HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 1 LT 10
Well Drilling Permit Number: SW
Parcel Identification Number:
(907)343-7904
Pump Installation Log
Date of Issue:
Legal Description Property Owner Name & Address:
t'jros�e ge('�k Ast Ros Cr
(�L l ,ALO �4n�boq,�c I�tt
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: 64ao feet
Pump Manufacturer's Name: ReDsRcc O
Pump Model: 100GIIII 8S3.1
Pump Size ` hp
Pitless Adapter Burial Depth: to feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? 1U/ Yes ❑ No p
Method of Disinfection: C'WL4424 n1e f f UL IFiT3
Comments:
Pump Installer Name: ,^ eh� ,y� a E 1( a- (Pump %gevice
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Development Services Department
Building Safety Division
6
On -Site Water & Wastewater Program
4*
4700 Elmore Road
P.O. Sox 196650
Mark Begrch
Anchorage, AK 99507
9
5 R EJ, XS
Mayor
www OL2rg/onsite
Well Drilling Permit Number: SW
Parcel Identification Number:
(907)343-7904
Pump Installation Log
Date of Issue:
Legal Description Property Owner Name & Address:
t'jros�e ge('�k Ast Ros Cr
(�L l ,ALO �4n�boq,�c I�tt
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: 64ao feet
Pump Manufacturer's Name: ReDsRcc O
Pump Model: 100GIIII 8S3.1
Pump Size ` hp
Pitless Adapter Burial Depth: to feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? 1U/ Yes ❑ No p
Method of Disinfection: C'WL4424 n1e f f UL IFiT3
Comments:
Pump Installer Name: ,^ eh� ,y� a E 1( a- (Pump %gevice
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
' 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
NAME PHONE ~'~X~
MAILING ADDRESS
LEGAL DESCRIPTION
~ <= Manufacturer~e'~ ~ Material~l~ L NO' of compartments
~ ~ Liq. capacity in gallons Inside length Width Liquid depth
/~ IF HOMEMADE: ~ -
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O Z ~ Manufacturer Material Liquid capacity in gallons
;~ ~ DISTANCE TO: ~~ FounOation~/ , ¢~ Nearest lot liT/O / PERMIT NO,
Length of each line / Total length of I ~/ Trench width ' Distance between lines
~ Top o' the to finish ~rade ~[ Material beneath t,le ~/ Total effect,ue absomtio~ area
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class~ . ¢ Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
b
REMARKS . .
~PP~OVED I DATE LEGAL
STAR ROUTE ~ ANCHORAGE, ALASKA 9950~
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF
DRILLED AT THE RATE OF ~!~2~o 00 PER FOOT.
PROPERTY OWNER
LOCATION Of WELL SITE £~L, ~0 ~9,/_P~. { St~U. ~ ~
DRILLEB
o $ ? c-T
OE~ · '
/Pto..t.e~ p..zocbzca':.Lon, f-~'~a~ 2.30 ;Lo 245 ~e~e~. Th.~ UeJ~L .~h. ou. LrJ. mh. ot,~ oJJOU..'L 1.20
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PaYaBLE TO RAMPART DRILLING WORKS FOR THE SUM OF e,~.~00~ 00
DATE
THANK YOU VERY MUCH.
BERNIE CLAUS OF RAMPART DRILLING WORKS
HFI'?¢~:HUh! NUMBER OF BEDROOM:-]i ..... ~!-
:BOIL.
'I']L!E REQIj!F;:ED SiZE OF' ]"HE: SOIL F'~D:5.';ORPT :[ ON S'./STEH IS:
THE LENGTH D:£HFN£-~;i'EH'.,! Z:5; 'TH.['.-'.' LENGTH (ZI'.~ FEET) OF THE TREI'.4CH OR DRRI..."qFZF. EL.!}.
THE DEF:'TH OF Fl TREHCH (::iR F':[T Z S THE -':.)Z%TF!NC':E BETHEEN THE SUF-..'FFiCE OF "FFIE
GROLhND FINE:, THE igOTTOM [iF' THE EXCR',..,'RTICH'-~ <il'-,! F:EET).
THERE :i:S NO SET H:[DTH FOR TF'.ENC::HES.
