HomeMy WebLinkAboutWCOC-03-2023-190958.tif 4,4,=• CATAWBA COUNTY Case tt WCOC-03-2023-190958
ti .t.II Public Health Department Subdivision MUNDY ACRES PHASE I
4.v �-) '1 Environmental Health Division PIN)? 369604527122
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PO Box 389,25 Government Drive,Newton,NC 28658
I; .2 w LOTH 13
Site Address: 6566 LINEBERGER RD,DENVER NC 28037
Name on Permit *FREEDOM HOMES
Property Size: Acres: 1.41
Directions: Hwy 321;L West C ST,Right on West D st,Left ont oN Hwy 16,Left Campground RD,Left
Catawba Curtis,Left Lineberger RD. 1st Left Lineberger RI),.51 miles on right
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-09-2022-179237
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
02/22/2023 Ell Well Grouting No EH Inspection Steven Price
Grout inspection scheduled for 2pm but well driller finished early.OK for driller certified grout.
Pursuant to I5A 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
02/24/2023 EH Well Record Received Approved EH Admin
03/02/2023 EH Well Head Approved Steven Price
mid south 02/22/2023
Well Driller Date Drilled
03/02/2023
Authorized State Agent Issuance Date
rhncli;ni 03/31/2023 13:40 Page 1 of 1
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01/31/2023