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HomeMy WebLinkAboutGW1-2021-00505_Well Construction - GW1_20210210 ULLUMBUCTI RECORD Tba Jim m k used hromp"awhIts,"g, Pw IMI'Vil Use ONLY. I.We%CAstrounr Va.-is ivdir. Sr- r r.j well'-wenoclor 7V/0 ,-2 /0 K Well COWW—. 0-4ficatio.Numihr f "L6 - if rodwooll,mom tr :�� pt I Ixk I' i zr won comstracoloft Persuill 0: j2,5-0 ew, 'M nm4M KAIILXAAI. l L r M AOA 2.Wall 11"(chsek PJ walor S"Ply Well; -TMWMM--I war—ttL- clowitermai(Howr4cooloq 3w*) till W&W IUD4qY(5i"k) ilmum" I I TV IMAJIfth —!MPZAM&ff I Mow-wallar bap-A.W WrIll Is. .,7 9..L.I ................. L41j"ISM Well. OAq%O*r RachetrSe OOrcur4,A%tcr Romedumw 10,ff NQfGMV9LIrALIK0f OAOMIN$11411`40 age.F----4r-vFy USSIWIY Barrier OA4Wfcr Ten J� r;;PlwmwvA-&r Dransp n. Is. ClUmpa-'aWal Teeisrxiop 03,.%W;44ncp costrui I catighad -b * ClOcodwy.&I(Closod Uxq�.) LITracur Oil" �JUMA it ai C100041IMS(HOODICIJOAM 1-14811) MOW[ Plain W- - 1. IL or 921 itAmarks) Ok —k ft. SL W411 14tallow 1-11 c-- 4 .<, R. ua,-. d-ecle h P-r-5 p&6Myft)WAW N&04 Panda)ID#Vwpkiwbiq) AA M Latitude and Loagkvdt is (kcissol dopgroctt U.(;Orb ad"! W or OTtloporory 7.Is I'llis a repair to as Atzi9fies well: Mes or dNQ III.She illagran or adilliftsol well Missile: 11-Number et well;construeud: You may usit the buck of this page v,pyovide&Mifioml well site 44aija or wco C'"itur-oh d4sch. You may also attooh G"fut'nal-Ops if W.96mry pj 9.Total wall 4kp4b below Owed earfeec in tL cWit-Azoicin to the following for 1"hipAt-Ok An off do ((A* T-141. For All Wetly. Submit th!j,Fprnj wtfjij U days of cumpleii of v 19.31allcusurlaval twwwtep Occa6i8g; Division of Water QuAlity,Tirformostion Proccoviag Umij. I.f-~4WI 4 A"ewing we 1617 Iliad ServicA Ciuw,R&bkb,MC J76W1617 I I.11"Okok b, In addition to xTiings.foqv,to It*&94r*&A,1p"4% days of CnpjW.jqM of welt AV' v" .49., Of )1. N V 9.80 U.Woo cos"fortift Li c "0 9.ow".taffy.qW4,ft,'t P" ttviefr G!W.- '..8141y. ' qre....':-4446641 tr Conol Frogrent. FOR WATER VUFPLY WZUS OVIN: 16X Atoll Service C Wear,IlLshigh,NC 374MI636 13a.Yield{pp* 14O.:.Aid M Well; zol"V 4/0-WA 14C,Fie Wectr Buy Of A hilecdor WCIL. ft OO&4u(4*) above, also submit jwx so" of this rom vothip 30 days of Uh DWA46103 0":C t;L a r(n P Ai"cuiet 0 ---1 toy"plelian of well ton&vdiun totio c4uM health dapaitilara(41,114 cc%prw WI we coctsirwied.