HomeMy WebLinkAboutWCOC-01-2023-188337.tif fi • CATAWBA COUNTY Case# WC0C-01-2023-188337
H -t.it ,Z Public Health Department Subdivision
Q ''1 Environmental Health Division PIN#
378003334400
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6
Site Address: 5334 MILLSTONE DR,CATAWBA NC 28609
Name on Permit *BURNETT HOME BUILDERS
Property Size: Acres: 3.54
Directions: 16 S to Buffalo Shoals,left onto Murrays Mill,Right on Millstone,at end before cul de sac on
left
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-10-2016-077864
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
07/06/2020 Ell 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
09/09/2020 Ell Well Record Received Approved Eli Admin
09/10/2020 EH Well Head Approved Chcyanne Morgan
Advance Well 07/06/2020
Well Driller Date Drilled
°IlelfVt 111171
09/10/2020
Authorized State Agent Issuance Date
eLk‘LIL,c 01/31/2023 08:51 Page 1 of 1