HomeMy WebLinkAboutLot 73BMark Begich
Mayor
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.orq/onsite
(907) 343-7904
Well Drilling Permit Number: SW
Pump Installation Log
Parcel Identscation Number:
Date of Issue:
Legal Description
/111 S L. /
I r. ` L-738
. Property�Owner�(Name & Adslress�:1, 4-
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j Ana, 74/L gi5l 50
Pump Installation Date: (}e02/75
Pump Intake Depth Below Top of Well Casing: ee feet
Pump Manufacturer's Name:
Pump Model: 15-C311 6.J fs'S I/»
Pump Size 341 hp
Pitless Adapter Burial Depth: feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? Pli Yes ❑ No
Method of Disinfection: jj1LIca r _L, /3 PLL_
Comments:
Pump Installer Name: alnc#p2t ' (.Ve (72,ny, ,9i'✓cex,
Attention: The pump installer shall provide a pump installatilin log to the DSD within 30 days of pump installation.