HomeMy WebLinkAboutT12N R3W SEC 15 LT 115
, ~ M UNICI P ALITY 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
NAME PH~N~ ' ~EW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION NO. OF BEDROOMS
_
I Well I Absorption area Dwelling PERMIT NO,
Liq, capacity in gallons IF HOMEMADE 'Inside length Liquid depth
~ -- ~ Material Liquid capacity in gallons
~ We)l Foundation
~ ~ DISTANCE TO: ~ z N0arest lot line PERMIT NO.
] ~ Z No, of lines ~ngth of each line Total length of lines Trench width DiStance between lines
h ~ Top o~ tile to finJ~h'grade ~ MaterJal beneath tHe
Total effective absorption area
Length Width ' D~pth ~I~NO. -'
~ ~ Type of crib Crib diameter Crib depth Torsi effective absorption area
~ w DISTANCE TO: Well ~uilding foundation Nearest lot line
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER '
PIPE MATERIALS
SOIL TEST RATING
~NSTALLER ~ N-- --
72-813 (Rev, 3/78)
[)EPFIRI'HEI',rT'
825
Ii4 E: [-. l ....FN ~'",f [::"
NO. ( 8]:0408 )
.
L.,.X:ffF I Ol'q
L. EGFiL
I_..1:¥:F45' H I'.,IEf:l'.5
]"J..21"?.3:P.I '.::'; :L5 [.it5
]"YPI:; OF SOIL. FIES]F;:PTIOI'4 S'E;1-Eh'I IS: 'I"F,.':E[qCH
I"IFI;:.:',II'ILIM I',lt. Jl"l[3[~:l:[: O1: E:E:DI;:OOHSi; = 3:
:::_:;OIL I:;~I::II'ING ('_:;(;! F"f',,'E:I';;: :) =: 240
"file [,?.EC!UlRED SIZE OF THE: SOIl... I:aESDRPTIOI'.~ SYSI"EIt I5;:
[:, EE: F" 'T Fi == ::it.. 4. L. IE IN Ei~ ]'" F-II =:: ~:.:~ ;;,7" ,3 ira: Fi '.,-" [E L.
[:' BZ F" -IF' l'q .... '7
THE: LEI".I(3TH DII,'IE:I'.,I:E:IOI',I IS; THE LENGTH (IN FEET) OF I"HE TREI'.,ICH OR [:,RFIII'qFZEL[:,.
"I"HE B, EF'TH OF FI -I"I;,:Ef',IC:H 0[;;: PIT I5 THE I)ISTI::II'.E:E ECTI.qE:EI'4 THE ':_";I...IRFFIE:E OF THE
I]RCILIN[:, FII'.,I[:, THE E',OTTOH I]IF "I}IE EXI.]:I',,,'FITICII'~ (Ii'q FEET).
TI"IEF:E IS It0 SET I,.IIFTH FOE: TFq:EI",ICHI_::S.
TI"iE GF:FI","EL [,EPTH IS THE I'IINII'IUH [:'EFf'H OF G[;:'.ff,,"EL IF.:ETI.,EEI',I 1"HE OUTFFILL PIPE
Fli'qC, ]'FIE E:O'r'I"OM Ell:' THE E::C:FI',,,'FITION (I1t FEET).
F'ERI11 T FtF:'PI_. I C:FIN-r HFIS THE I';:'.EE;F'OF,IS I B I L I T'.r' Ti] I I'¥0F:1',1 1}11S [:,EF'FIRTItEI'.,IT [:,L.If~'. ]: 1'.4G THE
INS]YII..LFITIOI',I I I'.,ISPECI'IOI',I'.~; OF FIi'.~Y FELLS FI[:,..TFIE:EI".,IT TO THIS PROPERTY RI'.~[:, TH['u:
I'.,ILII',llE~E:f~: OF: I~:ESIE:,EI'.a]:E'.g TI-IFIT THE 1.4ELL I.,[[LL SEi'::r',,,'E.
