Johnson Property 5005_20020307

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FAx TRANSMISSION
DENR
FAYETTEVILLE REGIONAL OFFICE -
FAYETTEVILLE,'NORTH CAROLINA 28301-5048
VOICE: 9107486-1541
"Fbx: 910-486-0707
To: Date:
F I ax M 4- (D Pages. (including cover):41
From: S.�, V jC, 0 f-, E UT
Subject:
COMMENTS: o- \-D GAL
CJ
wc-(1. wGJ-C)C- ca
1-Wppm.
G�row/A
G a-4 A-a-64

DHJR - Fax : [phone]. Mar 7 2002 ' 10.48 P. 02
i
North Carolina State Laboratory of' -Public Howth
Department of Health and Human Services
P. O. Box 28047 0 306 N. Wilmington St. -- Raleigh, N..C. 27ell-8647
INORGANIC CHEMICAL ANALYSIS NITRATE ONLY
Name of System: Johnson, Rufus Lot 11
.�ouroo of fro Ground
Address: 5005 Berry Tree Lane
Stedman, NC Zlp: 28391 Source of SaMPW.
County: FRODWOGW hype of,Sample: a
Report To. NCDENR-DWQ GW;' ''ATTN: Sean Boyles Type of Tmatmont:. Nang
Wachovla Bid, Suite 714 ®f An4sl:
Fayetteville, NC 28301
Courler: 14-56-25'���aI�r
Collected By SEAM BOYLES ! ,ate: 2/2010Z
a
Lccatlor-,E'of ssA- ` ing point. `.Well `, '
Remarks: Please contact as soon as possible with sampid,re'sults.910.486-1541 wctM9
Parameters iResults Ur{lt6 : �'--
Nitrite as N rtgll 2/21/62
Nitrate.as N 2 ingli: ;,i<:;�. 2/21/02
F�� �, F i ��I� nu�g��,.1�5y. •r;.•;}F t4' '}a.. � '',.',.,,I,;..-AR:7�"'.�n,rl-h'•''�'_�m ,
,, '. �,�+f,.`ll�"r���;,7 f�� ti:' ' '�. :..�1.�:, ;,�•%,� 1'4;`+'� ._V. >.V"�L1 .. -
14
' .. .. IS: Vie• .. _�: I .. _ J 4
• � n�ay+l ate, n• ' r�, .�
,i..d']`fr'X yL�µ Jr ',�a�ylA'C b �•q•_ .il •i;.'1. '., .• � t~ rt. k .r� ..'+� ..
EXPLANATION OF RESULT"
o.
IV.
FosterfTherapeutic Homes: Nitrate-N IeVel acceptable If less than or equal to 10
Private Well Guldellnes Nltrite-N I�oval should be_< 1.0 mgll and Nitrate-N-� 1.0.0. gA
Sample Temperature on, Recelpf: _ 4.5 °
Date Received: 2/21/02' ?Repirt Date: 317/02 Re o e Dy:
Today Date: 3/7/02 Reference: '_2527 Login Batch er: Y313i

North Cerobna • LJopanrn®nt of Environment and Neturbti.;'
tt338 Ms;l servica center • Raleigh, PJ.C. 27li tg. 163 0 , �BaOrdr4®*;- Division of Willer Owality • Groandwate, Section
Ph(OtOj 733.3,221
WELL CONSTRUCTION RECORD: c,i,:coNr�,�croR:(A
<i.e;if I3LL $QMTRACTOR CERTIFICATION #r: ,2 (-{ � L
WSLt CONSTRUCTION PERMIT#:
1, WELL USE (Chock Applicable goat): F19514
Recovery Cj Heat Pump Water it
2. WELL L4CATlphf. (Show sketch of the
Nearest Town: ' ')L rQrM /I
%.—" "W". ■pro numo�r;, 4+P:Tirt7lrnflYr Pr
3. OWNER �u,s 2c)LnS r3vi
Address 1 k- .1 1 k
cur or Town Srilo.
4. DATE DAILLED �
b. TOTAL DEPTH (:;r-,,
6. CUTTINGS COLLECTED YES
7. DOES WELL AEPLACE EXISTING WEL
8. -STATIC WATER LEVEL Below Top of C
IUao •+• R
9. TQP OF CASING IS �_ FT. Abo'
,TOP of same uwrntnatRd War below land surface r,
daeesa with 1SA NCAC 2C.911S
1.0. YIELD (ppm); .,� METHOD OF TE
11. WATER ZONES (depth):
12, CHLORINATION; Type _lt���r,-��_,,,
13, CASING: (use fJT H or
\ not b)eGcl►
\ Depth Diameter
From Tat 2 L F;.., z-;) _
From..... To Ft. —
From —To Ft. r._..�
14. GROUT.,
Depth
From U To 1Y 2 Fl,
From To _., Ft,
IS. SCREEN:
Depth Diameter Slot
Fmm �l To r, r ➢ Ft 0 in.
From To Ft. IR,
From —To—Ft.— in. �.
1e. SANO/GRtAVEL PACK:
Depth , Sze .
From #.. 1— To Ft. , T
From To fit,
IT
I '. Munfvlpsl• j industrit;el ❑ Agricultural Monitoring
n t?tfier It Other, List Use:
Cif ��ip1k) .• :. ..
Won No,I`
DRILLING LOG
DEPTH
�Brom To
Formation Description
A.
..,.'NO
tnti�T,o'q .:I:
Arai n:vluioo;in=tiQOor•.
.,.,_,-.._..
If additlonal space is
needed use back of form
or Viftil� ` : ' . L+Iili�rbt
M v
100 HEF198Y CHATIFY'THAT THIS WELL WAS CONS
CONSTRUCTION STANDARDS, AND THAT A COO.
FOR OFFICE USE ONLY
Ovid No; Imo. ml
Submit oripinal to
Ssrlil No.
t i t rt
MAR / 2602
T(:f KIN ACCORDANCE WITH 1SA NCAC 2C, WEL�OFRcFi 4EtrGR,D hIAt3� 5jIXN PRO\AOED TO THE WELL O
0 THE WELL t)ATE
Sectlon within 34 days
ow•t REV. 12t"

