HomeMy WebLinkAboutPENNINGTON PARK BLK 3 LT 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: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
DepartI ' of Health and Environmental ,tection
SOILS LOG
Performed for Dennis Weston Date Performed 5/9/78
Legal Description Lot 1', Block 3, Pennington Park Subdivision
O.
.0
2
4
6
8
I0
12
14
16'
0.0- 0.5' - Organi~s
0.5- 7.5' - Sandy gravel, little silt GW-GP
110 aq. ft./bdrm.
7.5-14.0' - Silty, sandy gravel and boulders GP-GM
190 sq. ft./bdrm. \,O~t.?'
TD = 14 feet
Average visual square feet per bedroom = 149
Test pit 17' E, 130' N of SW corner
(Water seepage fills bottom 2 feet of pit overnight)
Date Net Time Depth Net Drop
Performed Bv ~3~ '/'5//~.~ -~v,,-~-,-~ CHAMPION DRILLING COMPANY, INC.
