HomeMy WebLinkAboutBURLWOOD TERRACE BLK 23 LT 5A0o7
000
PERMIT NO.
APPLICANT
LOCATION
LEGAL
JOHN ARMSTRONG
40TH & BRANT RIDGE
L5 B2~ BURLWOOD
PO BOX t0-1665
LOT SIZE
.-.....:44 ~.~4E
22000 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR A PRIVATE WELL; OR
i5A TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUE',LIC WELL.
WELL LOGS ARE REQUIRED AND MUST E:E RETURNED', TO THE DEPARTMENT WITHIN 7:.-':0 DRYS']
OF THE WELL COMPLETION.
OTHER REQUIREMENTS M~Y APPLY. SPECIFICATIONS AN[) CONSTRLICTION DIAGRAMS ARE
R',,,'~ILABLE TO INSURE PROPER INSTALLATION.
F'ERF1 I T E:=-=.'F' I ~:ES DEC:E~-IE:EF: _---=:-1 ..
I CERTIFY THAT
1: I AM FAMILIAR WITH THE RELqUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH 89 THE MUNICIPALIT9 OF ANCHORAGE.
'-2: I WILL INSTALL THE SYSTEM IN ACCORDANCE 'HE CODES.
AF'I~'L I CFINT J]]FII'.,I
ISSUE[:, ~'
',/}].': 2
~ MUNICIPALITY C,: A,h!C !OR,".G,7
..,.. M-W DRILLING, INC. DEPT. ,;; .LT': ,I
~-- E~ TM o,.->., r', O,N
DRILLING LOG
Well O,vner ...... ~p_hn
......................................... Use of Well__
Location
RECEIVE[)
Dom.
(address of: Township, Range, Section, if known; or distance main road
Lot: 5A Block 23 BUtT!_wo0d_T_er~9¢e,_ Anchorage
Size of casing 6" Depth of Hole_ 163 ._ feet Cased to _.?-6.]--0~5 feet
Slatie water level ........ ft. Rq~ {below) !and surface. Finish of well lcheck one)
Screen ( ); Perforated (
Describe screen or perforation__N/_.A.
Well pumping test at 3_5 .... gallons per (14k~l~ (minute) for_ __1_ ........ hours witlT
of drawdown from static level.
open end (xx );
100%
Ii)a!e of completion~/_J.]~_8
WELL LOG
Dc}dh in feet from
!."round surface Give details of formationx penetrate,.'l, si×e of ~nalerial, color and hardness
0__ .TO
2 _TO. 25_
25 _To _69 _
60_ _TO__ 63~
63. TO 89
89_ TO_~0~___.
104 _ TO_i 2_7
127 TO_!38
138 _ _TO__i43 ....
243__TO. 1 63___
....... TO.
.TO.
___ Ca~.&_ng _s Si_c_kup __.
. ._S i_l [Y_ .gKav~j~: cobbly
. _$._a_ ~ _d y_ gr_~_vel
p.amp _s i 1 rY. g raye 1
Gr_a~e_!ly hs~d pan
_~e_t grasp.l_
.... qra~e_!!¥ ha_K.4_.p a _n_
.... Gr ay__~.lB~
_ Gxave!!y hard. gan
.... Wate~_._grav_e 1
1 -- C[JSTOMEI~