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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