GW1-2021-07138_Well Construction - GW1_20211006

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to.Statte water level below top of e"Inw ttY.) Dikttlon of Water Resoflrt'm Information J rfvwsing Unti,
1/xuarr ieuei&aktT errsl4g rest`.#P t617 Mail Service Creator,Raleigh,NC 276491613
It.Borehole diameter^:8.25^ Ida•) tab.For(nlcetlon Wells ONLY., In addition to sending the foml to the addmss in
24oabam- also submit a;copy of this fool within 30 days of completion of Awl]
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FOIL WATER SUPPLY`1 MUS ONLY M36 Mail StrAce Center.Rdld0,AiC 276"4636'
13a.VIdd(gpm) Method oft 24c For Watm Soilplp do(n joduum Wdts:
Also "submit one Wit'of this fonn avlthin.10 days ofcot*ef(onof
13h.Disinfection ty1w: Amount* Awell Consmaciion to the Coamty Itcalth dgmn mad of the corny nhest:
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Form G%V-t Nonh Camlifm Dgmdsamd of EmfRnunm w A Nanval Rmu=s-Otti sknaMaierRO!tt m RmhW At%td20t3

September 21, 2021
Information Management
Division of Water Quality
1617 Mail Service Center
Raleigh,'NC 27699-1617
-Subject: Well Construetion/Abandonment Records .
Dear Information Management:
Enclosed are.Well construction/abaridonment records for the following locations:_
Location Job# Date
7705 E WT Harris Blvd;Charlotte,NC 13746 09/02/202-1
Intersection of Ivy,Rd.,-& E'Gilbreath;Graham,.NC -_13747 ' 08/24/2021
518 S Old Franklin Road; Spring Hope, NC 13645 09/.24/2021
899 Duke'ville.Road; Salisbury, NC 13726 08/18/202 1 Revised
250 Fielding Road; Shelby,NC` 13731 08/30/2021
Sincerely;
Karen Byer
SAEDACCO, Inc.
Enclosure(s)
9088 Northfield Dr. ♦ Fort Mill,SC 29707 ♦ www.saedacco.com ♦ [phone] ♦ Phone [phone] ♦ Fax (803),548-2181
South Atlantic Environmental Drilling.and Construction Co: