HomeMy WebLinkAboutWCOC-09-2022-180971.TIF +, CATAWBA COUNTY Case# WCOC-09-2022-180971
iC .f. Public Health Department Subdivision STORYBROOK PH 1
d Environmental Health Division PIN#
lilt(. 369701193192
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
Site Address: 3470 STORYBROOK LN,SHERRILLS FORD NC 28673
Name on Permit *D&E PROPERTIES, LLC
Property Size: Acres: 0.92
Directions: Hwy 16,left on Business 16,left on Mt Beulah,right on Little Mountain,property on right
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-03-2022-167724
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
06/14/2022 EH Well Grouting No EH Inspection Jason Boyd
Pursuant to 15A 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
07/14/2022 EH Well Record Received Approved EH Admin
08/05/2022 EH Well Head Failed Steven Price
casing height is only 9 inches.
09/22/2022 EH Well Head Approved Jason Boyd
Chris Russell 06/14/2022
Well Driller Date Drilled
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09/22/2022
Authorized State Agent Issuance Date
ehwellcoc 10/17/2022 12:58 Page I of I