HomeMy WebLinkAboutWCOC-09-2016-076477.TIF ,gA ie CATAWBA COUNTY Case# WCOC-09-2016-076477
.QA ; Public Health Department Subdivision GEORGIA PARK
< —T. s y Environmental Health Division PIN// 366703321831
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�-�� /� PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 Lunt 18
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Name on Permit KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650 Ert ' • ;1 ■o;, •
ProProperty Size: q 20,037.60 0.46 g'
P Y square Feet Acres
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/tum left + '
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on NC 16 South/tum right on Buffalo Shoals Rd/turn right on Meldonna/lot on right , •• d
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WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-05-2016-072230 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-335371 09/02/2016 EH Well Head Approved Robbie Phelps
EHINSP-335102 08/31/2016 EH Well Record Received Approved EH Admin
EHINSP-335370 08/30/2016 EH GPS Data Collection Approved Robbie Phelps
EHINSP-334258 08/23/2016 E}1 Well Grouting Approved Robbie Phelps
Rowan Well Drilling 08/17/2016
WELL DRILLER DALE 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 09/06/2016
AUTHORIZED STATE AGENT APPROVAL DATE
elmelleoc 09/06/2016 10:44 Page 1 of I