GW1--06872_Well Construction - GW1_20231030

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}WE GQNSTRUSTIQN RECORD:j, RD — see lowed Use ONLY.
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ne„ie uwbe pl..woolsrae•wo+.ev.w Le awe.r,wu"r.n. 2).She dlcgrat..r sill eg ess&well desei1t:
You:my use the beak of this tape avi provide additional well site details or wau
I.Number of wells co.streeud: I construct.on deer). Yoo may also attach additional ragas 1(o.cesaary
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f.Total well dog Wow toad surface. / ZS U MT 34a. rim All Wst(I: j Subniit Il+:s ti:rnt wititut iG days of custplsti.An or we.'
fortscola/Js vs*Ssi dr Npshe Vi111e,ssi Onsgle-i 200•v d 2qII110') constatclion lo the following
Lk Slate'astir lava bate.Hop of ragas: iR,) D,risioa of Wear Quality,larforwaG4o Troee.etaf Lee,2/..eeer fool i1 io.e ra,i y We-.... � 1417 tt i Service Coulee,Reledgb,NC 274,4-14t
l t.Dottk&d noes)..: ..6 `r_.. ,:is.) /J ".tb.f Wm ems: 4t edditson to grading:he!ore to Ps address in 241
12.Well toasirtertlat ewe—_.- _.__!_S" -' /i(Qj ( c it ,c;e 1•o Ato:low in of ...1 ». • v s,.a days of eOtnplrton of welt
fie.weer,miry.ea0l.,die-tpssl a ) _ tr.•Mk o!W.. ...auy. •..ogre...•:_/sslios Coats(Program,.
1 TOE W Alla 1RJPTLY WILLS ONLY: 1436 Mil Scoria Cr.wu Raleigh,NC 274f1-14.34
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13a Yield(was) . Q M..:,sd as test.62.oi,y d',w rY tat.j St WI:•e dvara'e it!Markt.V4relfu: tt sd);lion to tootles)';the rime 10
rr the se*ess(M) above!also svbmit one soapy of that forth volhtn 30 doer of
. 131t%gasifies type:C...n L O r i h i° Amount; /Tr O Z eotr'pletlon of well ctiaealrvetwn to the courtly health depair'icnt of'he:c..nee
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