HomeMy WebLinkAboutT13N R4W SEC 25 N2N2NE4SE4PTNNov -23-2022 02:48 PM Anchorage Well & Pump Service Inc 9072430742
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MUNICIPALITY OF ANCHORAGE
0 Awe
Development Services Department Phone- 907343-7904
On -Site Water & Wastewater Section x: Fax; 907-343-7997
Pump Installation) Log
Well Drilling Permit Number:
Parcel Identification Number: 010 - 113 - 21
.Date of Issue -
Legal Description Block Lot Property Owner Name & Address;
T'13N R4W SEC 25 H$BC BANS( NT USA NTUI, ASSp�R05 C
N 2N2 N E4SE4 P7N % PHH MORTGAGE CORPORATION
ONE MORTOAGE WAY
MT LAUREL, NJ 08034
Pump Installation Date: it - 22 - 2022
Pump Intake Depth Below Tap of Well Casing: 90 feet
Pump Manufacturer's Name: STA -RITE
Pump Model: UNCHL-06 / M05412 - 5OC311
IPump Size: .50 hp
IPitless Adapter Burial Depth: 10 feet
I Pitless Adapter Manufacturer's Name:
I Pitless Adapter Installer:
MAR.TINSON
Well Disinfected Upon Completion? � Yes ❑ No
Method of DiSinfeCtiolk: FULETS
I Comments:
I Pump Installer Name: _
I Company:
I Mailing Address:
ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
ANCHORAGE, AK 99518
907-243-0740
State;
Attention: 'rhe pump installer shall provide a pump installation log to On-site within 30 days of pump installation.