GW1--02078_Well Construction - GW1_20240405

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23.Mc rfogramor ackational waldetalls:
S,For Gs:wok/DPI or Closed-Lonp Geothermal Wells having be Same MI milY.Usa 114.644:Qf this Page ICt 11413012444itic481 mil slt detail;ar wall
constmetioa,ooly l 6W-1 is needed.Indicate TOTALNUMBER of wells construct=details.YOu may also attaeh additional pages ifnecessny_
. . drilled: . 5131.1KrTAL Pr,ERWIT.9M ;; .
9.Total depth bdow landsurfice: I (ft.) M.fotAILWAtt Submit this form within 30 days of completion of wit
Forosultiple was rra opdepas r affirms(aeutge-361200W V100) 00.11,31mcfian talk f9110Witig:
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10.SOdiciraterkvii below-top amain: . 614? 00 Disision of Wanerltesmascrg,prienwatan Processing' MO,
If water kw,is aboti=kit scle-41 Lit
. lirf Mail Screiteeenteri.Rideisla,NC 276994617
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II-Borehole diameter: (t? /6 COO Mk nsT&Ft/pia_Wcar: la additiOn ID'vodka the ham to the address in 24a
above,also submit one ropy of Ibis form"Jidda 30 days of completion of well
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It.Well construellonanethod: 4r. iS(tAff consume=togrefollowi* i •
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FORWATER SUPPLY WEI.1$43,M.Yr. 14361*BSeralteCentmllabizh- ,IsIC27699-I636 ,
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1.3i:Vrehl(glan). N.- urampaeimsu Air, L 414" 2.4e,.ixWfterAlgoplgajpigjili la addition' to sendini.ilg fixm to •
- .. the addrusges)alman,also submit cias copy.of this gam nithin 30 days of
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uh.D4cjionfmcz Chicrial e, . Amount 4 vz... _.,cm***oruen oxistnactice to the county health depattaxrd of the county .
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