HomeMy WebLinkAboutWCOC-06-2016-073684.TIF �ti . CATAWBA COUNTY Case It WCOC-06-2016-073684
T l 2 Public Health Department Subdivision
"¢f0®I, '1 Environmental Health Division PINtt 375503225543
'< PO Box 389. 100-A Southwest Blvd, Newton. NC 28658 LOTH
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Name on Permit DUSTIN LITTLE, 5120 RIVER BEND RD, CLAREMONT NC 28610
Site Address: 2252 SHANG LN. CONOVER NC 28613 0,,j{. `j 0
Property Size: Square 128,502.00 2.95 ,"-ti'f`".. :' 1
P Y S uare Feet Acres i
Directions: 16N/past Springs Rd/approx 1/4 mile/right on Shang Ln/through Orange Gate i U_- r.. 4 n
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-08-2014-053162 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-328505 06/17/2016 EH Well Head Approved Megen Mcl3ride
EHINSP-315491 01/15/2016 EH Well Record Received Approved Megen McBride
EHINSP-315489 01/15/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-315490 01/15/2016 EH Well Grouting Approved Megen McBride
Tavlorsville Well Drilling 01/14/2016
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.
Megen McBride 06/17/2016
AUTHORIZED STAVE AGENT APPROVAL DATE
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