HomeMy WebLinkAboutWCOC-11-2022-184849.TIF .18• CATAWBA COUNTY Case# WCOC-1 I-2022-184849
,Q' .i.ii ,, Public Health Department Subdivision
-) 'i Environmental Health Division PIN# 369901378492
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
l; . sM
Site Address: 6332 SI-LERRILLS FORD RD,CATAWBA NC 28609
Name on Permit WILLIAM&CHRISTINA SAUNDERS JR
Property Size: Acres: 1.1
Directions: Hwy l50 E,left onto Sherrills Ford Rd,right at Corner of JOe Johnson Rd and Sherrills Ford Rd
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-11-2022-183311
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
11/16/2022 LI I Well Abandonment Observed Approved Jason Boyd
11/16/2022 EH Well Capped with Concrete Approved Jason Boyd
11/16/2022 EH Well Disinfected Approved Jason Boyd
I I/16/2022 EH Well filled with approved material Approved Jason Boyd
11/17/2022 Ei-I Well Abandonment Report Received Approved EH Admin
Contractor- Morgan Well and Pump 11/16/2022
Abandoned By Date Observed
11
11/17/2022
Authorized State Agent Issuance Date
12/16/2022 14:22 Page 1 of 1