HomeMy WebLinkAboutT15N R2W Section 36
? , MUNiCiPALiTY OF ANCHORAGE r
) 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
~. DISTANCE TO: 0 "~ ~ Absorpt~re~ Mater. S' - ~ i No. of cdmpar,~
m<~Z Manufacturer
~ ~ L,7¢~ in gallons IF HOME'DE: Inside length Widti,~ Liquid dep~i,.
~_~OZ" ~r ( / Mater,al~ ~l~capacityinDall°ns
No. of lines Total lenten. Trel~ ~t ~ inches Distance be~es
· ~ Top of tile to finish grade Z ¢ Material beneathtiJe ~ inches
ERMIT NO.
~ DISTANCE TO: Well ~ ~ndation Nearest lot li,~_ /
~ 01~Xf S~' ' Depth Driller Dista n~ PERMIT NO.
~ DISTANCE ~: Building foundation Sewer line SeptT~
PIPE MATERIALS
REMARKS
i'~ ' ~ ~'
v. 3/78)
I::II::'P L. ! E:RNT
LEGFIL
GERFILE:' HCtON ~:,,."13 C. S. E, HF.
OLE:' -
bLEN ',1 Hkl'¢
" ' .... H,..,-,Ur':.E,T I Ul',I z, T Z, I Ei't ,....,. I F. [:iq _.H
THE E'E;L'_rfi:E;Z, :,I,::_[: OF THE '--,oil FIEr.:5ORF'T:[EIN S'¢STEH '""'
THE LENGTH DIHEHSZON .TS THE LENGTH ,.'.'IN FEET> OF THE TRE;NE:H (:fir _f>RFi.(NFIEL[:,.
THE DEF"I"H OF R TF:ENE:H OF'.>. P.T-f' IS THE DISTRNCE BETktEEN THE SURF'igCE OF' THE
GROUND FIN[> 'THE: BO]"TOH OF THE E',:NCF:I',/FITZON (I~'.,I FEET).
THERE Z% NO SET 1.4:r.[>TH FOR TRENCHES.
TFIE GRff,/EL [)EF'TH ~'.:_.; T'HE f,I:[NIHUi'4 [:,EPTH OF GRR',,,'EL E,'ET!4EEN THE. OLITFFIL[. PIPE
t::INI::, ]'I4E BOT'i'OH OF ]"PIE EXE:FI',,,'RT i( ON (IN FEET).
Ti 1...:,
' 'F' -' " ; *,r-, ~- "' '"'
F'EFff,i ]; '!- HF- b.:[ ..FILl HRE; THE f:.E:.r;,FLNz, IE, II_Z [ ¥ 'FEi INF'OFd',] [>EF'F!RTf,'IEd'.4T r.'.,LtR:d',l(i T'HE
1Hr:,FHL.I.~'T~.LI,I .[N_.FE .... I_H_ rF RN? I.,.IEiLL.:~; FI[:,5'RCENT TO THiS F'ROF'ER't""¢ FINE:, THE;
i ILIF1L-..E.I.,. OF F'F'=]"~EN:'~ES TIqRT THE HELL. I.,.IILL ...,ER E.
E~FICI(F:(LL.TNG E~F FIN'./ ._,'r_,TEH 14.T. THL-"JT F:r. NRL ZI',I:..,F~:....'f]:EN FIN[:, __r~ ......... E.,~ -rH~S
DEF'FIF::Ti',E::NT !4tM_ BE '_:;~E.tEC:::T TD
1',lli'.4:~:h'lL.li',l DI.9.;-f'F~NCE BETI.,IEEN R F!Et_L FIND RNY Oi'.,I-S:~TE SENFtGE D_TSPOSFiL.. SYS'FEI-,'I
±G~IE.~ FEET FOR R PF:t',ZFITE 14ELL..~ Of,?.
:t50 T'O 2.E10 F'EET FROH R F'UE~L:r.c .[4ELL DEF'EN[:,ZNG UPON THE ]"'¢PE OF PLIBL. IC I.,.IEI...I
O'TI-..tEE: F~:Et::IU!REHENT'.:-; i"tFl"r' RPPL.'¢. SPECIF%CRTIONS RNC, CON2:-FRUCT):ON [:,ZRGF:tFli',IS FiRE
FIYFiIL.i::iBLE TEl :INSURE F'F:'.OF'ER IhlSTFILLRTION.
I CEFfF'IF'-r' THFFI'
:~.: I Ffl',l FFIHILIRR 14ITH THE RE~2UtF?.EHENTS FOR ON-SITE SE!4ERS FIND 14ELL.S RS SET
FOF:I'H B'¢ THE: HUNIE:!PRLiT'¢ OF RNCHORRGE.
2: I ~,.!ILL INS'FRLL THE ~%"f'EH IN RCCOF'.DRNCE I,.!ITH THE CODES.
Z: I t. JN[>ERSTRND THRT THE ON-SITE SEP]ER %'T'STEH HFI'¢ REC!LtZF:E ENI..RREiEH~:N'F ];F: 'THE
RE%I[:,ENCE tS REHODELED TO ~NC[.U[>E HORE TI.-!RN g BEPROOf"IS.
Steven A., Johnson
P.O. Box 76
Chugiak, AK 99567
Phone: 907-688-3085
SOILS LOG - PERCOLATION TEST
~ SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
5-
6-
7
8
9
10
11
13
14
15
16
17
'18
19
20
COMMENTS
SITE PLAN
WAS GROUND WATER S
ENCOUNTERED? · ,,~O ~
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(m nutes/nch)
'" TEST RUN BETWEEN FT AND FT
January 4, 1978
Gerald Moon
Post Office Box 616A
Chugiak, Alaska 99567
Subject: T15N R2W Section 36 E½ Lot 2
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well~ a well log should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Health and Environmental Protection
Sewer and Water Section
OWNER OF LAND
ADDRESS
( erlffie rilltug
A & L DRILLING COMPANY 5
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588 ~ ~ ~ ~
STATIC LEVEL OF WATER FT. ~ ~f /
LEGAL DESCRIPTION
PERMIT NUMBER
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From , . Ft. to ~ I L~, ~) From.~Ft. to_~Ft.
From ~)'.,. Ft. to--Ft. :'/~ ~ ~ d~ ~h~: ~ From Ft. to Ft.
From ~ Ft. to /:2, Ft. ~;-7[ .[~&O~ ~tg~m;¥rom~Ft. to Ft.
From /r,h, Ft. to ,~,'~ Ft.~47[ (~d~7'/ J &~Y~'d~;~Fron Ft. to Ft,
From ,~,'; Ft. to . Ft t ~ rom
From Ft. to ~ Ft. ,~/<'C' 2>¢J ~ ]~ From~Ft. to Ft.
From "?.?i::~ Ft. to,~;"'] Ft. ,~'i~;.~¢ ~ ,4~J~. From Ft. to Ft.
From Ft. to Ft.
~ .... From Ft. to_~Ft.
From . . Ft. to ~--~ ...) Ft. 2 ~ From·~Ft. to Ft
From Ft. to Ft. From Ft. to Ft
From Ft. to Ft From.~Ft.
From.~Ft. to ~ Ft From Ft. to
From ~Ft. to Ft From
From Ft. to Ft From ~Ft. to
From Ft. to Ft. From~
From Ft. to_~Ft. From
From Ft. to FL From Ft. to Ft
ECEiVED
Ft
F.tAUG ? 1992
,.,__....Mut~impality of Anchoran,~
Ft.
t°~ Hea~m & Human Ser~(~ea
Ft. to_ ~ Ft.
M1SCL. INFORMATION:
DRILLER'S NAME