HomeMy WebLinkAboutWCOC-01-2023-187514.TIF . CATAWBACOUNTY Case# WCOC-01-2023-187514
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• ` Public Health DepartmentSubdivision RALPH M SIGMON
Environmental Health Division PIN#R � : � 461601283769
Ilkotrat PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3
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Site Address: 8320 DRENA DR,SHERRILLS FORD NC 28673
Name on Permit JACQUELINE PHILEMON
Property Size: Acres: 0.64
Directions: Slanting Bridge,Turn onto Drena Dr,lot on left
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-09-2020-139265
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
I1/1I/2021 Hi Well Disinfected Approved Randy Ross
11/11/202I El I Well Abandonment Observed Approved Randy Ross
11/11/2021 LH Well filled with approved material Approved Randy Ross
11/12/2021 EH Well Capped with Concrete Approved Randy Ross
11/18/2021 EH Well Abandonment Report Received Approved EH Admin
Owner-MARCUS PHILEMON 11/11/2021
Abandoned By Date Observed
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11/18/2021
Authorized State Agent Issuance Date
cliwellcoc 02/02/2023 15:44 Page 1 of I
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