HomeMy WebLinkAboutWCOC-08-2016-075736.TIF Ats• CATAWBA COUNTY Case# WCOC-08-2016-075736
R'[ Q c%.1, Public Health Department Subdivision
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� Environmental Health Division PIM 376301168024
® PO Box 389. 100-A Southwest 131vd.Newton.NC 28658 LOTS
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Name on Permit ROBIN LITTLE, 4755 ROCK BARN RD, CLAREMONT NC 28610
Site Address: 4755 ROCK BARN RD, CLAREMONT NC 28610 a• 7` ❑�
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Property Size: Square Feet 231958100Acres ' ' - •
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Directions: Go past Rock Barn Golf Course about I mile, House is on the Left towards Oxford School Rd. '.r .h*'
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-03-2016-070321 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-328052 06/14/2016 EH Well Record Received Approved EH Admin
EHINSP-328107 06/13/2016 EH GPS Data Collection Approved Steven Price
EHINSP-328108 06/13/2016 EH Well Head Approved Steven Price
EHINSP-327675 06/09/2016 EH Well Grouting Approved Steven Price
Donald Russell 06/06/2016
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 08/15/2016
AUTHORIZED STATE AGENT APPROVAL DATE
ehaelleec 08/15/2016 15:50 Page I of I