HomeMy WebLinkAboutWCOC-03-2016-070276.TIF v-ct• . CATAWBA COUNTY Case# WCOC-03-2016-070276
k t®¢L Public Health Department Subdivision
2 H "1 Environmental Health Division PIN# 460803103967
�`" ® � PO Box 389, 100-A Southwest Blvd.Newton,NC 28658
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Name on Permit SAMUEL WHITE, 7025 LOCKE DR, SHERRILLS FORD NC 28673
Site Address: 7227 LOCKE DR, SHERRILLS FORD NC 28673 0 " 1-1' 0
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Property Size: Square Feet 49,658.40 Acres 1.14 •_ _ _ Jai.
Directions: Hwy 16 South, Hwy 150 East left on Mt Pleasant RD, Approx 3 mile pass Camp Dogwood Left on I r
Locke Dr, 1/4 mile on left. o r,
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-07-2015-062579 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-318612 03/21/2016 EH Well Record Received Approved EH Admin
EHINSP-320265 03/18/2016 Eli Well Head Approved Jason Boyd
EHINSP-320266 03/18/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-308743 10/15/2015 EH Well Grouting Approved Jason Boyd
Lake Norman Well Jeff Speagle 10/15/2015
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 03/21/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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