HomeMy WebLinkAboutWCOC-12-2022-186239.tif + . CATAWBA COUNTY Case# WCOC-12-2022-186239
F.(.....f.ii Public llealth Department Subdivision WESTON
d (.j Environmental I lealth Division PIN# 266901454499
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 13
8• s.
Site Address: 1835 MESA DR,VALE NC 28168
Name on Permit *CLAYTON HOMES OF CONOVER
Property Size: Acres: 1.12
Directions: Ron NC 10 Hwy W,R on Providence Church Rd,L on Old Shelby Rd,R on Brittain Rd,L on
Mesa Dr
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-11-2022-185183
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
12/12/2022 EH Well Abandonment Observed Approved Cheyanne Morgan
12/12/2022 EH Well Capped with Concrete Approved Cheyanne Morgan
12/12/2022 EH Well Disinfected Approved Cheyanne Morgan
12/12/2022 EH Well filled with approved material Approved Cheyanne Morgan
12/15/2022 EH Well Abandonment Report Received Approved EH Admin
Contractor-Terry Scronce 12/12/2022
Abandoned By Date Observed
379Vt 11117(
12/15/2022
Authorized State Agent Issuance Date
,I.,11a•,, 12/15/2022 10:27 Page 1 of 1
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Parcel:266901454499, 1835 MESA DR VALE, 1in=50ft
28168
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09/26/2022