HomeMy WebLinkAboutPARK PLACE LT 9AMar 04 20 0:51 a Anchorage 1''Vell & Pune Ser 5072430742 p.1
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Plump Installation Log
Well Drilling Permit Number-. SW_._ Bate of Is$t4Q:
Parcel Identilleati+)n 1_' lumber:_ �0 — m2— ] (�
Legal Description.......................-- -------
Property Owner P 0nze & Address:
Pump Installation Date:
! :? T_ 0
Puanp Intake Depth Beiaw 'l'op oi'well ca.,jin., a� (j feet
Punhp Manufacturer':+ :`d: me-
Pump Model: c3zZj
Pump Size ! hp
Pitless Adapter Bursal Depth: /Meet
Pltiess Adipter 1V1:7Y]UlkctUrer's!�€arrre: ���'�71.-.�,t��
Pitless Adapter installer:
i
t
Well Disinfected Upon C01"ple#ion? ' � yes i No
Method ofDisinfeUMB:
Comments:
Purrtp Installer dame:
.Attention: The puinp inv:aller steal! provide a pump iR75falletion ?og to the DSD within 30 days of pu*np instailatien.
· ~' tq__:,.,., -.~VIUNICIPALITY OF ANCHORAGE ,~.,
DEPARTMENT OF HEALTH & ENVtRONIVIENTAL 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
~ MAI LIN G,(~.D DR ESS
LEGAL DESCRIPTION
LOCATION A NO. OF REDRESS
~Z Manufacturer P(~ ~F '{ ~ G~-* Material ~5~' ~ No. of compartments
Li,. ca,a~ ~,o., ], HOME.DE: Inside length Width Liquid de~
~ ~ Well Dwelling ~ .... PERMIT NO~.
DISTANCE
TO:
~ Manufacturor ~aterial~': kiquid capac~in ~allons
~ Well Founaation~ Nearest Iot~ 't PERMIT
No, of ,in~ Length of each,~n~ Total length of3~q [rench wi~¢ Distance between~r~C
_ ~ ~. ;~2~ - inches
~ Topofti~tofin,sh~rade~, ~'" ~. / Matoria.~eneathtile ~ inches Total effect,veab~io~ar.a
Length ~idth Depth ~. PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth ~ Total~qctive absorption area
m Well Building foundation Nearest lot ~
m DISTANCE TO: ~
, , C~~ Depth Driller Distance to lot line~ ~b PERMIT ~.
~ DISTANCE TO; Building foundatio~,~O / Sewer line Septic tank ~00 ~- ,i Absorpt on ar~a~
OTHER
PIPE MATERIALS
SOIL TEST~ATING .
INSTALLER ~
REMARKS ~ ' ~ q~
I
APPROVED ~ . DATE LEGAL
72-013 (RI 3/78)
L S 01~,,,,~ .~.,,E ~L/D, Ri L Li[ '-'
ANCHORAGE, ALASKA 99503
PhONe~l~-- ~/¢/_¢~//;Z ¢
DRILLING LOG
Well Owner · '
Location (address of: Township, Range, Section, if known; or distance main road
feet
Size of casing _Depth of Hole~?/~ feet
Static water level z/P ~ ft. (above) O land
Screen ( ); Perforated ( ).
Cased to.
surface. Finish of well (check one) open end (/);
Describe screen or perforation
Well pumping test at_ S .gallons per (hour) (O for
of drawdown from static level.
Date of completion ~/~~/
~ ~'~ hours with
Depth in feet from
ground surface
_TO¸
~?' ¢' TO Ira?~
.TO.
TO.
TO_
'.TO
TO-
.TO.
