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HomeMy WebLinkAboutGW1-2022-08938_Well Construction - GW1_20220919 W I ULL QNSMUCTION RECORD' Per ioveme Um ONLY. Thk 111111011 qu W mi hr@Wp f4 m%ghtle mut 1.WIN Costrowir Wm:j&iVcvr.. r r A. IL IL W-W#IICDNNW—. "to6"Numkn =Uvma 4-1�M_ _ im. 3.WIN 1" (cbmiclip.111&A;. _` U " 17. Wsl*r SKPFIY Well; Tal. 4= 41"1101117TRA In. ft 11116 r'NWW"W(Ho wt:400001mv 3wpb) t., tial'Fiatc,IU jpajo) :J(4421dentIll W061 SUPVIY(11111=41) 11111.GkOOT -4 Dori rat no I T9 0 mets-waller wevi IL U R-.I 11ce 0;t4%:uvvry CM- ;&: N*tam A. tt CApilft Racharts C30rou.-Aifetcr 0 limed Lxt,on .1F.1AmD(G"VzL-r cKoli %1 11 0A4tAF Skvvp atV-F-.,wcry usalwly Barri., C!Aqw1cr 1-cs Dratragi; 'p IL 03%.W-:44rKv Cortuoi 0(kodwirial(Ciu*d if apt!. :0010dWrial(HastImCultlislit RU,,,i DOW,("vigil)%;'%J It I a w . 4:psi*WOWF) IL As.W441 1.0tallom: Is, k v P.— Ph"isal Amwftsi,Cvy.w Z* 7- T MW, SU Lifilude Gali 1.4migitosit in 4&jrqcvjsumvt,:vv4ccmdj or tktil"j 0(mou W*Cis IMAM is symcka) ,CentU QfcWu0fJA4Wl r*vaitov DW 6.Is(we)the evig drL"Iscal or 07rmuporilry I ' olf)CaWWftd M&'AV.-A0-# fix-OR 4w.Airm.I AWp@Jtpr�&W*Aw Lew I.Wsv)traff,W .��-tvh 1SJ)jCAC0r.0lQVw 7.Is this 3 repair to an existing well: Ones Or /No blieli f#iF4mmyjvjvWpWvvv wfitleaw"'.'jo.4%k'vW'jA 404;cQdatr 1 ,-P%dl Loulo, A"6d.&'tf'.Jj)b­ M Site diagran or ilddir-1114,11 well dellsus: S.Number efivills CouStrue(W: You:uy use the buk of this-psoc W provide SWIfiarmil Well sits 4AIJI&or WC11 C."VIAL01:0A dutmalt. You 26 ALSO glitick oddluerual Pis"if W."Mry A-=W-,rjg opvchm rdb OH-VF rJlh At 00, 1 Y rv4.-Pvmf*_. sum-ri-AL 1146-mcnoms t.T,4W vreD bptb below 6&d evirfeet: IF6—(ftT 34L Fpr At) Wells; St�lft this Ftrvij WtOlUl U dayS of t:vmpls(ijn,if v--.! aft 01)depike ffk*-441 !ivao'and 2(4100') coftl-udiori it.,CIO fallowini 18.3tade's,sur Isvil tmitev tap of CJWOS. - Drvisoz orwaftir Quality,Informextion Prucesillsig Vail. 6w1 is ak-~iae'we 1617 Mail Slirwi"Cs~.2&1*b.,4C 376WJQ7 _MLCJV&:I in&CkjCjM to sending*J%6 fly,"to 11'n&ddr"S IV:at Vwe I 4t)''111, 4 C9.,I of a n. N v taro .' dwt of cmirle.loa of wc11 "A 90M.V0 -4 VUL *!W.- Silly, egre FOR WAIM MJFPLY WILLS ONIM: 106 Mail ServiceCbmally,Killeigk NC 274MI69 13a.Yield(gpmn) CL-iv cv 244.L'r Wc%r 1)1%4� &Il AlIkk jp "f ucctler.W 44 jition to bit the 51AM 10 0644"(06" above, also ivbmtt v.w %opy of%hit form within 30 days of wmpletion of well 4onsh diun io Um clitirtly hCalth dcPaiusumt of 11-A ccmpr.i Where roctott"ba. t