............. T' F-~ (3 ( 2 ) _'[ F4i 55 F' EE C: -F _"ii: () ['-,~ '_:~; I:q F:'.' FE R:: E: (;~ IU ]t: Il;:-': E-': E:
BtaC:KF I L.I_. I NG OF Fi14'.r' SYSTEf,'I 1.41 TlaOUT F I IqFIl_ I i'.4SF'ECT Z 01'.,I FIN[) FIPF'FE~VRL. EP¢ TH Z S
DEPI:IRTi',IEI'.,rr I,IILL BE SUbCECT TO PI;;:OSECUTIOI'4.
ttIilli','lUM DISTFINCE BETI.,.IEEI"~ FI !-,ELL. fiN[) FII'.,I'~.' Oi',I"SITE SEI.,IRGE C, ISPOSFIL. SYSTEH IS
:I..SZ~ F'EET FOR I::I PRI',,,'FITE I.,IIEL. I._ OR 1.=-'lO TO ;::00 FEEl" F~:O~"I FI I::'IJBLIC [,.IELL [:,L;iPEI"t[:,II",IG
IJF'OI'.~ THE TYPE elF' PLIIBLIC. I.,.IELL.
i"lIl'-~IIqUl'l [:,ISTFII',ICE FIi'.OM FI PRIVff'E I,EiLL. 1"0 FI PRi',,,'FITE SEI.,]E[;~: LII',IE IS 25 F'EET I¥,1[:,
1"0 FI CCII'"II"ILII"~IT'.r' "&:EI,.IE[;: L. IItE IS '?5 FEET.
I,.IELL L.OGS FIRE F.:.'EQUII;:EI) FINE:, I'IUST BE I;'.ETUI:;.'.i",!E[) 'FO THE [)EPFIRTMEi',IT I.,.IITHII,I 3:¢ [:'FLYS
OF TI-IE I.,IELL COi"IPLE"I"iOI"4.
OTHER FEQUIREMEI'qTS i'"lff¢ taPP[_.Y. SPECIFICfff'IOI'qS Al'¢.:' COI'q'_:;TRLIC'rIC~N [],IFIGI;::FII,1S ARE
FI',,,'FI I L. FI[:LE TO I I',ISURE P[¢]PEI;'. I I',I:-]TFILLFIT I
F::" E]:;::ii'.l X T' E: >:.'F" Z E:EES IE:, E E:IFZ ~".IE,~ P~ f;:'.' ]i::J ....
I CERT]:FY THFIT
:[.: I 1:111 l::'l::tl',lI[..Ii:l[~: 1.4ITH THE REQI.JIREI,1Ei'.flS FOF..' i]ii',I-SI"I'E 5EI.qE~]::..5 I::Ii',1[) !.,IELI_5 RS SET
FORTH B'T' THE I"ILIi"~IC:IPFILITY OF FINCHOI¥~GE.
;2:: I 1.4IL. L INSTFILL THE S'T'S~'EM :[Iq FICCOI:;'.[)FII'C:E [,.IITH 1"HE C:O[:'ES.
::J:: I UI',I[)ERSTFli",ID ']"HFIT THE OI"4-StTE 5EI.,EF.'.' SYSTEH I'"lff'r' REQUIRE ENLFI[::GEMEi'qT IF 1'HE
t:;;:ESIE:'Ei'4CE IS REI"IO[)EL. EE:' TO Ii",ICLUE:'E HORE: THRhl 3: BEI)ROOMS.
-':"- ,,= L/~': ........... ',,,'4.
i.:,.:,UEE:, [5"J; 2'_.. '~.., -~.;.-:.'~ 2: .., ~!'..:-~,..:~,~!~. ...... PFITE ....... :::~. ........
f'
SOILS LOG
PERPORMED FOR:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION
825 L, Street, Anchorage, Alasl<a 99501 264-4720
SOILS LOG - PERCOLATION TEST
SLOPE/
PFRCOI ATION
TEST
SITE PLAN
ML-
5
6
7
8
9-
10-
11
13
14
15
16
17
18
19
20
SM
5o.n(.1
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
,i~,:1/,.1~:~ /x.,./ '~'~ ¢'7
~o.'~z /I~ ~]~_, u,z .
