HomeMy WebLinkAboutGW1-2021-02143_Well Construction - GW1_20210620 g- -7-- 71
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t3,f"01'GOOF"b~r Or Cland-Unp GmUmmal Wells having the swoe YOU May um tile ba&of this pile to provide additional viell sito detsmils ce vj?jj
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INISdIVO Ukft list all APIks IMArml pxample-3@ Submit this %m within ?,0 days of completion of Lill
�200-md2@10&) coristruofti to the AbHowing:
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ijigm Bola OT omjqg D MWOU OT Tyntft f�caumc,444nmanton Woes Uurk,V m Wd is UhOW cm
1617 MIN 9-wvIen U"notep;7?eAmph.INC
�iigO SlIblilit ORO QIVY,'�)fdlis�Gvfa%Iftill 30&V qf COY4@1@40D UZ rlo"2.
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PPOR*ATM OMLV"WNLLS ONLY: Dir'doe of 16%Moil Geyvice Cmt2r,Lblefgh,1�4C 275,39-1629
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COPY
the addrWK-b)' ftve, also s one of this form within 30 dayy of
ImL Obwedion bpe. ortao uciaokkimj UP'vWH conunrofiml tar to county.IWAIt,&AZOWIt of the coinyv
w1iff-c constructed.
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