HomeMy WebLinkAboutWCOC-08-2016-075200.TIF ,�A 9 CATAWBA COUNTY Case# WCOC-08-2016-075200
e'al y Public Health Department Subdivision AVIAN WOODS REVISION
<,j ' ®I ,', Environmental Health Division PIN# 372011652484
\�4-,, PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 18
/842 9
Name on Permit MARK KIEFER, 4657 GLEN HOLLOW LN NE, HICKORY NC 28601
Site Address: 1076 HARPER LEE DR,NEWTON NC 28658 Q r',- :�` ••Q
Property Size: Square Feet 58,370.40 Acres 1.34 r' •' ; `>�L11`
Directions: take 321 N towards hickory/Take Startown Rd exit # 33 /Turn Right/go 4 Miles/turn Right ' `
onto Milton Street/turn Right on harper Lee/House on right n....Voir—,:G T
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-03-2016-069708 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-332161 07/25/2016 EH GPS Data Collection Approved Robbie Phelps
EHINSP-332160 07/22/2016 EH Well Head Approved Robbie Phelps
EHINSP-321390 04/04/2016 EH Well Record Received Approved EH Admin
EHINSP-320756 03/24/2016 EH Well Grouting Approved Robbie Phelps
Ashley Moretz 03/23/2016
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.
Robbie Phelps 07/22/2016
AUTHORIZED STATE AGENT APPROVAL DATE
eh cllcoc 08/02/2016 10:21 Page I of I