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HomeMy WebLinkAboutNEWLAND BLK A LT 9 (907) 243-2282 KEN JOHNSON A ClPAUTY OF ANCHOP, AGE '~'DEPT. OF HEALTH & KEN'S COMPANY ENVIRONMENTAL PROTECTIOJ~ WATER WELL DRILLING F~B ~ ~ 1985 PUMP SALES & SERVICE 'EARS AL, SK, OR,LUN REC E 1 V EJ;)L,NoEN OR,V ~ ANCHORAGE, ALASKA 99502 MOVING ON CONSTRUCTION INC. DON HANNAH P,O, BOX 112028 ANCHORAGE, ~LASKA 99511 RE, LOT 9 BLK A NEWLAND SUBD. NOVEMBER 14, 1984 ( 349-1124 344-2014 ) ( VERNON & DIMOND BLVD. ) 0 ft to 3 ft 3 ft to 26 ft 26 ft to 30 ft 30 ft to 43 ft 43 ft to 62-6 ft 62-6 ft to 63 ft 63 ft to69 ft 69 ft to 78-6 ft 78-6 ft to 80 ft 80 ft to 85 ft 85 ft to 85-6 ft 85-6 ft to 98 ft 98 ft to 105 ft 105 ft ~o lll ft !11 ft to 119 ft 119 ft ~o 13o ft !30 ft to 132 ft !32 ft to 139 ft 139 ft ~o !41 ft WATEE WELL LO~ Fill Brown silt with some fine gravel Ned. gray & gray silt Course gray & gray silt ~ed gray & gray silt Weeps in overhlght i5 ft. Bails dry Course gray & gray silt (dry) ~ed gray & gray silt Same- weeps H20 ~,: , Ned gray & gray silt ('dry) Weep in over night to 22 ft Static ( TOC ) Sand pump dry..poor recovery ~ed gray with some clay ( dry ) Dirty fine sand Same ( heaves 40 ft ) ~ed gray & dark gray silt Oourse gray & gray silt ~ed gray & gray silt Course gray & gray silt ( tight ) Water bearing Med. sand & gray. Teat bailed at 12 GPM with 100% drawdown..Yields 10 GP~ 0vernite static 25 ft GL..Clean & stable Material same.. Test bailed at 22 GP~ ~ hr. Static 25 ft ( TOC ) Drawdown to [00 ft. Good recovery Bottom Stable ( very clean ) Total casing ~42 ft. 9~ in. See test pump Dat~ ( attached sheet ) ,, APPLI6 NT, FILLS OUT UPPER HAL._. ONLY Prop~y'~Dwner' /~2 ~/-~ ' :: ,4/, /<' ... ~'/ Phone Mailing Addre~ ............~:: '~ ~/~.': ~ h ,~ ~Z_ ~:' ~-: , ,/'" Zip Code ~'~ .... ~ Q:' ~'/ .... ~:~'Z- Address Zip Cede Lending Institution ~-~ ;:-/' ;' ........ ///~ ,: ¢~ Phone Address Zip Code Realty Co. & Agent / i I /~. Legal Description Type of ResJ~nce  ' Single Family Multiple Family No. of Bedroo~ ~ Other Zip Code ¢/~; Phone Water Supply iindividual Community [] Public Utility Sewer Disposal [] Individual ¢,.D/'~ " Public Utility Holding Tank A~q'ACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Year Individual Installed: When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ..... Time Tim Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field~,,Notes: MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PRO~ECTION. 5c 1983 RECEIVED ( ~.-y'APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE Soils Rating Date ~wer Installed Well To Absorption Area Wel~ Log Received Well to Tank Septic T~k S~ze 72-023 (3182) £HEMICAL & Gk'r~LOGICAL LABORATORIES t~,z<' ALASKA, INC.~ TELEPHONE (907) 562-2343 ANCHORAGE56331NDUSTRIALB Street CENTER Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER.' I.D. NO. WATEI~×. SYSTEM: /.'/ ~. // /. 