HomeMy WebLinkAboutT15N R1W SEC 8 LT 68TISN RIW
c. 8
Lo1- 68
#051-092-27
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 OCIP198 8W 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP141337 PID Number: 051-092-27
Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New X Upgrade
Name:
LETITIA FITZGERALD
ABSORPTION FIELD
❑ Deep Trench ❑Q Shallow Trench ❑Bed ❑Mound
Address
20525 OLD CRANBERRY DR CHUGIAK AK 99567
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
1.0 GPDISF
0.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
0 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
68
Fill added above original grade
_3 Ft
Gravel length
2 x 50 = 100 Ft
Township Range Section
15N 1W 8
Gravel width
5 Ft.
Beds: Number of Lines
"
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
500 Ftp
2
10 Ft.
Well
>100'
>100'
>100'
NA
>25'
TANK ❑ Septic E S.T.E.P. []Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
1250 Gal.
Surface Water
> 100'
>100'
>100'
NA
_
Material
STEEL
Number of compartments
2
Lot Line
>5'
>10'
>5'
NA
NA
Foundation
>5'
>10'
>5'
NA
LIFT STATION
Manufacturer
ANCHORAGE TANK
Capacity
1250 Gal.
Curtain Drain
>50'
>50'
>50'
NA
Pump on level at
Pump off level at
High water alarm at
Remarks EXISTING SYSTEM DECOMMISSIONED PER
25 in.
44 in.
22.5 in.
MOA/UPC REQUIREMENTS
Pump make and model
ORENCO
Electrical Inspections performed by
MOA
PIPE MATERIAL Housetotank 3034 Tankto 1785
drainfield
Installer
DEAN CONSTRUCTION
Drainfield 1785 COIMTF810
Inspector ANSON MOXNESS
BENCH MARK (Assumed elevation) 100 ft
Inspeection 1� 9/22/14 9/23/14
Location and description
ction 2"
3" 9/24/14 4h
NORTH SIDE OF GARAGE SLAB
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
� F' ,A, Lqs 11
Conditional Approval: Date
,��'��•
�jQgs��l
SPURKLAND. "c:
111
S
ONP`4�C��i
Approve Date1p_\��\\`��`
Ns
INSTALLED 1250 GALLON STEP TANK
TRENCH LENGTH 1 x 50 FEET
TRENCH WIDTH 5 FEET
MAX EXCAVATION DEPTH 2.5 FEET
MOA FILTER SAND 2 FEET
ROCK DEPTH 0.5 FEET
2' INSULATION
NOTE. SLOPES EXCEEDING 25X KW NOT OBSERVED
WITINN 50 FEET DOWN GRADIENT OF THE PROPOSED
ABSORPTION fl£LD LOCATION.
NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER
DEPARTMENT OMMENTATION. ALL LOCATIONS SHOWN ARE
APPROXIMATE.
SWING TIES
A
B
S.T. C.O. C
33.5'
56'
MANHOLE D
36'
63.5'
D.F. MT. £
74.5'
53.5'
D.F. M.T. F
93.5'
97'
D.F. M.T. G
91'
60'
D.F. M.T. H
105'
199.3'
25 0 25 50 75 100 125 150
SCALE 1' = 50 FT.
\ 4TOUR
03 W 1 ,TH. VENUE mnv I ( T15N R11V SEC 8 LOT 68 I I SEPTIC SYSTEM ASSUILT
203 W 15TH. AVENUE
ANCH AK. 99501 TIEN FITZGERALD DATEr SEP 26 2014
(907) 279-3916 20525 DLD CRANBERRY DR, CHIGIAK AK 99567 SHEET, 213 GRID NW1357
PERMIT If IISPI41337 PID # 051-092-27 TISNRIWSEC8L68.SC50-ASABVG
�{ 10' min
Trench Elevation (TyP)
Silt Barrier
E.rn m.=mw 1NV P f fE
00 E
TOP SAND
WN
6' min
Monitors
2' Insulation
E.O. aEV.-I (� 3
fLEV.=1 .5� VI.
