HomeMy WebLinkAboutWCOC-07-2016-074464.TIF sl,A • CATAWBA COUNTY Case it WCOC-07-2016-074464
Ga?H j Public Health Department Subdivision
�'F¢!b �) Environmental Health Division PIN/ 374502771918
N... PO Box 389. 10(1-A Southwest 13lvd, Newton,NC 28658 LOTH
Ig.2 .M
Name on Permit `TERRY CORPENING, 902 2ND AVENUE DR NE, CONOVER NC 28613
Site Address: 6493 RIVERSIDE DR, CONOVER NC 28613 aWU.' .•.gEl
32,234.40 0.74 Pro
Property Size: Square Feet Acres
J'
Directions: Spines Rd to St Peters Church Rd, Left after large horse farm, 1st drive on left approx .6 mi ) 0' r P, 0 .
yr .1 {, .i
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-03-2015-058294 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-330501 06/22/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-330500 06/22/2016 EH Well Head Approved Megen McBride
EHINSP-301648 07/24/2015 EH Well Record Received Approved EH Admin
EHINSP-301534 07/23/2015 EH Well Grouting Approved Megen McBride
Robert Teague- B & K 07/23/2015
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.
Megen McBride 06/22/2016
AUTHORIZED STATE AGENT APPROVAL DATE
chwellcoc 07/14/2016 13:10 Page 1 of 1