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HomeMy WebLinkAboutMCKINLEY HEIGHTS #1 BLK 7 LT 3McKinley Heights #1 Block 7 Lot 3 #051-213-15 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Pagel of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW080079 PID Number: 051-213-15 NameJohn Dally : Wastewater System: ❑ New ® Upgrade Address: P.O. BOX 670801,u iak AK 99567 ABSORPTION FIELD Phone: Number of Bedrooms: ❑ Deep Trench t7 Shallow Trench D Bed ❑ Mound D Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Ft' Fl. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 7 3 McKinley Hts Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel Length: Ft. Ff. Well: ❑New El Upgrade Gravel width: Number of lin: es Distance between lines: Ff. Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Exist'g Private FL I Ft. Ft' 3034 PVC Driller: Date Drilled: Static Water Level: Installer: Date Installed Ft. JR's/Flintstone 1 6/1512008 Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ® Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/PDvate Manufacturer: Capacity From Tank Field Station Tank Sewer Line Anchorage Tank 1250 Gal. Well 146.7 109 146.7 100+ Material: Steel Numberof Compartments: 2 Surface Water 100+ 100+ 100+ LIFT STATION Lot Lure 19.3 10.2 109.3 Size 250 Gal. Manufacturer Orenco/Anch Tank Foundation 59 73 63 Pump on" twat at: 'Pump off' level at High water alarm at: 40 36 I 45 in. in. in. Curtain Drain 1UU+ 10U+ 100} Pump Make &Model Electrical Inspections performed by. P2005 Eds Electric Remarks: Septic Tank replacement only. Existing tank abandoned per code. BENCH MARK Location and Descrotion: Door Jam Assumed Elevation: 100.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1' 6/15/2008 �������+ts11 ���SII♦i 2"tl 6/1512008 Development Services Department Approval ��... .OF : �,•'° Conditional Approval Date: r r 1,Steven R. Pannone i •8149 •'� Reviewed and approved b /Z�e3 �' / PP Date: T " ♦�'• No. CE ♦♦VUf�'.'.31� ♦ • y: tae. o4ros> IIIIIICFE55`�0�� i NOTES: RECORD DRAWINGS PLAN 1 0,2 l 0 C2 1,/ WELL EXIST'G WELL 7 0 CD z 0 70 EXIST'G DRAIN FIE D rI RE—USYD-. 1 NEW 1250g S.T.E.P. TANK EXIST'G '1 FC: WELL A O Z cn _-- O— z 0 PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 McKinley Hts, Block 7, Lot 3 John Daily P.O. Box 670801 Chugiak, AK 99567 EXIST'G 4 BR HOUSE i ' mac"" • 1 �'•�9 06 9 09 �� 23,2 TH 56.462.7 .... IB P.I.D. NO Steven Parinone j 59 063,573,2 9Fc. CE 8149 PERMIT N0. SWO80079 i6... _ Sheet1 i ' mac"" • 1 �'•�9 06 9 09 �� Scale TH .... .. ...... P.I.D. NO Steven Parinone j 9Fc. CE 8149 PERMIT N0. SWO80079 i6... _ Sheet1 OF 2 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE MANUFACTURERS SPECIFICATIONS. 3. SCOPE OF WORK: NEW TANK ONLY. REUSE EXISTING FIELD. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 5 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 3 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5. CONTOURS IN 4.0 FEET INCREMENTS. 85.2 am Y O o'Q I O I— L Z u Q w n J W U W MONITOR TUBE NO. z co 90.4 II 1 1/4" PVC F.M. SLOPE VARIES DESIGN PARAMETERS SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1250g S.T.E.P. TTANK REPLACEMENT ONLY PROFILE 4" PERFORATED LINE EXIST'G FIELD ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER W m 0 0 z 0 LEGEND ------- WATER LINE/ WELL RADIUS EXIST'G SEPTIC NEW SEPTIC (FORCE MAIN) CHAINLINK FENCE NOTES: PANNONE ENG SVC, LLC -�oF q ��l Date RECORD DRAWINGS P.O. BOX 102954 ANCHORAGE, AK 99510 ,� (� • �gsll� Os/s/os PHONE (907) 272-8218 FAX (907) 272-8211 r�g�p .'v scale NTS McKinley Hts, Block 7, Lot 3 %" ""' P.I.D. NO John Daily /'•Steven R. annone• j PERMIT NO. P.O. Box 670801 �F,- CE 8149 e • •� SWO80079 DESIGN NOTES Chu Iak, AK 99567 �s '•. r 9 1ili��OFESSIONP� Sheet ��\\����� 2 OF 3 JULY 1, 2008 JOHN DAILY P.O. BOX 670801 CHUGIAK, AK 99567 ED'S ELECTRIC INC. P.O. BOX 210767 ANCHORAGE, AK 99521 SUBJ: SEPTIC LIFT STATION, 18309 AMON SON ROAD, CHUG IAK AK ANCHORAGE (907) 272.4591 Fax: (907) 272-4590 ED'S ELECTRIC, INC. INSTALLED CONTROL PANEL AND FINAL TERMINATIONS ON SUBJECT PROJECT TO CODE REQUIREMENTS OF THE NATIONAL ELECTRICAL CODE AND THE MUNINCIPALITY OF ANCHORAGE. NOTE: UNDERGROUND WIRING INSTALLED BY OTHER'S, THANK YOU, DWAYNE R BRUNS ED'S ELECTRIC, INC. 