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4. CATAWBA COUNTY Case# WCOC-04-2018-097916
• .t.a Public Health Department Subdivision
s' Environmental Health Division PIN# 376503109206
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 3280 GREEN ACRES LN,CLAREMONT NC 28610
Name on Permit STEPHEN BRITTAIN
Property Size: Acres: 1.930
Directions: 16 N,right on Shell Holler Rd,right Green Acres Ln,approx 1 mile,pavement ends right at split
in road,home on left
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-01-2018-093979
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
01/16/201 8 EH Well Disinfected No EH Inspection
01/16/2018 EH Well filled with approved material Approved Steven Price
02/01/2018 EH Well Abandonment Observed Approved Steven Price
02/06/2018 EH Well Capped with Concrete Approved Steven Price
_
02/07/2018 EH Well Abandonment Report Received Approved EH Admin
Owner-Steve Brittain 2/1/2018
Abandoned By Date Observed
02/07/2018
Authorized State Agent Issuance Date
chwellcuc 08/18/2023 13:59 Page 1 of 1
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Parcel: 376503109206, 3280 GREEN ACRES LN 1 in=60ft
CLAREMONT, 28610
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