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A27 192=PERS01� COUNTY HEALTH DEPARTMENT SE�ilAGE DISPUSAL IMPROVE!lEtJTS RMIT NO. `sue D�te: � l� Oaner: S Location: c Septic Tank Contractor: Building Contractor: Water Supply: Private Public All wells should be 300 ft. from sewer system. Lot Size: (U K L— Sewage Disposal Fa�cni`1lities: No. bedrooms Size of tank:�� w Nitrific Other disposal facility: line: Water supply and sewage disposal facilities location, installation and protectiion must meet state and local regulations. Septic tank should be pumped out every 3 to 5 years and shall be maintained by owner in such a manner as not to create a public health hazard. Septic tank and nitrification line MUST BE INSPECTED AND APPROVED BY A MEMBER OF THE PERSON CO. HEALTH DEPARTMENT STAFF BEFORE ANY PORTION OF THE INSTALLATION IS COVERED AND PUT TO USE. THZS PERMIT VOID AFTER 3 YEARS. \ Date Well Approved: Signed 4. gY: S tari n Date Sewa� Disposal Approved:_ Counter- gp signe ' (Owner or his present �ive) Certificate of Completion [� \ Date Approved: -�� p� By: � � S• it rian (Over) Location of well and sewage disposal facilities sketched on back. � OUJ N�P-�Id �Tr�� C.�� sc� �� ;Per�on County Heaith Department � . . a ; W�II Permit � , ... Date: �- f�-�?� This Permit Void After 3 Years � Owner: Location/Directions: _ SR# '3[L Subdivision Name: � t # Drilling Contractor. �.-- WELL CONSTRUCi'ION Distance from Nearest Property Line Distance fzom Source of Pollution c Total Depth FG Yield: �J GPM Static Water Level FG Water Bearing Zones: Dep� �� Ft. Ft � Casing: Depth: From SZ_ to FG Diame� ��`( Inches TYPE: Steel Galvanized Steel ff Steel, does owner approve� � No Weight: Thiclmess: Height Above Ground: Inches Drive Shce: Yes No Were Problems Encotmtered in Setting the Casing? Yes No If "yes" give reason' Grou� Type: Neat S ement Concrete Annulaz Space Width Inches Water in Annular Space: Yes No �-3 Method: Pumped� Pres r Po�ed `� k Depth: From. to _ Ft� Materials Used: No. Bags Pordand Cement Weight of 1 bag � lbs. If mixture (sand gravel cuttings) - Rado: to � ID Plates: Yes ✓ No 4 x 4 slab Yes �— No De th From To Formadon Descri don 'd c� I HEREBY CER'TIFY THAT THE ABOVE INFORMATION IS CORRECT AND THAT � 'THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH REGULATIONS SET ,� FORTH BY THE PERSON COUNTY HEALTH DEPARTMENT. � Si e Co t �r Date � � � Sanitarians Signa e Date Issued Sanitarian's Signan�re Date Completed Sketch well location on reverse side. - CG42 PERSON COUNTY HEALTH DEPARTMENT �� WELL AND SEWAGE SITE, LOCATION IMPROVEMENT PERMIT • �- � Tax Mar # � r% Parcel # Zoning Townshin (� �►^✓e 1- r' I Owner/Contractor ' ' _ . Date �� 7� q � Location/Address �� iJ /��;��r�-� �.;1� // Sn G I l,�f(A% -fo �Ctt��.�� " �c �� S.R.#, Subdivision Name Lot# Layout �C1'm ��" c.J ri��-, � cf�w � �L�! `�p'� c�� Si.Ui�rnM � � ./f �l� D l pc1� /%`° n�'V'i`� WIY�' � / ' � r.� YJd � y..{Q✓�,-c;, �.e w��; S� 5�� S�s�� _ As Installed �pt�' It�.i,c SEWAGE SYSTEM SPECIFICATIONS Repair Lot Area 'r�.� Size of Tank�h�.�/�, c�o �v.