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JUNIPER VALLEY TR A1
Well Drilling Permit Number: SW Parcel Identification Number: D50-"151 - 5 5 Date of Issue Legal Description pCIL Property Owner Name & Address 4161 Mariah Drive �Lkr) I 1 � Howard Meyer 7�— 1 Pump Installation Date: 6-18-19 Pump Intake Depth Below Top of Well Casing: 310 feet Pump manufacturer's Name: F&W Pump Model: TVS1510LT Pump Size: 1.5 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Unknown Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Unknown 11 Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.