HomeMy WebLinkAboutWCOC-08-2016-076138.TIF --yyA CATAWBA COUNTY Case# WCOC-08-2016-076138
,f' I ati Gi, Public Health Department Subdivision
< X01 ' Environmental Health Division PIN# 471003147143
VC:mg- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 7
7842
Name on Permit DANA JOHNSON, 7257 SHERRILLS FORD RD, SHERRILLS FORD NC 28673
Site Address: 8270 MONBO RD, CATAWBA NC 28609 ❑� . i -1_ 0
Property Size: Square Feet
570,636.00
Acres am13.1 • AV'
+y"` .
Directions: from Sherrills Ford Rd/turn on Molly's Backbone/go to end of road &turn right on Monbo/ r • L, ••T •t.
o _ o • o .:
property approx 1.5 miles on left just past new long concrete drive/entrance cut in • . +T
r :• 8•
❑s • D Vii .
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-11-2015-066548 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-334407 08/24/2016 EH Well Head Approved Jason Boyd
EHINSP-334406 08/24/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-323518 04/27/2016 Eti Well Record Received Approved Eli Admin
EHINSP-323461 04/26/2016 EH Well Grouting Approved Jason Boyd
B and K( Robert Teague) 04/26/2016
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.
Jason Boyd 08/25/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Cil“cllc e 08/25/2016 10:11 Page 1 of I