HomeMy WebLinkAboutWCOC-09-2022-179947.tif ,.p' • CATAWBA COUNTY Case# WCOC-09-2022-179947
Public Health Department Subdivision PINE BURR
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p'-i Environmental Health Division PIN# 368703417301
PO Box 389,25 Government Drive,Newton,NC 28658
I r .2 s LOT# 2
Site Address: 4184 WINONA DR,MAIDEN NC 28650
Name on Permit RIDDLE CUSTOM HOMES LLC
Property Size: Acres: 0.59
Directions: South on NC 16,left on Mt Beulah,right on Winona
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-12-2021-161849
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
09/01/2022 EH 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
09/09/2022 EH Well Record Received Approved EH Admin
09/12/2022 Ell Well Head Approved Steven Price
rockwater well 09/01/2022
Well Driller Date Drilled
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09/12/2022
Authorized State Agent Issuance Date
ehwellcoc 10/10/2022 13:53 Page 1 of 1
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