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HomeMy WebLinkAboutALYESKA #3 BLK 21 LT 15LOT -!~ M-W DRILLING, Inc. L¥ P.O.i~4-1.224 · 1310C Intel'national Airport Road--- MUNICIPALITY OF ANCHOR^G2 (907) 274-46) ] DEPT. OF i:~ALTil & ANCI tORAGE, AL.ASKA 99509 ENVIRONMENI', .!. ,, JfCTION DRILLING LOG FEB 8 ~980 ............ ........................... R %oEWE ) I,oeation (address of: Township, Range, Section, if known; or distance main road _~_~_~ B 1 k_~yesl~b.d~d~3~-Gi~d~oo d Size of casing Static water level Screen ( Describe screen or perforation .... Well pumping test at~---1-/?gallons per of drawdown from static level. Date of completion __8 / 13 / 7 9 11 Depth of Hole_60 __feet Cased to_ 32 5 feet +2 ft. (~-'~ve) ~ land surface. Finish of well (check one) ); Perforated ( ). (minute) for. 1 .hours with 1_00% open end ( x ); WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness __2~L_.'ro 60 TO__ ....... TO_ TO.__ ........ TO__ .TO .TO ..... TO TO ............ TO. ....... TO __Ch .q ] n g_sdzickup _Org artic_~ s Ltr_y~gr a~ el Bedrock: _£r_ay_~_F.a_t_e_r__seaps in _sj2oradic fractures throughout l .-- C tJ 5TOIVl E R F'ERMIT NO. r-1 ij r-J I ~2: I i :~ L. I T '~r' C~ F fl r-J C: H, ,~: fl C]E DEPARTMENT OF HEALTH AN[:, ENVIRONr'IENTRL PROTECTION 825 "L'" STREET.. ANCHORAGE., BK. 995E~1 264-4~2E~ F~ELL F'EE:r-1 I T ( 79043:0 ) AF'F'L I CANT LOCRT I ON LEGAL PAUL .... L.F..EW_, JR HIGHER TERR, , ~ '?. =,~. [., Ll~ 8.~t 8L'T'ESKA '-"' #Z:: ±7OR; JUNEAU ST #4 L. OT '=_, I ZE '-'~?'~.,, 4494 15E~E~O SQURRE'; FEET MINIMLIM DISTANCE BETWEEN R WELL AN[:, ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t¢.'~3 FEET FOR R PRIVATE WELL.I OR t5E) TO 2£~E.~ FEET FROM A PUBLIC WELL DEPEND, lNG UPON THE TYPE OF' F'UBL. IC WEI..L. WELL LOGS ARE REQUIRE[:, AND MLIST BE RETURNED, TO THE DEPARTMENT WITFIIN 3E~ [:'FI"r'S OF' THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION [:'IAGRAMS FIRE AVAILABLE TO INSURE PROPER INSTALLATION. F:' E F~' f-1 I T E ~=." F' I F.". E'5. [) E £: E r-1B E F-: .-l( ~L .. ~L :~=~ "7 _ I CERTIF9 THAT i: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS; SET FORTH BY THE MUNICIPRLIT9 OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. HF F L I L. F HLIL bREW .... F.. ISSUED ....... [)ATE .... PERMIT NO. ML)NICI~ ,~LIT¥ OF 8~4CHLRAGE DEPRRTMENT OF HERLTH 8ND ENVIRONMENTRL PROTECTION 825 'L' STREET, ANCHORAGE, AK. ~9501 2~4-4720 ~}ELL PERt~ IT 7904B0 > 8PPLICRNT LOCRTION LEGRL PRUL CREWS JR HIGHER TERR LiS B21 RLYESKR S?D #~ 1706 JUNERU ST #4 LOT SIZE 277 4494 15000 SQURRE FEET MINIMUM DISTRNCE BETWEEN R WELL 8ND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR A PRIVRTE WELL~ OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS 8RE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY 8PPL¥. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION PERM I T E×P I RES DECEr~BER 31.. 1979 I CERTIFY THRT l: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF 8NCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES. S I GNED: APPLICRN~ PRUL CREWS JR V-~:. 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION IMUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Prope~y Owner ~l ~~ Telephone: Home ~-Z55f Business Mailing Address ~ ~ ~ ~ ~ G~ ~ao~ ~ · ?