GW1--01394_Well Construction - GW1_20240304

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WELL'CONSTRUTC`i`ION RECORD: .
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John:.Eisenman • ,: .:FROM,, TO ,,.nE�mertaa: • •
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4439A it tL I .1
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SAEDACCO : .
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PROM 70 D1A2E1ER ...THICKNESS: MATERIAL
2\VCIl tiiit4f`Mttgn t'Ci7nit fl 50001836 0 • It 30 it;• 2 trr. SCH 40 PVC... • • .:
•Ir it itI applitiibti'urll•prnmlt�Ir m.Cr untf Sutra;�i'ar io***:Itl'act/CO3 a c.;•. y
3 ti\'e11 i4(ched nellttsc) :. . .• : ." !7 R:tot- t t _e m•7 .:= As :�k . ='
1V4tc!'Supitli'Wi1l . ' • 1±RO�4 TO' J)TA.MilftR SLOT5t7; ."TIJICKNt:S$ t MATPRIAl,..
t IA,�it u1titral 't7I�itt1iii p.aUFtb•l C• 30 .'R ..40 ft.. .•2 .... :0• •. SCti 4. PVC.-
IJOveittennal le,1Rlit.00inn 5uppi ) 't lRLecdeuttal'1Vater Sapp.}.(suogle} • :.
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bndsutallQnmtria DRa deuatWaerSPpCbatedlsRos To anlsRrAL t zarPitce►rr:Nsnioa�'a}oue':o l
t1It'rit ittoii:°... • •. . . .. . .. • ft • -fL::
Non'V4't1Ct.SuppIs S%'eq • • ..
�1 oiutormlti ccirirT}:.. . . . q
rnJi ctiou Weli{ PR . . ft tt -
DAilit*gechargge Di routtdt�ttcrlieftiedr.dtifn 19, ;• -••• LPACK...rr'i�ri ah ) "y ,,'f ,.'„ y, 4�-
FxaM th 71taTBR1 i F,tPr CF:lr1r r 1:TJIOD :
CA nik $tom4c atxl Rc.:rorx� � ;T 1).i. Darner: • ;28 . •.ft,. �40tt� Sand � #2 • -
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t7Ge t nnnl(CloedLoop "fTraccr_ ntos .to DESCRIPTION
(0., 1 ,r..,3,30ri15.rkl p t7.1ri t eicI
:o . • • 0 tr •.40 ft sand claY:' .. :
❑C:otitinaot6iingiCiaoag tetun :. ...EiOtlterepataiiiid # tRetnads ,• . . • • • • •
4 Date Well(I)Completed .2r20 24 . ,Wt11IDJJ -1. , . '. • « tl' a'
5a.%Veil U►t:attei _ - f1, f4 :.. .
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:'2630.Beatties Ford Rd Charlotte,•NC•:Mecklenburg.:;. ..,,, ft;. ft :. s. D4+< 3`
Charlotte,•NC, 282.16 • . . .P- Address:,CSly 04, ji`. 2L`Rt�AIARKS e ,.. ..`:.."., txi.l.�. _ _.r.tia_P.. ,g; _4.r,y,,�_ ...�•: `-
Mecklenburg. '. :.:.
:temp well'.installed grid abandoned'scrim•_daY
C�inNfy - p4it-c11i1Crit((i i1an0pr.(PI$)
Sb t.ttttude and Long t de la degi sFtn nutcsl�ccondi t?r tleetmal:dr cgiiss, 22 CcrhFicstuon
titw It Held,Ma::lautoeg it?trrfFlel ntr
_. ter ,,.. 2/22/2024
Srgt11(tn"`d,,1. '. v�7i fa+!r."•i 1ytt: - .
6 Is(are)thtwell(s).`:tlWettniwent or .W4in[wt•Rt7 • l� I . . sa w '
.. ., .11�'$tijrjUT„flllY /jlt ) r,�ife�n 1+� , .q f (�rkrr)tUf'intcJtrl ili dX`(.1rYtJtatC'f.
• wak l5.rl aYC.tCO2C ' -l'6:i h+. '1.020t1»re•dS Coralrxzeri.0-::$trrn'afdi:d..0' .ii. •
7 Is tins areparrtoanc i tin i dll £1V' ar. XNo : re�r�fttcrerrcw.nIlunins??Pm,arY.dr #z* iilinrincr
1filrtchauprir,Jilltetrkrrnu/t,etllcr±*rinectkrnIt rtturt1 a*...a1lubt:eyforrrPaf'Ih�. .
r.iiiririrde 21r i.iii-iwnarivfil,�l;neLditliafar„r. . 23Sitediutmatnoradditionalsrelldetatis
- You niil use the bark of
" ti poge opro ide addiuoona well sue defad"s o r�e .
• .en•siniic•ti• t detas Y6ikei i.Ue-, ttadhaiidrtrotmpagesrfrrs ar .$ rtlltbT of Wills ct►ur[noed 1 om
Fa4irililplkit#0-.i?ifN 0...434 i,igy. r Y:§4.0.rSiorfltc »Suifa 04*-0.i AS1It .
aluf .rcfor r :sad
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9 Tota-:' —wr...iicirtb below l:tttd trfaet :40 : • (ff:) 24a: r Alt WCIk Submit 1dtns lomx wathm`3b ttit.%•cif completion of well,
r Foiirttiripf,r l iiefiliif+:tht ritigircirt(eurtttlsle-.3g'200 irni(21.04r): CcfnSHUCttOn to;the(ottoivint;.. t
1U.Statle water le'tci below top of aasinb,•, - ([it} it i sion of W1�.tt 1 Resoelrcts,infirrmation Processing Unit, .
IJ s, to?i Irx rl t1 aI�rnc•,.,:- �re".•.' • • • •• • 1617 Mail Serer cC Carter.Raltifih}'�IC 27699 16t7
It.Bsie•cltitte diameter 6 (in), 241t For ttriccti n Wclkt ONLY: In addition io sending the fontn to the addr in
:24aaoc al�s bmita cop of thi fonu wflbin.30dbacmpetin of wel .
12\Yclontruetionmtod.<Ar. :. . . . .• etSt$tflctotttalt follwin ;1 , .4c A0o rataiF:cablc•drrect pas; etc.# • • • ;1?ttigron of Watci Re ionic s,llndetgound Jojeetlon Cont Otti: rapt,
FOR_W STE• R$IJPPi.Y WELLS ONLY . . ;1636 Mail Seas l to+Le tt�rR• , aleIgit,NC 37699=1636 :• : :
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13a:Yid..fFkrrit) 34TeNtad of., . 2ta ForWYater Supply do lnjottioa%Yells
. also submit offe copy oftlus i'orm►ttthin �t3 d'i)sofeompleftottof:'
!3b:b100.,dion t pi• _. • Amount..
tialkCbnstrngbdn t6 the;cutrnii.'.'f atth it*.4mctrt pi'tliG Cohn*,i,.
constiuctcd
Penn:4 '.t' :t ortti CarmiiuiD CpaltruOiL4tEt icarurl.0:400 N.a4P11 1.4 c Ltt,lsion ofl'_t'�tcrRtaatftt Reitsnd AYtgglgl:1.