HomeMy WebLinkAboutWCOC-08-2016-075991.TIF -k-52A • CATAWBA COUNTY Case# WCOC-08-2016-075991
,1 i";11 Public Health Department Subdivision Northview Harbour
2 y1�I�3,, Environmental Health Division PIN# 462903005567
1‘4:31 Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 3IA
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Name on Permit TIMOTHY SCHMIDT, 12 SPRING LAKE DR, FAIR HILLS NC 07931
Site Address: ,
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Property Size: Square Feet 15,661.60 Acres .360 . = .. J
Directions: Sherrills Ford Rd, Island Point Rd, left Northview Harbor, left Fair Oak, corner of Fair Oak and r qF
Bluestone Ct � o . o r
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Well Type: - Other
WELL-07-2016-074950 INSPECTIONS
INSPECTION# COMP DATE INSPECTION TYPE STATUS INSPECTOR
EHINSP-334080 08/22/2016 EH Well Abandonment Report Approved EH Admin
Received
EHINSP-331985 07/28/2016 EH Well filled with approved Approved Jason Boyd
material
EHINSP-331983 07/28/2016 EH Well Disinfected Approved Jason Boyd
EHINSP-331982 07/28/2016 EH Well Capped with Concrete Approved Jason Boyd
EHINSP-331984 07/28/2016 EH Well Abandonment Approved Jason Boyd
Observed
Contractor - Advanced Well ( Mike Shaw) 7/28/2016
ABANDONED BY DATE OBSERVED
Jason Boyd 07/28/2016
AUTHORIZED STATE AGENT APPROVAL DATE
ehvellcoc 08/22/2016 1151 Page I of I