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`. CATAWBA COUNTY Case# WCOC-02-2023-188873
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Public Health Department Subdivision
UCD ,,'c, Environmental Health Divisi
on PIN# 460606392089
9 PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 7369 FIGHTING CREEK RD,SHERRILLS FORD NC 28673
Name on Permit J MICHAEL HOLCOMB
Property Size: Acres: 69.5
Directions: NC-16 Bus/N Highway 16,left onto Hwy 150 F,right onto Fighting Creek Rd
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-01-2023-187704
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
EH Well Capped with Concrete None Jason Boyd
2"well filled to top with bentonite
01/18/2023 EH Well Abandonment Observed Approved Jason Boyd
01/18/2023 EH Well Disinfected Approved Jason Boyd
01/23/2023 EH Well filled with approved material Approved Jason Boyd
02/08/2023 EH Well Abandonment Report Received Approved Jason Boyd
Contractor-J Michael Holcomb 1/18/2023
Abandoned By Date Observed
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02/08/2023
Authorized State Agent Issuance Date
ehwellcoc 02/08/2023 I 5:09 Page 1 of I
Catawba County Environmental Health
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Parcel:460718300015, 7369 FIGHTING CREEK 1In=80ft
RD SHERRILLS FORD, 28673
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County NC
01/1912023
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