HomeMy WebLinkAboutWCOC-02-2023-188872.tif t ., ;
45;• \ CNFAWBA COUNTY Case/I WCOC-02-2023-I 88872
al . Public health Department Subdivision
d T / Environmental Ilealth Division I'IN/I 460606392089
.1/ PO Box 389,25 Government Drive,Newton,NC 28658 LO7d
Site Address: 7502 FIGHTING CREEK RD,SHERRILLS FORD NC 28673 E P PR -tit)0)3 -43 itf(°
Name on Permit J MICHAEL HOLCOMB
Property Size: Acres: 69.72
Directions: NC 150,right onto Fighting Creek Rd,left to stay on Fighting Creek Rd
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-01-2023-187705
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 811 Well Disinfected Approved Jason Boyd OA
01/18/2023 Eli Well filled with approved material Approved Jason Boyd d
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02/08/2023 Eli Well Abandonment Report Received Approved El-I Admin
Contractor-J Michael Holcolm 1/18/2023
Abandoned By Date Observed
dTh liC
02/08/2023
Authorized State Agent Issuance Date
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Catawba County Environmental Health
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Parcel:460606392089, 7502 FIGHTING CREEK 11n=100ft
RD SHERRILLS FORD, 28673
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