HomeMy WebLinkAboutHILLCREST BLK 8 LT 7Sep_23.2022 09:35 AM Anchorage Well & Pump Service Inc 9072430742
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MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 307-343-7904
On -Site Water and Wastewater Section Fax: 343-7997
www.Muni.org/onsite
Well Decommissioning Lo
Legal Address: �i V Block Lot
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On-altejj��Water &ff Wastewater Section certified contractor performing the well decommissioning:
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Well decommissioning date qV '1 Method of decommissioning: AMC 15.55.060L1 a. b. c.
Location: Use the space below to provide a drawing of the property showing the following ]tams:
• North arrow
• Decommissioned well location
• 4ocation of other water wells on the property
+ Two separate awing -tie distances for each well shown on the drawing
Note: The swing -tie distances shall be measured from either permanent struoturea or the property comers.
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