HomeMy WebLinkAboutWCOC-10-2022-181746.TIF w•
CATAWBA COUNTY Case# WCOC-10-2022-181746
.t.II Public Health Department Subdivision
Environmental Health Division PIN# 461604545490
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 4835 KISER ISLAND RD,TERRELL NC 28682
Name on Permit JEFFREY LANCASTER
Property Size: Acres: 0.79
Directions: Hwy 150,Rt on Kiser Island,on causeway
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-11-2020-141930
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
12/21/2020 EH Well Capped with Concrete Approved Randy Ross
12/21/2020 EH Well Disinfected Approved Randy Ross
12/21/2020 EII Well filled with approved material Approved Randy Ross
12/21/2020 EH Well Abandonment Observed Approved Randy Ross
12/21/2020 EH Well Abandonment Report Received Approved EH Admin
Contractor-B&K 12/21/2020
Abandoned By Date Observed
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12/21/2020
Authorized State Agent Issuance Date
eL«ill,;,. 10/05/2022 12:56 Page 1 of 1
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