HomeMy WebLinkAboutTERLACHER LT 1Terlacher
Lot 1
#008-051-56
Municipality of Anchorage
Community Development Department
On-Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
Well Decommissioning Log
Legal Address:
Subdivision 7--c r J& C r r Block Lot
T R Section Lot
On-site Water & Wastewater Program certified contractor performing the well decommissioning:
Name:
Signature: /
Company:
Well decommissioning date 5 �1 2 0l S Method of decommissioning: AMC 15.55.06OL1 a. ❑ b. ❑ c.
Location: Use the space below to provide a drawing of the property showing the following items;
• North arrow
• Decommissioned well,
• Other water wells on the property.
Two separate swing-tie distances for each well shown on the drawing,
Note: The swing-tie distances shall be measured from either permanent structures or the property corners.
N
q,7g5
VI ri�wr Si.
t
O
wtl�
G1Community Development\Development Services\Building Satety\On Site Water and Wastewatenrormsa,uent runnsrvell Dewnmiuiviwiy wIJI
t4pril 4, 1920
077122
Nrnest 1lubam
Post office Box 1014
Anchorage, Alaska 99510
subject: Permit Expiration
A permit issued by this department for well acid/or on --site
sewer installation on Trot 1 Terla.chor Subdivision has expired
since the :Issue date exceeds ono(1) year.
In the event you still plan to install the well and/or on --
lite sewer system, a. new permit is required. The original
soil test may be usect to obtain a. current permit,
JX the well has been drilled, a well log should be sent
to this department to document the installation date.
I: you have any questions regarding the above matter, ploaso
contact this office izainediatel.y at 264-477.0.
Sincerely,
Les N. Buchholz, R.S.
Senior Lnvironmontal Specialist
LIM/1 j h
1-1 u._u 1'-•1 ;F i 1; F-" F -_u IL_...1.. _I- 'v" fl. ;A der u"u 1`'8 P 1-H yc.0 ry_:i E '
DEPARTMENT -fir HEALTH AND ENVIRONMENTAL PROTECTION
25 STREET, ANCHORAGE, AK. 9 i1.
279-2511.
PERMIT NO. ( 77:122 :.'-
APPLICANT
APPL..ICANT UENEi'a f_ AIJBMH P i t BOX 10111 279-4746
6
I...IcGAL L.:l. TERLACHER 15UBD SIZE: °'r;:? SQUARE FEET
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-' ITE'SEbTAGE I....I:-;POSAI_. SYSTEM 0--1
100 FEEFOR A PRIVATE WELL. OR 200 FEET FOR A RI_`BL...IC: WE .J.
WELL.. LOGS ARE REQUIRED I:RED AND MUST BE RETURNSTOIE DEPA OTMENT WITHIN 30 EJE-1Y_'
OF THE WELL COMPLETION.
SPECIFICATIONS AI'+Ili CONSTRUCTION DI :AMS AF:tE A AI .HEL..E TO INSURE PROPEF!
INSTALLATION.
I " IFii; F:' 1-^ 1 J: -II °^.r° u F......f.. F:-. F= f-.1 K3 l E.0 ��, 0. 11R.
— F" a`l P1
I CERTIFY THAT \
I.: I: AN FAMILIAR WITH 'HE' RE6U-IIREL'IE PIT';\"uR CiN SITE: SEWER' AND WELLS AS '-ET
FORTH BY THE I'9UNICIPRLIT'Y OF aPaf':E-ICIF�U:;E
1: WILL INSTALL.- THE s"EEM IN AC:�aIRE. N- 'E WIT -i THE C:E)f..+f:__-,.
ADPL IC:FIN"F j,;j:;j_Mf :. (1 —
ISSUED B'r'_..` ._`..'.-.-.r_.---__.-._.-_.__...._GOhllFc_.' .._`�..
L O \,",I kfti Ca F- 4, 1 { lz r -A 1 t.I. t V
F 2oN �oIMS't OV PosSl t? c'vctC/"otf�tf4�,�'tol�
r`t4G�S
1-0 T1'*F- pRoPos�D
S'E.aTAC— \oot
SM-?PA.c.VEL p';Ts 1Sol
11a� SFW E_q J_ lt4p <TW F_F.N
-191 Gn. i1 kDOI MUS -k- %e
DuC.Pr,
�i
i
L�
W
j
j
1
m
! i
V
I W
�1W I
w j
iW
;N
•
0 75 Wide Utility E. 1
°
10 Wide Ut I i,ty E m1 i _ p
� --
33
_
N8957 24
C 27TT7�_
30
I r
Wide Utility m
n
10 N,de I
Ej
3 Eemt Ip
10
° SQ44
o IeSAc
"
,c
Utility
Eemt 1 j
j
SEW E`: - -- I
ml'
,781
0. 248,k {
lz,,S
��1—.--
--148.85 I
8X2 , WEft
I
e 7989
m
! I Im
Ic
I
o
I-
0183 Ac.
v- l
�XIST,V,/ELL
1
C'i 2-1G4['
2085
a.
