HomeMy WebLinkAboutSAM-12-2022-186268.tif $A Case tt SAM-12-2022-186268
�� t t CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
1$Q 2 sM 12/15/2022
WATER SAMPLE APPLICATION
Applicant JACK HART,3303 43RD AVE NE,HICKORY NC 28601
C:8283108111
Site Address: 3303 43RD AVE NE, HICKORY NC 28601 SELECTED SAMPLES
Bacterial
Name of Subdivision:
Parcel Number: 372408896461 Lot: Block:
Specific Directions
Description: bacteria
Reason for Sample: Bacteria Resample
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? Yes Results present 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? 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
Dwight Mikeal
FEE DESCRIPTION DATE FEE AMOUNT
Bacteriological Sample Fee 12/15/2022 $58.00
TOTAL FEES $58.00
rsamapplication 12/15/2022 Page 1 of 1
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Water Sample Application
Sample Requested By_ L ize�...___,__..���_�.'--`---W--
____._.Home Phone_-
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Property Address _IC.�. 1` - JV ......_ _. f
Mailing Address _
Driving Directions
Sample Requested: Bacteriological Inorganic Chemical Other
Sample reason:
Type of Well: Drilled Bored ✓ Dug Other
Is the well on this same property? Yes / No
PLEASE NOTE: Sample will be taken at the well head. If well head is not accessible, sample will be
taken from a spigot on outside of home, unless otherwise specified:
Is outside spigot available to collect sample? Yes ✓ No
Is power on? Yes / No y�
Has well been tested before? Yes No Unknown Results p9.51ii‘re., �l l r^of! Nr'rw
Does the plumbing come out the top of the well through a sanitary well seal? Yes ✓ No Unknown
Does the water ever become cloudy or has there ever been a problem with taste or odor? Yes No /
Explain
Does the well top extend 12 inches above the ground or well slab? Yes ✓ No Unknown
The well is located in front rear left side right side (l of the house.
Does well supply water to more than one home? Yes No '"
Date Signature of Owner or Agent
catawbacountync.gov
Environmental Health
Cutowbo County Government Center
25 Governuietrl Dr PO Box 389 Newton NC 28658 \ B28.465.B270
MAKING. LIVING. BETTER.
�$A CATAWBA COUNTY
IOOA SOUTI IWEST BLVD
NEWTON,NORTI{CAROLINA 28658 RECEIPT
V7C' PHONE:828.465.8399
'" / Thursday,December 15,2022
1$42� SM www.catawbacountync.gov
PAYOR:
Hart,Jack
PAYMENTS
TRANSACTION NUMBER: TRC-53330329-15-12-2022
PAYMENT DATE: 12/15/2022
PAYMENT TYPE: Credit Card
298682074
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
12-22-415959 110-580200-663000 Bacteriological Sample Fee $58.00
TOTAL PAYMENTS: $58.00
SAM-12-2022-186268
CASE TYPE: Water Sample WORK CLASS: Bacterial
SITE ADDRESS: 3303 43RD AVE NE,HICKORY NC 28601
Applicant JACK I TART,3303 43RD AVE NE,HICKORY NC 28601
C:8283108111
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 12/15/2022 15:41 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: Jack Hart Sample ID Number: 186268
Location: 3303 43rd Ave NE, Hickory NC 28601 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.)
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.
X 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.
-pies.
Total Coliform
Bacteria, E. coli &
PRIVATE WELLS ms
' ' '
What are total coliform bacteria
and E. coil'
Total coliform bacteria area group of microorganisms found
in soil and surface water.Total coliform bacteria water tests
look at all coliform bacteria in water.This includes fecal y
coliform bacteria,which are a group of bacteria found in the '2411011111.11
intestines and feces of animals and humans.
E.coli or Escherichia coli is a type of fecal coliform bacteria.
There are many strains of E.coli. When should I be concerned
about coliform bacteria or E. coli?
