HomeMy WebLinkAboutSAM-08-2022-177864.TIF CO Case# SAM-08-2022-177864
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`j" CATAWBA COUNTY HEALTH DEPARTMENT
V ' * Environmental Health Section
1 g 4 2 sM 08/16/2022
WATER SAMPLE APPLICATION
Applicant FRANK CALDWELL,828 CARRIAGE ST,NEWTON NC 28658
C:980-429-0374
Site Address: 828 CARRIAGE ST, NEWTON NC 28658 SELECTED SAMPLES
Bacterial
Name of Subdivision:
Parcel Number: 364813040748 I,ot: Block:
Specific Directions
Description: resample REQUEST TAKEN AT WELL HEAD
Reason for Sample: resample
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 POSITIVE TOTAL COLIFORM
Does the plumbing come out the top of the well through a sanitary well seal? Yes
Does the well ever become cloudy or has there ever been a problem with taste and/or odor?
Explain
Does the well top extend twelve(12)inches above the ground or well slab? Yes
The well is in: Rear
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 08/16/2022 $58.00
TOTAL FEES $58.00
rsamapplication 8/16/2022 Page 1 of 1
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ca.tawba county
Water Sample Application
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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: tit f( 12 eq d p 14_015e.
,...,spec'',,r.a..labte to coi.ert sarnpte 7 V'es No
Is power on' Yea 1( No _
HJ S well bec-n tested txsfo+e? Ye Unknown_ Reaalts _hrtg, f:tri'A.
D.,the plurritArng c()roe out the top W.the wt'll through a..an4tara veil se,vt, Ye% te No __. Unhnown
Due%the water ever borne(40,)tty or has there ever been a problem we,h taste or odor' Yew, No
I xplar.
Doe',the welt tap ea t end :2 endues above tho ground or well...LIP' Yes /-__ No Unknown
The weft IS IotAted in front . rear ,_V,, left tde right aide of the hose
Does wet':,ripply water to more than or-,e home? Vt.-5, _No,V
Ril, S-is--z L. )i.',.11 we of Owner or Agent
_....
. .. . .
SBA CATA IliWBA OOA COUNTYEST D
Ely, NEWTON,NORTH CAROLINA 28658 RECEIPT
PHONE:828.465.8399
Tuesday,August 16,2022
1 g 4 sna www.catawbacountync.gov
PAYOR:
Caldwell,Frank
PAYMENTS
TRANSACTION NUMBER: TRC-45428714-16-08-2022
PAYMENT DATE: 08/16/2022
PAYMENT TYPE: Credit Card
293851345
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-22-410636 110-580200-663000 Bacteriological Sample Fee $58.00
TOTAL PAYMENTS: $58.00
SAM-08-2022-177864
CASE TYPE: Water Sample WORK CLASS: Bacterial
SITE ADDRESS: 828 CARRIAGE ST,NEWTON NC 28658
Applicant FRANK CALDWELL,828 CARRIAGE ST,NEWTON NC 28658
C:980-429-0374
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/16/2022 15:34 Page I of I
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: Frank Caldwell Sample ID Number: 177864
Location: 828 Carriage St,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.