HomeMy WebLinkAboutWCOC-09-2016-076831.TIF , A CATAWBA COUNTY Case# WCOC-09-2016-076831
.T C•{.] 2 Public Health Department Subdivision
2 V ^a Environmental Health Division PIN# 379102750494
'^•4E PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 PT 3
842 �w
Name on Permit CHRISTOPHER & KATIE TAYLOR, 6268 LONG ISLAND RD,
Site Address: 2257 GLOVIER RD, CATAWBA NC 28609 JF.„ . Q
52315560 12.01 . i� -.5 • -� ..00
Property Size: Square P , .
eet Acres
Directions: Take Hwy 10 toward downtown Catawba, Right onto Hudson Chapel Rd, Property is on the /'o *le&•
Left at the Corner of Glover Rd& Hudson Chapel Rd. If you reach Brown Chapel Rd you have - AIL rr, a r
gone too far. t
oris.a
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
WELL-06-2016-073439 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-333303 08/12/2016 EH Well Head Approved Jason Boyd
EHINSP-333302 08/12/2016 EH GPS Data Collection Approved Jason Boyd
EHINSP-332348 08/01/2016 EH Well Record Received Approved Jason Boyd
EHINSP-332347 08/01/2016 EH Well Grouting Approved Jason Boyd
Taylorsville Well (Donald Russell) 08/01/2016
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 09/14/2016
AUTHORIZED STATE AGENT APPROVAL DATE
elmellcoc 09/14/2016 13:17 Page 1 of I