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Home My WebLink AboutNEW GIRDWOOD TOWNSITE ALASKA BLK 1 LT 11Jui ? 3 20 01.20p An riorage. VVeel & Z'�;mp Set 9072 ;•30742 p.1 °J ��'det'f :`�" �', i„i 3 4.. 5.3� �F�<'�1"S{ o`�a'r�a•y. a^r",-., �� 7.z0aM1 ,..w e.'d'.y s�+ta:j.ir G't2 k•iS��t ��i.5r?i"'+4"� P'! t hy, s 4700 0 ".5{ iCi;od %1/i ri SgiG.rh Anchor:,ce, ?_K 9ti. ,07 r �Nr&VCl` Pump Installation Lo Well Drillarng Permit Number, Ste'----,. Date of Issue: Pared Identification Legal Description Property Omv ner Name & Address; fA��r Pump Installation mate: /r Pump Intake Depth Belosl Top of Well Us:rn�: "l feet Pump M.annuf cturer's Name: 4,4,x Pump Mudel- Yu m p Size 13 left Yltlkss ��dal�ter fiuria8 iyepth: j� feet j Yitless Adapter NI:irufacrur n;r' ; Naaxie: Pitliss AdarAer fnsta icr: Well Disinfected lrpoll Completion? `ts ves [ i ao Method of Disinfec€ion: Comments- wt�5 Pump Installer Name. Au,) F!%^� Attention: The purnp instaik-r shalL pr:ivil e a pump i,astailat:ion log to _"tie DSD 39 days o purnp installa;:on.