HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 5V LT 2ARabbit Creek
View &Heights
Block 5V
Lot 2A
#020-541-49
Development Services Department
Property Owner Name & Address:
/6/Ot 8'kRnJeV1eJt ST.
AACNORa��t *K 01gS)6
Pump Installation Date: 8-)y_ )S
Building Safety Division
On -Site Water & Wastewater Program
L� SL
4700 Elmore Road
P.O. Box 196650
Mark Begich Anchorage, AK 99507
Mayor www muni.org/onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description I
A; - if- V J. - ;2
Property Owner Name & Address:
/6/Ot 8'kRnJeV1eJt ST.
AACNORa��t *K 01gS)6
Pump Installation Date: 8-)y_ )S
Pump Intake Depth Below Top of Well Casing:e*1/0 feet
Pump Manufacturer's Name: A)( AICp6AA6D
Pump Model: A-5075✓'3 43
Pump Size 3/1 hp
Pitless Adapter Burial Depth: /0 feet
Pitless Adapter Manufacturer's Name: /
Pitless Adapter Installer: r
Well Disinfected Upon Completion" Yes ❑ No
nn _
Method of Disinfection: //LD tQl WE
Comments;
Pump Installer Name: A 0 eh 0 "t NJ4 N d- A+th P S60v)CIE
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
VLOH:0
; �1�\ JUNICIPAUTY OF ANCHORAGE
nFpaRTMFi\IT OF HFAI TH R, FNIVIRONIMENTAL PROTECTION
7 ENVIRONMENTAL ENGINEERING DIVISION
825 L Street Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
TE —TTSt
NAME N EW
DUPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
NO. OF BEDROOMS
Well
Absorption area Dwelling
PERMIT NO.
DISTANCE TO:
---
L) X
2
—
Manufacturer Material,
No. of compartments
I.-
V\ A
ti
Lic. capacity in gallons
—Plmde
IF HOMEMADE:
length Width
Liquid depth
Well
Dwelling
PERMIT NO.
DISTANCE TO:
02<
Manufacturer
Liquid capacity in gallons
gMaterial
a
Well
Foundation
Nearest lot line
PERMIT NO.
-j
DISTANCE TO:
,aZ
No. of lines
Length of each ling_
Total length of.,I)nes
Trench width
Distance between lines
2 w
0
inches
Top of tile to finish grade
Material beneath the
Total effective absorption area
0
�7
inches
Length
Width
Depth
PER N/1 IT NO.
< I--
Type 0
Crib diameter
Crib death
Total effective absorption area
� F,
Uj
on
Well
Building foundation
Nearest lot line
DISTANCE TO:
�4ass
Depth
Driller
Distance to lot line
PERMIT NO.
-j
LU
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
—REMARKS
o,
Q
LEGAL
J -ILL
APPROVEDDATE
it ������
PERNlT NO ( 76�819 ) DHTE UF ISSUE 92976
QAll TINTS
*** WHRNMIQ DUE TO CHHNGING THlS PR%NTOQT MHY NOT GF HN EXHCT *
*** COPY OF THE 01711I044L PERMIT *
8PPLICHNT QHLE LAMSON SRH BOX 40301 ]44�]055
LOCGTION OEMIYIE4E 5T
i�(J/�i |� R� PQR�TT [RF�K �IEW LOT S�ZE ]1445 SQ�HRE FEET
��.��� �� ��^��.� ������ ���
TYPE UF SOIL HBSOKBTION wSTEM IS� TRENCH
MHXIMUM NUMBER OF BEDRQ8MS c FT/BM, 125
THE RIQUIRED SIZE OF THE SUIL HBSORPTION SYSTEM IS:
. K
v_ 1P 0110 W 1-1 :11,11 GO 9 W Not V lyn v
THE LENGTH DlMENSION Is THE LEH8TH (IN FEET) OF THE TRENCH OR DRHlNFIELD.
