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Sb.Latitude and longitude in drjrres'mtnulrs,srcunds or decimal degrees: - - ------------ - -
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7.Is this a repair to an existing%sell: 01 es or \o ••,ra 1I,f W.4C r11C°PA„,.'jA.'.i IC WC 6/40 Irrlf Cun,nrronw.So.rd.rea,and thul.r
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b.For Gtoprobe.DPT or Closed-Loop Geothermal Wells ha•.r,c the same You nay use the back of dos pa?e to pros ide additional Meal site details or Mel:
C9nstrunOC.or,ly I GW-1 1,needed Indicate TOTAL NUMBER o`wells cunstnictior details You m+y also roach addrbnr+l pages if necessary.
drilled. . ,( R\IIT 1.11.1♦ST HI f'I If1\C
9.Total sell depth bet land surface: �� 111.) 24a. For All W e•Is: Sab:1n: ihta 'urn utlh:t 30 day, of corrpler.o:: or Me I
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10.Static water kid below top of casing:40 (It) Division of Water Resources,Information Processing L nit.
11...OP.Ir.,/..,Joe cn,:nr M•r • 1617 Mail service Center,Raleigh.NC 27699-161'•
11.Borehole diameter: 6 1/8 (in.) tab.For Intrrtinn%eII : In atulltton to•urJ'nit Ih.fo•-n to roc u,;er;ss Ir :a.t
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Ilisistun of Water Resources,I'Wei wound Injection Control Program,
FOR W ATER SUPPLY W F.LI.S ONLY: Ibl6%lad Sri sicr Confer,Halri h.\C 170.1.Ie4e
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Analytical Results 4ANALYTICAL
STATESVILLE
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 07/11/2023
Reported: 07/13/2023
For: Charles Powell Jr 6909 Navajo Trai Sherrills Ford NC
28673
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
230711-46-01 Nitrate 02-2022-165965 2.47 mg/L 353.2 07/12/2023 CL
230711-46-01 Nitrite 02-2022-165965 <0.1 mg/L 3532 07/12/2023 CL
Respectfully submitted,
Y y? I
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
:LITAU:ii:ICYL
fr A .
:22 Court Street Statesville,NC 2867
704-872-4697 wwI.v,atii:-. ::
NIT RA-FE/NITRITE ANALYSIS
Wm:All Infttrtssvirm must be ssgspilmi tb,cuvlsusce crcest.
WATER SYSTEM ID#: 0 1 - 1.Cal,.. lc 5 9 c,5 County: Catawba —._...........
Name of Water System: ckArkts powell Sr ,
Sample'Type: i Entry Point 7c,SpecialiNutt-compliance
Location VVItere Collected: 6 90 q Nay c....,No Tra;\,, Sle rc; Ili F.r el Aic D-SC? 3
__
Facility Ill No. 1 C_5-q 65
Sample Point: 1" Ps. P ,I Collection rate 11 csilecrion Time
..-...,_..-_-_,--..-.....=-:...=-•=..-2..
Collected By: DS i(3 to :W3 0 : go, it M.
;Prot him! (moorys: -'- - 7,1;ecifs AM
Mail Results to(water system representative):
CATAWBA COUNTY PUBUC HEALTH Phone#:. (B281465-8270
ENVIRONMENTAL HEALTH p„$1., . (828)465-827G _
PO BOX 389 Responale Person's email:
_ . EHAdmin@catawbacountync.gov
NEWTON,NC 28658 --
-
LABORATORY ID#: 37755 0 SAMPLE UNSATISFACTORY =RESAMPLE REQUIRED
; REQUIRED N.Q1DETEZTED QUANT Fl..ED AIIIJWAH LE ,:;.
(ONTAM CONTAWNANT METHOD
REFOR.T24C LIMIT fi 6.<R.R.L.)
CODE. CODE RESULS".-Sc umr ,,,
:RAIL) (X
11-........-..-••••••••"---------**,."--..—.****.---..... •
1041) Nitrate 353.2 ;.0C rag/L El 7• 41 mg/L 10.00 ing/L
1 11
1041 Nitrite 1532 0.!0 mga, trig/L 1.00 ragiL
11
-...-
l;knao.mnw-...-.....=...==•r,..=.=,'..r=*,-,..=..".••esmas....=,=.AV="v,.. .:t••••-+,-v.,.eic=er-•.1-Lrae==a,a ., -.. ,,rarr.--,reaccrerrstr.rerr.-*.a=reszrepra.
°Nom:If result exceeds allowable limit,the laboratory.:oust fax analytical tomtits to the State on day test completed.
DATE: TIME: ,
ANALYSES BEGUN: II 01, , 2-3 1_:(.4_, ,
-_ -- --- ---, AM Orrery,r4 r ri,
.1•
4 1
ANALYSES COMPLETED:1 01 (2- i 23 ct.o co A M :
L—.------ ---- -- 0,..-JL.....,ns i
Laboratory Log 4: 230 711:.._it_a Certified By:
COMMENTS:., _ ___. ___
?sot! LaltartaLlawall-111""--432;
,......:2 I II....Co....1„ nd•ti,.., •,...no.Fx try.1634 Mail Service Caltrj,Raleigh,NC 27699-1634
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: Steve Tarbell Sample ID Number: 165965
Location: 6909 Navajo Tr, 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¢a_ " Private Well Information
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Steve Tarbell—6909 Navajo Tr, Sherrills Ford NC 28673
Sample ID#: 165965 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 0 Copper ❑ Fluoride ❑ Iron
❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium ❑ Silver
0 Zinc ,
3.0 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 ❑ Copper 0 Fluoride ❑ Iron ❑ Manganese
❑pH ❑ Silver ❑ Sulfate ❑ 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/land 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.