HomeMy WebLinkAboutWCOC-02-2016-069347.TIF g CATAWBA COUNTY Case# WCOC-02-2016-069347
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!^. 1� Public Health Department Subdivision BARRINGER WOODS PH 3
} " Environmental Health Division PINT!
d �� � 366903114973
`' ' - / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOTH 99
184�S4
Name on Permit *JESSE CHANDLER, 1263 REBELS CREEK RD, BAKERSVILLE NC 28705 •
Site Address: 1668 CORDIA CIR,NEWTON NC 28658 a °! • a
Property Size: Square Peel 40,510.80 Acres 0.93 ti, '
Directions: 165 to Balls Creek Rd/tum left on 1st Road/Cordia Cir/turn left on 1st Rd/Cordia Cir/Lot about 1/4 t;
on left -y°1 °• °Js.a90a064a-839c-41a1-808a-dda1fc13dc97 �a
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-06-2015-061204 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-317834 02/12/2016 EH Well Head Approved Robbie Phelps
EHINSP-302885 08/07/2015 EH Well Record Received Approved Megen McBride
EHINSP-302886 08/07/2015 EH GPS Data Collection Approved Megen McBride
EHINSP-302887 08/07/2015 EH Well Grouting Approved Megen McBride
Taylorsville Well Drilling 08/05/2015
WELL DRILLER DATE DRILLED
Well permits are valid for 5 years from the date of issuance and are subject to suspension and/or revocation from
non-compliance with appropriate state and local rules and regulations, or if false information was given in order to obtain a
permit. Wells shall be constructed in accordance with all state and local regulations and rules.
The Well Completion Report must be submitted to the Health Department within 30 days upon completion of a well.
Robbie Phelps 02/12/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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