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A32 13�� , f � �' ,�� . . . . 'y�^, ,�+ _ ' 's� �.../ V �. �� .1l. J.i. 1L.,::! A1TL�'A ::L` sCD 7i71 Jl'Il:'� rl'..� Jl1(�1i1. A1. �� ".� �1h� Y� �:1�i1 Date: � / l / � r( Name: ��''�� S �%h Address: SG� �� C�a�t S�' � �M �Q ic.z ,� a7 rsr3 Re: Bacteriological Test Results Dear Well Owner:. Tax Map: 3Z Parcel: � 3 Your well water �as sampled on �/��/�, and tested for both total and fecal coliform bacteria. Your water sample test results are noted beiow: !�. No coliform bacteria were detected in the sample. Your well water is safe to use for drinking, cooking, washing dishes, bathing and showering, based on the bacteriological resu[[s only. Total coliform bacteria were detected in the sample. Fecal coliform bacteria were detected in the sample. Total coliform bacteria arz naturally found in the soi;. Fecal coliform bacteria are associated with animnal and/or human waste. . The presence of either total or fecal coliform bacteria in well water may indicate that a new or repaired well was not properly disinfected prior to use, or that contaminated groundwater may be entering the well. If coliforrn bacteria are present in your water sample, the water may not b� saje for use. Young children, the eldef•ly, and the individuals with con:promised immune systems are especially vulnerable and their physicians should be notified of the test results. A well that tests op sitive for total or ecal coliform bacteria should be properlv disinfected and retested prior to resumingnormal use. The well may be disinfected using the enclosed disinfection procedure. A weil contractor or plumber can assist you if needed. Once the chlorinated water has been thoroughly flushed out of the system, please contact the Health Department to request a re-sample. For additional information, please feel free to contact Environmental health at 336-597-1790. Our office hours are 8:30 to 5:00, Monday through Friday. Sincerel , , ��v`�,✓ Environmental Health Specialist Person County Health Department (rev. 4/20/16). Person Counry Em�ironmerrtal Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573, Phone: 336-579•1790, Fac 336-597-7808 North Carolina State Laboratory Public Health Environmental Sciences �iicrobiology Certificate of Analysis Report To: PERSON CO ENVIRONMENTAL HEALTH 325 S MORGAN STREET ROXBORO, NC 27573 EIN:566000331 EH COURIER #: 02-33-15 StarLiMS Sample ID: ESO42617-0070001 � �� ES Microbiology ID: GPS Number: Sample Description: Comment: Name of System: JAMES TORAIN P.O. Box 28047 4312 District Drive Raleigh, NC 27611-8047 htta://sioh. ncaublichealth. com Phone: 919-733-7308 Fax: 919-715-8611 565 JACK CHAVIS RD TIMBERLAKE, NC 27583 Collected: 04/25/2017 13:25 Received: 04/26/2017 08:30 Sample Source: Well Sampling Point: Well house A Sarver Susan Beasley Well Permit Number: A32-13 Environmental Microbiology - Colilert Profile Method: SM 9223B Test Name: Colilert Analyte Test Result Date Total Coliform, Colilert Absent 04/27/2017 E. coli, Colilert Absent 04/27/2017 Report Date: 04/28/2017 Explanations of Coliform Analysis: Reported By: Susan Beasley If coliform bacteria are Absent, the water is considered safe for drinking purpose. If coliform bacteria are Present, the water is considered unsafe for drinking purpose. 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. �� ls ��t�� ,��5 . nedepartmant �� ^�� 0 aFhaelth and � � � humen sarviees For Inorganic Chemica/ Contaminants County: -�So .� Name: ►'he o ►-4 � Sample ID #: 'Z—t Reviewer: �t+r.re � � � TEST RESULTS AND USE RECONIlVIENDATIONS 1. � Your wsl! water meets federel drin.ting water standards for inorganie c�emica�s. Yuur water can be used for drinking, cooking; washing, cleaning, bathing, and showering based on the inor�anic chemica! results onlv. You may have other water sampling results that are not ta[cen into account in this report. 2.�The following substance(s) exceeded federal drinking water standards ortheNorth 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 cucled substance(s). However, it may be used for washing, cleaning, bathing and showering based on the inoreanic chenrical r�sulls onlv. Barium � Cadmium � Chromium � Copper Fluoride Lead Iron Mercury � Nitrate/Nitrite Selenium Silver Maanesium Zinc nH 3. [) a. Sodium lev�ls exceed the U.S. Environmental Pratection Agency's-(USEFA) Health Advisory leve) for sodium of 20 mg/I. The North Carolina Division of Public Health recommends that only individuals on no or (ow sodium restricted diets not use this water for drinking or cooking. It may be used for washing, cleaning; bathing, and showering hased or. the inorFanic chemical results onlv. ❑ b. Levels over 30 mg/1 may pose aesthetic problems such as bad 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 minutesample inside the house (preferably the kitchen) and if possible a first draw, 5 minute and a I S minute sample at the well head to determine the source of the lead and/or copper. 6. �The fol(owing substance(s) exceeded federal drinking water standards. Your water can be used for drinking, cookmg, washing, cleaning, bathing, and showering based on the inor�a�ic chemicalresults onlv, hut aesthetic problems such as bad t2ste, odor, staining of porcelain, etc. m3y occur. You may want te instali a household water treatment system to address aesthetic problems. Barium � Cadmium � �hromium �_Fluoride _�(�oq Maneanese Selenium Silver pH Zinc For m�re informalian regarding your we!! water results, please cail ihe North Carolina Division of Public Health at 919-701-5900. North Carolina State Laboratory of Public Health 3012 Di t?c�Drve Environmental Sciences Raleigh, NC 27611-8047 http://sl�h. ncaublichealth. com Inorganic Chemistry Phone: 919-733-7308 Fax: 919-715-8611 Certificate of Analysis Report To: ADAM C. SARVER Name of System: PERSON CO ENVIRONMENTAL HEALTH JAMES TORAIN 325 S MORGAN STREET 565 JACK CHAVIS RD ROXBORO, NC 27573 Courier # 02-33-15 TIMBERLAKE, NC 27583 EIN: 566000331 EH StarLiMS ID: ESO42617-0038001 Date Collected: 04/25/17 Time Collected: 1:25 PM Date Received: 04/26/17 Collected By: A Sarver Sample Type: Raw Sampling Point: Well house Well Permit #: A32-13 Sample Source: Well Temp. at Receipt: 1.5 GPS #: Sample Description: Comment: New Well I (Profile) Analyte Result Allowable Limit Unit Qualifier(s) Arsenic Barium Cadmium Calcium m < 0.005 < 0.1 < 0.001 39 2.00 , �„� 11.00 250 < 0.01 < 0.05 0.10 1.3 Fluoride < 0.20 4.00 Iron 0.48 � 0.30 < 0.015 m Magnesium 11 mg�� Manganese 0.260 X 0.05 mg/L Mercury < 0.0005 0.002 mg/L Nitrate < 1.00 10.00 mg/L Nitrite < 0.1 1.00 mg/L pH 8.1 N/A Sodium <p < 0.0� 10.00 0.05 0.10 Sulfate 6.10 250 m Total Alkalinity 140 mg/L Total Hardness 140 mg/L Zinc < 0.05 5.00 mg/L Report Date:05/04/2017 Reported By: .�Cen�ti2 C�'ree� Page 1 of 1