GW1--06378_Well Construction - GW1_20241025

WFLL CONSTRIJCTION RECORD : , ,.'. ..
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FxI INC • •• • • • •.1t tt Or 2 A Faviliikr'O rNiuuc F ct1i111D9t if.apph bic) .R• ft .
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18801:Old .Statesville Rd:; .CORNELIUS,_ NC, 28031 1
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MECKLENBURG.,
::BENTONITE FROM 53 TO. 54':, '
(°until;:,' Pare 1Idg•mi't rl 4No•I1'INl ••• .
,iiitf ude and Longitude in deep csJrntnutes/scconds of dcc ntal sl4'gries 22 Geri cafioa
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:with 15rtiYC,lCO2C 47lfl or 151 NCr(C:It2C t12O' rail Coirstrrtr�oou Oitaitls`riiiiI tJ4t ri
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if 40 it o,epirlr,:j711 ii•-, i is t l racinrcflon In Orrr,.ortynmfrl rant.t$Yav rrrti.tr3 of hr ..
rrpRlrtu4fei-t2t r.i ii„ki-iiit ii iiiiVie u 1 of tlrfs form • " ,23 Site diagram or additional tit cil detaftc ._.
you nl i},use fb ack of thispage to prosiid addttiapat well sire details a1....
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iQ Stniietiiat►.riiselbdos top of`casiu0:;.21 .. . ,(Ct} DitLoonof:s*:ti'Rei n,r c,In• formastionProces3tngUnit,
JJukitdr:le�*t.H{1Loec teuftig:tip }.r. • • • • - i617 Marl Scn 1ct Centtr,Roles h NC'27699 i617_
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11 Borehole.diameter 8:25 :(raj 241b Pt Ili(ecdtlli Welk ONLY In addition to sending die form to the address tn:
<;24oabose alsa subnitt-a taps of thus form-u thin:3(! loses of.:conipletiou of well;.
12 Wnelatnsrncsi•btlon mtbosd'=AUGERS • '- . 010l iQr4to the faotlelows
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PORltittER$1UPPL1'WE4S'ONLY : • 1636Ma1lSers10Center,Raleigh4\'C21499I036
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131s flhonle&ti si t .. .Y; _ :Amount.: he thth• • 'tleif coiistmchon::tO ttic coiiiii clolrinmtnt rif the COunft ultetir
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