HomeMy WebLinkAboutWCOC-02-2023-189755.tif CATAWBA COUNTY Case# WCOC-02-2023-189755
Imo•
H 2 Public Health Department
AU
d '-'1 Environmental Health Division PIN# 365717102213
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
/8 sI
Site Address: 2079 WITHERS RD,MAIDEN NC 28650
Name on Permit JOHN MACE
Property Size: Acres: 8.55
Directions: US-32l S Bus/Northwest Blvd,left onto Island Ford Rd,then immediately turn right onto E
Maiden Rd,bear left onto Withers Rd,home is on the right
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-02-2022-164959
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
03/04/2022 1.11 Well Grouting Approved Cheyanne Morgan
03/17/2022 I/II Well ILead Approved Cheyanne Morgan
03/30/2022 EH Well Record Received Approved EH Admin
Morgan Well and Pump 03/04/2022
Well Driller Date Drilled
37/1V(t. 11#1/1
02/21/2023
Authorized State Agent Issuance Date
elmellcoc 02/21/2023 12:04 Page 1 of I
Catawba County Environmental Health
W�11 02 -Znzz _ Hoy icy
(i)(0‘ 01 —1073— 185g55
ko
.2010 •
+ is
�b
21400
v.)
•2061
12:7
0
Parcel: 365717102213, 2079 WITHERS RD 1In46Ott
MAIDEN, 28650
This iiWp/roparl produt1 wne prop/Hill from ow Cnhtwtln County,NC C1nud{ndlnl Ildui WWI
lt Fi+b vii:ui+ Colrnvttrl('t lty h itt Ulla IH r tit at Mill(1rf111(p
to ormolu1hn ntxtimcy of loottion,uHl IubullnU Infinntulhln C1111 t11iiittl 1111 II1I8moo or dab)(UI Ililn wpm! Cal awl t»I(Moll)y IHvnit1l1+1+andunlmmtmldti
Onr Indoixuxlent vorifluition of ony (III Ill t untnlnutl Oil IN»nml Uri yid teRtthlcl by 111u 1tuu1 I1u+t:owitty 44(ill:avlriI,119 u1lryAtryttno.11ann111,and
ptn?(rwlrlol,111:a:It11111 111141 Minn nul tn1 hull Ilnbla ft»filly find on 11E11111104,milli fir Ilullllllty.Whalhtit liiiw t,Indllm:(ul Lotim+nlunntiul Which lttltos»or may
nrtlw Ittxn tbla truil)tuptwt product or t11a tom Ihon,of by nny pm itnl oI onilly
Copy►lphl 202I ClII lwtot County Ne