�-�_ SFD Mobile Home Size of Pump Tank w„tyg �� B�ts�irress s,,,,r �.w " # of Bedrooms Nitrification Line �� s'h�, � 500 �,t �' � �� Max Depth Trenches rv,c� Permit Void after 60 months. Permit Void if not in compliance with zoning regulations. Permits may be voided if s Well and Septic Layout by Comments: Date ��'Z�5 Installed by l� 1'1�� e U�� a'� Well Permit Paid ❑ WELL SYSTEM SPECIFICATIONS Individual��Semi-Publi Required Slab Public cement Air Site Approved Required og Well H Approved W ag Comments: This report i� based in part on information provided the homeowner or his/her representative in the appl(cation submitted for this permi%,7'he environmental health specialist is not responsible for false or misleading information contained in the application. The environmental health specialist is also not responsible for concealed conditions on the property or for statements in this report that may have resulted from false or misleading statements provided to him in the application. Neither Person County nor the environmental health specialist warrants that the septic tank system will continue to function satisfactorily in the future or that the water supply will remain potable. c:\amipro\permitsam 01/95 rev.1.0 �a��°° $-�.�-9� Giq� ��r� ��- 4 �CC�-'1 ` APPT.TC'ATi(1N F(lR 4F.RViCF,S • � .rt 1 it requested by: 7. Dimensions or Proposed Structure: o ner/ ospective owner/agent: LJ�-� t LL� y��n 7j ST%2 idth: -`-� X'� S� �� ress: Z tiS 2��2T5� Rt� . Depth: 8Y-L� 8. What type (if any, additions, expansions, or �replacement is anticipated to the structure or facility �that this sewage disposal system is intended to serve? , ome Phone #: 5 q`� ' � � �- � � usiness Phone #: 5 q9 -� 3do � . 2. Name and address of current owner: 9. Water su type: private public ❑ community ❑ spring ❑ Are any wells on adjoining property?Yes ❑ No ❑ If so, identify location: 3. Property Description: Lot size: �x . � y c.��s . Tax Map#: ��—`� 10. Type of structure/facility: Proposed: DExisting: ❑ Parcel#: � c1 `Z Type of dwelling: Township: � C..t v� /--�f--i � �%-�-.sw SI�P House: ❑ Mobile Home: ❑ Business: ❑ � 5. Directions to property: State Road #& Road Type of business: Number of Employees: a ames, etc. Number of bedrooms: � jZo �3 �2T Sa� 2 D, � Garbage Disposal? Yes ❑ No ❑ ' Basement? Yes ❑ No ❑ If so, # of basement fixtures: I6. Number of occupants or people to be served: z CLEARLY STAKE ALL CORNERS OF THE PROY�K1'Y ANll '1'ti� l;Uxlv�x� ur aLL PROPOSED STRUCTURES. I hereby make application to the PersOn COunty Health Department for a site evaluation for the on-site sewage disposal system for the above described property. I agree that the contents of this application are true and represent the maximum facilities to be placed on the property. I understand if the site is altered or the intended use changes, the permit shall become invalid. I understand that before an Improvements Permit can be issued, I must present a survey plat of the property to the Health Dept. I understand that in the event I have not delivered a survey plat of the property to the Health Dept. within 60 DAYS after the date of the evaluation of the site by the Health Dept., this application shall become void and all fees paid forfeited. � , � n. Signed Owner or Authorized Agent Permit Issued ❑ Signature Date I' �-�'ermit i�enied ❑ � , , Plat Observed ❑ \ FAGZ'ORS-517SEVALVATION ARPAS AREA2::: ltREA3 AitEA4 :> _ _ ._._ t. SIAPE (9E) S S . .. .. S.. . . : $ PS PS PS PS U U U U 2. SOII. TEXTURE (12-361N.) S S S S (SANDY, LOAD4Y, CLAYEY, NOTE 2:1 CLAY) PS PS PS PS U U U U 3. SOIL. STRUCNRE (12-361N.) S S S S (CLAYEY SO[LS) PS PS PS PS U IJ U U 4. SOiI. DEPTH (IN.) S S S S PS PS PS PS U U U U 5. RESTRIC7]VE HORiZONS (IN.) S S S S (iMPER�90US STRATA, ROCK) PS PS PS PS U U U U 6. SOII. DRAINAG&GR011NDWATER S S S S (EXTER*IAL & INTERNAL) - PS PS PS PS U U U U 7. SOiL PERMEABILTI'Y S S S S (PERCOIAA7'ION RATE) PS PS PS PS U U U U 8. AVAII.ABLE SPACE S S S S PS PS PS PS U U U U 9. SITE CLASSiFICATION(SEE BELOW) SOIL SERIES S-SUITABLE PS-PROVISIONALLY SUITAIILE U-UNSUITABLE RECOMMENDATIONS/COMMENTS: SITE CLA5SIFTCATION DIAGRAM (Include: Soil areas, property lines, roads, streams, gullies, wet areas, iill areas, wells, water bodies, slope patterns, etc.) C:WNIPRO�DOCSIAPPSEC.SMFiNANCE.PC . �42 7 -1� 2- � PERSON COUiV'TY HEALTH DEPA�tTN1ENT . 355A SOUTH NIADISON BLVD. _ __ -- - � - --- _..._...-- _ __ _.__ - - -- - � ROYBORO, NORTH CAROLTNA 27�73 - � � BACTERIOLOGICAL WATER SAMPLEA.NALYSIS Name of Owner or Tenant l 1�1. Address 2.lS� �o�r�r�So�t ��_ County�rSc:� Collected By � Dzte Collected Z— j�{-07 Time Collected �� Dj Source: L� Well � Spring D Other Location: ❑ House Tap O�'ell Tap �ther - ❑No Charge LqCharge s�coh��w�t� �%�� '��''��. *****�**�***�****�*********�*******�***�t�****�*�t**�****�t**�t�t**�****�******x�t*� ****�**��*********************�*************�****�**�t***��t***�*******x******.�* Resulls Pre,�se/nt Absent Total Coliform l� 0 FecaVE. Coli ❑ � � Reported y � rn�� bactreport � . � .� .�., �' � � �� ti � q z7 -�� z � PERSON COUNTY HEALTH DEPARTNIENT . 355A SOUTH MADISON BLVD. _ _ _.. _ .. __ _ ._ . -- . _.. _. .._ --- _..__. _ ___. __. _ _ -- — ROYBORO, NORTH CAROLI�� 27�73 � BACTERIOLOGICAL WATER SAMPLEA.NALYSIS Name of Owner or Tenant �a✓ �_l �" Address 2) � ��er��n �:�• County p�rter� Collected By �� Date Collected L'��—o'a Time Collected /,D � 0�7 Source: p'Well ❑ Spring O Other Location: Ly'tiouse Tap OWell Tap O Other ONo Charge L`7l.:harge P�I�Q� ��t j'�5¢�ve5 �au$2) � �***,�*�********************�*�*****************�t**�*******�*��*****��*�***x*** **��t�********�**********�**********��**�***��****�**�*******�*��****x�*****.�* Total Coliform FecaUE. Coli Resu[ts Present Abse O ❑ �� Reported +' m�� O� bactreport �� .�� 4�o�.i� .ys�� . I�,��,��„�-,,,,-,Y„<��.�.��.]1 ]E-3L��.]1�IL�.. Applicant: Permit Valid for ✓Five Years Type of Facility: Improvement Per�nit _ No Expiration New Addition • Water Supply -�� Projected Daily Flow 1� g.p.d. T�x M�p � Parcel � � Su�bdlivisio�n Ph�s�e Sect�ion lo�t # # of Occupants # of Bedrooms 1 Proposed Wastewater System: Proposed Repair: �Di1/✓�f�►/v�l, Permit Conditions: Owner or Legal Representative Authorized State Agent: c Type: Type: Date: S �5 s `e Date: r� The issuance of this permit by the Health Department �n does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to in sure thaf all Person County Planning and Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with. the provisions of the North Carolina `Laws and Rules for Sewa�e Treatment and Disnosal Svstems' _(i5A NCAC 18A .1900). Neither Person County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily in the future or that the water supply will remain potable. Authorization to Construct Wastewater System (Required for Building �ea��it) * See site plan and additional attachments (�. Proposed Wastewater System: ,F/'��j Type � Wastewater F1owL�g.p.d. New RepairLC xpansion Soil LT . 2S g.p.d./ ft 2 Type of Facility: Basement _ Yes _ No �U�r $� �uM/�� '�'�A Wastewater S stem Re uirements /n/S�o • �o�o� �0 2�� Y q � Tank Size: Se tic Tank: OD al Pum Tank: al Grease Trap: gal P �g P g Drainfield: Total Area: �� sq ft Total Length �,� ft Ma�mum Trench Depth /�ts in Trench Width _� ft Minimum Soil Cover: _(�_ in Minimum Trench Separation: 9 ft Distribution: Distribution Box �_ Serial Distribution Pressure Manifold Authorized State Agent: Date: Permit Expiration Date: S l f The type of system permitted is Conventional � Accep Altemative. I accept the specifications of the pernut. �,/ ) `/' Owner/Legal Representativer�' V �/-�%C��" Date: �� 5"-"� 4 PCHD rev. 11/10/OS : �� `�l � - ., . � �J �� 7E��-�„�,,.,,-„,�m¢.ffi.Il ]E��Il�. " S�'�. ��.��. � Name ��o � s_ Tax Nlap #� 2�7 Parcel #/qZ Subdivision Z-t � Section/Lot# - /z� o� Authorize Sta e t � Date . ° systern components repres�t �pro��te��our� only. The contractor must, flag the system�rior to . begi�ning the iarstallatiost #o insure that pro�iergrade is maintained : • /✓o �%Q.cfi�� l.oC��Fir� �2 ��(/��✓9 %S�t�1. . a.✓ s/ZZ/a� ,� �� y �°� �`�,�� . ' /F ��/'rv/�� /�f�o�1i/� i5 ,Q�vi/{�, �/�✓�5 �v 5T �� //f/�v�iylG � �N /�Lf..¢ 7�E5�1�i✓��l� , , . !/�t/Gf�i S /J2>'�2��t�� f�o�i� .y�?� is . C��N is ��.t<T� ya o�/� S�Q��/. . ; Tr�l� o� �i'rL 5 r�� r��iV�L ; • �'l' f �� ,�vsr �� f�atil�o�% ,�,�'� i/1�s�0�� v�2 �r2v�iry2�-� R . � /I I / �� \ . /� � JE� ` . �� '/ S � g�"�'�� \ /t L�id i � � �or�/Til-�r- i�256� . � ��-�R� (� ��2ooN►� ��„� ��,�� 1. �i � _ i � _ ?��r - � � c �s-� N — � ' E�(� 5,-�� — T�'�' � �l►��'1�LI� -�-�- �-�'{'7G �`✓`� 7 /7fD -_.. — - � � -r� �- � Sca1e: � PITS �'G�, �ev. 09/12/Ol �.► I l �a,� �"o h �, s �_ - -�_ _- 9I`�"-a.233-I�7d - .: . . . , , Y.� � . . � ^� ` ~1' , . . -- � - . , . =� . . � • ' .; ti.. - \�♦ . . i. �.'. : c�- � . � '� "� ;,� s� � PERSON COUNTY HEALTH OEPARTMENI" . ' : � �a � � � SEWAGE DISPOSAL r� � IMPROVEMENTS RHIT NO. v ?� `sue D�te: ��.�� a --4--- ca- � ' � Owrner: 7 , � �' Location: r � , � � � Septic TariJc Contractor: ' �' y�� Building Coptractors ; �; � Water Supply: PrivatB Public 4� AlY wells ahould be 100 ft. from sewer system, Lot Size: Q � ' ! Sewage Disposal FaCi ities: No. bedrbocns Size of tank:� 1 �� Nittif�ca� on line:' � Other disposal facility: 1 Water supply and sewage disposal faciEities location,`itistallation and � protectiion must meat stat� and local regulations. Septic tank should be pumped out every 3 to 5 years and.shall be maintained by oaner ih such a manner as•aot to create.a pub}�ic health hazard. Septic tank and nftrificatfori �line MU9T��E INSPECTBb AND APPROVED BY A MEMHER OF THE PERSON CO: HFALTH�C�EF��iRTMENT ST�FF BEFORE ANY PORTION OF THE INSTALL'ATION�IS COVERED AND PDT TO USE. THIS PERMIT VOID AFTEit 3 YEARS, Date Well Approveds Signed� '~� ' 8Y • — / ta i ' Date Sewage Disposal Approved: � � ; i - �Counter- BY signe `` � r . (Uwner or hi's preseat ive) Certificate of Complation � � /6� � � � Date Approved:_ � BY= � ft rian (over) Location bf well and sawage diaposal facilities skatchad;ori back. � �� 3 � d� .