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HomeMy WebLinkAboutSAM-02-2023-189228.tif $A Case# SAM-02-2023-189228 E '1'�,' t1 CATAWBA COUNTY HEALTH DEPARTMENT V ' .Cf) Environmental Health Section 8 42 sM 02/15/2023 WATER SAMPLE APPLICATION Applicant ELLIOT ROTHMAN,627 S MULBERRY ST,STATESVILLE NC 28677 C:7048836157 Site Address: 3717 CARIBOU DR, SHERRILLS FORD NC 28673 SELECTED SAMPLES Bacterial Name of Subdivision: Inorganic Parcel Number: 368702959342 Lot: Block: Nitrate/Nitrite Specific Directions Description: Well Variance Reason for Sample: well variance Type of Well Drilled Is the well on this same property? Yes _,, I Is outside spigot available to collect sample? j_ ;__Yes _' Is power on? j Yes j Has well been tested before? [_,Unknown 1 Results 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: i � Rear —I Does this well supply water to more than one home? r Yes l 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 /j Sp 3 Signature or Owner or Agen ___.-- Steven Price FEE DESCRIPTION DATE FEE AMOUNT Bacteriological Sample Fee 02/15/2023 $58.00 Inorganic Chemical Sample Fee 02/15/2023 $128.00 Nitrate Sample Fee 02/15/2023 $99.00 TOTAL FEES $285.00 i rsamapplication 2/15/2023 Page 1 of 1 Catawba county public health g ,( Water Sample Application Sample Requested By /e'1 °1/1/Z9/f/4r Home Phone 7°y o�J vl S7 Property Address -37!7 (44469a 0/ Business Phone Mailing Address 37 / /6Da or t//-5' >J ./irC c>2 0-673 Driving Directions Sample Requested: Bacteriological . Inorganic Chemical Other All Irak IViff 1 Li Sample reason: Type of Well: Drilled Bored Dug Other Is the well on this same property? Yes 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 v 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 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 J No Date /5/A 3 Signature of Owner or Agent catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 M AKl 1,GO LIVI G. BETTER. ..11V A ♦ CATAWBA COUNTY �/-,- -la100A SOUTHWEST BLVD t NEWTON,NORTH CAROLINA 28658 RECEIPT 4 PHONE:828.465.8399 V arl CD Al Wednesday,February 15,2023 I8 2 5M www.catawbacountync.gov PAYOR: Rothman,Elliot PAYMENTS TRANSACTION NUMBER: TRC-57711268-15-02-2023 PAYMENT DATE: 02/15/2023 PAYMENT TYPE: Credit Card 301143925 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 02-23-418371 110-580200-663000 Bacteriological Sample Fee $58.00 02 23-418371 ,110 580200-663000 Nitrate Sample Fee _ $99.00; 02-23-418371 110-580200-663000 Inorganic Chemical Sample Fee $128.00 TOTAL PAYMENTS: $285.00 SAM-02-2023-189228 CASE TYPE: Water Sample WORK CLASS: Multiple Different Samples SITE ADDRESS: 3717 CARIBOU DR,SHERRILLS FORD NC 28673 Applicant ELLIOT ROTHMAN,627 S MULBERRY ST,STATESVILLE NC 28677 C:7048836157 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 02/15/2023 10:12 Page 1 of 1 NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES VARIANCE APPLICATION FOR 2C .0100 WELL CONSTRUCTION STANDARDS: PRIVATE DRINKING WATER WELLS UNDER 15A NCAC 02C.0300 WATER SUPPLY WELLS UNDER 15A NCAC 02C.0107 All water supply wells not considered"Private Drinking Water Wells"and Including irrigation.industrial,and commercial wells. WELLS OTHER THAN WATER SUPPLY UNDER ISA NCAC 02C.0108 Including monitoring and recovery wells. Print dearly or type information. f/legible submittals will be returned as incomplete. DATE: FE!J 'T , 20 aq 3 PERMIT NO.: (to be completed by DWQ/DPH) A. WELL OWNER—For single family residences list the properly owner(s). For all others, list