HomeMy WebLinkAboutWCOC-03-2016-069937.TIF `,yy,A • CATAWBA COUNTY Case# WCOC-03-2016-069937
M1 r.' lIG Public Health Department Subdivision ALTAMONT SPRINGS SEC
4 ht."- Environmental Health Division PIN#
�^�w'c 365917012652
vaa� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 28
!84 M
Name on Permit `PAINT MASTERS AND COMPANY, INC, 3570 DIVOT DR, MAIDEN NC 28650-
Site Address: 1927 FRIENDLY LN,NEWTON NC 28658 0 ,' u e� 0
Property Size: Square Feet 26,571.60 Acres 0.61 • y {y
Directions: 321 S/left at Highway Patrol Station/cross over St James Church Rd/on Smyre Farm Rd/right on -•, rT •tp
Hermit Trail/right on Friendly Ln/left on Layton/lot on far corner '�•
sx
437eab5d-d7d8-479d-864b-46c014ec3eb0 + _ }ci
El • =4° s; .
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-07-2015-063314 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-319479 03/09/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-319480 03/09/2016 EH Well Head Approved Jason Boyd
EHINSP-309597 10/27/2015 EH Well Record Received Approved EH Admin
scanned well record and e mailed to office
EHINSP-309596 10/27/2015 EH Well Grouting Approved Jason Boyd
Donald Russell 10/27/2015
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.
Jason Boyd 03/10/2016
AUTHORIZED STATE AGENT APPROVAL DATE
elmellcoc 03/10/2016 08:43 Page 1 of I