HomeMy WebLinkAboutWCOC-03-2016-069710.TIF id CATAWBA COUNTY Case# WCOC-03-2016-069710
.T-TM.fl L Public Health Department Subdivision
Q -7,l Environmental Health Division PIN# 360701083870
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PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOTH I
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Name on Permit JUDY JOHNSON, 3387 SCRONCE RD, VALE NC 28168-6759
Site Address: 3387 SCRONCE RD, VALE NC 28168 a •+ ' . .S a
Property Size: 88,862.40 2.04 r• E _
P Y Square Feet Acres
Directions: Hwy 10, to propst Cross Road, Left onto Plateau Rd approximately 3 miles&past Fred T i
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Foard, Left onto Scronce Rd, I st house on Right with circle drive. }
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-01-2016-067956 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-318876 03/02/2016 EH Well Head Approved Megen McBride
EHINSP-314925 01/08/2016 EH Well Record Received Approved Megen McBride
EHINSP-314924 01/08/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-314923 01/08/2016 EH Well Grouting Approved Megen McBride
Donald Russell-Taylorsville Well Drilling 01/08/2016
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.
Megen McBride 03/02/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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