TO
__ .TO
Give details of formations penetrated, size of material, color and hardness
)
PERMIT NO,
APPLICANT JOHN BERGGREN
LOCATION L. ORETTA ST
LEGAL L9 PARK PLACE S,"D
TYPE OF SOIL ABSORBTION SYSTEM IS~ TRENCH
,, DE~'ARTMENT O~~' HEALTH FIND EI",IYIRONMENTAL ~'RO'rEC:T~ON [S,,19~('~ ~
825 '"L'" STF.:EE'F.. ANCHORAGE., AK. 9950± / ._ . '.~ '
264-4720
b. NEL. L Rf4[) ,3 ~-~--'_5 .~ T'E '--.--% B: l --- i E:R F'EF~t4 :£ ~. ,=.kt~,_.-.L~,
?"3':.Ei:L RHRD ST
349 ?"':'?~'
LOT _._,'_~. :~o~{}:.'.}id ,.--,QUHRE FEET
MAXIMUM NUMBER OF BEDROOMS = 5
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:,EF"TH= ~ LtEt'4G'rl-4= ~ ~7..~F~:R"-..~EE_ [:,BF'-I-F-I=,-~-
THE LENGTH DIMENSION IS THE LENGTH ,::IN FEET::, CIF THE TRENC, H OR DRRINF'IEL[:,.
THE DEPTH OF R TRENCH OR PIT IS THE [:,ISTRNCE BETWEEN THE SURFAC:E OF THE
GROUND AND THE BO]'TOM OF THE E>.'.C~VBTION <IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEI... BETWEEN THE OI..I'¥'FRLL PIPE
RND THE BOTTOM OF THE E::.::CAVRTION (IN FEET::,.
i PERMIT MFFLI_.MNT HAS '[HE RESPONSIBILITY TO INFORM THI=, DEPARTMENT DURING THE
! INSTALLATION INSPEE:TIONS OF ANY WELLS ADJACENT TO THIS PROPERTY Fff4D THE
!NUMBER OF REz. I[EN_.Ez." '-' :, P '~ THAT THE WELL WILL SERVE.
'T F-~ICm ,':'..._ ..--:' ':" I 1%t 'S F' E: C: l' ][ El ~'-.tS ARE: F-: [-] ~.7.., LI I RE: [:',
I BAC:KFILLING OF ANY SYSTEM WITHOLIT FINAL INC*PECTION AN[:, APF:'RFI'v'RL BY :'FILS
[:,EPFIRTMENT WILL EE SUBJEC:T TO PROSECUTION.
:MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
±E~E~ FEET FOR R PRIVATE NELB OR
i50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST 8E RETURNED TO THE DEPARTMENT WITHIN ]:E~ DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DtAGR?IMS ARE
A',/AILABLE TO INSURE PROPER INSTRL. LATION.
I CERTIFY THAT
-1: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
_~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS.
..................
I'~IIED ........... BY ................ PR'rE_ ~";',=,. 2
(907) 278-1551
July 19, 1978
Mr. John Berggren
7301 Chad Street
Anchorage, AK 99502
..Reference:
Suitability for On-Site Sewage Disposal Systm
Lot 9, Park Place Subdivision
Dear Mr. Berggren:
On December 22, 1977, a test hole was placed on the above
referenced lot. by our firm. A copy of that test hole log
and an accompanying report has already been transmitted to
Mr. Roll Strickland at the Municipality of Anchorage. That
test hole log showed these to be NFS, brown Sandy Gravel with
the unified classification of GP/GM from 2.5 to 16 feet
on the site. A gradation was made' of samples .from this test
hole. Therefore, the classification was not visual, but
done by laboratory analysis° It showed the percent passing
the number 200 screen to be 6%.
This should be excellent material for construction of an
on-site sewage disposal system. Though we did not run a
percolation rate of 1.5 minutes per inch is conservative
for soil of this ty~.-q~-~-
No free water level was detected in the test hole.
If there are any questions, please do not hesitate to
contact us.
Very truly yours,
ALASKA TESTLAB
Melvin R. Nichols, PE
Laboratory Manager
· D~pth in Feet
From To
0.0 1 .0
1 .0 2.5
2.5 16.0
Bottom of Test Hole:
Frost Line:
Free Water Level:
Soil Description
Brown Peat, Pt, damp, soft.
