HomeMy WebLinkAboutWCOC-04-2022-169851.TIF CA•rAWBAHealthCOUDepartNTYent Casen WCOC-04-2022469851
Q m Subdivision
"I Environment PINq
F f
% in
•
PO Dox 359,al 25 GovernHealthmDivisionent Dtive, 461704734235 Newton,NC 28658 LOT
Public 3
Site Address: 3966 CEDAR WOOD TR,TEI2RELL NC 28682
Name on Permit `ELITE BUILDERS OF SURRY INC
Property Size: Acres: 0.54
Directions: Hwy 150 East,Right on Kiser Island Rd,Left on Cedarwood Tr,Lot on Len
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-06-2020-133773
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR ,
09/09/2021 EH Well Grouting Approved Randy Ross
09/13/202I EH Well Record Received Approved EH Admin
04/19/2022 EH Well Head Approved Randy Ross
•
AIR DRILLING 09/09/2021
Well Driller Date Drilled
fra-e-,-- yn
04/20/2022
Authorized State Agent Issuance Date
elixellcoc - 07/12/2022 14:19 Page I oil