HomeMy WebLinkAboutWOODLAND PARK LT 20Ufar !'1 19 09:05a
AItf-,hO!?.ge Weil Pr Put -q) Set 90724;:0742
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vevelopment Services Oenartment
Suildin.
r.
Safety Divi sian
On-S;te Nater $ Wastewctter Program
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470Gi
E more Road
P.O. Box 196650
+1?arlkyor. ch
ti or
Anchorooe, AK 995G7
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v.wwrnun org/onsite
{907}343-790.4
Pump InstallatiOrl Log
Well :Dri@iing Permit Nurnber: SW
-'ar"el IdeattificsYiort i°r ttnaber: f d — 03
Legal Descri tion
CZ00 1 Ia.v,c� L± 2o Ll,�
Punip IIISfallatior Iaare;
IPuI"p Jutal:e ]Depth Below Top of Fell Casi19:l'6O feet
1'urtp Man ufacturer-s Name:
Pump Model: 7V ,1
Pump Sizc — hp
Fitless Adapter Burial Depth: % ll feet
g'stless A�iapter 1Vlanufxcturer'y ?game: � y�
Phles5 Adapter Installer. /V11
Well Disinfected'L1pon Coan.pletioai? e, 0 go
ATethod ref Disinfection:
Comments:
Date of Issile:
Pro erty OW13er N2HIe a, Address:
DA
Pump installer Name:
k�A 1.
PA
Attention: The pump ius alters 1i1 gratiide a ?u111u instal
latia.n 10Q COCIZe DSD �v:
o ' Ilin 31) clays ofpLnlp :nSmIlation.