GW1--03425_Well Construction - GW1_20230518

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WaterSappllr Wye - _�.�. .77 . . 1
11 rkadtntel ,,1� �� Y I �6 ^ J.. dy t I��At.
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10 OcotovrInni([ tingtem. amply) ,41 -e lidatnial want Supply 0440 ' 0: a, in. 1
a lndaswtaltColimennal II 'csidtantat Water Supply(soran) 1, :,; • I -
II Manilorin CIRenotery it, 1
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Ili!• ul£crRedwine DGroundwaterRcmtdiattim 1 -
At A9u►fzr&Crapp im4 Roomy CSn nity Battier �-- .111111111. it r:Y;';' -.,•'f irm
X AguittrTest QstonnwateiDra1p n'• "' -
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ill Geothermal Mooed Loop) Oiicacra ,l• t ::.r 00! ,• •' ., r ! •
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Al flepthialn1i ERtuin olh1.g Koatmi Dater(exptain under f121'tumults ,' [t, ��: tz. `1 i '0` = > ,
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a,WM wsilts)C'nrnppatedb ;Well IDM ________ ..' 0` DO°' A O tie-1
an.Well 66 0- b 0- `► , I 'l U I
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Fueb(ldowoer tt ono . Lo 14..t-i A. %na br mil 0,tt. _
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i@ Pavel idotnifimt&oleo.MN) -I - ,v
.rib.100100 MS bip gdeherdegteach sl oliCatoodsordcobnal dlg!re
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(9iwellllotil,nuUtlfW§eatitelent) y Xt,C time In;� Y'�?gin r'r r•::;�fir.::
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e.In(t )the wett(a)ivi'-, er nnmeln or Tom or ' ss ma+,u dniR�vl7Mc11G1aettrzrocor I 11ata
4,aoliztv oft/Jiro'I marhyantyy,a ci Orr ancr4 into )evirenstrad In arrclsener
.la 0tI i a repafrt)An nutmeg wall: DTP or 1Yn wok eset/ ac 02 .OiOO ISA WAG AK:AO TAW Cnrerlrnet mrStethdante mil Ants
ijtlrlslnorrltolp fij Woven nalreona mope Mara anti or tb.oyoreni'ihn 1 nf11tLanYot�1/NPI#��lnl'iCIMlMtd>ZWi!U .
nw'$r tauter R2jrant>Ee auto arm Ike GoaCrp•!1!taptmr. 2.3.. p artgrant tar aildttiood wall Matto
8.Far Gealiraht/DPT or C400ad-i onpfiedthanrmi Wdbi WWI fie same Van eatn�r am Mu buck of ads paw to prAvlBoadd WM1 well Os doe m turn
81
eonalmellononly I OW.1 is=dell tam}TOTAL NUMBER orwclls awmttuellnn Mails. YYOUlalsoMachadditional paps Women.
'9,DVwoftdepth tallow hand eortneez a `� - (h:) 2*i Far An Wit submit fhb fbtm istlthin 30 dins of oompltiton or coli
Far maple wells litrrtUttopfk frefrfPnmu(eramplw 3@2tlp'atilt 2811tO! GNnSilUdiotllothe MOM*:
in.Stalin wateriev0Ibepis tap ofeeuting _ (tt.) Division otW*fwRe t&1nfan to.Prceatireg indt,
ll water twill lsalti veating tiers " 1617iM Smite Oaten Ridefah,NC27404 an
17,borehole dimmers _ to
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(in,) 2,414,Tor laloct+Dn Wells: to addition to ocuthol the bon Ik tee fddmita in 24n
• t2 Woo confirmation met*
l- A Above,OD AabmN ana Dopy of this/bola within 20
I Or of cpnpiation or welt
wo 00atothMfbittrwtn10
06.Mtg41 roan.cattle,diem put%ely3
1 WATER IMPPLI/*MLR ONLY: D19fefort A inn MAR Service Ccamr tatd Upsilon Conical Program,
)/�� R'alddlt.NC1G7ti
tan YieldIt1P,nl Met[taNartelm '^"I 2ar.,V WOW l4nn ap.gtcauunWOUP iouidittanto tut Om to
the odldr ss(cs) oboe,else salmi ono copy of tbfo Ann pinto 30 daps of
i rA.Olainfeclltut typo Aaernmt: completion of well caneaamian bo ebe!only health deDmiAaenl of the anSITItY
Rum Uteri North C,notirmf artmantotletvkctnmontelQ!tallerDiuttntmtsl'W6Writosmmtm Reufsed2-21.2916
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