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A41 153� �j Application Date: � G� ��/�� pd Amount Paid: ,��?O. �=� i-i SQ � Receipt #: 3� � � � �3 c�-� �5�� Ltj Improvement Permit (Site Evaluation) $200.00/$300.00 (if> 600 ¢pol Mobile I�Iome Replacement or Building Addition $150.00 (if site visit required) Well Permit (New/Replacement/Repair) $3 00.00/$Z00.00/$75.00 �,��; �" 1�I�I��9 ~ � � �� Jl i� srnwxi s-cazcn:uarn�c:na dr�s Il IHCr. rn.n�lin for Services Tax Map: �_ Parcel#: /S3 �� Me�.� Services Re uested Construction Authorization Fee is de endent on the e of s stem ermitted Permit Revision $75.00 Repair of Existing Septic System Application: No Chazge/ CA $150.00 or $300.00 1) Applicant Info atio , Name: � � �-11t0�� Address: to 2) Name and address of current owner (if different than applicant): Name: Address: Phone (home): ,3�0 �—�� g 3 (work/cell): �� _3�{�— �� Phone: 3) Property Description: Lot Size: 13.y I Subdivision: Lot #: Ad ress and/or directions to Properiy: a.v' ' � 0—� 1 ❑ yes 8'fi� Does the site contain any jurisdictional wetlands? ( S C�'U ❑ yes l�'no Does the site contain any existing wastewater systems? ❑ yes E�]'fio Is any wastewater going to be generated on the site other than domestic sewage? ❑ yes �o Is the site subject to approval by any other public agency? ❑ yes [`�no Are there any easements or right of ways on this property? (if `yes' is checked, please provide supporting documentation) .�2.{ ' � Of IS o� �� 4) Proposed Use and Type of Structure: ❑Residential ew Single Family Residence Maximum number of bedrooms: � ❑ Expansion of Existing System If expansion: Current number of bedrooms: ❑ Repair to Malfunctioning System Will there be a basement? ❑ yes �i% With plumbing fixtures? ❑ yes � no ❑Non-Residentia! Type of business: Maximum number of employees: Total Square footage of Building: Maximum number of seats: 5) Water Supply: L9�ew well ❑ Existing Well ❑ Community Well ❑ Public Water ❑ Spring Are there any existing wells, springs, or existing waterlines on this property? ❑ yes ❑ no 6) If applying for °Authorization to Construct', please indicate preferred system type(s): PrConventional ❑ Accepted ❑ Innovative ❑ Alternative ❑ Other ❑ Any I certify that the information provided above is complete and correct. I also understand that if the information provided is inaccur e, or if the "te is subsequently a tered, or the intended use changes, all permits and approvals shall be 'nvalid. , � � C�anatnr wner/ T.eaal Renre. . ative*1 Date * Supporting documentation required. Permits are valid for either 60 months or are non-ezpiring when accompanied by an approved plat. A completed `Lot Preparation' form must accompany any application requiring a site evaluation. (10/11) Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573 (336-597-1790) ��.ss ��.�� T:F�e ��. u-� ��.��.�.�.Il IL� � �.Il �I� Applicant: L Address/Location: .,a(� Permit Valid for: Five Ye r; Type of Facility: ' � Number of: Bedroo � / Proposed Wastewater System Proposed Repair: �� Permit Conditions: Authorized State Agent: < (X) Owner or Legal Rep --7 Improvement Permit Non-expiring New _�Addition _ �/ Em�lo�ees / Seats: �_ Tax Map: �� Parcel: %53 Subdivision _ �{�„�, F r,� Phase/Section/Lot # _,�.