HomeMy WebLinkAboutWCOC-07-2019-118485.TIF �y4• • CATAWBA COUNTY Case# WCOC-07-2019-118485
�Q' .r Public Health Department Subdivision
Q Environmental Health Division PINfi 366701388856
PO Box 389,25 Government Drive,Newton,NC 28658 LOTN
18 ti 9,
Site Address: 3377 BURGANI)Y SI',MAID1{N NC 28650
Name on Permit JOY LOWMAN
Property Size: Acres: 0.57
Directions: Olivers X Rd,to Water Plant Rd,first street to right(dirt and gravel)first house on left
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-05-2018-099652
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
04/17/2019 EI I Well tilled with approved material Approved Eric Price
04/17/2019 El I Well Abandonment Observed Approved Eric Price
04/17/2019 EH Well Capped with Concrete Approved Eric Price
04/17/2019 F.H Well Disinfected Approved Eric Price
04/22/2019 EH Well Abandonment Report Received Approved EH Admin
Contractor-'lorry Scronce 4/17/2019
Abandoned By Date Observed
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04/22/2019
Authorized State Agent Issuance Date
chwellLoe 03/13/2023 11:13 Page 1 of 1
ER PR-05 Z01g-Zq 0406
Catawba County Environmental Health WGoc- O7-2518.- 11 L '5
SITE
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Parcel: 366701388856, 3377 BURGANDY ST 1 in=40ft
MAIDEN, 28650
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06/09/2022