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T14N R2W SEC 11 LT 2A
TI4N R2W 11 Lot 2A #050-173-02 02/12 2011 16:04 FAX 907 694 1122 SOUTH FORK CONSTI~UCTION ~001 SCI.~UTH FORK CONSTRUCTION P.O BOX 770567 ~AGI£ RIVER. ALASKA 99577 (907) 694-435i FAX(907) 694-1122 12/13/28~1 22:0~ 9872430?42 ~P$~ ~NO, P~C~ 02703 ' ' {v'l~ nicipality of Anchorage ~ ~ ~. ~'~9~ ' ¢'¢~-~, Commune r Development Depa~ment On-S~te~ ~er ~nd W~st~a[er 47~ ~mare ~t. - P.O. Box q ~0 A~o~: ~e, AK ~1 g-6650 - hffp://~,muni,or~ons :e * (907) 343-79~ , Well De :ommissioning Log Subdivision ~ ~ 5 ~ Block _ Lot R ~ Se¢ion ~[ ot Wdlde~is¢oningdate t~-~-/~ i Me~d ofde~mmis~o~ing: AMC Jd.55.060L1 a. ' Lo~tion: Use ~e spe~ ~low ~ provide a d~ng of ~e ~ }e~ sho~ng the ~1~ ~ ~er ~r ~ls on the p~p~, · T~ ~afS~ s~ng41e d~e~ ~r ea~ ~1 s~( ~ ~ lhe dining, · .' ~o¢~¢ . ', ~ . ~ .. G:~Commu~i~D~pmen~Deve~pmentS¢/Ce~ildin~ ~OnSiteWe~andWaste~te~s~Cli~tFo~'. Well~isioni~rm.d~ · 12/13/201i 22:01 9072430742 AWPS, INC. PAGE 03/03 M~ nicipality of Anchorage ~'~ 7~? ~ Communit , Development Department On-Site~ ater and Wa~tewater Program 4700 E]more St, ' P.O. Box 1~650 Ancho~ le, AK 99519-6650 - h~p;//~¢.munt.or~onsi ~e · (~7) 343-~904 , Well :ommissioning Log ~egal Add~S: Subdivision, ¢~5 ~ ,Block T R SectiOn ,fL )t , On.stt¢~at~ ~ wastewa~r P~ram ~ed cb~ ~m an~ ~ Me~odofd~m~is~eni~: AMC 15.5d.06OL1 a. ~ b. ~ c. %~tion: u~ ~e spa~ be~ ~ provide a dra~g of ~e ~ ~ ¢0~ the folto~ng i~ms; ~ ~her ~ter ~ls on ~e pr0pe~, . T~ ~m~ sw~g-fie dis~nces ~ each ~11 Note; The s~g-¢e dis~nues shall ~e mea~ ~m ~ pe~[ s~¢res or the p~p~ ~rners. G:~C~mm~n~D~e~pme~t~De~me~e~i~s~Bui~dm¢`'~nSiteWat~aRdWa~t~ms~ientF~ ~We~De~mmisioning ~,d~