HomeMy WebLinkAboutSAM-09-2022-180559.TIF $A Casett SAM-09-2022-I80559
4 `' CATAWBA COUNTY HEALTH DEPARTMENT
:V1$ /� Environmental Health Section
42 sm 09/19/2022
WATER SAMPLE APPLICATION
Applicant LYNDA MILLER,7768 ANGLERS WAY,SHERRILLS FORD NC 28673
C:7044832244
Site Address: 7768 ANGLERS WAY, SHERRILLS FORD NC 28673 SELECTED SAMPLES
Bacterial
Name of Subdivision:
Parcel Number: 460602758564 Lot: Block:
Specific Directions
Description: bacteria only
Reason for Sample: resample
Type of Well Driller 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 collform:
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'? Na
Explain
Does the well top extend twelve(12)inches above the ground or well slab? Yes
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 Agen
Blake Perkins
FEE DESCRIPTION DATE FEE AMOUNT
Bacteriological Sample Fee 09/19/2022 $58.00
TOTAL FEES S58,00
rsamapplication 9/19/2022 Page 1 of 1
catawba county
public health
ater Sample Application II•�� r1</ 1 \
Sample Requested B Home Phonu�� `t e J otd `t 14
Property Address 1I-1 yy, Business Phone
Mailing Address \ ' 1 C1c \'Qrc
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Sample Requested: Bacteriological v Inorganic Chemical Other
Sample reason:
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 ✓ No
Has well been tested before? Yes No Unknown Results
Does the plumbing come out the top of the well through a sanitary well seal? Yes No Unknown lr
Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No 1--
Ex plain
Does the well top extend 12 inches above the ground or well slab? Yes No Unknown
The well is located in front rear left side right side t of the house.
Does well supply water to more than one home? Yes No t
1C `
Date ��l ' "1 c��' Signature of Owner or Agents' 1� C 1 \ _
catawbacountync.gov
Environmental Health
Catawbo County Government Center
25 Government Drive PO Box 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT
PHONE:828.465.8399
Monday,September 19,2022
/842 sM www.catawbacountync.gov
Invoice Number: 09-22-412391 Invoice Date: 09/19/2022
SAM-09-2022-180559
CASE TYPE: Water Sample WORK CLASS: Bacterial
SITE ADDRESS: 7768 ANGLERS WAY,SFIE,RRILLS FORD NC 28673
Applicant LYNDA MILLER,7768 ANGLERS WAY,SI IERRILL,S FORD NC 28673
C:7044832244
**NO PEOPLESOFT ACCOUNT ASSIGNED**
PAYOR:
Miller,Lynda
FEES
SAM-09-2022-180559 FEE AMT DUI;AMT
Bacteriological Sample Fee 110-580200-663000 09/19/2022 $58.00 $0.00
FEES: $58.00 S0.00
TOTAL FEES: $58.00 $0.00
PAYMENTS
INVOICE NUMBER FEE NAME FEE AMOUNT
TRANSACTION NUMBER: "I'RC-475203 84-19-09-2022
PAYMENT DATE: 09/19/2022
PAYMENT TYPE: Credit Card
295218062
09-22-412391 Bacteriological Sample Fee $58.00
TOTAL PAYMENTS: $58.00
invoiccreceipt 09/19/2022 13:49 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: Lynda Miller Sample ID Number: 180559
Location: 7768 Anglers Way, 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.