GW1--05895_Well Construction - GW1_20230918

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1.Numbs/of wdb coutraicud: You : ck Day tut We brick of this pop w p
,loevsde additional well tea detata or.tcit
ON!T wish addl
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f.Tit ,d w•fl depth below load rartecr. /. '-)
f•rm,,1op1•"Vitaw,•I,atriaVilAverfrcar•rrl• ! Inj 2/a. rI We RI: Svbnrtt Ill's li+rtit wttttui '3G days ofcunpl•kr.,n nt
��''"�����) conet3:;�l�on iut he[Wowing
t I.State rsurfeit:below top of rain. 6yaw',V..lurio..,.,:,t we-,.- fLl Dmrw■of Waxer Quills),(rrforwuioo Tevutstst l eU,
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ab. I Likt, to Wcni: In addrtaon to ending he form to the iedrua u:•t
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TOR WATYiI tiUTTLY t3YLCL,1 O*f1 Y: _ irria. Of W.. .any, '..gat' .":_j•ctioe Coatret Progreso.
1636 1ltlsil Sen•k•Caviar,Raleigh,NC 374i1-I634
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l3!DiaiRatlaa type: tat iddrtu(N) abort, ass submit Dees copy of this form vnthin 3G days of
L G r i h P Amonut D ' ' cki^ 1rLoa1 of well conatrvotiun to the e•
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