HomeMy WebLinkAboutELDON BLK 3 LT 5
~"~, WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT.OF NATURAL RESOURES
Division of GBOIog)col Et Geophysicel Surveys
Drilling Permit No.
LOCATION OF WELL (Pleoee complete either la, lb or lc.) A,D.L. No,
~lsoro.gh Subdiv,eion ILar B,oek 'q V4.,r.. $--*c,ion .a, Town'iPNO .ong, Em M...,a.
~. WELL LOG Feet Below
Surface 4. WELL DEPTH: (final) 5. DATE OF COMPLETtON
/' , F 8. CASING' 0 Threod)d ~ Welded
-- 9, F~NISH OF WELL:
~ / Equipment used:
~F~ ~?''~ II.PUMPING LEVEL below Io.d .~rfoce ond YIELD
MUNICIPALIT~ g~ ANCHCq,*,O~ ,~,,.,.~g fl, after ~ hrl. pumping /~ g,p.m,
Material: ~ Neat Cement ~ Other:
~4. REMARKS: ,
16, WA~ER WELL CONTRACTOR'S CERTIFICATION:
Dec 1? 1804:52P Ai o h c r 9 g e VVe " I � il � -i p S e 1- 9072430742 P. 1
Development Services Department
Building Safety bivision
'4 On -Site Water .4 WOSteWafer Prograrn
47CO 21_c�,e Pcod
Mark Beg.,ch Anchorage. AK 99507
Pump Installation Log
We Dr-Ifing Prait Numlber. SVS'____
Date of Issue:
Parcel 1dejitfficztj,)n -Numben-0i(l-)0)-- i H
Legal Description
-roperty Owner Name & Aeldress.
C_
7Z,�p a �, i5a,7
Pamp InstaBation Date -
Pump Intake Depth Below Tap of Well Casing: C, feet
Pump Manufacturer's Nvrne;
Pump Model: S. C
Pullip ite hp
Pit -less Adaptcx Burial Depth: 10feet
A A
Pidess Adapter -Manufacturer's Nume:
Pitiess Adapter Installer:
Well Disinfected Upon C:onjpletj.,n,? No
Method of Disinfecdow
Comments:
Pump Installer Name:
Attentiran: