HomeMy WebLinkAboutHALLS LT 1Onsite File
Halls
Lot 1
#011-161-50
Nov 30 21 08:49p Anchorage Well & Pump Ser
9072430742 PA
Development Services Department , Phone: 907-343-7904
On -Site Water & Wastewater Section ��. ' /f Fax: 907 `
3q3 - 2S
Well Drilling Permit Number:
Parcel Identification Number:
Date of Issue: - -
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: //� -M- Z/
Pump Intake Depth .Below Top of Well Casing: %'V5 feet
Pump Manufacturer's Name: W,_,f"41r
PumpModel: ls 4,-.-asVp
Pump Size: 1 �f
, hp
Pitless Adapter Burial Depth: -~ feet
Pidess Adapter Manufacturer's Name: /flX , k& -_V
Pitless Adapter Installer: i
Well Disinfected Upon Co etion? VYes 0 No
Method of Disinfection: We
Comments:
Pump Installer Name:
Company:
Mailing Address: —
City:
ANCHORAGE WELL & PUMP SERVICE
7640 King Street
Anchorage, AK 99518
PH: (907) 243-0740
State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.