NCJENR
Customer Service
1 800 623-7748
Michael F, Easley
Governor
Williams G. Ross Jr., Secretary
Department of Environment and Natural. Resources
Kerr T. Stevens
Division of Water Quality
March 13, 2002
Rufus Johnson
P.O. Box 64223
Fayetteville, lNorth Carolina 29306
RE Nitrate Sampling Results for Replacement Well
5005 Berry Tree Lane, Lot #1-1 Stedman
Dear Mr. Johnson:
This is to inform you about the results of the well testing activity that was
conducted on February 21, 2002 by this office.
The esults of sampling the replacement well respectively detected 16.52
milligrams/l'er (mg/1) of nitrate. This level of .nitrate is above the State's
groundwater quality standard -and federal EPA drinking- water standard of 10.00
mg/l.
If yoi
If you have a
have health risk concerns, please contact Dr. Rudo at [phone].
>y other questions, please contact me at [phone].
Sincerely,
P. Sean Boyles, L.G.
Hydrogeologist
Division of Water Quality / Groundwater Section
225 Green Street— Suite 714 Fayetteville, NC 28301-5043
Phone: [phone] Fax: [phone] Internet: http://gw.ehnr.state.nc.us

North
O'ccl
lina Department of Health and Human Services
Division of Public Health
rial and Environmental Epidemiology Branch
cal Evaluation and Risk Assessment Unit
Drinking Water Health Risk Evaluation
General
COUNTY
DATE' ' LABORATORY NUMBER
() Based on these' analytical results, this water should be considered safe for normal
usage
O Chemical analysis did not show any contamination.: Water should be resampled if
odor or taste persists.
(X) The water should not be used for drinking or cooking purposes.
- 1
O Based on these; analytical results, this water is highly contaminated and should not
be used for drinking, cooking or bathing/showering.
O The laboratory (results
PLEASE INDICATE
PROVIDE PREVIOUS
(X) COMMENTS
are not conclusive, please resample:
ON LAB SHEET THAT IT IS ARESAMPLE AND
SAMPLE NUMBERS)
The -nitrate drinking waterl
standard is 10 ppm:'-The nitrate'level in your well water is
either above or close to the
drinking water standard. Continued consumption, especially
of pregnant -woman or infants
six months of age and younger, may pose an, increased
health risk based on these
nitrate levels
rvt IULLIMr III UrrlIUtivn, canmcC ur. Nen Kuao, meaical ana KISK ASSeSSment Unit, 919) /JM0k 1ofi-` 1-yT715-64 U
DHHS (I 1/99)
+rR 2 2 2002
OEEB (Rev. 1 1/00)
p�R- FAYETULLE REGIONAL 0FRE