THE DEPTH UF M TRENCH OR 121 IS THE DISTONCE BETWEEN THF SURFHCE UF THE
SIUUN0 AND THE BOTTOM OF THE EXCHVRTION (IN FEET)
THERE lS NO SET WIDTH FOR TRENCHES
THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF (WHYEL BETWEEN THE OUTFOLL PlPE
HH) THE BOTTOM OP THE EXCRVHTl8N (IN MET),
TIM7011 1 11 SUM> 550:474""W X W 11- lot 141 PQ 15 X WEE — , : 1 . Q�v lit C21 WMAU 1—����
, H 5 J Q K: By 2A 1: 14A W TOD IQH W , 5 :1 IZIR4457V 51 t too NOE lit En G? R A I TV! 10H 130
BHCKFILLI& OF HNY SYSTEM WITH0UT FIM, INSPECTION HND HPPROYHL BY THIS
DEPHRTMENT WILL 8E SU8JECT TO PROSEC�TION
MINlMUM DISTHNCE BETWEEN H NELL HND 0NY ON^SITE SEWHGE DISPOSHL SYSlEM {S
10Q FEET FOR H PRIVHTE WELL/ OR /
150 T8 200 FEET FOR R PUBLIC WELL DFPENDING UPON THE TYPE 8F PUBLIC HEL|.
OnNER RE&UIRrMENTs M8Y HPPLY WOW it' ICHTIONS HND C8NSTRUCTION DIHSHMS HRE
HYAJLHBLE TO lMURE PROPER lIST9LLHTMN
" 0011vowl A V E70-01" A WHYS K 7, K7 10 yh� v vs is, V TV 21 J, 1. Vim T" vs;
J CERTIFY THRT
1� I HM FRMILI8R NITH THE WELLS AS SET
FORTM BY lHE MUNICIPHLIT? OF HNCHORHGE.
2� Y HILL INSTHLL THE SYSTEA IN HCCORD9NCE WITH THE CODES:.
]� 1 UNDERSTHND TH�T THE QN~SITE SENER SYSTEM MHY REQUIT IF T|{E
140"IDENCE AS REMODELED TO IHCLUDE MORE THHN ] BEDROOMS.
SIGNED:~~~~~...r._~.. ....~�~�~~~'.~~~^~~-~~~~
HPPLICSNT GHLE LGMSQN
lSSOED 8Y. -DRTE~
INSPECTION HISTORY ~ SEWER 1 0 SEWER 2 0
WEA 1 00 DAT7 0 D? Ii -US:
September 27, 1976
Gale Lamson
Star Route A, Box 438 A
Anchorage, Alaska
R & M No. 656304
RE: Test Hole and Soil Log Report for Sanitary System
Rabbit Creek View Subdivision, Block 5, Lot 2
Dear Mrs. Lamson:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This in-
vestigation was performed in accordance with your request of September
27, 1976 and those procedures outlined in a letter dated July 15, 1975,
by Mr. Rolf Strickland of the Muncipality of Anchorage Department of
Environmental Quality.
A single test hole was put down within the subject site area for the '
purpose of defining general subsurface soil conditions for the proposed
sanitary system. Excavation was accomplished with a tractor -mounted
backhoe and the test hole was extended to a total depth of 10 feet below
ground surface. The final log prepared for the test hole has been
included in Drawing A-01.
Groundwater was not encountered in the test hole while drilling.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M CONSULTANTS, /INC.
James W. Rooney IC7
Vice President
JWR/ddp
xc: Municipality of Anchorage
ANCHORAGE FAIRBANKS JUNEAU
R & M O®IMSULLTANTS, INC.
