Private Wells_20051018

DRINKING WATER HEALTH RISK EVALUATI DENR-FAYEITENILEREGIONAL ORRCE
J ARSENIC
DATE )I�lCOUNTY 0 Ieff" "LABORATORY 405' 2?a 7
❑ Based on these analytical results, this water should be•considered safe for normal usage
❑ The water should not be used for drinking or.cooking purposes
❑ Based on these analytical results, this water is highly contaminated and should not be used
for drinking, cooking, or bathing/showering.
❑ -Thre laboratory results are not conclusive, please resample.
$� See comments section below.
PLEASE INDICATE ON .L.AB SHEET THAT IT: IS A RESAMPLE AND PROVIDE
PREVIOUS SAMPLE NUMBER(S),
COMMENTS:
Arsenic levels of _ ppb are above the recommended North. Carolina groundwater
standard of 0.02 ppb. This arsenic level may pose a slightly increased cancer risk upon
consumption of 2 liters of water per day over an extended time period (over 30 years.)
Decreasing consumption to water from this well over time will reduce any additional health risks.
Other water uses (bathing,showering, washing dishes, etc.) should not pose any health risks.
and can be continued. ,
For further information, contact Dr. Ken Ru'do with the Occupational and
Environmental Epidemiology Branch at [phone].
Temnnrary Draft Fnrm
' i.

North Carolina` State, Laboratory of Public Health
'Department of Health ;and Hvrnan Services-
P. 0. Box 28041--'30.6'N. Wilmington St."--. Raleigh,: N. C. 27611-8047
' INORGANIC CHEMICAL ANALYSIS - PRIVATE WATER SYSTEM
Name` of System: Oxendine, Foncie & Beatric Source of Water: Ground
Address: 200 Zadie'Dr Source of Sample:
Maxton.,.NC _Zip: 28364
Type of Sample: Raw
County: ROBESON Type of Treatment: None
Report To: Robeson Co. Health Dept: ATTN: Mack Johnson Type of Analysis Private
460 Country_ Club. Road (9:10) 671-3200
Lumberton, NC 28358
Courier: 14-92-02,' `~ .
Collected By: M. JOHNSON : ' Date: 9d8/2005 Time: �1-1,�O :06 AIRECEIVED
.. Location of sampling point:: outdoor bib g �EC'01 '2005
Remarks: • t
DENR FAYETTEVILLEREGIONAL OFRGE
Parameters Results DateAnalyzed:
�� �U : its
nyze:
f� - -_-I 1
Alkalinity as.CaCO3mg�/I4l,
J.
Arsenic IN i 9288//2200.4050.007 mg 5
i
i
,Calcium �18.6 I 4 �ngll'9) 8/�00�
Chloride IC �, r�� a + m 11 � 9/2-87�005�
Copper 0 0 rrig I �; 9/28/2005
Fluoride �0 20 /,I '". 9/128/2005
Iron 030 h mll 9/28/2005
Hardness as-CaCO3 (Ca,Mg)gf?9/28/2005.� -
Magnesium ®7; rS '`� mg%{k * 9%28/2005
Manganese' $j2005
Lead xn,
' �0 OQSj Ing/I� @/ -8/2005
H.
Sulfate 10, mg/I 9/28/2005
� 9
Zinc NOhr 0 11na4ubli q(3 h
�.� ��kk {j��e $y��j�/�F�j�J9 '�j�'9( � j�� t�®Jj :1��. t[�ry�t�� �ss� �
.+ i`] ^J `Gam i `E:"Y I*J 'GS ♦ "CY v^�i s%2A' e' "dY & �C
F06iI -.i
'11,.:_
OGGUPATIONL & ENV1R01e1d,Eit1;:: i
EPIDEIAIOLOGY SERON'
Date Received: 9/28/2005 .Report Date: 10/12/2005 Reported. By: ,
Today's Date:-.10/13/2005 Ref: ' 13042, Login Batch: 05100002`=.' Sample, Number: .AB32887
-- .