North Carolina State Laboratory of Public Health
Deplartment of Health and Human Services
P. O. Box 28047 ,- 306 N. Wilmington St. -- Raleigh, N. C. 27611-8047
INORGANIC CHEMICAL ANALYSIS - NITRATE ONLY
I
Name of System: Johnson, Rufus U
Address: 5005 Berry Tree Lane
Stedman, NC
County: FRODWQGW
Report To: NCDENR-DWQ GW
Wachovia Bld, Suite 71,
Fayetteville, NC 28301
Courier: 14-56-25
Collected By: SEAN BOYLES
Location of sampling point: Well
Remarks: Please contact as soon
Parameters
Nitrite as N
Nitrate as N
0
EXPLANATION OF RESULTS:
Foster/Therapeutic Homes: Nitr
Private Well Guidelines: Nitrite-
)t 11 Source of Water: Ground
Zip: 28391 Source of Sample:
Type of Sample: Raw
ATTN: Sean Boyles Type of Treatment: None
Type of Analysis: Nitrate
`Category: Other
'Date: 2/20/02 Time: 11:4'5:00 AM
is possible with sample results 910-486-1541 ext 739 ;
Date. Analyzed:_
2/21 /02: _.- .. �.
2/21 /02
Ll
► 2002
ate-N level acceptable if less than or equa t640
J level should be < 1.0 mg/I and Nitrate-NL<-10.(
Results Units
<0.10 mg/I
16.52 mg/1
R� ENED
MAR 22 2002
�t t is kLGli1�` nt siri`
Sample Temperature on Receipt: 1 4.5 0 C
Date Received: 2/21/02 Report Date: 3/7/02
Today's Date: 3/7/02 Reference: 2527
Reported By:
AO -
Login Batch 03070935 Sample Number: AA73137

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
No established limits
Iron
0.30 mg/l
Arsenic
0.05 mg/l
Lead
0.015 mg/l
Calcium
No established limits
-Magnesium
No established limits
Chloride
250 mg/l
Manganese
0.05 mg/1
Copper
1.3 mg/l
Nitrate
10 mg/l (as N)
Fluoride
4 mg/1
Nitrite
1.0 mg/l (as N)
Hardness
No established limits
pH
Not less than 6.5 units
Zinc
5.0 mg/1

r „✓- V 0 n'nr�(1
North Carolina • D®patirnlnt of Environment
1 &M Mail SOFV: 0 f;:entlr . R4,.igh, N4. 27!
WELL CONSTRUCTION RE
1 • WELL. USE (Mlaek Appilrabiti flow): Rat;
Recovery"M teat Pump Water
2. WELL LOCATI!,N; ($flow sketch ®? 4t
N981051 T*wn:.: i . A
(Rath N&-m gyred iVurvs era, Co++ttrxyUty, or
3. OWNER
Addr®B$
b:wi+ er -ram A. -
4. DATE DFULLE0
S. TOTAL DEPTH
6. CUTTINOS COLLE(`TED YES El
7. DOES WELL REPLACE EXISTING W1
S. STATIC WATER LEVEL Below Top of +
S, TOP OF CASING !S (V*@ •+
FT, Ab
* 700 of as" weaftstw mow bwgw 1W $Uri"&
W"h I" NCAC 9ri<, !
10, YIELD (Opm), -- RfiETH00 OF ?
11, WATIAR 1614ES. (4*pth):
12.,CNI0RINAT1OiI ;: TYpa
13. CASING:'
�pth Dimmer
nt � Ta
Froa(.L Ft.
Frlrrrt� TO. Ft.�_
From To — Ft.
14, GROUT:
Natural Resource$ • Vivls;on of Water Qullity • Gnjundwater Saction
1 S3S-Phono (9 f 9) 733.=l
1 �
WILL CONTRACTOR,
WIELL CONTRACTOR CERTIFICATION
STATE WELL CONSTRVOTION PEAMITM:
tI&I Lk Munff ipaf C3 Industrial Agrlottiturai Monitoring
t;t� -
` Othor If Other, Li&t (J.,e:
140ation below)
ANVE6 R And Lot No.)- -_ — PRILLIN2 LOG
From To
NC
Abet Top of Caaft)
I* LAM Svrfaoo•
Mlbs 8 Vf9fikY6YD ill - --
t h9at�ri
From -„0 To ;.-Ft.
16, SCREEN;
Depth Diameter Slot
From ,., Ta I't In.
From.,, To Ft. In.
From •., To Fl. , In.
1141. SANMOAAVEL PACK:
,��� Dale Size
From ,:� To m Ft,
14
From - To Ft, I
17. REMARKS: I
t DO HERESY CE43't'iFY T14AT THIS WELL
CONSTAVOTION STANDARDS, AND THAT
FOR 0"W U ®NLY
- 2gPTH
Forr. Avon 0490,6Ction
i4r9taia l` — f! additko ! space is n#446 ! U50 back tar for, n,
ago
wtJl 1llickitats LAOAYiOid :KETCH
or 1PdOig90matarfal (Shm dl W110rt and distance frsm.at feast two State
Road&, or other map relarertce point°)
SIZ6 materiel
L in
in.
ma
1
kS CO T IN ACCOROANCE wtTH t3A kCAC.AnG..WELL,
I CORO-H BEEN PR OED TO THE WELL OWNER..
A C0N UC INQ THE WELL OATg
oftirtaf to Olvi of Water ouimy- : ter Sscilon vvMI , 30 Jaya
OW-1 "EY. lam