� �? a, .w � a � N � x � 0 w « 'a � � a " d � N « � N � .K 'O o ° � 0 « � � � � � � y � O � �.. a " co ,°.1 a ► �.__N�a� .y '�. � ° ~ o O �+ c� � �o '� a c N ',� q �� y O � +�+ R �fL Gl � •^+ ^n � � � � °' < ,S a : �� x = u x�'" � �x; d � � � � �. a � ? '� `-� OUJ N01�ld s l r� � � c�ra� u 5� �� , u � �� t�er�on �ounty Health i�epartment z . � � � : .. � : . ( W�11 Permit � � Date� l��i�. This Penn t Void�AC r� Years � . SR# r.3[� dwr�e� �. � :; ..,. :i. _ i7 ►-o n - , - ' Locadon/�irections� � . ` ' , �. , . . � _. � Si�tsdi iori� N`ame � * ' . � . ` t # . i Dr�li�g �ontractor:: , , � _ ' — , — — _ .a � _ . � � � WEL�, `CONSTRUGTION � , ! . � D�.cta�e from N�arest Pfaperty,Lmc : � ' Distni� frofrn Soiirce of � .. _. P'olludon � � . i T�t�t i`Jep ''_- , F�. Yields ��` :. aPM � Stadc Water Y.eveb Ft.' � 1�ater �earing Zoaes: � ' �j� �G ' . FG � . Ca�u1g:'Dept}i:' Fr�m V;'�_�-- 'FG ' Diame� � Inches 'l'Y'PE: s�CCl QS1Y9il1ZCd}$teC i � � �tCE1r d0�3 OWl1CC ( r O . �Ve� / . . .. N i. : . . . . _�eigh� _ � Thicimesl:,1 ` . � He�glic . � bovt Cizour�d: Inches , � �5rive'�i�aet Y� - . �fio _ . � ._ ..... . . � � ; V1�ere Prablems Ertcountered in Settiiig t}ie Casing? Ye� � No tti1 : � If "yesi� give rea�on: • , ' , , C3rou� 'I�pe� �+Nea� .. $ ement �-�. Groncrete-._+ •� : . . . ...pnriuI�t 5ph't� �ijdth! �; _ �` _ Inches• i : �. "' �= '�'� � SiEL ltl �Nil1Iffi�`J'•.ie�� , ,,y� ; � i �- �0 ` ��' ' f " � ' ; � , z '' '' H . 1 �Cthod: �'utnp�8`d ! �i t , � �oured � ? ,r�� ;:. � :1.— !R �n c'..,�. �RG.w.r .'�+- .` -++4m. ; s . � �.v:,�r�+a., w+ � 4 `�. �� c..:'., z-�"7 1 -- �----�r - s s -��- i . � a�� atd: 4No. BBgd �art�and�Geme.ntl1 �. We�g�t of 1�ag' ,,� . s • - �. . � .' .If mixture ('s,�,= giavel cutdngs) Rafiq! w � � ID Pla�es: Y�s f � : � � No � � •t ; ' i�. . +t=x � �'Tab ;Y�a l. J:.�.S� �fp�_' . .; ;..f - I i � _ � . �,: ..� r1::i :� � .j, . t .� r. ;. , .�, �� Fiom To .' X� Forriiadoh De' fibn 1 . _ ... t.:.f. ..�. � j � "/ .. � � i � 1! f ' . ... - � � ..; _ .i ',�� . . .... j _f... j . . i '- � . � � Y � � t } � �� Y. 1 . .._- t� .- ro �t. . ' t. ; � ' �i .�4�. � � - �� . .. + • � R�gY�CERjTIF�' TH�►TT �. A�B�O �� WFO�'TION �5 CORREGT ��THAT �. i�� VE L�. W�►.S C�Q�NS'I'R�IGTI'EU IN :�iC�ORp CE'�1�ITii REI�iULATIUNS SET r, ' TH Bl� TH� PERSO�T COtJN`i'Y Hi AY.TH DEP` . � �; . � � T i i .�i - . .. . ' . �`. . .. ` ' . ` �'. i .. ,�. . � , .� • . � - _�_ T,�. ; . . - I. s� -- -na`° � : : � - ' , � 3 : . . . , �. . . Sanitaii�n's'3igna� � I . Data Issued: � :� : . . ' . �� , .. � ��: 5aiiitaiiari's 9isn�� Date Compieced � Sketc}i well tocadan on revetsa aide. � . � t. . . �,,��- North Carolina Staie Laboratory of Public Heaith �� Department of Health and Human Services P. O. Box 28047 -- 306 N. Wilmington St. -- Raleigh, N. C. 27611-8047 INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM Name of System: Tillinger, Mark Address: 215 Robertson Rd. Roxboro, NC (secondary) Zip: 2751{��.