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PHASE I ENVIRONMENTAL SITE ASSESSMENT Site 10 Croom ...

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GEOCHECK ® - PHYSICAL SETTING SOURCE MAP FINDINGSMap IDDirectionDistanceElevationC16NNW1/4 - 1/2 MileLowerDatabaseMD WELLSEDR ID NumberMD2000000254156County let:Mgs id:B1 recd:Address1:City:Zip:Driller id:Est gpm pr:Est gpm ne:Use for wa:Approx dep:Drill meth:Replace pe:Wapid use :Pwsid:Source id:Source nam:Use code:Aquifer ty:Reservoir :Swtr group:Distance f:Subdivisio:Lot:Town dista:Road name:Road dista:Block:N grid27:E grid27:N grid83:E grid83:Lat dec de:Lon dec de:Mad:Issue date:C1 seq:Completion:Total dept:Num unsucc:Grouted:Grout top:Grout bott:Casing typ:Casing dep:Casing hei:Top screen:Bottom scr:Screen t 1:Top scre 1:PGNot Reported19731226Not ReportedCROOMNot ReportedMWD00055<strong>10</strong>00D200ROTARYNot Reported0Not ReportedNot ReportedNot ReportedNot ReportedNot Reported0Not Reported0Not Reported245 MIAIR PORT RD<strong>10</strong>0 FTNot Reported34500086500012367241983838.780569-76.771682019731127Not Reported000Not Reported00Not Reported0+0000Not Reported0Permit:B1 seq:Owner name:Address2:State:Driller na:Replacemen:Wapid:Plant id:Source wat:Entity typ:Hydro unit:Stream cod:Section:Nearest to:Town direc:Road side:Tax map:Parcel:State appr:Special fl:C1 recd:Hydrofract:Grout type:Casing dia:Screen typ:PG730171Not ReportedWATSON, HENRYNot ReportedMDFRANK’S WELL DRLG COYNot ReportedNot ReportedNot ReportedNot ReportedNot ReportedNot ReportedNot ReportedCROOMNot ReportedNNot ReportedNot ReportedNot ReportedNot Reported0Not ReportedNot Reported0Not ReportedTC2228367.2s Page A-30

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