HomeMy WebLinkAboutWCOC-06-2016-073580.TIF sq • CATAWBA COUNTY Case# WCOC-06-2016-073580
.Q'flit ,� Public Health Department Subdivision
'<( .�ml ,'-? Environmental Health Division PIN# 460704808169
"ntt / PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 1
I8 42/w
Name on Permit DOUGLAS BURNETT, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673
Site Address: 4303 SLANTING BRIDGE RD, SHERRILLS FORD NC 28673 0 :j 7,-...-X: 0
Property Size: Square Feet 30,056.40 Acres 0.69
Directions: Hwy 16 South, Left onto Hwy 150, Right onto Slanting Bridge, Lot on the Left
O B a O '
.1%.ti� J
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
WELL-02-2016-069432 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-328265 06/15/2016 EH Well Head Approved Jason Boyd
EHINSP-328266 06/15/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-320287 03/21/2016 EH Well Record Received Approved EHAdmin
EHINSP-319938 03/15/2016 EH Well Grouting Approved Jason Boyd
Lake Norman Well/Jeff Speagle 03/15/2016
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 06/16/2016
AUTHORIZED STATE AGENT APPROVAL DATE
ehwelleoe 06/16/2016 08:43 Page 1 of I