HomeMy WebLinkAboutWCOC-08-2022-177873.TIF CATAWBA COUNTY Case it WCOC-08-2022-177873
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.f. Z Public Health Department Subdivision
'I Environmental Health Division PINµ
c!J 369901461757
PO Box 389,25 Government Drive,Newton,NC 28658 LOT4 1
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Site Address: 6387 SHERRILLS FORD RD,CATAWBA NC 28609
Name on Permit STARNS, MATT
Property Size: Acres: 0.96
Directions: Sherrills ford Rd towards terrell,2nd driveway past Joe Johnson
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-01-2022-164284
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
08/11/2022 El-I Well Abandonment Observed Approved Jason Boyd
08/11/2022 EH Well Capped with Concrete Approved Jason Boyd
08/11/2022 EH Well Disinfected Approved Jason Boyd
08/11/2022 EH Well filled with approved material Approved Jason Boyd
08/16/2022 EH Well Abandonment Report Received Approved EH Admin
Owner-John Gardner 8/11/2022
Abandoned By Date Observed
08/16/2022
Authorized State Agent Issuance Date
elnrellcoc 08/30/2022 13:00 Page 1 of 1
Catawba County Environmental Health
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Parcel: 369901461757, 5387 SHERRILLS FORD llna54A
RD CATAWBA, 28609 ,le (s ) 8$' +yamc4c$ 2j7.Rakt
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This rnsPin,Port product was Prepared barn V»Casio Gout tj 1IC Geosfalia MicestIMpn 8umi i. Cara*Co kW made sub al efforts
to ensure the accuracy of location and labelinginlormvcm oorterad cn this map cr dabs on els report Catawba Oiunly promotes and roopivr* ie
the independent verifca:on of any data weaned on rue mspeepon
product by the wsr.The County of Calwbe.tbs employ and
l Personnel.disdain,and shalt not be held Rabakv anyaF r
and al eamlee, u or loblitr,wheeler d red.Oared or
arise from this maptepart product or the use Pored by any peCopynal or erlaty. °Df arises a msy
. ._.__�_... '2021 Casaba County NC
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