,i,t,.:.1.1 ►llr..,,i lrl',11 �. It 1h It Tt,,,,l,;r I l ss U I N/n\I s --- . ._ , - Ito N1 III .....- 14,1101'11W% .3Llb s f �Hsr.n • 1 il IC 1II I I 14.i 1 NI\(.1Gv mule-r aural 11.11.111k 1 1\1 N Ill nrid,.d,lrl __-_ S& '��'t•.fi Lrlhl+, Inc ' I I,,,'i , 1,/ 11.11111 Ifs j 11111 A\1.. _ l Ntll III 11____-___- . , / ll (.,P In. \list -1'.(. )�) ' / �� IA I'.\I k( 1,1\I:pN II NI\I Igrnrhrrmal rlmru.innp2 -^ 11r,1t ur,slnalion NI toil�:. b I Iwo., I„ _. .Ik l � Tlrl v11111N -_ I Itlll A\I,♦ f HlIf N1 U_. . ,•....•'y,r 1.,n.''o, r 1, , ,ua', \e.'". I.. r II. rto,brA, 11. In. I.IA'NI l st tr Poe k N111 use I: II. It. In, ----- ll 11:irrl }uil,d. 11,11, 17.MkII\ Morn I It, lII+Nl11a ,1 ill s171 11111 A,/„ r. s111111111 []'.luul.lp.11 Public ft. It. la. 0',• , ,..., •,,•1 nnln'.i-\ui,rl.l I(ssldcuUal\ diet Stint, s --+ ® (single) ft, ft, in. u;.t,.. , ,,�r'•:el Resukn4rl 11rlct Supply I shoed' l III.GNII(T tort:,•,,,I 1 _ mom 1 III w\If MINI 1V11\I I.All\1All IIii11a A NAIIll\1 *MIA.11:rlll\uiyll}AA id: (1• �I � (I• 1 Ok :1,nc1,n t.' �kccoscrl, 1�LA1f 2ylti1. Y II. hA Injttnun\'Pell: El\,w l;r It r.h,u;r h. f. 1 ! �Iirnuii to Act l(rnlediauun Aquifer Storage and ketl`1cr 19,SAKIFGNAI'I:( PACK Of appltcahlry y �tialmm Iirrrler �. INIIM III N1111 u111. IA11.1111111\I U11IIIIn Q:\gmfcr Test Otiium,walcr 1/Nonage fl. 6. QRI�spenmenirl Tel.hnuligy 0 Subsidence('ontrol ft. ft. Geothermal(Closed LIN,p) 0 1 racer 2a.1IN1I.I.ISG LAN: attach additional Orris If Geothermal(Ile:ming'('(N1ling Keluml ❑t llher(espklln under all Rellialk,f LlI is III Dim air IIi1i\a.iar_A.1r Awl r11f►l inn an.co ''�� ^^�� 11' _.-.? N. d�-ar4- I O JJ 4.Pale%Veil(%)Conipicted- 1 CI -v4j1`11 cII IDS ©- I. j cr J- i C,- J.a 'So.'Well Location: /1! �f1. Q n. l r3 1�-7(L+ L `.mot►�V\r ,i L W" n It. n. - G�. fatdrtl.11wn:r\;rn,• Im IhN Il7n in app6.aPl.l ft. ft. ' h. n L' kern V1'�� - l, A.I.I.r..,I.r. and/1. 11. 11 Mil,,I - - - D'(,Cr , �1 ,� 21.NI.%t.1k1S '-_ -- (',writ. �j IW.rl ldcMiliunnn No II.INI Sb.Latitude and longitude in dei rceshninulraseeonds tor decimal dri;rrrs: - -.-- td well Iicld.nnr La I..nr I.sulti,rcm) 22.Cer' cation: 6.!stare)the Nellls)?Permanent or �'renlporary 1F,Auure of fondled Nc:ltnnua.an }'t 7 'r t1i,l.l./I f6 .icnrag ills burr.I he.rhl.rtlift rhal the u. u,, , unr,u.Ifni , In, r) , , 1,J OfJ..1,•.L:m, 7.Is this a repair toancsislingwell: Firs or \o noh1,i4.%(.41 n:( 1111a1in ts.IA(•II Ii.