HomeMy WebLinkAboutWELL-231211-02.tif Permit#:WELL-231211-02
011111WS CATAWBA COUNTY HEALTH DEPARTMENT
Environmental Health Section
� s
WATER SAMPLE FIELD REPORT & TEST RESULTS
Owner: ARSENAULT PAUL,ARSENAULT MARIA
Owner's Address: 5211 DEER PINE DR,HICKORY,NC 28602-7248
Phone#&Email: ?( o3_q 13— 4 p 3)) 6_03—3 6 a— c 0 2)
Site Address: 5243 DEER PINE DR, HICKORY, NC 28602
Parcel#: 269902708041
Subdivison:
Driving Directions: Pittstown Rd to Sand Pit Rd,right on Deer Field Dr Sample Collected By: DI" 314 (t\►1L 2-Z' Date/Time Sampled: oc%i!/
a S /6.6 3 A
Sampling Point: t1/'e-J'l
Is well head accessible? Yes ✓ No Reason for inaccessibility
Well New or Existing? New ✓ Existing
Type of Well: Drilled / Bored Punch Hand Dug
Does well meet adequate construction standards from what can be observed?: Yes: V No:
Items of non-compliance: Evidence of improper grouting or no grouting
Well does not meet a required setback(comment) RECEIVED
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 MAY 6 2025
Well head missing identification plate or pump tag
Wire conduit opening not sealed
Other(Comment)
Comments: Env:ronmcnta! Health
Lab Coliform Analysis Results: Total Coliforms: ().,b 3 k Fecal/E.Coli:Doan"
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
I Lab Tech Initials: Date/Time Received:t'° 'D`•lit Date/Time Completed13" -1
I` )00 �l�OU 0-1
Analytical Results _, STATESVILLE
ANALYTICAL
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 05/01/2025
Reported: 05/05/2025
For: Jenna Arsenault-5243 Deer Pine Dr Hickory, NC
28602
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
250501-25-01 Nitrate 231211-02 <1 mg/L 353.2 05/02/2025 MD
250501-25-01 Nitrite 231211-02 <0.1 mg/L 353.2 05/02/2025 MD
Respectfully submitted,
��y dze-,o . , ;)
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
AtZ At1 1EAL
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122 Court Street Statesville,NC 28677
704-872-4697 www.sa-nc.conn,
NTrRATEJNITRITE ANALYSIS .
licu:AnKornaiac mutbex.'pplied farco:aplb=,en.
WATER SYST EM ID if: Wl;LL._ a3 L a { !-0).. County:
Catawba '
Name of Water System: Jennca • Ar('S•it-r,etuir, - •
Sample Type: ❑Entry Paint KSpecial/Non-compliance
Location Where Collected:
5��f 3 PI n.e... 1-.)1, l H l',,koc N C a$Co &
Facility ID No. a /• t i-C1 D,
ry Sample Point: Ta- `, Collection Date 11 Collection Time
nl
Collected By: X 13 .t (P 1R"er)-er{ 1 0 510 I t 2-5' ' /O: 0 3 A M
ure 'm)<
(tIJIJDaft'Y) , (5p.,IfAMazMI)
Mill Results to(water system representative):
CATAWBA COUNTY PUBLIC HEALTH Phone#E:t (828)465-8270
ENVIRONMENTAL HEALTH Fax#: L(828j 465-8276 •
, PO BOX 389 lte)ansible Person's email:
EHAdrnin@catawbacountync.gov
NEWTON,NC 28658 •
LABORATORY ID i#: 37755 0 SAMPLE UNSATISFACTORY 0 RESAMPLE REQUIRED
•
•
METHOD REQUIRED NOT DETECTED QUANTIFIED ALLOY/ABLE '
CO1V"TAbi CONTAMINANT • CODE REPORTING LIMIT (Le.<R.R.L.) RESULTS* SIT
CODE (R.R.L) CX)
1040 ' Nitrate 3532 1.00 mg/L p . mg/L. 10.00 mgf L
'Nitrite - 353.2 0.10 mg/L t_ mglL 1.00 mg/L
1041 '--`--
*Note:If result exceeds allowable limit,the laboratorymust fax analytical results to the State on.day test completed.
DATE: TIM:
I ANALYSES BEGUN: 0 y / 0 ?/ 5- • /C :12 7,/a M
f . P�nm2 (spmYrncc..m.
ANALYSES COMPLETED: D`f /CZ 1 �5• j M
t - - -
m'vm 3 f„.ten
- . ,j
Laboratory Logl#:G45050(—aZ5 o I Certified By:
COMMENTS:
nos Laboratory should Mall Results to: .
Public Water Supply SecHcn,Attn:Data.Snty, ,I634 Mail Service Cmte Raioigh,NC 27699-2634
4
PO Box 228 • Statesville,NC 28687 • 704/872/4697
Page 2 of 2
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: P..„1 lA eSe Ate.,\Jr Sample ID Number: �-3 I -(l— °2
Location: 4.Z,13_ )e.. -r P:ne_-D r k r,,.4..,•7 i1 L Reviewer: .55.,, ( ..yd
)Initial Sample Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
No colifoinmbacteria were found in your well water. Your water can be used for all purposes
including drinking, cooking, washing dishes, bathing and showering.
Total coliformb acteria 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
deteirnine 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 depar latent 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 Latent or a local well contractor to detetrnine 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 coiffeur'bacteria). The
results were evaluated using the federal drinking water standards.
Drinking water may contain substances that can occurnaturally 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,orimmunocompromised (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.
,t,„!... .,,,t ,,,, „..„,,,,
Private WellI or ation
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44'-
;•. ;s.e and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: 10.„t ,Q,rs.-,,,vl-- S zy3 0.-e_r p,:, -0 r W c 41<-ny
•
Sample ID#: Z31 -L( 1-61-- Reviewer: Jason Boyd l
TEST RESULTS AM)USE RECOMMENDATIONS
1 Your well water meets federal drinking water standards for inorganic chemicals.Your water can be used for
Zd ng, 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 n Chromium n Copper n Fluoride n Iron
❑ Lead I I Manganese ❑ Mercury n Nickel F Nitrate/Nitrite n 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 fdr 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 trealuient system
to address aesthetic problems.
n Chloride n Copper ❑Fluoride I I Iron fI Manganese
LI pII ❑ Silver ❑ Sulfate ❑ Zinc
6. ❑ a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l.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.