GW1--03156_Well Construction - GW1_20240524

1 $t1151906;43p Clammier Wall Drilling 828-822-7241 p.i
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NO and OPTIMA*well cv r,nirrtet1NM N.a,utt collier 4vo,ia'rMnca,'IN ., a- iiiiElanisi
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3-Welt Hit(cited(t1KQ use): a. MIA� •--
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(M AquiiLT Tr.At 39mrmwai r Drainage ti.
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Iw Enierlmental Ta aimoingy Dawes
Control
GCiolharnest(Closed Loan) is.r,'wes 11#lst --
iY Canal:al proatter_aolinB Rated).• r J'"ittcr'03Ph urt4Rr 97
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:a..writ Landes: l�a°, )S n. . , • 1 .__
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Sh.Lahladr road trpsnhatk In degranatm{nilttOlefneds of darken!dr}{rri -.„--1� ---tigk�-
(iiweb!fitM,oats 1 lx tuillairalt} Z2\r 4'
. it r NOMA
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aerrhvrxnM+Om Rrn wd1tS$oar tNwaJ uarnireeo+J w>aruaniemr
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1 le Ms a repelr to An aXItNa1{Wtdi. Xtls Owith/SA r'r.',0'02C ISMS ar!.M NCAC A)(,ARtd9 Ri*I Coulroetrmr Nodule trod them IINt► itrlrnttluuwrlt mvilar•
tfoftexonlxirr,JNtamrlknnwnmurB.roru=cam ayes..nlni,rd,,.unrmo..rlw 4ifiyofdlebN+oot110,0et►port
',war mow A It ream*awrorM»Of Olt to t+nrknisuW.tam. 13,..ser,akkersan as 4thefiealri well el Wet
YouR.For G mbrt il+i or Cldied-i (ierMparmNi9yt1hniweriq ma»nrnG ma /tWmay uen In it. Y ltrayat tit 9 prlLW; additmo tinwell setsfoy. s or well
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m atintian,rmty I OW..i Is noels. fediouto TOTAL
Taut weer depth below hind onstweet V --(rl.l 214 for. SNOW this brill Within 30 days of complaLino of well
ks►mnbrp/olathes!hi Wide:Witj derma Astrio0P-3f Auer awlAim) cmnsitrotLLiiin Max mooing.
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1l wow Area/rrd~recercrltMs,me"`"\
IlteirirotetR!)tnatere lI) (0
II. <1nr) Zak fe •'-i.,, ._ to ottegttooto tishldiog the form so the Wilms in 24n
t ritrnva,oho mean* sops'ic s of lb*ham wlthla 30 dere of eeityilntlm of Weil
e2 Wen ranrat�Mtgemaftteedt. C�'old Vl. - oertatnmetiantothafallowing;
tie,moor,meet}.oebkr Wroue t1U1b,ato t i)Illetan Di War lationutea,UnOegrarntf iejatfoa Control Psocr in,
7Pi*WATER scpptit ibirs..LS ONLY! ua+s nantoaerotee Celitan Retail,NC 2709- 6
7 �l iiil IR Wane to Amy the sink to
1 f4.VINO R�(t�),., �" l fetCltNW of w000leo submit ono copy o!' tills OM within 30 drop of
ells tontfoi5of welt
n to the comity health aleentialint of the meaty
I.ib.t)htentetfan Armenia _ gnrgl7tY,11er1 or.moo cnrraueedo
�._. ��' -- whore 00eattrared
i'nrni(RV,-t Mirth C.arnlinntraRrarmera or'torvrrrAsmmrd Cjrmthr-r)Ivi4Mt►n1'WW1'R 1A0Uftes Ainoimea2-22aa1 a

Wall Driller Self-D ut Cord ion►
owner: Y - New Welk_ L —— -
I'hereby certify that the above referenc
ed well vrc grouted in appearance in accactanee with
all County Well mks.
Certiflcat' 9 , (,�-
Imo^Grouted: _
Construction: Groot:
Total , QOS-- Tye
Casing
Casing Daptit ----
Drive Shoe:
GPM: 7�-