( IC•I,lu,a/„n.,.A.rnn St.,,,J..,hmiJ,t.u,1 1Idmisntl/,1u•1dlout4nnwnwellru ,fru,linninlutrnw1iu ue 11d.un lb,aau,tru(the I'1'irdInn,r Intl inn bet n rod li.Ju,die..r11...,a,, F.µu,WO,0;1,rn1.,r(1 iet lain n,on Me fun t of rho ha,a 23.Site diagram or additional Hell details: II.For GrnprohellWT or Closed-tarp Geothermal N elk having the cline You may use the hack of thus page to puss ide additionalnt'H sue*loads so hell Ua,uruetlon,only I(iW-I is needed. Indicate'101 Al.NI JMIN.R of Nell, conslnuction detail,. You may also,ntrcll.nldlnwlal pages if no.essays drdliJ Sl'll%111 LN.(\sI Kltl'1'I(1\S 9.1 . IiiiN'(hrwlel11h1hillJ7~hla�dsurfare: ntlr•1,.11H1 widT,rlu'I Ifh) 24u, I-or All Wells: Suhnul this knit Nuhm in ills of nnnrk'n.'n id cell euu.tnicuun loth.'Inlluwlint 10.Static water Iescl below top of twang:40 (II.) l)h t,illn llf%1'err Ill',111II'el•s.11111111111111111111 I'l uces.in f I nit, 1/mule,I001,a/s.,r l„vnr.u.r •.. 1617 Ilan Seri lee Center,llalrig6,\t•27699.1617 11.Borehole diameter: 6 1/8 thr,l 24h.For Ipierlilln 11rills: In.IJJl1„•n u,.,,,,h,,'I,,. I,nln•,,r„ lilt.,.., n� , Air Rotary JI1Nr.Also siul.nnl I.11.till., ,.i II...II...I•.1,11 HJ11n11 ;II,lit-.,,,,. ,•'.I:✓, ,.I , 12.Well construction method: .,,u.nu,tom to 111.t.•ll.•N.m• II l',lul'Cl,I1,Ial+,tAMC,dips.I push..el. I Ills isiuunt,Intel Krwiuors.t ode I:Inuml In lice lion I moo ol1'I..IIAm. 1I)1(%%.%1 ER SI 1'1'1.1 1%I I.I.S 11\I.1': I1.11.Moil%er1 it 1(rotor,Itrlrlgh,\l 2st.W-1 n to I to.Vivid lltpt1) I \lelhud of Irsl: Air Flow 2Jc.Liar\S MIT Surtli,C..lajcrnnu 1s r11s: iii.1,4hh,.11 l.,.,:.1.,r . . . . lice .Id,IIC..1C.1 ,dm.e. AI, 411'ltl.l OW.. ,1•1,1 „I Illt, I,'Iitl •'. , I U. 1110'1terlton!sloe: Odor Tombs %mount: i i-: i' r,mlrkll.'s of scull 1011,111.Ii.411 I„ Ilk't,".Illn t';.,l+h,I. . . . . I....,4 ilk I ...Ili 4.r,.I,,..,I I.1..01.11„r ill I,.,.,..,u1w,.l.,l 4 lu 101 t 1.1.,.,.•.,,,1 11.,,,4 I:..,,... . . , Analytical Results f STATESVILLE ANALYTICAL Catawba County Public Health rl' PO Box 389 Newton, NC 28658 Receive Date: 08/09/2023 Reported: 08/10/2023 For: 2681 Archer DR, Newton NC 28650 Comments: Acceptable limits for drinking water are: Total Coliform =Absent, E.Coli =Absent, Lead <0.015 mg/L, Nitrate <10.0 mg/L, Nitrite <1.0 mg/L Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 230809-44-01 Nitrate 165102 <1 mg/L 353.2 08/10/2023 CL 230809-44-01 Nitrite 165102 <0.1 mg/L 353.2 08/10/2023 CL Respectfully submitted, p) Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 t! VAT ESYILLE AI AN.ALYTICAL i l' d .41 122 Court Street Statesville,NC 28677 itl 704-8'72.4697!,),,,,,,,,,:,sa:tiesorn. '.4 E NITRATE/NITRITE ANALYSIS 6.: 1.ti:•r svplad In cmrOurtc.r.