HomeMy WebLinkAboutWCOC-06-2016-073281.TIF 0A CATAWBA COUNTY Case# WCOC-06-2016-073281
:\=111111% Public Health Department Subdivision
< o Environmental Health Division PINE 374407793311
PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# 2
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Name on Permit DUSTIN SIGMON, 1794 LINDSEY LN, CONOVER NC 28613
Site Address: 1794 LINDSEY LN, CONOVER NC 28613 o : r�_ r� ❑
Property Size: Square Feet 126,324.00 Acres 2.9 F G
Directions: Hwy 16 North, Left on Springs Rd, Left on Rector St., Left on Lindsey Lane& lot is down the road l r , •.t
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mile on the left. # is on mailbox .re INAtall!
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-03-2016-070331 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-327592 06/03/2016 EH GPS Data Collection Approved Steven Price
EHINSP-327591 06/03/2016 EH Well Head Approved Steven Price
EHINSP-324395 05/06/2016 EH Well Record Received Approved EH Admin
EHINSP-323755 04/19/2016 EH Well Grouting Approved Steven Price
chris russell 04/19/2016
WELL DRILLER DArE 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.
Steven Price 06/03/2016
AUTHORIZED STATE AGENT APPROVAL DATE
elmellcuc 06/09/2016 10:10 Page 1 of I