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Home My WebLink AboutSAM-11-2022-185262.tif ,1.----) �AC' Case# SAM-I 1-2022-185262 f: II CATAWBA COUNTY HEALTH DEPARTMENT vt Environmental Health Section 1 g 4 2 sM 11/29/2022 WATER SAMPLE APPLICATION Applicant MARK PEKERA,5978 AQUARIAN WAY,DENVER NC 28037 C:8284613720 Site Address: 5978 AQUARIAN WAY, DENVER NC 28037 SELECTED SAMPLES Bacterial Name of Subdivision: Parcel Number: 369603112989 Lot: Block: Specific Directions Description: Bacteria resample for refinance Reason for Sample: 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 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: 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 11/29/2022 $58.00 TOTAL,FEES $58.00 rsamapplication 11/29/2022 Page 1 of 1 G) /c52&' c atawb a. county public hcalth aterSample Application Sample Requested By 71A/9/'� ��/// `J ��C,/..F ��JJ,4 Home Phone.i 1-'W/ 7&6 I Property Address'._ .7? /-J ,L)/ /t. f A AI/41 Business Phone w141k Mailing Address_ � 1 Y A? A/C' j2iG97 — — Drivi Directions i 0d77I ± 0 4 _/6___—Yl fivo f -7;_e,t1 1 '/ "Iii 70 ` 'AA'y C 6Cl,e. foils C.cve,aeR /G i Sample Requested: Bacteriological__ Inorganic Chemical Other Sample reason: — t 4)4 ,� Type of Well: Drilled 7 Bored_ Dug Other 1s the well on this same property? Ye! Y No PLEASE NOTE: Sample will be ta en at the well head. If well head is not accessible, sample will be taken from a spigot on outside c F home, unless otherwise specified: . Is outside spigot availabl o collect sa iple? Yes [ No Is power on? Yes Y No / S Has well been tested before? Yes y No_ Unknown Results /; Does the plumbing come out the top c the well through a sanitary well seal? Yes V/ _No Unknown Does the water ever become cloudy of has there ever been a problem with taste or odrir? Yes No j/ Explain / Does the well top extend 12 inches a ove the ground or well slab? Yes V No Unknown The well is located in front r ar /_left side right side of r he house. Does well su ply water to more than r 1e home? Yes No L/ Date hi* / nrC_ r 1<R _ Signature of Owner or Agent C Crr 1 catawbacountync.gov Environmental Health ./ (atnwba County Government [enter /FA ) #- 25 Govtrnun 1t Drive 1 PO Box 389 I Newton NC 28658 1828,4i'5.8270 r FO2P— ,Fc; 7,6 °— MAKING, LIVING.. BETTER., 7 A CATAWBA COUNTY �}+ 100A SOUTHWEST BLVD ` NEWTOPN,NORTH CAROLI g399A 28658 INVOICE/RECEIPT 115 0 7 Tuesday,November 29,2022 1$4 el ski www.catawbacountync.gov Invoice Number: 11-22-415294 Invoice Date: l 1/29/2022 SAM-1 I-2022-185262 CASE TYPE: Water Sample WORK CLASS: Bacterial SITE ADDRESS: 5978 AQUARIAN WAY,DENVER NC 28037 Applicant MARK PEKERA,5978 AQUARIAN WAY,DENVER NC 28037 C:8284613720 **NO PEOPLESOFT ACCOUNT ASSIGNED** PAY OR: Pekera,Mark FEES SAM-11-2022-185262 FEE AMT DUE AMT Bacteriological Sample Fee 110-580200-663000 11/29/2022 $58.00 $0.00 FEES: $58.00 $0.00 TOTAL FEES: $58.00 $0.00 PAYMENTS INVOICE NUMBER FEE NAME FEE AMOUNT TRANSACTION NUMBER: TRC-52227533-29-I1-2022 PAYMENT DATE: 11/29/2022 PAYMENT TYPE: Credit Card 298036418 11-22-415294 Bacteriological Sample Fee $58.00 TOTAL PAYMENTS: $58.00 invoicereceipl 11/29/2022 16:32 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: Mark Pekera Sample ID Number: 185262 Location: 5978 Aquarian Way, Denver NC 28037 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.