HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 4 LT 1A US SURVEY 1177Oct_24.2022 02:38 PM Anchorage Well & Pump Service Inc 9072430742 #1919 P 1/ 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:
Parcel Identificatiion Number: 075 -153 -
Legal Deseription Block Lot
GIRDWOOD ORIGINAL TOWNSITE 4 1A
Pump Installation Date: 10 � 24 - 2022
Date of Issue:
Property Owner Name & Address:
SPEEDWAY
PO BOX 599701
SAN ANTONIO, TX 78259-9701
Pump Intake Depth Below Top of Well Casing: 40 feet
Pump Manufacturer's Name. BERKELEY
]Pump Modeh 75 GPM
Pump Size: 5.0 hp
Pitless Adapter Burial Depth:1 Q feet
Pitless Adapter Manufacturer's Name: " WELD ON
Pitless Adapter Installer: NKNO -Al
Well Disinfected Upon Completion? X Yes D No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name-.
ANCHORAGE WELL & PUMP SERVICE
Company: 7640 KING STREET
ANCHORAGE, AK 99.518
Mailing Address: � 907,243`0740
City: State: Zip:
Attention: The pump installer shah provide a pump installation log to On-site within 30 days of pump installation.