HomeMy WebLinkAboutGW1-2021-06805_Well Construction - GW1_20210110 8
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You:aty use the btaok of tbie peps v prtivide addttiWal Well Site 4"15 or w6tl
P.Number of wells catutrottud: C.v%u%tct:on d"11. You may also atock odditiarnat PAPS tf es+»•»vey
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i.TvW will depli [below laid saetece: �U P tftj Sea, For All Wdta: Submit ih:3 Mml wtOM ')t) 3Uyt vf cvmPlstiJn Of wt.:'
pfe awlnpk wtk++n.if dtp•At !WOO o.rd 2{titW) co"l-uClion tc the Wowing
I a.State wour leva!below top of caa:os: rill Dwis:os of Water(Stoiity,tntorraation rMtesslag Visit.
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FOR WATltili)UTtt•Y WILLA OM.V: / 16X Moil S+rwiro;Cw4r,Rstaigh,NC 2740.106
t7a Yield(Va) U — Ms.:rod eJ ut1: oC�/ 6(U t tr h i'cr WPy'at�ef lit dl r.ccti.;s Wcliu In•4 lit rcm w toudtttt rite fora iu
/1 the sddtess(ss, obeyc also subnrit ate sapy of tuts form within 34D dari of
ills Disislsctln type: / G/r h P Anfosttt: t9 2 c4TMDlouan or well constructlun"to Q+e cooly heYth depais/t.'ttt tS'he:aunty'
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