�g Water Supply: e %' Projected Daily Flow: � oD gall s/day L. Type: % � Type: Date: _g-�D -JS Date: �p ��/S The issuance of this permit by the Health Department does not guarantee the issuance of other required permits. It is the �esponsibility of the applicandproperty owner to insure that all Person County Planning and Zoning and Building Inspections requirements aze met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes. The Improvement is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the 1Vorth Carolina °Laws a�:rl Rules for Sewage Treatment a►ed Disnosat Svstems'(15A 1�TCAC 18A .1900). Neither Person County nor the Environmeatal Health Specialist warrants that the septic system will continue to function satisfactorily in the future, or that the water supply s�vill remain potable. Authorization to Construct Wastewater S stem See site plan and additional attachments (� Proposed stewater System: ��„�� C��7 QPL trcf�;, �i� (*)Type�_ Design Flow,3��Q gal./day New �Repair Expansioh � Soil LTAR,J �;; gal./day/ft= Type of �acility: j1' � j��p��l� - �� {� Basement: _ Yes _ No (*} System Types Illb, IIIBg, IV, and V, require p2riodic system inspections by the Person County Health Department. Wastewater System Requirements Tank Size: Septic Tank 000 gal. Pump Tank - gal Drainfield: Tota( Arza /Cg(j sq. ft. Tota( Length ��i� ft. Trench Width � ft. Min.Soil Cover � in. ^vrzase Trap — - gal. Max. Trench Depth � in. Min.Trench Separation % ft. Distribution: Distribution Box / Serial Distribution �/ Pressure Manifold Specifications d G '� Au�horiz..d State Agent• Issue Date: �-/0 �/,� Permit Expiration Date: g-JO - 21t The system permitted is: Conventional / cepted �/ Aiternative / Innovative . I accept the conditions and specifications of this permit. � , (X) Owner or Legal Representative: Date: ��-,/2. �..s Person County Environmental Health, 325 S Morgan St, Suite C, Roxboro, NC 27573/ph: 336-597-1790 (rev 5/12) ' �_ __ ------� lQ��1� i�� -- � -- -- � .�`--_ __ Ns82 \, 1 N86' 51' 13" E 566� 13' `\` 306. 43 86 ��F \ \ NS _ – – – – 6� N5 � � __ -- � � �—__ __ -- �\ I � � \ � NC 17u.i�u nt�� 'aJ�� a7�o .� nP �ti-tu0' J a.a ns �� ' ai � i�c�1 f s! �'S ( I a�'�I � 4�1 AC. CONVEYED TO A H. ELLIOTT � A. ELL I OTT 0 i( \ ro�, ih�` � '� �ty i � i � � � ��' � � � �a>� ; � �a ► a ' � , � � ► i 50_nn� f 5000.Q Sq. Feet � r i i i r ► r i � r i � � I r r f � i i i i 1 r ► r 1 1 ! i i � r' I � ! � I � � �S� u o� y� c� !.�s? � l b-'-� a$ �-+'o�a j� y� u a.�- „ � Z, � �� — l.uoo.lA�g � � �d� Q�L _ I ��S 5 �b�,�- IS ' `\� � `� � � ^ � �' `� rn � � N n � 0 � / AXLE .� �� AXLE 5��- aJ � M Pa � '� a" � � �`� �'n Q �� '�'S�'S� JOHN LEE CL D. B. 176, F PARCEL P. C. 1, P. � . � 1 S S07' S2' 49" W �— 29. 