HomeMy WebLinkAboutSHANE LEE ESTATES BLK 1 LT 6Shane Lee
Estates
Block i
Lot 6
#014-061-62
MUNICIPALITY OF ANCHORAGE
Development Services Department rr Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 014-061-62
Legal description SHANE LEE ESTATES BLK
Site address 6700 Tiffany Terrace
Expiration Date: Zf Z 3
1 LT 6
Current property owner(s) Alvin and Jennifer Severance
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 1/26/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval—June 2022
MUNICIPALITY F CH0 G
Development Services Department s Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 014-061-62
Complete legal description SHANE LEE ESTATES S/D BLOCK 1 LOT 6
Location (site address) 6700 TIFFANY TERRACE
Current property owners) Alvin III & Jennifer Severance Day phone 907-350-7827
2. ON-SITE SYSTEMS SLED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank H Community Septic or Public Sewer
S. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for.,
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ 2- U U � Waiver Fee $
Date of Payment h-6 (23 Date of Payment
COSA # 0.SC 7 -_2, IQ Waiver #
COSA Application June 2022
Legal Description: SHANE LEE ESTATES SID BLOCK 1 LOT 6
Parcel ID: 014061-62
If more than 1 well and/or septic system on lot, provide separate checklist Structure served by this system
Well log is filed with Onsite (or attached) Well production at time of test 5.5 qpm
Date drilled 1/20/1978 Total depth 57 ft Water storage tank volume42 gallons
Cased to *40+ ft Well disinfected for coliform test? ❑ Yes 11 No
FQ Sanitary seal is functioning correctly Coliform bacteria is Negative
❑ Wins are properly protected Nitrate 0.531 mg/L ❑ Nitrate less than MRL (ND)
Casing height (above ground) 31 in. Arsenic ug/L FIM Arsenic less than MRL (ND)
Date of flow test for COSA 1/5/2023 Collected by Gary Solin
Static water level at beginning of test 24 ft. Date 1/5/2023
Comments *Typical well construction by driller, Nearby wells cased more than 40 ft
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments: PUBLIC SEWER
D. ABSORPTION FIELD DATA
Which system tested (date installed) NIA
0 ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
❑ Monitor tubes go to bottom of effective.
If not, state depth into effective
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced igallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date NIA
Results n Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies: PUBLIC SEWER, Foundation clean out near front door
COSA Cheddist June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100'
❑Yes if No N/A ft DYes if No ft
Neighboring Tank > 100' f-1 Yes if No NSA ft Private Sewer/Septic Line > 25' 0 Yes if No ft
Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' ❑Yes if No NSA ft
Neighboring Absorption Fields > 100' NIA Animal Containment > 50' 0 Yes if No ft
Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' DYes if No ft Q Yes if No ft
❑ N/A - Served by Community Well (not on lot) or Public Water
From Septic/holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10' [:]Yes if No NSA ft Surface Water > 100' ❑ Yes if No NSA ft
Tank to Property Line > 5' F1 Yes
if No N/A ft
Field to Property Line > 10' []Yes
if No NIA ft
Water Main > 10' ❑ Yes
if No NSA ft
Water Service Line > 10' ❑ Yes
if No NIA ft
F. ENGINEER'S COMMENTS
Wells on Adjacent Lots:
Private Wells > 100' ❑ Yes if No N/A ft
Community Wells > 200' ❑ Yes if No NIA ft
If tank or field is under driveway comment below
PUBLIC SEWER. Gary Solin P.E. attempted to provide a thorough test of the system in accordance with current regulations.
The reported results describe system performance at the testing time and do not guarantee future system performance.
No warranty or future time estimate for this system to meet regulatory requirements is provided by Gary Solin P.E.
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm
Engineer's Printed Name q0V Sp rI'17
COSA Checklist June 2022
Phone 907-338-1308
Date 7c4i ,2 02 -
OF
QF 44
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10' UTILITY
EASEMENTS Lot 7
Lot 7 I `-----`—"'"-'
WOODEN FENCE
— EAST 137.12' —
3.7'x8.7' STAIRWELL
2.0'x4.2'CANT N
---� Z 60.1' In
12.1' 24.2' 2.0' CANT
Q` Q
m;0 SEWER CLEANOUT 0
O p
Q WOODEN WELL o x r N14.3' b
Q FENCEm = 21.3' O
P Z O
0
L®� 6 "' ASPHALT M
rn z-
� 6.7' DRIVEWAY 6'.
