HomeMy WebLinkAboutBENITO BLK 1 LT 2'D Benito Block 1 Lot 2 #050-271-32 04/02/2008 14:43 OWNER OF LAND:. ADDRESS' 6882259 SULLIVAN certifieb gifting log by o00 oo. ""a TLLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 -TELEPHONE 688-2759 LEGAL DESCRIPTION: g&t9j Ta &C- I C tiro? DATE: 4 - ssueTPERMIT NUMBER: D 7 Lo 3�Date of Issue-4- W AX IDENTIFICATION NUMBER: 2�Lo - .I- Is well located at approved permit location? &-�� D No Method of Drillings rotary 13 cable tool Depth of well: 1 b q Casing Type a&C Wall Thicknesso���C inches Diameter � ,% inches, depth Z6!V feet Liner Type:��� Casing Stickup Above Ground: a' feet Static Water Level: 110 feet J Recover Rate: 075 gpm Method of Testing: AAZ Well Intake Opening Type: S -Open end ❑ open hole O Screened; Start - feet Stopped feet Q Perforations Start feet Steed Grout Type: J N F a r� Volume feet Depth: from d feet, to ON 0 feet Well Disinfected Upon Completion? L.Y4 ❑ No Method of Disinfection: C 6i ,,A'er+va O1009,41 Comments: WATER QUALITY TESTING DEPTH Fmm TO 0 Coliform- NO G C01/100mL G`¢�+'✓ t fCCV' Nitrates ND mg/L Arsenic NO ug/L PAGE 01/01 BORE HOLE DHIA DEPTH Fmm TO 0 rK G`¢�+'✓ t fCCV' C`ro ", " �' rt: �' 6,44 Jac Y'r Rf4 lzi 4Al2 6 JZ<. Lxit� i' /01 ro 44w" ID / 6 _A.IZ %31 i ra Ar R 9<< ; r bAM J,4C, SI -JO [miler's Name C01 -4Z %flu�.car "4' j ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health S Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. ARCTIC PUMP & WELL INC. Jim Sullivan, CPI PO Box 770197 Eagle River, AK 99577 t<a g um - (907) 688-2510 (907) 258-2510 (907)745-2510 amr i eci net Pump Installation Log Well Drilling Permit Number: SW070035 Parcel Identification Number:050-271-32 Date of Issue:4-20-07 Legal Description:Benito Property Owner Name & Address: Lot:2 Audria Mason Block:7 10031 Genora st Pool^ River AV 0OC77 Pump Installation Date: 4/7/2008 Pump Intake Depth Below Top of Well Casing: I S I Feet Pump Manufacturer's Name: Dempster Pump Model:MBF2-75-S2 Pump Size:3/4 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: Martinson S-10 Pitless Adapter Installer: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page I of I MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SW070035 Legal Description: BENITO S/D BLOCK 1 LOT 2 Design Engineer: 0069 DOUGLAS T. KENLEY Owner Name: AUDREY MASON Owner Address: 10031 GENORAST EAGLE RIVER. A 99577 - Date Issued: Apr 20, 2007 Expiration Date: Apr 19, 2008 Parcel ID: 050-271-32 Site Address: 10031 GENORA ST Lot Size: 18750 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of. Disposal Field ❑ Septic Tank Holding Tank [:] Privy Q✓ Private Well Water Storage All construction must be in accordance with: 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: • ffl_ Date: t�lze 0'16 Date: q I Zo D Municipality of Anchorage .0 Development Services Department Building Safety Division;; i On -Site Water and Wastewater Program s 1r 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Md— Z 71-130 Property owner(s)- As&�/_zev M Rso,1l Day phone 707 Z 33 Y Mailing address /or) X1 G t fo✓LR SL Zip Code Siteaddress P_'eN;'f0 SJO�ze,k Lot Z Zip Code qT57:2 Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size /,9(75-0 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy . ❑ Private Well P Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. 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