HomeMy WebLinkAboutWCOC-07-2016-074556.TIF .,X'A CATAVVBA COUNTY Case# WCOC-07-2016-074556
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_ G Public Health Department Subdivision
l : ®. „,-; Environmental Health Division PIN# 374502771918
'"4n PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 LOT#
/8 2 sw
Name on Permit *TERRY CORPENING, 902 2ND AVENUE DR NE, CONOVER NC 28613
Site Address: 6493 RIVERSIDE DR, CONOVER NC 28613 0 1 r o • f D
40 234.
Property Size: Square Feet 32,234.40 Acres 0.74 o.
Directions: S ro ine�to St Peters Church Rd, Left after large horse farm, 1st drive on left approx .6 mi ' •,D ti
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WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: Individual Well - Bored
WELL-03-2015-058295 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-330724 07/14/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-301538 07/23/2015 EH Well filled with approved Approved Megen McBride
material
EHINSP-301539 07/23/2015 EH Well Disinfected Approved Megen McBride
EHINSP-301536 07/23/2015 EH Well Capped with Concrete Approved Megen McBride
EHINSP-301537 07/23/2015 EH Well Abandonment Approved Megen McBride
Observed
Contractor - Roy Price 7/23/2015
ABANDONED BY DATE OBSERVED
Megen McBride 07/23/2015
AUTHORIZED STATE AGENT APPROVAL DATE
ehwellenc 07/14/2016 13:0 t Page I of 1