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Ay,A Case# WELL-08-2014-053162
,7"," CATAWBA COUNTY HEALTH DEPARTMENT
*c irewle1r
n Environmental Health Section
J842 sm 06[0312016
WATER SAMPLE FIELD REPORT
Owner DUSTIN LIYILE. 5120 RIVER BEND RD.CLAREMONT NC 28610
C:828-850-3867
Site Address: 2252 SHANG LN, CONOVER NC 28613
Parcel Number: 375503225543 Lot: Block:
Specific Directions (�16N/past Springs Rd/approx 1/4 mile/right on Shang Ln/through Orange Gate
Initial Collected by: I t�(I�Q V'� �'\egg O t Date/Time Sampled: b1 6 PG I)41 app t_ `
Type of Sampling Point: J 1 JeII beP) l
Well New or Existing? New x Existing
Type of Well: Drilled X' Bored Dug Spring City
Does well meet adequate construction standards from what can be observed: $ Yes No
Reason for non-compliance: Detective well cap and/or sell
Piping does not exit through top of well by approved cap and sanitary well seal
Evidence of improper grouting or no grouting
Opening in the well casing or cap
Supply too close to source of potential contamination
Notification: Existing well owner notified that well does not meet adequate construction? Yes No
Date of Notice:
E9-rsamfeldreport 6/3/2016 Page 1 oft
�$A Case# WELL-08-2014-053162
CATAWBA COUNTY HEALTH DEPARTMENT
~� Environmental Health Section
8474 SM
06/03/2016
WATER SAMPLE TEST RESULTS
Owner DUSTIN LITTLE.5120 RIVER BEND RD.CLAREMONT NC 28610
C:828-850-3867
Site Address: 2252 SHANG LN, CONOVER NC 28613
Parcel Number: 375503225543 Lot: Block:
Lab Coliform Analvsis Results: Total Coition-11s: a I.Y i fl Fecal/L.Coli: a bAei1-
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity
Excassive Chlorine
Lab Accident f�
Lab Tech Initials Date/Time Received 14W Ou 0� Date/Time Completed 0101 on I t t `t'
RECEIVED
JUN 0 9 2016
CATAWBA COUNTY
ENVIRONMENTAL HEALTH
E9-rsamfieldreport 6/3/2016 Page 2 of 2
m4'•.
iii ye iti„..n.�,,, ' , P.O. Box 28047
North Carolina State Laboratory of Public Health 4312 ox 28t Drive
-C�.y ,”) Raleigh, NC 27611-8047
: N` c Environmental Sciences httpJ slph.ncpublichealth.com
^� Inorganic Chemistry Phone: 919-733-7308
•'•:(;'s";, - Fax: 919-715-8611
- --` Certificate of Analysis
Report To: Name of System:
CATAWBA CO ENVIRONMENTAL HEALTH DUSTIN LITTLE
P 0 BOX 389
2252 SHANG LN
NEWTON, NC 28658 Courier#09-70-01 CONOVER, NC 28613
EIN: 566001814EH
StarLiMS ID: ES060816-0014001 Date Collected: 06/06/16 Time Collected: 12:20 PM
Date Received: 06/08/16 Collected By: Megen McBride
Sample Type: Raw Sampling Point: Well head Well Permit#: WELL-08-2014-053162
Sample Source: New Well Temp. at Receipt GPS#:
Sample Description:
Comment:
New Well - No Nitrate I (Profile) -
Analyte Result Allowable Limit Unit Qualifier(s)
Arsenic < 0.005 0.010 mg/L
Barium < 0.1 2.00 mg/L
Cadmium < 0.001 0.005 mg/L
Calcium 27 mg/L
Chloride 13.00 250 mg/L
Chromium < 0.01 0.10 mg/L _-
Copper < 0.05 1.3 mg/L
Fluoride 0.56 4.00 mg/L
Iron < 0.10 0.30 mg/L
Lead < 0.005 0.015 mg/L
Magnesium 3 mg/L
Manganese < 0.03 0.05 mg/L
Mercury < 0.0005 0.002 mg/L
pH 7.9 N/A
Selenium < 0.005 0.05 mg/L
Silver < 0.05 0.10 mg/L
Sodium 14.00 mg/L
Sulfate 5.40 250 mg/L
Total Alkalinity 86 mg/L
Total Hardness 78 mg/L
Zinc 0.23 5.00 mg/L
Report Date:06/17/2016 Reported By: De66ie Yrtoncal
RECEIVED
JUN 2 3 2016
CATAWBA COUNTY
' ENVIRONMENTAL HEALTH
Page 1 of 1
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: Dustin Little Sample ID Number: 53162
Location: 5120 River Bend Rd. Claremont, NC 28610
Reviewer: M. Cash
Initial Sample: X Confirmation Sample
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER (These recommendations are based on biological analysis only.)