• WATER SYSTEM II)is: 0.)" - 20a.7 . ICrioa (Quilt): Catawba ....___ .._. t Name of Water System: .:, Sample'I'ype: LI Entry Point Ktipecial/ti)ll•CO mph:trice I..ocalloo Where Collected: aGYI A rcl,er DR P0), ti c '..t S)e;1.;0 • Facility ID No. I C Sr 1 02 P, .... ..... .-I ._ Sample Point: 1 Pt P Ct)11ceti,,ii Dfttt Collection lime ii Collected By: 'DWI'31.,:f_ lc tal 0 ? 0? 3 _I I) 27. — Mail Results to Omer syctem representative): 1 i CATAWBA COUNTY PUBLIC HEAL1 H Phone#: (828)465-8270 _. . ... .......__ I:I ENVIRONMENTAL HEALTH Fax a: (828)465-8276 :I PO BOX 389 Fe lionntIblr Person's emsin ...... ._......_ EHAdmin@Catawbatountync.gov NEWTON,NC 28E58 --- 1.AlIORATORN' ID ti: 37755 0 SANIPLE UNSAT 1St*AC TORY 0 R E.SA NI PI.F.REQUIRLb ;Sai:I/FT....7(77ED (IWO I 1 i il:1) .O ill , COM'AM M E 1 HOD kl.IN A ..0 RUCK I INC I.IMI1 I-. ' COCA' C.ODF. RliS'JLIS* I Ingi 1040 Nitrate 353 2 I 00 Ingl, ._. .. ingil. 10 Of I mg/I. ,i 1041 Nitrin.. 3 5 5.: 0 III mg'I, mgt. 1 00 mg/I. ... '\me: If result exceed,alloy.Able Imai.the lal7ot awry mu.5t I.,. Malyt cal revtit.:,,'1 ... .t,• ,I,day te•st completed ..... DATE: I IN!I : I ANAL 1 SI'S BEGUN: OS: 10 / 2.3 -1: 5b , A m - -- -,-rovio•twr ---•--- ......,-;..,....., ANALYSES COMPLE I El): l OS/ 10 / 2 3 S : 5.5 , ....k.v.......m.....1 Laboratory Log It: 3....S C')1/.°I". q IT-0 1 1. ..•i'l 111...(1 0,: allf:3\ COMMENTS: _ ____ __ - - ._ __ 2Niti LAA0iialktnaMailitit11121 1 eLb-L%Valet S‘Pri)5e,,',0.1.NI'', 0,141 I lt:7..t 634 Mail SCTVILII Comer.Raleigh,NC 21699.1634 Fos:919.115.6637 , 0.1111111111 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: Telvin McClurkin Sample ID Number: 165102 Location: 2681 Archer Dr,Newton NC 28650 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 tl `Q"° Private Well Information ° • and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Telvin McClurkin—2681 Archer Dr,Newton NC 28658—I Sample ID#:L 65102 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 ❑ Barium ❑ Cadmium ❑ Chromium ❑ Copper LI Fluoride ❑ 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 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. ❑ Chloride ❑ Copper ❑ Fluoride ❑ Iron ❑ Man anese ❑ pH ❑ Silver 0 Sulfate 0 Zinc 6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of 20 mg/1. 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 only. ❑ 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.