HomeMy WebLinkAboutPENGUIN RIDGE LT 1Onsite File
Lot 1
Formerly US Survey 3044 E99' Lot 37, verify which
well was decommissoined at next COSA
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT g, 907-343-7904
On -Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Well Decommissioning Log
Legal Address: i
Subdivision �-f 1` dJt�l Block Lot 3� E99
T R Section Lot
On -site Water & Wastewater Section certified contractor performing the well decommissioning:
Name" R R.VD& Ti/ y Signature:
Well decommissioning date �� ,�"� 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 comers.
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LOCATION OF STREAM PER ROBERT
LUMPKIN, RLS DRAWING DATED 11/4/24.
STREAM LOCATION REPORTEDLY
MAPPED BY MOA WATERSHED.-,
NOTE 1: CURRENT MOA
WETLANDS (ONLINE)
MAPPING SHOWS NO
WETLANDS ON
PROPOSED LOTS 1 & 2 OF
PENGUIN S/D.
USs
3044;LOT37
W2
SIINGLE-FAMILY
HOME ON
PRIVATE
WELL &
AWWU
SEWER
POTENTIAL
WELL
t LOCATION -
/ 5
SAUERWEIN
GENERAL LOCATION OF LOT 1
OLD DECOMMISSIONED SINGLE-FAMILY
WELL HOME
CO
o'
3
PROPOSED
o LOT
1
Yy \ N SINGLE-FAMILY
tl cry EXISTING, t HOME
HOUSE''.�o\
I AnO�
s���
PROPOSED NEW LOT LINE PER
ROBERT LUMPKIN, RLS
DRAWING DATED 1114/24
APPROXIMATE LOCATION
OF AWWU SEWER
CLEAN -OUT BASED ON
AWWU RECORD
INILY1RWEIN
V
OT 3
50S' �
P�o
PROPOSED �� MH
r;\ LOT /
MH /
Ste, APPROXIMATE
LOCATION OF
AWWUMH
..,, ENGINEERING I - SALES CONSULTING �
3701 E TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA ` PHONE (907) 337-6179' WESSITE: warov.g+unessengneedng.cart
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DAN & ERIN BROKAW 907-230-9115 1 OF 1
PROJECT/LEGAL DESCRIPTION: DRAWN BY:
USS 3044; LOT 37 E2 INTO PROPOSED PENGUIN S/D LOTS 1&2 PNB
TYPE OF WORK: DATE:
PROPOSED WELL LOCATION FOR PENGUIN, LOT 1 +1 J?o 1214
........ :..:..�..:...........
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�I �'�' C -7953 =�s
LICENSE +,�iklililk
�ESS, :� �•
M -W DRILLING, Inc.
P.O. Box 10-378 a 10300 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Well Owner --Use of Well
Location (address of: Township, Range, Section, if known; or distance main road
Size of casing Depth of Hole feet Cased to o feet
Static water level 3� ft. '-`(dUb7Njb) (below) land surface. Finish of well (check one) open end
Screen ( ) ; Perforated (
Describe screen or perforation
Well pumping test at JL-` gallons per (h6ihr) (minute) for with .. . .......
of drawdown from static level.
Date of completion -l'-3 ,
WELL LOG
Depth in feet from
L
ground surface Give details of formations penetrated, size of material, 0i(4ffd" 11Ags - —
TO
To
TO
TO
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TO
TO
TO
TO
TO
TO
TO
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1 01
NV .1-ad -T
CertHirMte Nes, 814
3 — CONTRACTOR
r—
APPL[, NT FILLS OUT UPPER HA, ONLY
Property Owner
v,16�7 7-7—Z
Pho -7e
Mailing Address
Zip Code
Buyer
Address
Zip Code
Lending Institution,
Phone
Address
Zip Code
Realty Co. & Agent
Phone
Address
Zip Code
Legal Description
0
7//
Street Location
Ty e of Residence
Single Family
❑ Multiple Family No. of Bedrooms
El Other
Water Supply
Individual
ATTACH WELL LOG. A well log is required for all wells
drilled since June 1975.
❑ Community
For wells drilled prior to that date, give well depth (attach
log if available).
❑ Public Utility
Sewer Disposal
El Individual
Year Individual Installed:
Public Utility
When Connected to Public Utility:
❑ Holding Tank
> d7
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
ro -7—
Time
Time
Time
Time
Date
Date
Date
to
Inspector
Inspector
Inspector
Inspector
Field Notes:
(2—)—APPROVED BEDROOMS
*CONDITIONS OF APPROVAL
DISAPPROVED
CONDITIONAL APPROVAL*
67
DATE
4/1
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Septic Tank Size
Well to Tank
H
M
72 023 (31821
