HomeMy WebLinkAboutWCOC-06-2022-174706.TIF 134 CATAWBA COUNTY Case# WCOC-06-2022-174706
.t. , Public Health Department Subdivision
Q -1 Environmental Health Division PIN# 267903044556
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 5012 OLD SHELBY RD,VALE NC 28168
Name on Permit PETRICA STOIAN
Property Size: Acres: 1.55
Directions: Hwy 127 S Right on Greedy Dr to Left on Old Shelby Rd 1 mile lot on left
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-02-2022-165601
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
06/20/2022 EH Well Grouting Approved Cheyanne Morgan
06/27/2022 EH Well Record Received Approved Ell Admin
06/28/2022 EH Well Head Approved Cheyanne Morgan
B&K 06/20/2022
Well Driller Date Drilled
&t:t., 11) .
06/28/2022
Authorized State Agent Issuance Date
eh•.,il •.: 06/28/2022 11:16 Page 1 of 1
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