HomeMy WebLinkAboutWCOC-07-2016-074525.TIF yiA CATAWBA COUNTY Case# WCOC-07-2016-074525
G Public Health Department Subdivision
C Environmental Health Division PIN#
"�9� -S 369601456875
PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 LOT# 3
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Name on Permit DUSTIN MARTIN, 4750 LAZY LN, DENVER NC 28037
Site Address: 6466 LOVE POINT RD, DENVER NC 28037 0 1 ,1:1:4-E1). E
Property Size: Square 91,040.40 2.09
P S uare Peel Acres tect
Directions: Hwy 16. left on Hwy 150 towards Mooresville, right on Grassy Creek Rd/Left on Love Point r U .�o .h,0 I
Road/4th Driveway on left and property is on left ti
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
WELL-06-2015-062161 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-330660 07/13/2016 EH Well Head Approved Robbie Phelps
EHINSP-330533 07/13/2016 EH Well Record Received Approved EH Admin
EHINSP-327321 05/26/2016 EH Well Head Failed Robbie Phelps
Does not have a threadless sample tap.
EHINSP-327322 05/26/2016 EH GPS Data Collection Approved Robbie Phelps
EHINSP-306149 09/15/2015 EH Well Grouting Approved Robbie Phelps
Whisnant 09/14/2015
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 07/14/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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