HomeMy WebLinkAboutT12N R3W SEC 9 SW4NW4NE4SW4Onsite File
12N R3W SEC 9
PID# 014-251-01
homeowner is to connect to public sewer and water,
provide well decommission log
MUNICIPALITY OF ANCHORAGE
I' �
DEVELOPMENT SERVICES DEPARTMENT• J"
907-343-7904
On -Site Water and Wastewater Section \ 4
Fax: 343-7997
www.muni.org/onsite
Well Decommissioning Lo
Legal Address:
Subdivision Block Lot
I, /,
T �2N R_ VtW Section_ Lot SW4NWT tilF4S W7.
On-siteWater& Wastewater certified contractor performing the well decommissioning:
hSection
,� �,�,p v � Signature:
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Well decommissioning date NZ Method of decommissioning: AMC 15.55.0601-1
a. ❑ b. ❑ c.
Location: Use the space below to provide a drawing of the property showing the following items:
North arrow
Decommissioned well location
• Location of other water wells on the property
• Two separate swing -tie distances for each well shown on the drawing
Note: The swing -tie distances shall be measured from either permanent structures or the property corners.
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T12N R3W SEC 9 SW4NW4NE4SW4
�- SHEDS -�
T12N R3W SEC 9 SW4NW4NE4SW4
SEPTIC PLAN
0 50 100
FEET
1 "=50'
100' SETBACKS FROM
CREEK AND WELL
LEGEND
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEAN(
FS - FLOW SPUTTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 1
DATE READING START TIME NET TIME(minutes)
DEPTH toWATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
22.9
7/25 1
2
3
GM (SILTY SANDY GRAVEL)
Professional Engineers Stamp:
YES
T12N R3W SEC 9 SW4NW4NE4SW4
7/25/2024 014-251-01
A.C.E.S.
4:35 1 0
16
1' OB
30
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFE S S I O N A L E N GINEER
PERC TEST LOCATION
TECHNICIAN:M. JAKUBISIN
2 6
16
8'
6'
8/1/24
COMMENTS:
SITE PLAN
1 6
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
8/13/2024
SM (SILTY SAND)
GC (CLAYEY GRAVEL)5:06 1 0
1630 2 5
16 1 5
16
5:37 1 0
1630 2 5
16 1 5
16
PF q �'%%4
49 TH
SHANE A. HOLT
LS-6914 0` <
,�\,°fessiona\ Vo
NOTE LEGAL DESCRIPTION
SW114NIX/114NE114SW114
SECTION 9, T 12 N, R 3 W SN
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN
HEREON ( UNLESS INDICATED)
NOTE. FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
AS --BUILT SURVEY I" = 40'
NO CORNERS SET THIS DATE
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
SEE NOTE
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE,ALASKA THIS 17TH DAY OF
JUNE , 2024
HOLTLAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
223.8615 -00
/pczl-
16081 237-54