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HomeMy WebLinkAboutWM0401358_Monitoring Well Permit Application_20220428NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM PLEASE TYPE OR PRINT CLEARLY In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto, application is hereby made for a permit to construct monitoring or recovery wells. 1. Date: 3/18/22 2. County: Alamance FOR OFFICE USE ONLY PERMITNO.'JJ ^l‘VI OiZ.S& ISSUED DATE `i acp J 3. What type of well are you applying for? (monitoring or recovery): 4. Applicant: USACE (Dena Thompson) Monitoring Telephone: 912-652-5087 Applicant's Mailing Address: 101 W York St, Savannah, GA 31401 Applicant's Email Address (if available): Dena. B.ThompsonCa�usace.army.mil 5. Contact Person (if different than Applicant): Ethan Dinwiddie - Terracon Telephone: 919-436-2965 Contact Person's Mailing Address: 2401 Brentwood Road, Suite 107, Raleigh, NC 27604 Contact Person's Email Address (if available): ethan.dinwiddieRterracon.com 6. Property Owner (if different than Applicant): Northside Presbyterian Church Telephone: Property Owner's Mailing Address: 1805 Vaughn Rd, Burlington, NC 27217 Property Owner's Email Address (if available): 7. Property Physical Address (Including PIN Number) 1805 Vaughn Rd City Burlington County Alamance Zip Code 27217 8. Reason for Well(s): groundwater contamination (ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.) 9. Type of facility or site for which the well(s) is(are) needed: Former Tarheel Army Missile Plant (ex: non -discharge facility, waste disposal site, landfill, UST, etc.) 10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s). Federal Remediation Branch # NC7210020544 11. Type of contaminants being monitored or recovered: Chlorinated Solvents (ex: organics, nutrients, heavy metals, etc.) 12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes, 10+ Existing Monitoring or Recovery Well Construction Permit No(s).: Unknown 13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 850 feet 14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No If yes, give distance(s): 15. Well Contractor: Larry Opper / Gary Ellingworth Certification No.: 3322 / 3367 Well Contractor Address: PO Box 1161 Wake Forest, NC 27588 / 501 Millstone Drive, Hillsborough, NC 27278 PROPOSED WELL CONSTRUCTION INFORMATION 1. As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following: a. Borehole and well diameter e. Type of casing material and thickness b. Estimated well depth f. Grout horizons c. Screen intervals g. Well head completion details d. Sand/gravel pack intervals Continued on Reverse PROPOSED WELL CONSTRUCTION INFORMATION (Continued) 2. Number of wells to be constructed in unconsolidated material: 2 (1 temporary, 1 permanent) 3. Number of wells to be constructed in bedrock: 0 4. Total Number of wells to be constructed: 2 (add answers from 2 and 3) 5. How will the well(s) be secured? Temporary Well, abandoned same day; Permanent monitoring well, secured with flush -mount metal manway, locked cap, and concrete pad 6. Estimated beginning construction date: 5/4/22 7. Estimated construction completion date: 6/3/22 1. ADDITIONAL INFORMATION As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following: a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads, intersections, streams, or lakes within 500 feet of the proposed well or well system. b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system. c. The proposed well or well system. d. Any test borings within 500 feet of proposed well or well system. e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel storage areas, animal feedlots as defined in G.S. 143-215.1013(5), landfills, or other waste disposal areas) within 500 feet of the proposed well or well system. SIGNATURES The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of this Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C) and accepts full responsibility for