��'.�•: '�.�� J county: PERSON I N1AR E �- ?��07 Report To: Person Co. Health Dept. ATj�,N�xT;� 325 South Morgan Street �—�33 59�5-2� Roxboro, NC 27523 Courier: 02-33-15 Collected By: JS Date: 2/14/2007 Location of sampling point: outside spigot Remarks: Source of Water: Ground Source of Sample: Type of Sample: Raw Type of Treatment: None Type of Analysis Private Time: 10:07:00 AM Parameters Results Units Date Analyzed: Alkalinity as CaCO3 44 mg/I 2/15/2007 Arsenic <0.001 mg/I 2/15/2007 - Calcium 13.7 mg/I 2/15/2007 Chloride IC 19 mg/I 2/15/2007 Copper 0.09 mg/I 2/15/2007 Fluoride <0.20 mg/I 2/15/2007 Iron 0.31 mg/I 2/15/2007 Hardness as CaCO3 (Ca,Mg) 54 mg/I 2/15/2007 Magnesium 4.7 mg/l 2/15/2007 Manganese <0.03 , , mg/I 2/15/2007 Lead <0.005 mg/I 2/15/2007 pH 6.2 Std. unit 2/15/2007 Zinc <0.05 mg/I 2/15/2007 Date Received: 2/15/2007 Today's Date: 3/7/2007 _ �, Report Date: 3/7/2007 Reported By: �`�' 4�"^"'`� , _, Ref: 2287 Login Batch p7020030 ____;; Sample Number: AB53214 � � 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 Arsenic Calcium Chloride Copper Fluoride Hardness No established limits 0.01 mg/1 No established limits 250 mg/1 1.3 mg/1 4 mg/1 No established limits Iron Lead Magnesium Manganese Nitrate Nitrite pH Zinc 0.30 mg/1 0.015 mg/1 No established limits 0.05 mg/1 10 mg/1(as N) 1 A mg/1(as N) Not less than 6.5 units 5.0 mg/1 e North Carolina Staie Lafioratory of Public Health ��?' (�� Department of Health and Human Services P. O. Box 28047 -- 306 N. Wilmington St. -- Raleigh, N. C. 27611-8047 INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM Name of System: Tillinger, Mark (primary well) Address: 215 Robertson Rd. Roxboro, NC Zip: 27574 County: PERSON Report To: Person Co. Health Dept. ATTN: 325 South Morgan Street (336) 597-2371 Roxboro, NC 27523 Courier: 02-33-15 Collected By: JS Date: 2/14/2007 Location of sampling point: outside spigot Remarks: Source of Water: Ground Source of Sample: Type of Sample: Raw Type of Treatment: None Type of Analysis Private Time: 10:05:00 AM Parameters Results Units Date Analyzed: Alkalinity as CaCO3 154 mg/I 2/15/2007 Arsenic <0.001 mg/I 2/15/2007 Calcium 44.1 mg/I 2/15/2007 Chloride IC 13 mg/I 2/15/2007 Copper <0.05 mg/I 2/15/2007 Fluoride <0.20 mg/I 2/15/2007 Iron <0.05 mg/I 2/15/2007 Hardness as CaCO3 (Ca,Mg) 157 mg/I 2/15/2007 Magnesium 11.4 mg/I 2/15/2007 Manganese <0.03 mg/I 2/15/2007 Lead <0.005 " mg/I 2/15/2007 pH 7.5 Std. unit 2/15/2007 Zinc 0.09 mg/I 2/15/2007 � , � Date Received: 2/15/2007 Report Date: 3/7/2007 Reported By: j��w� - -- _ _ _ _ _. __, Today's Date: _3/7/2007 Ref: 2288 Login Batch: 07020030 __ ; Sample Number: AB53215 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 Arsenic Calcium Chloride Copper Fluoride Hardness No established limits 0.01 mg/1 No established limits 250 mg/1 1.3 mg/1 4 mg/1 No established limits Iron Lead Magnesium Manganese Nitrate Nitrite pH Zinc 0.30 mg/1 0.015 mg/1 No established limits 0.05 mg/1 10 mg/1(as N) 1.0 mg/1(as N) Not less than 6.5 units 5.0 mg/1