name of the business, organization,or government agency and person delegated signature authority: E&A I61_11Ck Fi4r'i L0�� 7 S l bet14 51- S i-6ksv, Ile, �e 5i�v7? Mailing Address: 3 7 C +�►�ppI/5 Enik_ i<i✓ City:'5tf /-i 5 State: Ae, Zip Coder v'6732ouunty::/ C -I-At/MA Day Tele No.: 70 CP—8�"3`6/57 Cell No.: 7 O4 213- EMAIL Address:e Ltd CO Fax No.: B. PHYSICAL LOCATION OF WELL SITE Q � Q ` (1) Parcel Iden ification Number(PIN)of well site: C! /' 1- r 3 3-/ L/5--- County: (il-(4 14JM LOT- So (2) Physical Address(if different than mailing address): _ -37 )7 ('A . 162-2 0r City: 5/4C/24,//S !-tee State:NIC Zip Code: g6 7 C. WELL DRILLER INFORMATION (if known) Well Drilling Contractor's Name: A/tc NC Well Drilling Contractor Certification No.: Company Name: Contact Person: City: State: Zip Code: County: Day Tele No.: Cell No.: EMAIL Address: Fax No.: FomrOW-22V Page I Revised Fcbrasry2013 D. REASON FOR VARIANCE REQUEST—Include type of well(s)to be constructed; rule for which the variance is being requested; description of bow the alternate construction will not endanger human health and welfare and the environment;and reason why construction and/or operation in accordance with the standards is not technically feasible and/or provides equal or better protection of the groundwater. Vanetncp YL2ectex C 5 C Afe,11l'n 4e, lit 41 5-h 5e 4iL- w h irh `��{ 'gh VI Well, E. ATTACHMENTS—Provide the following information as attachments to this application: (1) A map showing general location of the property(including road names, NC State Route Number,distances, any key landmarks,etc.)sufficient for finding the well location. (2) Detailed site map with scale showing location of proposed well relevant to septic system(s), building foundations,property lines,water bodies,potential sources of contamination,other wells,etc. (3) Submit a copy of the local well permit application and site evaluation map(if applicable). (4) Any other information relevant to the variance request such as a well construction diagram showing proposed well liner or atypical construction materials/methods. F. OTHER MINIMUM CONSTRUCTION REQUIEM'S For water supply wells, approval of a variance will require that additional construction requirements beyond those specified in 15A NCAC 02C .0107 be met. Minimum additional construction requirements for Coastal Plain and Piedmont and Mountain region wells are referenced on Attachments A and B on pages 4 and 5 of this application. Approval of a variance will not be considered in cases where the specified minimum additional construction requirements cannot be met. G. SIGNATURES ignatu of Person Responsible for Well Construction(typically the well driller)/// �t�1 j4��/f' Print or Type Full Name of Person Responsible for Well Construction (typically the well driller) S a ture of County•E s'irinmental Health Specialist > Print or Type Full Name of County En iroamental Health Specialist Per 15A NCAC 02C.0118 the Secretary of the Division of Water Quality or the Division of Public Health may require submittal of information deemed necessary to make a decision on the variance; may Impose conditions as part of the decision, and shall respond in writing to the request within 30 days of receipt of the variance request. A variance applicant who is dissatisfied with the decision of the Director may commence a contested case by filing a petition as • described in G.S. 1SOB-23 within 60 days after receipt of the decision. Form GR+-22V Page 2 Revised February 2013 Please submit tltis_fornr along with a Well North Carolina Variance Application for an existing Department of Health and Human Services private water supply welt Division of Public Health l:\isting Well Variance Inspection Repots Well Site Location: 1-- J J e F r ') 1\J G C G 1- c vv Lc, 6 ? 