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A29 133��-�33 �� The District Heolth Department CASWELL - CHATHAM - LEE - PERSON COUNTIES �Nater Supply and Sewage Disposal �MPROVEMENTS PERMIT No. ` �V'0�1 iue C Date � 2Z —��_ _ ��"- '� . � Owner: _ _ Locatton: Contractor: f— �'ri Water Supplp: Private• Public washtng machine, other automatic appliances Slze oi tank: NitriRcation Other dlsposal facility: DIshwasher, Water supply and sewage disposal facilities location, lnstallation and protection must meet state and local regulations. � Septic tank should be pumped out every 3 to 5 years and shall be main- tained by owner in such a manner as not to create a public health hazard. Septic tank and nitriftcation line MUST BE INSPECTED AND AP- PROVED BY A MEMBER OF THE DISTRICT HEALTH DEPARTMENT STAFF BEFORE ANY PORTION OF THE I ALLATION IS COV- ERED AND PUT INTO USE. Date ap�roved: � Signed � ��5�� ,� � Sanitarian Well: � Sewage Disposal: By:. Counter- cigned (Owner or his representative) Certiticete o! Completion � Date Approved: 112_��_ By: a itarian (OVER) Location of well and sewage disposal tacilities sketched on back. u;.,u �, , r;, ;;` ,..,,...:�.,,; , ��F ' _. �.._. . "` � � � � � � ��na �na�nc��n��.�. ��.�tL-�n Ryan Chandler 301 Hester Store Rd. Roxboro, NC 27574 Dear Mr. Chandler: nsurin� a healthy environment Enclosed you will find the results of your bacteriological and petroleum water samples. Your bacteriological sample came back absent of total/fecal coliform. The second page of your petroleum results show a slightly elevated level of 1, 2-dichloropropane. The third page is results from a"trip blank" vial that the state lab sends. This is for the labs purposes and does not reflect your well water results. Dr. Ken Rudo (919-707-5911) is the person you will need to contact to give you more information about the above mentioned chemical and a possible solution. Sincerely, � Justin B. Smith Environmental Health Specialist Person County Health Department phone 336.597.1790 fax 336.597.7808 325 South Mor�an Street, Suite C, RoxUoro, NC 27573 � PERSON COUNTY HEALTH DEPARTMENT 355A SOUTH MADISON BLVD. ROXBORO, NORTH CAROLINA 27573 BACTERIOLOGICAL WATER SAMPLEANALYSIS Name of Owner or Tenant �Inn�nd�Qr T—' Address .30( �e�r� s� . � . County �p�oh Collected By �S Date Collected %' 2.3'Q� Time Collected /= zs . Source: ell ❑ Spring ❑ Other Location: ❑ House Tap ❑Well Tap �No Charge L�1Charge Other � , ��*��**�*��**�*��**�**��*��*��*��*�*�*��*�****�� ****��*��*�*�**��*��*��*��*��*��*��***��*��*��*�� Results Present Absent Total Coliform ❑ � Feca Coli ❑ l.�J' 1/E. Reported By ��1� �� . �� bactreport DIVLSION OF iiEALTH AND HUMAN SERVICES � STATE LABORATORY OF PUBLIC HEALTH PO BOX 28047 -3061�L WII.MIlVGTON ST., RALEIGH, NC 27611 Purgeabk Organk Compounds by Gaa CLroanatogi�phy/Mass Spectrnmehy ' � LABORATORY ik O�o/�! COMPOUND MDL µg/L GOMPOiJIQD . NIDL µe/L CLloromethane 0.5li�/L l,Z-Dichloropropane ' � µE�' D� /_ 7 �O �'inyI CLloride 0.5 µp/L DlbmmometLane 0.5 µp/L // Vf Bromomethsne � K�' Bromodichloromethane • T � µE� • 0.5 µpJL KPJL CLloroetl�ane . � da-1,3-Dichloropropene 0.5 TricliloroIInoivmethane � u� 4-Methyl2-Pentanone � �'S �' l,l-IKchloroethene OS u� Tolaene 0.5 µg/L . ZO µY/L PP� Acdoae � � traus-l�-DIchioropropene • OS Iodamethaae �� µ� i,l,t-TricLlotoethane 0�l�82 Carbon Uisnlfide . � u� Tetrachloroethene 0.5 �cglL Methylene C7iloride ' �S µ� 2-Hezanone �'S K=�' AcrylonftrIIe OS µ�/L llbromocLlommethane T �'S µg�' QS µg/L uP� tram-1,Z-Dichlornethene � Ethylene Dibromide �'S Methy3-t.BuRyI-Ether • 0.5 µ�/L Q�lornbenzene .