HomeMy WebLinkAboutWCOC-04-2023-194230.TIF •
A CATAWBA COUNTY Case# WCOC-04-2023-194230
ti t a Public Health Department(......
Subdivision CRESCENT LAND AND TIMBE
1. 'i a Environmental Health Division PINK 462701157782
PO Box 389,25 Government Drive,Newton,NC 28658 LOT$ 51
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Site Address: 3732 GORIX)N ST,TERRELL NC 28682
Name on Permit RANDY LEE
Property Size: Acres: 0.77
Directions: Hwy 150,Greenwood,Gordon St,property on left
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-12-2020-142835
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
02/09/202I EH Well Grouting No EH Inspection
Well Repair Permit was issued to drill existing well deeper.Well contractor completed this work without
notifying EH.Well has an existing concrete pad poured around it.Well was assumed to have been grouted
when it was originally drilled.
03/01/2021 EH Well Record Received Approved EH Admin
02/03/2023 EH Well Head Failed Randy Ross
No well tag.No pump tag.
03/23/2023 Eli Well Head Approved Bryan Forsee1P\
Well tags are screwed into wall on inside of well house.
Morgan Well&Pump 02/09/2021
Well Driller Dc ..D.:11..41 pate Well Dri ilea Deeper
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03/23/2023
Authorized State Agent Issuance Date
rho el leo: 04/24/2023 13:25 '
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Catawba County Environmental Health
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Parcel: 462701157782, 3732 GORDON ST 1 in=50ft
TERRELL, 28682
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Copyright 2020 Catawba County NC
12/17/2020
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CASING DEPTH DIAMETER
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