~~ (c) Lending Institution Telephone · Mailing Address (d) Real Estate Company and Agent ~O~ Address Telephone (e) Mail the HAA to the followino address: or: Check here i-I, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms 3. WATER SUPPLY Individual Well/~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4 . mmunity [] Holding Tank [] ~. NOte: It community w~stem, must have written confirmation from the State Department of Environmental Conservation ~ attesting to the I~.~ty and. status. Page 1 of 2 72-025 IRev 8/86~ Front leUO!SSajoJd eql u! suo!ss!Luo Jo sJoJJi;q Jot elq!suodsaJ lou s! E~I~EJOqOUV JO/~l!led!ojun~ eqJ. 'penss! s! eleo!t!~eo e GJojaq e~,ep aZ~leUe Jo suo!lo@dsu! lonpuoo lou op SHHQ jo se@XoldLU~] 'sluatuaJ!nb@J alels puc le~apaJ u!elJGo ~jsj].es o), Jap JO u! suo!lnlp, su! 6u!pual J!eql pue se~uoq jo sJaseqomd oi ~sepnoo e se s!ql seop SHHO aq.L 'e>lSel¥ jo elelS eq~, u! JaeulSu@ IeUO!SSejoJd luapuadepu! ue ~q e^oqe g qde~§med u! ua^!6 suo!lejueseJdeJ aql uodn 41uo peseq le^o~dd¥ ~J!JOLllnV q~,leeH senss! (SHFIO) se:D!^JeS ueuJnN pue qlleeH Jo lUaLUlded@o e6eJoqou¥ jo ,q!led!o!unt~l eq.L NOIJ. RYO lees s. Jeeu!6u:j '9 ~ ~? .' · % · Il' · NOS.~o~. a~*v~'.; .... s~ql 91Bp uo 19elle u~ suo~lelnOe~ pue 'se3ueu~p~o 'sepo9 e~el9 pue led~mun~ lie q~ peu~lqo uo~emJotu~ eql uo pes~q l~ql tJpeA ~eqPnt I 'u~eJeq pe~eg~pu~ eJnlgnJls .g !,'[¥ Of; ANCHORAGE' oCT 2 0 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: ,~' 7z/~'' 4~'~2--/ //~-~ Well Classification Well Log Present (Y/N). Total Depth ~P~) Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved <Y/N) ~///~ Date Completed ~! ./~/'.'?~-'~ Yield ~)o Depth of Grouting ,,,~,4./~ Pump Set At ;~-~" Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Cased to ,,~¢~ ' On Adjoining Lots To Nearest Edge of Absorption Field on Lot /V'~/t,,Z~ ; On Adjoining Lots To Nearest Public Sewer Line ~ / To Nearest Public Sewer Cleanout/Manhole /o ~ . T~ Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~~ ;Date Water Sample Test Results ~ . . ~, Comments ~ ~ ~ ~ ,~~ ~ '~'Y~~ a , ' Date Installed ~Size ~ No. of Compa~ments Stand~ (~ ~ght Caps (Y/N) ~ Foundation Cleanout (Y/N) Depre~i~ ~er ~ (Y/N) ~ Date Last Pumped ~__ Pum~o~c~i~ (Y/N) ~ ; for Hold~~ (Y/N) ~mporary Holding Tank Permit (Y/N) Sep~~ldi~ ~nk: To W~ ~ ~ Bmldi~~ion ~~ To P~y Li~ ~ _ T~al Find ~ To e, or Major Drainage Course Comments Page 1 of 2 72-026 (Rev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Ab~n Strata Type of System Design ~ . . Date Installed ~ Length of Field Width of Field ~ Depth of Field _____ Gravel Bed Thickness _____ "' Square Feet of Absorption Area ~ Standpipes Present (Y/N) Depression over Field (Y/N) ~ Date of Last Adequacy Test _ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Wel..I _ T'o-~rty Line To Building Foundation To Existing or Abandoned System on Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments · On Adjoining Lots To Cutbank (if LIFT STATION Date Installed Size in Gallons ~~ Manhole/Access (Y/N) .... "Pump On" Level at ~ "Pump Off" Level at .... High Water Alarm Level at ~ Vent (Y/N) .... Tested for ____ Pu~ during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ,-.~. ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I hav/Ccl~k~d.~?~d, or conformed to all MOA an.d HAA guidelines in effect on the date of this inspection. Sign ed.,-'~/1~J~,f,C/d~ ~ ~/'~¢.~-~ ~ Date /' O/~---/~' '~ / / Receipt No. -~ O /-~ © / ~ '""~'¢r~- Date of Payment ./ O /¢~ O/~ ~ "r.," ? ~".':~- .