compliance with these rules Staff Geologist Signature of Applicant or *Agent Title of Applicant or *Agent Ethan C. Dinwiddie * If signing as Agent, attach authorization agreement stating Printed name of Applicant or *Agent that you have the authority to act as the Agent. If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct wells as outlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the well(s) conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C). (See Access Agreement) Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant) DIRECTIONS Please send the completed application to the appropriate Division of Water Resources' Regional Office: Asheville Regional Office 2090 U.S. Highway 70 Swannanoa, NC 28778 Phone: (828) 296-4500 Fax: (828) 299-7043 Fayetteville Regional Office 225 Green Street, Suite 714 Fayetteville, NC 28301-5094 Phone: (910) 433-3300 Fax: (910) 486-0707 Mooresville Regional Office 610 East Center Avenue Mooresville, NC 28115 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office 3800 Barrett Drive Raleigh, NC 27609 Phone: (919) 791-4200 Fax: (919) 571-4718 Washington Regional Office 943 Washington Square Mall Washington, NC 27889 Phone: (252) 946-6481 Fax: (252) 975-3716 Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office 450 W. Hanes Mill Road Suite 300 Winston-Salem, NC 27105 Phone: (336) 776-9800 Fax: (336) 776-9797 GW-22MR Rev. 3-1-2016 Well ID: Project No. : Site Name: Field Personnel: Date: Location: Drilling Method: Driller: RI-GW-01 through RI-GW-06 7021P145 Former Tarheel Army Missile Plant Ethan Dinwiddie/Dan Govert 3/18/2022 Alamance County PINs 139443, 139764, 139783, and 139787 DPT Larry Opper (NC Cert No. 3322) lrerracon 2401 Brentwood Road Suite 107 Raleigh, NC 27604 919.873.2211 Temporary Grab Monitoring Well Construction Diagram Riser Pipe Land Surface Diameter 1-inch Length 15 ft Material PVC Well Screen Diameter 1-inch Length 5 ft Slot Size 0.010 Material Steel or PVC Bottom of Screen Bottom of Borehole Depth Below Land Surface (feet) 20 ft 20 ft 2 Borehole Diameter (inches) Note: Grab groundwater samples collected through DPT drilling rods using GeoProbe® SP-16 or similar tooling. Well ID: TAMP-MW-4, TAMP-MW-5, MW-137, and MW Project No.: 7021P145 Site Location: Former Tarheel Army Missile Plant Field Personnel: Ethan Dinwiddie/Dan Govert Date: 3/18/2022 Alamance County PINS 139467, 139470, 139783, Location: and 139788 Drilling Method: Hollow stem auger Driller: Gary Ellingworth (NC Cert No. 3367) -138 11-erracon 2401 Brentwood Road Suite 107 Raleigh, NC 27604 919.873.2211 Proposed Monitoring Well Construction Diagram Land Surface Riser Pipe Diameter 2-inch Material PVC Length 10 ft Sand Pack. Sand Size Well Screen No. 2 Diameter 2-inch Length 10 ft Slot Size 0.010-inch Material PVC Note: Not to scale Depth Below Land Surface (ft) 1 ft Bottom of Grout 6 ft Bottom of Bentonite Seal 8 ft Top of Screen 10 ft Bottom of Screen Bottom of Tail Pipe Bottom of Borehole 20 ft 20 ft 20 ft K > 8 Borehole Diameter (inches) i R ti Y, • 139,173 139,177 .� 139',. /^ . ' NHD: Unnamed Tributary of Service Creek i' (Perennial Stream) 139482 139480 139481 139478 ; 139485 Legend City of Burlington ROW (ROW agreement dated 11/14/2018) = Properties without ROEs (Needed) =Properties without ROEs (Would be helpful) = Properties with ROEs Proposed Soil Vapor Sample • Proposed Grab Groundwater Sample • Proposed Surface Water Sample ()h Proposed Deep Monitoring Well q Proposed Shallow Monitoring Well Existing Monitoring Well TAMP Site Boundary I= Alamance County Parcel Boundary 139443 Notes: - Properties identified and labeled by Alamance County parcel ID number. See corresponding ROE table for addresses- - City of Burlington Right -Of -Way agreement should be updated based on potential offsets of proposed locations. 