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Home My WebLink AboutSAM-08-2022-178763.TIF �$A Case# SAM-08-2022-178763 j' CATAWBA COUNTY HEALTH DEPARTMENT v ' TiVs7m Environmental Health Section 1$ 08/26/2022 WATER SAMPLE APPLICATION Applicant CORBIN YOUNG,8627 DOG LEG RD,SHERRILLS FORD NC 28678 B:8284611576C:828-478-2889 Site Address: 8627 DOG LEG RD, SHERRILLS FORD NC 28673 SELECTED SAMPLES Bacterial Name of Subdivision: Parcel Number: 461902650960 Lot: Block: Specific Directions Description: Bacteria only Reason for Sample: refinance Type of Well 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 negative 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: 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 G( Signature or Owner or Agent , -7 (:( Blake Perkins FEE DESCRIPTION DATE FEE AMOUNT Bacteriological Sample Fee 08/26/2022 $58.00 TOTAL FEES $58.00 rsamapplication 8/26/2022 Page 1 of 1 catawba county public health Water Sample Application Sample Requested By Corbin W. Young Home Phone (828) 478-2889 Property Address 8627 Dog Leg Road, Sherrills Ford, NC Business Phone (828) 461-1576 Mailing Address 8627 Dog Leg Road, Sherrills Ford, NC 28673 Driving Directions Take Sherrills Ford rd. to Molly's Back Bone rd. Turn on Molly's Back Bone 4 miles to Azailia rd. turn right on Azailia to Dog Leg rd. turn Ieftpright after rode bends right, 8627 is first house on right. Sample Requested: Bacteriological X Inorganic Chemical Other Sample reason: Required for Refinance Type of Well: Drilled Bored Dug Other Unknown Is the well on this same property? Yes X 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 X No Is power on? Yes X No Has well been tested before? Yes X No Unknown Results Negative Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown X Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No X Explain Does the well top extend 12 inches above the ground or well slab? Yes No Unknown X The well is located in front rear X left side right side X of the house. Does well supply water to more than one home? Yes No X Date August 22, 2022 Signature of Owner or Agent ' catawbacountync.gov Environmental Health Catowbu County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. ‘1?)A- CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT \\\\� Q *71 PHONE:828.465.8399 Friday,August 26,2022 www.catawbacountync.gov PAYOR: YOUNG,CORBIN PAYMENTS TRANSACTION NUMBER: TRC-46047992-26-08-2022 PAYMENT DATE: 08/26/2022 PAYMENT TYPE: Credit Card 294307397 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-22-411172 Il0-580200-663000 Bacteriological Sample Fee $58.00 TOTAL PAYMENTS: $58.00 SAM-08-2022-178763 CASE TYPE: Water Sample WORK CLASS: Bacterial SITE ADDRESS: 8627 DOG LEG RD,SHERRILLS FORD NC 28673 Applicant CORBIN YOUNG,8627 DOG LEG RD,SHERRILLS FORD NC 28678 B:8284611576C:828-478-2889 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 08/26/2022 15:50 Page 1 of 1 $A Case# SAM-08-2022-178763 CATAWBA COUNTY HEALTH DEPARTMENT ) ., 15 Environmental Health Section 1 g c}2 SM 08/26/2022 WATER SAMPLE FIELD REPORT Applicant CORBIN YOUNG,8627 DOG LEG RD,SHERRILLS FORD NC 28678 B:8284611 576C:828-478-2889 Site Address: 8627 DOG LEG RD,SHERRILLS FORD NC 28673 Parcel Number: 461902650960 Driving Directions Sherrills Ford Rd,Mollys Backbone Rd,Azalea Rd,Dog Leg Rd,sharp right, first house on right Sample Collected by: g G411 P-t :+y Date/Time Sampled: 5f tifrA :0-Ain Sampling Point: 1^rf6+c): Is well head accessible? Yes V No Reason for inaccessibility Well New or Existing? New Existing v' Type of Well: Drilled ✓Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: ✓ Yes 1:iiiite 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 11 .Well head does not have a threadless tap 2k la Re,IiyetIC'n 1/ Well missing identification plate or ump to 1 trr.CO Of ti ctrt( i 11 k5 Wire conduit opening not sealed (bffe lri-4 „Iva Other(comment) Comment: rsamfieldreport 0s/26/2022 15:51 Page 1 of 2 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: Corbin Young Sample ID Number: 178763 Location: 8627 Dog Leg Rd, Sherrills Ford NC 28673 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. Julia English From: Blake Perkins Sent: Monday, September 26, 2022 11:14 AM To: Julia English Subject: RE: 8627 Dog Leg Rd The well now has a threadless tap and a pump tag. Thanks, Blake Sent from my Verizon. Samsung Galaxy smartphone Original message From: Julia English <JENGLISH@catawbacountync.gov> Date: 9/23/22 3:07 PM (GMT-05:00) To: Blake Perkins <BPerkins@CatawbaCountyNC.gov> Subject: 8627 Dog Leg Rd Changed out tap Make sure ok. Let us know Julia English Administrative Assistant II PO Box 389 125 Government Drive, Newton, NC 28658 (828) 465-8270 office (828) 465-8276 fax https://www.catawbacountvnc.gov/countv-services/environmental-health/ We want to hear from you. Please take a minute to take our customer service survey. English Queremos escuchar de usted. Tomese un minuto para realizar nuestra encuesta de servicio al cliente. Espanol Catawba county MAKING. LYING. BETTER. 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