HomeMy WebLinkAboutWELL-9-10-11551.TIF ,gA • CATAWBA COUNTY Case # WELL -9 -10 -11551
G Public Health Department
�� � Subdivision
, Environmental Health Division
u 1P9 e ' '' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
/g42 sw P1N# 460604915544
Applicant/Owner WAYNE SALVETTI
Site Address: 7929 MOUNTAIN SHORE DR, Sherrills Ford, NC
Property Size: SF 0_6 ACRES
Directions: HWY 150, RIGHT ON SLANTING BRIDGE RD, LEFT KEISTLER STORE RD, LEFT ON MOUNTAIN SHORE, 5TH
HOUSE ON RIGHT
WELL CERTIFICATE OF COMPLETION
WATER SUPPLY: Well Type:
INSPECTIONS
INSPECTION# COMPLETED INSPECTION TYPE STATUS INSPECTOR
INSP -90338 10/01/2010 EH Well Grouting Approved Luke Sears
INSP -90339 10/05/2010 EH Well Head Approved Luke Sears —_
INSP -90341 11 /10 /2010 EH Well Certificate of Completion Approved Luke Sears Cy
INSP -90342 11 /10 /2010 EH Well Record Received Approved EH Admin C>
Jeff Speagle 10/01/2010
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. Wells 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.
Luke Sears 11/10/2010
AUTHORIZED STATE AGENT APPROVAL DATE
02/08/2011 15:02