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Home My WebLink AboutT15N R2W SEC 25 LT 84taw Stjt ki cm A/:) • aza-ai-I Gevelopmen i Services Depar i anent Building Safety Civision On -Site Wa i : r r Wastewater Progr tarn ^^- J 4700 Bragow Street P.O. Bon 196650 Mark Begich Anchorece, AK 99519-6650 Mayor vsva.mur.i.ora/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Legal Description ��.z Property Owner Name & Address: sj4zP81 G•iILE.5 18 j :)L3 Pa -1 -cmc IV Pump Installation Date: Pump Intake Depth Below Top of Well Casing: %,. q feet Pump Manufacturer's Name: R jz Yj ,;g A<- rz Pump Model: S pG Pump Size 1/91hp Pitless Adapter Burial Depth: 1---4 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: ')I, Well Disinfected Upon Completion?e; �,,Nn�o ��---- Method of Disinfection: e'��.eew� Comments: Anchorage Fu r p & 'Ofell Service Pump Installer Name: 330 Fast 76th Avenue Anchorage, Alaska 99513 Phone: 907-243-0740 Fax: 907-243-0742 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. _., e op -,n . es Dernrtment \ Cliff .. i J bivision r u;,e ,, . e W to ester Program - 10 SI' qC W Street Mark Segich-0o0 - Mayor �� :sFr•. (9,07) 343_7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: add i Chevri� C��llespi� P.O. &:r< Pump Installation Date: 10/1'1/09 Pump Intake Depth Below Top of Well Casing: Jq0 feet Pump Manufacturer's Name: 4&0mezey Pump Model: 6-7l0,4 MOS 052 31 Pump Size Y?— hp Pitless Adapter Burial Depth: J0 feet Pitless Adapter Manufacturer's Name: pUd4AOF Pitless Adapter Installer: Ai>fi Weil Disinfected Upon Completion? Yes ❑ No Method of Disinfection: ;oDw - Comments: Pump Installer Name: A<74"X Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. GREA eR ANCHORAGE AREA BORL JGH 001Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ONSITE SEWAGE DISPOSAL SYSTEM NAME ADA. 11Z& MAILING ADDRESS 6��Sr Jj'r rl/VP /Q/i}'G PHONE �f-`/f-"2 �ti/0;VA /ft//e% 1 f� 4le"D6 LOCATION 19 � Nrt✓ /tivt� t//�j//"/* - LEGAL DESCRIPTION�6rASeL/• z� �,i� �'zV(/ .%��4xy SEPTIC TANK: DISTANCE _ _ NUMBER OF FROM WELL L LQ MANUFACTURER 5�7AeY MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH J LIQUID CAPACITY -�ne/`2 GALLONS. SEEPAGE PIT: S:,ici%r /4p .TN/S �%!�%GV %'i J /'J/•/� �a iClji/l9/l/rcj. J NUMBER OF PITS DIAMETER OR WIDTH /?f LENGTH /�; DEPTH LINING MATERIALS fJoO CRIB SIZE: DIAMETER -DEPTH- DISTANCE FROM: WELL A6 C3 �M TOTAL EFFECTIVE BUILDING FOUNDATION( / , NEAREST LOT LINEle)6f . ABSORPTION AREA (WALL AREA) �� SQ. FT. ADDITIONAL ABSORPTION I[//A WELL: �.7y/S7`/,'5P TYPE DkIl-e 17 CONSTRUCTION DIAGRAM OF SYSTEM DEPTH 931 / BUILDING JJ ♦ NEAREST r FOUNDATION LOT LINE Z� NEAREST ��((yy SEWER LINE. SEPTIC TANK N0� CESSPOOL )�'/ lq OTHER SOURCES APPROVED DISAPPROVED REMA DISTANCES: INSTALLED BY: PIPE MATERIAL: 04_ -S -T_/6'0 W I MV Ati,56-v LOT SLOPE: REMARKS: _<�!/L %6$7- )91tl5kA P'ea/J jiCd1 &&,S4r1r4,JrS- 99 oe'l ;q S5 70 /// DISTANCE FROM: SEEPAGE SYSTEM DATE APPROVED '9 G.A.A.B. DIAGRAM OF SYSTEM / L:Yjjir N0� p0 (,4;1001 (��r SQi%� v ,RDR I G ` '�vf /J .lrV/N/�I.�tl4 � 12 90w DATE APPROVED '9 G.A.A.B. GREG ER ANCHORAGE AREA BOF VGH N , PERMIT NO. 2� DEPARTMENT OF ENVIRONMENTAL QUALITY O Il,j 3330 "C" STREET ANCHORAGE, ALASKA 99503 j ) �•� TELEPHONE 274-4561 /A � fl."pJ SEWAGE DISPOSAL SYSTEM'- APPLAATION AND PERMITf �t NAME OF APPLICANT I�S,]TY6C+YIGL� INSTALLATION LOCATION LEGAL DESCRIPTION '�-o 6 INSTALLATION OF: SEPTIC TANK zl- TYPE AND SIZE OF FACILITY TO BE SERVED 916 IES. PHONEY MAILING ADDRESS SEEPAGE PIT /---- . DRAIN FIELD OTHER FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS o� °�'�`�""' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATE[ 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. SEPTIC TANK SIZE /® Q(D TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT • 1 DRAIN FIELD SEEPAGE AREA SIZE TYPE DIAGRAM OF SYSTEM SEPTIC TANK TO SEEPAGE PIT WALL 'J r�/ % SEPTIC TANK 5 . SEEPAGE PIT. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK foo SEEPAGE PIT ( DRAIN FIELD ALSO CONSIDER AREA WELLS. II WATER MAIN TO SEPTIC TANK �`� .SEEPAGE PIT /0 DRAIN FIELD SEPTIC TANK, 140C) SEEPAGE PIT ,,, DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL r�'�v a,,,t��=-��-•"_ CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. A.A.B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE L � � APPLICANT'S SIGNATURE FOR NO. EQ -016 AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE I ■ E ■MEN AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE I I ►l.t 1 I�, I. 11 L�',11111 �. II•✓II 14 IILd I. (lilall�)� �'`�� ll'►L/ r �) ,11�.11(Il d'1r, ,,I.. ,I ., li:_,1 ::( III s1.O(; rl.II(II l(rl:l'Il.sl I'I rfnrl•v-1 for Hill's Excavating OLe I'erforwrd 9/5/75 Lrlll I ,-,ril Li'm: Lot 84, Sec. 25, T.15N, RAW, Seward Meiidion "'- III)', lorm rl:iiln-L:,: aull:. Ilrl ..X....