HomeMy WebLinkAboutWCOC-06-2022-173094.tif • -� CATAWBA COUNTY Case# WC0C-06-2022-173094
t ,y Public Health Department Subdivision
d ,, O Environmental Health Division PIN# 365614447896
PO Box 389,25 Government Drive,Newton,NC 28658 L0T#
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Site Address: 4820 RAINEY LN,MAIDEN NC 28650
Name on Permit *JEFFERY EDMONDSON
Property Size: Acres: 12.65
Directions: 321 to Maiden,Turn left on Main St,then turn onto E Maiden Rd, 1.9 mi,turn right on Rainey.
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-09-2020-138151
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
12/03/2020 EH Well Grouting Approved Cheyanne Morgan
12/03/2020 EH Well Record Received Approved Cheyanne Morgan
06/07/2022 Ell Well Head Approved Cheyanne Morgan
Tony Davis 12/02/2020
Well Driller Date Drilled
1) G- 06/07/2022
Authorized State Agent Issuance Date
ehwellcoc 06/08/2022 09:46 Page I of I
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Catawba County Environmental Health
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MAIDEN, 28650
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