HomeMy WebLinkAboutT12N R3W SEC 23 NE4NE4 PTN & VACATED ROWOnsite File
T12N R3W
Section 23
NE4NE4 PTN
& Vacated
ROW
#015-511-38
Mar 02 22 10:37p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department s — ! Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: Date of Issue:
Parcel Identification Number: 015 511.38
Legal Description
T1 2N R3W SEC 23
NE4NE4 PTN & VACATED
ROW
Block
Lot
11
Property Owner Name & Address:
GEORGE A & JUDITH S MOERLEIN
JOINT REVOCABLE TRUST
7300 OWALLEY ROAD
ANCHORAGE, AK 99507
Pump Installation Date: 03 - 01 _ 2022
150
Pump Intake Depth Below Top of Well Casing:
feet
A.Y. MCDONALD
Pump Manufacturer's Name:
24075V2
Pump Model:
314
Pump Size: hp
10
Pitless Adapter Burial Depth: feet
MARTINSON
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? ❑ Yes ❑ No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name: _
ANCHORAGE WELL &PUMP SERVICE
Company: 7640 KING STREET
p Y ANCHORAGE, AK 99518
Mailing Address: 907-243-0740
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.