~' .',, Amount: $ ~ d} ('~ o o ~ ~ 2 ~"~" :.2.: j~'~.~ · "er ~;' Page 2 of 2 72-026 fRev 8/861 Back unicipa. tYof Anchorage P,O. BO; :~6650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES October 28, 1987 Wayne Henderson, P.E. Peninsula Engineering 440 Went Benson Boulevard Anchorage, Alaska 99503 Subject: Waiver Request For Lot 15 Block 21 Alyeska #3 Waiver Request Number WR87-064 Dear Mr. Henderson: Your waiver request for the subject lot has been approved. 'The required 50 foot separation in 1979 of well to community sewer line has been waived to 40 feet. A waiver for the 30 foot separation from well to buried fuel tank in 1979 was not required, thus, will not be required at this time. Some strong points for the waiver approval are that the community sewer line is of ductile iron construction and the wells in the surrounding area draw from fractures in the bedrock at approximately 35 feet with a layer of hard silty gravel approximately 30 feet thick between the surface and this water bearing rock. The subject well is drilled and cased to 60 feet and probably has the same silty gravel layer from 10 feet to 32 feet much like the neighboring well on Lot 14. This waiver approval applies to this existing well only and any future upgrade will require all separation distances be met or another waiver approval from this department. Daniel J. Roth Civil Engineer On-Site Services cc: Gus Andress, P.E., Manager, On-Site Services/Water Quality Programs N uc~° f)~t' ~o"~ ~oo._0o_' lO L~TI LITy I It~L~v~ ~cK__ ~L z~ ~L bcc~ I I P~cK . j ~1 ~oo~ oO 17 ~ 3 , , . ' ,x ~ ~ ~ , , ~ SURVEY C~:~-~i~I~I~.~ ~'~l~ereb¥ certify thet I here ,urveyed the ,r.perry .hown end de' scrl~d hereon ~~provements lltuBted thereon ~re within the proper~ Ilnel end nc ~ ~ encro~chm~nl8 ~1.t other lh~n noted. PLEASE NOTE: It Is the contract LEGEND: SET FOUND w.o. ENGINEERS, PLANNERB. BURVEYORB ~r'. relponllblllty to cheok top E/O" ~EBA~ 440 WEST BENSON BLVD. finish grede ind building ,t-: MONUMENT ANCHORAGE, ALASKA 99503 562-5291 blckl tn filial,, ~o lot Itnel AL-CAP ~nd PK NAIL X LEGAL OESCRIPTION: IRON PIPE [--1- ELEVS. - DATUM ........... ASSUMED - ' REET ANCHORAGE, ALASKA 99518 TELEPHONE 907 56 ~ FEDERAL TAX ID # 92 0040440 ( ') 2'2343 Ciient PO~ : VERBAL Rea ~: Client 8topi ID: L15, 1121 ALYESKA ~2 7-2~-87 Work Or~r ~o. : Cl ient Accent : Or'~reO B~, : W. H~ERS~i Release~ By To: P~iNSU~A ENGINEERS Reports AO(Iress ~2 440 W ItEN$OI~ ST~. 206 ~e~,,~ ~i~'~iN/~ SK~igLI~ COLL~C£D.{ 7-20-87 ~T P~.hlIIS:j/A instruct: Ret ~: 7ilo Lab ~I iD: I Matri×: Water Por'~..,rer Testeo ............................. ND(D,1D) TO PENINSULA ENGINEE..,YG 440 WEST BENSON BLVD., SUITE 206 ANCHORAGE, ALASKA 99503 (907) 561-5107 OCT 2 1987 RECEIVED GENTLEMEN: WE ARE SENDING YOU ~1~ Attached [] Under separate cover via [] Shop drawings [] Prints [] Plans [] Samples [] Copy of letter [] Change order [] the following items: [] Specifications COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: [] For approval 'For your use ~As requested [] For review and comment [] Approved as submitted [] Approved as noted [] Returned for corrections [] Resubmit [] Submit I-1 Return copies for approval copies for distribution corrected prints [] FOR BIDS DUE 19 [] PRINTS RETURNED AFTE_R>/~N TO US COPY TO. UNWIN · SCHEBEN · KORYNTA Consulting Engineers and Surveyors 103 E ~6th Avenue Anchoroge, Alaska 99503