HomeMy WebLinkAboutWCOC-09-2022-180573.TIF CATAWBA COUNTY Case# WCOC-09-2022-180573
lr t a ,Z Public Health Department Subdivision GABRIEL ACRES
d Environmental Health Division PIN# 461602573467
PO Box 389,25 Government Drive,Newton,NC 28658 8. , A. LOT# 3&4
Site Address: 4551 KISER ISLAND RD,TERRELL NC 28682
Name on Permit `ROBY, INC.,ANDREW
Property Size: Acres: 0.78
Directions: Highway 150E right on Kiser Island Rd lot on right
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-04-2022-170116
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
09/08/2022 EH Well Abandonment Observed Approved Randy Ross
09/08/2022 EH Well Capped with Concrete Approved Randy Ross
09/08/2022 Eli Well Disinfected Approved Randy Ross
09/08/2022 EH Well filled with approved material Approved Randy Ross
09/19/2022 EH Well Abandonment Report Received Approved Eli Admin
Contractor- B& K Well 9/8/2022
Abandoned By Date Observed
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09/19/2022
Authorized State Agent Issuance Date
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