GW1--06774_Well Construction - GW1_20241114

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-Ram,-• 10 '.. ' ' ._MATERIAL
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Highland Yarns Mill .
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•F$0-ty)6%*r:*ir , • . Facility tat Ofapplizithlet: • -- - .--
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-.1014 kill Ave- ., High Point, NC, 27260 . . - . • (14: • - - .ft.• ' .; 1[1.!;"--7;7--'2''''':.7::" 77' .., ''",7•;1.2:7'`'!. . . •
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.PI•Y:5101gcli..ei'S.,.d3;"051.PP.. tirl L.REMARKS:.i_
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Guilford • ' " • - •
DPT: injection point; injected from 16-,23' ' ' •
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Plunly• . . Patte110cptific,1101 No:(PIN) . • • ' --- ' , - - -
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if.flys no Opaii.:tyi N.Ir Awinitiws41:ccos.thtcralftfproiallovi:twd aiyi.4-0t:lie•falt...4r.c of if;c, •.'- ''-.7 ' '''''''• ., . • .I'1 • . .
ripkit tikiZge-#2.1'.rcear5t gdilgal 6i^on.i.he'ail:,:if thisfaim. ' - -23:Site tliitgrant-oeattditiops,*0 41etait.c.• . .' . • - '.
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5it.:m 'e'fonn.- . , . , 'St1131411TT AL INSTITCITONS ' • ' .
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9.ttitai irei0e.lith'itetiiiit'lattaortiirei •'23 - . . . '0,) :20.,Frie-.A11 'Willi:,'Sib itiit...i10:Ruth-Othitt:IQ,ctiyi:Oinpfeiif-j,,ri•pf.iieg
Air gftfhlbfelic'Iii'alt,•4;90.014,0ivii.-ti.iiinipk;3 @2Lkr urill.2-1"[POT .con5Otictioncto tk.roltouingti i. :
;o... caticwat5.1-levet below tolycifeasing: •!ft:4 ' .Diiiiitin of Wa ter•ReiOureeii,information Pirticesi,ing•Unit,. •
.Ilion*frVd ti abrRe 1:lei-am,:&fir!4" -161.71itaitReryi&Atenter,,Raleigh,NC2761946E7
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El,Borehole•diameter:2.25" . • (itu). int-Pot,ro,lotion'Aikk•ONLY:'in addition to-Sesiliog•tl&fornAto,die.Oltes,sio '
• • 24a4bei'e.also submit•n:etiky'nip* fonn syitlthi,30,tiayl,of entiipletioti Or w41.1
P..--nrcll.antsteeictiontitethod:DPI "rolishUrifs4 to the foflowirig!:. - 1
ok;.:mcr...yobsy,.c...11)1 ,tlisect.pisiicfc..) , • .. . . .
" " " • " - . , • . PNOldit'of Vilgtr ttcsOu r,,..eij,616:emit)ti.041 fetjOilon CinitrOl-VrOgraut, . .
- 'FORWATER.SL:PPLYWELL$ONLY- . ' ' - 4636 Mill•Scivicote.tiiti-,:Raleigh,NC 27699-1636
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. . .• tie:ref Watek"S tioply&Injcethin Wells:
tj01,Vielitfgtim) - 5,Uilieil iirtr,st. • . .. . . . .
Also submit one eel* of thiS:intin:%•ithRt•...30.ila}' r.if completion of
. ,11ii„Diiittfeertilin types .• Amount'n . , • well egristniation•to.thc con*heltiltt 46paitm'int or(hi-eontny.wiL'it- .
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FOnn GW:,i. North egalkna LAppAnuirm.ofEeiprintwa wi NI;n1r4Eesoilrers-Aivics Ion Of*aterfrtTgirp ' fk.cyis..-.11;kpOst.191$•