HomeMy WebLinkAboutWCOC-04-2016-070723.TIF CATAWBA COUNTY Case# WCOC-04-2016-070723
I!•rI Public Health Department Subdivision
G ; �.,�; Environmental Health Division PIN# 376403112611
a PO Box 389. 100-A Southwest Blvd, Newton. NC 28658 LOP?
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Name on Permit JANICE SIGMON, 5507 RIVER BEND RD, CLAREMONT NC 28610
Site Address: 5507 RIVER BEND RD, CLAREMONT NC:28610 11\:./‘ 0
172,497.60 3.96
Property Size: Square Feet Acres y'r'ti
Directions: From Conover, Hwy 16 N, Approximately 5-6 miles, turn Right on Riverbend Rd, 2 miles house is or ' •,
the Left directly in front of Sigmons Meat processing. • _ • 0 •
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3418d448-5blb-491d-b3b9-36a73a0c1a95
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-01-2016-068432 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-321248 03/31/2016 EH Well Head Approved Megen McBride
EHINSP-3 16942 02/08/2016 EH Well Record Received Approved EH Admin
EHINSP-316651 02/02/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-316652 02/02/2016 EH Well Grouting Approved Megen McBride
Robert Teague- B&K 02/02/2016
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.
Megen McBride 03/31/2016
AUTIIORIZED STATE AGENT APPROVAL DATE
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