HomeMy WebLinkAboutWCOC-09-2022-180704.TIF +_� CATAWBA COUNTY Case# WCOC-09-2022-180704
I. 11 r Public Health Department Subdivision
.I , ,,, Environmental Health Division PIN# 460717000201
PO Box 389,25 Government Drive,Newton,NC 28658 LOT PT I
Site Address: 7170 VINEWOOD RD,SHERRILLS FORD NC 28673
Name on Permit J MICHAEL HOLCOMB
Property Size: Acres: 14.4
Directions: Corner property off of Vinewood Rd and NC 150 Hwy
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-07-2022-175150
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
07/26/2022 EI I Well Disinfected Approved Blake Perkins
07/26/2022 ElI Well filled with approved material Approved Blake Perkins
07/26/2022 EH Well Abandonment Observed Approved Blake Perkins
09/30/2022 EH Well Abandonment Report Received Approved I:H Admin
Contractor-J. Michael Holcomb 7/26/2022
Abandoned By Date Observed
‘ii Ic*e Ped k;43 09/30/2022
Authorized State Agent Issuance Date
ehwellco: 10/17/2022 10:11 Page 1 of I