249 EAST 51 9T. AVE. ,
BOX 6097
ANCHORAGE, AK. 99502
P.H. 907 279 0493 -
TLX. 09025360
September 27, 1976
Gale Lamson
Star Route A, Box 438 A
Anchorage, Alaska
R & M No. 656304
RE: Test Hole and Soil Log Report for Sanitary System
Rabbit Creek View Subdivision, Block 5, Lot 2
Dear Mrs. Lamson:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This in-
vestigation was performed in accordance with your request of September
27, 1976 and those procedures outlined in a letter dated July 15, 1975,
by Mr. Rolf Strickland of the Muncipality of Anchorage Department of
Environmental Quality.
A single test hole was put down within the subject site area for the '
purpose of defining general subsurface soil conditions for the proposed
sanitary system. Excavation was accomplished with a tractor -mounted
backhoe and the test hole was extended to a total depth of 10 feet below
ground surface. The final log prepared for the test hole has been
included in Drawing A-01.
Groundwater was not encountered in the test hole while drilling.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M CONSULTANTS, /INC.
James W. Rooney IC7
Vice President
JWR/ddp
xc: Municipality of Anchorage
ANCHORAGE FAIRBANKS JUNEAU
LEO ROAD
TH-1
9_27-76 0.01
ORGANIC SILT
Dark Brown
_2.5`
SAND W/SO-'1E SILT
AND TRA(71E GRN,7EL (S -P)
3, 5'
GRAVELLY SAND 491
TRACE SILT (SW)
Occasional Cobbles
and Boulders
10.01 TD
No Water Table A.B.
This log represents subsurface soil
conditions within Rabbit Creek View
Subdivision, Block 5, Lot 2,
Anchorage, Alaska
D'+ N'ED nLOG OF TEST HOLE
GRID
CK' : ji.IA R&M CONSUL-rANTS, VNIC. GALE LAMSON
"Re. ...... PRDJ.NO 656
L)Pm: 9-27-76 ANCHORAGE, ALASKA .304
F
I PPG -N0- A-01
a
Municipality of Anchorage ;
• �^ Development Services Department
v .....
/ Building Safely Division
On -Site Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.cl.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
HAA# QS��
Parcell.D. n90-A�
1. GENERAL INFORMATION Expiration Date: — r �
Complete legal description RABBIT CREEK VIEW SUBDIVISION; BLOCK 5 LOT 2
Location (site address or directions) 16101 GENEVI/E ST. • ANCHORAGE AK 99516
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
EARL AND GAIL tAMSON Dayphone 278-2277
16101 GENEVIEVE ST. • ANCHORAGE AK 99516
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
Day phone
Day phone
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well.
S
Individual On-site
Individual Water Storage
❑
Individual Holding tank
Q
Community Class Well
❑
Community On-site
❑
Public Water System
El
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional end adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage (les and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system !s(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Finn GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date
Engineer's Comments:
In conducting this evaluation, GEG, Ltd. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 6 Regulations. The reporied results described the performance of the
system under the conditions encountered at the time or the test, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide
any warranty or future estimate of how long the system will continue 10 meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
otherperson or party Is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for 3_ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
C
Attachments:
HAA Checklist C/ Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other _
99
WATER AND
W` STEQPAi tt:
PROGRAM
p� • T �
By' Original Certificate Date: _ �� - O Si
(Rw. 12/01)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Sita Water & Wastewater Program
470D South BM8W SL
P.O. Box 196850 Anchorage, AK 99519-6850
www.d.anchorage.ak.us
(907)343.7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: RABBIT CREEK VIEW SUBDIVISION: BLOCK 5. LOT 2 Parcel ID: 020-032-32
A. WELL DATA
Well type P A7
*ASSUMED CASED TO BEDROCK. SEE ATTACHED WELL LOGS.
If A, B, or C provide PWSID# N/A
Date completed 1978 ? Sanitary seat (YIN) YES
Total depth 275 ft. Cased to*BEDROCK ft.
FROM WELL LOG
Well Log (YM) NO
Wires property protected (YIN) YES
Casing height (above ground) 18+ in.
AT INSPECTION
Date of test 7/25/2005
Static water level R. 28 ft.
