HomeMy WebLinkAboutWCOC-03-2016-070138.TIF yyg CATAWBA COUNTY Case# WCOC-03-2016-070138
e rfft i Public Health Department Subdivision CARLTON HEWITT ESTATE
< 1.40 '' Environmental Health Division PIN# 377114341625
w PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# TR 7A
Name on Permit PHILLIP WELCH, 2147 HEWITT RD, CLAREMONT NC 28610
Site Address: 2147 HEWITT RD, CLAREMONT NC 28610 0 • ' D"1-1'. 0
Property Size: Square Feet 128,066.40 Acres 2.94 r•
Directions: right on Southwest Blvd/ left W C St/left 10 E Hwy/go 6.3 miles/left Hewitt Rd/#2147 on left o._ i!Vt.
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-01-2016-068429 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-320029 03/15/2016 EH Well Head Approved Robbie Phelps
EHINSP-320030 03/15/2016 EH GPS Data Collection Approved Robbie Phelps
EHINSP-319873 03/15/2016 EH Well Record Received Approved EH Admin
EHINSP-319113 03/03/2016 EH Well Grouting Approved Robbie Phelps
Chris Russell 03/03/2016
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.
Robbie Phelps 03/17/2016
AUTHORIZED STATE AGENT APPROVAL DATE
chwellcoc 03/17/2016 09:55 Page 1 of I