HomeMy WebLinkAboutOLLIE WALKER #2 TR A
/~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska !)9501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE / [] NEW
~AI LING ADDRESS
LEGAL DESCRIPTION
LOCATION / NO, O~ BEDROOMS
~ell Absorption area Dwelling PERMIT NO.
I- ~ Manufacturer
~ ~ Material No. of compartments
Liq. capacity in g~]ons Inside length Width Liquid depth
~ _ / ~ d"~] IF HOMEMADE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer -
% -- ~ Material Liquid capacity in gallons
~ Well Foundation Neares~ lot line PERMIT NO,
~ ~ ~ No. of lines Length of each line Total length of lines Trench width Distance between lines
--~ / ~ ~ ~ ' ~,~ ~ inches
~ ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area
Length Width Depth PERMIT
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~u Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot IJna ~ PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:/ q q ' i q "¢ ~Od~'
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER "
~tq~
/
APPROVED ~n % ~L ~a~ ,* e~-i' DATE LEGAL
DEPARTMENT OF HEALqH AND ENVIRONMENTAt. PROTI~CI'ION
Permit It: 840881
January 31, 1985
TO: Permit Applicant
SUBJECT: TR A Ollie Walker #2 TlSN R1W Section 30
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
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
and the yellow copy must be sent to this office for review
and approval, and for documentation°
If there are any further questions, please call this office
at 264-4720.
Sincerely,
~~E.~Ban~'~t'~~, SupeYvi~or
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
84088
1.() / :1.5 i S.'g.
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SOl LS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, A!aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR: ~~OL'~ /~' /~
5
7
8
g
10
11
12
13
15
16
17
18
19
20
COMMENTS
DATE PERFORMED: ~,~f/~O~'~¢ ~ -
? /
1
2 /"f 4.
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date
PERCOLATION RATF
TEST RUN BETWEEN
SLOPE SITE PLAN
(minutes/inch)
FT AND FT
CE~ITIFIED BY:__./~L~/
72-008 (6/79)
/
MUNICIPALITY OF ANCHORAGE
D~PT. OF HEALTH &
P, NVIRONMENTAL PROTECTION
by
DOC Co. dDa
SULLIVAN WATER WELLS
P,O. BOX 272, CHUGIAK, ALASKA 99567 ~ TELEPHONE688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started
PERMIT NUMBER
Ended
I)EPTH OF WELL
STATIC LEVEL OF WATER FT,
DRAW DOWN FT.
GALS. PER HR :
KIND OF CASING
KIND OF FORMATION:
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.
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
From __Ft. to ..... Ft
MONIClPAklTY OF ANCHORA~
Frolll ~ Ft. to
~NVlaONM~NTAL PROTECTIOH
Froln Ft. to Ft
From._~ Ft. to _Ft. 3P~l~
From~Ft. to F~ ~ I ~1 ~ ~
From Ft. to Ft
From~Ft. to .... Ft.~
From Ft. to____ Ft
From.____Ft. to____Ft
Froln__Ft. to___ Ft
From Ft. to_____Ft
From Ft. to Ft.
From Ft. to Ft.
From_ Ft. to__ Ft
MISCL. INFORMATION:
DRILLER'S NAME