HomeMy WebLinkAboutSLOTE LT 2U"803 041 3: 070 1: V.- JE 11 "w" CA 1, " 10 r4 C � V I CA to Al CA E�:�
DEPARTMENT or |E8LTH AND ENVIRONMENTAL P,�TECTION
825 /L' 5TREET/ ANCHORAGE, RK. 995 .
264-4720
U�VIE K. . K- 100721111vu 1: -1
PERMIT NO. ( 780694 )
APPLICANT DON SCHULZE 1106 WILSHIRE 272-5]28
LOCATION L0T12 SLOTE
LEGAL L0TJ2 SLOTE 5/0 LOT SIZE 6000 SQUARE FEET
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MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL/ OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F"EH&PI 1 -F K>K" X FRIEfs ic:::: FE 0 .1 F3, 11--E 11 ��� 0 -
ISSUED BY
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WELL CONSTRUCTION LOG
Drilling CCo.lVgq—C"(l5 ��vi�l�u� (�iac Ili 'y uses no.—, Q %—Q
D r i l l e r Aki,��LYV��L/lam+_,81=i /ypr,�o,'Itl, rig LL� _Oate wall completed uAr`— jog �7
Well ow ne 111no—JA �. _G Le— _Nearest community �.!(�ae, Well location: (address & legal (loser i of ion) Lel a I C �e-- Location sketch or remarks
—
"`:il t h innei I t ,.!-c' h I, C-49
Depth of Well I'—I•�r t. Casing: depth I'�.�.f t. diam, LQ i n.
��'))� r% ✓gyp
Static water level LI It. (attitlll�. below) land surface. 0ate.�l-1_—llJ
Finish of well:oen-end screen, perforated, open -holo, other)
Describe intervals and size: -- --_
Well yield tested by (pumping, bailing, air) at _hl gal/min.
I orhours wi lh_1 t. of drawdown from static level.
DRI LLER'S MATERIAL LOG
Depth below land
surface in feet
Give description of strata penetrated
(size of material, color, hardness of drilling, and water content)
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