HomeMy WebLinkAboutWCOC-03-2023-191367.tif jCATAWBACOUNTY Case 1WCOC-03-2023-191367
(......, Public Health Department SubdivisionEnvironmental Health DivisionPRE# 269902699716
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Site Address: 5202 DEER PINE DR,HICKORY NC 2g602
Name on Permit *LAUREN&LORENZO DIMAIO
Property Size: Acres: 10
Directions: Right off of Pittstown Rd onto Sand Pit Rd.Right onto Deer Pine Dr.Lot at end of rd.
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-10-2022-182682
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
02/07/2023 EH Well Grouting No EH Inspection Steven Price
Well driller requested 3pm grout inspection,stated however they may need to reschedule for later in the day.
EHS could not get to the site by 3pm.Got there after 4pm and well was already grouted.
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
03/09/2023 EH Well Head Approved Jason Boyd
03/14/2023 EH Well Record Rccci‘cd Approved Ell Atimin
air drilling 02/07/2023
Well Driller Date Drilled
CY-----, (-11
03/14/2023
Authorized State Agent Issuance Date
clnvellcoc 03/31/2023 10:26 Page I of 1