00' paurn�u�nui sr apv�S lado.rd �ny� aansu� o� uor�n��n�sur ayl Bu�uur8aq o� �orld ura�sTs ar�� n�'�smu �o�analuoa ar�s ��fjuo s�noluoa aTnuirxo�ddn �uasafdaf s�uauoduroa uia�sA's a3EQ �-M }/ #1o7/uoi�oas �Jc% # Ia��d �j� v '# dzy� xeZ Mt�'Id �.LIS ��'Q��1L_'1T LL'�":�Q7L'��.YQ.E��4A'¢E�ir J1 �L �� . � 1 �� S ��~ lua�d a eiS Pazuoyi aor nTp9nS � �� ,u�� > , � aw�� .sf ��.�� - � � �� IE��u-��m��.Il ]E-3C��Il� WELL PERMIT (New_ Repair_) Tax Map: 1� Parcel: l53 Su6division: �� -�rirm R�i. Lot: A� Applicant's Name: �av' v' �[) �; a-�- Mailing Address: 0 5 l�� r.� lp _/1 ;(I� �_ Z Phone Num6ers: 2- �H 2- n ti22 �31a�- (I2�3 /�w� Permit Conditions: 1.) See attached site plan for proposed well location. 2.) All applicable State and County regulations governing construction and setbacks apply. 3.J Permits expire S years from the date of issue. 4.) Issuance of a permit does no guarantee a potable water supply Other Conditions/Comments: _� r'.��u�;� Q �l t�e{�ac,C�t � Permit issued Date: R-//-/S Certificate of Completion �Tew Well: EHS/Date Location: Grouting: Well Log: Well Tag: Pump Tag: Air Vent: Hose Bib: Casing Height: Concrete Slab: DI,iner: EHS/Date Depth: Grout: DAbandonment: Date: Method/Materials: Well Driller: ►ti,r� �l.�c� License #: Pump Installer: .+1 ' K License #: Approved by: _ Date: ►�.Zg_,-� n_ Date Sample Collected: � - 25-�'7 EHS: TS Person County Environmental Health 325 S. Morgan St.,Suite C Rnvhnrn Nf.7757� Date Results Mailed: 5-�5-1'% Phone:336-597-1790 Fax:336-597-7808 „hc�,� �-��` ; , �f �� I��n�-aa-��a�an��n��.Il I�-3L ��.Il�II�n Applicant: U 4' Location: Y✓!.� �'�`�'C r Taz Map �/LParcel # is� Subdivision [/7/r�� n., Phase/Section/Lot # .��3 # of Bedrooms 3 ��peration Permit System Type (From Table Va): Product (IIIg): ��lo �� ' C�ar`' �S Type V& VI Expiration Date: Type V& VI Renewal Date: �� This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. +'''� l.� �� 22 ( �0 (Authorized Agent) (Date) � e� �'� r � � �z2 -[ c� (Licensed Con ctor) (Date) � S�a ��e�- � �YG�t vGQ Scale �f PCHD, rev. 12/14/12 �� (�u.�- �,laS� S��e C,�a✓t„�.r � Ouv�QrS . � P r , 1 v Line Z � 7s' �ro 7D � 9S � �j �U Tax Map: � Parcel #:, f S3 � q Septic Tank System Checklist (Type II-I� System Type: �= C`L��`'rS Nates• Pump System Checklist Pum Tank InitiaUDate State ID & Date: Capacity: Riser (6" min.) 1�ENdA 4X Box Model: Piggy back lug � Hard wired Alazm functioning Mounted on ost Above grade {12") Conduit sealed Pressure Manifold Number of taps: Size and sch: Contracted Certified Operator (Type IV Systems): Notes: iank CQ� one�ts Ini�iall�2ate Pum model: Block (4") Nylon retrievat r�pe Float tree and attachrre�ts On/Off float swing: in. Alarm float (6" se ararion) Anti-si hon hole Check valve Threaded union Gate valve Conduit sealed Outler sealed A proved and secured riser Su 1 Line Size and material: in. sch. Length: ft. 01I64/2016 12:28 3365670840 `�3 W L+ LL Vl�l 1 lJ�l: � U1V K,N�I:UK�1 �a\� ` T�h1s'hum can ba uSed tbr singla'p} muldpla Wolts �� 1. Wt1! CuntXActor Informatloe; Derlhis �ummina� wcll Co�ractor Nuno �i 2��7�'1 �� {YC Well Cot�hRdor Certificatian N�un6er Gur�mings Dev�elopments, Inc. coe+p�ny Nitme � ' ' ' ""— Z. WCTi �U118$'IIC1�011 pErRlit:�: I,�CI oll �pllccble �acR p�ymlp �9,R, Co�tnry, SYarr, F't�t�'rmtt, I�lccfJan, ere. J � 3. vVe�t UsE (CLttlt Wlll usE): . —..