HomeMy WebLinkAboutWCOC-06-2016-073255.TIF tiA CATAWBACOUNTY Case# WCOC-06-2016-073255
.Cv'~G� ri j Public Health Department Subdivision CHERRY RIDGE
< ®i „'s,) Environmental Health Division PIN# 368904737925
�•dh PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 6
lg.2 S.
Name on Permit *BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673-
Site Address: 5816 SUNSET VIEW LN, CATAWBA NC 28609 0 : P
t CI
188,179.20 4.32 r ti
Property Size: S q uare Feet Acres
Directions: 16S/left Balls Creek Rd/right Bandys Cross Rd/right Mathis Church Rd/left Sunset Rd rho'Ero
. of
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
WELL-02-2016-069563 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-327455 06/07/2016 EH Well Head Approved Jason Boyd
EHINSP-327454 06/07/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-321137 03/30/2016 EH Well Record Received Approved EH Admin
EHINSP-320272 03/18/2016 EH Well Grouting Approved Jason Boyd
Advance Well (Mike Shaw) 03/18/2016
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.
Jason Boyd 06/08/2016
AUTHORIZED STATE AGENT APPROVAL DATE
eImellnm 06/08/2016 11:48 Page 1 of I