HomeMy WebLinkAboutWCOC-06-2023-198477.tif r • CATAWBA COUNTY Case# WCOC-06-2023-198477
• .r.ii Public Health Department Subdivision
,n { Environmental Health Division PIN# 366603440934
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 3399 E MAIDEN RD,MAIDEN NC 28650
Name on Permit VIRGINIA DELLINGER
Property Size: Acres: 23.04
Directions: S NC Hwy 16,Right onto Buffalo Shoals RD,Left onto E Maiden RD,Property on Right before
Honest Bob RD
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-06-2023-197688
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
06/09/2023 EI I Well Abandonment Observed Approved Cheyanne Morgan
06/09/2023 Eli Well Capped with Concrete Approved Cheyanne Morgan
06/09/2023 Eli Well Disinfected Approved Cheyanne Morgan
06/09/2023 EH Well filled with approved material Approved Cheyanne Morgan
06/20/2023 EH Well Abandonment Report Received Approved EH Admin
Contractor- Camp's Well and Pump(David Camp) 6/9/2023
Abandoned By Date Observed
3714Vt ilill
06/21/2023
Authorized State Agent Issuance Date
eimkIlt,.t 06/21/2023 08:48 Page 1 of 1 1
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