HomeMy WebLinkAboutWELL-11-09-2343.TIF e 7
CATAWBA COUNTY Case # EHPR-10-09-2182
2 Public Health Department Subdivision
Environmental Health Division
v L~ PO Box 389, 100A Southwest Blvd, Newton NC Section/BUPh/Lot#
84 2 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 PIN# 3696-04-81-1442
WL- - - 3M
Applicant/Owner Catawba County / Rand Grindstaff
Site Address: 6801 Lineberger Rd. Denver, NC 28037
Property Size: 1.17 acres
Directions:
WELL ABANDONMENT PERMIT 56
WELL TYPE: DRILLED, BORED, DUG, ETC bored
Ki~~Kb~Ai 10/27/2009
ISSUED B PERMIT ISSUA CE TE .
OWNER OR LEGAL REPRESENTATIVE DATE O
WELL ABANDONMENT INSPECTION
TOP 3' OF CASING MATERIAL REMOVED (BORED WELLS) YES ❑ NO
WELL DISINFECTED: DATE / 7 /D INITIALS
WELL FILLED WITH APPROVED MATERIAL
(BORED OR DUG WELL ONLY) DATE //7//&' INITIALS /0144~ ( 11-7 WELL GROUTED TO SURFACE (DRILLED WELLS ONLY DATE d INITIALS /Okr-
WELL CAPPED WITH CONCRETE DATE /o INITIALS
WELL ABANDONMENT REPORT RECEIVED DATE 1 1, f d INITIALS /f -rim
PERSON ABANDONING,
~Git UfkS ~T~
OWNER DATE 1L Gqp
-7 71
CONTRACTOR DATE
Wells shall be abandoned in accordance with all state and local regulations and rules. The Well Abandonment Report must be
submitted to the Health Department within 30 days upon completion of a well.
AUTHORIZED STATE AGENT CO L ION DATE
CADocuments and Settings\jenglish\Local Settings\Temporary Internet Files\Content.Outlook\C9H5VVQQ\EHPR-10-09-
2182 wellabandonment.docx
EHPR-10-09-2180 and -2182
Catawba County / Grindstaff
TRACKING INFORMATION
Date Calls
1St Contact - Discussion Only... (mm) for tracking purposes only. I received a call from Mike
10/16/2009 that we were going to issue a new well permit for this property. We will also be issuing 2 well
abandonment permits.
10/16/2009 Site Ready to be Flagged ...for tracking purposes only.
10/16/2009 Site Flagged ...for tracking purposes only
10/16/2009 Site Ready to be Evaluated (mm)
Site Evaluated... (mm) Made site visit with Mike. We pulled a couple of measurements, but the
10/19/2009 Duke Power right-of-way was not clearly marked. Mike and I decided to have Duke come out
and re-mark their right-of-way. Mike said he would take care of contacting Duke.
10/27/2009 Approved for Issuance (mm)
Other ...see also Permit No. 1435 (from 1997), WLS2002-00116, WLS2009-00593
Date Comments/Field Notes
10/26/2009 (mm) Received email from Ed stating that the Duke Power right-of-way would be marked by
this afternoon.
10/27/2009 (mm) Spoke to Mike regarding the marked right-of-way. Mike was unavailable to make
another site visit but instructed me to be sure of the all the setbacks and the R/W.