/3: / 2i~/~ , ~ 3 ,
PERCOLATION RATE /~.'
r
FERFORMED BY: D/m(¢¢__C~_ . 'CERTIFIEDBY:--
STq5 ~C;Z~
72-008 (6/79)
(907) 243-2282
KEN JOHNSON
WATER WELL DRILLING
PUMP SALES & SERVICE
30 YEARS ALASKA DRILLING
3163 LINDEN DRIVE
ANCHORAGE, ALASKA 99502
July
Larry }[o Neas
SRA
Anchorage~ Alaska
Lot 115 Blk-O-
0 ft to 9 ft
9 ft to 25 ft
25 ft 'to 31 ft
31 ft to 58 ft
58 ft to 61 ft
61 ~t to 82 ft
82 ft to 95 ft
95 ft bo 1]1 ft
ill ft to 112 ft
i12 £'t to 122 ft
122 ft ~ 123 ft
123 ft to 139 ft
139 ft to lJ] ft
15~ ft to 195 ft
i95 ft to 217 ft
2i7 ft to 223 ft
223 ft ~ 225 ft
225 ft to 235 ft
235 ft
Sect 15 T12N R3W
WATER WELL LOG
Brown silt & course gravel
Brown sand ( wet )
Course gravel and gray silt
Brown silt and fine gravel
course grave], and gray silt
Same ( dry )
;¥1ed. gravel with some clay
Course grave], and gray silt
Boulder
Course gray & cobbles with
Boulder
Course gray & cobbles with
Same with brown silt
Same with gray s~lt
( weeps )
gray silt
spay silt
Light brown silt with some reed gravel
Course gravel and gray silt
Small water bearing seams.,8 ft hsadl Bails
dry~.Dirty Brown silt
Course gravel[ and gray silt
Clean med~ sand and gravel water bearing
23 ft0 head
Pest bailed at ? GPI~
8 ft dr'awdown with good recovery
iBot tom stable
APPLIC tT F"ILLS OUT UPPER HAL ONLY
Mailing Address .--~' . f / ~/ x"/'.<~ / ..,/', ~/ {, Zip Code
Lending Institution
Address ,/ ' : !
/L. ,, : , ,~ ..~.,.. ~ :~ //, ~ Zip Code
Realty Co. & Agent ×'/ ~/ , / . d?
Address , . ):1,~', i !:: ,,,/y - Zip Code
:-' ' //~} ' ,-'d
~Single Family
0 Multiple Family No. of Bedrooms
~ Olher
Phone
Phone
Water Supply
,C]/,Individual ATTACH WELl. LOG. A well Icg is required for all wells ddtled since June 1975·
{~ Community For wells drilled prior to that date, give well depth {attach log if available)·
[] Public Utility
Sewer Disposal E]' Individual
~ Public Utility
L~ Holding Tank
Year Individual Installed: ___
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Dale Dale Date Date '
Inspector Inspector Inspector Insp6ctor
Ct~L~t i~~ ~..~ l Ld~ ~9~' MUNICIpALITYp~pT. oFOF. t~,,LIIIANCHORAG6. --"- N
L- /~ J~NViRONM2N~ t',L pRO I E,..T[O
RECEWED
(~,~ ) APPROVED DEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
ALASKA IILIIROflm E1TAL COITrROL
~n§ir, ecrin§ 6 ~l~uironment~[ Slu(lies
SERUIC S, IF1C.
October 26, 1983
Municipality of Anchorage
Depart~nent of Health & Environmental Protection
825 L. Street
Anchorage, Ak. 99501
Re: Health Authority
On October 24, 1983 our company collected a water sample from the house
located on T12N R3W Section i[5 Lot 115. The property owner is Lar~¥
Neas. The water analysis was satisfactory. A copy of the report is
attached.
~]e well is located ],36 feet from the septic tank and 136 feet fr~n the
leach field° The ~lectri6al wires are encased in conduit. All the
standpipes are cappe/L The well casing stands 2 feet above ground and
has a sanitary seal.
1200 [Ucsl 33r,J Aucnue, Suite [~ · A.¢horog~, Alos~o 99503 · (907) 276q361