139789 MW-103 MW-113 MW-116 MW-11 Service Layer Credits: NC Statewide Orthoimagery, NC One Map Server, 2018; Site Boundary approximated from Alamance County GIS. Project No.: 7021 P145 Date: March 2022 Drawn By: ECD Reviewed By: DRM 0 75 150 300 Feet eetlsinrThe Information depicted h this file is for Edo imatonal purpoeea only and was not preyed for and 4not suitable for legal ore greerhg oupows. Tti hf bon presented is M I eg lstoy review and h intended for use only by a Professional Lend Surveyelpdorto YN lory iTerracon 2401 Brentwood Road. Suite 107 Raleigh, NC 27604 Phone: 919 873.2211 Fax: (919)873.9555 Proposed and Existing Sampling Locations Tarheel Army Missile Plant N. Graham Hopedale Road Burlington, Alamance County, North Carolina EXHIBIT NO 1 1 r, r- �- ax I aa_I : t= _ I L'. Y A- 1_ • 1 -•1 1 1_ •• J L, Lq L_ = _ C- 41. 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The City makes no guarantee of adequate public right-of-way to support the proposed installation as shown on the submitted plan. This is the responsibility of the applicant. Note that this is not an authorization to construct. Any installation or disturbance within the public street or within public right-of-way will require a preliminary field meeting with a representative of the Engineering Department before authorization to construct will be given. Contact the City of Burlington Engineering Department (John Hammond) at 336-222-5050 (o), 336-512-7646 (m) or by email JHammond(a,burlingtonnc.2ov, to set this meeting. Deviation from the attached plan noting alignment or methods of installation must be approved through this office. All work within NCDOT rights -of - way will require a separate approval through the District Engineer's office. All work that requires an adjustment to normal traffic flow shall be performed in a manner that complies with FHWA traffic control practices as noted in the MUTCD manual. Pedestrian and vehicular traffic must be maintained at all times. Please note day and time restrictions (if any) noted on the attached ROW use application. It is the applying utility's responsibility to locate all other utilities prior to installation. All utilities shall be a minimum of 30" below the nearest roadway surface —or- depth required by the governing utility code. The new installation shall be a minimum of 48 inches measured perpendicularly from the center of any City maintained utility and 24" clear separation when crossing any City maintained utility. The utility owner shall agree to remedy any possible conflicts regarding the permitted utility, which the City may encounter while performing maintenance of a City owned utility, with no cost borne by the City. The utility shall agree to restore all infrastructure in accordance with applicable City of Burlington specifications. Note that all restorations performed by the utility within public right-of-way shall be guaranteed by the utility against any settlement or failure. Sincerely, W. Todd Lambert, P.E. City Engineer cc: file Austyn Howell Streets Superintendent John Hammond R/W Inspector RIGHT-OF-WAY USE APPLICATION (required for all work in the City maintained ROW) City of Burlington NC Engineering Department 425 S. Lexington Ave. Burlington, North Carolina 27215 P: (336) 222-5050, F: (336) 513-5467 APPLICANT INFORMATION: Name of Company: USACE Savannah District Contact Name: Joe Melton Address: 100 W Oglethorpe Rd, Savannah GA, 31401 Telephone Number: 864-650-4998 Email: joseph.w.melton@usace.army.mil Contractor Information: (if contractor is applicant, note such and provide applicable contact info) Contractor Name: Northwind Engineering, LLC Telephone Number: (724) 201-4498 Subcontractor Name: Terracon Telephone Number: (919) 873-2211 24-HR Contact Name: Danielle Hughes Telephone Number: (724) 201-4498 (Contact during construction) FROM TO Project Address/Location: North Cobb Avenue near Parcels 139467 and 139475 FROM TO Project Address/Location: Hilton Road near Parcels 139478, 139768, 139787, and 139788 FROM TO Project