HomeMy WebLinkAboutSAM-10-09-1987.TIF
$A CO Case N SAM-10-09-1987
CATAWBA COUNTY HEALTH DEPARTMENT
a
M Environmental Health Section
184 2 sM 10/22/2009
WATER SAMPLE APPLICATION
APPLICANT OWNER
GEORGE W HOFMANN JR GEORGE W HOFMANN JR
8330 NOLLEY LN 8330 NOLLEY LN
Sherrills Ford NC 28673 Sherrills Ford NC 28673
Site Address 8330 NOLLEY LN, Sherrills Ford, NC e-S d 54r n
Name of Subdivision
461601370294 66 I "d
Parcel Number Lot Block
Specific Directions
Type of Sample
Reason for Sample:
Type of Well Drilled Bored Dug Spring City
Is the well on this same property? yes no
Is outside spigot available to collect sample? yes no Is power on? yes no
Has well been tested before? yes no Results
Does the plumbing come out the top of the well through a sanitary well seal? yes no
Does the well ever become cloudy or has there ever been a problem with taste and/or odor? yes no
Explain
Does the well top extend twelve (12) inches above the ground or well slab? yes no
The well is in: Front Rear left side right side of the house
Is this well required to be tested anually for a semi public water source? yes no
Does this well supply water to more than one home? yes no
Date Signature or Owner or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828-466-7291
FEE DESCRIPTION DATE FEE AMOUNT
Inorganic Chemical Sample Fee 10/22/2009 $85.00
TOTAL FEES $85.00
10/22/2009
V-POS - Transaction Receipt Page 1 of 1
Transaction Receipt
Catawba County, NC
Catawba County Permit Center
100 A SW Blvd
Newton, NC 28658
828-4658404
10/22/2009 02:46PM
Catawbal 02209144344132Eng
23992645
SAM-10-09-1987
GEORGE HOFMANN
1
NA
GEORGE W HOFMANN
4204 THORN RIDGE RD
27106
************1151
Authorization and Capture
Amount: $85.00
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.
https://www.velocitypayment.com/admin/catawbacountyne/vpos/942/transactions/receipt... 10/22/2009
r P.O. Box 28047
North Carolina State Laboratorv of Public Health 306 N. Wilmington St.
Raleigh, NC 27611-8047
u I Environmental Sciences hitp:/lph.state.nc.us
- Inorganic Chemistry Phone: 919-733-7834
try Fax: 919-733-8695
Certificate of Analysis
Report To: Name of System:
CATAWBA CO ENVIRONMENTAL HEALTH George W Hofmann Jr
P O BOX 389 8330 Nolley Ln
NEWTON, NC 28658 Courier # 09-70-01 SHERRILLS FORD, NC 28673
StarLiMS ID: ES110209-0001001 Date Collected: 10/29/09 Time Collected: 1030
Inorganic ID: Date Received: 11/02/09 Collected By: Megan McBride
Sample Type: Raw Sampling Point: Well head Well Permit
Sample Source: Well Temp. at Receipt: GPS
Sample Description:
Comment:
Inorganic Chemical (Profile)
Analyte Result RL Units Qualifier(s)
Total Alkalinity 50 0 mg/L
Fluoride < 0.20 0.20 mg/L
Chloride < 5.00 5.00 mg/L
Sulfate < 5.00 5.00 mg/L
Arsenic < 0.005 0.005 mg/L I~ E 2009
Copper < 0.05 0.05 mg/L
Lead < 0.005 0.005 mg/L USAWBA COUNTY
Manganese 0.069 0.03 mg/L Et%*A a O!!c'€4F,! t fi® H° LTH
Zinc 8.4 0.05 mg/L
Barium < 0.1 0.1 mg/L
Cadmium < 0.001 0.001 mg/L
Chromium < 0.01 0.01 ing/L
Silver < 0.05 0.05 mg/L
Selenium < 0.005 0.005 mg/L
Iron 0.10 0.10 mg/L
pH 7 N/A
Calcium 7.8 1 mg/L
Magnesium 2.00 1 mg/L
Total Hardness 28 7 mg/L
Report Date: 11/20/2009 Reported By: We& xut~
Page 1 of 1
Explanations
Coliform Analysis:
If coliform bacteria are Absent, the water is considered safe for drinking purposes. If
coliform bacteria are Present, the water is considered unsafe for drinking purposes.
Presence of E. coli (bacteria) generally indicates that the water has been contaminated
with fecal material. It must be remembered that a water analysis refers only to the
sample received and should not be regarded as a complete report on the water supply.
Inorganic Analysis:
Recommended limits for drinking water. Sample should not exceed levels listed
below.
Alkalinity No established limits Iron 0.30 mg/1
Arsenic 0.01 mg11 Lead 0.015 mg/1
Calcium No established limits Magnesium No established limits
Chloride 250 mg/1 Manganese 0.05 mg/1
Copper 1.3 mg/l Nitrate 10 mg/1(as N)
Fluoride 4 mg/l Nitrite 1.0 mg/l (as N)
Hardness No established limits pH Not less than 6.5 units
Zinc 5.0 mg/1