GW1--00786_Well Construction - GW1_20240131

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8.For Ulm,ell: ,- :or additional well dotagert or¢3mul,Lmp.tGQothernul deli havh3g the een 6 You loss ace the book of tbh page to�pmvlde'addidrmsl well site details co,'well
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I rsudi+le welr alI&gib d an(em plc%MO •awt2(elloti) ) �� WaySub*this ken Within 30 days of completion of well
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IL amble1619 KM Semite Coosa.,Inidedgh,R]CS9814.619 '
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�' 24h.libP l iliggi om i►efim .in dam Ito'sending the item to the auldeetee to Mi-
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19.Well Nsptrpe also NltIDit one-
iati �; copy of this foitniwithin 30 days of completion of well.
�• rWtrryi able.dtteocponh,eoe.) comoatctionto.thelbllowtog...
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FOR WA1tt�ONLY WILLS ONLY:
a►t @Neti rlaeloa�xe,Uu tmd MadanCo>steal II9o+agrarn,
A k; r 1 1.fierteee.CcutreAdefill,NC 2760946M
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13h.iDlehrpaothm type:. N71i17Gi% O oiled:, A :I.—` , _ &30.ir�@Plea Sur aki ideetiaa.Weft In addition to sending the d to •
o the edden(gs);Iabove, also submlt'ono dopy of this then:within 30 days of •
Anteums lnce9_- • completion Of'welt construction to the county heahh depmtment of the county
'..-----Whim constructed.
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