HomeMy WebLinkAboutWCOC-06-2016-073366.TIF q0• CATAWBA COUNTY Case# WCOC-06-2016-073366
fir ti Public Health Department Subdivision
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^0 Environmental Health Division PIN# 366802753860
wg- 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: 3739 S NC 16 HWY, MAIDEN NC 28650 0 :14,4 0
Property Size: Square Feet 130,244.40 Acres 2.990 1S• ,J}
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Directions: Hwy 16 S.on right across from Wildflower Dr } 1
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WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: - Dug
WELL-05-2016-072615 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-327393 06/07/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-327722 06/06/2016 EH Well Capped with Concrete Approved Jason Boyd
EHINSP-327720 06/06/2016 EH Well Disinfected Approved
EHINSP-327719 06/06/2016 EH Well filled with approved Approved
material
well only 22'deep with no casing. allowed contractor to use compacted clay to fill
EHINSP-327721 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
ehuvelleoc 06/10/2016 15:18 Page 1 of I