HomeMy WebLinkAboutWCOC-09-2023-205457.TIF •
CATAWBA COUNTY Case# WCOC-09-2023-205457
• I Public Health Department Subdivision THE SUMMIT AT LAKE NORM
S '� Is Environmental Health Division PIN# 470002876343
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 85
Site Address: 8149 LONG ISLAND RD,CATAWBA NC 28609
Name on Permit *CORNERSTONE III PROPERTIES INC
Property Size: Acres: 0.95
Directions: South on Brown Chapel Rd,left on Long Island
WELL CERTIFICATE OF COMPLETION
Permit Number: WELL-11-2021-161393
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
03/06/2023 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
04/05/2023 EH Well Record Received Approved EH Admin
09/26/2023 EH Well Head Approved with notes Steven Price
well appeared to be off property based on trees flagged for property lines and no iron. eip remarked and
property line flagged and well verified to be on property 9/26
Rowan Well 03/06/2023
Well Driller Date Drilled
09/26/2023
Authorized State Agent Issuance Date
ehwelleoc 10/25/2023 14:09 Page 1 of 1
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