HomeMy WebLinkAboutWCOC-02-2023-188839.TIF CATAWBA COUNTY Case# WCOC-02-2023-188839
Public Health Department Subdivision ANGLERS COVE
4 ,� Environmental Health Division PIN# 460602752116
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
/842
Site Address: 7761 ANGLERS WAY,SHERRILLS FORD NC 28673
Name on Permit MICHAEL SCALISE
Property Size: Acres: 1.3
Directions: Hwy 150,turn on Slanting Bridge Rd,right on Anglers Way
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-10-2021-159657
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
12/05/2022 EH Well Grouting No EH Inspection Randy Ross
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
12/14/2022 EH Well Record Received Approved I:I I Admin
02/03/2023 Ell Well Ilead Approved Randy Ross
B&K 12/05/2022
Well Driller Date Drilled
L
02/08/2023
Authorized State Agent Issuance Date
elovellcoc 02/13/2023 10:58 Page 1 of 1