HomeMy WebLinkAboutWCOC-03-2016-070537.TIF ,�A CATAWBA COUNTY Case tS WCOC-03-2016-070537
F r 2 Public Health Department Subdivision
\'`'-n—'+o Tj Environmental Health Division PIN# 460901176151
\'41 PO Box 389. 100-A Southwest Blvd, Newton,NC 28658 L0"t# 1
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Name on Permit GLENN & GAIL DETEMPLE, 1102 ASTORIA PKWY, CATAWBA NC 28609
Site Address: 1483 HOPEWELL CHURCH RD, CATAWBA NC 28609 0 .�� ie ii"i 0
42,253.20 0.97 l :-•17�� • tea`' y,
Property Size: Square Feet Acres
Directions: i`+.'} r .jf•it
liOE, left�hen'ills Ford Rd/right Hopewell Church Rd/lot on left i 't o ti
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-01-2016-068580 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-320878 03/28/2016 EH Well Head Approved Robbie Phelps
EHINSP-320877 03/28/2016 EH GPS Data Collection Approved Robbie Phelps
EHINSP-320773 03/28/2016 EH Well Record Received Approved EH Admin
EHINSP-320428 03/21/2016 EH Well Grouting Approved Robbie Phelps
Advance Well Drilling. LLC 03/19/2016
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 03/29/2016
AUTHORIZED STATE AGENT APPROVAL DATE
einmllcoc 03/29/2016 08:56 Page I of I