GW1-2023-01878_Well Construction - GW1_20230222

WELL,--C0NS1`R(1JC`1'I0N-RECORD ForirKctt4��tt� oaf%
This for IngH h:liwd Cai-sin k cr timJIink r+xUs.:
I7R'cil.Contractor.Glforniiittow, i
d'l:WATERLONiS' _ jt,
Stefan Smith FROM, -tu: 4FSCRIPIKIN
ti'eA G gritr:161ar t;adh•": rt: rt.
3576A
h'G�4cltCdriuittor:Ccriiflc5tiurit�rliill+cr a5i 0UTER CASING.(for nrvllrcaveif`ttidtsl.OR LiNER'0,M)i lkabtr
I-FROil - 'TO tRim rFiF :, .Tuick.ESS- aIATER1At.-
SAEDACCO Inc 0 fl.. 5 it. 4" ! ;':ia. SCH-40 PVC
(k+tigttiti:A°°;it+ii ;16A NERtAS1NGOR_.T)BIN
(w: 'e+�(tierr»aletgstd�uirj =.•. ;
Fftom I'TA u DILANIFTER 7111CIMM •aIATERIAI.
2:Wcil:CbrCstluctinn.i'crrii'it.�:' rt:. ff: ,' �'i?4 .
lriJult cjcgJF4 nrrl�v.`c!!pririts,tic:C'ounh:S:inr';:l',�riurrre;I'�rer4fil,rti,J r/: r(: -•-�" ,nr..
3;'yYclt.tisc'(cl)ccic}vcll nscj, 17.-s(REEN: '>_~
Frio m— '7w. �,-TruCl!\I15= VMATF:RGU:
1�Agiictilluraf• i�1 4iiriicjpalrPtilZlic': 5 rt: 15 "It: 4"" it,' 020 SCH-40 I PVC
pG: tltenllal.(Iicatinw°Gonlin 'Suppl}l iRc�identiat�'VaterSupph (singicl'. 1
Clb)dlist`r'►aUCoirttlicrciai l licsidrRilal�t�olec:5ujlph(slnrrtl) FR GROUT , , aiaTERIA earl•I CEMENTateruou;cAarou+r-1,
Dliiieatid» 1 It. 3 (t., Portland/be rLonate
[]2~iriniiririp�.' �Itctntzn•"
tilSccliirv:WrlL ft. u. "
ClAquiE�[-11Zgh8rLt' Grottr►dit ilCr Reiiud�tltian' .1%SANDrG VEL PACx tit amilkableY I "
- •=: •'.. - 'FROM' 10 'NIA'rFmu1 ..Na1FT-,1!_t;1r1:\'ia1lTNUU'.
l�aqi►tCr StiirtgC_.�iki RfCo�'c. ' ISaliiihy:33iiic( 15 Tti Sand 2
,QAtjijtciTcst; Cis#�mltrttt i t}'rtiii igc
ET11-i-i'"1cnhll Tn fmota L }t►bsidcmc'.4aidiol ,
• - - 1=-20?T)RTI.LINC'L0G`raltach addilionalihrcJs'If rrccesinril-r - ;,,. �•-:_„"_,, ;
0rl'.o11......Iticfos�d_LPt7p} I;l'1"rdCct -FROaf, 1 TO' t)FS('RtPTIU.rrnbr;Martln�•t+.kril'nn•I:Hu�'attl;ti'i <id)
OGrotllcinialtFieati4u"CaohnRcwnli ElOiher.(G�phintuililacti�[•Ratn�ifsl 0 :ti;. 8 tr Clare silt
8 h. 15 ft. Silt
:'1)atc W`,�11(s)Coii►ple>i il: 1-18-23 tiVel)IDd VE-3 j . ..
��.!)°cll�Gijcatiuii � il: fi' „' �' •"'. �^-^��
The Corner Grocery it. ft., t ., 2. 2023
F;rcilit}tO++:n:rNa+rc Fa�.ilit? 1Dw(if.aTFli;•ablc} :fl.: - ft.' � .
�r
L
101 McP,denville Rd., Lowell, NC, 28098
f '- fi. J!i'eQfrJC�
.Phpsi;ill.'rlddrss;.Cit}.'iiind7lja! �21.:RL'M.�RK5"�� _ � .rc�r =
Gaston ` Bentonite seal from 3 to 4 feet.