F-2, brown Silty Sand, SM, damp, medium density,
trace gravel wi~% sub'rounded particles to 3"
NFS, brown Sandy Gravel, GP-GM, with trace 'Silt,
damp, medium ~-~sity, subrounded particles to 6".
16.0 ft.
None observed while drilling;
None observed 1-12-78
S~]ple Dephh
1 5.0
2 10.0
3 15.0
Type of Dry
Sample Strength Group Unified
G N B GP-GM
G N B GP-GM
G N B GP-GM
Remarks: 1 .
3.
4,
5.
6.
Type of Sample, G=Grab, SP = Standard Penetration,
U = Undisturbed.
Dry Strength, N=None, L=Low, M=Medium, H=High.
Group refers to similar material, this study only.
General Information, see Sheet 1. ~
Frost and Textural Classification, see Sheet 2.
Unified Classification, see Sheet 3.
~0
LOT ~
tE
It is tile rcapon~;ibiliLy
builder, prior Lo
propped building grade rclat, ive to fin-
ished grade and utility co~ntqctions and
to determine the existence
~, covcnat~tm or restrictions which
do not ap;~ar on ~e re~rded subdivi-
moa p~t.
LOT SURVEY CERTIFICATION
' "'"" '"'"'""' '
~*~Z,...~ .... .':.:~q~ /~
~%~ LEGEND: .
~ Brass C~p Monument
e Ir~ Pipe
Lot ~, Block ~ -_' Are~ - ' Sq. Ft. , sleet Pin
ra Survey Hub P' Tock
PIm rile NO.~.. '~,__,._ L .......... ~ ~ DATE I ~¢_
Anchorage nu ~ ' Residence of ~~ ~ ~
ANCHORAGE, ALASKA ~ "
~HGINCCR~ .-, _ ~.,, ~ ..
influences:
61
· 302.7 '
1.52.15 __ _
R=20. O0
~ r PL
,m $89
MUNICIPALITy 4/: ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL PROTECTiOkl
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION: 00T :[ ? 1978
Te,e,ho.e 264-4720 RECEiVE.
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page J. Incomplete requests will not be processed, Please allow ten (10) days for processing.
1. PROPERTY OWNER j PHONE 278-1223 t
John S. Ber~grenI 349-3238 Home
MAILING ADDRESS
7301 Chad Street Anchorage, Alaska 99502
PROPERTY RESIDENT (If different from above) PHONE
Under construction
2. BUYER PHONE
Owner/Builder
MAILING ADDRESS
3~ LENDING INSTITUTION J PHONE
Security National Bank o7/. [Y~,,/.ta,,',,'~ /~]m,t,.J 276-6800 x241
MAILING ADDRESS
2525 "C" Street Suite 502
4. REALTOR/AGENT
None J PHONE
MAI LING ADDRESS
usiness
5. LEGAL DESCRIPTION
Lot 9 ?ark ?lace Subdivision
STREET LOCATION
NHN Loretta Drive (Rabbit Creek Area, see map attached
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One
[] SINGLE FAMILY
~ Two
[] MULTIPLE FAMILY [] Three
[] Other
7. WATER SUPPLY [] INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date 7/14/78
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME - TIME TIME
DATE DATE DATE
-I-~SP ECTO R INSPECTOR INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY [] ONE [] THREE ~ FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
~ERMIT NUMBER
2. WATER SUPPLY lQ ( :?,)-!~'~
~ INDIVI DUAL DEPTH OF WELL
[] COMMUNITY DATE DRILLED
Connection Verified LOG RECEIVED
PERMIT NUMBE
3. SEWAGE DISPOSAL SYSTEM ~'~ OK(:)~ih
q;~] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified _ INSTALLER
[]Septic Tank or [] Holding Tank F~,(, q/_,(~y ~. i / ,_
S~ze:_l.. '.( , If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANL~FACTURER
TOTAL ASSORPT,ON AREA MATERIAL
4, DISTANCES Septic/Holding Tank Absorption Ar~a Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
~ APPROVED FOR
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)