HomeMy WebLinkAboutWCOC-11-2023-208695.TIF cr, CATAWBA COUNTY Case# WCOC-11-2023-208695
• IL Public Health Department Subdivision. Environmental Health Division PIN# 366604746905
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# A
Site Address: 3782 E MAIDEN RD,MAIDEN NC 28650
Name on Permit *ROBERT LOCKMAN
Property Size: Acres: 1.48
Directions: 321 Right onto Springs Foot RD,Left Buffabl Shoals RD,Right onto E Maiden RD property on
Left
WELL CERTIFICATE OF COMPLETION
Permit Number:WELL-02-2023-189001
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
05/11/2023 EH Well Grouting No EH Inspection Randy Ross
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
05/17/2023 EH Well Record Received Approved EH Admin
11/17/2023 EH Well Head Approved Randy Ross
MORGAN WELL 05/11/2023
Well Driller Date Drilled
".4"- - L- /
11/20/2023
Authorized State Agent Issuance Date
eliwdle., 11/27/2023 10:03 Page 1 of 1