7989
o
L1. oT
;j1 I
1 0.183Ac
118 P5
;••
Q I i� I�
U �1-•
o
\ 1
g, l I
r Y11 a
~
22,539 r
0 517 /'co
l 7
0$
0
Oil 1/ I �I
/
'' P%10 Po SED _ I
o
=1 03 3Ac
I
sfr<WEL:�4'
!
33
I
A�';:',•1.12 a. 5'ng :-T-'
I
;.,
.,'p,.., 10
_
.BB ...M
:ti.20
30 l__ '
�_ N 89°572448
AV
N09°57 24 E 1322.00 CH. 1321.32 PEC
v _ _ ; Ll _ _ ---
,�a »��,�
�pg8p
P �.' O C� U S U W E� L
r.�% ,0130 k�
c �+ (_ (� /� 1 O �'
Su Q,
e
� • �i��4-..
•
G�' \mac
'ta = Ralph•B. Jokola ; "+r3
dPg,a
R
d� Ct�e°• NO. 1995-L
t3.lraRilF[55�;;'g
V-0 L_t 0 w { tAC,, NRE TNF— M1tA tMv M M 1SS l c3f..IF_
I)t5TNt4c_V.SV FyRoM POO -A- s OV PosstQSL-a COVATAM{PIA;l 04
T'o 74S PRoPosED \^4 ,
AtK`�r :SEW Ftp. t_\@AV_: ,St
-QT
-v4f V s 10Qt
y �
y
tw fi-T %E
Lot = ! Block \
Ancnoroge Recording Precinc Aiosko
LOT SURVEY CERTIFICATION LEGEND
he,eby so, .•y t•Ia• mole sJ•.Ryed!he D•JVerty sno and des:,-bed'a6'.ss :J.•'e9 mon�me':'rec
(�jr�,anC 'n7 !q[ iTprC le Tr•Ps sr lined thereon ore withI` roD- o Iron;r,pe and'or reoor ,er!
e^ly !.ne5 o,•d r, nT o.e,a, a,nc aocr on od;ocen' propeny o•n; mar 1,c--? Z h Ir E, ae revered
^,a• c.e•r.evmrs or, od7o w p,,�, •r creno, o, ece•:ad or.!he ore-::ses • S's, . Y' e:a• se, mss surrey
a�us!�^r ma- tnr,e ore •, .!,,es v,eee• o,s ne
r1•v, r,�.a!s o, so ex-ew as Ir,o,coieo ,,ereon
k -J
-
S, -ole
Dote
Prepored by. R. L. BUTTON
:.l.,
•
_ / 7-
4e.2 •r•e>lono Surveyor
� -' J
`"��
(907)779. 6200 fi'9 d- c:.%r' Are Ancn;>/age, A/osko 9950/
Ref
F B No.
ri!
/^
C
r
,"dry
1 I
I
Lot = ! Block \
Ancnoroge Recording Precinc Aiosko
LOT SURVEY CERTIFICATION LEGEND
he,eby so, .•y t•Ia• mole sJ•.Ryed!he D•JVerty sno and des:,-bed'a6'.ss :J.•'e9 mon�me':'rec
(�jr�,anC 'n7 !q[ iTprC le Tr•Ps sr lined thereon ore withI` roD- o Iron;r,pe and'or reoor ,er!
e^ly !.ne5 o,•d r, nT o.e,a, a,nc aocr on od;ocen' propeny o•n; mar 1,c--? Z h Ir E, ae revered
^,a• c.e•r.evmrs or, od7o w p,,�, •r creno, o, ece•:ad or.!he ore-::ses • S's, . Y' e:a• se, mss surrey
a�us!�^r ma- tnr,e ore •, .!,,es v,eee• o,s ne
r1•v, r,�.a!s o, so ex-ew as Ir,o,coieo ,,ereon
k -J
-
S, -ole
Dote
Prepored by. R. L. BUTTON
:.l.,
•
_ / 7-
4e.2 •r•e>lono Surveyor
� -' J
`"��
(907)779. 6200 fi'9 d- c:.%r' Are Ancn;>/age, A/osko 9950/
Ref
F B No.
Property of
/^