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cottsezuarao,ably 1 GW 1 is 3n&cka TOTAL NUMBER of we1Ls (add See Ovee is Rerriadcs Boxy Ybu may also attach addWorml pages if neoeffiM
dulled 34:SIIBIYDTI''AL]NSIItUCTIONLS
9.Total well depth below surface: Submit this GW-1 wit 30 days of well completion per the fellowieg:
For rmd**weAs Est aII depeT+ iff--(-oVLe-3@200'amd 2®100)
24a. For All weal: ongaoal £omz to Division of water Resmaees (DwR;
lo.Static water level below1 op,of cnW (R) hfirnmation processing Unit'1617 MSC,Raleigh.NC 27699-1617
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iL Borehole diameter. !" jm•) 24b.For iectfon Wellx GOpy to DwP.Uadaglolm l bljeetion Covird(NC'
1 ^ Program,1636 MSC,Raleigh,NC 27699-1636
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FOR WATER SLIMY ONLY: 24d,For Water WeIIs vioducluglover 100.60Q�
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13h Disffifeefioa type:
d' Amount: 12
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