HomeMy WebLinkAboutHANSON ACRES #1 BLK 3 LT 24HANSON
Block
Lot
#009-292-01
Aug 11 11 03:53p Beau Maxim
19073391985 p,6
Municipality of Anchorage
Community Development Department
On-Site Water and Wastewater Prog ram
4700 Elmore St. · P.O. Box 196650 Anchorage, AK 99519-6650 o http:l/www.muni.orglensite · (907) 343-7904
Well Decommissioning Log
Legal Address:
Subdivision HANSON ACRES #1
BJock 3 Lot 2~4
T R Section Lot
On-siteName: Water & Wastewater Program certified contrac~arcolllpany:.perFormin~ the well decommissioning: .~i~.~L../)~
BEAU MAXIM AAROW PUMP AND WELL sigaatare
SERVICE
Wall decemmissio~ing date 8/1 [}/1 '~ Method ¢ decomm?ssioning: AMC 15.55.060L~; a. [] b. [] c. []
Location: Use the space below to provide a drawing of the property showing the following items;
Nato: The sw ag-tie distances shaJl be measured from either permanent sb'uctures m' the property corcem.
G:~.Cornmun[ty Deveiopme~t~Deveiopment ...qervices~Building Safety, On $ita Wa~:er ~nd Wastewater~Forrns~,Olient Forms\Well Decommisiaaing form.doc
Aug I1 11 03:53p Beau Maxim 19073391985
PLAT NO. P-194A
LOT 23
LOT 24
S 8~ 41*L~"E
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