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HomeMy WebLinkAboutStanly_Well Abandonment_20231229 NVEILL ABANDONIVIENT RECORD s Y rottMimnlftONGY: f Tuts form can be'ttsed.far sitt;�t�.or mubiprc.ttcUs ^�J� I l.,�Ye[I cititracti�Pdnforanati�ri 3yrt L.16;1N60NMENT DPT,t.n,.S Brian Ewing3p,Nutnhcr+t€rrillclteinga�andl tievl. 1 1'd�31'+Cat�ractorlv�AmE;(4t5tiLltil4ilsfl%r 9L1If}dtHi56{fl9lilteaLllaiiliCslltCr"tiiupcny) Via, naarfnp,e: 1111vtWok a< rawra=dole saapph, wi;1s", dNLY -will) t1r .sruire. tvztasrrnctaoNa rcuirfnarru�vai,;arae m srahrldtnv(.foPrar, 4240-B 1VG{Wc11 CoedrdgvrCcitificaliou Nnn ci 31t.apnrn.>m t�r r►l�in�ue;��tr n�i+mim in viff(sjT_ (t;uE•) SAEDACCO FOR'WATIE R.SFJPPL R'F,I.T:.S;q'NLY. Caa VaftyName" - 7c.'f��pepf'+Iisluti�itancuseg0 3:Well censtrud(onPettutt d: , Lls>'•.1f�1 RfJfatl4Y1I}li N'8/1�.hCJrtJLr4!L"ClaflragV,StGYa�-.I'�flfliatalUC,.fI�Nt'Plnf;;dlLk.f,('I�Uwfa _ - . 3d:,ttnottritof.disinte'ittmt tsulil : 3.'�Yett,p* clieriaWe stir): NVater,SuIipI Well: 7..e.solliog*at6iQS.ukd Apply): Clrtpncliltata6 Q1Niinicrptt/Ptitilie Gt,Nc�VCcnaat(;Gttltii Cf Hciitgn!WthipsorP'If efs`. l7Crrntltcrm[(l)cadpoCoofitq St+ppty)-. dtesideteipt%tcr$tjppk(siriglc) ❑Sa>u9 Cent} Groot 17'C)ty CL1j attatusidal/t omntcaiat t7ttcsidetttial tVntcr Suppl}(sfa d) 13 Couc.rq ,roul :n"Dtil1 Cttuia Dlrti tion t7-'8pecially dipul b drt%vi Na -IVax F Suppty '-Cit 0 BeptoWle slut' (plain uttder 7�j. 1�149anitgrine,:. oRecotel, fnjecttan}VcU: 7f:For each'inaterialselcctcd above;provide amount of materials used: 17e1quifcrltcchar4r5 L1Crtiwiri►iJt4R@uieii121ion" Neat Cem.:471b ,Wtr:3ga1. Sand.Cem::1b ,Wtr:gal. ClAtl ianige 0. Rev ovety nSulititv.t3atriec t7i>:itiiifetTest: nSloiwitvlerUt>siriuge --___--_-- - -- - — - pE.W6fi(ental Techgolp1h� rAS Sidettea Coti ml 3�PrV ide st brief disciri tron af°{fht'aUittr£nametir nuedlnre: - - 000,0t4nnal(elosedLoop) .OTiiacer. TREMIE"GROUT FROM BOTTOM TO SURFACE ®frodwmit(Head.!ggotius'Etetutnt' 00dter(�,xPlaia under 7ay. 4.-Wtewett(446andowdi 12-1-23 DEC 242023 . ;st:lYcCi lucttttom: j, " Residential Property { DW0J30G S..�olTillr.IttOUc fatilltf•IUtviacr Nvrtc f_adili(y'IDb(Ifapplisablc►. I 28384 NC-73 Albemarle,-NC 280.01 Lan E ft 12/7/2023 PhysicilAddrem.Ciy,-mid'Zip SiiyLllr�htlP�CilrtiCdVVC1t(iil�lrk(pf?r7,tlflirn�r lkge Stan13t ltt cigraPr ahis,Jbrnl,,f lrmbv cda ify.^rhrrr djm sr-i11{sJ�rrr.r(here}rtBrrPidoaacrl in iuiy. lk.arcclkl�ttl3CZCiifoirNn..tP1L�j aacrutifraaceirilFrFUt1 �IOrG',(llfltl.�r2C:(720bTt'c11f'v/iSlir(ctirifiSlarackrrifs and thuf:a capatr�f obis rccrard Iran b'eeia pmvided/6-16.i+'e11 ou'iier." :56J; hdttideandNnO.W-de:in si - (it:�scu r`;tcl;arx l itJloria fs s�rtt9cicr�} 9.Slie diast';int or"ad.did6n tt vs'cll detattls: You.ntny - :.. use the 6ac) of this page to plotid6Additlotiat Ut 11.site,dztails.bi ttVU N w abaudoiuuetti dt(ails:"Yeti ttta5 alsfl: tacit�lditiau tiixis if ucc essit¢y. CE}1441 Rl)C G[Q)N.I1l TAG9 C tTN W�[T fiF li!lN'(�ABANDONED STIe&fr rkT,IN9TRUCTIlONS t ;tt!ltclr trrll cwii4araicliUn ricvrit'sy'�arcfilaPilr. -l�rir hnrfrlp(c lilt'tritin,ur"is�n•iruarraaipplr� uwBs l7,YCX ri illy rr�•dvraa�r m rstapLre'darlaP�mrctirar i�rat.wri t da mfbittir ante fthrr f10 ga,Fnr a111 r4Vclkh Siahtntt-tliiiS fumi'tiitfiin 30"atty's of comttiition of tiirli Ga.�YetQ lD€i�Mra-3 atladdontncsu tii fic follanin�: {` ©t}'osicia of«`auerlxesriur�i .Iafnttin®Prucessiny;Unit; 6b.TatatfvOldelith: 40 (f�) '1i6t7h iil_ Scrncc Cntci,_RAICiL.Ii,XC' 27699-16i7 11t14.[nr linleetlain�rclls:.Inadditibu to smiling Qwfotwu tai the address In l0a fic.;Barcltol,dfatttctctr:2 alaaw� also-subutit one copy of this form wiUtii('3ftdarys.al contptetion'of well "!) aw6da lllncnt to tite rd.lawint _. ;f Gcl,lYrdterotcFcl:befaty".gtosii+tG aefaec� (fr,') •Iltivislott.Gf WillaResources iluilersriiund 9tije�tfmi Corictvl Pcggraitu, t636 tltail Scnice t,i,icr,lL7lcigh;XlG 276 9'463G Gc,.pntct�casing:iet¢ h.(gflmnr�a): (ft:) Age,rnr Mier 5r10131c&.Flife lion We si,: In addition"ui sendiag the font.to dig.-lddt�ss(es).'#boyre. also gubmit.one copy-of"t&fomt Witliiu 30 days of compaction of Will abandatniient ti the county hs.4k deparmtettt of the cbmay whctc ibandancd. of.Fn¢cr cssin;%ftitltitiq tatit><Klr(if lsn(nvu): I fln..SCM.111edl all(tf Iin4tVtt):20 NMI Gw-90 Nonh Catrllm Dcpaanxm of Enefmmmnt atsl Natutat Resou.<ccs-Dlvistan 0t Watcr ftcsouM-cs Recited Angus,2013.