HomeMy WebLinkAboutWCOC-07-2022-176323.tif K \ CATAWBA COUNTY Case# WCOC-07-2022-176323
} Public Health Dcpanment Subdivision LEE WITI IERSPOON ESTATE
. �.1 ,"l� Environmental Health Division PIN# 366902792831
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h.// PO Box 389,25 Government Drive,Newton,NC 28658 LOl'd 5 6
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Site Address: 1360 FOX DAIRY RD,NEWTON NC 28658
Name on Permit TONYA GREENE
Property Size: Acres: 51.59
Directions: Hwy 10 toward Charlotte,make a right on Bethany Church Rd.Icf tonto Love Rd,right onto
Pox Dairy,property on left.
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-02-2020-128457
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
04/16/2021 Eli Well Grouting No EH Inspection Steven Price
Pursuant to I5A NCAC 02C.0305(b) This well grouting was certified by the licensed
well contractor who is therefore liable and responsible for its compliance with the rules of 15A NCAC 02C
.0100. The completed Well Construction Record, as submitted by the licensed well contractor, will serve as
written certification of grout compliance
04/16/2021 Eli Well Record Received • Approved Eli Admin
05/25/2022 EH Well Head Failed Steven Price
no pump tag,no backtlow preventer on regular tap
07/22/2022 Eli Well !lead Approved Steven Price
tavlorsvil le well 04/16/2021
Well Driller Date Drilled
07/22/2022
Authorized State Agent Issuance Date
ebo enanc 07/25 2022 ORA 1 Page t of I
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Catawba County Environmental Health oP o7_202z- /76 zro
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07/25/2022