GW1--07361_Well Construction - GW1_20231113

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Ricky Corriher . . - , ____
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NCIVoileectraelorCatifiesioaNsimber
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• ___ ____________Frank A.Co
rriher&Sons Well Drilling,Inc.. . _______ _PROld TO Dfaailiee 3200130033 llama - -----
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3.Wall Use(dads**as* V/ ft yg it. /2:5,--/..,-• • 7-5---
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Water Sappy Welk • •
igengm. , sr.orszc ,inaiiiciel -- .--• — -
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. : eothounalWestingicoding' , ow >100.000 Supply) Olaidensill WaterSupply(single)
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aCzmda1riplEkiential Water SupplY(oborodi - " 7..--; —. ILL
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e& GPD 3E004 i'd
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lasonitai. Esp1Aislininuseszoftaisintail (
Ploft-Water Supply Welk
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aRecovety ft. ft.
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Nation Wet
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Sb.Latitude and baagitode in degreeshobeutoriseconds or clerked degree= , NUV I 3 i023
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GradifieldcasebakogbeeffeAiea0 i iy
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4.IsOro)Moo** lik‘sosuenc or cmooPororP r. •;. Bystipaig&Islam.'iamb yeerftprbasheiveR(sj was iivadaxianctifitarcordaveevith
7.beim asap**aa azistiag weft ClYes or elPf Lid liCAC 02C.0100 or Lief MX 02C.0200 Wdedataracetee Sadao adder a an,
Id*b arapairjilatiovvavenesaviveska infonazion and apkiii the naha•e°Jae cfligis"cce'd Ian ZyttyPolwart omen
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ripairabrfEll rarais maks a-al rla back efikklan
23.Slte/Swan or addnal Wilt detail= ,_. ,
Geed: al Wells them
Yon rosy use the beck cif tisis page to maids adcritionol welicaftettOotiOninfo
., &For Geopeageffin or Cloovd•Loop mor baying
(add See Ovestio Remain Box).Yon nay also atlach alinimogpages ifnecesay.
consbuct ion.coly 1 OW-1 is needed_locleato TorAL MINIM of wells
24.SUBMITTAIINSTRUCIIOPES- •
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%Thad win depth below/sad tufa= Li C-1,_
. Feraniffplvadi lidal I elopes rdifferert 6traaids-3e200'&ma 20100) (ft7) Solana Ws GW-1 within 3fictaja(dwell completios per tbefollowfox . •
awing: •
',..., 2Aa. For Ail Well= (DVS)
anginal data to Division of Water Resources ,
U.Static water level bd avr Sop of 1/6 • ,
krw Infoonstion hocassingUnft,161714SC,Raleigh.NC 27699-1617 7.
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Yvon-lewd!raters emit&&se'tr.*
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Borehole db 6. ' - 24b.For Infection Well=Cy pc,DWR,Ilaciaground Median Coo11010JC).
11. asear:
Proiso,163611SC,Raleigl,ITC27699-1636
12.Wei ovaitnatfea. asetbask. Nr Dill) - _
244.For Water aad 11:tsoen-Laap Geotberraal Miura Walla CoPy toga•
0-6-aofto.mom"le.&en pods,ac.)
. - • , coonty ftronoomentalbeadepaascient of countyabere installed
FOR WATAILSUPPLY WELLS ONLY: - .
24d.For Water Wails - 100.100 GPD:Copy to MR.CCP914.
Penult Program.1611 Saingh,NC 27699-1611 '
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1.36.Daiss' e' con typ=Steil .ene 4.Caps - . .
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_FeeDGW-1, -I Needs Oedioe. •ofEwdeceemessa Quality-Division of Thome ftesoaa;es _, • Revised 6.6.2018 :
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