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C. CATAWBA COUNTY Case WCOC-10-2023-206665
Public Health Department Subdivision THAD AND HAROLD GABRIEL
y Environmental Health Division PIN# 461703128063
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
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Site Address: 4232 CASCADE ST,TERRELL NC 28682
Name on Permit MICHAEL THOMAS
Property Size: Acres: 0.48
Directions: Right off of Sherrills Ford Rd onto Hob Ln.Left onto Cascade St.4th lot on left.
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-05-2022-170547
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
10/04/2023 EH Well Grouting Approved Randy Ross
10/11/2023 EH Well Record Received Approved EH Admin
10/13/2023 EH Well Head Approved Randy Ross
MID SOUTH I0/04/2023
Well Driller Date Drilled
10/16/2023
Authorized State Agent Issuance Date
d,,,.11,,, 10/17/2023 08:16 Page 1 of 1
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Parcel: 461703128063, 4232 CASCADE ST 1in=50f#
TERRELL, 28682
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This rnaphepori product was prepared from the Catawba County,NC GeospeUat Information Services. Catawba County has made substantial efforts '
la ensure the accuracy of location and labeling Information contained on this map or data on this report.Catawba County promote;and iaooMmtrds
the independent verification of any data contained on this me report product by the user.The County of Catawba,Its smoloywa,awis.and
personnel,disdatm,and shall not be held fiats for any and ail damages,loss or liability,whether direct.Indirect or consaqusndai ream Wats or may,arise from this map/report product or the use thereof by any person or entity.
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05/132022