7 0 L q s-9.3 Li Z (Town,community,subdivision and Lot ti) Address:_3- / 7 C= r ;13 00 0 r County:_ . -1- , ,y.... c.`. City/ST/Zip: slr,Q., r r I!-t e r j Nf 2Y61 3 Date of SiteVisit: ( I l I /-C ILL T— - Well Construction Well Head Completion Date of Well Construction: t /A _ Is the well head 12"above land surface. YE or NO If unknown,was it drilled before 1972? YES or If no, what is the height of the casing:. inches 5 If unknown,was it drilled before 7/1/2008. YIDS r NO Is there a sanitary well seal? l r NO What type of well is it: Is the sanitary well seal in good rcpau?YES or NO (131114 Bored Hand Dug Jetted Other Are the folio\,'ng items present at the well I ad? Vent Sample Tap Does the well have a cement slab? YES or NO - ---_ - — �� Well Tag Pump Tag Does the well appear to be grouted?CYE� Jor NO Potential Sources of Contamination? Does the well currently meet separation requirements with known sources of contarnination? YL or NO i If no,please provide distances to those it does meet:_ Vc, r- ,;,r,% - r�c v) S ' +' s 1 1,:A -r^p r L7 -\S+.r.+c-1`•" 6r S <' 'N -1�JCI ,' ). �1 4,.._ _K�_`_ _- _I_0,._ ° 2'Y-' 3"E'.`, f Other comments: Name of person completing this form(please print): j 5, '1 l? y ) g-S I i 0 NOTES: LEGEND •PROPERTY MAT BE SUBJECT TO RECORDED OR PHYSICAL SURVEY UNRECORDED RENTS OF WATs OR PAEEIENTS -__ FOR NOT OBSERVED R\W REOHT-OF-WAY MEGAN D.BLACK •TUTS swrrtY WAS PERFORATED WHOM PIE BENEFIT J PB 33-145 c\L EDGECEITREPOf PAVEMENT OF A TIRE SEARCH. •ACORN TO YEAR ALL SETBACKS AND ZONING POE PUBLIC DRANACE EASEMENT REGULATIONS PRIOR TO ANY PIAJWNG OR LOT#31 CONSTRUCTION. SSE UTILITY POLE LOT EASEMENT 3715 CARIBOU DR-SHERRILLS FORD,NC •OINEN4UNS Of ALL IARROMDADDS SNOW ON / I I tt 1 T POLE LOT R29&M30,HIGHLAND LIEN,MAP 1 TNB PEAT MOULD NOT BE SCALED OR RECCU UPON FOR DESIGN OR CONSTRUCTION WITHOUT r ovERNEAn UTILITY UNE A FIELD sERRxoox of Ad.ON_TrEU. / I FENCE MOUNTAIN CREEK TOWNSHIP,CATAWBA COUNTY,NC PROPERTY CORNER MARKERS ME FOUNO CORNERS 14 R3M I SCALE:1'•SD' •MIENS ORENWSE NOTED AS'SET". S B'21'B 2•:,. ' I --.-R\W USE •'"6 PR°°`" 0 NOT TOLOCATED`"A E00 TM BOUNDARY LANE DEDMON SURVEYS FLOOD PUN ACCORDING ID THE CUFREHT MIA SUP -. s s In ROM Pi, , T a ___�; ROBERT DEDMON,PLS O3Bg9 CHUCKPOOVEY,PL58�762 y 1 J M i i 3704 NC HIGHWAYW6 NORTH IJ P.O.BOX 494-DENVER,NC 28D37 i v506 AC+- 8 314 9 0 8 4 'dV' PB 33-145 I LICENSE NO.Co453 T LOT#29&#30 i _- CARIBOU DR WWW.000M005JRYEYS.COM JERALD SIGMON a j --D 45'PUBLIC R\W �uLilu y DB 2064-1506 , _I `E 1 1piait.,,,, hiii L-ON9 h Jt r I �..FRJ TIN w T.•& •;.' I I L It E IIMERTA DEEM..=VT THAT TRSMAP WAS DRAWN UNDER R,_ ::." �" RI I St/1.MM FIKMMACRIAL RPM MADE UNDER Mr SUPERVISOR ' Y:;>/ I 3 l aMI bRTPUT 31115S TINT THE wUNOWTS NOT SUINB'w V „i I NOTATED AS DOWN MON INE.MATwN Ix w THAT THE it S. f SD. AND MAT ni111MPI�i.• IS THE ReO MUM THE STANDMDS OF PPKTKf EdIVM NAMRNG IN NORTH CAROfNU I 1 NfNGEfE.ffm} OAIE:DErnsUETs.JmT I ',;rfk. /• Oe �� J.MD. _` / SUM BY DRAWN:PD JORE Jr.,,,,, / GERALD LAWING 1 N wormy 1LAPl DB2064-1520 If NB r F'' act, ' 7 Y7k / 7p �% / IONE'A t H 13 CDrVO R0d1UB Length chord chore Beer. PR 33-145 g`ROM / 0 Cl 805.34. 8.48. 8.48' 8 01`88'29•E c2 447.70' 280.08. 