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GW1--01392_Well Construction - GW1_20240304
W1 LL CONSTIRCICTIONRECOIRD ' FQr1 riauUeQ LY. .. E.. 'Fhb.fain csn, aced farsint"1^or nw1itpl�'ucils: i • . • • 1 W41I Contractnrinrort tattoo I . . . . rtl tltA1EICZON1:S;,5 _ O _-, k IPZ 1, _. ;x : "John-:Eisenman:•.:.:.,:.•...: • •. .. .. • FRO}t.•• .• •MO: •• •DE'i47tIPtl0N . • 14'ollCprArvdtiYt\anas:. •tt v ft.: {• j f • 4439A I,:. • NCR.41i. iroCottital 0tiac' e.F)Rb\1.[1SGt T b'SIC(tfotx. DItL1c;+EzrTERc▪itnh.1>}R[ lc1r Nl tStiSt tk ttil�cy s . SAEDACCO. 76 tNytrTt`CAS1N.iiR(YiStl!lt�(;'eathertinat cbsttC.toti RROAt' :. 4iF DL1 iEk. _ -TIIiCANESS )SA7G1iLAL Z��Yc1lCOn#tticteonPt%anit 50001836 •• 0 . tt 30 tt 2 ! SCH 40 PVC Irxt rr!!�}y,#rtYtts/t:irf#IP,r�ir j#:R tr c Cou+lt} S(rtr,"'.Vona ar;J/�ecYlt :t'Jc'I. • : • 3 Wd!13sa�cbcclt\tclt use) tL 1V.atpa?Sulgd\°iVitt FROM 14)I' Dr4\t6TfR' ▪'4IQTM1F ;.,111r0K'nss t M.*TER1A7 :- • QA�,Oiffizat •gMuntciOt ttblic 30 :tt;.' 40 ff.• 2• tn. 010 • SCR-4'0. PVC • r 1G• eot•bbernlal iielungltoolt•ng Supply) DRt stdenttat\4tate$uppty'.(Stngtc'j Hindu tttaVCciiitute(ci:�l • ": . DRtsi•denua1 •W;itcrSt)pph •Csku d)•••,: e�tR Gitt)itl' :: .: r: �, . .`: -. . ' ulmg anon '.FROM TO `1.ATEFUAL ,T`\rPL\CEME.V•tME 17101)aP,AMOUNT,' ?ton■'1Valet Supply Well. .. >SDbfal it4nni ,: 1731 e.cvtirt).:' .;. . • lrtjection Well tt •• tt:. DAgtttfC[ltcd iargc tXhou tdtF ttcr lkcnicdiatiou kt9z$ANQiGtt,l,Il'EL 1MC K it aji• AAgiitlFtrStpt�igeantlRccotxs 1=15.�hnit\,t3atncr 11 t. t rtiVr(AIA..t I W1A(VW.$T tt:tli0D 28: tt 40 ft Sand. #2 • f iAgn fcr Test. • • • • ...• ft • •.•. (t DSijaemncRt�t7'ctihnoto ., ElSu rdcii Pt is ni 1< ;. ; �4.1lRIt (# - addNionoTstrects nee ) .I_� � ,:;IJAT #©61r�tbeb `it tsmr3 ❑Geothennai{Closed temp) 1-iTracer, • .G.R.0?1'• :110 • DESt1uPnON tc+Nbr Liirdfit•it,wll1'mdetirf' n r3lr.441 ❑G oMatta(HCaiiit C o1311g R iun).. .. i] 0 fi. 40 it.: sandy'clay - (t tL' Date NCII{s}'Caagllefed 2.-20 24 41Tk1t IYI+f Ttl 2 _. •Sa.Well Lu atiun = • p 20 tt.., PEAR 0 2•.4 • Sam's Mart::.No:. 7. ti ft;. Fact1,11,, H 1.);tNwrrr'' fF rlk lD,5'(>f apphcab1c}.: f i;•.: . infor 1T1.s:E;a •,c w^ '11 v 2630 Beat;ties:'Ford Rd_',;Charlotte,'NC, 28216 —•� F Mecklenburg __ e d temp well.install l d and'-abaii oned•saine day CtNirrlli';;_ k' 1 tlt�tQir tf n No (PIN) ;b I.aittuttc ainil 1.ontntatle ift de!