Wag production g -p -m- 2.13 9—
p.m-WATER SAMPLE RESULTS:
Coliform � cdoniesl100 ml. Nitrate (9'2umQJJ.s Other bacteria A!r colonies/100 ml.
Arsenic: N/A mg./L. Date of sample: 7 13 (2005 Collected by: GEG. LtD.
B. SEPTIt:IHOLDINOTrtNK DATA *NO FCO FOUND EITHER INSIDE OR
OUTSIDE. NOT ON INSPECTION REPORT.
Tank Type/Material SUNSET PLASTIC Date installed 7/24/1978
Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation deanout (YM) n -W— Depression over tank (YIN) NO High water alarm (YIN) N/A
Date of pumping 7/12/2005 Pumper A+ HOME SERVICES
C. ABSORPTION FIELD DATA
Date installed 7/24/1978 Soil rating (g.p.d./ft'orq� 125 System type DEEP TRENCH
Length 34 ft. Width 3 ft. Gravel below pipe 6.5 ft.
Total depth **7.3 ft. Eft. absorption area 442 fe Monitoring tube "ES Depression over field NO
Date of adequacy test 7/25/2005 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth In absorption field before test 22 In. Water added 503 gal. New depth 41.5 in.
Elapsed Time: 133 min. Final fluid depth 32.5 in, Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date —
**MONITORING TUBE EXTENDS APPROX. 4.6 FEET INTO DRAINROCK.
D. LIFT STATION
Date installed
'Pump on' level at _in.
Size in gallons
High water alarm level at in.
Cycles tested Meets alarm R circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot
100'+
Absorption field on lot
100'+
Public sewer main _
N/A
Sewer /septic service line
25'+
On adjacent lots 100'+
On adjacent lots too'+
Public sewer manhole/cleanout N/A
Holding tank 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property tine 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 5'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / have determined through field inspections and Ty
review, of Municipal records that the above systems are in ""' " ' """' """"""
conformance with MOA HAA guidelines in of%M on this date.
...:......................
ff a A. rness,:
Engineers Printed Name JEFFREY A. GARNESS s CE
Date w _8lyb 'c;0
HAA Fee $ 4&)
Date of PaymentD -1,:)- f lsi
Receipt Number (D12LO6
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
LOT 2(A)
4 (A)
6(A)
LOT 1(A)
,m• I so' IS 89.42743' W 200.
found to moA S 89'42' W 190.01'
Cp2------------------------.
10 ft Utility Easement
k
Stand Pit, $ 01
�
Crov
oU Pullout urioounaea
o� co"a•te Step y Wood H
v$I Sfond Poo 1
o
n o o G
ss
28.1
e o 1.5 stay
N Cos eta u N Hiock House
b O 4'
aD W
O j
LOT 2(A)
ZN
32,622 aq. ft.
i
I
�
C
O
.U)
U)
M ^
o U
Z
Z
u I
v v
N v
n
' `
[V
�2 N
V
Q
/ W
L
to W
to
to p,
T'
C
b
N N
-20' Utility Easement
Per CEA Agreement
rwnd to RePtotI E 12.5
E09 1
S 89'30'20' W 199.90' (Replat) 1
_S 89'42' w 190.01'—(R).k (R -C)_ ---- — --
---- 1
o
LEGEND
Recovered 5/8" rebar monument
LOT 3(A) Recovered 5/8" rebar monument with yellow plastic cap
Q 5/8" rebar monument with orange plastic cap
E;1H Overhead Utility Line
I (R) Record Information, P70-381
(R -C) Computed from Record - See Note 4
(Replat) per proposed Replat
p SS/CO Septic System
�ycA-�J
PPO Power Pole
.�&M%%1NUILJ
1
OFA( 1. This property is within the Municipality of Anchorage's Special Survey Assessment District
...... .,NQS 4� 1V96, which was formed to correct plat and survey errors within Rabbit Creek View and Rabbit
�� ,� Creek Heights Sub A Complaint and proposed Replat were filed with the Superior
G':49�. ��* 0 Courtin December, 1998 (Civil Action No. 3AN-98-11718).
