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Home My WebLink AboutCONTOUR ACRES #4 BLK 4 LT 6CO N u R 01/27/2019 23,47 907-345-D202 ALPINE DRILL11,* PAGE 02/02 Permit Number: 4SW — Date, of issue.-- Date Started: 5L749 I)ate Cj)rnpj 5 ete- d-18-19 Parcel Identification Number, 017,38128000 Lego I Description: Contour Acres #4 S/ock 4 Lot 6 Is Nvell located at approved penlilt location? x Ve, No Property Owner Name & Address: Potts Adolf ------- - - - - Anchorage; Alaska 9,9,503 Borebale Data: Depth (ft) I SOU llvpe, Thickness & 'ffaterStrata From TO ) Method of Drillijig x air rotary cable toot Casing type., C 'a i g existing well '100 0 Wall Thickness: inche's 'tll 'rili Bedrock 200 306 -.-- iuches Depth:_ feet Unur Ty dupe: D ianieter: --- inches Depth: — feet --fasfla'stiekill aboye ` et L _ ground: -- le Stutic w2teF I-avel M ground level): ],�.5 f ) fent H2 0 155 175 —,—. P U F PUMPing level: -300 feet after p hours hours pum L U � pitig.- gpIrL �11 Recovery Recovery Rate. -L 9PTI) y Method o d Method of I-estivIo, lift ell In 11 lnt�ake Opening Type: ()Pen End x Open Hole P 'reept:(I screept�-(I 'tart at Stopped Ff Perforations C'Fatto, 'tail erforations S fi�et Str)pped feet Grout Type. 0 t u Tv . P Volume: Pump; lutake Depth --_ feet PwIIP size lip Brand Nan -ie Well DisinfoOed Upon Completion? x Yes D.N.0 Method ()f Dis-IjIfection.. cl-I !d-IkQ'LIL LIZ-111ka Well Driller, .41 jj7e Drjj,,iyq & EtIte . . PO BO -v 110496 Anchorage AK 99511 Well Log L 3cation...~. ~~..~..~.......~..~,.-... ~..~.. ..... ..~..~~ .~. x.. ~ .Z).~...~....~...: ......... Date completed ...... . .~'../...~....0./.~....~.. ..................................................................... '~00~ ., Depth of well ................................................. ~,~.,.~..,,.~.,. Z .......................... S~ze o~ oaring ......... .~.~:....~.... .................................................................................. Distance to water. -7~' '~'/2e5~ Distance to water while pumping. /~ ~ ....................................................... at rate of ................. ./.8.~.. ...................... gallons per hour. Formation from to ~z ) 0 i~z.4 133 /¢~ I?£ ~o 132.4 13~. .C ZoO Driller DELTA DRILLING COMPANY SrA BOX 394 B ANCHORAGE, ALASKA 99507 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [] UPGRADE IMAILINGADDRESS LEGAL DESCRIPTION Well v/ I Abs(~fPtion a~as DISTANCE TO: /~ ,~,~ '~ Manufacturer Liq. ~ :y DISTANCE TO: IF HOMEMADE: Inside length Well Dwelling PERMIT NO. Manufacturer Liquid capacity in gallons Well Foundation ,.f~;~ /~¢ DISTANCE TO: ,/~.,~ 0 f No. of lines Length of each~i~ / Top of tile to finish grade ! Total length of ! Material beneath [ile Material Nearest ~.~ i ~e./_ Trench w dth inches NO. OFBEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT N~;~..~O ~ 70 Distance between lines ~/~¢ Total effective absorption area Length Width Depth PERMIT NO, Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO, DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING REMARKS 7 -013 (Rev. 3/78) DATE LEGAL ........ ~IUN'ZCZpAL'zTY' OF ANCHORAGE DEPARTMENT HEALTH AND ENVIRONMENTAL 3TECTION ~ 825 ~L' STREET~ ANCHORAGE, AK. ~501 ~ 264-4720 ON--SITE SEWER PERMIT PERMIT NO. APPLICANT PETER W. RDOLF G2~ MACKAY ST. LOCATION BAINBRIDGE ST. TYPE OF SOIL ABSORPTION SYSTEM IS' TRENCH LOT SIZE e~eee SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR>= ~-25 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 8 LENGTH= ~O GRAVEL DEPTH----- THE LENGTH DIMENSION IS THE LENGTH (IN FEET> Of THE TRENCH OR DRAINFIELD, THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET>. REnU I RED SEPT I C TANK S I ZE= 1250 GALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEP~TMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL ~ERVE. TWO ( ~ ) Z NSPECT IONS ARE REQU I RED BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T E:.~P I RES DECEMBER ~:L. iB88 I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. APPLICANT PETE~ W. V4. 0 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 It 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (7~76) /. DATE PERFORMED: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SITE PLAN p f : ...... t- , ..... E : : Gross Net Depth to Net Reading Date Time Time Water Drop ~ /o'?o /o /r, zF" /, o ? /o,' ,/p /o /£, ~" , Z ._ [ ?_ - ~ - - INSPECT[ONAPPOINTMENTS -' · - '"' 'TIME--' · '~i-~-. '-:" ~.TtMi~_ --~ ; ':- _-;'" TiME - '__ '- ' ~ .~ - DEPARTMENT ~H EALTH& ENVIRONMENTAL PROTECTION'~- '-~ ~/~ ' ' ' : 9501 ..~1~ - .[ ~ ' ~_ - . , ~ : ' ENV, RON==NTAL SAN,TAT OND,v,s,oN ' ' ~ ~ ' _ ' TelePhone 264-4720 ' DiRECTiONS: Com~iete all parts:on p~ge 1. Incomplete requ~ will notbe 'proc~d. Please allow ten (10) day P~P~RTY R~IDENT ~f d[ff~rre~'from above) I ' - PHONE 2 BUYER ' ¢ - - PHONE '~MAI LI~ A'D~R ESS ' ....... ' ~ SIN L ILY - - ' G EFAM -'- " '- ~ ' [] TWo [] Five- _--'-- _ I -I - [] MULTIPLE FAMILY - - ' [] Three -[] Six . /~ INDIVIDUAL* - ' *ATTACH WE'LLLOG. Awel110g is required for al~wells drilled · . ' [] COMMUNITY sinceJune 1975. For Wells~dritled. prior to. that., date. give we - [] PUBI - L SYSTEM ' . iD'UAL/0N.SiTE,., _ .'/~0"~) ' 'YEAR ON, SITE SYSTEM WAS 'INSTALLED. - ' INDIV - NOTE: THE INSPECTIONFEEMu$T ACCOMPANy EACH REQuEST-BEFORE PROCESSiNG-CAN BE INITIATED, . ' 72-010 ('Rev. 6/79) - -- ' 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: /_~"O o If Tank is homemade give dimensions: THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WE~LJ~TO: Absorption Are~-t6-nearest Lot Line PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MANUFACTURE ?/,/0~{..~_~ MATERIAL Septic/Holding Tank [Absorption Area Sewer Line JNearest Lot Lir~e 5. COMMENTS [] CONDITIONAL APPROVAL (letter must ~e~ompany [] DISAPPF~OVED . certificate) 72-o10 (Rev. 6/79)