T0P SOO
BON aEV-97.2'
Neo Euv.43' (9/25114) wnuWATER
0.5 Ft of Septic Rock
2.0 Ft of MOA Filter Sand
aEV..=91'
BENCH MARK NORTH SIDE GARAGE Sub
ASWA" ELEVATION 100 fEE7
ELM=
1250 GALLON STEP TANK
ISPURKLAND ENGINEERINGI ( T15N RIF SEC 8 LT 68 I I SEPTIC SYSTEM ASBUILT I
203 W 15TH. AVENUE
ANCH AK. 99501 TISH FITZGERALD BATE, SEPT 25 2014
(907) 279-3916 20525 OLD CRANBERRY DR, CHUGIAK AK 99,567 SHEET•' 313 GRIDS NW 1357
PERMIT # DSPI41337 PID R 051-092-27 T15NR1WSEC8L68.D3-ASABV6
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSP141337
05109227000
Septic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
Permit Effective Dates: September08,2014 to September08,2015
Design Engineer: SPURKLAND ENGINEERING
Subdivision: T15N R1W SEC 8
Site Legal Address: T15N R1W SEC 8 LT 68 G:1357
Owner/Address: FITZ-GERALD LETITIA J
PO BOX 670588 CHUGIAK AK 995670588
mrtme~t
Site Mailing Address: 20525 OLD CRANBERRY DR, Chugiak
Lot Size in Sq Ft: 108900
Total Bedrooms: 3
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-092-27
Property owner(s) TISH FITZGERALG Day phone 688-3609
Mailing address 20~525 OLD CRANBERRY DR., CHUGIAK, AK 99567
Site address SAME
Legal description (Sub'd., Block & Lot) T15N R1W SEC 8 LOT 68
Legal description (Township, Range & Section)
Lot Size Sq- Ft. Number of Bedrooms 3
APPLICATION IS FOR:
(1~ all that apply) /
Absorption Field
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage
APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
TYPE OF DWELLING:
Single Family (SF) []
(w~vo ADU)
Duplex (D) []
Multiple Dwellings []
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that th s s
applicable Municipal Codes.
~gh~a'~e of pro'~erty owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_9-1-12.doc
Spurn[and Engineering
Environmental Consulting and Design
I
SEPTIC SYSTEM DESIGN
T15N R1W SECTION 8 LOT 68
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 Elmore Road
Anchorage, Alaska 99519
September 5, 2014
Subject:
Septic System Installation Pemait
20525 Old Cranberry Rd Chugiak AK
Ladies and Gentlemen:
I am writing to request a septic system installation permit for the above referenced property. The
owner would like to replace the existing septic system. The proposed system will serve a 3-
bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and
construction specifications are enclosed for your review.
Design Cales: Groundwater observed to a depth of 6.5 feet below ground surface
(8/14/14).
Soil Rating. From Testhole 8/5/14
0.2 min/in = 1.0 gal per sq.fl/day
No. of Bedrooms 3
Required Area per Bedroom: 150/1.0 =150 sq.ft.
Total area required: 150 x 3 = 450 sq.ft.
System: We are proposing a 1250 gallon STEP tank followed by a wide trench absorption field.
The absorption field will consist of two trench each 50 feet long and 5 feet wide and contain 0.5
feet (500 sq.fk effective) of sewer rock. Two feet of MOA filter sand will be placed in the
bottom of the excavation.
Soils: A Test hole was excavated on August 5th, 2014. See the attached soil logs. Groundwater
was observed at a depth of 6.5 feet below ground surface on August 14, 2014. Ground water
monitoring will continue through construction of the septic system.
Surface Water: There are no surface waters within one hundred feet of the proposed septic
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland~gci. net
Spurk[a d Fmg needng
Environmental Consulting and Design
I
system upgrade.
