HomeMy WebLinkAboutWCOC-05-2016-072786.TIF ,:iv, . CATAWBA COUNTY Case ii WCOC-05-2016-072786
¢'in 2. Public Health Department Subdivision FRED MCCALL UNREC
< in" 0 K Environmental Flealth Division PIN# 460604902708
�dL PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT# 29-30
I 1 MM
Name on Permit LEAH DEVLIN, 2319 CHURCHILL RD, RALEIGH NC 27608
Site Address: 7940 KEISTLERS STORE RD, SFIERRILLS FORD NC 28673 D itr;o';}eg 0
67,518.00 Pro
Property Size: S q uare Feet Acres 1.55 'Cr
Directions: i �7roo
Slanting Bridge Rd, Keistler Store Rd, on left at end of road rSS
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6897922b-ff81-457d-999f-a4b6470b6cad
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WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: - Bored
WELL-02-2016-069463 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-326247 05/25/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-325232 05/12/2016 EH Well filled with approved Approved Robbie Phelps
material
EHINSP-325229 05/12/2016 EH Well Disinfected Approved Robbie Phelps
EHINSP-325230 05/12/2016 EH Well Capped with Concrete Approved Robbie Phelps
EHINSP-325231 05/12/2016 EH Well Abandonment Observed Approved Robbie Phelps
Contractor- Advance Well 5/12/2016
ABANDONED BY DATE OBSERVED
Robbie Phelps 05/25/2016
AUTHORIZED STATE AGENT APPROVAL DATE
eh scllene 05/25/2016 15:04 Page I of 1