-_ .__.i.�y .. --.. . �IAgricultmuf r�M c p�/Public I]Gcothormsi (iieatln�Go�ain6 Suppl}') ldent�ol Wa�et 9uPPly (sf�gla) ❑uadusttiaUCamuneretol q�tesidential Water SupAIY IAh�rcd) �lAqu�fcr liccha�ge ora�rolmawater Rcn,cd;ncion C1Aqui�cr 3tarn�e ntfd Retovtry 05ali�ity �arrier �/lquifc Test 05tormwater Drainage �Lxpr.rim�ntnl Technology ❑Subsidcnca Convoi �7�"iaotbmaal (Closed Loop} C]Treccc 4. LhtEe Well{s) CUmpleted: G) "'� "I� Wdl �)il _ Sg. Wcl1 I,QcstjOe: t�1c9 t 7 �C.t1 d i taCilttyf'01t�+erName � Fneflityi�(Ifapplioabie) �o��n �a.�►� r�l ��1. �4�r� `�u✓ttrc �vt�'J�j P}rysieal Addra�,�, City, nitd Zip �eZ%$�( e.�h 99��-�0 �$7-�,�y_� Cout�ty - - Pnrcol ldendl7eatkon No, {PTN) 41k. t,aniuds.ed T..on�tode tn dcgneahnl�utex/at�onds or decimnl d¢grece: (IfwalS fle1d, em lat/long N suf�ieient) ;� 1 �6 � 1�� 97 6�' N_7i °I��: 2,i�� ' w d.I,�(an) theaell(ti): et�IpIIAEltI or ❑Tem�reiy+ � . 7. Ns thtn a r�p�iir tu w eidatlAg well: ❑Yes or d�'ivo )Jih141d R rtpdir fll oW krlowq iYCll �n.trrveLon Ir�javf�lok dud expleln fht nrurr.� oJliit t�rpalr emdar �!2/ lr�rcrk,t ae�Upn pr on Oie boek vf 4�is f�►�n, B. Number of wcUs ronstrnctetL• �� Fo� nui!#pJ� InJ�Wtoe or »naavater tupp{t� wef!$ p7VLN wllA the saars eanslmeAlaq yam r,a,1 svbddi� a� fartir, 9.'�'h'GMl+�vtli d�h'bE�►�a IaWI ��iAeei �� (tt.) For nitrttlpk we11s lisl al! deptlu �dj�etEtt! {rsmnplr- 3[ 70tl' �tttd 1(aj]Od� CUMMINGS PAGE 01/01 For Tnkrrusl UAe ONLY: �� !� � ��^��:. gi;�'�'�`�1, ��"�'�,i"�9Y`�,�f`�� "�i�Tr� �I��IC� ?,�L�.i��s4'1 *�'.i�r Gi�::�}r;t,Gx�{'`!�n�[:3��i.:i� �� : ar �� [:�h' �"��1�� ,� wiwiwa.�``..�r�,.,..+�„�,,, .:�wir�: �� :�'w�:�t�s ,�..� .�. ,.��'� a. . ��i � �� n I tti �c� ft. ri, n rt, J n ri, rt. �. i� Tf. f� p, rt PVG Za. CetNficAlion: �� r�� -� ur oFCercified Wel( Co r Dete Ay s1�llnR llrft fam1, 1 herehy ' thn! !he weTl(sJ was (wsraf rnn-�++++�rd fn acrerdoace NUrh !SA NC.tC O7C ,n�nn or !s� Nr,r�c n�e� ,0�0� Well Cnn+Wuelfaq Slandarda crtd lhat a cnt�y �+jfhls rccard haa br.�n prov►ded re rhe wc)1 awuer. 23. 3ite diia�rgm nr addlHonal welE detatls: You may usc thc b�c af this pagc tn prqvldc aclditional weil siu dctails or rovclt constructian 8etnila Yau msry aRso RGach nddit�icmal pages iftttce.caary. su»Mrrrat, n�s�rucrraxs 2Ap, �i14► Submit ttiia ibrm �vithia 30 days of apmplcdpn nf tuall construction to the followin� 10. Stade watcT teve) below top Af raataA: G% tn,y Divlalon oi Wster Resvarces, lninrmalton i'roeesstng C)n�t, {jw�er kver �a abore castng, ,ae "� " 1617 Mall 5erviu Center, 2ialelgh, NC �7699-161�7 11. �nrehole d�ameter. 6 (tn.) 2d}�. For 1nle��qa.F�'elit OIVLY: [n addition to sonding dre form to the addres.a �n ROtBf�( 24a abwe, nlso submit a copy of this ibrm wiithin 30 days nf cnmpletion of wefl ��1 �Y�� FAbAl2'q61�pQ pIb�11Qd; �p!?A}?I#¢Gion ¢p }he folloroyingt (i.e. au�a, rot�y, c�blq dfree� puah, uc,) d0v��an of WAECY RWOUrCC� UAIilt�t'OUod lq f!