� � �'� µPiL 1,1-DichloroetLnne • �'S µ�' 1,1,1,2-Tetrachloroethane �'S ��' �P�PS� Ether . 0.5 µ�/L 0.5 Ethyl Benzene PEn as-1�-Dicliloroethene . 0'S µ�' x�� 0.5 µC/L • ZBa�tanone 2.0 up/I, stytene OS P82 Tetrahydrofuraa . ZO µpJL Bromoform . •' T �'S µpR' Cbloroform • 2r 0.5 µpJL 1�1.Z.�Tefrachlorcefhane OS l�P,1L 1+1,1-Trichloroeth�e _. OS uS� . 1,t,3-Trichioroprnpane 0'S µg�' Carbon Tetrachloride 0� �� 1,4DIchlorobenzene ' �'S u�' Beaz�e . OS µp/L 1,ZDichlornbenune �'S �P�' 1,�IXdilornethsne 0� µ� 1,2-Dibromo-3-C�lornpropane 2.0 µg/L Tcici�loroefhene • � OS µE/I' . . ' . . . traa — defected, 6ut less than MDy MDItMlnLnwn Defeclion Limit • T s tril�alomefhane C- Pou161e tab oonteminatlon or backeround ' J - Fstimatcd Value . . K-Adnal value fc imown to be kse ttua valoe given. 1. - Adual value it fmoen to be greata tLan value giveo. . II- IvLteeial was analyred for but not detated T6e numlxr Is the Minimum petection Lmft �/ -Teatative identifiatioo, . - D-Sample diluted. MDIs do not appl�: ' ' • . . . •. (JOMPOUND Chbromethane �'iny3 Chlorlde Bromometliane CLloroethane TticLlornIInornmetLane 1.1-Mchloroethene Acetone . Iodametl�ane Grbon DisulSde Meth}3ene Chloride Acry3oaEtrIIe traos-1,Z-Dichloroethene Methyl-�Bntyl-Ether . - 1,1 Dichloroethane Isopropyl Ether cis-1�Dichlorcethene 2-Batanone Tetrahydrofuran . (]doroform . 1,1,1-1�ic}iloroetLane . . Carboa Tetracl�loride Benune � IyDlchloroetbane Trichlo�ene 0 � D1V15ION OF IiEALTH AND IiUMAN SERVICE5 STATE LABORATORY OF PUBLIC HSALTIi PO BOX 28047 - 306 1� WII:MINGTbN ST., RALEIGIi� NC 27611 . Purgeabk Organk Compounds by _ Gas CLromatography/Mass Spechrometry � . LABORATORY # v ��j"' � / MDL µ=/L C011�OUI�'D . MDL µe/L 0.5 µpJL � K� 0.5 }tpJL 0.5 µE/L � µ� OS µpJL �.o �a. 0.5 µpJL � KY� OS µY/L 0.5 KpJL OS µg/L o.s uvt, 0.5 µg/L OS µY/!, OS µ=/L 2.0 �fIL LO µ�/L OS µg/L 0.5 µg/L 0.5 µ8/!+ os ��r, OS µ�JL OS µg/L �.3 trau — detected, 6nt lesa than MDL MD�117inimum Detedioa Lfmit • C-Posslble lab ooatamination or background ' r -�„uav.�� . g- nen,el .al�� iC mown to be lar ttua v�l�� gived L- Adual value 4{mo�m to be greata t6so value givea. . U- l�Lteriat was analyzed tor but not deieded. T6e number Is the Minimum lktection Ilmit �/ -T'entative identifintion, . • D-Sampie dUuted MDIs do cot appl�: ' 1,�Dlchloropropane Dibrnmomethane • BromodichlorometLsne dr1,3-Dichlornpropcne �Methyl2-pentanone rom� traus-1,3-Dichloropropene l�l,t-Trichloroethane Tet:achloroethene �Hezanone Ih'bmmocLlornmefLane �any��.e nn►��a� CLlorobenzeaa .- � 1,1,1,2-TetracLlorcetLane F.thyl Benzeae Rylenes � Styteae Bmmororni . � 1,1,Z,2-Tetracliloroefhane 1,2,3-Trichiompropane . i,¢nt�t,�o�t�� i��o�be�� 1,LDibromo-3-CWoropmpane T T T � PE� 0.5 µgiL � R� I �� K� OS µg/I, os��, o.s ��t, 0.5 }t�/L 0.5 Kg/L 0.5 K�/L OS µg/L osu�n, 0.5 µgJL OS p�/L 0.5 µg/L 0.5 µg/L QS µg/L 0.5 µgQ, OS µp/L 0.5 µg/L os u�r, os u�, 2.0 µg/L T a trihaIomethane ' � TRfP BLAMK (DA�E: I 1-� -0 % 0 