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• CATAWBA COUNTY Case# WCOC-06-2016-073355
n re 2 Public Health Department Subdivision
-<sir 1 ,f Environmental Health Division PIN# 366801477385
id- 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: 3487 S NC 16 HWY, MAIDEN NC 28650 CI ;7.;' E
Property Size: Square Feet 141,570.00 Acres 3.250
Directions: Hwy 16 S.on right before Caldwell Rdo Io o•
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: - Bored
WELL-05-2016-072614 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-327389 06/07/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-327717 06/06/2016 EH Well filled with approved Approved Jason Boyd
material
EHINSP-327716 06/06/2016 EH Well Disinfected Approved Jason Boyd
EHINSP-327714 06/06/2016 EH Well Capped with Concrete Approved Jason Boyd
EHINSP-327715 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
ehwellcoc 06/10/2016 13:09 Page 1 of I