Topography: The ground level slopes down towards the north at a 10-15% grade
Waivers: None
The installation of this septic system will not prevent wells and septic systems from being
installed on the adjacent lots. The proposed septic system will not change the general slope of
the area. Ponding and/or concentration of surface runoffwill not result from this installation.
If you have any questions or concerns, please contact me at 279-3916.
Si/ace~ly,
Civil Engineer
203 West 15 Avenue State 203, Anchorage, AK 99501, Phone. (907) 279-3916
Fax: (866) 354-1597, Lspurkland~gci.net
L~r 5£~
LOTS$
LOT54.~
LOT ~ I
I
I
LOT 80
LOT $8
LOT 814
NOTE: ~llS IS NOT A SURVE~O PHI1'. #~LL a, SEPTIC
LOP~TIONS TAKEN ~ ON-SI~ ~'4T£R AND WAS~ I~AI~R
DEPARTI/1ENT ~Ut~IENTATION. AU. LO~7ONS S#Olffil ARm
APPROX~41'E.
$£ALE; J' = lO0 FT,
LOT S~
SPURKLAND ENGINEERING
203 W 15TH. AVENUE
ANCH. AK. 99501
(907) 279-,9916
TISH FITZGERALD
20525 DLB CRANBERRY fl£, CHUGIAK AK 99567
SEPT/FC' SYSTEIW DESIGN
BALE, AUG 5 2014
SHEEI; 1/3 6£IB: NW1357
PE£MI[ # OSP141XXX PIB # 051-092-27 T151PIWSECOLGO.$CIOO. BW6
SHED
-I
®
~£P~IC SYS~M FPO MOAI
CODE ~OUIREMENP3 ~
NO~E: SLOP£S EXCEEDING 25,~ WERE NOT OBSERVED
~ORP~ ~ L~
- ~X~ I$ ~T A $URVE~D P~ ~E~ & SEP~C J
0~ TAKEX ~ ON-~ WA~R ~D ~AS~ MA~RI
TM~NT ~MENTA~N. A~ L~ S~N ARE
~MAT~
£5 0 P5 50 75 100 1~5 150
SCALE, 1' = 50 FT.
SPURKLAND ENGINEERING
~05 W 15TH. AVENUE
ANCH AK. 99501
(907) p79-3916
TISN RI w SEC 8 LOT ~8
TISH FITZGERALD
£05£5 OLD CRANBERRY DR, CHUGIAK A~ 99567
SEPTIC SYSTEM DESIGN
DATE.' AUG 5 2014
SHEEI~ p/3 6£W; NW1357
PERMIT tl OSPI41XXX PID # 051-09~-~7 T15~IWSECBL68~SCSO, DIVG
WIDE Tnenchs
5' Vide
2 x 50' Long
Remove Onganics
2,5' Mox, Depth
~' ~OA Ffl~er Send
0,5' Se~er Rock
8' Insula Lion
~' Coven
NO SCALE
O0 o
Install 1250 Gallon
STEP l-~nk
Foundation Clean out
Trench ElevaTion (fyP) Monitors ~
~I~A~ 8R~_~ $OtJarrler 2' Insuta Lion
0,5 £t o£ Septic Rock
2,0 Ft oF MOA Filter Sand
GROUNDWA~R
1250 GALLDN SEPTIC TANK
SPURKLAND ENGINEERING
203 W1ST~ ~VENUE
ANC~ A~ 99501
(907) 279-3916
T15N RI F SEC 8 LT 68
TISH FITZGERALD
20525 ELY2 CRANBERRY SR, CHUGIAK AK 99567
SEPTIC SYSTEW DESIGN
BATD AUG B 2014
SHEEh 3/3 GRID, NV 1357
PERMIT # OSP141XXX PIB # 051-092-27 TISNR1WSECBL68~3DWG
Sp urkl n d £n gin g
~ OF'
203 ~ 15~Ave. Ste. 202A ~t ~ '~
~sr ~o~ ~ t SOIL LO6 AND PERCO~TION TEST
BEPTH SOIL DESCRIPTIO~ BATE:_ 8/5/14 ~E~
~ ''
o~amcs ~AS GROUNDWATER OBSERVED:
I ~ iF YES, AT WHAT DEPTH:
~ A~ER NONffORING PERIOD:
Sa~ ~1 ~ PERCO~TION TES~' ' '
3
~ ~ nu o~re ~eoss rt~e uer hue otsr~uce o~o~
~/~ ~.~ s/~/~, to.~ ~ o ~..