Lot 6 I o f I 8,380 S.F. Q,
-i\ 52.2'W '
C 9.5'x8.5' SHED
WEST 142.19'
WOODEN FENCE
----- i ( Lot 5 � I
Lot 5] ( I I
I {
NOTE: DUE TO SNOW & ICE COVER, SOME
SURFACE LEVEL FEATURES ARE APPROXIMATE.
MORTGAGE SURVEY X_ SCALE _ 1" = 30' GRID SW 2034 _ Project No. y 23-012 Al �_
Associates,
�
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & A 5 s o C i a t e S, inc. (907) 522-6476 Phone
ken0longsurvey.com
Professional Land Surveyors jonothon®langsurvey.com .. ofk k
,......
travis®langsurvey.com ,� �,, , • • , S� �.
1 hereby certify that I have surveyed the following described property:
LOT 6, BLOCK 1, SHANE LEE ESTATES (PLAT No. 77-126)
Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a
representation of the conditions that were found on the dote the survey was performed.
This survey does not constitute a boundary survey and is subject to any inaccuracies
that a subsequent boundary survey may disclose. The information contained hereon shall
not be used to establish any fence, structure, or other improvements.
411
Dated this the --LL-- Day ofA�' aE>=?-'. at Anchorage, Alaska
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
,• KENNETH G. LANG ,•o
cJ No. 5 02 cv
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^ DEPARTMENT uF HEALTH AND ENVIRONMENTAL r,ROTECTION
^ 825 'L' STREET, ANCHORAGE/ HK. 99501
279-2511
HPPLICHNT EDWIN RINNER 8310 WELLSLEY CT ]44-41]1
LOCATION
LEGAL L6 B1 SHANE LEE ESTATES LOT SIZE 8000 SQUHRE FEET
MINIMUM DISTHNCE
BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL C8MPLETI ON.
SPECIFICHTIONS HND CONSTRUCTION DIAGRAMS ARE `AVHILHBLE TO INSURE PROPER
INSTHLLHTION,
EE. ��'1 -0 ���I r.;- ���� CH Ir -A Er- �EE 9:::-o i �F�'(7j 1-1 �R-A K=-
I CERTIFY THA T'
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR 8N -SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2� I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
�
SIGNED�_"��_-�=c���-~����-���~~~~_-
HPPLICHNT EDWIN RINNER
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519-6650 '.
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
ad q pI
Parcel I.D. 014- /�94.6--62 COSA# ( J S c l -213y3I
1. GENERAL INFORMATION Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
SHANE LEE ESTATES S/D; BLOCK 1, LOT 6
6700 TIFFANY TERRACE * ANCHORAGE. AK * 99507
PETER UNGER Day phone
6700 TIFFANY TERRACE * ANCHORAGE. AK * 99507
Day phone
SHARI MORELLI W/ KELLER WILLIAMS Day phone
268-9948
101 W. BENSON BLVD, #503 * ANCHORAGE, AK * 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, i verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, L£D. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system unde- the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for —3— bedrooms.
Disapproved.
Phone 337-6179
Date
OF A
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
L'
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
CE -7953
'Oro f e s si000\
ON-SITE
WATER AND
WASTEWATER
PROGRAM
By: / i_ Original Certificate Date: --7 12
(Rev. 11/05)
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorage.sk.us
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
obl
Legal Description: SHANE LEE ESTATES S/D; BLOCK 1, LOT 6 Parcel ID: 014-p.Y6--62
A. WELL DATA *ASSUMED BASED UPON SURROUNDING WELL LOGS. SEE ATTACHED.
Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) YES
Date completed 1/20/1978 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 57 ft. Cased to *40+ ft. Casing height (above ground) 12+ in.
FROM WELL LOG
Date of test 1/20/1978
Static water level 18
Well production 5 —
9 -p.m -
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml.
Arsenic: N10 ug./L.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size gal. Number of Compartments
Foundation cleanout (Y/N) _ Depression over tank (Y/N)
AT INSPECTION
7/18/2012
9 ft.
5.18 —9-P M.
Nitratey a' —mg./L.
Date of sample: 7/18/2012
PUBLIC SEWER
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed
Length ft.
