GW1-2022-05209_Well Construction - GW1_20220531

WELL C'ONSTRUICTION RE CORll
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t4.MATtRIONM
Chris Ruffer 70 ""CRiP`1011s,
wolttofit td6T Nam'9, ft. ft. ,
4223 A � f6
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SAEDACCO Inc (L- ft.
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MFP0'.N1 -TU DMAIETER- TtriCKNESS.2.Well Construction l'etir ith 46 ft; 6 sch 40 PVC
ft. in.
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1248 Bill Hall Rd White Oak, NC 28399 Cumberland C,
White Oak, NC, 28399 Flkssail`ao�;ss Git}'nndZip ;2L'ItlisLARriw`
Cumberland 71-66 is a 6 in SS sump
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h w Chris; Ruffer 2/15/2022
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You uayuse ;back"of hs d well se deala.tr slE S.Numberof WOW cattstructcd: 1 eousttuctiatt tleioiCs. You.tlra�alsti aTttaclt additional pages i£if:ccss:rty.
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s wnifndafiamr SCiIt MMILiC0'UCTTfbNS
:ttftnl Well d ptL.helovv i.ttiti surfuc 71 (ft 244 For ACC,i4'eliz 'fiubritit this lritiit dtitltia 3tt'd tys of c:orttptctibti of i;dl
For 44:fi JaiiaiJtdisPtFfisr��v7sitrfi�i:€rantstarrupTay.�✓��7tk7"crrarf�6�ldJtY}' can5611cti4,rbtogltcfOltr»c fig.;
10.Static Water leVel b'€loW top of easiuW ({t,) 41t'M66 of Water Rmou nea,Inform aiirtn Ptvccmbg Unit;
if 9iw yr iiyel is AdV cdsfgx at s 1617 StaiC Seri icei7 titer!ILtIcC tr rlC 27G'3J-IG 17
Ila Dorcholc diautctcr to in (�) 24b.For Gtieeitori WON ONLY: In addition to sending(W fame to€he'addrm:in
24aab et Also sdlb ttit a copy 0f this fonu nitlufi.Alots of completion of kwal
EL`VclCrnnstruetion method. sonic cansgmclioti tag the,fol160116
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FOR WATER SUPPLYM9ELLS 0NL LY: U36 MA Service tenter,ltaleig6,NC.27&V)4k
13:r Vida(mini) Vlcdiod of test: 2tt»Fvr Watcr5o tuttc. Indian�Vctls:
Also snbmit'q Copy of this funs Within 3i7&6t' Pcoul{tleti4n6f
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constnictcd,
Feanu MN%I Nntih Catalina Ekp:utment of ErviroiLme t and X3 rtaW Resources-D vkian of Water Rewces Revised August 2it13,