HomeMy WebLinkAboutWELL-07-2023-199957.TIF WPDT Screening Report
Area of Interest (AOI) Information
Area : 3,134,508.72 ft2
Aug 18 2023 13:49:48 Eastern Daylight Time
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Non-System Roads
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7145 COBBLEFIELD LANE, DENVER
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WELL- Or) - 20a3-(q 5r7
CATAWBA COUNTY HEALTH DEPARTMENT
1111A Environmental Health Section
NOr
WATER SAMPLE FIELD REPORT & TEST RESULTS
Owner:
Owner's Address: 0-51€
Phone#&Email:N;,,kalas Pa4A CA on;, Mar;e 7)ah;e.112 grow,. (u J o) 3 6S- 3307
Site Address: 7145 COBBLEFIELD LN, DENVER, NC 28037 Ma;1 'ram
rcs
Parcel#: 460603121186
Subdivison:
Sample Collected By: 1;Ihl 1 i
sk ,' Date/Time Sampled: /I/07/2.,' /:1f f/1,
Sampling Point: W e-(\
Is well head accessible? Yes V No Reason for inaccessibility
Well New or Existing? New Existing
Type of Well: Drilled ✓ Bored Punch Hand Dug I /
Does well meet adequate construction standards from what can be observed?: Yes: f/ 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 in.above finished grade
Well head missing vent
Well head does not have a threadless tap
Well head missing identification plate or pump tag
Wire conduit opening not sealed
Other(Comment)
Comments:
Lab Coliform Analysis Results: Total Coliforms: a10w Fecal/E.Coll: C►04,1
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials: E DatelTime Received: I I /0 3/2 S 15.3°Date/Time Completed:11.011:'T tt.QD
1.01
LCEI V ED
NOV 5 2025
Environmental Health
Analytical Results ( STATESVILLE
ANALYTICAL
Catawba County Public Health
PO Box 389 �
Newton, NC 28658
Receive Date: 11/04/2025
Reported: 11/05/2025
For: Marie Danielle Brown: 7145 Cobblefield Ln, Denver
NC 28037
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
251104-48-01 Nitrate 199957 <1 mg/L 353.2 11/05/2025 CL
251104-48-01 Nitrite 199957 <0.1 mg/L 353.2 11/05/2025 CL
Respectfully submitted,
Yy d‘e-LC• ii,a
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville,NC 28687 • 704/872/4697
Page 1 of 2
122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.com . '
II.TFATE/N1ITRITE.ANALYSIS .
. - Note:1iafesrden mast be•savti d fareomplii=ecaea.
WATER SYSTEM ID WLL- 0`I -a d 3-19,g 5'� County: Catawba
Name of Water System: �'1¢r1 2 p4n1 eU4, Urob o
Sample Type: 0 Entry Point XSpecial/Non-compliance 71
Location Where Collected: t?1(4 5" Co6iyi-e(•i e,1 LA. Verii f NC e:�-i'O 37
Facility ID No. 1 9.M{fr7
Sample Point:• G�l (l Collection DU-;—, Collection Time
Collected By: 22w i_9 c f :ke a—\ 11 03 3 /,2-' _L: 1.12„ pi lit
Mu.HA 00.SJDD/YY) C`,-atfYAM az rFt)
Nail Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#:i (82S)465-8270
ENVIRONMENTAL HEALTH Fax#: ;(828)465-8276 •
, PO BOX 389 Responsible Person*s email:
. • EHAdnin@catawbacountync.gov
NEWTON,NC 28658
LABORATORY ID ii: 37755 0 SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED
t
' REQUIRED . E
CONTAV METHOD L
CONTAhNANT REPORTING LIMIT (i.e. R . )
COD?. • CODE (tRL) ( ) • RESULTS* LIMIT
t
._ --- .._.
p
i 1040 : Nitrate 3532 1.00. mg/ ,(ai • . . mg/L 10.00 mg/L
-
1041 Nitrite • 3532 0.10 mg/l.. * ___ mg/L 1.00 mg/L
*Note:If result exceeds allowable limit,the laboratory must fax analytical results to the State on day test completed.
DATE: TIME:
t ANALYSES BEGUN: lt/ Q5/Z5 /:45 A
ANALYSES COMPLETED: let /0 b /25 _D: 3 Am
P.37/2a11 (say Auteuil
. r
ejr.'
Laboratory Log II: 2511b4'4 r 01 Certified By: • - .
COMMENTS: '
2008 •
Laboratory should Mail Results to: •
Public Water Supply Section,Attn:Data Entry,1634 Mail Service Center,Raleigh,NC 27699-1634
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
"Alit; ST4 4312 District Drive
_ \ MSC 1918
s��_. North Carolina State Laborato of Public Health
�=� --� �� � Raleigh,NC 27699-1918
� � 1`11 Environmental Sciences http://slph.ncpublichealth.corn
'',!cam '>" Phone: 919-733-7308
-, Inorganic Chemistry Fax: 919-715-8611
Certificate of Analysis FINAL REPORT
Report to: ENVIRONMENTAL HEALTH Name of System:
CATAWBA COUNTY ENVIRONMENTAL HEALTH Marie Danielle Brown
P 0 BOX 389 7145 Cobblefield Ln
NEWTON,NC 28658 Denver,NC 28037
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES251105-0131 Date Collected: 11/03/2025 Time Collected: 13:47 By: Dwight Mikeal
Date Received: 11/05/2025 Time Received: 08:37
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-07-2023-199957
Sample Source: New Well Receipt Temp. : GPS Number:
Profile:New Well-No Nitrate 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 0.005 mg/L
Calcium 20 mg/L
Chloride <5 250 mg/L
Chromium <0.02 0.10 mg/L
Copper <0.01 1.3 mg/L
Fluoride 0.160 4.00 mg/L
Iron <0.06 0.300 mg/L
Lead <0.003 0.015 mg/L
Magnesium 4 mg/L
Manganese 0.005 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel 0.012 0.1 mg/L
pH 8.0 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 6.5 mg/L
Sulfate 6.4 250 mg/L
Total Alkalinity 72 mg/L
I Total Hardness 64 mg/L
Zinc <0.05 5.0 mg/L
Report Date: 11/18/2025 RECEIVED Reported By:
Marc Komlos
DEC 2 2025
Environmental Health
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