Total depth ft. Eff.
Date of adequacy test
Soil rating (g.p.d./ft2or
Width i
ft
Collected by: GEG, Ltd.
Date installed
Cleanouts (Y/N)
High water alarm
Jrm�-' System type
ft. Gravel below pipe ft.
Monitoring tube_ Depression over field
Results (Pass/Fail)
Fluid depth in absor ' n field before test _ in.
Elapsed T' _min. Final fluid depth _
rejuvenation treatment (past 12 mo.) (Y/N & type)
Water added _gal.
Rol
For bedrooms
New depth _in.
Absorption rate >= g.p.d.
If yes, give date
D. LIFT STATION
Date installed Size in gallons - Manhole/Access (Y/N
"Pump on" level at in. "Pump ofr' level — . High water alarm level
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot N/A On adjacent lots N/A
Absorption field on lot N/A On adjacent lots N/A
Public sewer main
Sewer /septic service line 25'+
Animal containment areas 50'+
Public sewer manholetcleanout 100'+
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation Properly line Absorption
Water main Water service
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION F
Property line B ' oundatic
Water service
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Surface water
Wells on adjacent lots
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date
COSA Fee S �Q()
Date of Payment /a �, /���
Receipt Number Q `I 317
(Rev. 11105)
Surface
TO:
Water main
PUBLIC SEWER
Driveway, parking/vehicle storage
Waiver Fee $
Date of Payment
Receipt Number
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UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING SOU14DARY CR FENCE LINES.
THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY.
LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE
LOT suRWY SURVEY TYPE SYMBOLS
Lj FOUNDARON AS -SUET • SET REBARD ASPHALT
❑ DWOOD F
N& STRUCIURE AS-BIILi E
❑ PLOT PLAN ... AS -LT ... LOT SURVEY ... TOPOGRAPHY
FOUND REBAR g—g.._g WOOD FENCE CONCRETE
SA
fm .. e..... — _ _ — r —..1..,.,., . - K, 4OFn ASSUMED ELEV. * M * METAL FENCE ® WOOD DECK
IT IS THE RESPONSISIUTY OF THE BUILDER OR OWNER, PRIOR TO
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE
TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE
THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT.
SURVEY CERTIFICATION ..fir 11FCL"IIN0
PLOT PUN .�'CF l -----'4f k%.
U
AS -BUILT
...m,.o . w r.
�" �'•. 46"l
STRUCTURE AS -BUILT
..'p �'...
1 E ,Mn i., e/reY ewelr NMI
••... ..•.
d
.Nm m, w mA em el ee
ofevslostonal
ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS. SIDEWALKS, DRIVEWAYS,
ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW
MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED.
ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
Robert E. Johns, Jr. & Assoc.
Professional Land Surveyors
1700 Brink Drim
ANCHORAGE, ALASKA 99504
Scale: 1 It _ 30, IRoe. Lot S.F. Rea. Plot file No.
Date Surveyed:7/17/ R VI Drawn 6y. Checked hyR A
, .,, K
Date Drown: /7,17/12 IGrie: 2034 _1� 12-267
Lot' 3 BLOCK 1
IZWAAIG I 1=1= 1=CTATFC
C-,�Oj� 0-"
3 �3
LVel w%/n 5E4Sr,;S- V1Vwq `Sr\
S --r- 5LJ 7-12N, R3 w, SAA EDnSTATESA�p
W12- 0610935.6 3I20 EAT 72ND AVENUE L
W63- 1 X19 ¢q3o, S ANCHORAGE. ALASKA 99507 �1
SUBSURFACE EXPLORATION
NewavRer: KaWeen p,I,9145SShift Report of Operations
f. OWNER
Elden
den Pederson Dawn Uivis
%dion - Lot 21' Block 1
2. TYPE Or EXPLORATION Domestic Water Well
WESTERN STATES ASSOCIATES 22V
,L CONTRACTOR EQUIPMENT NAME
4, CONTRACT NO.
DEPTHS
HOLE NO. 1
SAMPLE
TOT4L
SAM LE
MATERIALS AND REMARKS
S. SURFACE ELEVATION
NO. LENGTH
LENGTH
WEATHER
OEPT"•BEGIN SHIFT
DEPTH -CMD SHIFT
OEPTH DRILLED 106'4"
.. PERMAFROST ENCOUNTERED: FROM
TO
10
7. WATER LEVCL
DATE. SHIFT January 3.977
2
Y
..
