HomeMy WebLinkAboutWCOC-11-2023-208105.TIF e CATAWBA COUNTY Case# WCOC-11-2023-208105
1.111 ,y Public Health Department Subdivision JAMES M MILLER ESTATE
• '3 Environmental Health Division PIN#
�R 372314428644
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`�E�!! PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
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Site Address: 2911 11 TH AVE DR NE,CONOVER NC 28613
Name on Permit GABRIELAAGUILAR LARA
Property Size: Acres: 0.49
Directions: Left off Spencer Rd NE onto 28th St PI NE,Left onto 1 l th Ave Dr NE,property on left
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-06-2023-197500
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
10/31/2023 EH Well Grouting Approved Dean Evans
11/01/2023 EH Well Record Received Approved EH Admin
11/08/2023 EH Well Head Approved Dean Evans
MORETZ 10/31/2023
Well Driller Date Drilled
f eg4r,4Ns
11/09/2023
Authorized State Agent Issuance Date
ehwcllo”.; 11/13/2023 10:19 Page 1 of 1
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Parcel:372314428644,2911 11TH AVE DR NE 1 in=40ft
CONOVER,28613
MI5 maphsport product ma Pub from Me Cahoots Coiruy,NC Geospatial Information Services. Catawba County has made substantial efforts
lo enure ay any dlotaeon and lab* LJ.edon aorrfaned on ees map or data on this report.Catawba County promotes and recommends
at*hldepandnd vadaaliarr d any data mi1lN0 an ME mapteport product by the user.The County of Catawba,its employees,agents,and
persrnma.admen-and shd not be hold We WMya d d dutspaa.loss or kiddy,whether direct Indirect or consequential which apses or may
arise ken this map/report Pad or the use tiered by or grey.
�a Cora NC
11/09/2023
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