5 ~ ~.~" I min. 0.~" ~.~"
~ e.~' ~ 1 min. 0.~'
~~ ~ tO~ ~ 1 mia*. 0'~
7
8 ~ PEg~O~TION ~TE: 0.2 minutes/
~ PER~ HOLE DIamETER: 6 inches
9 ~om. TEST RUN B~EEN _~_ ~ ~NO 3
lllO ~ I] ] ~TE P~:
13
t8
19 I I NOTES: ~ REOUI~ ~ FILTER ~NO
20
PERFORMED ~' Anson Moxness. I, Lo~ Spu~lond P.E. CERTIFY THAT THIS TEST WAS PERFORMED
ACCORDANCE ~ITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS
SPURK~ND EN61NEERING TISN RI~ ~EC g LT 68 SOIL LOG PERCO~TION TEST
~3 ~ 15T~ AVENUE
4~ 4~ 99501 TISH FITZGERALfl flATD AUG 5 B814
(gilT) E7~-3~16 885~5 DLfl CgAN~E~RY fiR, C~GIAK AK 99567 GRID ~' N~l~7
PERMIT ~ Piti ~ 051-fl9~-~7
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
L~w
NAME
E~UPGRADE
LEGAL DESCRIPTION
DISTANCE TO:
No. of lines
) 6 ~ ~.,1~ I Absorption area
IF HOMEMADE; Inside length
Wall [)welling
Length ct each line
Top of tile to finish grade
Width
Length
Type of crib Crib diameter
Well
DISTANCE TO:
Class Depth
DISTANCE TO: Building foundation
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
REMARKS
Dwelling
[Mater~-a~
Width
Material
:oundation Ne.~es~ot line
Total length of lines--
Material benea,ti~ tile ,,
Depth
NO, OF BEDROOMS
PERMIT NO.
No. of cor~,ments
Liquid depth
PERMIT NO.
Liquid capacity in g¢lons
PERMIT NO. '7 g~' 0G
Distance between lines
Total effective absorption area
PERMIT NO.
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO.
Bower line Septic tank Absorption area(s)
APPROVED
72-013 (Rev, 3/7S)
DATE LEGAL
M E F~.'/r STROM I R[:~
OF'F:' BIRCHP.ICIOt} LCiOP
LE;8 :~8 'T:LSN R'iW SM
FIPF'L I CflNT
LOCI=Cf' I ON
[_.EEiFIL..
7'800 I}E:[3Flf:d:;?. ¢54]:
LO'r SIZE
T'¢F'[= r'lF S '] I L. FIBSCIRE:"r I ON S"r'ST
.....
MI:::I',:.:', I I',ILIM NI...IMBER OF BEDROOMS ..... ]: SO I I...
THE RIEQI..IIRE[) SIZE OF' THE E:;[:i
THE LENGTH DZI~IENSICN :(S THE LENGTH <ZN FE:ET;: i~lF TFIE 'f'REENCH C118. B,[~.i::I]'.HFIEI.D.
'f'HE [:,EP'rH OF g "i"RENCH OR P ~ T ~ S THE D ~ STr:INCE E=ETI.4EEN THE :};IJI;?.I:::'F'IC:[~: OF' THE{
GI~:OLIN[) RN[) THE E~O'F"rOM OF THE E~',CRVRTZON (IN F'EET).
