HomeMy WebLinkAboutUS SURVEY 3201 LT 27 T10N R1W SEC 10May 16 22 09:24p Anchorage Well & Pump Ser
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MUNICIPALITY OF ANCHORAGE
Development Services DepartmentPhone: 907-343-7904
_
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number:
Parcel Identification Number: 090 _ 062104
Date of Issue:
Legal Description
US SURVEY
TION R1W SECC 1 10
Block
i
Lot
27
11
Property Owner Name & Address:
LAMBERTSEN ERIK HANS & LYON VERONICA MARIE
24933 SEWARD HIGHWAY
BIRD CREEK. AK 99540
Pump Installation Date: os _ ii 2022
Pump Intake Depth Below Top of Well Casing: 58 feet
Pump Manufacturer's Name: MYERS
Pump Model: 3NFL72-8-P4-02
Pump Size: -75 by
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name: MARTINSON
Pitless Adapter Installer:
Well Disinfected Upon Completion? �Yes ElNo
Method of Disinfection: PELLETS t
Comments:
Pump Installer Name: _
ANCHORAGE WELL & PUMP SERVICE
Company: 7640 KING STREET
ANCHORAGE, AK 99518
Mailing Address: _ 907-243-0740
City: State- Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.