HomeMy WebLinkAboutMIDWAY Lots 1 & 2 Plat# 84-453 S-7888
CASE NUMBER:
S-7888
L"~'MuNICIPALITY OF ANCHORAGE ~-~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
Environmental Health Division
CASE REVIEW WORKSHEET
DATE RECEWED:
S DUE BY:
------- October 9, 1984
suBo'v's,oN oR PBOJECT T, TLE: 1
Lots :.1, 2 ~ Subdivision
;OMMUNITY WATER AVAILABLE 7 ER AVAILABLE
COMMENTS:
71-014 (Rev.
DEPT. OF I~]~¥1RONMENTAL CONSI~;flVATION /
SOUTHCENTRAL REGIONAL OFFICE
43? "E" STREET, SUITE 200
ANCHORAGE, ALASKA 9950l
BILL SFI£FFI£LD, GOVERNOR
274-2533
July 13, 1984
S&S Engineers
7125 Old Seward Highway
Anchorage, Alaska 9950]
Dear Sir:
Subject:
Water & Sewer System - Fer§uson Subdivision
~ (852]-FA-005) and (852l_DA_005)'
We have reviewed the plans and specifications for the subject project.
The project is hereby approved for construction :for :the items with which
this Department is concerned. This ]etter cOns%itut.es._the
by A.S. 46.03.720(a) for apprOval o ' · Permit required
sewage application rate is l lmi+-~ ~f.s_ewerag.e.sy rems provided that the
- ~ ~u one gal/ftL~/daY :Or less.
Enc]osed with this letter is a .*Certificate
' . to' Construct* fOr the drinking
water system. The *A~PrOVa] to OPerate'".section of the certificate ~st
be completed by a representative, of this Department prior to placing the
system in operation. ~].,,.,:
Zt should be remembe~ that fine] approval' will necessitate the submission
of Engineer As-built Plans.. This will 'conseQuently mandate that a pro-
fessional engineer Conduct basic inspection of this project sO' as to
be able to sign off on aS-built p]ans. Arrangement for this insPection
work is the responsibility of:the developer.
B£E/msm
Enclosure
Zely,
Environmental Engineer
STATE OF ALASKA ~....~
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
CONSTRUCTION AND OPERATION CERTIFICATE
for
PUBLIC WATER SYSTEMS
A. APPROVAL TO CONSTRUCT
Plans for the'construction or modification of__F
- : ~ approved.
':' '?~:'~ .... ~ ~ appr0v~ (s~ched conditions).
~' -~':~; .lf.c0ns~mc~jbn has not sta~ within ~o years of:the ~pr0val date, this ce~ificate Is void and new plans and '.' ·
-. -:.Sp~lf cat ohs must ~ submitted for review and approval before construction.
B-::'~APPROVED CHANGE ORDERS
Change'{c~ ~ ~. ~ ~pt~ ~ : ' :' Approved by. · Date ·
public water system located
, Alaska, submitted In accordance with 18 AAC 80.100
~-~ . __.have been reviewed and are
C. APPROVAL TO OPERATE
The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water
is made available to the public.
_public
(date). The system is hereby
The construction of the
water system was completed on
granted interim approval to operate for 90 days following the completion date.
TITLE --
DATE
As-built plans submitted during the interim approval period, or an Inspection by the Department, has confirmed
the system was constructed according to the approYed plans. The system is hereby ~;rante,~ final approval to
operate.
TITLE
DATE
OWNER OF LAND
LEGAL DESCRIPTION--
DATE - Started
PERMIT NUMBER
DOC Co. dba
P.O. Box 272, CHUGiAK, ALASKA 99567 · TELEPHONE 688-2759
Ended
ra n oF FORM ,tiO --
From (~" Ft. to t:'d Ft.__
From Ft. to~; L:'~ Ft.~.
From ."' Ft. to "t/.:, _Ft.
From Ft, tO Ft.~
From .... Ft. t~ Ft.
From_~ ~Ft. to _ Ft.~
From Ft, to
Fmm~ ~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.
MISCL. INFORMATION~ '
6 0 ' -
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GA LS. PER HR
KIND OF CASING
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. t0Ft'
From Ft. to , Ft.
From Ft. to Ft._
From Ft. to Ft
From--Ft. to Ft.
From Ft. to Ft._
Fr°m--Ft. to Ft.
Fr°m--Ft. to__Ft.
From Ft. to FL
DRILLER'S NAME __A.;::,.~.~./ ,~..,...,,... ....
Jim Sullivan
688-25~0
~ &~CT~c
· [ ~'v~, ~ w~za.)
~ww, c~?~v .uM~
WELL RECOVERy TEST
Alaska
Distribu!
P.O. 8ox
Eagle River,
ADDRESS:
LEGAL
CHECKED()-
VERBAL(]
WELLLOG¢i
DRAW DOWN --
CHECKED()
VERRALi)
WELLLOG()
DATE:
CASING DIAMETER
CHECKEDf)
VERBAL{~ TANK CAPACITy
CHECKEDI)
WELLLOG(} WELLLOG() VERBAL()
WELL LOG(}
CHECKEB() PUMp HP
VERBALf) CHECKED(-j-
WELLLOG() VERBAL{)
WELL LOG ( ) /
C~ SCREENED()
;,~%~, I oPEN(,
ELLLOG() I PERFORATED4"~
~~ ,""' '., ~ .- _'- I LINED()
COMMENTS: -
~ /,'c~/
C~ ENGINEERS, INC.
PER~Or~MEDFO~ (~ICL ~/ M~I~TI~
SOIL LOG
PERCOLATION TEST
V SO~L LOG
)(' PEPCO~ A FiON
DATE PERFORMED ~''~
SLOPE . SITE PLAN
~"=-':<2 ~_,0-I~.0' .s~,ab, I e;A~,,~_w._ ~Jn~
11-- W
13 ~ IF YES P
- . AT WHAT '
DEPTH
[FEET) PERCOLATION RATE
(rain utes/inch)
COMMENTS
TEST RUN BETWEEN
. FT AND ..... FT