HomeMy WebLinkAboutWCOC-10-2021-159068.TIF r
_, CATAWBA COUNTY r Case# WCOC 10 2021-159068
H .t,l Public Health Department Subdivision MATTE GABRIEL UNRECORC
Environmental Health Division PIN#
PO Box 389,25 Government Drive,Newton,NC 28658 369804910156
LOT# 5
Site Address: 3086 BASS DR,S11ERRILI.S FORD NC 28673 p 6 ipg _A, x'l,)( - `J J` -S 7
Name on Permit NATHAN TODD MARION fff
Property Size: Acres: 0.5
Directions: Hwy 150 E,left Little Mountain Rd,right Ingleside Dr.left Bass Dr,approx.5 miles on right
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-10-2020-139481
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
08/11/2021 EH Well Abandonment Observed Approved Jason Boyd
08/11/2021 EH Well Capped with Concrete Approved Jason Boyd
08/11/2021 EH Well Disinfected Approved Jason Boyd
08/11/2021 EH Well filled with approved material Approved Jason Boyd
10/12/2021 EH Well Abandonment Report Received Approved EH Admin
1
03
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Contractor-Rockwater Well and Pump 8/11/2021
Abandoned By Date Observed
10/12/2021
Authorized State Agent Issuance Date
10/122021 10:33 Page 1 of 1
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