278.52' B I0.27'04'W LOTS28 / / SITE 03 322.60' 38.70' 38.88' 8 25.12'02'W / T ''sac STAif c; .d ,�o''., ROY COOPER • Governor -i, li., NC DEPARTMENT OF W t HEALTH AND KODY H. KINSLEY• Secretary HUMAN SERVICES HELEN WOLSTENHOLME • Interim Deputy Secretary for Health •.k ",o'_ MARK T. BENTON •Assistant Secretary for Public Health Division of Public Health Onsite Water Protection Branch March 20, 2023 Megan Black and Elliot Rothman 627 S Mulberry St Statesville, NC 28673 Re: Approval No. JMB2949 Private Well Located Less Than 100' to a Septic System [Rule 15A NCAC 2C .0107(a)(2(C)] Property location: 3717 Caribou Dr Sherrills Ford, NC 28673 Dear Ms. Black and Mr. Rothman: On March 17, 2023, the On-site Water Protection Branch received your request for a variance from the Well Construction standards, Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for a variance concerns a water supply well on the referenced property currently serving one well. Another home is proposed to connect to the well. Specifically, the variance request grants you permission to use an existing water supply well at a distance closer than the one-hundred-foot setback to a septic system. Achieving the one-hundred setback would be difficult given the challenges of the property. Based upon information provided by the Catawba County Health Department, and the property owner, it is my finding that based upon current conditions as the site exist today (as well as the current proposal for use of the structure) you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2). On that basis and if the following conditions are met, the requested variance is approved: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh, NC 27609 MAILING ADDRESS:1642 Mail Service Center, Raleigh, NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER 1) The well/wellhead shall meet all current 2C. 0100 standards, including but not limited to being properly grouted, terminated at least 12" above land surface, properly sealed, having a thread-less sample tap etc. 2) The well shall be sampled for the same parameters as required for newly constructed well. If samples indicate contaminants, further repairs/treatment may be required. 3) No potential sources of groundwater contamination shall be stored near the well-head. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(b)to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further, the approval does not relieve your responsibility to comply with any other applicable Federal, State, or local laws or regulations. If you have any questions regarding this variance, please contact me at (828) 713-3335. Sincerely, John M. Brooks R,E.1-1.S, MS 2 BA C Case# • SAM-02-2023-189228 E7,4 CATAWBA COUNTY HEALTH DEPARTMENT V T---)If:sm Environmental Health Section 1 g 03/15/2023 WATER SAMPLE FIELD REPORT Applicant ELLIO'f R0111MAN,627 S MULBERRY ST,STATESVILLE NC 28677 (':7048836157 Site Address: 3717 CARIBOU DR,SHERRILLS FORD NC 28673 Parcel Number: 368702959342 Driving Directions Mt.Beulah Rd,right Lineberger Rd,right Caribou Dr on right 3 Sample Collected by: 37, S d v\ 13' �(d Date/Time Sampled:.i i S~ /�-3 1 3N A M Sampling Point: S r I c,,1 ' 1- L.