HomeMy WebLinkAboutWCOC-05-2023-195153.TIF CATAWBA COUNTY Case 4 WCOC-05-2023-195153
Public Health Department Subdivision
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� Environmental Health Division d 373306298743
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 4846 COUNTY HOME RD,CONOVER NC 28613
Name on Permit KRISTI TUCKER
Property Size: Acres: 0.9
Directions: 321 N Bus,right onto W 20th St,left onto NC 16 Bus,left onto County Home Rd,at the
roundabout take the 2nd exit,property on the right
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-04.2023-193276
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
04/28/2023 EH Well Abandonment Observed Approved Cheyanne Morgan
04/28/2023 EH Well Capped with Concrete Approved Cheyanne Morgan
04/28/2023 EH Well Disinfected Approved Cheyanne Morgan
04/28/2023 EH Well filled with approved m:ucriai Approved Cheyanne Morgan
05/03/2023 EH Well Abandonment Report Received Approved Cheyanne Morgan
Contractor-Terry Scronce 4/28/2023
Abandoned By Date Observed
3irt 11)17
05/03/2023
Authorized State Agent Issuance Date
elm el'cnc 08/09/2023 11:39 Page 1 of 1