HomeMy WebLinkAboutWCOC-08-2016-075208.TIF ,jgA CATAWBA COUNTY Case# WCOC-08-2016-075208
G� Public Health Department Subdivision DEER CREEK
Environmental Health Division PIN# 376206388927
� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT#
/842 s. 21
Name on Permit MARK KILLIAN, 2539 GEMSTONE ST, CLAREMONT NC 28610
Site Address: 3258 MULL CREEK LN, CLAREMONT NC 28610 0 • 'D '�'• 0
Property Size: Square Feet 219,542.40 Acres 5.04 f {yF
Directions: I-40 E/exit 135/right N Oxford St/left Centennial Blvd/left North Lookout St/left Mull Creek/ IP .••;`
property at end in cul-de-sac -11SritY1 Vic"
.0 . -°
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-11-2015-066764 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-332228 08/02/2016 EH Well Head Approved Megen McBride
EHINSP-330178 07/08/2016 EH Well Record Received Approved EH Admin
EHINSP-329293 06/24/2016 EH GPS Data Collection Approved Megen McBride
EHINSP-329294 06/24/2016 EH Well Grouting Approved Megen McBride
Robert Teague- B&K 06/24/2016
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 08/02/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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