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 v IIA ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 13, 2008 Expiration Date: Jun 13, 2009 Permit Number: SWO80079 Parcel ID: 051-213-15 Legal Description: MCKINLEY HEIGHTS #1 BILK 7 LT 3 Design Engineer: 0062 PANNONE ENGINEERING SERVI( Site Address: 018309 AMONSON RD Owner Name: John and Theresa Daily Lot Size: 29185 SQ. FT. Owner Address: PO BOX 670801 Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567-0801 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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. �6-Ceve`ed, sealed, and heated to prevent freezing. 5. The following special SEPTIC TANK IS NOT TO BE PLACED IN ANY EASEMENTS. SEPTIC TANK IS NOT TO BE PLACED UNDER ANY PARKING/DRIVEWAY AREAS. oog S si7xp r,�,sp� Ire a GRAu�ry To A GIFT IPM770* rV G5 R�40E fieoM Hou 0e To IrAA.I ; Received By: ' ' " " V `-'` Date: Issued By: l�r/(� Date: (7 Q Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FORA SINGLE FAMILY DWELLING Parcell.D. 05I-2-13 -1, Property owner(s) John F & Theresa L Daily Day phone Mailing addressP.O. Box 670801 Chugiak, AK 99567 Zip Code 99567 Site address 18309 Amonson Rd Zip Code 99567 Legal description (Sub'd., Block & Lot) McKinley Hts. Lot 3 Block 7 Legal description (Township, Range & Section) Lot Size 29185 Sq. Ft. THIS APPLICATION IS FOR (x❑ all that apply): Absorption Field ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial Septic Tank x❑ Upgrade Holding Tank ❑ Renewal Privy ❑ Private Well ❑ Water Storage ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: Liu -0 ' Date of Payment: % /�-r Receipt Number: // e (Rev. 11/05) 9Mvv Waiver Fees: Date of Payment: Receipt Number: Pannone Engineering Services, LLC Consulting Engineers (907)272-8218 June 13, 2008 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519 Subject: McKinley Hts. Lot 3 Block 7 EMERGENCY Septic Tank Replacement Permit Request Ladies and Gentlemen: Anchorage, Alaska, 99510 (907) 272-8211 Fax I am writing to request that a permit to install a new septic tank be issued for this lot. The proposed systems will serve an existing four-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for a four-bedroom house and is operating adequately for four bedrooms. The owner, while repairing the line between the house and tank, found the tank to be corroded to such a degree that it isn't possible to restore service to the house unless a new tank is installed. Thus the tank must be replaced immediately. This lot is served by private water and the well is located greater than 100 feet from the proposed system. 1. Upgrade Tank Design. a. Number of Bedrooms: b. Septic Tank Size: 4 1,250 gallon 2. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The proposed tank will be located between the house and the collapsing tank 10 feet from the existing drain field. Slopes are negligible within 50 of system. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. ;c r^11ee STEVEN . PANNONE - %'• CE 8149 ,rl Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99509 Telephone 284-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME �Y PHONE OWF_W . r .. � V— , n ❑ UPGRADE MARLIN ADDRESS LEGAL DESCRIPTION r7 411 r LOCATION/]!