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GW1-2022-01069_Well Construction - GW1_20220107
828-13?2-7241 P,1 Fob 1519 05:43p (;iealwatca{Well nrlAlnla W��L tONSTRUG'�IDN ItE4QRA{�yV"a3 I=nr Intcntni t11c nty� �_ Rt'In AnMtmAtAan' ,.... w. "-`- ---• _ W , r{. rII t:rniteatlsxNasnes r. --.--. ------ --••—^• ter n--•�---- c 1N pit:: ctlr�nnemgorCectiAaMienNlrmtxr• , // _^ s R �- t'ampnn47•ramn �l� '��'�` i.,. t -._...-- :!,1YA1 rnaeM{tMinn Pertai!#!s ,,,,���� ---•••�-••--•••r. �'�' �, (f In• ;.rir q11 npjtllmAh!1wilfmurrrtCilnn frfrrmllt ll.t4 tlll:,Cnr+My,Slnrn 15AVAnrrz,ror:) n 3.1Vc11 iris(chnk Wc11 list): _ y^ [Aq1tir'". •Slu ff We!): _ _ f cnlheral Re_•aidMdAtWR1CtS11PFIy(c{OOD) tr InResiAcntial Water 3opply(shAred) I 01ntir tiitppl)+Wr.11=llorIn �_ _ _ ir,fan Wdl; ,, ft.RerhAt r- _..-_ _ lHcatin aofin R.aum lttttl: (cx kp linul�+tarit.l I�rtnurtts)_ �{tr. ������ie^ 1.Darr.Well(.R)Cnmptrted:_ - -•—--Wellr;a- Well Laretlnn:•t�.triliq:'Otnier Ntn o fect1iN IOY(if:mpllcahic) Ir n _.� r ..---- --- ,vtr 4 -s: .JKa� piAnAn:.S�,r.'ll•,aen 7tr �••,,,, �,-.---• ^ "'7FiiV"" ..r��'f'^'=�.,_, r,,m��l�c.�..�.-,[�-*---•---- pnrcni fAcatilirntion Nn ,.is�•:P'..9��._.�__,_--,r•.._...---...--,.—i;-...--•�'--•--•--'-"�....�._.. (M) 11Y1?RUI U 54,i,n►ftntlr aml lnngltttdc in deRroccrminnrestoecoods or drelmnl+1rRt•rns; ..._---_,.•-......_._. ___..-.-•--------,r. yr lrviru t>..,,,;tv�^u.II �I rii tell frrhi,one Int4nn!t is opfilnlnnt O i :I�.<;eAl +nn; ta(nrc)the well(s) ertrraRant or jare'ptapnratry II rnnCCrdifitvlDVeilCagtmatac l)Me 1 a+ynlnr,' NPM1 P cvnsfj,rhm tlrr ur�l�a)fmr Arnr::J r•egl#aft 4V in m'+.OWA!r+:r' '•i,1l,isncrpairtnnnc><t,uingwrit: Ves orAW e1b1SA.'4'C'rN'R2c"OffmorIJAtY(:A(.'A7CV000A'rrl(nnrin+rrinrrstntrdar�cm,rlrhm+t /11bir;,a:�rcltrir.,plltnrtklrnum,.vd/.n+n..rnn:jinn/rlfn+mellnn�rdrslz►nAttlrrM/ur,•rrther fr'P,Irnf!!r!rrrrnnrhnsbrcrlpM{7MrdtinM:wcrinwr>rr. r•^Nirr hrrd,'r Of remart,"Mro{r rirtm Iln:mrk r+flAixfnrtu. a;}.>rtlfie ftxnm or glldibOlUll dMAitl! R.r 9.•nr Gcnpr+rfir.tA Tor t:lfwd-l.All t*eolbermat Welift hayinu tits snort, loll may tt5n the,Iniek of lilts Polio to provide RArftllolmr{wttli Rhtl AitMilt fir welt +x1n!inertfnnrenlk.I GW-I isnecded. ilutia!do'TMA1.N13MBFR(if wrllc con91.iUrtimldclails, yait may also mwhAdllr00TI111pslgv 1iflime.4RRry. / /C� a�i.11Ef��.+�1•t--tti�►TiZ-_Y1G"A70N6 ►,lrnral weli"Ovlowinndsurbiee; `7 d -.___-- __•-,(�'► �;14t ��,}�jJ,q Slibmit tMa Arm 1tyiolin 31)Ok s of complr•.dan of aril 1.7:r nn,/Ilplr+rrlh h'tr nli;e;rhx rfOjP.r'rnr(vnmp/r�,i(nl7//fl'nnd r,RnaitUelinn io tor.!'oliolring: ln-4tntFr Waftlevel liolow top of rngit+¢;T__, _„_.�(ft,) 1)(vtoo ofWArer Remmr&%Anfnrmation Prnttulit Uldl, tl Nnnv lr�ulli.�„r„r:r,.ernk,,rac •^� 617 MaR Sn,*e Collir,Abtdllh,NC7.74"-ifi17 t t.Fn rermte ernmetrr -.__ (in,) 14b.T,nr inku"aw WAR . An sddlttion to sanding tlm forai to dia attilmmi in Ran L 17 Wrll clmntrnrfintt>Ttethod: - . . 7 rd:•nye,obo snhmrt onr copy of this friml+vilhin 30 rfsye of r ompletiotr of Vol �_..._...^___.T. ra,ssktrcTinnmnct'.fntlatsin((` (,¢,nnnr.^,rnArp•,rnpM,dil'cel iTN11.CtC.)W TY>tll WATG:R,Sf,:PI►t,jr' F.I,T.4 t)All,V: DIvJsloa of Water REBOUrreS,Undmrgt ilddalaNiaC�Fry )A9•agMM, ////� T fi ttS Met R Rervlpr Ccntcr,Rtilc 13a-Vtrld(RPM)� __ INtlthtul of test;�F? •----r a.tt,�;nr raft f C itortl� iaioetlon we ta: )a Awdilloft to Sanding#lit t(nm m rTrr• rtddress(t s) nhavm akD submit.one copy n;'th1S IEnnn wldtin 30 days oif tan.{Ik{ntltrtlnn types ,A,nmtint._•,,,—�y� r:nFlnptation 47f ,Teti cemstsvaitin to tha eormty hoatth depenmr.Iit of the annnty -- __ --- ..Whore coAglmf!trtt, !r^""�'O'�'r Noah t;nmffnn nnmcnl.nff!,.r r >�7+ , /dnmrrtair,;s>iaet�-piviz,nnnfWaft Rnanoraaa ReoheA277-2r11R