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CATAWBACOUNTY Case# WCOC-10-2022-181789
Public Health Department Subdivision
Environmental Health Division PIN# 460604836505
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
t 5.
Site Address: 7877 VISTA VIEW DR,SHERRILLS FORD NC 28673
Name on Permit LAKE NORMAN RENTALS LLC
Property Size: Acres: 1.02
Directions: Sherrills Frod RD,Slanting Bridge RD,Vista View DR on Right
WELL ABANDONMENT CERTIFICATE OF COMPLETION
Permit Number:WELL-01-2022-163813
DATE COMPLETED INSPECTION TYPE STATUS INSPECTOR
07/13/2022 EH Well Abandonment Site Inspection Follow Up Required Jason Boyd
7/13/22 745 AM Linda with B and K called to cancel abandonment.Builder has trusses in way of concrete
truck
09/07/2022 EH Well Abandonment Observed Approved Randy Ross
09/07/2022 EH Well Capped with Concrete Approved Randy Ross
09/07/2022 EH Well Disinfected Approved Randy Ross
09/07/2022 EH Well filled with approved material Approved Randy Ross
09/08/2022 EH Well Abandonment Report Received Approved EH Admin
Contractor-B&K 9/7/2022
Abandoned By Date Observed
10/06/2022
Authorized State Agent Issuance Date
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