GW1-2022-06961_Well Construction - GW1_20220722

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WIi✓L'L CONSTI2UC'I`tON-RECORD` For lrtcnml Use ONLY:.
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LI VA'TERZONES
Robert Miller FROM TO DFSCRIPTION
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401 S. College Street, LLC R:- It.' ' 2922
Facilily'!Or'frr,luil>c : FactliJy JDK(iCappfiaablc); ProCIiRI ig UW
401 S. College St., Charlotte, NC, 28202 fl.: ft..
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h$tircholcdiatnetcr:4" 00 246.For Tnicctlnn Well,"ONLY# in addition to sending the fomi to-the•adlinw in
24a abos a also submit +op) of tlus funir 11 ithin•30 days`of;ebmplGion.of iuell
13aYcll conctrnctioR ni thod:"Air Rotary Constriction 16 tite follolcing,
(1 c.nng r,,rolar? aablc ditto FttsIt etc;)
-Dhvision of Watcr.Resoulres, Tndcrgrouud lnjcction Control Prograiil,
FORAVAUER SG'PFLY-WELLS OnY 3636 h1at1 sri ice Center Raleigh 1C 27699=1636
24c•filir.Water Sunply'�c tn}nttn�Rclls
Yrcld(ry►m) �fethnd`of feet: r
Also�subnlif om copy of this f mi.Liithin'3i)days of completion of
131i:UiunfiYt>on npe:; __ _ _ _ ailiounts' .%vcll con simction to the cininq }c'tth dcp0ttment of lire couln been
constrict.
Form Al NonlrCmolina[icparirlu nt of Eti�'ironusetu and Nahtral Resources-Dtt afon of 1YatenR oliees d(criscd;august 301.1,