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Incident Name
Page 1 of 2
Complaint Data Entry Printout
Complaint Information 09105/2003
lCom Taint Number 1552 Complaint TypeTypel OPHSCA
Site Name JIM CRABTREE RESIDENCE
Complaint Address 400 SOUTH MAIN
Complaint City/Town RED SPRINGS IComplaint,Zip 128377
County - I ROBESON lRegion I Fayetteville
ROContact I Bovles
Contact Person Information
Contact Name JIM CRABTREE RESIDENCE
Contact Phone Number 910-624-3294
Date Received 8/l/2003 IDate Responded 8/4/2003
esbonse Tvne SITE VISIT
'tatus Information,
ample Date �. cl / 5
)ate Lab Results
,ction Taken��•
[OV Date _ 9 Qj g5 � 30 .5- /
0 Day Response Date
Idditional In ormv
)riller First Name Barn p e
>rillerLast Name �00 5 ��► - �� �'�''°�s
ermit Number
ocationalInformation
Latitude MS 344844 ILongitude DMS 791101
Latitude Decimal Degrees) 34.81222 ILongitude(Decimal Degrees 79.18361
Lat/Loniz OC GPS
Comments
EPDXY RESIN USED IN PATCHING DURING RESURFACING HIGHWAYS WAS
ISCHARGED AFTER A LINE RUPTURE. THE EPDXY KILLED GRASS IN MR.
CRABTREESYARD. CONTRACTOR WAS INSTRUCTED BY DOT TO REMOVE
IMPACTED AREA AND RESOD THE DEAD AREA. FOLLOW UP VISIT NEEDED
IN A WEEK OR SO TO VERIFY THIS ACTION. ON 9/5/03, CALLED & SPOKE TO s
http://gw.ehnr.state.ne.us/Pirf/Complaint.ASP?UserID=FAY3843T&RegType=3&Incd=1552 W5%2003

Incident Name
Page 2 of 2
DPERTY OWNER WHO INDICATED THAT SPILL NOT CLEANED UP BUT
AT HE RECEIVED A LETTER FROM NCDOT INDICATING THAT THEY
)ULD SAMPLE AND CLEANUP BY TODAY. MR. CRABTREE ALSO
XCATED THAT HE BELIEVED THAT SOME OF SPILL MAY HAVE GONE
IWN THE STORM SEWER ALTHOUGH SAND HAD BEEN PUT DOWN TO
LLECT THE MATERIAL.
a
http://gw.ehnr.state.nc.us/Pirf/Complaint.ASP?UserID=FAY3843T&RegType=3&Incd=1552 9/5/2003

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Incident Name y ; Page 1 of 1
Com Taint Data Entry Printout
Complaint Information
0810412003
Complaint Number
1552
Com laint T e
NOD
Site Name
JIM CRABTREE RESIDENCE
Complaint Address _ ..
400 SOUTH MAIN
Complaint City/Town :.
RED SPRINGS
lComplaint Zip
County
ROBESON
lRegion
Fayetteville
OContact
Boyles
Contact Person Information
Contact Name
JIM CRABTREE RESIDENCE
Contact Phone Number
910-624-3294
Date Received
8/l/2003 Date Responded
Response Type
SITE VISIT .
tatus In ormation
Sample Date
Date Lab Results
Action Taken
NOV Date
V40V
Type
None
30 Day Response Datel
130
Day.Inspection Date
dditionalInformation
riller First Name
Barnes Paving -Heath Conner
Driller Middle Initial
910-739-2348
riller Last Name
Certification Number
0
Permit Number
Incident Number
0
Enforcement Number
ocationalln ormation
Latitude DM' S .
0
Longitude DMS
.0
Latitude Decimal Degrees)
.0•
ILongitude ecimal De rees
< 0
Lat/Long QC C
NOD
Comments
EPDXY RESIN USED IN PATCHING -DURING RESURFACING HIGHWAYS WAS
ISCHARGED AFTER A LINE RUPTURE. THE EPDXY KILLED GRASS IN MR.-
CRABTREES YARD. CONTRACTOR WAS INSTRUCTED BY DOT TO REMOVE
IMPACTED AREA AND RESOD THE DEAD AREA FOLLOW UP VISIT NEEDED
n
1N A WEEK OR SO TO VERIFY THIS -ACTION. -
http://gw.ehnr-.state.nc.us/Pirf/Complaint.ASP?UserID=FAY3412I&RegType=3&Incd=1552 8/4/03