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: