HomeMy WebLinkAboutWCOC-04-2023-194367.TIF .ilk CATAWBA COUNTY Case# WCOC-04-2023-194367
F. Ill) Public Health Department Subdivision ASBURY PARK
d "I Environmental Health Division PIN# 461603028993
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 31-32
8 w
Site Address: 5106 LEISURE LN,SHERRILLS FORD NC 28673
Name on Permit *FINNEY BUILDERS INC
Property Size: Acres: 1.71
Directions: Hwy 150 East Right Slanting Bridge RI),Left Keistlers Store RD,Left Barkley RD;Left on
Leisure LN
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-01-2022-163426
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
01/11/2022 Ell Well Disinfected Approved Cheyanne Morgan
01/11/2022 ElI Well Abandonment Observed Approved Cheyanne Morgan
01/11/2022 EH Well Capped with Concrete Approved Cheyanne Morgan
01/I1/2022 Ell Well filled with approved material Approved Cheyanne Morgan
04/26/2023 El I Well Abandonment Report Received Approved Ell Admin
Contractor- Wright Well& Pump I/11/2022
Abandoned By Date Observed
°IAjleAVâe 1)1176
04/26/2023
Authorized State Agent Issuance Date
e6nc11,;"c 04/26/2023 10:41 Page 1 of 1