GW1--04100_Well Construction - GW1_20230622

Feb 1619 O6 43p Clea waterWall Drilling 828082247244 p.t
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ne welt cnwr4 mCettlegieton Now ""
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ill lndusitialtCamterota) EiRca Matta;Water Supply(4gasxl) L , H•riT
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(ii wa31 fight ono Inflowiv tldilaicnr) v.,C ant
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Ifthir1Nonyteikfillpughipwnwtui etwargracomstib intnn• • ploy the wxwvnrihu &ppoftbll read/?M Ill ml1t11.'IPI!ttltWliT.
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emee to tlen.only 1 CfW 1 In needed Otd go%TOTAL DUMBER ofwc1la
constniclintt Moils. YOU May Mathadtiltitntal met If licaa5eety.
?Oat weft daPth Maw land ourfaaoa - Or..) 2 a.for All Way Monk. t1Hs/brtn ivithin I dram of Gempledlon or writ
• ri!t watJomweekt ifridaplitifdaanvir(exampla-d@ZOirsaIrl41101 monitor'to the fidlt $:111.Stone water level below tap of coni _ (ft.) Dtvtrlon otWRteP Resueremelriformation Procamlej Volt,
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Ii.Boreholedlemater: - (In.) 240,par moonily unlike la eddki0e to neadintoti0 fans to the addraas in 24n
A2.Won CENlltrpQliarl tarfltlofh, construction a,alsoubhfolittwi one copy of Chia limn within 90 dtys of routplttlm of well
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. .. Division ofWstcr Rrtt uramt Uneerg roved 11jaelloh Catttrn)Prop.:a n,
W Tl R 8L'PAL V WEtUI ONIIY: tG36teaServltxCatoet•,Aiatd�l.NC�?dR9�1Gt6tan.Vletd(tltma). . i►fetbou ofteat: 2o.P?tr WAaarsopt+IIr&a�treenn Welm: Jo uddltfatr its sxtftdlav,the Elwin to
__ tha tnldgssCcs) abnvn,also subndt an' copy of Rhin ibis[within 30 days t1F
[FOR
3A.Dlsinfeettaa type - Mown: cowpintton of wall tanntttzdion to the comity health&WMI W of the county
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I'nrn,OW-1 Nardi Ctue+liaaDcparAnnnteflimluinammta1t iwtlty.Diuia:uttof Wear Ramos ' Reofted2-22-016
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