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HomeMy WebLinkAboutGW1-2021-02437_Well Construction - GW1_20210521 WELL rzQISMUCTION RECORD for lats-'sal UPC ony. Thb bm ou k unit br people r4 mullitle ImUp I.We%Cloalroci:r:sfa.is o Web new"Oftweaww Qz 10 ;2 M , V .#L MC W811CDWW-014ficallow NuwAvt rri-, n viriwaiat M.iMUL-eml iO4 --a V Poll 01% L won Cosperaceiti.Perish 0: J.Well 11"(clisoll W.11 C" Water soply Well; 914T Ku -K. ff. i 14L 14:01[lopidentitt Waltj Supply(duM) 04ri inn 1— 1 not IMM3MUM A IL f IL YL ft, CAquiflrr Racharle PorhodLefliw 0A44hr skyap as:F---VVcrY usidimly 3wigy h.Mquiller Tco �;;PkwmwsL-cr Dwarnilic ft CaVerittlislid Teelfrxiogy, 011,61po-:40"Co Cordroi A MilodL-2APAU2XK MUN—tim k-is-d=,bboo ifseamenoti. -7 uen&I(Claud Lixq,.) EJ7racw PP"00104forrual(Hpiating/CutAm Rvym� CKM-,(EUlsiv tojer 921 kama le.ks) (L Cjhto. I I/ 4.Asa WOW$)C36MVIONA:5�::ZYA�� watt!Us--. i—,5 0 54L Well 14taft a? /— Of. 'L h L-0 Q it. b1t) pe, 57 54 Phypisal CVy.*4 zo A Cow,, ilm 40.WWI W Lalitudo is &Wccp: (ifirell W*so locAlapa is eAciont) 21.Cart, 211041! JS-0 :71 4X 14 -7 C W 6.Is(on)IN ovlq fertasparst or 07vociparery GfCWU&dAe,1 f"Moutor Dow seffle"R lk'.Aar A"%VU/V'70"Worej C4MWWMd A dadw-&A�a .Ii IICAC Or..0109 w 13.4 A('4C ON,,07M(JA T.Is tins,a repair to see*sitting welt Mes or G.No Cap."0161"'ecorif 4o;been powsird 00AN 00 opwr. I"rl"i MPMP A 00 hM""WOO 6MWft&Ii0W 11 PfVWiJ1I GIRd C'Wef,1he nampo of AV IvIPWI wk&l JVP 10IMPA&0 ft*&*a'"at§ft&,t1,Mjjbn . 211-541s diagram or spleglional troll despite: You may use the bulk of this page im provide sMitiarsl vl@U site delpile,or was lNumbeir stwells construe":- C-xVlAW-:on 4AM11. You stay peso 91jecft sildlift%ral rope ff W.qj&Ary Per and,Ittle Opt,C I M wwo P-0* 410 yo M apt 'vim 0GMAW0. If.TWW well depth below,load sartsev 06 JfLT 34L For Ali Wes; Sulinift th:s ti%ml wttitul U days Uf cmplown of WC! for PwAV,ktonic i4f off dovk#(f&ff*.#xj tu ths,rdlowing; Is.Stage wourlavil lietow top of wins; ifi) Division ofWacirr Quality.Ifffersestion Prucessing L;fpit. Y.&W,few/4 a"rwins.We'1.- 1617"ad service C i @uW.lt&kkb,NC I7iMM17 e.18.1 sb L&LM A-WcJ7&: In pidditwat to ocridingJ%,fbm to Pis,addrei4s.w'4o I 12.Wag construction tat.-_. All W.111i, 4 eq. of .a )I. N V 4-M ., days orcampk-ion of Wit . --AL -- "F t, it ratowhp Oli.ow.racy,nut.ft-tv"4 FM WATER VUFPLY WZLLP ONIN: 169 Mad Service Confer,Its5sigli,NC 37609-1636 1lu: 13&Yield(Spa). He.:,#d 68 usl; V.. ci el 244.F-,e Mectr RUN 0 d a 111ccilleii,-WAlIn odlirion to toa0i11g tiK Curet to o W6 ft aftails(es) above. &Is* submit one copy of this roan within 30 days of 13ILDWIdlectivatw:C Larih'. Amount:�6 0z wl"P14111M Or well tanianWirin to die to"hcallb dcpsivivitt ct be cc---vi where cof1sl1W.;bd. f N.P.w a., MAY 2 1, 2021 n pro,--,eSgj-jq Unit