HomeMy WebLinkAboutWCOC-05-2022-171833.TIF �ie CATAWBA COUNTY Case# WCOC-05-2022-171833
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(......_ Public Health Department Subdivision CRESCENT LAND AND TIMBE
Q , '-1 Environmental Health Division PIN# 460715638007
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 104
184 w
Site Address: 4053 CI EVLOT HILLS RD,SHERRILLS FORD NC 28673
Name on Permit GAYNELL FOSTER
Property Size: Acres: 0.78
Directions: Hwy 150 to Cheviot Hills Dr,property on Ietl,see sign a mailbox
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-08-2021-155911
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
05/18/2022 EH Well Abandonment Observed Approved Jason Boyd
05/18/2022 EH Well Disinfected Approved Jason Boyd
05/18/2022 Ell Well filled with approved material Approved Jason Boyd
05/18/2022 EH Well Abandonment Report Received Approved El l Admin
Contractor-B & K Well Drilling 5/18/2022
Abandoned By Date Observed
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05/18/2022
Authorized State Agent Issuance Date
07/13/2022 10:31 Page 1 of 1
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