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HomeMy WebLinkAboutWELL-06-2023-197688.TIF ' 11$A Case# WELL-06-2023-197688 �,� IQMM y CATAWBA COUNTY HEALTH I)EPAR"I'MENT Environmental Health Section 18 4 2 SM 06/28/2023 WATER SAMPLE FIELD REPORT Applicant DAVIT)CAMP. PO BOX 429,El,I,ENBORO NC 28040 B:8284537322C:8284294467 CAMPS.INC@LIVE.COM Owner VIRGINIA DELLINGER,PO BOX 991,MAIDEN NC 28650 C:7047568297 VSDELLINGER20(0')GMAII,.COM Paid By LEEANNE CAMP.. B:8284537322 Contractor *CLINE BUILDERS,INC.,4300 E DIXON BLVD,SIIELBY NC 28152 B:7044663303 KYLE4rCLINEBUILDERS.COM Site Address: 3399 E MAIDEN RD,MAIDEN NC 28650 Parcel Number: 366603440934 Driving Directions S NC Hwy 16,Right onto Buffalo Shoals RD,Left onto E Maiden RD, Property on Right before Honest Bob RD Sample Collected by: Pb-' 3 L* 1'/y ► kcal Date/Time Sampled: 07/0S/A 3 i"2 0 s'v p Sampling Point: Sskrt,,p(Q Tap is well head accessible? Yes No Reason for inaccessibility _ Well New or Existing? New Existing Type of Well: Drilled / 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) Comment: rsamfieldreport 06/28/2023 10:59 Page 1 of2 0", Case# WELL-06-2023-197688 CATAWBA COUNTY HEALTH DEPARTMENT V -J Environmental Health Section 18 42 srn 06/28/2023 WATER SAMPLE TEST RESULTS Applicant DAVID CAMP,PO BOX 429,ELLENBORO NC 28040 B:8284537322C:8284294467 CAMI'S.INC r@ LIVE.COM Owner VIRGINIA DELLINGER,PO BOX 991,MAIDEN NC 28650 C:7047568297 VSDELLINGER20q,GMAIL.COM Paid By LEEANNE CAMP., B:8284537322 Contractor *CLINE BUILDERS,INC.,4300 E DIXON BLVD,SI IELBY NC 28152 B:7044663303 KYLE@CLINEBUILDERS.COM CLINEBUILDERS.COM Site Address: 3399 E MAIDEN RD,MAIDEN NC 28650 Parcel Number: 366603440934 Lab Coliform Analysis Results: Total Colifonns: P1- Fecal/E.Coli: No Collection Date Over 30 hours old Invalid Results: Excessive turbidity Excessive Chlorine Lab Accident �a5. U tl! ` o 'it 0 Lab Tech Initials Date/Time Received Date/Time Completed o�(orp f 202'� �+ RECEIVED -1f/ 11)3 spalu hD P1.r (ramp JUL 1 1 2023 Environmental Health rsamlieldreport 06/28/2023 10:59 Page 2 of2 Analytical Results • STATFSVILLF ' ANALYTICAL Catawba County Public Health PO Box 389 Newton, NC 28658 Receive Date: 07/06/2023 Reported: 07/10/2023 For: Virginia Dellinger Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 230706-20-01 Nitrate 06-2023-197688 <1 mg/L 353.2 07/07/2023 CL 230706-20-01 Nitrite 06-2023-197688 <0.1 mg/L 353.2 07/07/2023 CL Respectfully submitted, • Melissa Myers NC Cert#440, NCDW Cert#37755, EPA#NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 ..,,,, ,..,,,,,,,,,,,,,,.., •'..,*•4,.,....,.... .,-,. . 1.72,„..„.,...,,,..„,,,,,,..„,,,,,..„.,.,..,1,4•,:::,. 207, : NITRATEINITRITE,AN:M...:Y.SICS . 1-15-3 , iq7C9g. . - -,''' .....: ..•.':: .- -...'' .-'1 Y...;1..$'..!....... ...„1.... -.... ...Y.t$C-2!"......„ . .. 1 - Fttit v i)...-7...'i-.. 1 g'7 F..._. I . ........,...„.......... . .• ........,.....,,. . .... ..' Vii 4i.i'i-V 7:•.:; 1 - .. . <5 9..,.::,.,:ilz::......1N!;.,,.,f.,r*,.,..0.'s,,,•m-.;.:i: 1 . ,.......„,-„......... ..... ..... .. • —... 'i.,•if.A'a0Ii,NC 1.8654.1 EHAi..imlogatawi.1?::•z..f ty ....innc...gov 0 ..'...'.•::.?.0:41,0'.:.u".,:::..,. .:.:.; :. .. ,. .;.,i.' ••:.• Rh]:sion?L: : . 1:j LAUCiPATORY ID:i'-k 11155 "t'. ...<,„ >„,,„„..::,....,:._„<„,„„„<„,.„„..,:„.,......„.,........,-..„....„... . .. ... .. , .: . : ..-...„..,....,...:.,..---,-..„---. ..- ••• - . .-. ;. : .:: : .: .. : . ,. i:y...:.,,Ni..--';.iq.:ff:.• -.. -..:::.,... ;.-: : . . . .. ..„::. .. ::::,''':;.':'..:f,,Z- :.:-........:,: .::,,,,L:::....;...,-,.,•••• . .: . . ...u....,,,,..1,..5...-,c,-. ..• ,. . .. ....,...„. 0,.., - .-:::,• :::::,:- ,-. . ,,: ...,.. , .................................., -,:•• . 4 A'.6't . ....• ........• ... :•:•• '• - - - ..,":' 4 '', '..r-.' . l',.: •'::-.,.. i',...,,,,,,,,,,,,,,,,,,,,,,---,---------- . '•• .. :.... .'. • • • • • • .. •••••• —— • '''. ' .. . g 'A y ti• , ...,.., ,.. .>?.I ANA:i.„'ig`;',3 .1'•-:,<:-;Ii:N; 1 01 f 01 3/k . 1z OO ,,,,,,.,. 3 t • d,,,,1 fv.i Tot 12.. ..44 1 P-..: V t i P--twi !Si ol ea !AI . g.:c ,..:-..,0,m.m.y,.',....,n1,..;:........ .........................................................................................,.............................................„.........,..,....,...... ......... . .. •••.•{.1 ,,,,,,,i. LoorAvaitowamo..ate4mw.;•. • ---- . PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2