HomeMy WebLinkAboutWCOC-04-2016-070736.TIF g\ i, CATAWBA COUNTY Case ti WCOC-04-2016-070736
.� Public Health Department Subdivision ROLLING MINI RANCHES
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Q Environmental Health Division PIN#
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PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT#
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Name on Permit KRISTEN & CHRISTOPHER STARRETT, 7838 OREN STEPHENS RD, HICKORY NC 28602
Site Address: 7838 OREN STEPI-IENS RD, HICKORY NC 28602 0 ' •rte 0
Property Size: Square Feet 237,402.00 Acres 5'45 i. 4{-. Ykea}
Directions: 140 • W toward Morganton Exit 121 R to old Shelby RD Right on George Hildbran school RD, r + • `
Left Camp Creek RD, Left Oren Stephens RD, Land on left. I surveyed-marked w/pink flags. • C
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-07-2015-062686 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR_
EFIINSP-321276 04/01/2016 EH Well I-lead Approved Megen McBride
EHINSP-321275 04/01/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-320197 03/18/2016 EH Well Record Received Approved EH Adntin
EHINSP-319939 03/15/2016 EH Well Grouting Approved Jason Boyd
Advance Well/Mike Shaw 03/15/2016
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 04/01/2016
AUTHORIZED STATE AGENT APPROVAL DATE
chwe love 04/01/2016 10:38 Page 1 of I