GW1--04432_Well Construction - GW1_20240723

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WELL CONSTRUC 1%RECORD i(GW:. Far linteysal ee®s o —.n®.
.Weli arantraetnr Infer:mad=
David Benda? I%%V, .,r 0 SS
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Well Contractor Numo
459414 3Xt't° w Q. a° L `0. Md1C'ttun)
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NC Well Contractor Certification Number S.HUM CASING Nor attatfiastetil wu116102 LIVER Of epp➢Ir ilal
Aqua Drill,inc. yt;aGna ft. + TOD D1aaeTest 1 attresn� //nsazvam�
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peny Nema _ - - r Ra° 1Q°
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MINNL/I CASING tD:B� INGfrrentiterlel ,ta
LWillCusletetlw Permit►: Kh1C.L,:':i;. -i Mat fir DIMMER HA4EAEAL
ZdttartAidlatatirmutrartdat permits(Ae,i//c;Cmsntx Stale,Varian,etc) '"-- (fa° 1 it. ta.
3.'NAa 01111111111160 or.Tit.t___ oet.
Wider Sup*lbilb Dia.
„ R9 TODMAMET O su 8**M ow iiUCtaiaan L
■ culled ■I; '�ilpal/Patblis at, R. :o.
111 < ., ateWggeoolwg Supply) ,LI:Residential Water SuffIy(Ogle) ft; a 'a.
• " DResidential Water kW,O L° —
I ipatien i tunas iboom
Non.Wrater logy Ifelb -
n L ...2.2 L 'QiPttlen'ite ©txr Ch,ps+ Htlectir
s,' ea L
L L
• Itisharge DIXoundwaterRenediatiatt
II Ilo app�1
D®e and Recovery Dignity Ranier mAaesfitid.
a 'JAB olhamwater Drainage L L
■ TechnotgfyIdmtee Control L L _
a Laga Draw
M.ua; I L r,3-:.;;
_- _- ._ __ _ It — ____I ■.`_. �_ _ _ Ullatlrs' 13i6MOM , dT' i�l[4 do a sree,t• T
II 2 ' ..
� 0 Rf. n�1 L (In _ .
b.Well l tait GA ra' m e` 1 --
liinrkeIc 1Ullt+105 �rJ fit, �l L lllP,� -...
Alma lduVIDil(ifey�gilaeble) — C. �i St _ .... ►,..`. V il»L.
(1,0410 33/�i Sal +_i 9Rx�r)S"1�r �Trn*r1 A)G' rt. fre
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ki
�[e 7 i:^r'P 81.15>B➢Pf/4f tdd8 �.. .... = .a.. . , ;a• = lta!'.
Gm* rued ldas►tittee No.(rO) d
NCI
lb.lab*medis.tl6Y egreeelabobehosode.r imbed horses - - -
Moll MI.ono hawk own* 22.CeteOfiasCsaic y -
161liP4liewegit event er Dreoporney Signature ottioildWallaidenlie OM
°Q9�Y• by signing 9hrs frier a lmito am the ale On*a■AeW to taosse so
Meal ban sr with,9eA NOW Ar al arVITRX MAN 1IYfQi■swbs �mgSeta
fIgib AasWie�e4 D *Mtn Me ware Oa MY of ahis roc IFee iemt;tauhf rift'"Pal warer.
vgae'illwaaiaaelisa►.stlehot di,RTie Mora oraillIkulsoil bidet
L3erCh__. Chw sr �h.t the Wok ofille Ildo m gthea us i Wadi additional additional
page £seaar siza
alnoli even.a*I 1 i neaw. Indicate TOTAL 1R1t�.hwi .eaetiaiei ese.Too
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A ni l+tei e111eetiil+�aeelettetiaee- Nab this bintali 30 bye of sampletian of well
.enleeelle;b
Mb Ible volerbedblew bp p dod 4n (11) shift eIllwwuwe,lallmolleni IIufle;
1L isstli ietem_,jp eua.) Ri► la Allll=to oasis tie boo w tie idiom in bla
IL Wdlemobnibo coal!.& y _n 1 r ism e t we p If Lb!best atWs PO bps of---' -llm.f Wee'
enb000 oalbiaigiii `` - ��___......, _.. .- m oteaetleatothethisibet
QT6'�&3wAalAl/OO!!LxW�ii�11.Ya— _ - - ---. Inifotmuac WtOtriliaso ,arsuaasagorswd>yeer Coital 34e*ate,
Men/Rai aah) ,_ , __.____._,Mahe e6 QeaB: P e . 219e. b eddies to Weft fobs to
93ic°Diedmfectloaa ®,__ �� y7f>�/�� ante alimbe iv%one ilk an ow of ahte Loa tide IS dna of
vim° &nods_-_,.�,..1.(ac�••_ eoe°pYlo ofvo6 taosttuodon to he meaty halt department of do county