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HomeMy WebLinkAboutPARK HILLS #1 BLK 1 LT 6P'2rK µ'IIs �/o cI---) 4110 ---C) Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www,muni.ora/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Legal Description 'ASK 14li—l-5 # / 13 — Property Owner N e & Address: �ii'v6sl ROO &V14Av(110 c1 R, Pump Installation Date: Pump Intake Depth Below Top of Well Casing: l.lo`t feet Pump Manufacturer's Name: V r tb J oCk iE Pump Model: 7503A Car), to Pump Size 7/1 hp Pitless Adapter Burial Depth: 0— feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? ❑ No es Method of Disinfection: C Loan&_P. Z to I Comments: Pump Installer Name: fincha214,F_ Wrr- ll d-Qvry\ PSE PV I( f Attention: The pump installer shall provide a pump installatiSn log to the DSD within 30 days of pump installation. fVj -W DRILLING, Inc. Box 4-1224. 1310C International Airpori-, oad (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner AMC, Inc. Location (address of: Township, Range, Section, if known; or distance main Lot 6 Block 1 Parkhill Subdivision se of Well Domestic Size of casing 611 Depth of Hole_ 223 feet Cased to 80.7 feet Static water level 76 ft. (ya(below) land surface. Finish of well (check one) open end ( X= ) ; Screen ( ); Perforated ( ). Describe screen or perforation hone Well pumping test at 2—gallons per ff�) (minute) for—- -1 --hours with 700/ Utz of drawdown from static level. Date of completion September 15, 1982 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 2 TO 4 4 TO 14 14 TO 21 — 21 TO 22 22 TO_ 28 28 TO 60 60 TO 62 62 TO— 75 7 5 To 223 TO TO TO TO —TO — Casino sti Sil Silty hard pan _ Silty gravel (damp) 1 -CUSTOMER CL-�EMICAL W GL. ,.LOGICAL LABORATORIES �, .�t' ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER ARIES�RA� 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: Analysis shows this Water SAMPLE to be: I.D. NO. O,..Satisfactory r Water System Name Phone No. ❑ Unsatisfactory ❑ Sample too long in transit. sample should not be over 48 hours old at examination Mailing Address - to indicate reliable results. Please send 11..ti .:.. new sample. City State Zip Code Date Received SAMPLE DATE: ^ Mo. Day Year Time Received SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. t ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. LOCATION Collected By l Analytical Method: ❑ Fermentation Tube ❑ Membrane Filter Lab Ref. No. Result Analyst m � m +No. of colonies/ 100 ml, or No. of Positive portions. 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 _. Date Collected .Source READ INSTRUCTIONS a.m. Date Received Time Received P.M. Lab. No. Presumptive loml loml loml loml loml loml 24 Hours - BEFORE 48 "ours 48 Hours I I I I I I I EMB - Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: loml Tubes Posltive/Total 10ml Portions Membrane Filter:, Direct Count Collform/100ml Verification: LTB BGS Final Membrane Filter Results Coliform/100m1 Reported By Date - Time: p.m. MUNICIPALITY 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 //'+ �` "}" �� PHONE NEW A I ®J.� Ct6` " y5-- 72 UPGRADE MAILING ADDRESS LEGAL DESCRIPTION I�ArZV 4i[iLA S 6O3C)iujS'(0 l � 1 t- 0 LOCATION o(`—�" L /� -j�1v 1 "`L NO. OF BEDROOMS "r o'Ztl� C. l U I �vi U Wle�ll Absorption area DISTANCE TO: Alen- !N YET " Dwelling PERMIT NO. `7 y 1 !