GW1-2022-07160_Well Construction - GW1_20220729

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r7Wr,wbr/N area 40,r sew er rw she beL4,✓u4)Lr.e. 11.$&1t diagram or adidiMlosal well ees•IMs:
You:usy usr 4ts back of this pool U provide eddkiertal well st:e dottile or—'I
t.Nrtsbty of wclb coutrateted: cxeUt¢::on dOW11. You stay also attas h addlUN%i pajae If W.."WY
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f.Total wi11&ptb btdow Isad divided: M6 1nT 1/L ref All Weill; Submit th s Bunt wtdlul U days �f tunplotiin or ..'e.
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l a.Stalie wour level betm up of(Asfss: L) „tfU Devises of Water Quality,lsforwetioa Trvese91116 gait.
r/..car kwr t.A",rime the- li 17 Msil service Geuw.Aakk1t,INC 376W011
11.Develaio eltltwsor: �_ � " __ pia.f sh� 1)I�it' r��t1>!t N addition to ttettdrng?tc�ty'Itl e01!M sddrus N:ee
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f i e.on".rasp.table,dir'vt pool►a' ) / -—
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FM WATKA VUrrLY WLLL.o orY1:Y: / 106 Mail Service Cwser,RalofgK NC 274MUM
13t Yield(rsst) _ Mt.:.t0 w uet. of t/ ^<Q t i!t1 2se'�,►i W a��`r h'L..c ebr.Welt tr+a0l;tion to totbutt tlx ftam ro
W ttddress(M) above, slrio submit trite sapy of this form within $0 days of
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