HomeMy WebLinkAboutWCOC-07-2016-074473.TIF „In • CATAWBA COUNTY Case it WCOC-07-2016-074473
ilftli1, Public Health Department Subdivision OLD MILL SUBDIV
'5.*As^C Environmental Health Division PINV 461901294697
PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 LOT#
/842 9, 13
Name on Permit SARAH LYTTON TATE, 1790 SW POWDER SPRINGS RD, MARIETTA GA 300644154
Site Address: 1317 KNEBWORTH LN, CATAWBA NC 28609 0 • 4 ' o•-cg 0
Property Size: 22,651.20 0.52 .. : i}
P Y Square Feet Acres
Directions: Mol ys Backbone from Mumbo Rd, Left on Rowe St. Right on Knebworth Lane& lot is on the
i
Right. o. 'O� a•
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: - Drilled
WELL-04-2016-071350 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-330534 07/13/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-330364 07/I 1/2016 EH Well Capped with Concrete Approved Robbie Phelps
EHINSP-330365 07/11/2016 EI-I Well Abandonment Approved Robbie Phelps
Observed
EI-IINSP-330362 07/08/2016 EH Well filled with approved Approved Robbie Phelps
material
EHINSP-330363 07/08/2016 EH Well Disinfected Approved Robbie Phelps
Contractor- John Whisnant Well Drilling 7/11/2016
ABANDONED BY DATE OBSERVED
Robbie Phelps 07/13/2016
AUTHORIZED STATE AGENT APPROVAL DATE
cho<Ilcue 07/13/2016 09'.24 Page 1 of 1