HomeMy WebLinkAboutWCOC-04-2016-071112.TIF et CATA\VBA COUNTY Case# WCOC-04-20 1 6-07 1 1 1 2
.�.^� �L Public Health Department Subdivision SUNSET TERRACE
4 ="® ; Environmental Health Division PIN#
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PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 15-20&39&pt 38
842 s•
Name on Permit JASON KYLE PATTON, 814 E 23RD ST, NEWTON NC 28658
Site Address: 1641 QUAIL RUN, NEWTON NC 28658 0 : I- : a
Property Size: Square Feet 43,995.60 Acres 1.01 r.:., . '�?.''! '?
Directions: Radio tio
Stan Rd/ left to Quail Hill Ave/to Quail Run on right * * • P't
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-05-2015-061108 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-322074 04/06/2016 EH Well Head Approved Megen McBride
EHINSP-317244 02/11/2016 EH Well Record Received Approved EHAdmin
EHINSP-317220 02/10/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-317219 02/10/2016 EH Well Grouting Approved Megen McBride
Ashley Moretz 02/09/2016
WELL DRILLER DA'Z'E 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 04/06/2016
AUTHORIZED STATE AGENT APPROVAL DATE
clnrellcoc 04/12/2016 13:39 Page 1 of I