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Note Maximum pump capacity is 50 GPM/acre served. Applicant Acknowledgement As the applicant I am the property owner the C-57 licensed well driller the property owner s authorized representative. Disinfection Report D. Well Final Inspection Inspector Not inspected by EH but Certification of Completion provided by a licensed well driller or pump contractor Comment if final not approved or Certificate of Completion not received For large diameter wells only capacity of installed pump verified...
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Date paid refers to the date on which a payment was made.
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