HomeMy WebLinkAboutSAM-05-2022-171056.TIF • a
,Ali Case# SAM-05-2022-171056
�Ucy CATAWBA COUNTY HEALTH DEPARTMENT
VEnvironmental Health Section
J8 Z• sM 05/09/2022
WATER SAMPLE APPLICATION
Applicant BRANDON BUCHANAN, 1620 CORDIA CIR,NEWTON NC 28658
H:8283201768 BLBUCHANAN@CHARTER.NET
Site Address: 1620 CORDIA CIR, NEWTON NC 28658 SELECTED SAMPLES
Bacterial
Name of Subdivision:
Parcel Number: 366903119738 Lot: Block:
Specific Directions
Description: Bacteria Only
Reason for Sample: refinance
Type of Well .x'1°DrilleCIMIOS"`_ Is the well on this same property? IMEMISMIN
Is outside spigot available to collect sample? Rililii1N5 Is power on? 10014105MA
Has well been tested before? 13)11 owi ' Results
Does the plumbing come out the top of the well through a sanitary well seal? a 0nnc
Does the well ever become cloudy or has there ever been a problem with taste and/or odor? iiiiiiiitiAini
Explain
Does the well top extend twelve(12)inches above the ground or well slab?
The well is in: Bir& „IN.' iVi.:_ .....,, .. V
Does this well supply water to more than one home? 1111511111111
Water samples will be drawn from an outside faucet unless otherwise specified. Please note that all water samples are
taken during one visit. The processing laboratories have different protocols and timeframes for reporting results;
therefore,you may receive several different reports concerning your water sample. For questions or more information,
please contact Catawba County Environmental Health at(828)465-8270.
e
Date 5=g..-.,-t Signature or Owner or Agent ���/
AREA3
IFEJ PECRIPTIU j,.:;... ,...,:... DATE; 'EE AMOUINt
Bacteriological Sample Fee 05/09/2022 $58.00
TOTAL FEES .. : s $S8 00. .
rsamapplication 5/9/2022 Page 1 of 1
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catawba county
public health
/! � Water Sample Application /
Sample Requested By Z-V-6 'C �G'c`'G717QP1 Home Phone iZ�.�� —/2b
Property Address /61a -al- (''c2. /e/+�c�/1`N�Business Phone
Mailing Address -5e>.4 6" ems' 414-'�c�_ f�
Driving Directions /V/1-1 S 1 t7 .. LET cry �� 5 ���N, A Ze 7 0^
Coal a Cfde; , /Vk /5 Zeci akid 24e/- `i ouscn o.i /eC .
Sample Requested: Bacteriological� l Inorganic Chemical CJ Other
Sample reason: ga-� ,.l reA1Q`'Ic e
Type of Well: Drilled Bored Dug Other
Is the well on this same property? Yes No
PLEASE NOTE: Sample will be taken at the well head. If well head is not accessible, sample will be
taken from a spigot on outside of home, unless otherwise specified:
Is outside spigot available to collect sample? Yes ( No
Is power on? Yes `o' No
Has well been tested before? Yes No Unknown 0 Results
Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown
Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No 63
Explain
Does the well top extend 12 inches//,v, above the ground or well slab? Yes No Unknown
The well is located in front l) rear left side 0 right side of the house.