THERE RS NO SET WII}TH FOR TRENCHES.
THE GRf:IVEL. DEPTH Z'.}; THE f,lZNIMUM [:,EF:'TH OF' 131;'.F:Ik,'EL. E~E'rt4EEN THE OU'f'FI=II.I... P ZPE
FiNB TI.-IE: [::~oT'ror,1 OF THE; E'??,CF:IYF:ITION (Rf.,I FEET).
PEI;,'MIT RF'F'LIC:I:INT HI=IS THE RESF'Oi",I%I BI L I T'¢ TO INFORM ]"HIS [:,EPFIR]"MENT [:,URI NG THE
INSTF:ILLFITION INSPECTIONS OF FIN"r' I-4EL. L:~; F:II)JFICENT TO THIS F'ROPERT"r' FIN[:' THE
I'.,IIJME:[~:R OF RES I [:,ENC:ES 'f'HFIT THE !-,.IEL. L P.I I L.L ':'i};ER',,,'E.
BRCKF' ILL I NG (;if:' FIN"r' S"r'S]"IEM !4 )C THOLIT F' I I",IFIL I i",I'/:.]F::qZCT I ON FIN[) I=iF'F'RO',/FII... [:!:'Y TI I;1: S
DEPF/RTM[::]",IT !.,.I IL.L. BE SUEL]'ECT TO P[;?.O':BECUTtON.
i',IIN]J','II...IM I::,ISTRI'4L":E BET!.qEEN FI !-,.IELL gi'.,l[:, FIN"r' ON'""SI'f'E SEI.qFIGE
:t. OO FEE-r FOR R PRI'v'FITE WI::]L.L..~ OR
:t50 TO ;;ZO0 FEET FRCIH I=I PUBLIC I.,.IEIJ.. DEPENDING LIF'ON THE T'.r'F'E OF PUBLIC I.,.l[F]..t
O'rHEf~'. REL::!LI I [?.EMENTS MFI'.r' RF'f:'L.'¢. :!J',PEC I FI CRT :[ Of,IS
FIVFiI L..I=IBLE 'fi.i) INSURE F'F.'.OPIER INSTRLLFr'r ION.
I
:t.:
FORTH L::"r' THE f'II.Ji',IICIPRLIT'¢ OF FINCFIORFIGE.
2: I WILL. II"4STRLL ]HE S'¢STEM IN RCCOR[:'FINCE WITH THE CODES.
3:: I UN[)ERSTFIND T'HFIT THE ON-SITE [~;EI.qER S'¢STIEM MFI"r' REQUIRE
RESIDENCE IS REI'dODEI_EI} TO II",ICLU[)E MORE THI=IN 3 E:EDROOFIS.
FIF'PL I CFINT 1'4ERT STROH I RE
...=.,:. :.. ,,,,. ...... ,.::.
CERT I F'Y THAT
I I=IM FFIi"tIL]:RR !.'IITH THE REL:.!LI)[REMENTS F']R Ci'4"".. IIE. bEI.4[=Rb F:IN[:' WE.LI ...... FIS :!i;ET
Il::' TI'II!:
0 ~ E GEO,-JHNICAL 8- DEVEL_, MENT CO.
Russell Oyster
694-2774
Soils E~ Foundations
Bex 90, Davis St,, Eagle Fliver, Alaska 99577
694-2774 or 688-2280
Earl Ellis
SOIL LOG 68~-2a)o
' Land Development
Performed for:
Legal Description:
So_.~l.].~c_~ter t sti cs
~pth (feet)
o
Grouna Water ~ncountered: Yes. ?~No__ If ye$,-what depths._
Pr~pose~ Installation: Seepage PIL~Dratn Fteld.__~_~
Performed by:_{
F'EI:;;:I'I I T NO. ,::
r;,EF:'f::II~:TI,IENT 0 .... IEFILTH FII'4D EN',,,']:I;?.ONi','IEt.,ITf:'IL P'""'qEC-f':t;ON
825
b. II EEL.. L_ F" E: fl:;-,': ~-.-ll :TI: '11
78058:3 ;,
¢::IF'PL. I
L. OI:::I::IT 1 ON
LEE:iFIL.
