HomeMy WebLinkAboutSOUTH LAKEWOOD HILLS #1 BLK 4 LT 5SOUTH
LAKEWOOD
HILLS #1
Block 4
Lot 5
#015-151-37
M -W CmILLING, Inc.
P. O. Box 4.1728 9 2811 Dawson
A C 907.279-1741
99309
A.TA.SF
DRILLING LOG
'"arl X or,
Well Owner
Use of Weir Dom
ti
Location (address of: Township, Range, See On, if known; or distance main roa
ants. -
01,.alley Elem. ry.School 4-,1
f % FgYllrJ
7
.73 77-7 V,Yi
—7;
Size of casing 6
pth of Hole
feet Cased to 174 Beet IY69 06 /.i7 7 .4% -7
4.
2�
Static'w'a,ter level... I T's wm� /V 9 flr, k
urf
e)
3 aci- -YhA�hofwell (check one) open"end (`X
j.
creen -Perforated
Describe screen or perforation rone"*
Well pumping test at IQ gall for1hours
per (MUr) (minute) with'
-----
r4.:,I,. - of drawdown .from static level
Date of completion 23 Xer 72 .... ..
.4
WELL LOG
Denth in feat from
:e Give details of formations Penetrated, size Of material, color and hardness
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10/10'2612 04:43 9072436742 AIdPS, THC. PAGE 01/01
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n.;�r!T
d?ny S
Mark Begich - 3 711-i, 67:.1
Mayor
(907) 343 -':?04
Punip Installation Lag
Well Drilling Permit Number: SW_ ]pate of Issue:
PereelIdentification Number: �
blS- )51-3'1
Legal Description
Property Owner Name & Addres :
e-w0n0(
Hr115
Pump Installation Date:
Pump Intake Depth Below lop of Well Casing;
for 6' Uet
Pump Manufacturer's Name: !r yYl C /D®.
Pump Model:h /M - 6-0 rat/ - 7 �{/
Pump Size yz-- hp
Pidess Adapter Burial Deptb:Al- r feet
PitlessAdapter Manufacturer's Name: /Sy�
N leas ,<iapter IDsts lonIq/%4-
I
Yb'.11.ri5su:tectedU3onCemptstiaas?
to y
Nletbod of Dis;nfectaon:
I
Comments:
Pump Installer Name:
Attention: The pump installer shall provide a p
installation log to the DSD within 30 days of pump installation.