+c- I y Is well head accessible? Yes No Reason for inaccessibility Well New or Existing? New Existing \// Type of Well: Drilled V Bored Hand Dug Punch Does well meet adequate construction standards from what can be observed: Yes No 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 Well head does not have a threadless tap Well missing identification plate or pump tag Wire conduit opening not sealed Other(comment) (`ommcnt: Ve, r I A )1" NL. S� a o 1 1olLJ rsamfieldreport 03/15/2023 12:05 Page 1 oft �$A Case# SAM-02-2023-189228 (�,� i CATAWBA COUNTY HEALTH DEPARTMENT ,., ,�, Environmental Health Section Ig 2 SM 03/15/2023 WATER SAMPLE TEST RESULTS Applicant ELLIOT ROTHMAN,627 S MULBERRY ST,STATESVII,I,L NC 28677 C:7048836157 Site Address: 3717 CARIBOU DR,SI I BRILLS FORD NC 28673 Parcel Number: 368702959342 Lab Coliform Analysis Results: Total Coliforms: a�aJ „ Fecal/E.Coli: OVV14- No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident Lab Tech Initials 5, Date/Time Received Orb'kc). `L-11C3 Date/Time Completed 02 I rA `t!'lli"N RECEIVED Environmental Health rsamfieldrepon 03/15/2023 12:05 Page 2 of2 b`'° b �. 4312 District Drive 4 '' North Carolina State Laboratory of Public Health Msc,9,8 i -.it_ '_ } Raleigh,NC 27699-1918 ,,, • IL. :r:. Environmental Sciences http://slph.ncpublichealth.com '"`�' Phone: 919-733-7308 �. QV,,. Inorganic Chemistry Fax: 919-715-8611 Certificate of Analysis FINAL REPORT Report to: ENVIRONMENTAL HEALTH Name of System: CATAWBA COUNTY ENVIRONMENTAL HEALTH Elliot Rothman P 0 BOX 389 3717 Caribou Dr NEWTON, NC 28658 Sherrills Ford, NC 28673 EIN: 566001814EH Delivery: NC Courier StarLiMS ID: ES230316-0032 Date Collected: 03/15/2023 Time Collected: 11:30 By: Jason Boyd Date Received: 03/16/2023 Time Received: 07:58 Sample Type: Raw Sampling Point: Outside spigot at well Well Permit No. 189228 Sample Source: Well water Receipt Temp. : GPS Number: Profile: Inorganic Chemical+ Metals I Analyte Test Result Allowable Limit Unit Qualifier(s) Arsenic <0.001 0.010 mg/L Barium <0.1 2.0 mg/L _ Cadmium <0.0005 0.0.05 mg/L Calcium 18 mg/L Chloride <5 250 mg/L Chromium <0.02 0.10 mg/L Copper <0.01 1.3 mg/L Fluoride 1.67 4.00 mg/L Iron <0.06 0.30 mg/L Lead <0.003 0.015 mg/L Magnesium 5 mg/L Manganese 0.029 0.05 mg/L Mercury <0.0004 0.002 mg/L Nickel <0.01 0.1 mg/L pH 7.9 N/A Selenium <0.005 0.05 mg/L Silver <0.01 0.10 mg/L Sodium 8.0 mg/L Sulfate 12.2 250 mg/L Total Alkalinity 72 mg/L Total Hardness 67 _ mg/L Zinc <0.05 5.0 mg/L Report Date: 03/28/2023 Reported By: RECEIVED Marc Komlos MAR 1 2023 Environmental Health 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: Elliot Rothman Sample ID Number: 189228 Location: 3717 Caribou Dr, 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. I f 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. N 0 R T H C A R 0 L I N A Private Well Information and Use Recommendations NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Division of Public Health For Inorganic Chemical Contaminants County: Catawba Name:I Elliot Rothman—3717 Caribou Dr, Sherrills Ford NC 28673 Sample ID#: 189228 Reviewer: Megen McBride 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. ❑Arsenic ❑ Barium ❑ Cadmium ❑ Chromium ❑ Copper ❑ Fluoride ❑ Iron ❑ Lead ❑ Manganese ❑ Mercury ❑Nickel ❑Nitrate/Nitrite ❑ Selenium ❑ Silver ❑ 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. ❑ 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. ❑ Chloride ❑ Copper ❑ Fluoride ❑ Iron ❑ 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 Health 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. n b. Your sodium level exceeds 30 mg/I and may pose aesthetic issues such as bad taste,odor,staining of porcelain, etc. 7. ❑ Re-sampling is recommended in months,to reinvestigate For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.