HomeMy WebLinkAboutJAKEMAN LT 1Onsite File
Simonson Homestead
rmerly F1
E2
LOCATION OF WELL
~OROVOH
MAR 1 1 1998
'Municipality et Anchorage
& Human Services
eU~DIVIS{ON
LOCATION/sKETcH=
'~I'ATE OF ALASKA · .
DEPARTMENT OF'NATURAl; RESOURCES
DIVISIO N OF MINING & WATER MG'MT'
· WATER WELL RECORD
WELL OWNER;
SECTION
DE~THSMEASURED FROM:[~]caslng top E]ground surfao
BOREHOLE DATA~
Depth
Materia~ Type ~nd Co,or From To
WELL DEPTH:
Depth of hele:~ft
Depth of ca$ing:~ft
DATE Or
DEPTH TO STATIC WATER LEVEL: ' ·'
..~1~ft bel0w'~ top of C,~sing '~ ground surface
Date:--~----./,.m~_..~..,_/~
METHOD OF DRILLING: ~ ai¢ rotary [] c~ble to;I : '
[] other '
USE OF WELL: ~ domestic
[] public supplyr'~ ot'hei
CASING STIOK:UP: '~'ft. DJami "' '
Casing type:
WELL INTAKE OPENING TypEi ~oPen en,~I
[] perforate~l ["3 open hole
[] irrigation [] mentor'
Depths of openings: to. ft
SCREEN TYPE: Diem: .'.' '! I~,'
Slot/Mesh Size: ,,'
GRAVEL PACK TYPE:
Volume used:____________.__ Depth to top:
GROUT '~YPE;
Depth: from ft to
DEVELOPMENT ML=THOD: 'r.~-~
Duration:
ft
PUMPING LEVEL AND YIELD:
ft after hfs pumpln~
PUMP INTAKE DEPTH: ~ ft Horsep0weri
WELL DISINFECTED UPON COMPLETION? YES ' E~ NO
CONTRACTOR INFORMATION: REMARKS~ ' '
Re~l~terd~usifio~s~mo ....
' - /~~ ~ ' PLEASE MAIL WHITE COPY OF .
' o,
SIMONSON
Z
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P-510
HOMESTEAD SUBDIVISION
E1/2 LOT 169
23580 S.F.
WEST 27TH AVENUE
N 89°29'58__"E 8;
WELL
FENCE (APX)
RECEIVED
APR 1 1 1997
D Municipality of Anchorage
ep~. Health & Human Service8
! "-50'
N 89°55'14"'E 82,21'
WEST NORTHERN LIGHTS BLVD.
FINAL STRUCTURE AS-BUILT
AS-BU I LT I hereby certify that I have surveyed the
property depleted above and that no
GAS'rALDI LAND SURVEYING encroachments exist except as Indicated,
Jeff A, Gastaldl, R.L,S, It Is the responsibility of the owner to
4726 West 88th Ave, determine the existence of any easements,
Anchorage, Alaska 99502 covenants or restrictions which do not
PFIONE 248-5454 appear on the recorded subdivision plat,
Under no circumstances should any data
hereon be used for construction or for
GRID DATE
establishing boundary or fence lines.
1526 3/13/97
ANCHORAGE RECORDING DISTRICT, ALASKA
F,B, JOB NO,
NOTE: NO CORNERS SET THIS DATE,
97-03 SH16D
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 PERMIT
PERMIT NUMBER:SW970018
DESIGN ENGINEER:
OWNER NAME:MLC CONSTRUCTION
OWNER ADDRESS:13200 MOUNTAIN PLACE
ANCHORAGE, AK. 99516
DATE ISSUED: 2/12/97
EXPIRATION DATE: 2/12/98
PARCEL ID:00122615
LEGAL DESCRIPTION:
SIMONSON BLK 16D E2
LOT SIZE: 23513 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION 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 ) (NOT REQUIRED FOR WELL ONLY PERMIT)
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 SA_ME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS' ~4~~t~X ~/k/~L.t LDd- tli'.~;P ~-/~C~CY ~t~u/~ ~.d~~c AO<,~F/o/~
RECEIVED BY: . ~i[[?Z~f~[[ DATE: O~[Z~ ~
ISSUED BY, ~'~ '~' t,v" DATE: O~/{Z/ Y'~