GW1--06953_Well Construction - GW1_20231027

Wgj,L CQNSTRUcTION RECORD' - pew l sa ari use ox1,Y. 7
This Its eta Is wet laraispna n sullith ray
1.Wel C.atrar:l:r:seas:sl;:rtr.. _1
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et HH ): ..
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Aaron
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3., LOG(to adiHraiTbsoi}if oosir oalo)• ' : .
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OOeotha al(Halluolwtt Return) Dime(r►plstn tarter 021 Y(.ao atis) ' fr. t. .II. /
♦.Jsais W.11/e) w(Lpl.t.d: 1— 6 23 W-tr r .v/ 1 /�it`' 7—Do C O/nee.
Sa u t Wel totlor: ). o� Lai ,1- Vt. SYIL . . - e/a t 7C-0 t'I(o
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Physa.t art Cty,sod hip Yl t h qr� a ^. • J � .. . ::s- r 1 J
Cum., Twos::.1rue.riwi..w.(J , 10 2 7 1OC3
Sb.Lalit.ds and Laagrtrldc it daasrc.i.autow.ocorda or ckcirl&!rats:
Verse MM.eooteulayusatire.) u.<.rh 3tt.o: 1 I PfC,.,g.- I./DI
nit irr.e. 1 { ti i
3G° Ob 545fF H 7 ° 37 l rI-. 4.' w �.���- /-5i✓- D.4 .r1.e.-g3
of Gulled 4,1 Cantata' Da*
fi.I►(an)the wool MI)'•erlcataaarai or O7erapoiIr7 /"
.iy..tr no/Jar..1 Jairaab tarry As/W.vlbt<J POI MArty rand trsr/In 0310.140.,•
1 WO 114 MAC Or.Of 0o w ISA HC:IC 05( OM reit Cantnaba JAmulet&ur+f,f.r•a
7.Is Air a rep*to as tsis/iag wont QYos or ON o rya Of MA aeWO/sas kin ptW ri$Ow roh err,.
Ius, I'jf ryW7,ltYl oer fra.n wd!oan..ti..irtbrtwian wJ eydok iAs,warn e/rA• I�
•.roil u.,h•/)/~CPU MAY.r..w aaad.d ml.dAI•w. U.Slts 4I igrus.r a/dlloael will d.t.11a:
You may Wr the bade of this tape as provide additional w.0 sits data&or woo
I.Number of wain cosstrsreted:, / c.wetntc:.on details Yo,i sty also smolt additional spas leant/my
Ara darts worm.o orstmos,a' with ONLY rac4 Air smite!.•'+rant,you oar,
nfr�•...ofilm W1,KJTTAL lH&•fl(T(fNIS
• f.Tut.i well dtpb bolo*h,sd,/riser. _F e d t ftj 14a. rim AU l+Yc:I Submit tins firm wttiti,l IC ,Lays .d ccaw pl.ci..o of wt.'
for•wJ.1,4"Or ill,dr/ywlt(I*AVM 0zwnri.•.WJ0'am!241/001 constl: lion to(hs folloviin&
19.Stole Maur lave(bat.tr up of caafai: I
3 - iht Oivisio■of Water Quality,latorwvtion Truccsstag Vail.
r/.N•r tarot ii aloe swim.or••.- — �. Ifi 17 It.:il d.r�•ica C.su1s,Aalalpb,NC 310S'-Jii17
11.Dot.lds Aaswlar: ,g. .1'... •:ia.i --lb E lgisg iii_rLe)>E: In additaoct to a tdMg he foie to tha addtau n.ae
,t /f L %We a. a ill .III. .iet>t. of ..• tr. t v taro .' days of COmiirron of well
12.Woo comma*.an.�_., ____f'+,�$' .' IA �/ .i r`�__ t rot ,c:. •r is fate wino
(i 4.,Wort rotary.!ahls.dir M peal r 3 / .
-- 'volt co!me.. I ':. •.lay, ..get .__... !,diet Cosb.f!regrow,
FOR WATER Y1111PLY WILLS ONLY: 1634 MaU Sors ica Cailielli Raleigh,NC 39/)1.11i3i
13a Yield(ipsR) -3 — M.,:,.d.1 uat.6L ol,t/ <(/4 W fr1 fr Sac, W/I..dun,,.`r dt 'eagle.Webs,:- In sdlitian to tootling the cum to
r • the sdtrau(oe; visors. also submit tree sera of Chit forte within 1G days of
131s Disiakstf.a type:CAI L.G tr!it to Amoaut' O.cY ir 0"Z.. completion or wall coni(vuthun to ths county hull* dcpaionsat a'IA:cwtty
. - whore conotr,lcted. I
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