GW1--07920_Well Construction - GW1_20231208

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d -- ro TOTAL NUMBER ." c may use the iuietroF this, .tech de e
• aashuction details. You. ddidonel well site details or well .9.Tpf<tlweil do
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• !U�811c wateric�et briow'go epdsttaidion m. Submit this-tr1.ni • 30
lf+�atcrtarel�itabove Pofceshrg; 30 follomn� of•completiaa of wel
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+•..cable'. ate Maul,etc.) - - . 5. • ahovg atso.snum;r ion T y of this '' w g the form to the addicts
coasttuction toho tbllcwia� . :" form 30 days of s.in 24a
"Olt�VA7fEta SU6�3ib�l � � comPletlon or**.
WELLS OP1L�: division of 636IWa astO
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llteld ore �a nad llajeetiloa
(l3Pm)"-. •L'Z ".. : �16�iPitdetlSeryic��etater'ti„ • 'iPgethtiifl oleo /�►- +�. ,NC 27699.��°�.
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13 .Yield(gpnln•-. • Zil✓!' .. 24e: e.1 u 9 L.
_Asaoaa4;- 01 : . the addm s(es)above, also submit:one acre to this on i sending the himate to •
chero.eti. .. ' health
.. • constrttetioa'tp die roc within.30 days of
Tom 06�-I ettmant of late county