Address/Location: Patrick Avenue near Parcel 139783 The proposed locations of the borings are provided on the attached figures and will be placed within the 50 foot right-of-way that the city has along these roads. All utilities will be cleared prior to commencement of work. There are eight total wells included in this permit application. Please see the final page of this application for a table outlining well locations and quantities. (provide location sketch) (Complete as Applicable) Reason for Need to locate in City public right-of-way: ( i.e. Utility service, Video Services, fiber optic connectivity, local telephone service, natural gas service, electrical service, etc.) The need to locate the borings in the right -of way arises from assessment of the contamination plume from the Former TAMP Facility. USACE cannot properly address this issue without sampling off of the TAMP facility. Wells installed during the assessment will be completed as temporary or flush mount monitoring wells that will be completed at the existing grade so that no vertical obstruction will be left. The US Government will abandon any permanent monitoring wells at the end of the assessment and any requisite remediation. Construction Activity general work description: Excavation Area: Length 1 (FT) Width I (FT) The wells be installed in holes with a diameter less than 12 inches. Pavement Cut: Length (FT) Width (FT) (Includes benching perimeter) Pavement will not be cut unless a suitable offset location cannot be identified that is also within the right-of-way. Anticipated begin date: Mobilization 1 - 5/2/2022 Work duration: 7 (days) Anticipated begin date: Mobilization 2 - 5/23/22 Work duration: 14 (days) Construction plan or sketch submitted? Y N Material shop drawings submitted? Y N (attach) Mill and overlay street for pavement restoration? Y N Traffic control plan submittal: Traffic control measures may vary based on location. Basic traffic control measures would include closure of a section of the road shoulder using cones with a taper towards oncoming traffic. Road work signs would also be displayed on both sides of the road at distances determined by City of Burlington or NCDOT requirements. Additional measures required by the City of Burlington will be added if requested. Print Name: Joe Melton Title: Contract Officer Representative Signature: jo'"'&t,` Date: 19 Apr 2022 Signed by Joe Melton Digital version on file CITY USE Permit #: 1389 Issue Date: 4/26/22 Permit Fees: $ N/A Utility Pavement Cut Fees: $ N/A (per Utility Pavement Cut Policy) Public Works restoration fee: $ N/A (Does not apply if contractor restoring pavement) TOTAL FEES DUE: $ 0.00 Preconstruction Meeting Required. N Traffic Control Approvals: Traffic control plan for any disruption in traffic must be submitted prior to commencement of construction, this includes but not limited to loading / unloading material and equipment and Traffic Control Plan: Y' construction within 5' of the travel lane. All traffic control to be installed by NCDOT and Detour Plan: Y © MUTCD Guidelines. Street Closure: Y 0 Permit Approval: Engineering Department Signature: Work Acceptance Engineering Department Signature: Permit Closed Engineering Department Signature: Project Notes: date: 4/26/22 date: date: See following sheets for Locations included in this permit. This permit shall only apply to City Streets, all NCDOT required encroachments shall be procured by the applicant and is not considered part of this permit. The City does not guarantee that adequate right-of-way exist to support the proposed installation, R/W verification is the responsibility of the applicant. This permit does not guarantee private utility easements or their use there of. No lane reductions, closures or work between to 4pm and 9am; no work may reduce travel lanes within a school zone during school zone times. No handholes may be placed in a location that conflicts with