HomeMy WebLinkAboutWCOC-05-2022-171797.tif gA \ CATAWBA COUNTY Case# WCOC-05-2022-171797
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Public Health Department Subdivision ANGLERS COVE
/� Environmental Health Division PIN/1460604743348
111 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
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Site Address: 4995 WILDLIFE LN,SHERRILLS FORD NC 28673
Name on Permit RICK&LYNDA MILLER
Property Size: Acres: 1.4
Directions: Hwy 16 to Denver,Hwy 150 E,turn onto Slanting Bridge Rd,cross Bridge 2nd right,property
on left
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-09-2020-138460
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
05/06/2022 EH Well Abandonment Observed Approved Robbie Phelps
05/06/2022 EH Well Disinfected Approved Robbie Phelps
05/06/2022 EH Well filled with approved material Approved Robbie Phelps
05/12/2022 EH Well Abandonment Report Received Approved EH Admin
Contractor-Yadkin Well 5/6/2022
Abandoned By Date Observed
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05/12/2022
Authorized State Agent Issuance Date
elm elleoc 05/31/2022 14:01 Page I of I
Catawba County Environmental Health
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Parcel: 460604745191, 4995 WILDLIFE LN 1in=60ft
SHERRILLS FORD, 28673
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05/18/2022