HomeMy WebLinkAboutSAM-06-2022-174241.TIF Cased SAM-06-2022-174241
;� t CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
18 Z SM 06/21/2022
WATER SAMPLE APPLICATION
Applicant DAWN TELLER, 1509 WEDGEWOOD DR,CONOVER NC 28613
C:8288552191
Site Address: 1509 WEDGEWOOD DR, CONOVER NC 28613 SELECTED SAMPLES
Bacterial
Name of Subdivision: Inorganic
Parcel Number: 374502581314 Lot: Block:
Specific Directions
Description: Bacteriological and Inorganic Chemical only
Reason for Sample: yellow/orange film in toilet bowls
Type of Well Drilled Is the well on this same property? Yes
Is outside spigot available to collect sample? Yes Is power on? Yes
Has well been tested before? Yes Results free from coliform bacteria
Does the plumbing come out the top of the well through a sanitary well seal? Unknown
Does the well ever become cloudy or has there ever been a problem with taste and/or odor? No
Explain
Does the well top extend twelve(12)inches above the ground or well slab? Unknown
The well is in: Front
Does this well supply water to more than one home? No
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.
Date Signature or Owner or Agent
Blake Perkins
FEE DESCRIPTION DATE FEE AMOUNT
Bacteriological Sample Fee 06/21/2022 $58.00
Inorganic Chemical Sample Fee 06/21/2022 $128.00
TOTAL FEES $186.00
rsamapplication 6/21/2022 Page 1 of 1
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Catawba county
public health
Water Sample Application Q �
Sample Requested By O' 11 '�" 04 2��� Home Phone cg� US5 DI(C` I
Property Address IAddress iceciWedyweDSOe, Cvt1D1llQ, (V:, .. .tth13 Business Phone 45Rok-e_- e>
Mailing Address <34-ine 1t JQ''I'3 e-4'Y 4C t(e_ 5\7
Driving Directions 1 ivil Ito tot.f.- ._ t_Yi& c b ?cQ. -1 �!Val WDeci - tt[,�' oN t/Jecky►J►gel
Nok5 _ OA. e k- ckk- CAD
Sample Requested: Bacteriological V Inorganic Chemical Other
Sample reason: 1\D -1-"-e..S ,1 Ace MAIM M I+A '' `(ell&I0 SSE wk.Op' .to'kt b 4s
Type of Well: Drilled Bored Du Other f J
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 k/ No
Is power on? Yes v No �tiwt {lam`}' GO��>�� vt
o 6�.a-�i ..2
Has well been tested before? Yes ✓ n d.No Unknown Results Feet OW\ Co(,6S2.m CbA-d--etaA
Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown v
Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No
Explain t /
Does the well top extend 12 inches bove the ground or well slab? Yes No Unknown `'
The well is located in front rear left side right side , of the house.
Does well supply water to more than one home? Yes No t//
Date - )U 2 Signature of Owner or Agent it--- - OAP"- "k
catawbacountync.(jov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
y'A C CATAWBA COUNTY
�' 100A SOUTHWEST BLVD
�, NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Tuesday,June 21,2022
j 8 4 SM www.catawbacountync.gov
PAYOR:
Teller,Dawn
PAYMENTS
TRANSACTION NUMBER: TRC-4205 7224-21-06-2022
PAYMENT DATE: 06/21/2022
PAYMENT TYPE: Check 4328
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
06-22-408185 110-580200-663000 Bacteriological Sample Fee $58.00
06-22-408185 110-580200-663000 Inorganic Chemical Sample Fee $128.00
TOTAL PAYMENTS: $186.00
SAM-06-2022-174241
CASE TYPE: Water Sample WORK CLASS: Multiple Different Samples
SITE ADDRESS: 1509 WEDGEWOOD DR,CONOVER NC 28613
Applicant DAWN TELLER, 1509 WEDGEWOOD DR,CONOVER NC 28613
C:8288552191
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 06/21/2022 13:56 Page I of 1
61'6 0 4312 District Drive
► '' North Carolina State Laboratoryof Public Health MSC 1918
I ` Raleigh,NC 27699 1918
s ,l ,p
,,,,,,.. y' Environmental Sciences httpa/slph.ncpublichealth.com
•ftk awe....*•-- ' 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 Dawn Teller
P 0 BOX 389 1509 Wedgewood Dr
NEWTON, NC 28658 Conover, NC 28613
EIN: 566001814EH Delivery: NC Courier
StarLiMS ID: ES220624-0008 Date Collected: 06/22/2022 Time Collected: 10:15 By: Blake Perkins
Date Received: 06/24/2022 Time Received: 08:03
Sample Type: Raw Sampling Point: Sample tap Well Permit No. SAM-06-2022-174241
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 17 mg/L
__ Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper 0.011 1.3 mg/L
Fluoride <0.1 4.00 mg/L
Iron 0.30 0.30 mg/L
Lead <0.003 0.015 mg/L
Magnesium 2 mg/L
Manganese 0.005 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 6.8 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 4.7 mg/L
Sulfate 7.7 250 mg/L
Total Alkalinity 50 _ mg/L
Total Hardness 51 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 07/20/2022 E VE 1.,J Reported By:
.JUL 2022 Marc Kornlos
Envir nn-r pt ; t-?r.atth
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: Dawn Teller Sample ID Number: 174241
Location: 1509 Wedgewood Dr,Conover NC 28613 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. Where
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
,(4TT�TEn"°�T` Private Well Information
kt‘ t ff4 !;d4
and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Dawn Teller— 1509 Wedgewood Dr,Conover NC 28613
Sample ID#: 174241 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 ❑ Fluoride ❑ Iron
n Lead ❑ Manganese ❑ Mercury ❑Nickel ❑ 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. n 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 n Manganese
❑ pH ❑ Silver ❑ Sulfate ID Zinc
6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's (USEPA) Health Advisory level for sodium of
20 mg/l. 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/I 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.