HomeMy WebLinkAboutJEWELL LT 2) z_u,ti n
L.A.
02:$'1-3- OVA- GO --1
Cuss " a)3411-,\�
ANCHORAGE. ALASKA 99502-0650
(907) 264-4111
TONY ~-iNOWLES
%!A
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850085
USS 3044 Lot 56
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
Applicant:_
5ocation:
L~gal_ Description: L 5 ~ ~ ~
Type of Soil Absorption System Is:
Department~ Health and Environmenta%~_Protection
825 L Street, Anchorage, AK. 99.501
'264--4720
* *
-' ..... ~,,~ ~ ..... R 'PERMIT
WELL
Trench: - .Drainfield: Seep~ge'Be.d: Holding Tank:
M'aximumNumber of :Bedrooms: Soil 'Rating~(sq.ft/br)
The,R~quired Size of the Soil Absorption .System_Is:
9EPTH L'ENGTH GRAVEL DEPTH_ WIDTH '
~he 'length dimension is the length(in feet) of the trench or drainfield.~ The
depth of ~a trench or pit islthe distance between the surface of the ground and
the bottom of the excavation(in feet). 'There is no set width fo~ trenches.
The gravel depth 'is the minimum depth~of gravetb~twe~n the outfall pipe and
the bottom of the excavation(in feet).
:* * REQUIRED SEPTIC(HOLDING) TANKiSIZE =' ' GALLONS * *
Permit applicant has the responsibility to inform this~department during the
installation inspections~-of any wells adjacent to :this property and the number
of .residences that the well will serve. -
· * * 'TW0(2) INSPECTIONS ARE REQUIRED * * *
BacNfitling of any=system'~ithout.final inspectionand ~pproval by this department
will be, sub~ect~toyprosecution.
Minimum distance between a Nell :andx.any ~on-~i~e s~wage disposal system is 100 feet
for a private well or I50 tO 200 ~eet ;f~om' ~.pUblic wel~ depending upon the type
of public well. Minimum distance ~,from-a 'private well to ~ private sewer line
is' 25 feet ~and to a community sewer ,line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other ,requirements may apply~ '~$pecifications and construction diagrams are
available to insure proper i~stallatien.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * * *
I certify that:
(1) I am familiar with ~the ,requirements for on-site sewers and- wells as
set forth by the Municipality Qf Anchorage.
(2) I will install the system in accordance with codes.
(3). I understand that~the on-site sewer system may require enlargement if
the residence :is remodeled ~o include more that 3_bedrooms. ,
Signed: Issued by~ ~/
Date: ~-
SWP/024(1/81)
-"'/-%
O~t try that: :.
Z ~ f~i~ta~ w~th the ~ire~t~ ~0~ Oa-~ite
s~t forth by t~ ~icipality Of ~hocaga.
(2) ~ wt~ ~nstall tbs ~y~t~ f~ a~corda~e wi~ ~e~
(3) ~ un~rstan4 that the ou-site ~wec ~yit~ may
=
~: O~ LENGTH GRAVEL ~FH W [ D~
: t~ ~tt~ O~ the ~xcavation(in feet). ~r~ is ~o -~t wt~th ~o~ tr~he~
< t~ ~t~ o~ abe ~cavatio~(lu ~t}.
~: ~:~[t appl~ca~t has ~he ~s~n~ibiLity tO [DEO~ th[~ de~nt du~ing khe:
,.- of residents tha~ ~e well will ~erve, :
[::u~ckfiiLiag of ~y ~y~t~ without f~al inaction a~ a~rova[ by this
.: will k~ sub)~t tO pro~tion.
~: ~OC a private well or 150 to 200 ~eet gre~ ~ ~blic weft d~dtng ,~ the
~:: t~ 25 gee[ ~d ~o a ~unity s~ li~e is 75 feet. ~11 l~s ar~ r~~
:and ~s~ be return~ to this de~r~ within 30 days of the wall Co~letiOD."~
:; Other r~,ltre~nts ~y apply. $p~t/icat~on~ a~ consk~ction diagr~$ a~
: ;avaiLabI~ to in~ur~ ~=o~r installation. ':'-
~ ~/~-W DRILLING, Inc. ~i; 85:~21
'"'~'/ P,O. Box 10.-378 · 10300 Old Seward Highway ,
(907) 349-8535 '
ANCHORAG_E, ALASKA 99511
-" DRILLING LOG
Well Owner A~an Jewell ' Use of Well Domestic
Location (address of: Township, Range, Section, if known; or distance mainroad
11
Size of casing Depth of Hole
Static water level 30' ft. (~o~ve~
Screen ( ); Perforated ~{
58 feet Cased to 58.10 feet
(below) land surface. Finish of well (check one) open end (
).
Describe screen or perforation
Well pumping test at ~ ~ gallons per
"of drawdown from static level.
Date of completion July 25, 1985
(minute) for ! hours with 10fl~
WELL LOG
ft.
Depth in feet from
ground surface
0 TO ?
TO
.TO
~5 TO. 22
· i 22 TO. 54 -
' ~TO. 58
TO
.TO.
TO
TO_
TO.
TO ~'
TO
TO.
Give details of formations penetrated, size of material, co]or and hardness
OrganXca ,
Brown S.~lty Gravel
Gray Silty Gravel
B:o~ S~lty Gravel (d~p)
H20. Gravely
/
~A ~ified Contractor
C~fieate No's. 814 & 973 4
CONTRACTOR