HomeMy WebLinkAboutWCOC-09-2023-204729.TIF •
CATAWBA COUNTY Case# WCOC-09-2023-204729
• I Public Health Department Subdivision PINE BURR
Environmental Health Division PIN# 368703416456
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 &5
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Site Address: 4172 WINONA DR,MAIDEN NC 28650
Name on Permit *RICHARD(LOGAN)RIDDLE
Property Size: Acres: 1.03
Directions: S Hwy 16,Left on Mt Beulah Right on Winona Lot of left
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-08-2022-177468
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
08/24/2023 EH Well Grouting No EH Inspection Steven Price
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
09/12/2023 EH Well Head Approved Steven Price
09/13/2023 EH Well Record Received Approved EH Admin
rockwater well 08/24/2023
Well Driller Date Drilled
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09/13/2023
Authorized State Agent Issuance Date
eh well coc I0/04/2023 14:02 Page I of I