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HomeMy WebLinkAboutSAUERWEIN LT 2��15-0to1-�i I 40412 - �54wtR6v--C� RICK COLEY P.b-(6o� gra '6112-D ODD, (A1( etc) �T7 WELL LOG Date Dri ed: 4-24-95 Static Water Level 37 feet Draw Down &)�j� feet Type Material Drilled: 0 feet to 10 Ft. Sand and rock Gallons Per Minute 10 Total Feet of Casing 55 10 Ft. to 12 Ft. Clay and rock 12 Ft. to 25 Ft. Rock with a little sandy clay to 37 Ft. Hard rock 40 Ft. to 42 Ft. Moist rock and little clay 37 Ft. to 38 Ft. Moist Rock and clay _ 38 Ft. to 40 ft. Rock with little sandy clad _ 40 Ft. to 42 Ft. Moist rock and little clay 42 Ft. to 43 Ft. Wet rock and _little sand__ 43 Ft. to 55 Ft. Water and gravel rock HEFTY DRILLING 3540 AKULA DRIVE ANCHORAGE, AK 99510 (907) 345-0593 RECEIVED JUL. 2 71995 Munic!Pal„y of Aricl1orage Deft. Health & Human Services MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW950049 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:COLEY RICK A & DEBORAH J OWNER ADDRESS: P.O. BOX 872 GIRDWOOD, AK 99587 PARCEL ID:07506191 LEGAL DESCRIPTION: SAUERWEIN LT 2 LOT SIZE: 7580 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 133 r DATE ISSUED: 4/18/95 EXPIRATION DATE: 4/18/96 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL P RECEIVED ISSUED BY: R OVIS S. f BY : C\ DATE: C DATE: _z//�. r TT * D.pr O Z PD i; OO -z 10 i N o I D 10 c� r o I mz M in W rD (A M D OC D U) - O x D OCro O III; D V D' C N pzkx C W — m O -< cm w ela w0 O N 0 Op to r --I" N D P, CO Z Z V9 tD ^ A LO O N N cn m Z � z r� s a M n N A m C/) N V /r- m� D O AP C ory � z J� In C W V! F 0 F, Z 0 F- 0 MUNICIPALITY OF ANCHORAGE uH i c Ur ArrucA I IUN uY moo/ v� . WATER &WASTEWATER UTILITY _ ' - 3000 ARCTIC BLVD. SCHEDULED COMPLETION DATE 12/31/95 PHONE: (907) 564-2762 BLOCK/LOT/TRACT LT 2 Q SINGLE FAMILY SUBDIVISION .'..SAUERwEzrr MUTT -DWELLING Na APTS _ COMMERCIAL POST IN A CONSPICUOUS PLACE AT THE JOB SITE CUSTOMER COPY Original Municipality of Anchorage DR -0 Department of Health and Human Service Tom Fink, 825 1" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 10, 1991 G. Mc Coy Sales, Inc. 3201 C Street Anchorage, Alaska 99503 Subject: Lot 2 Sauerwein Subdivision Permit #900314, PID #075-061-91 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990. A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as -built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sinc,rely, Jo Smitiv; P.E. P gram Mk( ager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" WELL !`�R|1�l i uate \ssuc�: o9/�5/90 D�y P�one: /62-3118 7arcel }d: �75-�61-�� Lot L�'�a]: Subdivis�on: Hal EKWElN 1 2 wlock146%. Sect�on: 17 1o001 voil, ipF 10N Range: 2E Lc`t 5ize /581 (sq[t. or acres) Max 8edrooms: l!�is Permit: 3 Total Cayacjiy: 3 WELL: L�� �usL bs submitted to Mu�icipa1ity o� Anchora�e De�artmen�o( �!eait|� �n'| /�uman Servzc/e wit|'i: 30 days o{ well complet�on. P!