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HomeMy WebLinkAboutT15N R1W SEC 19 LT 31A www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW Date of Issue Parcel Identification Number: Legal Description Property Owner Name & Address T15N R1W Sec 19 Lot 31A Ed Kroener 19331 Klondike Street Chugiak, AK 99567 Pump Installation Date: 4-17-20 Pump Intake Depth Below Top of Well Casing: 90 feet Pump manufacturer’s Name: F&W Pump Model: 4F07P05305S Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Unknown Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Unknown Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. GREA~~''~, ANCHORAGE AREA BORm"~H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME O,'u LOCAT,ON P/o,d,'k dye MAILING ADDRESS ~'~)~,-'/- ~,~ '~'~' C)~U,~'½4//~ PHONE LEGAL DESCR,PTIONT/5--4/ fi/k] SeC I /~7C 31// SEPTIC TANK: DISTANCE EROM WELL /~ INSIDE LENGTH MANUFACTURER :7~Ck S~¢/ MATERIAL ~"f'~'~ /CO~PART~ENTsNUMBER OF ~ INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~O GALLONS. SEEPAGE PIT: NUMBEROEP~TS / .G~AMETeR ORW~DTH ~'ff LENG~H~& DEPTH LINING MATERIAL CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELl · 71, BUILDING FOUNDATION ~" NEAREST LOT LINE ~)1 TOTAL EFFECTIVE · ABSORPTION AREA (WALL AREA) ~1'2~ .SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE 5e ; - ?ub/;c CONSTRUCTION BUILDING ~.~, NEAREST FOUNDATION '~'~"~1 LOT LINE 32I CESSPOOL OTHER SOURCES APPROVED DISAPPROVED ~ ~¢'~d DEPTH DISTANCE FROM: NEAREST SEPTIC ~. SEEPAGE 1~0 ~'" SEWER LINE_ TANK /~ SYSTEM REMARKS DISTANCES: INSTALLED BY: . ~l-II ~ ' PIPe MATERIAL: C¢~; I/¢)~ LOT SLOPE: REMARKS: ,All Form NO, EQ-O31 well DIAGRAM OF SYSTEM GrEaTEr ANChOraGE ArEa BorouGh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO, SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF FACILITY TO ~3E SERVED FINANCED THROUGH ~ // FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. /// , DRAIN FIELD · SEEPAGE PIT DRAIN FIELD ~(~)/ ·SEEPAGE PiT f~O/~ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD . SEPTIC TANK, SEEPAGE PIT TO RIVER, LAKE· STREAM. -, SEEPAGE PIT / /~ DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE BOROUGH ORDINANCE NO. 28-6 ND THAT THE ABOVE Russell Oyster 694-2774 Civil Engineering Soils ~' Foundations Performed for: 0 ~ E EAI~i~NEERING &' DEVELOPIViENT CO. Name: Mailing Address: Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Legal Description: Depth (feet) Earl Ellis 333-5240 Surveying Land Development Tel. No. ~¢¢-~/ Soil Characteristics 4 5 6 7 8 9 lO ll 12 Ground Water Encountered: Yes__ NO~/ If yes, what depth /- Proposed Installation: Seepage Pit ~/Drain Field__ Comments: ~ ~>~ ~:,.'~c~-A -~(~ ~-"~>~ ' ~ ~ Performed by: