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Home My WebLink AboutSAM-06-2022-174910.TIF Case# SAM-06-2022-174910 F.� t CATAWBA COUNTY HEALTH DEPARTMENT U " . Environmental Health Section I g 4 2 5M 1' be f 601-( 06/30/2022 WATER SAMPLE APPLICATION Get"/ 0,1 7/t/zZ Applicant JOHN MULLIGAN,3765 ANDERSON MT ROAD,MAIDEN NC 28650 /',' f 6) 1j H:704-308-8551 (�6[ / Site Address: 3765 ANDERSON MOUNTAIN RD, MAIDEN NC 28650 SELECTED SAMPLES Bacterial Name of Subdivision: Parcel Number: 367702751881 Lot: Block: Specific Directions Description: Bacteria only Reason for Sample: home refinance 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 present total coliform 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? Yes The well is in: Left Side Does this well supply water to more than one home? • Yes 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 CounDr Environmental Health at(828)465-8270. °6/ e.1�262 2 Date /i / Signature or Owner or Agent Cheyanne Morgan FEE DESCRIPTION DATE FEE AMOUNT Bacteriological Sample Fee 06/30/2022 $58.00 TOTAL FEES $58.00 rsamapplication 6/30/2022 Page 1 of 1 catawba county public health Water Sample Application Sample Requested By 6. l CW/+TL Home Phone �f FYI{ I LE,(-�A/cf. avase2 Property Address 376 r AND ei2_S D AJ Tv1 I R--fl. Business Phone Mailing Address O. Ok %%)/ /e)')/ DF/Y ,'t/ , Z g62s U Driving Directions TAKE (-[L, 321 727 LE}-) . NUC. -ov) IttAi -re) NO 50/0 T. - /Q rO , 3R9 Heusi=.at} ,e/6-kiN Sample Requested: Bacteriological V Inorganic Chemical Other Sample reason: Fr £ (C r l r Type of Well: Drilled Bored Dug Other Is the well on this same property? Yes 7. 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 A. No Is power on? Yes x No Has well been tested before? Yes 1< No Unknown 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 Explain Does the well top extend 12 inches above the ground or well slab? Yes x No Unknown The well is located in front rear left side X right side of the house. Does well supply water to more than one home? Yes X. No Date d 4 //-3n//z 02--- Signature of Owner or Agent bi--) • e c� eatawbacountync.gov Environmental Health Cotowbo County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. �p'A • CATAWBA COUNTY 100A SOUTI(WEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT kr 0 PHONE:828.465.8399 Thursday,June 30,2022 1842 sM www.catawbacountync.gov PAYOR: Mulligan,John PAYMENTS TRANSACTION NUMBER: TRC-42592332-30-06-2022 PAYMENT DATE: 06/30/2022 PAYMENT TYPE: Cash INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-22-408633 110-580200-663000 Bacteriological Sample Fee $58.00 TOTAL PAYMENTS: $58.00 SAM-06-2022-174910 CASE TYPE: Water Sample WORK CLASS: Bacterial SITE ADDRESS: 3765 ANDERSON MOUNTAIN RD,MAIDEN NC 28650 Applicant JOHN MULLIGAN,3765 ANDERSON MT ROAD,MAIDEN NC 28650 H:704-308-855I **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 06/30/2022 16:28 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: John Mulligan Sample ID Number: 174910 Location: 3765 Anderson Mountain Rd, Maiden 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.