HomeMy WebLinkAboutT12N R3W SEC 32 SW4NE4 PTN E OF RR
P.C,. SOX 6650
ANCHORAGE, ALASI<A 99502-C850
(907) 264-4111
DEPARTMENT OF HEALYH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850010
T12N R3W Section 32 SE¼NE¼
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-~720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
eric: Copy of Permit
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SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG-- PERCOLATION TEST
PERCOLATION
TEST
d
PERFORMED FOR:
LEGAL DESCRIPTION: ,~ ~ I/~l ) I'~ ~- ~/'~ )
1
2
3
4
5
6
7
8
9
10
11
13-
14-
15-
16
17
18
19
2O
COMMENTS
PERFORMED BY:
DATE PERFORMED:
,,(
SLOPE ) SiTE PLAN
'Ttt
WAS GROUND WATER
ENCOUNTER ED?
IF YES, ATWHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE /1 ~' /,~ (minute,~"~)
TEST RUN BETWEEN ~ FT AND
72-008 (6/79)
Well Owner
Location
M-W
DRILLING,
DRILLING LOG
INC.
Use of Well ,~,:i,
(address of: Township, Range, Section, if lmown; or distance main road
Size of casing u' Depth of Hole J!;i'/ 10Y 5';
feet Cased to__ '- feet
Static water level ft, (~69~) (below) land surface. Finish of well (check one)
Screen ( ); Perforated ( ).
open end (
Describe screen or perforation
Well pumping test at i.. gallons per of drawdown from static level,
; / .: / / /
Date of completion~
(minute) for ], .hours with
ft.
WI:LB LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
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