HomeMy WebLinkAboutWCOC-06-2016-073353.TIF q9' • CATAWBA COUNTY Case# WCOC-06-2016-073353
i (•Fll .z Public Health Department Subdivision
j —�1I it ill ; Environmental Health Division PIN# 367803122644
\.4842,\T"Dt` % PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT#
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Name on Permit BRIAN BEEBE, 7285 RED BANK RD, GERMANTON NC 28019
Site Address: 4102 S NC 16 HWY,MAIDEN NC 28650 ❑ : ' D' s El
Property Size: Square Feet 13,503.60 Acres .310 • a
Directions: Hwy 16 S. on left before Buffalo Shoals Rd
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WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: - Bored
WELL-05-2016-072613 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-327388 06/07/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-327726 06/06/2016 EH Well filled with approved Approved Jason Boyd
material
EHINSP-327727 06/06/2016 EH Well Disinfected Approved Jason Boyd
EHINSP-327729 06/06/2016 EH Well Capped with Concrete Approved Jason Boyd
EHINSP-327728 06/06/2016 EH Well Abandonment Approved Jason Boyd
Observed
Contractor - Brian Beebe 6/6/2016
ABANDONED BY DATE OBSERVED
Jason Boyd 06/06/2016
AUTHORIZED STATE AGENT APPROVAL DATE
elmellcoc 06/10/2016 13:04 Page I of l