C�ciprll': }�rcClla;nfirir'd7un.Nat1'1\1
5li:'T it tii c aril!-I:nngiEuilc.in:dc-gireslni 4pt��lsOonds'fi decimal Jdgp (� :
{it'iictl=.fs�ld uirc j;tt+liti�a�++illieirrq -.GCrtitic�tiiins
35.268085 81.098693 yyl { ✓j. P _ _ 2/2/2023
S rict6, -
Si lute� afiic;,,ticd'4'cll:Coritcruot .Date
�'.YS�('AIY'�tlll'11111��� .:7tilfl`r/11A1i�4I '01'.'.'��Cnljttir8tt' ,'('Jrrr,'11ra��rbY.t'rrtfs,ihcJ.ibC:.ir�lt�sttrdi'.ti;�rJii?t�inrClr�lir,,rtii`cndt�rrr_
ri•i:rt'rat Rro1G--O'C:illtr?or t<Sr1 NGiiGll'G=.+l3tlf 11`%ti�rviser idriv+Srinhrtr(s<n,d,rlvr:)
7-7x:ffii�,aiicjiai•`to�aii;c;�iatin�,ii'CII� "���CS� ./IC .�:�(/.• , �:[4r9j_iij7tlLY'YI•SL!5f;):i~s:Ei.;(1_j�t2�l`ir�titlatt7�?'.�5':tncri(5'Y,
fit?:rs�+r�mjc'rtv,�rlcurxad,?svttaifl,:Otis.rucYio�(•d!tjAnr.�rltwlet;h'l,uFtci�ttdir�rorurc'R�J'rlfe: '• ,� ,'-":�, �• �
relA:i<fcr„1rrF31.i•YnurJLt�r�rllrirz or.lii:'ilr�ltcrt nfthia four. 23.5_ite a!iagi'8ut 01',1dtI1tIE14NI ltCIj VCt:li�3: -
ypit way:aItse'th back of'Otis ji�g�ic+:j)roiidi a�diii�itiij ai'cll site: -I,a,19or VM1
$;ICiiu lirrQf ii clls.cittistr icteil: l COiistivCtia7u.iletails:1'ot1-ill:rr aL�o attach additi oneif`(s�zgcsiC lrticssari`.
fyrlgtitldlrzel;Prcrlurr-1ri0!-4*1, vmjr,,r�'rs0,��;k`rrFdr'rlutsrrniecu)rstructlotr,_ti ti vri
suluriicjprir SCTIib11TC:yi�IL'S'1112I10NS'
?1.'ToCiTsi;clt tlejttli:b jgir.j lucl ittrfurc' 15 (ft,)..' au, t nr`�11.��crlKs':Submit itftis forth')i idl oflu_all=i(icy of.eoiitiil'ctirn% is I
loritt�trf,Oc-±etltdis'teal/i'r'+rrtsl f 'erl,iricii'm_it ;_G+ZtI!?'<r�rl?~ ItJ} cpil5(tltclionlQClict41lot57n;; '
I
14:'Stitie`u'atcrler'cllicluit;[t11)':iiEcssitt{ (1'j,j Uivisiuu;oPyy'atccHrcuureIvsj Wormution'Yrricraai4;:a3fiit
!j*rr�r�rlc f:ts'cbi+r,?�r►iin;;rir: '+" 1 7Maii.SCtwice-entcr:lillcirti::YC=2iG99-1G17
11:13ot6olo'l6bleter:10.62511 ;�jn;� 24b.-'n ,Tits 'n elbONUi [gailttitionCo-S�fitliDgitb�fonn,iaa))�addtcsa;in
' 2�ldalxjl�e;:'alsa`subaltit:a•ctrpj°,,.of tlii�flinn,►ti'itiiiri"a��d5}�s�-ofbiiilililttioilof•.",isc.11:,
13:ay'c11 dlrtictYtiCti�ill nYctlioilf.HSA rttimiuC'tiDirWhe 001610ilg: I` }
€i.c zur:r,roijri`.ca-W di{id "' touc.}
' ` " �111Si0ILQ��y'atci'Resource;:;Lludcl'�rguntlfiitjtciii,ti'.Cd`titroll?irie ani;
FOIL-R',NFER SUPPOV�NFMI S ONLY. 16iG'111.iil 8cri'ice C rater.Raleij It;Y-*9-163":
_ - 2lc.Ftii�\Y:itcr:Stipplr:�Ti/j�•liirn-\�'clty:
Ija ;l elil.(ttpri►) C,*i&lioii-of est:
131i:"1)ls iifccfiuu tilr ;,, fl ,othis A10-sit ltit owe.. op: f ' ttttit3►:dasotc6 pldioi of
cpnn n arnbc aiiinaiie ro c1i'colstitcidnt the ddart Ath unt;.,
FarmGit�_1 i rtt�iCarolu�ifJcpitivoutofEni'irotulteitt tiahudlItcmurcts-Uivi;tonof1t�ateiR trl[t C;c+ised ultri2_^tt1�
�.