;,* • ,.j�.. r.Qj .� 2. Monument locations shown are according to the retracement survey performed by Kean and
Associates for the Replat in 1997-98.
0 'A I ROBERT T. KEAu • 3. Property line locations shown are per the proposed Replat and were determined using found
0 01.0. no a3943 -Sir monument locations and the intent of the original plat. The monuments have been set. Lots (N
4
0 •., and Blocks (V): The identifier 0 represents the "Replat" naming convention.
♦11EsSio+N �i 4. Significant plat errors were found on the original plat (P70-133). These errors were
1!►4 analyzed and the dimensions adjusted to obtain the intended representation of the lot, shown
hereon as (R -C).
SURVEYOR'S CERTIFICATE "As -Built"
I hereby certify that I have surveyed the property and facilities described
hereon and that the improvements situated thereon do not encroach on
adjacent property, that improvements on adjacent property do not
encroach on the surveyed premises, and that there are no other visible
easements or rights -of --way, EXCEPT AS SHOWN OR NOTED HEREON.
t� lQ
Robert T. Kean, R.L.S. 394 -S Date
EXCLUSIONS
No data hereon should be used for positioning additional structures,
for building fences, or for locating the boundary lines. It is the
responsibility of the owner to determine the existence of any easement
or restriction that does not appear on the recorded subdivision plat
and to verify that all improvements meet all subdivision covenants
and zoning ordinances.
Lot 2 Block 5
Rabbit Creek View Subdivsion
to be re -designated
pending Final Judgment, Civil Action No. 3AN-98-1171
as
Lot 2A Block 5V
Rabbit Creek View and Rabbit Crk Heights
Subdivision Replat
PREPARED BY.
KEAN & ASSOCIATES
6927 Old Seward Flwy, NI01
Anchorage AK 99516
1"=50'
M. IktoA GRID:
11-06-02 1 3340
08-11-05 MOM FROM -CUE ESI, SCS ENV SERVICES
—SG$—
SCS RefJ 1054541001 Ltd.
client Name Garness Ftigineerittg GrouP•
Project Name/# L2 Bk5 Rabbit Creek View
Client Sample ID L2 Bk5 Pubbbit Creek View
matrix Drinking
pWS1D 0
Sample Remarks:
ItesYlu r`r`
pamntetcr 0.100
U 255
Nitnte•N
9075615301 1-682 P.02/03 F-615
All Datesrrimes are Alaska
Standard TIM
Printed Date(rhne
08/112005 8:06
5:33
Collected DatefTime
0 30
0125/2005
Received DatefrIn"
Stephen Ede
Technical Director
Allawable Prep Analysts
Conuiner ID
Limits Date Date Wit
Untu Mcthtsd I'll 0725/05 WAW
B X"101
mg)l, EPA 353.2
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
August 2, 2005
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Casing depth for Lot 2, Block 5; Rabbit Creek View Subdivision.
To whom it may concern:
A well and septic adequecy test was performed on 7/25/2005 for the purpose of obtaining a
Health Authority Approval. Prior to the site visit a well log for the referenced property was not
found. Well logs have been pulled for the adjacent properties and it appears that bedrock varies
from approximately 9-37 feet. All of the wells in the area are cased to bedrock. Based upon the
well logs for the adjacent properties it appears that the well on the referenced property is cased to
bedrock. If you have any questions, please contact us at 337-6179. Thank you for your
,E., M.S.
3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: gamessengineering.com
1.
M -W trilling, Inc.
