HomeMy WebLinkAboutTHOMAS L BOYLE BLK 2 LT 5BThomas Boyle
Lot 5B
Block 2
#015-282-17
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M-W DRILLING, Inc.
P.O. Box 110378 · 10330 Cid Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
Job No. 00123
MOA NO. SW990001
DRILLING LOG
Well Owner Stephan Long
Use of Well Dom
Location (address of: Township, Range, Section, if known; or distance main road
L2~ B5~ Thomas L. Boyle SD: 12241 Wagner Street
Size of casing 6"
Static water leve! 23
Screen ( ); Perforated ( ~ :: )~
Describe screen or perforation
Well pumping test at lO ga~s Pe~ (h~)
of drawdown from static [~veli
Date of completio~
Depth of Hole 62 feet Cased to 60.24 feet
ft. (abov~: ~elow) land surface. Finish of well (check one) open end ( X );
Note: well dry grouted with 2 sacks Bentonite
granules.
(minute) for 1 hours with
Depth in feet from
ground surface
0 .TO 2
2 5
.TO.
5 TO 48
48 TO 60
6FI TO. --
.TO.
.TO.
.TO
G:v~]:~l~ils of formations penetrated, size of material, color ~d harness
1 9 2000
O' ~iUmcipahly' of Anchorae
ap/. Health & Human .e~,,~cee_
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1 -- CUSTOMER
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
December 30, 1999
LONG STEPHEN E
5741 COLLEGE DR1VE
ANCHORAGE, AK 995043010
Subject:
THOMAS L BOYLE BLK 2 LT 5B
Permit# SW990001 PID # 1528217
The subject permit #SW990001 issued by this office for a single family well and/or on-
site wastewater system, is due to expire 365 days after it's issuance on 12-Jan-99.
If this is a well permit and you have drilled the well, a well log must be sent to this office
for documentation of the installation and to close the permit.
If this is an on-site wastewater system and a licensed Professional Engineer has inspected
the installation, the original as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports must be submitted within 30
days of construction completion.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 343-4744.
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Jan 12, 1999
Expiration Date: Jan 12, 2000
Permit Number: SW99000'1
Legal Description: THOMAS L BOYLE BLK 2 LT
Design Engineer: 0000 None Required
Owner Name: Stephen E. Long
Owner Address: 5741 College Drive
Anchorage, AK 99504-3010
5B P-244B
Pamel ID: 015-282-17
Site Address: 012241 WAGNER ST
Lot Size: 49500 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
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
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
If the wastewater disposal system permitted in July of 1996 has been constructed, an As-Built Inspection Report and
site plan must be submitted to DHHS:
Received By: ~ Date: