HomeMy WebLinkAboutWCOC-05-2016-072422.TIF Av,A • CATAWBA COUNTY Case ft WCOC-05-20 1 6-07 2422
f' "� O Public Health Department Subdivision
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6 Wow,', Environmental Health Division PIN/4 462701268855
alp, PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT/ 3
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Name on Permit MICHAEL & CHERYL HAMBY, 3654 BROOKS LN, TERRELL NC 28682
Site Address: 9391 LEGRAND DR, TERRELL NC 28682 0 P ' 1,-;..'.a
Property Size: 30,012.84 .589 2-" $'"
Square Feet Acres
Directions: 9391 LEGRAND DR, TERRELL PI .., •;n J .. k
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-05-2015-060594 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-325007 05/09/2016 EH Well Head Approved Robbie Phelps
EHINSP-325006 04/21/2016 EH GPS Data Collection Approved Robbie Phelps
EHINSP-316634 02/01/2016 EH Well Grouting Approved Robbie Phelps
EHINSP-316510 02/01/2016 EH Well Record Received Approved EH Admin
B&K 01/28/2016
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.
Robbie Phelps 05/16/2016
AUTHORIZED STATE AGENT APPROVAL DATE
ehwcllcoc 05/16/2016 10:44 Page I al