HomeMy WebLinkAboutWELL-6-10-8288.TIF �gp CATAWBA COUNTY Case # WELL-6-10-8288
�. p Public Health Department
a " a Environmental Health Division Subdivision
�"�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
�$ S� P�N# 369702683243
ApplicanUOwner RONALD VASCONCELLOS
Site Address: 6681 LITTLE MOLJNTAIN RD, Sherrills Ford, NC
�Property Size: SF 0.649 ACRES
Directions: 16S/ 150E/ LEFT MT PLEASANT RD/ LEFT LITTLE MOUNTAIN RD/ APPROX 1 MILE ON LEFT
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Vilell
INSPECTIONS
INSPECTION# COMPLETED INSPECTION TYPE STATUS INSPECTOR
INSP-62812 03/24/2011 EH Well Grouting Annroved Robbie Phelps
_ . - -._
INSP-62813 OS/12/2011 EH Well Head Annroved Robbie Phelps
INSP-62815 OS/12/2011 EH Well Certificate of Completion A�proved Robbie Phelps
INSP-62816 04/08/201 1 EH Well Record Received Annroved Robbie Phelps
Jeff Speagle 03/23/2011
WELL DRILLER DATE DRILLED
Well permits are valid for 5 years from the date of issuance and are subject to suspension and/or revocation fro non-compliance with
appropriate state and local rules and regulations, or if false information was given in order to obtain a permit. Wells shall be constructed
in accordance with all state and local regulations and rules. The Well Completion Report must be submitted to the Health Deparhnent
within 30 days upon completion of a well.
Robbie Phelps 5/12/2011
AUTHORIZED STATE AGENT APPROVAL DATE
OS/12/2011 15:31
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