HomeMy WebLinkAboutWCOC-03-2016-069839.TIF at8 . CATAWBA COUNTY Case# WCOC-03-2016-069839
R I'.FR1GG Public Health Department Subdivision OAK VALLEY
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siriCCY „H', Environmental Health Division PIN# 365806488654
-0' PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT#
1g4 6 8
Name on Permit KIM TURNER, 711 E BOYD ST B, MAIDEN NC 28650
Site Address: 2454 OAK VALLEY LN, MAIDEN NC 28650 D ' IC o' 0
Property Size: Square Feet 24,82920 Acres 0.57 F,• v
Directions: From 100 SW Blvd in Newton, Right 321 Business to Maiden. Left Main Street, Left Providence Mile' •1
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D, Left Bud Arndt Rd, Right Oak Valley Ln, Lot#8 is on the right. •v�, _ r•
7477bf13-6c54-4932-b57e-4f212a9c5620
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
WELL-07-2015-062773 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-319218 03/04/2016 EH Well Head Approved Jason Boyd
EHINSP-318538 02/29/2016 EH Well Record Received Approved EH Admin
EHINSP-318023 02/22/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-318024 02/22/2016 EH Well Grouting Approved Megen McBride
Robert Teague- B&K 02/22/2016
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.
Jason Boyd 03/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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