HomeMy WebLinkAboutWCOC-04-2016-070748 (2).TIF i. •
�t3 CA'PA��BA COUNTY Case il • WCOC-04-2016-070748
j Public Health Department Subdivision Hong Yup+ Sandralin H Chi
< 1"t--� G Environmental Health Division PIN#
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'‘1 PO Box 389. I 00-A Southwest Blvd.Newton. NC 28658 � 0 ^
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Name on Permit HONG CHI, 1270 MURRAYS MILL RD, CATAWBA NC 28609 � u/
Site Address: 1270 MURRAYS MILL RD, CATAWBA NC 28609 0 f1 l C
418,176.00 9.600 v, • , Ct Pro a rt Y Size: Square Peet Acres
Directions: Hwy 10 to Murrays Mill Road about 1/4 mile on left, one story brick house. House # is on mailbox To o • e,o c
66ba3052-9b27-477a-8ec5-d1766b168f98 y' � G -14
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
WELL-08-2015-063916 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-321274 03/31/2016 EI-1 GPS Data Collection Approved Robbie Phelps
EHINSP-316121 01/26/2016 EH Well Head Approved Robbie Phelps
EHINSP-314065 12/22/2015 EH Well Record Received Approved Robbie Phelps -----...
EHINSP-314064 12/22/2015 EH Well Grouting Approved Robbie Phelps
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Tony Davis 12/21/2015
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.
Robbie Phelps 03/31/2016
AUTHORIZED STATE AGENT AI'PROVAI.DATE
chwilleoc 04/01/2016 12:36 Page I of I