HomeMy WebLinkAboutWCOC-08-2016-075592.TIF gA a CATAWBA COUNTY Case# WCOC-08-2016-075592
i.e: t la Public Health Department Subdivision
., Environmental Health Division PIN#
377110351121
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 6
1g 42 sM
Name on Permit ROBERT PARKER JR, 2167 HEWITT RD, CLAREMONT NC 28610
Site Address: 2167 HEWITT RD,CLAREMONT NC 28610 0 • "7-.4:11
6.130.130 0
Property Size: Square Feet 267,022.80 Acres ,-• spLy-
Directions: Hwy 10 E, left on Hewitt Rd, 1 mile on left I I` •ti'',"
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-06-2016-073066 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-328051 06/14/2016 EH Well Record Received Approved EH Admin
EHINSP-328105 06/13/2016 EH GPS Data Collection Approved Steven Price
EHINSP-328106 06/13/2016 EH Well Head Approved Steven Price
EHINSP-327674 06/09/2016 EH Well Grouting Approved Steven Price
Taylorsville Well Drilling 06/08/2016
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.
Steven Price 06/14/2016
AUTHORIZED STATE AGENT APPROVAL DATE 1
elm ellcoe 08/11/2016 10:53 Page 1 of 1