I"IE I:;~:T
L6:!,:.,' :!i;8 T::I.51'.,! F.:J,.I.,t Ski
7800 DEE:f:IRR SP
LOT SIZE
I"1:1: i'q :[ HI..Ir,'l [;, .f. '.E;Tf:INCE [.~:E"f'!,.II~:EN FI
:LO0 F'IEET FOF..' FI PF;'.ZVFITI!E I.,.IELL.~
:1.50 'to 200 FEET I::'F::OH FI F'I.J[~ILIC 1.4ELL DEF:'ENI:)~NG LIF'OI".,I THE T¥1::'E OF F'UBLZC I,.IE!:I...[
I-,.IELL I....OEiS F'lf;~:E REOLIII;~rEI::,
OF' TFIE 1.4EI...L
OTHEr;'. f4'.Eg!LI]:F.'.EhlENTS h'lf:l'.r' FIPPI..¥. SPEC]:f:'):CF:tTZONS f:iN[:, COI".4STf;'.I..ICTIOI'..I [:)ZI:'IGI~:RI',I'_:i; FIRE
FI',,,'FI:[LFIBLE TO INSURE F'f;.:OF'EI~:
]:
F'OR'f'I-I Ei:"r' THE HLINIE:IF'FIL. IT'¢ Of: RNCI'"IORRGE.
2':: ]: I.,.ItLL. :(I",I!STF:ILL THE S"~"~i;TEf'I iN RCCOf4'.I)I::INCE !.,.IITH THE CO[:'ES.
--
CEF:T]:F"? THRT
J: f::lt"l FFIi'"IILIFII:~: b.II]"H THE F~:EL::!IJI[~:'.Ei"llENT:':; [;;'(:iR ON-S:[TE SEFIEF:S Ri"',IE:' IqEI...[..'.".'!; FI:L; SET
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
OWNER OF LAND
ADDRESS ' //)'"LJ O _
LEGAL DESCRIPTION
DATE-Started ~,//~;'~' J-~ Ended
DEl'TH OF WELL
STATIC LEVEL OF WATER IrT.
DRAW DOWN Fl'.
GALS. PER HR
KIND OF CASING _
KIND OF FORMATION:
':': Ft, to ';"? _Ft,
,? Ft. to ~:,-)6__Ft._ ~*~'L~. {~/<'r~,~ ~" of~ ' Frdm
Ft. to Ft. cz.,, (/~ Froln
'~/(~2~//~//?~' FrolB Ft. to
l
Ft. to ~--- Ft. r--~-o -
/
. j<~ _ . ~L ..... . ~ From Fi. to
Ft to (,a Ft
· . to t.
From ..... Ft. to_____Ft,
Ft. to____ ~Ft.
Ft. to Ft.
Ft. to Ft.
-Ft.
Ft.
c{~:.,qff__~.' d~/'~ZFrom .... Ft. to .... Ft.
From
From
From
From
From.~F/. to_~_Ft. From~Ft to Ft.
Fro ~L~Ft. to .... Ft. From Ft, to Ft.
Frmn ~Ft. to_ Ft From Ft. to Ft.
From Ft. to Ft From Ft. to ..... Ft
From Ft. to Ft. From_ Ft. to_ Ft.
From ...... Ft. to_ Ft._ From_ ~Ft. to~ _Ft.
From Ft. to Ft. Frmn Ft. to Ft.
From Ft, to Ft. From Ft. to~ _Ft.
Frmn Ft. to _Ft. From~Ft. to~ Ft
MISCL. INFORMATION:
DRILLER'S NAME
(
t-