¢dOp COnttol l'rb�rauy FOR WATER SLTPPLY WELIS ONl,1'• Ib36 MailBetviee Cettttr, Raleip,h, NC 27699-1636 13a. Yiead, (�pm) r Methnd of tcat: Air l�ot�ty �4�. Pnr Wrtcr Sa�ply & LRjection R'elle: Also sulmti� �ne capy of tltis form withitt 34 daysoTcomplokion af 13b` DisirifeeHan t}ry�e: �T� AmoIIot: �I d x• well eonstrucdcm to cha counry health depattmet�t of �hc counry where cottsGV�tW. Fo� f�W1 Nbetlf Gerulinn DeparlafenL oY 'F�+ fV+rottincnt Ond NAlttl'G� 1�.SpNcea- Division tlf WqCcr Relptsrce5 Rovie�d August z613 �� 1 �`� '., � �, v` � � � V.J � v � ��y 1�,� zrnv� n n�� zrn mrn � n� :L.�c�, fl JE-1� KA�� il �:Ilx Date: .5 / l5 /� Name: �Q„�� ,�- C�w�v Cllin-E- Address: !(�I �,� Fn�r,�. R�l. �dlr ,►�s NC 2?51{J Re: Bacteriological Test Results Dear Well Owner: Tax Map:�_ Parcel: 53 Your well water was sampled on �/ 25 /�, and tested for both total and fecal coliform bacteria. Your water sample test results are noted below: � 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 results only. Total coliform bacteria were detected in the sample. Fecal coliform bacteria were detected in the sample. Total coliform bacteria are naturally found in the soil. 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 co[iform bacteria are present in your water sample, the water may not be safe for use. Young children, the elderly, and the individuats with compromised immune systems are especially vulnerable and their physicians should be notified of the test results. A well that tests positive or total or ecal coliform bacteria should be properlv disinfected and retested prior to resuming normal use. The well may be disinfected using the enclosed disinfection procedure. A well 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 Environmenta! health at 336-597-1790. Our office hours are 8:30 to 5:00, Monday through Friday. S incerely, `��+g,� =y'--� Environmental Health Specialist Person County Health Department (rev. 4/20/16) Person County Environmental Health, 325 S. Morgan St., Suite C, Roxboro, NC 27573, Phone: 336-579-1790, Fax 336-597-7808 North Carolina State Laboratory Public Health Environmental Sciences I�li icrobiology 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: ESO42617-0062001 � �� ES Microbiology ID: GPS Number: Sample Description: Comment: Environmental Microbiology - Colilert Profile Test Name: Colilert Analyte Total Coliform, Colilert E. coli, Colilert Report Date: 04/28/2017 Test Result Absent Absent Explanations of Coliform Analysis: P.O. Box 28047 4312 District Drive Raleigh, NC 27611-8047 http://slph.ncpublichealth.com Phone: 919-733-7308 Fax: 919-715-8611 Name of System: DAVID 8� CINDY ELLIOT 161 HORTON FARM RD HURDLE MILLS, NC 27541 Col lected: 04/25/2017 13:50 Received: 04/26/2017 08:28 Sample Source: New Well Sampling Point: Well head J Smith Angela Heybroek Well Permit Number: A41-153 Method: SM 92236 Date 04/27/2017 04/27/2017 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. f� � � � ,� t � - �.x E^ t ,, t r._-% ;" r� ` 1 tk ��t �; S � y' t�€ p I l S� �� f� � S�"t " � E � � � �� s ':�: `�_ � ° `.� � ( � � � ��t � t � � , j�, k E :�� € � s � ; n...�v.p ; ;.. �z _ r.. ,' � e � ` i�� 3,.