HomeMy WebLinkAboutWCOC-03-2016-069895.TIF ��$ \ CATAWBA COUNTY Case it WCOC-03-2016-069895
( L Public Health Department Subdivision FARMFIELD SUBDIV
4 r fii ,� Environmental Health Division PINTO 376404511692
-- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOTt# 15
184
Name on Permit ROBERT LOVELACE, 4830 ROCK BARN RD EXT, CLAREMONT NC 28610
Site Address: 4830 ROCK BARN RD EXT, CLAREMONT NC 28610 I] tV, D;'. . • I7
Property Size: Square Feet 136,778.40 Acres 3.14 :6,
Directions: Rock Barn Rd, cross Oxford School Rd onto Rock Barn Rd Ext, lot end of orad with barn on left } _ 1'S •r
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-11-2015-067108 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-319372 03/09/2016 EH Well Head Approved Steven Price
EHINSP-319265 03/08/2016 EH Well Record Received Approved EH Admin
EHINSP-319217 03/08/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-319216 03/07/2016 EH Well Grouting Approved Megen McBride
John Whisnant 03/05/2016
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.
Steven Price 03/09/2016
AUTHORIZED SPATE AGENT APPROVAL DATE
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