HomeMy WebLinkAboutHIGHLAND HILLS #1 BLK 1 LT 11 SOUTHFORK FIRE STATION #13Sep 01 22 11:21 p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department ® Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number:
Parcel Identification Number: 050 382 20
Date of Issue: __
Legal DescriptionBlock
HIGHLAND HILLS #1
1
Lot
11
Property Owner Name & Address:
MOA
REAL ESTATE SERVICES
Roeox 95501RE&RESC E
ANCHCRAGE, AK 99519
Pump Installation Date:0 - 23 - 2022
Pump Intake Depth Below Top of Well Casing: 375
feet
STA -RITE
�� 4
Pump Manufacturer's Name:
�
S7P4HS10231-02
z'
Pump Model:
1.00
Pump Size: hp
Fw,
Pitless Adapter Burial Depth: 15 feet ca�
MARTINSEN
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? IXi Yes ❑ No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
Company: ANCHORAGE, AK 99519
907-243-0740
Mailing Address:
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.