HomeMy WebLinkAboutWCOC-10-2023-206330.TIF � �e CATAWBA COUNTY Case# WCOC-10-2023-206253
• i. Public Health Department Subdivision MAIDEN WOODS
Environmental Health Division PIN#
"� 363611651454
llotrav PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 31
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Site Address: 1215 MAIDEN WOOD CIR,MAIDEN NC 28650
Name on Permit ALECIA FITZGERALD
Property Size: Acres: 1.44
Directions: Salem Church Rd,into Maiden Woods on Maiden Wood Cir,left 3rd on right
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-12-2020-142888
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
03/29/2021 EH Well Grouting Approved Cheyanne Morgan
04/14/2021 EH Well Record Received Approved EH Admin
05/27/2021 EH Well Head Failed Cheyanne Morgan
No pump tag on well
10/09/2023 EH Well Head Approved Cheyanne Morgan
Taylorsville Well Drilling 03/29/2021
Well Driller Date Drilled
3/)1/611Vt illi
10/09/2023
Authorized State Agent Issuance Date
chwclla,a 10/092023 14:33 Page I of I
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