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HomeMy WebLinkAboutWI0100241_Regional Office Physical File Scan Up To 9/23/202211-1 MAPS, PI,AiNS, AND S11ECI FICATIONS indicole disulncc-; and oriewations o!' iaatura,; tocatc(I lCet (if 111c ill'i'oviiiin kvoll(s)- )?,It)vl -i!t hylunnc aJ ;11n11 --,'---Le-y--I t-tqj!- iqLh irr(gy silc-gpet;iric map $110%viiig the locatiom; ordw. rollowing,: prolwind iqicetirill %Vol[ Iwatiolls Septic vzslems and associai'cil spray irrigimion • iluil(lillpn cues, draill jlcjd�' or Tepilirm-cas Tlroprly boundarii0i wAler hc1di('s, or potclitiul, sollicus of grullildwil(or %vator Supply wells collillillivintioll (21) pla I is alit I sticci I ic a d (tar M, I I le Nil rfift cc ;i nd 9LI bS UT 6 CC 00111 t n I CI i 0 11 (1 Q.1a i Is :6 r I Ile. welt % TYPES AND CON CR.'NTR,,lt"rI ONS Ott AWITIVFN - Ust zmy additives dart will hu tiwd tared illcir cOncentraHons, Only additivo, t1hi'll Iliv, Department of Health mid I I'milan .Services' bivisioh of Pelt 1,10,111 detcrtninc.q (to not adversely M'Icl hwil"Ill Ilealih sliall by used. A list of approved'addiiiv'ub -' call be poillid online al a -11 Prior to as (% vpto, WPILL-MULLER tNF0RiNlATJ0N-(irkpowii) Well brifling Nil ple. NC Welt Drillitig CpllmlClor Certirivalic)II No.: ConiOany Name / .'�-:-,LvtJI T�)l 111'ri ("Ovilliet Person. �?." el c,LA City; I! , — L' �U` �Ib ' 4�q I � I -- ", .1, 1 Y, DayTtile No,: ') I , gq— �2 Qj2: cell No,: f'�MA I L Add rest;': M HEAT I `etipipall Colitict City: Zip Code,- '(11olty. I , -Z LI I" --l- Ofilce Tele No,: "col Nibi:. - D W QA) I M I o s ed - L a kip "I t It c q ji,-t 1_ N p t r, :.A.[ j-6 ij, (I tit, 'ji i d a 113 IV 2 0112), i'1()} q Ma iTa atlp;t> liar. %faoyl iclt l nc>itittnf lii la€crizat att t3ac. to Ia.i)(tiii: iallrt�taatF;r 11 i'lu,,;lhvitiitln cal 4t;aa ;a ,?rrttl ly Rt. s<a trl fil7ice � a'�aia tlrt era ti xn urii cta tisc itijti,iicttl tvct0GiM y,yy O�d{ F �+" A - . ►-�E]l�t r ..- WASHING QR� 1t�ILi,", !l FAY�TTU(ME • - �1�� 1' a . 1�b11C4'llle ReglAllni t"tlTicl".; ��!S1t«IliIi�filtl Regl�rrilii.().ffiCC , * s 1'iQ1kv' 79. :. 1}•i �Va1�llTllgliln ilU11Y iV{iil� Su,atrt aan�> 1 Ni: �g�7 M iinglan, NC. '7;Sb9. Tt314111)Cill� (82 vAtone: Y 1 ax ,(,21i}'2tJ9=7tl4i� l'n (523 75-37P,:' x F4yei#61lie Regional Woof � �Y�9tat�11��n11 R��l�n�l Oiiicc> Z�.S Gr,.oen �ti^cel, �,taite 71,4 t'�-"7 Cl�rclial AriveExivrasi3a C1tyllCcrtllea•iVG283Ci1- U�l tltillttm r�n,NC2840S 6{_y T`�fcp1>tane:{�1C3} (91{i�35�.2Q0€_ 4IoAr�s4lle liagiomil'offico V4!in�tnar: s lent R larval oMo" ` 1Q.isa,tettietllu SVntaghtattn"-$trtiet, atfCtl!'�kfili0t 1<IC$I ! . `11SiUii-c4'c1F�Jltt iv'il�-�7r1 'l`elePlttsno 709 6ity3 lih } Phixrte� Ti 1 �5ltitl4 _ . 7�'ax: (7(�i�6f�6U�rl i^��r (336}.T7i-�Sfr�t=� .. `• � . l�elu>;RI Oft' ' 12ItiEatl rvco Cent r 1 elcH2irie`? 19) 9 t- Fax 1171#h (2° 'C4Telnly.lalllt UcPmtntcall 11t �vliil it llti injc�c ilau,'+vatll Eactliy tvlll loeialCkl A lls("taCe�tlait}� i�cnlit a�l3tit �StlGiilS CUlj �t :rUlltEt .�a►a(T13E` til ill /Zwtyiy fiCF lii'U , r CQUIlI l�1VCjJLti�It�itfietltUa1SC���rjlfealat:tli�[�aiir�tt[1�aT+lit�hi��tijtf�tli2111?l x"` Pg.Owl : F .a H ... 9 SO 2732 Hk htivay 75 • Bltouhtville, TN 37617 423-3,23-3208 Fax 423 323-52,16 '.• TOI 66 Fax, 800=841-251,8 "SKFTGfl /T ...... .v. .... N ........{ j,..... ry r r.. .•5 e ..,;r .,,.. •r Y..,y � _ ' 4wr W�vn Yn.-...4nn4'i3 ;. �pv�ha hL te . n Y :.r-stirs f+ '_ .. q• -,J ...} $ vi'n'sc .: •Y:s,.rv.£ 5 rxr.vG "'•'^6'r' +n}. 3 { • • a 1 , � t v •4 L E Y } Y A ' .,4:w:wrr. ..•.,:.x }.� r„xmm+e. ,;.` v:..Ya,N� ?: •"tv.+.. ;.w. a. �'i• � ^l q y4: � a :,,.,.... ,,,:..:;.<. <.r.Y.,., .,t: ,:,.jam ..:.,:;�. �.�nµ '•,•,...�:,r,. .,•...�.,., ' �;�•..... ,,..-mw -,,? ......-.t - z a � _ ✓ioW+.q 'vm•. V�+µW N:Jr.,`.+•�✓i w^q''r''il.h• � .rC: u,,.2 ,5 A {. -,,, f'r ^} 1y.:Cwr �4^^ �� r t F 4 Y f , .......... ...... .......... ..... ..... .......... ... ..... r • ,:..mrrr.,.° ya ,. �+. •w<u. �•r_ : rr ti.`r �,..va�... . ..�• n :}�t,*F. v"^"' f_. ir, ti „f a:.......�_ } ;Sm,"v v R;. �• � <rs,h ,�•��+,': ,��.q. �.• ,.:.,,:^r^:r. {. •�� u �