How does coliform bacteria and You should be concerned if coliform bacteria or E.coli are
E. coli get in my private well water? present in your well water.
Rain may wash coliform bacteria or E.coli from soil on The NC Department of Environmental Quality
the surface to groundwater.Coliform bacteria or E.coli developed a groundwater standard of 1 colony of
can also enter your water if your private well is poorly coliform bacteria in 100 milliliters of water(colonies/
constructed,cracked or unsealed. mL).Ground water standards are developed to protect
public health.This standard was developed in 2013.
How can coliform bacteria The US Environmental Protection Agency requires
follow up testing and treatment when coliform bacteria
or E. coli affect my health? or E.coli is found in any public water supply system across
Most coliform bacteria and E.coli strains will not make you the country.Public drinking water guidance are based on
sick.The presence of some types of coliform bacteria in the public health protection and cost of treatment/testing at
water signal the presence of feces or sewage waste. Feces large utilities.These rules were established in 1989 and
and sewage wastes are usually the source of the disease- updated in 2014.
causing organisms.
Total coliform bacteria and E.coli water tests are used as How do I test for total coliform
indicators for the presence of disease-causing organisms. bacteria or E. coli in my
The following are some disease-causing organisms or private well?
pathogens that could be present in your water:
• Bacteria that cause diarrhea and vomiting, Use a certified lab to test your well water for coliform
• Protozoa that cause dysentery, bacteria and E.coli every year.Contact the private well
• Viruses that cause polio and hepatitis,and program at your county health department to assist you
• Helminths,such as roundworms and tapeworms, with getting your water tested.Pricing of testing varies
that cause chronic diarrhea. from county to county.
alk
Percent of Private Wells Tested * =Yli -s �,
With Detection of E. coli, 2011-2013 "'0 7.11
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Percent of Private Wells Tested With ._ �`��
Detection of Total Coliform, 2011-2013 ' t • ����
AuSierth 40 1_ ‘44".„,_ .
_ _
air& , t& r ip _ 4-11L%
- >50%with detection ie c .
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Ell25.1-50°/with detection - � � _
<25%with detection
J"
0%with detection •
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Insufficient data(<10 wells tested)
What if total coliform bacteria Where can I find more
or E. coli levels are present? information about total coliform
Shock chlorination is a method to remove bacteria bacteria, E. coli and my well?
contamination in private wells.If contamination persist Visit the NC Division of Public Health's Private Well and
you can install a treatment system to reduce the levels Health Program website:http://epi.publichealth,nc.gov/
of bacteria in your private well.Treatment systems that oee/programs/weliwater.html.
reduce the level of bacteria in your well water include:
• Ultraviolet(UV)filtration treatment system There you can find:
• Contacts for your county private well program
You can also reduce your exposure by using bottled water • Total coliform bacteria or E.coli in well water maps
or connecting to public water supply,if possible. . A guide for selecting a treatment system
• Other private well resources
Where are total coliform bacteria You can also call the Private Well and Health Program
and E. coli found in NC? at 919-707-5900.
Coliform bacteria are detected throughout NC.About 26%
of wells sampled for microbial contamination in NC from Where did this information come
2011 to 2013 tested positive for coliform bacteria.Yet, from?
there are several areas in NC with at least 50%of wells with
coliform bacteria present.See map for areas with high Centers for Disease Control and Prevention:www.cdc.gov/
coliform bacteria detections. healthywater/drinking/private/wells/disease/e coli.html
E.coli is detected throughout NC.About 2%of wells Environmental Protection Agency:https://safewater.
sampled for microbial contamination in NC from 2011 to zendesk.com/hc/en-us/sections/203309158-E-coli-0157-H7-
2013 tested positive for E.coli.Yet,there are several areas National Sanitation Foundation:www.nsf,org/consumer-
in NC with at least 25%of wells with E.coli present.See resources/water-quality/water-filters-testing-treatment/
map for areas with high E.coli detections. contaminant-reduction-claims-guide
NC Department of Health and Human Services•Division of Public Health•Epidemiology Section•Occupational and Environmental
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', V Epidemiology Branch•Private Welland Health Program•httos;//eoi.oublichealth.nc.gov/oee/orograms/wellwater.html•NCDHHSisan
/ North Car°h.. equal opportunity employer and provider.•09/2019
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