/ NO. OF REDR,QOMS Well I Absorption Rar Dwelling PER Ox DISTANCETO:%'CY .,'� PZ Manufacturer Me IaL No. of compartments w � I Rk- �ej ;c :C . ur Liq.capacit in aliens IF HOMEMADE: Inside length Width Liquid depth Z02 DISTANCE T We11 I--- Dwelling PERMIT NO. _ d m 1- MM�acturer Materiali,--,- 'capacity in gallons m= DISTANCE TO: Foundation Well le, Nearest to '. of y. ! PERMIT NQ : w Z Na, of lines - Length of lige Total len o Trench wrdt Distance b ten lines $W ` w _is _ �. inches 'j F. Top of til; o finish grade Material beneath the ,� Total effe ive a ser tion D � �4 inches __ (p� Length Width Depth P NO. w Q1- Type of crib Crib diameter Crib de Total effectiv rption area a—y w in1115�fSTANCE7 -Building foundation arest lot line Class Depth Driller Distance to lot line PERMIT NO. J Building foundation Sewer line Septic tank DISTANCE TO: Absorption area(s) OTHER PIPEM/�)TERIALS / A'p (J„/ 1 i SDIL TEST RATI,.,-13"A.1 �m� r'�M Q --j c Tr Lt. INSTALL�ER>Qv Hp4JrI;LL,rs 4 REMARKS171 "[y%AJIC, [AP C`AJ• a�lale,�'RecoarD www c.eeu. - 6 � � Zr ONLY a /3�P�• Eq:.f Iiie C Jam, C -219 Lltrl a r,, PPROV DATE LEGAL r / 72.013 (Rev. 3(78) `j -V ) 1% m MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEPHONE j L EW ❑UPGRADE MAILIN ADDRESS I LEGAL DESCRIPTION �67" %&l n LOCATIO NO.OFBEDROOMS O Y Well f DISTANCE TO: Absorptioa, Dwelling PERMIT N0. a ZQ W F Manufacturer/� n� 6; / .. Me t:P�Q ! _ �o No. of com2Tants lel rn Liq. cppacity in allons � H IF OMEMADE: Inside length Width Liquid depth 0 Y JVz _ DISTANC Well Dwelling - PERMIT NO. OZF Ma cturer Material L capacity in gallons d w= DISTANCE TO: Well /460. Foundation Ap Nearest to 1)OL- PERMIT N0. o J LL z F Z No. of lines - �e Length of ckli.091 W Total len o i.W Trench wi inches Distance b t an lines O Top of tile o finish gradeMaterial 3 beneath the C () inches Total effe ive a sor ti n mea �j(/ w C7 Length Width Depth PERMIT NO. wd Type of crib Crib diameter Crib dep Total effecti sorption area y1-15'ISTANCE T 'Building foundation crest lot line Class Depth Driller Distance to lot line PERMIT NO. W W 2: DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPETERIALS -0303 4 SOIL TEST RATIr., - I NSTALLE i//LJ REMARKS - t 3 P O 50 PPROV DATE LEGAL 12 /e hts 72013 (Rev. 3/78) V THE LENGTH DIMENSION IS THE LENGTH IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM 'DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). F=RS=C!U I F;.E=E> PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELL_ ADJACENT TO THIS P'ROP'ERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- _r6 ]Cl < :�2 > F:9Fa'E= Fm F -R_'®! -s I FRSE BACF:FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS. 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL, MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO 9 COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F1' F= F-:� F'°'t I -T•' F= ti F= I FZ EE'-, E:. F= r_ F- F'^1 E:� F_ F~_ -1 ::L S4 v: I CERTIFY THAT 1: i AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS, FIS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. IGNED-%�_------------------ /t� _, APP'LICAPaT HL L 9F-•OPd ':RUSTIC HOME_) ISSUED BY V4. 0 r-1 u r_4 I r= I F=° F= l F— I _r ke F_9 F- F--! F°_4 r—_ i.'.d f -I F-' F -i 1:1i F DEPA TM NT 6 HEALTH 5 'STREET, AND E a �`IRONr-tEPa'FA1 RCiTECTli-IN ANCHORAGE, Af'..'vol { S -T 264-4720 F- _ . # q.F F F=' F� FR rl I -r N f Utau� PERMIT NO. 820443 APPLSCANT AL LARS•ON (R'USTIC HOMES PO BOX =,_.# EAGLE RIVER 6.':.�4 2309 LOCATION A:MOtaP'SON DR L)fd. L - cl -& LEGAL LOT S12E =:=670 SQUARE FEE? J ILp TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH- ,:.vim MAXIMUM NUMBER OF BEDROOMS =1 4 SOIL RATING (SO FT/BR)= 85 THE REQUIREC. SIDE OF THE SOIL ABSORPTION SYSTEM IS: _. 