HomeMy WebLinkAboutWELL-11-2023-208834.TIF r r
e.t \ CATAWBA COUNTY Case# WELL,II-2023-208834
�` Public Health Department Subdivision MOBILE HOME ESTATE
'7 Environmental Health Division PIN# 460604645748
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 37
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Site Address: 7632 SKYLINE DR, SHERRILLS FORD NC 28673
Name on Permit: ALLEN ROBERTSON
Property Size: Acres 0.5
Directions: NC 150, right onto Slanting Bridge Rd, right onto Wildlife Ln,then immediately turn left onto Skyline Dr,
property on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
X As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-11-2023-45975,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
fElectronic Image Transmittal/E-mail (Return receipt required)
l' As the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems (15A NCAC 18A.1900),
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date: 11/21/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
(4
Signature Date/Time 1//Oh f
Method: Fax `r Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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� = North Carolina State Laboratory of Public Health
i / t�,` Raleigh,NC 27699-1918
't,.,�1�a+1 ���C;' Environmental Sciences http://slph.ncpublichealth.com
*e�""'"'� -*_� 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 Allen Robertson
P 0 BOX 389 7632Skyline Dr
NEWTON,NC 28658 Sherrills Ford,NC 28673
EIN:566001814EH Delivery: NC Courier
StarLiMS ID: ES250918-0099 Date Collected: 09/16/2025 Time Collected: 11:57 By: Dwight Mikeal
Date Received: 09/18/2025 Time Received: 08:28
Sample Type: Raw Sampling Point: Well head Well Permit No. WELL-11-2023-208834
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
1 Calcium 9 mg/L
Chloride <5 250 € mg/L
Chromium <0.02 0.10 f mg/L
Copper <0.01 1.3 j mg/L
Fluoride <0.1 4.00 mg/L
Iron 1.56 0.300 r mg/L
Lead <0.003 0.015 mg/L
Magnesium 2 mg/L
Manganese 0.134 0.05 mg/L
Mercury <0.0004 0.002 mg/L
Nickel <0.01 0.1 mg/L
pH 7.2 N/A
Selenium <0.005 0.05 mg/L
Silver <0.01 0.10 mg/L
Sodium 8.1 mg/L
Sulfate 7.8 250 mg/L
Total Alkalinity 40 mg/L
Total Hardness 31 l mg/L
Zinc <0.05 5.0 f' mg/L
Report Date: 10/03/2025 BEGONE® Reported By: i
���� Marc Iomlos
OCT 1 5
Environmental Health
Page 1 of 1
I
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: I 1 •h yr}s, - Sample ID Number: 2 S 3�I
Location: 'pp 3 t. S yl , Dr >ku- Reviewer: Jason Boyd
Initial Sample )C 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.
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 colifonns 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 depar lment 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 colifonn 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.
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NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
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County: Catawba 1 Name/Address: .///1 ^/
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Sample ID#: Reviewer: Jason Boyd
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TEST RESULTS AND USE RECOMMENDATIONS
1.IKYour 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. n 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 n Barium _ Cadmium Chromium n Copper ❑Fluoride n Iron
Lead n Manganese ❑Mercury n Nickel _ Nitrate/Nitrite n Selenium n Silver
Zinc
3. I I 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 fu-st 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.
5.1KThe 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.
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n pH n Silver ❑ Sulfate IZinc
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.
❑ b. Your sodium level exceeds 30 mg/1 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.