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--