'I"--~[ /-"~'~ ," ~ Phone No. Water System ~me u ~ Mailing Address State City . ~ , ~ ~ .. Mo. Day Year SAMPLE TYPE: ~ Routine []'Check Sample (for routine sample with lab ref. no. [] Special Purpose Zip Code [] Treated Water [] Untreated Water SAMPLE NO. LOCATION 4 I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analys~s snows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over, 48 hours old at examination to indicate reliable results. Please send new sam 316. Time Received /~ Analytical Method: Fermentation Tube Membrane Filter Lab Ref. No. Result* Analyst ~-~ ~-~ *No of colonies/100 mi. or No. of Posltwe Dot,tons 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAM PLE Date Collected Source slvea_ ),m. Lab. NO. >resumptlve ).Omi 10mi /0mi 10mi 20mi 1.0mi 0.: 24 Hours 48 H¢)urs =onflrmatory 24 Hours 48 Houri EMB Broth 24 hours: Broth 48 hours: , Multiple Tube Report: 10mi Tubes PoSitive/Total 10mi Po lions Membrene Filter: Direct Count Coliform/] Doral Verification: LTB BGB Final Membrane Filter ReSults ; Coliform/] DOral Reported BY Date J~UNICIPALITY OF MUNICIPALITY OF ANCHORAGE DFPT, OF V:ALT!!  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~i~ONM 825 L Street-Ano~orage. Alas~a 9950 .......... ~EQUEST FO~ APPROVAL OF INDIVIDUAL WATE~ AND DIBECTIONS: Complete all parts on pa~e ~. Incomplete requests will not be processed, Please allow ten (10) days for processing, ~. P~OPE~TYOW~E~ ~ PHONE MAILING ADD~ESS 605 ~. 86~. Co~r ~o~ager ~. P~OPE~TY ~ESIDENT (If different from above) PHONE 2. BUYE~ PNONE ~O~, David C. & ~sZ~ A. 277-7136 MAILING ADD~ESS 309 ~1o~ ~A, ~aho~ager ~. 2, LE~DING INSTITUTION PHONE ~AC ~gage Co~atio~ 27?-8588 MAILING ADD~ESS 401 g. ~o~e~ ~i9b~ Bl~d., Suite 212r ~cSo~age~ ~. 99503 4. ~EAL~O~/AGENT ~PHONE MAILING ADD~ESS 203 ~. 15~. A~e. 'r ~Oho~a~e, ~. 99501 5. LEGAL DESCRIPTION Lot 9, Block A, Newland Subdivision STREET lOCATION 605 W. 86th. Court, Anchorage, Alaska 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~] SINGLE FAMILY E~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, §ire well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM · *If individual/on-site, give installation date [] INDIVIDUAL/ON-SITE** If system is over two (2) years old an adequacy test is required ~ PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) " ' THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TiME DATE DATE DATE ~NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY '~ TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY '~ INDIVIDUAL ' DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED I~PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or E~]Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line I 1 WELL TO: . ADsorption Area to nearest Lot Line 5. COMMENTS [~APPROV ED FOR ~--- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompa~y~ertificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) C GEOLOGICAL LABORATORIES OF AI.ASKA, INC. P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD. Drinking Water Analysis Report for Total Coliform Bacteria TELEPHONE (907) 279-4014 TO BE COMPLETED BY WATER SUPPLIER PUBLIC WATER SYSTEM: __~ ~ I.D. NO. Public ~,&ter SyStem Name : ~ ~; / 3::: ~ · ~ Mailing Addrees A City State Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 3 LOCATION Time Collected Zip Code Collected By r ~ TO BE COMPLETED BY LABORATORY LABORATORY: NAME ADDRESS CITY Date Received ~f~'~/~ /F Time Received / / Analytical Method: [] Fermentation Tube fi~Membrane Filter Lab Ref. No. Result* Analy~st READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Form No. 18-310 (3-78) 06-1220 (b} Rev. 1978 BACTER IOLOG ICAL WATER ANALYSIS RECORD Date Collected Source NO, 48 Hours 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: Membrane Filter: Direct Count Final Membrane Fllter~/t~/ 1Omi Tubes Positive/Total lOml Portions BGB Date--