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WELL CONSTRUCTION RECORD 1 - m Ptl[it£
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7,Is this*atpar t rone� t ; .EIXts WM, **Lti liatc0fc.oitto arikthr4a02c.02felPSYGmernogini aoaederdc and that a
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S,For Go osolx11111or Closgel-toplagrsoarmigweibliainstbeime Too owiikesotitu bock of this poseto rovide?shrttional.* site details orwell
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9 Totnutwen dspl!i Wowbud sarf ce; 1)2c 04 gcou ucr/lt submit 1 Raw wind*30 days of compluipn of well
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10.54aswmitrl b wzapd 4 b - , - ) i) efWat+era ,beformaAwa> itgl Map
,(finerkrelI:slum:a WE+" E417Moal& oe Oster,Rlliet,YCt7(29-1417
11,1$*ceh*l trwocla;q 118 --..-_- .Cm) Z Forfakm.n wells: In 24.4tiow to_s l inztho Amu to din/address in 24o
' above*its, of*is form wlthio 30 clays af.comgiaion of won
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F41-ifiii 'l.XWF: SSO!LY- 16361441; tceakr>Ibt i,NC2i6994S6
13a.Yield(ass) l 4 , mootinfem,? ,.3+4o.For W singer a time Weld II addition to moan the form to
_ Me cs)oboe*t Flank �Ps of this roan within 30 days of
,13tt»ihsru�t�a t �a*katesta�toaae� Awessist J Z . b 0 Z of won oonstruction to tha coo"loath da ratumnt of dm county
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