THE c4r~:,'::P,,,'I}ZL. [:,EF'TF! IS THE: P!IN:[i'"IL!F.'.* E:'EF:'T:H OF' GRF:Pv'EL. E:E'T'HEEN T'HE OU"FFRLL. F'IF'E
F!N£:, 'T'~"E E;C'.q"TOH OF THE E~<CFP,..,'RTiO.N ':.'].'H FEET).
PERH I'!" RPPL ! CRNT i.'4Fi:E; THE RE~;.~:'O!".~:E;i".F..'-:[ t... t T'Y "f'O I NF'ORM TH ! S [>EF'RRTMENT DUR t NG "FHE
I ?'.!:ST'F:iLLFFF ! ON I hE;PE:CT I Oh,E:'; OF' F!H? HELL. S F;[:,J'.,RCENT 'TEl ".ri-.!!' S PROPERT? Fli'.4[:, THE
Ni. jJvlE:E.~'. OF:' RE:L:;!DENCE% THFFF THE HEL..L. HILL %ER',,,'E.
Ei:RCKFiLi...IF.!Ei OF BN:? S'.?S'TEH Ht'f'HOUT FIf.,iRi..~ iN.SPECTiOi'-,i F!i'.,iD FIPF'RO',/!:.:L B'?' THtL:;
DEPR.RT?'JENT !4ILL E~E SUEL.TEC:T TO PRO'Z:;ECUT]:
H I N :[ HUH D !'_:.:'I"Fii'.,!C:E BEETHEE:N P, HEL. L. FIND FIN? Of..i-S I "FE :E;EHF~GE D I :.'.E;POf'];i:5'L. :?.r'fE;TEM ]::5;
:].EIO FEE:]" FOR R F'i:4:!'¢F!TE HELL.. OR J..SE¢ ".FEi 200 FE£T I:::I:~:Oi"! Fi F>L.tDL'IC WELL DE:F:'EN[:,ING
UF'ON THE T"EPE OF PUDLiC HEL.L.
HZNIHUH C,Z'_:.;TRi'.,!CE FROH Fi
TO B CO.h!HUNi'T'¢ E;EHEF:: LIi",,',E I'Z'; 75 FEET.
HEL. L LOGS P, RE F..:EC!U:i;REC, FINE.', MUST 8E RETUF..:NED '!'O THE DEPF!RTHENT HI THIN ]:0 C, Fi'.¢.':.:.;
OF THE ,WELL. (;OHPL. E:T!
· OTHE,'-';;: REQU!REMEHTS .HFIk:' RPF'L'.:'. .'.SF:'ECiF]:CRT.T. EcN% FH'-,![:, E:Oi'.,!STRUCT!ON E:,!FIGFi:RM,:-5; R,F:E
F:¢,/R i L..F..'E:L.E: "FO I NSUF.:E F'ROF'ER I N':_:;'TF~LL.,'::FF :.r ON.
I C:ERTZF"Y 'T'HFFT
J..: i FiH FRH.T.L.I.,qR HI-f'H THE F.'Ei]'4UtREMEN'T::.:; FOR ON-~.;ITE :E:Ei.,.iER~; FIND WELL.:5 FIE; E:ET'
FORTH B'./ THE '?!UN!CIF'F:iL..ZT"r.' OF
;7.':: I WZL.L. ]:NS'TFiL. L.. ]".HE S"¢E;TE!"I t'N RC:COF;;:DFiNCE i-.iZ]"H THE
]!:: i ~,,.,~',=c:,,'"'T,'"~, .... THFi] ..................... ' '"-*~"'~ ........ --I ~.:,'-" '-~" ',c-,,"'-~ "','= .......
..~ .... l'.:.r. L !l"l~: OJ",i-::T.';:[TE !::,b.l.'.!U.h"-: ::,T::,~-~rl !'!,'"!T ~*.i::,,:.!=-J.',-:,F_' ~r~L..?-i,~,,.~,_:!t~.h!~ It::' 'i"l.-!i:;'
APp[ .... :' ,"'-c,./") '.,P", ~.'::: .,'"'i ~,-~: ,.i:;.. ..... !' "' .L L.,' ' .::,"' I.i' ',i""",..- /
J_ =,=,L,-:r.L- E:'T' .................... [:'Fq'T'E .....
f'r'F?. C~ qn. .r~ H.~'~:J~;:' i' [ F.~N ':,"¢'-.~' F;C,N [ ¢ . I~'~',~F/-
~!~07) ?,';I "~ i ~ i
January 4, 1982
Solar Plus, Inc.
