HomeMy WebLinkAboutEAGLE RIVER MID HEIGHTS BLK 4B LT 13
Legal Description
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BuHd:r LiI.�'x�aion
Pnmp Installation Date: 'j/a 9 ,DO / -::t,
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4700 Etticre Rued u
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Q.Q. Bo}: 1966501Ing
MarkBegich
Anchorage, AY, 99997 s A
Mayor
n"t S"Muni.oro/onsite
Adess Adapter Burial Depth: 10 feet
(907)343-790?
Pidem Adapter Manufacturer's Name: M af—" n
Pump Installation Log
Well Drilling Permit
Number: SVi Date of Issue:
Parcel Identification
Number:
Legal Description
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petty t�oneerr Ne & Address
Pnmp Installation Date: 'j/a 9 ,DO / -::t,
Pump Intake Depth Below Top of Weil casing: ] 3 1 feet
Pump Manufactnrer's Na eis
67dtt l
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Pump Model: ISB06Lt 13G1 --
Pump Size (%Z hp
Adess Adapter Burial Depth: 10 feet
Pidem Adapter Manufacturer's Name: M af—" n
Pidess Ad9pter1=h ilW..
Well Disinfected Upon Completion? Yes ❑ No
Method ofDWafeetion:
Comments:
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Pump Iustaner Name:
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Attention: The pump installer spall provide a pump installation log to the DSD within 30 days of pump installation
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Eagle River,
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~.: ~en Hole , ol~.~: 6"
I0 ~PINe LEVEL k~ l.~ ,.rf,c,Bail tee~O
ft. ~fter ,,~rl. p~ln9 ,.,
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