HomeMy WebLinkAboutWCOC-05-2016-072237.TIF v,A • CATAWBA COUNTY Case# WCOC-05-2016-072237
�T f, 1111".4 Public Health Department Subdivision
< !PIkt)i Y Environmental Health Division PIN# 375305099181
PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# 2
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Name on Permit QUEZ& DEBBIE LITTLE, 214WESTWOOD DR, MORGANTON NC 28655 •
Site Address: 2257 HOUSTON MILL RD, CONOVER NC 28613 0 931"9-13. }' 0
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Property Size: Square Feet 478,288.80 Acres 10'98 Tj W • ti i-
Directions: Take Hwy 16 North to Swinging Bridge Rd/Cut left/follow SB Rd until it intersects with
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Houston Mill Rd/left travel across bridge over Baker Creek/go up hill approx 750 to 1000 ft and _
the driveway is on the left with green g3fif9dI5Gd-ri Ad lgt16+.093atZf5 e66ahoele/road i�S IS
ends at property site .-d 'a
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-10-2015-066199 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-324810 05/09/2016 EH Well Head Approved Megen McBride
EHINSP-317266 02/11/2016 EH Well Record Received Approved EH Admin
EHINSP-314184 12/21/2015 EH GPS Data Collection Approved Megen McBride
EHINSP-314183 12/21/2015 EH Well Grouting Approved Megen McBride
Ashley Moretz 12/18/2015
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.
Megen McBride 05/09/2016
AUTHORIZED STATE AGENT APPROVAL DATE
chae leoc 05/11/2016 09:32 Page 1 of 1