SRA Box 1561A
Anchorage, AK 99507
Permit ~ 810719
Subject: L10 B1 PROSPECT HEIGHTS
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
pL;oSgrN~mB.~Cahnha~lerZ~'
Sewer and Water Program
Enclosure: Copy of Permit
PERMIT NO.
DEFFIRTMENT ( 'HEALTH AND ENYIRONMENTAL £1TEC:'f'IEIN.
825 '"L"' STR. EET., FINCFIORAGE., AK. 'La950t
264-47'20
i...~ E L L_ R ~4 [:, C, .~-,~ -- S Z 'T E :--.-.; E [--..~ E'] F-.' P E F: ['"1 ][ ]-
( 8'1_07i~ )
RPPL I CANT
LOCRT I ON
LEGAL
SOLAR PLUS INC
PROSPECT DR
Lt0 EBi PROSPECT HE!GNTS
SRA BOX 1561A
99507 ~ g45-3468
LOTSIZE 65000 SQUARE FEET
TYPE OF SOIL RBSORP]'ION SYSTEM IL--.,: TREN. CH
MR. X IMUM NUMBER OF BEDROOMS ='. 4
SOIL RATING ,::SQ FT,..'BR)= !00
]]'FIE REQUIRED SIZE OF THE SOIL ABSORF'TION SYSTEM IS:
~'-) E F' T H = :.1_ :.::: L E i'-~ L3 T Fi == ;-2 r_.~; ~;3 F: F-It %," E L
]"HE LENGTH DIMENSION IS ]"HE LENGTH (Il'.,! FEET) OF THE TRENCH OR DRAINFIELD.
TFIE DEP]]'F! OF R TRENCH OR PIT IS 'THE DISTANCE E',E'r.NEEN THE SLIRFRCE OF THE
GROUND AND ]'HE BOTTOM OF THE EXCAYATION ,::IN FEE]]').
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRA',,,'EL DEPTH IS THE MINIMUM [:,EF'TH OF GRAVEL BETWEEN THE OUTFALL PIPE
FIND THE BOTTOM OF THE EXCRVFtTION (IN FEET).
F.:EIS.~L~ _.f_ F-:E[:,, 2;_r-'~Z F" T Z "2: T'~::~ ~'-,~l-::: S I ZE:= 12 f;~.-]~ r3F:~L_~_E~'-,~E;
PERMIT APPLICANT HAS 'THE RESPONSIBILITY TO INFORM TFI!S DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJFIE:ENT TO THIS PROPERTY FIND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SER.',,,'E.
E:RCKF'ILLING OF ANY SYSTEM Nt'THOLI-f' FINAL INSPECTION AN['., RPPRO',,,'AL BY THIS
[:,EPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DIS]]'RNCE BETWEEN A .NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
!00 FEET FOR A PRIYFITE WELL OR 150 TO 200 FEET FROM FI F'UBLIC WELL DEPENDING
UPON TFtE :TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM Ft PRIYATE NELL TO FI PRIYATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS '?5 FEET.
WELL LOGS ARE RE6~I.]IRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]:0
OF THE WELL COMPLETION.
OTHER RE6~L.tIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
R',,,'RIL. ABL. E TO INSURE PROPER INSTRLL. ATION.
F' E F~::.~'l Z 'T E-::-::F' ~." F:ES [:,EE:EI"IlE:EF: .T_?: :iL.,
t C:ERTtFY THAT
it.: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE '_--;EWERS FIND WELLS R'_-] SET
FORTH BY 'THE MUNICIPALITY OF ANCHOFi~RGE.
2: I WILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE CODES.
]:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY RE.'.:.qUIRE ENLARGEMENT IF THE
RESIDENCE IS F.:EMODELED TO INCLLIDE MORE THAN 4 BEDROOMS.
V4. 0
pE~F~MED:¢F~R, Sty_yerson ~ DATE~ P~RFO~MED -- 5/19/81
LEGAL DE~'~TION: '~< ~ fO - ~k 1 4 _ Su d~'on ~"Pr°spect 'His '
TN~S FORM"7~ORTS:. --;'~i~Ud'Soils'Exomin,fi~- '~-- ~-.../'~:~ '-~ Pe~olofiofl~:Tesf :81-'1550.