✓o i !!.! Y67 T -z 2 q 3 H Z LU F Manufacturer �, e, P. Material No. of compartments y Lie. capacity in gallons 125 C)IF HOMEMADE: Inside length Width Liquid de q pth DISTANCE TO: Well Dwelling PERMIT NO. Jt7Z = z F Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well A/D-r /N YcT Foundation Mor /M YET Nearest lot line 7©'q- PERMIT NO. V?-0238 J Z w I--pc No. of lines I Length of each line -�� Total length of lines 70 Trench width It i�0 inches Distance between lines • ' QH I Top of tile to finish grade �¢ OW Material beneath the .� E� Total effective absorption area ' J inches 0< 00 w Length Width - Depth PERMIT NO. t7 i I— wa Type of crib Crib diameter Crib depth Total effective absorption area W � DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS P (/ C L SOIL TEST RATING INSTALLER L K G'Pr V flT' i Ct i..l �d IIA. IcJ �I REMARKS Dlsto�lyclp t17, V I1 -G 0- `l 47 r U r_ tA, t s /© s APPROVED DATE LEGAL p P'A T./~ ... M PARI ~� ` 823 '`_/STREE�, HNCHORHGE` HK9�`-j1 ^ 264^4728 --_ �'_ �WEK TR FQ K 14 q.8 1: "T^ PERMIT NO ( 8207]S ) } / HF's PLICHis- T HMC IMC PO BOX 4~2882 99509 I45-581� LOCHTION LEGHL L6B1 PHRKHILL LOT SIZE 999999 SQUHRE FEET TYPE OF SOIL HBSORPTIOM SYSTEM KS: DRHIPFIELD MHXIMUM NUMBER OF BEDROGMS c 4 SOIL RHTING (SQ FT/BRV 225 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS� ���" 7- 1 -1 — IRT �M 10 Kit - 1, K — 11. KV oil Q Q 201 ������� 2:_! THE LENGTH DIMENSION IS THE LENGTH (IW FEET) OF THE TRENCH OR DRHIHFIELD TKE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEE:N THE SURFHCE OF THE SROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET). _0 1-1E 0- 102 EmE 0.4 Q 1-4 E 4 11 � Ent 0- K 4 X �, THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIP� HND THE BOTTOM OF THE EXCFI, VHTION (IN FEET) Flo EG? 1.5 :1 FQ EiVE Q 15����� PERMIT HPPLICHNT HHS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE IMSTHLLHTION INSPECTIONS, OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THHT THE NELL WILL SERVE ����141 "RY WKWU I 171EUm ~- 8HCKFILLING 8F HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT 11-3 PROSECUTION. MINIMUM DISTHNCE BETWEEN H WELL HND HNY OW -SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDI�G UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE WELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY 75 FEEK WELL MUST BE RETURNED TO THE DEPHRTMENT WlTHIN ]0 DHYS OF THE TICN OTHER REQUIFTEMENTS MAY HPPLY SPECIFICHTXONS HND CONSTRUCT�RE HVHILHBLE TO INSURE PROPER INST9LLHTION f7a kv 2 1: 1- EEK �10" Fl�� "E: ii -1:: K 1-1 EW HEE: 43 K__'_ I CERTIFY TMT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR WERS HND WELLS �S SET FORTH BY THE MUNICIMLITY OF HNMRHGE- 2� I WILL INSTHLL THE SYSTEM IN HCCORDRNCE WITH THE CODES ]I UNDERSTHND THHT THE MH,,' ENLHRGEPEAT IF THE RESIDENCE IS REMODELED TO INCLUDE SIGNED� ~ DHTE -�� ~-~�� V4 0 ~ `~ /�=l^=~��~�- / rt 7 /uv" �'-^ -� '~~~ ~"'' vs- / '� � �� ^ 11 12 13 14 15 16 17 18 C0661C OJt V^C-'Ll 5A L WAS GROUND WATER S ENCOUNTERED? L 0 P IF YES, AT WHAT E DEPTH? Reading Date (P" ;4urnu5 Net Time Depth to Water Net Drop MUNICIPALITY OF ANCHORA 3-3o-82 0 0 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION 2 - 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST9-0 3- S"/,(. �4 - 1 2 f5 SOILS LOG — PERCOLATION TEST 'S 2/, /(. 