~trc ltninntcc/econtt or decimal tlgi ccs ua: (if wi+lt• :tX•tidr uta;£iltlar,S 8irtflel:tctl yt • - • ,: ,' • •6 Is(air•}thrtiidl() tiPerniaiicat dr BiTetnjit►rai3 l` t+ r#� « ;«mo It}•axp,(rita rlrY,(tri;r , . l+� N .(/ r.ra t.,,rir�eenzilinLfrrl irr m^cvrtarrce. • u,iIi eitC.22C s t.,n• , C 06.1p 14'r'1l Coln1rt+r rlrs Srcmattr{rle wl tly r'o 1{itrY U T 1 taus A repairto auto u+ftln wclL DYcs or 1)*fo • - • If rk#a rrpfii.0.i!t err kf tans ii.dl zalarrrr,ct}or0i oarAnnws:in ti r pl thi+lis ruiruri+c4f tire' ' rrjir lrfrmlerat2l;rcniarkv r nriu,t.ti x1.af tMi f4„n 23 Site dtegrftln ar Additional tteIl details 'ton niiiy use titre ba of this :tt1 ro ide adtitttoilnl rceli Silt details tat�te11 8 I\'utub•e•r<af'welts coastruLtetl 1 consinieuon dethits Ybo may also-itiaciriiiiditte11Alpages if nectssar ` • Form.lr# 4frticii#onat,wn slakt,S t 4ls,OMsLYlrttlt i t..0mt cdlrsf uc:i6r)'} r�srr#:'. �rrbir • • `9 ••��zt(...•. .9 .4 Total\telldepth belo lstttd�tirfia 40 {tt)`. 2 t. :Erin Alt !'Irelisl Siibiiut ibis Lenai within 3U dons of compTat4n of t►ail. Far''iriitdr#Irfai}tttslrrrtttJc't hs#/ift Kti+rt/cxmsp1a 3 a1A1°r�rict,2,1'll)e} con tmbtiduto( t0)16ic ng. • • ' 10 St ttie cater to\ t betott mp bi 1 tot; (ft) Uti t stun of 11'ater 1t4`pert t§,inf+lrmziti n 1Proeesjtng Unit•"' 7��r4rt,rrh'ts1S itT'r7lceas#n i + ` • •• • • • .1617M:ailScr s&CentersR lci�ti i( 27699 Gt7 It,liercbate diametcr,6 • (in) 2 ib for 1<njeedr�st�etle laNLYr Ili addiBore to sentiula the forttl to the addti s ut ° 4n abo►e cis submit :coplf of flits futiit 1111hit1 30 �inys of compleunn'of wtslt:• 12.Well alnstt itGil+lta method Air . e�tlstsi ctiou tti::lti foltowiug%; P , : ((e:sager mica? cable dfrccxpast cic:• • '• : D do gram}::Dlvls(on of.VVAfierRcaoui�xtUnderground t,jcr n�omrolpto O;w WAT RSGPPGI'!4'RI.IS•ONLY • 1634 ALtll tt�ice C Yttt�r Itnleigti,x1'G ib99=i636: Ba r d tti 1l>fGtltad of fGsts • 2 jor r1Vater•Sunpl#&to olYton Wells • {Rli„) • :1isa-submit one eop}'gf this}forlu 11it11tn`tt)da s.'bfeott>plettortot • I31i I}jslnfiseh+n t pt : . Amount \tipil constnlchon to the calf-- health dep•;ictment r the¢o_i•n!\r nlncii ,. constricted Pomiti�V I on iC�m hia April Ymati9tEndromi eiit'aird�Tanupl3tesUwee 1?nts op_of�t'terRetaitt_. •ltcaescdAi.ont2611•