X_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 conform bacteria were detected in the sample which indicates that harmful bacteria
from human or animal waste could enter the well. Do not use the water for drinking or cooking
unless it has been boiled for 3 minutes. You may use your water for all other purposes including
washing dishes, bathing or showering.
Your well water needs to 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 department or a local
well contractor to determine the problem with the well and to give guidance on how to connect
the problem.
Your well water was tested for biological contaminants (total coliform 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.
..j
N 'O '
4161.1441S) Private Well Information
ne department
of health and and Use Recommendations
human services
For Inorganic Chemical Contaminants
�k "9, r n:. ° rr d7 d d ''s ti ;. . ^ ..,. Ni4. _ ' .` � ....1a ..•
County: Catawba Name: Dustin Little
Sample ID#: 53162 Reviewer: M. Cash
777.7 iir4:g54r1-Sf.t.:47(7t9-:G ..
TEST RESULTS AND USE RECOMMENDATIONS
I. ® Your 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. ❑ 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 e ['Lead ❑Iron
❑Manganese ❑Mercury ❑Nitrate/Nitrite ❑Selenium ❑Silver ❑Magnesium ❑Zinc ❑pH
3. ❑ 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 cltenucal results only.
❑ b. Levels over 30 mg/1 may pose aesthetic problems such as had taste, odor, staining of porcelain, etc.
4. ❑ Re-sampling is recommended in months.
5. ❑ Re-sample for lead and /or copper. Take a first draw, 5 minute, and 15 minute sample inside the house (preferably
the kitchen) and if possible a first draw, 5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑ The following substance(s) exceeded federal 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 had taste, odor, staining of porcelain, etc. may occur. You may want to install a household water treatment system
to address aesthetic problems.
❑Barium Cadmium
anese [iSelenium ❑Silver ❑pH ❑Zinc
For more infernmtion regarding your well water results,please call the North Carolina Division of Public Health at 9l9-707-5900.
=Mil CATAWBA COUNTY
,_, t�. .� P O Box 389 -Newton,North Carolina 28658 -(828)465-8270- Fax(828)465-8276 - TDD(828)465-8200
,��8�14ti Public Health - Environmental Health Division
DUSTIN LITTLE 6/30/2016
5120 RIVER BEND RD
CLAREMONT NC 28610
REPORT OF WATER ANALYSIS & CONDITION OF SUPPLY
Property Address: 2252 SHANG LN, CONOVER NC 28613
WATER ANALYSIS
This certifies that a sample of drinking water was taken from the above address on 06/06/16
and examined under laboratory number WELL-08-2014-053162. Laboratory findings reveal
that this sample was FREE from coliform bacteria at the time of collection of the sample.
CONDITION OF SUPPLY
Your water supply was observed to MEET adequate construction standards
(in regards to well head protection).
NOTES
*The results of any water analysis only reflects the quality of the water at the time of the samp
If you have any questions concerning your water sample analysis, please call me at the number
below.
Megen McBride (828)320-3079
Environmental Health Specialist
______FO,N �); tI
e�IIIIAIi , 1 N
W"h •I:70,21 , "Keeping the Spirit Alive Since 1842!" GREATER
cnum ° HICKORY 1 METRO
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