5 -GM 5a,01 51i. -t-4 SA Q6,j grALJF-'L. 2: 0 Z i8 PERFORMED FOR: PtkrV- 14IL-1-5 StA1JtVi-QfQtJ DATE PERFORMED: 3-23- 8Z ht v I 5r LEGAL DESCRIPTION: TPSr i4nL-e HA 14' Crom S4-Aw- c a,4qui - 10'e- grAvF-L- Th^) -J 5vNA4pLf DEPTH SLOPE. SITE PLAN 11 12 13 14 15 16 17 18 C0661C OJt V^C-'Ll 5A L WAS GROUND WATER S ENCOUNTERED? L 0 P IF YES, AT WHAT E DEPTH? Reading Date (P" ;4urnu5 Net Time Depth to Water Net Drop 1=rozam -+Q Zr 3-3o-82 0 0 $I; --T4 5ArJOy c)rA,,) e- L I 'rsaRl 2 - —.551zA79'R 3- S"/,(. �4 - 1 2 f5 F t;q 'S 2/, /(. 5 -GM 5a,01 51i. -t-4 SA Q6,j grALJF-'L. 2: 0 Z i8 TAN - Mot:;r ro 5(i5K4-1 ht v I 5r 10'e- grAvF-L- Th^) -J 5vNA4pLf 7 8 - 9- 10- 11 12 13 14 15 16 17 18 C0661C OJt V^C-'Ll 5A L WAS GROUND WATER S ENCOUNTERED? L 0 P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 3-3o-82 0 0 QCv —.551zA79'R /'51 S"/,(. -q 1 2 f5 F t;q 'S 2/, /(. 4:y 9 2: 0 Z i8 31 1 C, 19 14 0 51 Si 20 PERCOLATION RATE_ 2-q _(minutes/inch) IL TEST RUN BETWEEN S— �FT AND FT COMMENTS clff?+k pC joerC, pC SSI/2-1/ it AboVa nrnu1,.5r4 PERFORMED BY: 72-008 (6/79) CERTIFIED BY: DATY: �- MUNICIPALITY OF ANCHORAGEXeV '" ,• �..r . DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 995D1 264-4720 SOILS LOG — PERCOLATION TEST ❑ PERCOLATION TEST t PERFORMED FOR: PArK 44, _t_S S u bcl t vS to r.l DATE PERFORMED: L'2 B Z LEGAL DESCRIPTI_,V. ipg r last -E. DEPTH SLOPE SITE PLAN (o" Numus 1 Frozens -ro 2' 2 5t ry 5AN011 C3 Avr.t_ TAN t MOtjT 3 4 g"'�I St�Ty .saNpy grav£t,, 5 TAN- (3 tow�4 1 MOIjT To sltq>+-ty Ma I $T 6 k MO('a C3rAVI}t, 4AN SAMPL-S <ndrGA�t'i 7 InAad Datt_t.tn9 8 TD t g Lobbte P ( 9 Re Fuyn/ 10- 11 Date WAS GROUND WATER S Net Time Depth to Water ENCOUNTERED? L O 12 P IF YES, AT WHAT E DEPTH? 13 14- 15- 16- 17 4151617 18 19 20 PERCOLATION RATE TEST RUN BETWEEN Reading Date Gross Time Net Time Depth to Water Net Drop COMME PERFORMED BY: 72-008 (6n9) CERTIFIED BY: (minutes/inch) FT AND FT DA 1 V-\ d Z \ Time APPLIC, VT FILLS OUT UPPER HAI, :ONLY Property Ov2nerIr, , G fix} i+ �J Phone Mailio jddress Zip Code Buyer' Address Zip Code Lending Institution /�/ // 1 —yam �l�f-//Gly% � Phone Address Zip Code Realty Co. & Agent i'1 G' fif / - ✓l, 7 Phone Address Zip Code Legal Description/-,o7— / s escriptionG0Street StreetLocation Type of Residence - - Single Family rr _ ❑ Multiple Family No. of Bedrooms_) ❑ Other Inspector Watery Supply ys individual �. G`,�G� , a(�'"��j ATTACH WELL LOG. A well log, is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Field Notes: Sewer Disposal Disposal 93 Individual �. 3�' Year Individual Installed: ❑ Public Utility �5� Ot_ �',-� When Connected to Public Utility: ❑ Holding Tank MUNICIPALITY OF ANCHORAGE NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. V-\ d Z \ Time Time Time Time Date Date - Date Date 1'),—\ S—%D, Inspector Inspector Inspector Inspector �{ 1 Field Notes: W to &,)zV MUNICIPALITY OF ANCHORAGE ;o,EcrlON ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL Ep g E��,,�(f 3 j,� DISAPPROVED (_3) CONDITIONAL APPROVAL* DATE i 3 ..i.., BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72023 (3182)