proposed sidewalks or else relocated at AT&T at such time the conflict arises. All sidewalk impacts shall be left passable at the end of each work day with compacted gravel fine stone, level with adjacent grades. Any sidewalk impacts shall be replaced in full panels; partial panel replacement is not allowed. No trees, shrubs, or landscaping may be trimmed, removed, damaged or disturbed without prior, specific approval from the City of Burlington (Engineering Department). Pavement Repairs shall follow the City's adopted Utility Pavement Cut Policy which include pavement restoration within 24 hours of completion of work. No handholes may be placed within driveways or roadside drainage ditches. Failure to meet Project Permit conditions shall revoke work permit. Owner Name: NORTON RONALD LEE 2121 NC HIGHWAY 54 GRAHAM, NC 27253 GPIN: 8875950571 PI D : 148-5 98 -74 Address Points • Address • Tax Address O Preliminary Address Heavy Industrial Development Applicants Cs APPLIED FOR PERMIT April 27, 2022 1:312 0 0.0035 0.007 mi l r t DISCLAIMER: The datases and maps avaiable are notsurvey sr ale ora legal document They are a best approximation of what s on the ground, but do contain errors. The data comes tom various sources nalonaty, he state of Norh Carofna, and herein Alamance Count'. ?flamenco Corny wil not be held responsible for Ire misuse. mi srepr esentation, or misinterpretation of the data or Aiamance County GIS maps. These maps and data are as ensue provided for the benefit Alarnancecounty Tax ce part ment forAlsmaresCornl ecnaensweconstymystrivetoimprovethe t, Inte p, INCR um ddataardma ova lade Sources: Esri, HERE, Gamin, US�S, Irrtermap, INCREMENT P, NRG�an, Esri Japan, ME11, Esti China(HepzJAxtmgrpemu'nKnressElnri+outtuiendkyerrors. NGCC, (c)OpenStreetMapcontributorb,' erth@eiststoMBrtYfT nproddedregxdessof haw caused:or any decision made or action taken or not taken by user if reliance upon any inform atan or data furnished hereunder. Theuser knowingly waves any and al claims for damages against any and all of the entities comprising the Alamarce County GIS System that may arse tom the mapping data. Dak'. 4/27/2022 ;Oioi c, V [ Owner Name: NORTHSIDE PRESBYTERIAN CHURCH 1805 VAUGHN RD BURLINGTON, NC 27217 GPIN: 8875955682 PID: 148-599-102 Address Points • Address • Tax Address O Preliminary Address Heavy Industrial Development Applicants 0 APPLIED FOR PERMIT 0 April 27, 2022 1:768 0.009 0.018 mi DISC IA M ER: The dataseb and maps avatable are notsurvey wade or legal document They are a best approximation of what is on the ground, but do contain eras. The data comes torn various sources natonay, he state of Nab Catofna, and here in Al am once County. Alamance Count/ wif not be held responsible for tie misuse, misrepresentation, or misinterpretation of the data or AlamanceCounty GIS maps These maps and data are aserviice provided fa the benefit AamanceCountyTax Department for Al am anceCounty cd¢ens. Weconstantystrive toimprove the atty me expand the amcunt of data and ma available. Sources: Esri, HERE, Garrrin, USES, Intermap, INCREMENT P, NRC�an, Esri Japan, MEn, Esri China (Herrgf (W rOffe Klabs,auvefira(rr4►ailead)yyerras, NGCC, (c) Open StreetM ap cantribuP8Y3s'W391V gSYStiSeiEC5rt lfahttn Provided regadess of how caused; or my decision made or action taken a not taken by user n upon ante upany bbrmation or data furnished hereunder. Theuser knowingly waives any and at claims for damages against any and ell of the entities comprising the Alain once County GIs System that may arse tom the mapping data. bale: W27/2022 1BURLINGTON', Owner Name: BAUGUESS PROPERTIES LLC 1013 NORTHCLIFT DR RALEIGH, NC 27609 GPIN: 8875854353 PID: 146-593-14 Address Points • Address • Tax Address o Preliminary Address Heavy Industrial Development Applicants © APPLIED FOR PERMIT April 27, 2022 1:204 0 0.002 0.004 mi C1sCLAMcn: The deteset and maps avalableate not survey grade ora legal doeunent Trey as a best aln:rcamelon olwhat le°elks grovtd but Co "wean errors. 