-d �r�,, -'-�t ""� ��., . r r—,� �,.."t ;; �,...� r.,� e.._� ( ' j• 3 ��^�' j �^�•^� 4�, �l t ( ! � � Ct } F y '�., - - - � � e E L., L„�r' '�J �• _.v ! ,`�, 1Vs \• � k i @ � � �.J � � ,i �� ,, i� `�.•' i E `.`.i County: Perso,,.-� Sample ID #: [— For snorganic Chemical Contaminants Name: ,,;d C;hd Reviewer: � TEST RESUI�TS AND USE RECOMNI�NDATIONS 1: � 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 inar�anic chemical results onlv. You may have other water sa.mpling results that are not taken into account in this report. 2. � The following substance(s) exceeded federal drinking water standards orthe North Cazolina 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 onlv. Arsenic Barium Cadmium Chromium � Copper � Fluoride � Lead � Iron Man�anese Mercurv Nitrate/Nitrite Selenium Silver Magnesium Zinc l� 3. [� a. Sodium levels exceed the U.S. Environmental Protection Agency's (USEPA) Health Advisory level for sodium of 20 mg/l. 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 inoreanic 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 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 on[v, but aesthetic problems such as bad taste, odor, staining of porcelain, etc. may occur. You may want to install a household water treatment system to address aesthetic problems. � Barium Cadmium � Chromium � Fluoride � Iron Man�anese Selenium Silver _ � pH Zinc Fo� more information regarding your well water results, please cal! the North Carolina Division oJPublic Kealth at 919-707-5900. North Carolina State Laboratory of Public Health 3�12 D�stnct�Drive Environmental Sciences Raleigh, NC 27611-8047 htto://sioh.ncoublicheaith.com Inorganic Chemistry Phone: 919-733-7308 Fax: 919-715-8611 Certificate of Analysis Report To: Name of System: PERSON CO ENVIRONMENTAL HEALTH DAVID 8� CINDY ELLIOT 325 S MORGAN STREET 161 HORTON FARM RD ROXBORO, NC 27573 Courier # 02-33-15 HURDLE MILLS, NC 27541 EIN: 566000331 EH StarLiMS ID: ESO42617-0039001 Date Collected: 04/25/17 Time Collected: 1:50 PM Date Received: 04/26/17 Collected By: J Smith Sample Type: Raw Sampling Point: Well head Well Permit #: A41-153 Sample Source: New Well Temp. at Receipt: 0.5 GPS #: Sample Description: Comment: New Well I (Profile) Analyte Result Allowable Limit Unit Qualifier(s) Arsenic < 0.005 0.010 mg/L Barium < 0.1 2.00 mg/L r+.,.�.,,,�,�w, � n nn� n nn� n,n/I Calcium Chloride Chromium Copper Fluoride Iron Lead Magnesium Manganese Mercury Nitrate Nitrite pH Selenium Silver Sodium Sulfate Total Alkalinity Total Hardness 6 < 5.00 < 0.01 < 0.05 < 0.20 < 0.10 < 0.005 2 < 0.03 < 0.0005 < 1.00 < 0.1 6.8 < 0.005 < 0.05 8.10 < 5.00 34 250 m 0.10 m 1.3 m 4.00 m 0.30 m 0.015 m m 0.05 m 0.002 m 10.00 m 1.00 m n 0.05 m 0.10 m m 250 m Zinc < 0.05 5.00 Report Date:05/04/2017 Page 1 of 7 Reported By: .xennet�i Greene 7fZ7--l�,�skm lac� oci,f �'� � � � �P� �!� �, �, C�l ue t �Qe a` � ��/� � . ��.��g�� ` �� ,� � � �. � ��f ��Gm�,� ��;�.�y �.�,�,� ,��.,G�. GO �.� �a �� `�� j� /� ��' %�J' �v� � ��Y'��v', �l� �/(%i'��1� �!�'/� /N��i � � , � ��'!`%� i° �� , ��