HomeMy WebLinkAboutWCOC-03-2022-167135.tif CATAWBA COUNTY Case# WCOC-03-2022-167135
ti .t. Public Health Department Subdivision UCRESCENT LAND AND TIMBE
"1 Environmental Health Division PIN#
v O 460701457350
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 9
1;.2
Site Address: 3768 DOCKSIDE LN,SIiERRILLS FORD NC 28673
Name on Permit EMPIRE HOMES
Property Size: Acres: 0.85
Directions: 3768 Dockside Ln
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number: WELL-02-2022-165929
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
02/28/2022 EH Well Abandonment Observed Approved Jason Boyd
02/28/2022 EH Well filled with approved material Approved Jason Boyd
02/28/2022 EH Well Capped with Concrete Approved Jason Boyd
02/28/2022 EH Well Disinfected Approved Jason Boyd
03/01/2022 EH Well Abandonment Report Received Approved EH Admin
Contractor-Rowan Well Drilling 2/28/2022
Abandoned By Date Observed
03/01/2022
Authorized State Agent Issuance Date
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