*P.O. Box 110378+Anchotnle, AK 99511•
•907-3454000 ♦ 907-3,f5-3287 fax•
Job No.: 02-137 ProjeaNO.: N/A Permit No. SWO20189
Groundwater Well As-Huilt & Low
♦ Well Owner: Boutet, Donna I
---, • Use of Well Domestic
+Legal Description: :zRabbit Creek View, Block 4, Lot 4
Constructiol i
Hole Depth: 205' ♦Casing size: 6" *Cased To:
♦ Dril! llfeihod: Air ROtary __
♦ Well Completion- Open end X Screen Prrforated
♦Screen/Perforationdescriptlon: None
♦Grout Notes: 10" Surface casing installed do pulled while
♦ Notes: 0 ( 0
37' ♦Alaterlol. A 53 Steel
Perf.
Aferhod:
♦ lf'e/l Development. Afethod: Air surge Note t:
♦Static water level (SIVL) 25' (a=) (below) lop t /casing (TOC).
♦ fVell yield test at 2.5 gallons per minute (Gpmyre tlensperAear{Gp/!) for 1 hours
With 100% of drawdown (DD)fromstauelevel (SWL).
*Method: Airlift
♦ Date oreon+nletion: 25junc2002 ►Pump Install: 26 June 2002
�r Municipality of Anchorage
Department of Health and Human Services J
825 'L' Street
p.O. Box 198850 Anchorage. AWM 995198850
pick Myarom A mpAvww.cl.ancMraoa.akw
Mayor 'Ln
Permit Number: #SW 980250 Date of Issue: Z -21-A Parcel Identification Number -120-032-20
Date
umber, 20.03 -
Date Started: 8-15- Date Completed: 6-18-99 Is well located at approvedpermit location? JE Yes Ll No
Ind DescBptiOM: Rabbit Cr View Blk 4 kN 2
property Owner Name & Address: William402 Chilligan Drive
Anchorace.Ak 99517 -
Borehole Data: Depth (ft)
Soil Type, Thidmmn & Water Strata from To
Stick-up
Gravelly sm
Bedrock
0 2
2 9
9 187
Method of Drilling ® sir rotary ❑ cable tool
Casing type: Mill
Wall Thickness: 025 inches
Diameter. Q inches Depth: 2R ticct
Liner Type:
Diameter. _ inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 11 feet
Pumping levelMfeet aftcr
2 hours pumping 1 gpm
Recovery Rate: 4 gpm
n1 Method of Testing: lILIX
Well Intake Opening Type:
❑Open End ®Open Hole
r ❑ Screened Start fat
❑ Perforations Start feet
RECEIVED
JUL. 20 1999
DepLHeallh ali&Human Ser01 vices
Stopped fact
Grout Type: &VILOULM Volume: LM
Depth: S=.gfeet Stopped?feet
Pump: Intake Depth__ feet
Pump sine _ _ hp Brand Name
Well Disinfe" Upon Completion? ® Yes ❑ No
Method of Disinfection:
comments:
Well Driller. Alpine Drilling & Enterprises
CP
d?P.O.
Boz 110496
Anchorage, Ak 99511 AK Zip
W
9
to
de a "'ell�B ProP^� -0u � 30 dsys-0f�pl� and � ply
Attention: The wC9-dF K 61164 pravl
nwnw n. �1•� will .I.:Mw.1+.11 w....riA� � an./1 inn in tiw rlra of Ir.eht+ :b N+++nan Cwv:nw .41". An Ad"* of nn+nnld:nn
M -W DRILLING, Inc. aye $
P.O. Box 110378. 10330 Old Seward Highway
(907) 849.8535
ANCHORAGE, ALASKA 99511
DRIWNG LOG DEEPEN
.Ise of WeII
well owner
Rt1D MOORF J.7^�'remT�
Location (address of: Township, Range, Section, if known;'or distance main road—
aarunaarF aTncua _
Size of casing F" Tlepth of Hol 160' feet Cased to 20 feet
Static water level I I ft• 1(l; M16 (below) land surface. Finish of well (check one) open end ( g );
Screen ( ); Perforated ( }.
Describe screen or perfoeati SiA
1 h0nra Withitlni
Well pumping teat atA=S—gan= per jkqnk (minute) for
ft
of drawdown from Static b>sel.