DEPTH ~ SOIL' -
-T ;~:'~ DESCRIPTION
-'Brown Silt' : Very'
~ u~mp
-~..~own Sil~y~sa'ndy-Grauel Very
~=c- - ~ ~ Damp
· _-'- BOTTOM OF=HOEE -- -
WA~_~GROUND W~:I'ER ENCOUNTERE~~'-: NO ~,
IF ~ES, WHAT.-,'~EPTH
LEGEND "-
® ~k-Pete zone
~S~- Sample loken
I~ ~ Frozen zone GENERAL SITE SLOPE
~ + Woter robe
RE/~)ING -~DATE <GROS'S/T]ME-' :, NET TIME . .. ' ~DEPTH TO.'H20 ; -NET DR:AINAGE
-in~t. '~"5/19/81 ' 0 ' 0 .... 4" ' -
1{ '-'~- "
-- 15 15- · · ' 155 115
¢
30 ? ' . 15 23~ ' 7 3/'4
-~:~ ~' ~'} .... ~ 45 15 ~' 29" ' · 5 3/4
_ " 60 15 345 ~- 55
, -.* i20 60 48~" " 13 3/4
I:-'E~COLATION'RATE: 3 min/-inch - DRAINAGE¢ REQUIREMENTS_'.. 100 _sf/bedroom
PRe~OSED INSTALLATION :-' ~ .~ EEPAGE -PIT
COCy'MENTS-: ' <"~.
TE~.T PERFORMED-BY;.~ ~:~;_]3:. & L.M.
- ~' DR/UN.:': FI EL:O -'-.~ .. O 'OTHER_ -*_: ,~/- - .
DATE: 5/19/8':1
APPLIC 'NT FILLS OUT UPPER HAl -~'ONLY
Pr°pertyO~W~e~:'{~)i;~--/~-,.-.'~ ¢f:'~'C'.Jl'~ IO-.._tO/'2..l~.h~;~.¢l ~0~ ~. ~--~ /
Mailing Addre~ ~ ~ /~/ ~
Phone
Buyer
Address
Zip Code
Zip Code
Lending I n st itu t ion/~ ~..,2~ ~/~..7
Address Zip Code
Realty Co. & Agent
Address
Zip Code
Phone
Phone
Legal Description
Street Location
Type of Residence
/~ Single Family
Multiple Family No. of Bedrooms ~
[] Other
Water Supply
,~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
[] Community For wells drilled prior to that date, give well depth (attach log if available).
[] Public Utility
Sewer Disposa! ~ Individual
[] Public Utility
[] Holding Tank
Year Individual Installed: /'~/~;~,
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQIJEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Dat~_/
-
Inspector Inspector Inspector Inspector
MUNI~I~^LI~¥ O~ ANCHORAGE
Field Notes: ~ ~ ~' ~ DFPT. O
'"'~)t~J~A~T~..~ ? ' , _ \ b--~_ ENVIR ..jIM'~iN,'A. P;~O,E'.TI:,,I
(__.~,,,,s-b,-,,-,-4-.~-- '~,~°~ (--c~, 3 ~~, d ~cu~ oz
~ ,.,,.. ~a ~¢14..,..9,~. ,~ ~c~.,.,~ .,4:E? .~ 1982
RECEIVED
4..~APPROVEDBEDROOMS / ~ cf~,~ '~'"~'--'COND,'r,o,SOPAPPROVA,
~f'~PROVED
( ', /0 /¢)
Soils Rating Date Sewer Installed Well To Absorption Area / ~ O /~'/'- · Well Log Received
/OC,P .~- "~ ~._. WelltoTank /Jog ( Septic Tank Size ~. '~_.~'"~
September g, 1982
Dick and Ann Riordan/Solar Plus Inc,
S!L~-~ Box 1561 U
Anchorage, A~{ 99507
Subject: Lot 10 Block 1 Prospect Heights
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
A well log submitted to this office for our files and
rev iew.
0 The top of the well casing sealed with a sanitary seal so
'that it is water tight.
0 The water analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
Please notify this Department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,