GW1-2022-06165_Well Construction - GW1_20220620

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8.For 06aprolivilliff of OM-Latin GtIIth mm.I Wells ImAY,R IM Route You tarty tteas tho beats of this pSBa t6 pmvtda additional%vil site do tills or wall
constsuation dc-mlla. You may oleo oitach oddidonal Pape ifmreua
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construeilmu only I OW-1 is coded, indicato'I'lr3'Ai.NUMB13R of'evalis' Y
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(fnpter taut(s abom cnrnjo,ow a ,z 1617 Mall lilervloo Center,RaIdgN.NIC 27699.10I '
24b.y&dgjVbLMj hi addition to mitlie+8 the fort to the addrm In 34i
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®�� above,also ntlimit.m copy of this fomi Within 30 days of enmptatlon of%volt
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FOR WATER 0t)PKV WELLS ONL'dt Jf 9tiiE�d h'daN�saavict G:tatar,Rnleir}tr,we 27tS 1636'
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13b.Airdnfestion typos Asnntt D eolrtplotiottt of wolf coiu►trustitrn to linoitnxy haolih daptamiuit of aho catinty
Porn OW-1 Nanh Carolina lopado mt of L'nvironrriM puslliy•blvbiun or water Reassure Rovisod a•sz-aoib