GW1-2021-04695_Well Construction - GW1_20210521

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WELL CQMMUCT ON RKCogp — Per Ye1�;llrc ONLY.
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!b.Latitude add Lassitude is dgrvesimunittelveeeout,or rkeiss.l dwell:
(if Well/W cot tuft"its Im 8,eiga) 23.C:e rtl
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d Is(WI)the ryetJsU' Ulalsaemot or CTtlororsry /`
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Asir to as eaistisi Well: Oyes or P�.Yo ry.aJriu+raor,l0.1 Menpw+dr/a iwe nvh o+wr.
ll AWN re i nt+afi,JVI or Areen well oaw,►lvow:l�rly/iyw rr.i criloV iM,raarrr a1 rAr
..rvi.wY./!/rrlwrnir rrcww r ew W Nef..rrw:r�..w. 33.SUe diegran or sddlstosel yr ll details:
rfwrMr m You:usy ust Rat back of Otte tape n Provide additiorltl well site 440s.or wcd
1. dar►of wells eoutraeud: c.xstn+r:on dlearlr. You m•y also uteoh addtuewt Ndy+f wessruy
Par te wroeeew rr wa►wrr.r qf�Ndb GN!P rrflr Ile erwe enrareniraw,you war
MIMP O"�""- W .-I AL mafix-noms
t Tus•h well dap4b blow land scathe•._ CA.JD t(tj 34L For ALL Well ; SUMJii d'+:s Corot Wititut 'lC lays of cueltpl•tiJn of we:'
forwwlrllrevrAykv,O'boatVQ*y,u(if *t• eomll:clionlu the fallowing
A.Stave sour love,below rap of wrap; i(t) Dnieios of Watrr,t uAlty,►nforwatioa Pmcersiss t;oit,
// rti eioa n.ruly tsr-r.- 1617 Mail service Ceuter,3alMgb,INC 174WHO
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f fit, A_W'Cjk; y�oddivan to eendrnrt 91e'o•tn to IM addreu u+.af
eve .. + W.nl' .er1., of ..e tit v +rr.o .' day# of compldion of%w1i
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f i f.soon.taffy.Dane,6,-t Wes► —
+h'lerr o!w., .auty, '..t+t...' IediooCwtrMfeotnw.
!OR WAtYil 1RJPlLY WLf.l i O'(1:Y: 1636 Moil Service Com"r,Raleigh,NC 274 IgM
13a Yield(Spat) — Me.:.od N use: of t/ --/0 W h 3K'F It Wnr d- . - L 1'ee- -WC1Eti En ad lition to sooduu tin furm io
W ttddtN(M) above, olw submit ram w Ante copy of this ram 3o days of
23p Disisftefiea 0 Pe:C L G r t h P Amoout 0 Z cor+PltUotl of well eonstrvotwn io Cho eetstty hWth depsislr-nt c f'lw:t'.rr+
wlwre co1311Jwbd.
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