HomeMy WebLinkAboutWCOC-08-2022-176890.TIF 4r, e CATAWBA COUNTY Case H WCOC-08-2022-176890
1~ .1. 1, Public health Department Subdivision GABRIEL ACRES
Q, , l S; Environmental Health Division PINH 461602573467
PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 3&4
8. w
Site Address: 4551 KISER ISLAND RD,TERRELL NC 28682
Name on Permit *ROBY, INC.,ANDREW
Property Size: Acres: 0.78
Directions: Highway 150E right on Kiser Island Rd lot on right
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-04-2022-170115
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
07/07/2022 EH Well Grouting Approved Blake Perkins
07/27/2022 EH Well head Approved Blake Perkins
08/02/2022 EH Well Record Received Approved EH Admin
B&K Well Drilling Inc 07/07/2022
Well Driller Date Drilled
Fei 8ielre Peek;43 08/02/2022
Authorized State Agent Issuance Date
,•L•. II;,,: 08/02/2022 13:39 Page I of I
A .
,--t5 - 1 K N6e
r Tjb VO ICI , ,3 iOvr
a�
P..40U T1 d-DLI ` 1 O 1l
......--.---t- ' ....j-... ,_.
..
Road Right .., , .. 14/ • . ea
QhL� ��
of Way 1 •
- • ; .:. .
P4
.I
• 02 6 7 Ne,v41 Jy ihs#i,li
Scale . wt e— ! P4 ExFnhsi0/N
Y /
1" 30' J
02 tifr .
.I = 4, ;1' l42"(R)
i Y9\ 0 W't3.60'R
1 —` ,1., 0 07.35'R
' Illp ..,:::,,-.. afil g --... I a.. .. -:- 49'4R)
to I Oe-3 'fk
Remove .e. I� � 1"�i f ' Exis�0
pavement . .. I 'tt ..._ I�' g " '0,m' i . DF
over the septic ri I J • I N Oil r 75'.EX Perr+�} 03�2
system H M W12 I 8 18 761831 I I I%
_ tip
f
ST 11
al \ f' ...G i.:4
2,6.6eASelovietil:tri\
4 Qedroo►n Il� AHo�sL LII PW
iogg
f{.1 1 , 144 1pf-
reliiif
Gucc)c.--61- ''+__ ' ' liti ' ,
410..- IlOr ..rc,
_ . ,, LA),_Oc-6(‘-_-- 42.;
1 14411.,,.. , ,,, ,_4,-: .,. , 4 'N , iro'l 1 740 6 ,C1O ..*
tor:-..,:. -.4 1.
- .. ... , ..
,, :
�. .fl s '., ._.,L_.
'41„:40iiiii....4:774t:ik,:t.,..0:-.„...\-
1