HomeMy WebLinkAboutWCOC-04-2023-194457.TIF %fie Public CATAWHealth BA COUNTYDepartment Case# WCOC-04-2023-194457
.t. Subdivision ASBURY PARK
d `� Environmental Health Division PIN# 461603028993
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 31-32
Site Address: 5106 LEISURE LN,SHERRILLS FORD NC 28673
Name on Permit *FINNEY BUILDERS INC
Property Size: Acres: 1.71
Directions: I Iwy 150 East Right Slanting Bridge RD,Left Keistlers Store RD,Left Barkley RD;Left on
Leisure I,N
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-01-2022-163988
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
04/20/2022 El I Well Grouting Approved Randy Ross
04/11/2023 El I Well I lead Approved Randy Ross
04/26/2023 Ell Well Record Received Approved EH Admin
Wright Well&Pump 04/20/2022
Well Driller Date Drilled
/ 1_
04/26/2023
Authorized State Agent Issuance Date
1m•11t 04/27/2023 08.17 Page I of I