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Home My WebLink AboutWELL-03-2022-167095.TIF 01/07/2018 17:03 FAX 8286351581 IZ001 44 ' 4(u cTnNTj w COT RL T1Or xr attcn rE,vitrtus+.7.rd Natur,i RoyurcLK• iv;:_: n n7 War.- +ia:••. • WELL CONTRACTOR CERTIFICATION 0 3 .2 1.WELL CONTRACTORwk g. WATER ZONES IdePt^) J-1 O 7 (.5 tl -CD_. i 0 Raton- ( 4 r7 lH}rob Bottom _ Well Contractor( rv,d�sl)Nare Tao 9etrQY— - •r BcttCm •�- rr, t Bottom l QS ; I I l 1� 1 11(� f l.N C T� 8orovi "°r- Vvet Contt'antor Company Mama v Thickness) 9 q �� • A r _ .� : 7. CASINO: D* U1 DIamI•$rr! 1 Q Z.r I S+tom Addrentk IV to 81 on To 13unoml. p �' _.�t �! 1__ f a r.s V' t I i.S.. Yop�.c,„ -Ft..,,,.. - �ycity r Town Smio Z,p code • -� aottcm Fl._ T o Ac avdd Phone numb*+ 8. GgOu" Doom MatarAL Mellioc 1.WELL INFOkMW' r 'x. -00 BottoBottom3 Q F1 CANI ► 1-c. Pu''�_p e..d �p p ;.y._,.CONS ,C-ION PERPERM'', - 2I!�7 4 : mo BottO T Aottonr Ft.i�CRJ�l r p 1• , ` dl1 p 3 OTHER AS.SOC:ATED PERMMMITSAf soorese4e�l_ SITE WELL IDI!Napo++�ae' 2--_ 8yf. _ . S. 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B•WELL OS1•ANLS: a, TOTAL DEPTH: A 4_5_ F-i-, --- b. 130f18 w¢Lt aE7LACiE tiXlt3TlN0 WELL? YES= NO I x)HER5BY CE01-11 "wEU.WAS CONs1RUCTEWli1 e. WATER LEVEL 9,iiow Top of Coping• 46 -T . ACCORDANCE WITH 15A NCAC 2C,WELL CONSTfttucT)ON ,use•+ °f Above Too of;,ersirrg} . STANDARDS.ANO THAT A COPY OF TH16 RECORD HAS BSEN n VIDED TO THE WELL OWNER. d. TOP OF CASING IS ! F`l. Ave Lana Surh+ott' . ' �` -Fop oft sing temtlr atad alio+txlow land a,rr oe rosy reaulre r vnrfarwe ir occorerme with 1 OA NOAC 2C.0118. SION URE OKt: I LL C T bATE 4, YIELD tSlP�►? 1+4 METHOD OF TILST n 1 r �d B a l d y- r r�L to �S S G L j f. DMINFICTIOft Typo li T H Mowed 1-.41.0 3 ; bfilf a NAME or gbN COr�rxlr[►nNei 1N2LL $l rbdllt'tI11e*lurid tO ein aVitifQTt',Mater Qintitlysittkilk SO asiyisk Arm:wrillinnuade Aft, Pon GW-11 1 CV,Mall}Serviotl Cattl>Der-r-Raieth,144-17194.1417 '. P rooter c N+1 Se** . e'' Rev.11 i06 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: Brian I lefner Sample ID Number:167095 Location:8750 Jacob Fork River Rd, Vale NC 28168_ Reviewer: Bryan Forsee 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 4/1 Private Well Information Py vop. !s and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: i Brian Heiler-8750 Jacob Fork River Rd,Vale NC 28168 J Sample ID#: 167095 Reviewer: Bryan Forsee 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 only. ❑ Arsenic El Barium ❑ Cadmium El Chromium ❑Copper ❑ Fluoride El Iron ❑ Lead El Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite El Selenium El 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 El Copper ❑ Fluoride n Iron ❑ Manganese ❑ pH El Silver ❑ Sulfate ❑ Zinc 6. ❑ a. 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 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.