Does well supply water to more than one home? Yes No e
Date — �'Z Signature of Owner or Agent /J�'�i� ���
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
"'A 1 hiCATAWBA COUNTY
�" 100A SOUTHWEST BLVD
yNEWTON,NORTH CAROLINA 28658 RECEIPT
V (` '} 'r PHONE:828.465.8399
! Monday,May 9,2022
•Ig 42 5M www.catawbacountync.gov
PAYOR:
Buchanan,Brandon
PAYMENTS
TRANSACTION NUMBER: TRC-39577222-09-05-2022
PAYMENT DATE: 05/09/2022
PAYMENT TYPE: Credit Card
289550155
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
05-22-406189 110-580200-663000 Bacteriological Sample Fee $58.00
TOTAL PAYMENTS: $58.00
SAM-05-2022-171056
CASE TYPE: Water Sample WORK CLASS: Bacterial
SITE ADDRESS: 1620 CORDIA CIR,NEWTON NC 28658
Applicant BRANDON BUCHANAN, 1620 CORDIA CIR,NEWTON NC 28658
H:8283201768 BLBUCHANAN@CHARTER.NET
CHARTER.NET
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 05/09/2022 16:40 Page I of I
,($A Case# SAM-05-2022-171056
�,� �� CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
I8 42 sM 05/09/2022
WATER SAMPLE FIELD REPORT
Applicant BRANDON BUCHANAN, 1620 CORDIA CIR,NEWTON NC 28658 __
H:8283201768 BLBUCHANAN@CHARTER.NET
Site Address: 1620 CORDIA CIR,NEWTON NC 28658
Parcel Number: 366903119738
Driving Directions Balls Creek Rd, left cordia Cir,first left,2nd house on left
Sample Collected by: g I aL-e ic'(-,:A) Date/Time Sampled: c/1'1/0).2 /;)"'Hj PA11
Sampling Point: la Vf I
Is well head accessible? Yes V No Reason for inaccessibility
Existing Well New or Existing? New / 1/�
Type of Well: Drilled %/ Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: Yes 1ZNo
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
i/ Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
Comment:
rsamfieldreport 05/09/2022 16:42 Page 1 of 2
' ' ' Case# SAM-05-2022-171056
,cyI. mi-- , CATAWBA COUNTY HEALTH DEPARTMENT
, Environmental Health Section
1842 sM 05/09/2022
WATER SAMPLE TEST RESULTS
Applicant BRANDON BUCHANAN, 1620 CORDIA CIR,NEWTON NC 28658 _ _ ___•___ .r
H:8283201768 BLBUCHANAN@CHARTER.NET
CHARTER.NET
Site Address: 1620 CORDIA CIR,NEWTON NC 28658
Parcel Number: 366903119738
Lab Coliform Analysis Results: Total Coliforms: W ra+ Fecal/E.Coll: l,LlXiA I+
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials Date/Time Received Date/Time Completed C'
RECEIVED
M AY 1 9 2022
Environmental Health
rsamfieldreport 05/09/2022 16:42 Page 2 of 2
'' to.' ."3 4312 District Drive
tii�c North Carolina State Laboratoryof Public Health Msc,s,s
4 � i F- r Raleigh,NC 27699-1918
ip `:q��
:. Environmental Sciences http://slph.ncpublichealth.com
•c@ ' Phone: 919-733-7308
.- --- Inorganic Chemistry Fax: 919-715-8611
Certificate of Analysis FINAL REPORT
Report to: ENVIRONMENTAL HEALTH Name of System:
CATAWBA COUNTY ENVIRONMENTAL HEALTH Brandon Buchanan
P O BOX 389 1620 Cordia Cir
NEWTON, NC 28658 Newton, NC 28658
EIN: 566001814EH Delivery: NC Courier
StarLiMS ID: ES220519-0054 Date Collected: 05/17/2022 Time Collected: 12:45 By: Blake Perkins
Date Received: 05/19/2022 Time Received: 08:09
Sample Type: Raw Sampling Point: Sample tap Well Permit No. SAM-05-2022-171056
Sample Source: Well water Receipt Temp. : GPS Number:
Profile: Inorganic Chemical+Metals I
Analyte Test Result Allowable Limit Unit Qualifier(s)
Arsenic <0.001 0.010 mg/L
Barium <0.1 2.0 mg/L
Cadmium <0.0001 0.005 mg/L
Calcium _ 10 mg/L
Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride <0.1 4.00 mg/L
Iron <0.06 0.30 mg/L
Lead <0.003 _ 0.015 mg/L
Magnesium 5 mg/L
Manganese <0.005 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.7 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 3.9 mg/L
Sulfate <5 250 mg/L
Total Alkalinity 51 mg/L
Total Hardness 47 mg/L
Zinc <0.05 5.0 mg/L
RECEIVED
Report Date: 06/08/2022 Reported By: 6004,11.Clgri, "----"---.4
J U . 1 7 2022 Marc Komlos
Environmental Health
Page 1 of 1
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: Brandon Buchanan Sample ID Number: 171056
Location: 1620 Cordia Cir,Newton NC 28658 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
j.; STATF xaH�,°=' Private Well Information
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba I Name: Brandon Buchanan— 1620 Cordia Cir,Newton NC 28658
Sample ID#: 171056 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 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 ❑ Barium ❑ Cadmium ❑ Chromium ❑ Copper (1 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 ❑ 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/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/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.