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Lot I
#050-291-43
ARCTIC PUMP & WELL INC.
J~m Sulli~, CPI
PO Box 770197
Eagle River, AK 99577
(907) 688-2510
(907) 258-2510
apw(~gci.net
Decommissioning Log
Well Drilling Permit Number: SW
Parcel Identification Number:
Date of Issue:
Legal Description: Eagle Crest T F Property Owner Name & Address:
Lot: Ed Ledux
Block: PO BX 770514
Pump Installation Date: 5-5-11
Pump Intake Depth Below Top of Well Casing: Feet
Pump Manufacturer's Name: Pump Model:
Pump Size: hp
Pitless Adapter Burial Depth: feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Well permm~ently decommissioned by procedurel 5.55.060L.c.
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump & Well, Inc.
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