GW1-2021-01273_Well Construction - GW1_20210209

WELL CONSTRUCTION RECORD Awl UKONLY
7tei Ilf�ti he ewm(w a awmIlr wele
1.Wmr Omar imarmm somc y
Brian awing pow 110 1f� m
WACemsOeN Nes #IL4'
a
4240-B a
NC Wel Com oceorCehaaeme Nawba
14A
SKEDACCO Inc a 2• 4 SCB-40 PVC
Caepm y NosL WA Cematrueam P"0*k m. aLa.a.lpo'r4k wrier+in Or.Caa,r.Sear,yerl.wv,bfimkna t.
3.Wig Use(cheek will ew):
Wales Supply Well: IV
a 14' a T. .. m... . .010 BCB-40 PVC
OAS
OGNOW"OkaftCoobig Sltpply) OROWtOW WomerSuplob(ms¢e) a a 4
Oidurmwommoicid ORaidnod Wmrr Supply Ishrmdl
cl a IS.
Nee-water Supply WC&
A. IS.
OMMOM4 ogamvvy
limbecilow Wes: IS. a
OAlpefer RCdWpe CCOWAWWeoa PSWA M=
OAQm(a SOW OW R4cp1!' OSelmry Barrier 2' a 14' a FILTER SAND d 2
OAgwkr Tern OStorawmaUousupp a a
OEspeno mael T4chmlsp OSrblidmoe Comal
Mwelmmd(Clssed Loop) MIS= ,rpw
O Rgemmul, Opts jeWbou,Rude 021 pCMWb 0 a 14' IS, FILL SAND/SILT )FOIST TO NOT
IL a
4,Dsa Wen(4)C*mplgei: 1-25-21 WlR®/TNN-3 a a
Sa WIN L C@dM. a a
Cumberland County Landfill IS. a
Pcds)AOarer Nm« Fentib OM(or olplcrble) IS. a
698 Am St., Fayetteville, NC, 28302 IS. a
P%s"Adma M.s174
Cumberland bentoaite seal 1 to 2'
Caws parcel ldtieftom 140.fPmel
Sh.L4mhde mod Lsghmh in iWmlmlmrmbee mi or deiced 4'v 21.Cerwlemam:
lYwem mML oee tmnorr4 Y tellklrele
N W ... -Brian Ewing .____. 2/1/2021
Sipes dCatilem WellCerdr v Dre ._. _..
4.lb(ace)be wdNsk OPeuta mt w mTempwa3 e.,(yewy rk,/aw,1 er ror.r.eyr area a4 wl4„awls rwre,.wr.reil:e aa.Naar
�,.4�•, ��;: ;' , aW/S4 NCAC 02C A1row1SA AYAC 02f.O200 Wr8 Crwrrr'e'a,Saae4wal rf tlw.
7.Is bk a resells is an Subdue well: Oyes M"1 ray).fAi,rar..d Au brra pwW n aL w11 rrawrr.
yers a.rrs.ir.Jt11 aw/we.w wl1 re.tlwYrwa. aefrglr+Xv armor.Je4
,rsrv..4rrryl rrrrt,a.tia w a.,ir la4 aJaY,Jwa 23.Slit dfsaam w NrlaW 1reR deeds
I.Number of wells wmrmesed: 1 F Ca X 2021 You a Y doe loockou may�gawk icle�of N.R�-r«Nal
Fw aaksk a0rtika er.,a-vavr mush wW ONLY WA ills emre...ai ame..ywNl, .I�
f.Tod wen depb Yeaw bed rmteoe 14 (ft) 24s. M AN Wda: Srbml`e form wmhtu 30 drys Of arepkei a of well
iw wakp)r arW Wr d1IryM,odd* r fnaspkr 340700'eels 20 101A co ou"cdue a the foBowie6
14L Milk wow level below cep of coming; ft) OkWeo d Wakr ammera.idert•miom Praeenlq Usk.
//wrr Mrr1 a lwr nYrr.ew"�" 1617 MAN genie Comore.RA006 NC 276WIG17
It.— dlose4er:8.25• (ice) 241L Far Imlatkm Xft ONLY. In mddilm o to 4tdYap the form to the addles is
246 above elm a' ' a COPY of thk tam wlha 30 dqs of com plleSiom or well
IL Won 400t4W=dn adbo*BOaID com uctics to the foDOwiw
ac sear.smwy.edln d w Pash.a0) nkifos of Walar Ramrea,UmdnWwrd b*edm Cam"P somm.
►OR WATER SUPPLY WELLS OALY: 14.M Man Service Came.Rollick NC 276WI636
UIL""(mum) Mabel argue 24L For WSW Samob!himo m Wens
Also mbsk ome COPY of lhls pore wulms 30 MYs at 00lmplaiom of
UL RYYkelm"m _ Amount: wee coomwom 00 the Cosy health depatmmr of the commy whne
CDMnced.
MmaW-1 NOM Cash Deprm e(Ew,easN as Nsd laem«s-Dwra of Wa Pta Mwd NS,SII M0