HomeMy WebLinkAboutWCOC-09-2016-076555.TIF �}A CATAWBA COUNTY Casc# WCOC-09-2016-076555
Public Health Department Subdivision WYNSWEPT PH 1
Environmental Health Division PIN# 367804517494
at PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# 29
18.2 9
Name on Permit "BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673-
Site Address: 4564 CAYTON DR, MAIDEN NC 28650 Q ;F• o : a❑
Property Size: Square Feet 34,848.00 Acres 0.8 •. '{
Directions: take hwy 10 to hwy 16 South and turn left onto Canton Drive, Property is .3 miles on the left • I
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-07-2016-074792 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-334105 08/22/2016 EH Well Record Received Approved EH Admin
EHINSP-333609 08/16/2016 EH Well Head Approved Jason Boyd
EHINSP-333610 08/16/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-331468 07/22/2016 EH Well Grouting Approved Jason Boyd
•
Advance Well/Mike Shaw 07/22/2016 _
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 09/07/2016
AUTHORIZED STATE AGENT APPROVAL DATE
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