|�L�L� SEWB< �ERVES T�lS LOT. ES KA HIGHWAY c� �� (S) vl� crj > 00 1> Ul 1 AI 1 ILV7 IL �� (1) z o��, Na TO F 0 M REPLY FR—E0 =FORM ® 4S 472 SIGNED or" SIGNED SEND PARTS I AND 3 INTACT - PART 3 WILL BE RETURNED WITH REPLY DATE POLY PAK (50 SETS) 4p479. Municipality of Anchorage AIRL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: I/ ��-(ARF—WFay S /) Parcel I.D. A. Well Data Well type 76A -7E- If A, B, or C, attach ADEC letter. ADEC water system number /V _ Log present(O/N) 4F-5 Date completed _ 4 �� —%J Driller Total depth SS Cased to �v Casing height�/ Sanitary seal (Y/N) yS Wires properly protected (Y/N) YF S FROM WELL LOG AT INSPECTION Date of test Static water level _ ` o z Well flow �— g.p.m. _ U`i9 r = Z a Pump levell dAlk, ` ` r -n "' r Z SEPARATION DISTANCES FROM WELL TO: L[ Septic/holding tank on lot LIA ;On adjacent lots 00 C Absorption field on lot _ L 1 ; On adjacent lots _ acSU z Public sewer main --_�.s f4 Public sewer manhole/cleanout—/O0 �4 Sewer service line — as r� Petroleum tank �!-� WATER SAMPLE RESULTS: Coliform —6- Nitrate �� "`��Other bacteria Date of sample:__( Collected by: �' f_vtali�lrr talt�e ��i����JA1 aIhAAI P B. SEPTI HOLDING TANK DATA Nagle iI ivcr,'AAIRrI a 9957 ,//, /- Date installed_—y Tank size Compartments / Cleanouts (Y/N) cleanout (Y/N) _ De High water alarm (Y/N) �� Alar Date of pumping SEPARATION DISTANCES FROM SEPT LDING TANK TO: Well(s) on lot ��� On adjacent lots To prope�nO� Absorption field water/drainage Water main/service line 72.026(M)•Front CONTINUED ON BACK PAGE SE Si:4LO EC) CI'LIFT XTION Date installed Size in gallons Vent (Y/N) "Pump on" High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE Well on lot FIELD DATA STATION TO: Manufacturer Manhole/Access (Y/N) Tu off" Level at tested On adjacent lots Surface water Date insial"ed Soil rating (GPD/Ft') System type _ Length Width _ Gravel thickness —Total depth Total absorption area Cleanout present (Y/N) Depression over fi Date of adequacy test Results (pass/fail) for Water level in absorption field before test--- Peroxide estPeroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD Well on lot To building foundation On adjacent lots Surface water Curtain m E. ENGINEER'S CERTIFICATION On To existing or yes, give date Property line ;tem on lot _ Cutbank Water main ice line Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect Signature 7avl— Engineer's Name —IV04 �i!t T C`- CO LIJIq Date 2 J HAA Fee $ �'v- 6�0 Date of Payment 9 5 Receipt Numbers 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number_ F 4I/\ Bedrooms inspection. �. ROBERT C. COWAN Oc CE .P ...............�'� I COHHERCIAL TESTING -+ 9076941211 ME Environmental Services Inc. v laboratory Division CTr.r Re1.A ATTR 3-1 LaboratoryAnal riatrlx WATER y$15 Report Client 8amP10 ID LOT 2, SAUREWIEN 8/D NO. 977 D02 Client Name 8 & 8 ENGINEERING Ordered by B. COWAN WORK Order 16502 Proie Project Llama Printed Date 07/26/95 0 14:05 hrp Projsctfl C011eCted Date 07/21/95 ® 13,30 P11 -31D UA Received Date 07/21/95 ® 16:90 hz'p hrg Technical Director STEPHEN C. EVE Releaped Hli ��� e. ';Z� S-a;:,ple Remarkp: SAMPLE COLLECTED BY: J. w. QC Allowable Ext, Anal t'aramoter ResultsQual Unito Method Limit() Date Date Init ...........-. !tic ra to - N 0.50 mg/l, EPA 353.2 10. 07/25/95 Ct9R ammo.ao..c.................y..........r.....................omv.v.vcccn...................mn.ov...mmna.. See Special Inptructioha Above See Sample Remarks Above VA . Vnavailablo Y . Not Analyzed .. Cin detests d, Regorted value ie the practical quantification limit. NA - 8" condary dilution. LT hese Than GT Greater Than _200 W. Potter Drive, Anchora©o, AK 99518-1605 —'(el: (90_7) 5622343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA. FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MIS50L12I. Mew JFRSEY, OHIO. WF5T VIRGINIA