'he data comes ton venous sources relunaly, the eta to ofNnh Carona. and here.n Alam atce Canty. Alamanca Count' wiled be 'ski resporoitle for Ite m Isu se. misrepr psematbn a Mslr*er ore:atbn of the data o • Alamance County GIS maps. Thee° craps DM data aro8sayen povdedfon thebendr Alarnance County Tax Department fnrwananaaco�tyad�ans.weeanstadyslnvetpyrpmue the Q ,yaneeapandlMa EM ddala ar NRCaevdhWe. Sources: Esri, HERE, Garrrin, UScbS, Inl e`rre p, INCREMENT P, NRCan, Esri Japan, ME11, Esri China (Hetyptka-Wgg(fflOa t+ecsE,9riw(rRttil leotOy arras. NGCC, (c) GpenStreelMap contribuf&V'E7Rf9h@tSY'S9=JSeirelbrafl'iltrftE0Pn0 bad rageraaesol how caused:or any decsbn made or ecr n taken or not taken by user n reliance opal any nbrmalon or data Ianshedheeurder. The user know rgy waves any and el chins for damages against any enddl oftherntilws comprising the Nam once County GE System that may arise tom :he ma ppng data. Dab: 427/2022 Owner Name: NORTON RONALD LEE 2121 NC HIGHWAY 54 GRAHAM, NC 27253 GPIN: 8875951561 PID: 148-598-75 Address Points • Address • TaxAddress O Preliminary Address Heavy Industrial Development Applicants 0 APPLIED FOR PERMIT April 27, 2022 1:312 0 0.0035 0.007 mi l t DISC LA ER' The datasets and maps avaiable are not survey Wade or legal document They are chest apprax Citation of what is onthe ground. but do cantan errors The data comes torn various sources nai on aly, he state of N onir Carob... and here in Alamance County Alamance County wit n04 be held responsible for he misuse, misrepresentation. or misinterpretation of the data or Alamance County GIS maps These maps and data are a service provided for the benne AlamanceCounty Tax Department feralamarnceContycaaens weconstanTy:tnvetoimprovethe lty ntew p, tt INCREMENT P, d R( ova Table Sources: Esri, HERE, Garrrin, US�S, IMermap, P, NRG�an, Esri Japan, MET), Esri CNna (HBaim.+(Wtgy'pEa Knf eerino(ifilaidstadkyerrers, NGCO, (c) OpenStreetMap co tribultZ ,'ITk1`thWeiS9reIr'e'dfWfl2R � gar proured redesa of how caused, or any decision made or act taken or not taken by user relance upon any nbrmaion or datafunshed hereunder Theuser knowingly waves any and al claims for damages against any and al of the entities comprising the Al am ante County GIS System the may wise tom the mappng daa. Oat: 412712022 -Alternate ['haPhage tit' Permanent '\[vrc:• 36° 5'58.29"N, 79°24'38.01 "W Owner Name: BERDUO SALOMON HERNANDEZ ELENA MORALES 2566 OAKCREST COURT BURLINGTON, NC 27217 GPIN: 8875856373 PID: 146-596-100 Address Points • Address • Tax Address O Preliminary Address Heavy Industrial Development Applicants O APPLIED FOR PERMIT 0 April 27, 2022 1:360 0.004 l r 0.008 mi DISCLAIMER: The datases and maps sealable are notsurvey Bade ora legal document They are a best approximation olwhat Is on the ground, but do contain errors. The data comes tent various sources nalonay, he slate olNorh Carolna. and here In Al emance County_ Alamance County wil not be hekl responsible for he misuse, misrepresentation. or misinterpretation of the data or AJamanceCouttyGIS maps. These maps and data are a service providedforthe heneft AlamanceCoLntyTax Department fora a marceCountyctiaenos Weconstantystrivetoimpravethe Yty and expand the amountof dale and ma availaNe. Sources: Esri, HERE, Garmin, US�S, IMermap, INCREMENT P. NRl�an, Esri Japan, ME11, Esri China (Hersyttufg)OE nKlei srfvmia(tf41 4010c4pyerrors, NGcc, mOpenStreetMapcantributats'a'Ikl4h@ISPSTAtiPC'brfVR' nprovidedregadessof how caused: or any decision made or action taken or not taken by user inrelance upon any hlormehon or data furnished hereunder. The user knowingy waves any and al claims for damages aganst any and all of the entities comprising the Alan ante Co,nty GIS System that may arise tom the mapphg data. Dale: 412712022 April 27, 2022 Owner Name: CHIKHA M KHALIL J s U t ti i %