HomeMy WebLinkAboutWCOC-07-2023-201300.TIF 1.!• CATAWBA COUNTY Case# WCOC-07-2023-201300
i ..!' j Public Health Department Subdivision
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�! i Environmental Health Division P1N# 368702556276
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PO Box 389,25 Government Drive,Newton,NC 28658 LOTtf 12
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Site Address: 5415 LITTLE PKWY,SHERRILLS FORD NC 28673
Name on Permit MICHAEL*JETZER
Property Size: Acres: 10.58
Directions: S NC 16 Business Hwy Left on Mt Beulah,Intersection of Mt Beulah RD&Lineberger RD turn
Left onto Little Parkway
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-12-2021-162710
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
02/22/2022 EH Well Grouting No EH Inspection Jason Boyd
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
04/28/2022 EH Well Record Received Approved EH Admin
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07/27/2023 __.� EH Well Head Approved Jason Boyd !T
Advance Well 02/22/2022
Well Driller Date Drilled
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07/27/2023
Authorized State Agent Issuance Date
ehwellcuc 09/05/2023 I1:02 Page I of I