HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 8 LT 23 /..~\ MUNICIPALITY OF ANCHORAGE
, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
~'t~j/ 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME ~ [ ~NEW --
MAI LING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
~ DISTANCE TO: ell ~l Absorp[ion~mea ~ PERMIT~ ~ ~ Z~'7 '~_NO'
~ ~ Manufac[urer Material No, of compartments
~ ~ Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth
Well" Dwelling PERMIT NO.
~ DISTANCE TO:
~ ~ ~ Manufacturer Materia~ Liquid capacity in gallons
~ DISTANCE TO: Well FoUndation Nearest Io~ line PERMIT NO.
~ m Z No. of lines Length of each line Total length of Hnes Trench width Distance between lines
~ ~ ~ Top of tile to finish grade Material beneath tile - Total effec~ve absorption area
Lengtl~ Width ~ Depth PERMIT NO.
~ p Type of crib Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class ~ Depth ~ Driller Distance tolotline 'PERMIT NO.
m Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER ~~ ~ --
PIPE MATERIALS
SOIL TEST R~TING /
INSTALLER -
~EMARKS
APPROVED - ~ATE LEGAL
E(JGENi F. FISHE
ENGINEERS L~LASKA
WA$ILLA, ALASKA ~ 99687
PHO~£ ~76-
March 3, 1983
blunic.,{pal±ty of Anchorage
Dept. of Health & Environmental Protection
825 L~ Street
Anchorage, Alaska 99501
RE:
Lot 23 Block 8 Mountain Park Estates #1
Sewer Permit Number 820272
C C Buck
To whom it may concern:
The tank installed on Lot 23 Block 8 of Mountain Park Estates #1
for C.C. Buck, sewer permit number 820272, was a 1250 gallon tank
manufactured by Greet Tank.
If you have further questions, please feel free to contact me.
Sincerely,
CIVIL ENGINEERS OF ALASKA
Eugene F. Fisher, P.E.
E',EFf"I'!:)r,'! El!:::' "i"'r"li!i!: [i:::.::E:!:::!'v'FI"r':i:E!H
H ]: !:::,'!"!.i F'Cd::;:
:!!; !'!-t!E M :i: !'.,i :[ HUH DEF' f't.! 01:::'
'THE !E::.::C:I::!'v'Ft'!' :[ Cfi'.,! ,::i:H F'EE:F::,.
SOILS
LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AN[) ENVIRONIVlEN'rAL PROTECTION
825 L. Streot, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOL. ATION TEST
PERCOLATION
TEST
LEGAL DESCRIPTION:
DATE PERFORMED:
,,7,,,,: / ..,, ......
SLOPE SITE PLAN
3
10
12
13
14
15
16
17
18
19
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES, ATWHAT
DEPTH?
Reading
Oate
Gross
-time
:'
Net
Time
Del)th to
Water
Net
Drop
/ · ,:: :/ :':
PERCOI. A1 ION RATE __ L'f'~ .............. Irninutos/in~h)
'rEST RUN BETWEEN ......... F~ AN[) ' FT
COMMENTS ....... , .... '
PERFORMED BY:
................... CEI]TIFIED BY:
72-008 (6/79)
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological & GeophysicelSurveys
Drilling Permit No,
( )lete either to, lb or lc.) A.D.L. NO.
Io.lIBorough Subdiviaion Lot BIoak Ib.II '/4qtr$. Section No. TownshiPN[~ Roaga Er-)
Meridian
DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5, OWNER OF WELL:
Street Address and Area of Welt Locollon
2. WELL LOG Feet Below 4. WELL DEPTH: (final) 5. DATE OF COMPLETION
Material Type Top Bottom
Slot/Mesh Size: Length
Set between ft. and
Back flllln~ Gravel Rack
I0. STATIC WATER LEVEL:/~ ft.
Dote
~ Above or ~ Below land lurfaoe
Equipment used: ~
~. . PUMPJNG LEVEL belo~ land *urfooe and YIEL~
ff. after hrs. pumping g.p.m.
12.GROUTING Well Grouted: ~ Yes
No
Material: ~ Neat Cement ~ Other:
~' ,~ I~,PUMP: (If available) HP
Length of Drop Pipe ft. capacity 9.p.:m.
16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperature o ~ F
C
This wel~wes dr ed~nder~jurisdlcfion end this reporl Is true to the besl of my knowledge and belief;
~egistered Business No~ ~ Controcl License Number
Form 02-WWR (11/81) Cop, ~tribution: WHITE-State DGGS~ PiNK-Driller, CAN -Customer
F-
I APPLIt NT FILLS OUT UPPER HA' ONLY
,---:.~ .............
Buyer ~ -
Address Zip Code
Lending Institution ~%,. (~:., ~ ¢"*::: Phone
Realty Co. & A~nt Phone
Address Zip Code
Legal Description ' %.. .... . .' :~ ~'-~'-
Street Locati~ ~(;~'~ "
Type of CRssi~nce
~ingle Family
~ Multiple Family No. of Bedrooms
~ Other
Wa~u pply
~ Individual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach Icg if available).
~ Public Utilily
Se~Disposal
~ I,dividual Year individual Installed:
: Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Time Time ~ I Time
Date Date Date,.-. ~. Date /"
Inspector Inspector Insppr Inspecl°t~//
Field Notes: MUNICIPALITY OF ANCHORAGE
//2.._ O.-- /.,~.,.,~ E, FDT (-~: .... ' ~.
Z'_ 0 ~ ENVIR ;, i,' :i. : L~.flON
./~ , , :: ,
: .,. RECEiVeD
~~ 'CONDITIONS OF APPROVAL
( ) CONDITIONAL APPROVAL*
Soils Rating Date ~wer Installed Well To Absorption Area / 2. D Well Log Received
" Well to Tank / 0 _~' Septic T~k Size
72-023
.