TIME DISTRIBUTION HOURS
10
30
RIG HOURS
Herb
3
792
24-2
31-2
30
GRILLER
CHURN DRILL
FISHING
4
7'0
51
ROTARY GRILL
PULL CASING '
Tight cemented sand and gravel w/small rod
^'�'—'-'--•'v •.
`1!.9 L
Don
e06M TRUCK
SiANOSY-
75
..
HELPER
-
790
4502
75
100
TRUCK
WELDING
7
�"� Mani of A,)CAO",
ye
.51`4" _ 100 106 Very hard cemented hardpan.
58'0 106 Coarse gravel - water bearing.
6109„
SURGING
PUMPING
9
619"
�• CAstmG LOG
ID. SOILS LOG.
75'9" , I I Test bailing 12 gpm for 40 minutes. No dray
SIZE TYPE
DEPTHS
SAMPLE
TOT4L
SAM LE
MATERIALS AND REMARKS
NO. LENGTH
LENGTH
FROM TO
1
1010
0
10
Sandy gravel
2
700
17-0
10
30
Tight sand and gravel
3
792
24-2
31-2
30
5%
Very hard packed sand and gravel
4
7'0
51
64
Tight cemented sand and gravel w/small rod
5
710
3812
64
75
Tight sandy clay
6 -
790
4502
75
100
Tight sand and gravel.
7
612
.51`4" _ 100 106 Very hard cemented hardpan.
58'0 106 Coarse gravel - water bearing.
6109„
8
6'8"
9
619"
ra ;11"0
!
75'9" , I I Test bailing 12 gpm for 40 minutes. No dray
down. Water level 34 feet from elev,
11
6'11"'
8218 a surface
y I _!
is
5,a„1
c,.l"� Set pump. Pumped 12 gpm. Water clear in two hours.
14
5-
9 3"
INSPECTOR
ks
A
ESTTTT
ATE pGt
RN
AA
2126 LAST 72ND AVENUE
ANCHORAGE. ALASKA 96 -JOT
SUBSURFACE EXPLORATION
Shift Report d! Opetations
r. OWNER Elden Pederson PROSECT (bawn'Subdivision,'LOt'4 — Block 11
Domestic Water Well
2. TYPE Or EXPLORATION
S. CONTRACTOR WESTERN STATM ASSOCIATES EQUIPMENT NAME 22V
A. CONTRACT
NO. 3
E. SURFACC CLCVATION WEATHER
Of PTH•/COIN /MITT OCPTH.CNO lNIFT DEPTH DRILLED 96111'
It. PERMAFROST ENCOUNTC/IEO: FROM TO
T. WATER LEVEL DATE A'NIFT
r. TIME DISTRIBUTION HOURS
RIG HOURS
Herb
DRILL CK CKV KN DRILL IISWHC
NOTARY DRILL FULL CASING
Don BOON TRUCK STANDBY
HELPER
TRUCK WELDING
/URCINO PUMPING
S• CASING LOG
lo. SOILS LOG.
.12C
TYPE
DEPTHS
BAwa:'E
/tM.LE
MATERIALS AND REMARKS
TOTAL
ND.
LNOTN
LENGTH
FROM TO
1
10'61'
0
7.
Sandy gravel.
2
7'211
17.8"
7
12
Silty sand and gravel.
g'
.7'0"
24'8"
l2
•26
Sand gravel very 'hard packed. No water.
4
5'4"
30'011
26
47
Sand and gzav packed. oae s
socks.
47
65
Sandy gravel. Very hard with rocks Inter -
5
5
7'0"
37'0"
No water.
6
5'7"
4217"
65
76
Sandy clay, tight.
89
Very tight hard packed sandy clay gravel
7
7'7"
50'2"
76
th rocks interbedded.
8
8'8"
58'10
89
96
Coarse gravel, water bearing.
66'5
Test1--:1cd 12 gpm iur 40 minutes. No
10
11,11,I
77'611
drawdown. Water clearing. Water level 28' S
11
499"
821311
1
surface elevation. Set pump and pumped 12 gE
Water clear in three hours.
T2'10"
8 1 N
DRILLER INSPECTOR
13
8110'
9611"'
rvm
Ia.