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Home My WebLink AboutSAM-09-2022-181265.TIF Case# SAM-09-2022-181265 CATAWBA COUNTY HEALTH DEPARTMENT v '' Environmental Health Section 1 g 4 2 SM 09/28/2022 WATER SAMPLE APPLICATION Applicant JACK PARRIS,3926 POTTS CREEK RD,LINCOLNTON NC 28092 11:7044622010 Site Address: 3926 POTTS CREEK RD, LINCOLNTON NC 28092 SELECTED SAMPLES Inorganic Name of Subdivision: Parcel Number: 361703043330 Lot: Block: Specific Directions Description: Check for Arsenic Reason for Sample: check for arsenic Type of Well Bored 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? No Results 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? No Explain Does the well top extend twelve(12)inches above the ground or well slab? Yes The well is in: Right Side 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 Inorganic Chemical Sample Fee 09/28/2022 S128.00 TOTAL FEES S 128.00 rsamapplication 9/28/2022 Page 1 of I public health f Water Sample Application Sample Requested By A ck £- �q R JS Home Phone'pi- a o i o Property Address 1e,1 6 -al `Business Phone NM Mailing Address L /N G oL NTO l�` J►JC a.gD9 ( e-ATi w gq Gby,o pl Driving Directions A14.7 10 f R om 11/6&7)i E od I4 k y/b dt. /.{W .j 'R la NT. o,i -RgeFs Vat.E, RI) l,EAT' ON WITS Cie Ra 5'�'' DR ivE Oa) hEr7 Sample Requested: Bacteriological Inorganic Chemical Other Sample reason: CHEC.-k /i)C, FOR ARSNIG 4- L AVER T/ 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 **3‹ _ No Is power on? Yes No Has well been tested before? Yes No X 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 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 "X Date 9" 2 [p - f,O a ,'L Signature of Owner or Agent Ig catawbacountync.gov MAKING. LIVING. BETTEk. y�4'A • CATAWBA COUNTY , I00A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT V �,� PHONE:828.465.8399 Wednesday,September 28,2022 Ig 42 SM www.catawbacountync.gov PAYOR: Parris,Jack PAYMENTS TRANSACTION NUMBER: TRC-48055 1 88-28-09-2022 PAYMENT DATE: 09/28/2022 PAYMENT TYPE: Check 3057 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 09-22-412824 110-580200-663000 Inorganic Chemical Sample Fee $128.00 TOTAL PAYMENTS: $128.00 SA M-09-2022-181265 CASE TYPE: Water Sample WORK CLASS: Inorganic Chemical SITE ADDRESS: 3926 POTTS CREEK RD,LINCOLNTON NC 28092 Applicant JACK PARRIS,3926 POTTS CREEK RD,LINCOLNTON NC 28092 H:7044622010 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 09/28/2022 08:13 Page 1 of 1 N 0 R T H C A R 0 L I N A a 1 ` � Private Well Information �31 • , and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name: Jack Parris—3926 Potts Creek Rd, Lincolnton NC 28092 Sample ID#: 181265 Reviewer: Megen McBride 1 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. El Arsenic El Barium [' Cadmium El Chromium El Copper El Fluoride ❑ Iron El Lead ❑ Manganese ❑ Mercury El Nickel El Selenium ❑ Silver n 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. n 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. ❑ 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. n Chloride El Copper n Fluoride ❑ Iron El Manganese ❑ pH ❑ Silver ❑ Sulfate [' Zinc 6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of 20 mg/I. The North Carolina Division of Public I-lealth 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. El b. Your sodium level exceeds 30 mg/I and may pose aesthetic issues such as bad taste, odor, staining of porcelain,etc. 7. El Re-sampling is recommended in months, to reinvestigate . For more information regarding your well water results,please cull the North Carolina Division of Public Health at 919-707-5900.