4_ E: r-4 e:7i _F.' e --I --- C-° EZ F=' -f- I I THE LENGTH DIMENSION IS THE LENGTH IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM 'DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). F=RS=C!U I F;.E=E> PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELL_ ADJACENT TO THIS P'ROP'ERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- _r6 ]Cl < :�2 > F:9Fa'E= Fm F -R_'®! -s I FRSE BACF:FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS. 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL, MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO 9 COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F1' F= F-:� F'°'t I -T•' F= ti F= I FZ EE'-, E:. F= r_ F- F'^1 E:� F_ F~_ -1 ::L S4 v: I CERTIFY THAT 1: i AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS, FIS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. IGNED-%�_------------------ /t� _, APP'LICAPaT HL L 9F-•OPd ':RUSTIC HOME_) ISSUED BY V4. 0 Ritseell Oyster 694-2774 Performed for: O & E EN&EERING & DEVELOOMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 t Earl Ellis 688-2280 _Tel. No./,o w-ose% K, f9S'T7 SOIL LOG Mailing Address 4 -f -''E"` 2a "Z C-_ "J Legal Description: L©> 31, 40zepcK Depth (feet) Soil Characteristics 0 2- ,3 A � 6.40404- w,T-u 5 6 / _g 9 10- 11 0-11 12 13 — �j orrvn+ p� 14 — 15 — 16 — we -le' 7-s. `mad' PLOT PLAN r� PERC.TEST e OF A[ Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit_ Drain Field ✓ Performed by: `- 4 s�.e Date:�J-a ":4� l4 8 $. 7777 77� -- _-- Foal Blo Y. WELL L00 Surface w Material Type Top Bottom or II..q Permit No.__ - • WATER WELL. RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol 9 Geophysical SUrveyS - Shoal Address and Arco of Well Location -- _-- Foal Blo Y. WELL L00 Surface w Material Type Top Bottom or II..q Permit No.__ - LOCATION OF WELL (Pieces complels either la, Ib or Ic.) 6 Coble tool )C&aNry C]Oriven 0 Dup ❑r Aug., OJ.fted 090,04 I.JOther1 A.0 L. No. la� Borough Subdivision Lot Block 1 135 Ib 1/s dire- Section No- l ownghip NnrRany Et -IT M•rldion Anch McKinley i pr _cr —� ------- ) I (1� T— -i� F ds fie T, ;:1 Mr. Roy Schreckhise Address: Chugiakg Ake - Shoal Address and Arco of Well Location -- _-- Foal Blo Y. WELL L00 Surface w Material Type Top Bottom 4. WEi`800 PTtl: (final) S- OjIFE OF COrjZMPLETIOlf,2 � ft. b_ Green shale 0 io3 6 Coble tool )C&aNry C]Oriven 0 Dup ❑r Aug., OJ.fted 090,04 I.JOther1 Fracture 103 F 110 Groan shale 110 130 T."USE: 12woo.nc O Public supply ❑ [industry irrigation p *.Charge p Commerical 7411 Well [3 other: _ Fracture " 130 135 Dark green shale 135 Fracture 145 1/55 a. CASING: E] Threaded )OW01ded along.—_In lo__fl. Depth Weight Ibs.l R. diem. in to — ft. Depth Stickup-_ It. 9 FINISH OF WELL 11 Trp.: .C�pen-holo _ Diameter6 .Slat/Meeh Slse:-A__— Langth: Sol belwa.n - it and ft. Backfilling Gravel pock Groan nhale 1 186 --'----'-"----- -'-- ------- -- - -- - .- -- T— _ _. ----- --- -- 10. STATIC WATER LEVEL: ft. / I _ _ - --- [j Above or C]Below land surface Dote Equipment used: —_ Il . PUMPING LEVEL below land surface and YIELD —_--- --ft. after—hers. pumping,g.p.m. It .tl.r h.o.. pumpink —,,,,. •.•)-f'w"c5'+� 12.GROUTING Wall Grauled: LJ Yes Q No Material: U Neat Cement [] Other: _ -- -- __ 13. PUMP: Iit avolloblel NP_-_--___"____—___. --"_-- —"- -�---" Length Of 01-P Pipe ft copoclty _--_ g p Aft __— - --- ---- — Subm. [3 Jet C] Centrifical U O1hee 14 REMARKS — ----� -- — — Tested at 1/2 GPM 16. WATER WELL CONTRACTORS CEkTIFICATIUN:- -- — Ib. Water is p.,otere ° This well wag drilled under my jurisdiction and this report Is true ler the b.,r, i -my Fcawlalq�: nml Pe llef� M �nymon D�j l 11 nc AA. 5385 mName — ReghUntl Business Name Conlrucl Lice nsv Numbur Addro.. P.O. Box 504 Eagle River, Ake -------------------------- ----- nate. June 39 1982 4ulhor@ea Hnprosenlotiv Form 02-WWR (11/81) Copy lnstrmuNon WHITEStole DGGS, PINK Onllaq CANARY buslamer -._.--"-Q C n40G M1OF° {nuxr. r.Pnv 1 CHUG iAK i e,P¢x m"s u, ,i r'N CREEK