Data of mmpleti
n MME +oa7
WELL tot)
Depth in feet from
ground surface Gin dafaila of formations penetrated, size of material, color and hardness
0 SII 11s 9=0 WELL
8E TO 160 ED 13EDAOCK• DARR GREY WITH THITE_LEt7SES
TO
TO
TO
TO
To
TO
TO
TO
TO
TO
TO
TO
a
M -W -DRILLING, Inc.
P.O. Box 110378 0 10330 Old Soward Highway
• (907) 349-8535
ANCHORAGE, ALASKA 99511 -
DRILLING LOG
John &Sandy Mathews'
Use of We11 Domestic
Well Owner
Location .(address of: Township, Range, Sectlon. If known; or 'distance mein roa'
Lot 5 151ke I C nerama errace, c orage
328 27.5
Size of casing -----Depth Depth of Hole - Ieet Cased 4o teet
Static water level 97 tt (s j ow) land surface. Finish of well (check one) open end ( X );
Screen ( ); Perforated A ,s
K,
Describe screen or pert ti :kr
Well pumping test at
of drawdown from static ii
July 14
Date of completio ,lea
Depth!feet from _ j�
ground surface Gly
0 225 r
'TO 28
TO
(302X)
TO '
- TO
TO
TO
TO •—
TO —
TO —
TO —
TO —
TO —
TO —
(minute) for
2 hours with 1007 tt .
WELL LOO
penetrated, size of material, color and hardness
ar,saaps
0- U
4
2
U
W
STAT! or. A.L"70►
ZPARTMZNT Or NATMAL 7tZ380IIACLE"'•-
18,9Y DIVISION Or, GaObDGICAL aND caOPiYfIGAL EDI:VtTa
AUG 2 0
WATER WELL RECORD
ALASKA DNR/DIV OF WATER '
EAGLE RIVER ALASKA .
IO • WELL
iN .$JBDIVISION .LOT 9LOCX• SECTION QTRS, ,TONNSHIP RANO
N W
TION i rv' %AEt.J'CL:n Cti e. WILL OWNSR:. . , •' :• .
. WELL DSPTA.jy.t�1� �� }
•hbiT4 •'{t
aoR£Noss Pala:
Retaiial type ana c0]
CONTRACTOR SNP
Regis ersd Sue
A
other: Depth of casing:••2{a—ft �,'�-.�•[-
'Depth'-• 31mc.RATu LtV*L
..
METHOD oC:DRILLINO: aiY rptary'` -
❑cable tool. othgrd.,
USt.OF.WELL% Wadomestic �lziigation �motiitoz
_ ❑ public supply• ❑ ofhoc: '
* '6MING,.Stick-up-1_ft. D1am: (s 1a
6TION:
I j
Signature of Authorize Representative DGGS
PO BOX 77-2116
.' EAGLE RIVER, AK. ` 99577
Data - ' '
WELL INTAKE: .openend ❑ acriened ,
❑ perforated open holo-.
.
Depths of,openingo:__ to __ft
.SCREEN
'
S Diam:=_in
Slot/Meati Siz'.
Length: ft
Set Between " and --
.
GRAVEL P -.:. E:,
volume used:Depth to top: '
Depth; from ty o it`
yet►
D£VELOPM£NT TROD. -
'.
Duration•
y
PUMPING Is L AND I£LD:
hra
ft after pumpinq_.1tMrgpm
1'U
..
PUPS INTAK£^D?'flf+�Cft Hozsepowr:'
-
Date Pump Installed
'
NATER CHEMISTRY SAMPLE TAKEN? yea. 00
a '
Well dial fe ted upon completion? no
n '
PLEASE MAIL WXITE COPY OF LOG VX711TN'45
Q
DAYS TO:
Signature of Authorize Representative DGGS
PO BOX 77-2116
.' EAGLE RIVER, AK. ` 99577
Data - ' '