HomeMy WebLinkAboutWCOC-06-2023-197701.TIF CATAWBA COUNTY Case# WCOC-06-2023-197701
r.f. Public Health Department Subdivision CRESCENT LAND AND TIMBE
Environmental Health Division PIMit, LOT 461902582537
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 137
I.
Site Address: 8518 RIDGEWOOD RD,SHERRILLS FORD NC 28673
Name on Permit *GOODIN SIGNATURE HOMES,CHAD
Property Size: Acres: 0.86
Directions. Molly's Backbone to Azalea Turn Left Dog Leg,Turn Left Roundstone,Turn Right Ridgewood
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-06-2021-152268
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
03/08/2023 EH Well Grouting No EH Inspection Randy Ross
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 I 5A NCAC 02C
.0100. The completed Well Construction Record,as submitted by the licensed well contractor,will serve as
written certification of grout compliance
03/14/2023 EH Well Record Received Approved Ili Admin
06/08/2023 EH Well Head Approved Randy Ross
B&K 03/08/2023
Well Driller Date Drilled
06/09/2023
Authorized State Agent Issuance Date
elm,df"o: 07/07/2023 09:42 Page I of I
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