HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 6 LT 15Skyway Park
Estates
Block 6
Lot 15
#019-151-22
Mark Begich
Mayor
Well Drilling Permit Number: SW
Development Services Department
Building $c~fety Division
On-Site Water & Wasteweter Pr'ogr'om
4700 Elmore ~ood
P.O. ~ox 196650
Anchoroge, AK 99507
(907) 343-7904
Pump Installation Log
Date of Issue:
Parcel Identification Number:
Legal Description
Pump Installation Date: ~/'~.~///¢F
Pump Intake Depth Below Top of Well Casing:
Pump Manufacturer's Name: ~ e~s)
PumpModel: ~0(.7~11 9£ (2
Pump Size t(% hp
Property O. wner Name & ,A. ddress:
II AM C ~o &~ Q~, A [
qq 5-3 oy
feet
Pitless Adapter BuriaIDepth: g/feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: ,-~'--'
Well Disinfected Upon Completion? ~es [] No
Method of Disinfection: ~/~_ ~
Comments:
i ANCHORAGE WELL & PUMP SERV.
Pump Installer Name: 330 EAST 76TM AVENUE
ANCHORAGE, AK 99518
PHONE: 907-243-0740
AWPS.COM
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.