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PO Box 389,25 Government Drive,Newton,NC 28658 CATAWBA COUNTY Case# WCOC-12-2022-186600
[7 t111) Public Health Department Subdivision LOT# 3RALPH M SIGMON
li Environmental Health Division PIN# 461601283769
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Site Address: 8320 DRENA DR,SHERRILLS FORD NC 28673
Name on Permit JACQUELINE PHILEMON
Property Size: Acres: 0.64
Directions: Slanting Bridge,Turn onto Drena Dr,lot on left
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-09-2020-139266
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
01/11/2022 El I Well Grouting Approved ( hcyannc Morgan
02/02/2022 LI 11Vc11 Record Received Approved EH Admin
12/23/2022 EH Well Head Approved Randy Ross
Morgan Well&Pump 01/11/2022
Well Driller Date Drilled
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12/23/2022
Authorized State Agent Issuance Date
ehntllcoc 02/02/2023 15:42 Page 1 oft
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