__...... .._ I'erc;oldLion IecL 1 -Humus 1 - GW -- - -1 - GW — — - - GIN -- - - - GW I - (, - GW 1 - GW -- 1' - GW ��-- — J - GW X10 - GW %!u 1 1 - GW 1 % �c 1 Z - GW 13 - GW 14 _ GW Wds ground wdLer ewcoonLelyd? NO - If ves, JL wiwL rl(',,Lh'! I.. .. .......... I -...._.--........I. .................. --------- --.. i'.�-ddilrJ_ 1)d lc (,I w, !WL lime UcpU1 Lo PJnlrr Ilcl ih'ol+ ------------- -------- ... ....... ........... - - ----------•- - --- .........__._.,_ I'rrrnldLinil rd l,; - Llin'1Lr. - - -J. _- . - --- --. • ........_._ ._ rf'rollosrll IIr,WI labor: :,erI1-d(Il: PiL x Drain I irld I;, i,l_II of InleL birpLI Lu IIoLLom of Ili L or Lrencll C01 It Boulders to 24 inches ---------------------- ALASKA GEOLOGICAL CONSULTANTS, INC. �� 9/5/75 .._..._.. (',•r(nri.e:�l-CV: _ _......_._ HC01 6761 DAILY DRILLING LOG SA S DRILLING Palmer, Alaska 99645 QILLN�'��4caV� OWNER OF LAND....1_6.V0 ...... ...... .......................... DEPTH OF WELL.. �..................... ..................................................... ADDRESS ......... .......................................................... .............. STATIC LEVEL OF WATER FT.�. ..... I ............................................... WELL - SITELXkT ... F ... .................................................. DRAW DOWN FT...:.............. DATE-STARTED .......9.:A.U:n ................................................ GALS. PER HR9M>5t.. ................................ DATE -ENDED ............ q- 1-7-93 ......................................................................... I .... KIND OF CASING.... KIND OF FORMATION: FROM ....... �? .......... FT. TO ....... g .......... FT_191-�IIISA� ......... FROM ........................FT. TO ....................... FT ................................... FROM ........ ? ............ FT. TO .... A�k ............ FT..��.C. PZPQSV- FROM ........................FT. TO ....................... FR.-E-C-E+V--E-D-- FROM ..... 14!'...........FT. TO...- ;�� ......... F T.q...Fl � �y ... FROM ........................FT. TO ....................... FT ................................... FROM...� ........... FT. TO ............ FROM ........................FT. TO ....................... F T..D E0..1. 8.19''.'O....... �O ............ FROM .... 7.5.7 ............ FT. TO ... ......... F FROM ........................FT. TO ............... IV, �C;pa'iny of Anchc,�age Services FROM.. t ........... FT. TO...I ....... M�NC ............. FT. TO .......................FT................................... FROM...I ............FT. TOJ..�� ......... t'4 i�� .'64�' M I.......... nF IT. 'T O.. ..................... FT ................................... FROM........................FT. TO ....................... FT ................................... FROM ........................ FT. TO ....................... FT ................................... FROM........................FT. TO ....................... FT ................................... FROM ........................ FT. TO ....................... FT ................................... FROM........................FT. TO ....................... FT ................................... FROM ........................ FT. TO ....................... FT ................................... FROM........................FT. TO ....................... FT ................................... FROM ........................ FT. TO ....................... FT ................................... FROM........................FT. TO ....................... FT ................................... FROM ........................ FT. TO ....................... FT ................................... MISCL. INFORMATION: DRILLER'S NAME.7�E;pu? ..... 'c: ........................ PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940287 DATE ISSUED: 8/12/94 DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 8/12/95 OWNER NAME:GILLESPIE TODD P & SHERYL J OWNER ADDRESS:P.O. BOX 771191 EAGLE RIVER, AK 99577 PARCEL ID:05128224 LEGAL DESCRIPTION: T15N R2W SEC 25 LT 84 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: �b6 g DATE: Z -[ NL -:-