HomeMy WebLinkAboutWELL-7-10-9675.TIF �gA • CATAWBA COUNTY Case # WELL -7 -10 -9675
G Public Health Department Subdivision
Environmental Health Division
11 PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot # 92 -99
t ;. M PIN# 364608878926
Applicant/Owner RANDY MCCLELLAN
Site Address: 4466 DANIELS ST, Maiden, NC
Property Size: SF 10.689 ACRES
Directions: 321S/ LEFT BOST NURSERY RD/ LEFT DANIELS ST/ LOT ON RIGHT
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type: Individual Well
INSPECTIONS
INSPECTION# COMPLETED INSPECTION TYPE STATUS INSPECTOR
INSP -74327 12/08/2010 EH Well Grouting Annroved Robbie Phelps
INSP -74328 01/31/2011 EH Well Head Annroved Robbie Phelps
INSP -74330 01/31/2011 EH Well Certificate of Completion Annroved Robbie Phelps
INSP -74331 12/08/2010 EH Well Record Received Approved Robbie Phelps
Terry Scronce 12/01/2010
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. Welts shall be constructed
in accordance with all state and local regulations and rules. The Well Completion Report must be submitted to the Health Department
within 30 days upon completion of a well.
Robbie Phelps 1/31/2011
AUTHORIZED STATE AGENT APPROVAL DATE
02/01/2011 09:51