HomeMy WebLinkAboutWCOC-01-2023-188343.TIF CWCOCCATAWBA COUNTY Case#
-01-2023-188343
Public Health Department Subdivision RONALD D LEATHERMAN
., ( 1 Environmental Health Division PlN# 375205082888
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
w
Site Address: 3624 HILLVIEW DR NE,CONOVER NC 28613
Name on Permit BONITA MALONE-LANG
Property Size: Acres: 4.51
Directions: Hwy 16 North from Conover Walmart go about 1 mile,Right onto St James Church Rd,Left
onto Hillview Dr NE,go a short distance to 1st blacktop road,Driveway on Right,Ranch Log
Home on Right.
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-12-2016-079558
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
12/07/2016 EI I Well Grouting Approved Steven Price
12/21/2016 EH Well Record Received Approved EH Admin
12/22/2016 EH Well Head Approved Steven Price
Taylorsville Well Drilling 12/05/2016
Well Driller Date Drilled
f:-.—......!
4z::5 ------
12/22/2016
Authorized State Agent Issuance Date
eI' II ,,; 01/31/2023 09:32 Page 1 of 1