HomeMy WebLinkAboutT15N R1W SEC 9 LT 64
MunicipalitYof
Anchorage
P.O.'BOX 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4.111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
May ~, 1987
S & S Engineering
17034 Eagle River Loop Road
Eagle River, Alaska 99577
#204
Subject: T15N R1W Section 9 S½ Lot 64
On-site Sewer & Well Permit #860146
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of May 29, 1987.
Your permit expired on the date of issue basis by authority
of Municipal Ordinance existing at that time. A new permit
must be obtained from this Department for any well and/or
on-site sewer system not installed by the expiration date.
The new permit will come under the calendar expiration date
as per the Wastewater Ordinance (effective May 20, 1986).
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 343-4744.
Sins.e'r/ely ,~
R.W. Robinson
Program Manager
On-site Services
RWR/ljw
enc: copy of permit
B60146
05129186
CONTACT F:'HONE:
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E~F:~(~VE~:I... I)EF::"FH (1:::'"1" ,, ) 5 ,, 0 0 ,, 5 :::,!;. ()
TOT'AL. I)EPTH (1:::"1'.) 9.0 Zl.. 5 7, 0
(~I:R(.tVE~:I... WIDTH (FT,,) 2.5 14,, 0 5,, 0
BF~(,IVEI,,.. I...I}}[:N(3"I"[',i (Fl'.) :~};0 ,, () ?.El ,, () ::50 ,, 0
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PERFORMED FOR:
1
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7
8
9-
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11
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14
15
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18
19
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
WAS GROUND WATER
ENCOUNTERED?
2O
PERCOLATION RATE - {minutes/inch) PERC HOLE DIAMETER ~
TEST RUN BETWEEN __FTAND FT
COMMENTS ~'~, ~ ~'~/~ /"/'J"~ ~'~/~/-~'~' ~ ~ ~ ~ ~ ~N~ ~
PERFORMED BY: ~,, ~ ~ /~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WI~L~,~IDE~FECT ON THIS DATE. DATE: MAY I 8 19~
72-008 (Rev, 4/85)
Reading Date Gross Net Depth to Net
Time Time Water Drop
IF YES, AT WHAT SL
DEPTH? ~ pO
E
Depth to Water AJler
Monitoring? N~' I~,/,~?"r:~Oae
'"7
, /
/~/
///
,////
PERMIT NO.
~ILIt~ I iS I PAL I T"~r' OF ANCHCIRRGE
DEPARTMENT ' HEALTH AND ENVIRONMENTAL OTECTION
825 ~L STREET, ANCHORAGE., FIK.
264-4720
I.-~ibb.. PEP~*i~! I T
800126 )
APPLICRNT
LOCRTION
LEGRL
RICK MCCLECLRND
UNK
-' I
SR 94-"~B t...HLGIRK
LOT SIZE
68,8-2759
21.000 SQUARE FEET
MINIMUM DISTRNCE BETWEEN R WELL RND ANY ON-SITE SEWRGE DISPOSRL SYSTEM IS
i00 FEET FOR R PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO 8 COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PER~I I T EXP I RES DECEMBER 31.. 1980
I CERTIFY THAT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WIL~INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
S I GNED
....
V4. 0
by
DOC Co, ODa
SULLIVAN WATER WELLS
P.O, BOX272 CHUGIAK ALASKA 99567 · --=LEPHONE688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started
PERMIT NUMBER
Ended
DEPTH 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 t 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
From
From
From
From
From
Frool
From
From
From
From
From
From
From
From
From
From
Ft. to Ft.
__Ft. to_____Ft.
Ft. to Ft.
Ft to__Ft
Ft. ro Ft
Ft to___Ft.
Ft. to ?t
Ft. to Ft
Ft. to__Ft.
MUNICIPALITY OF &NCHORAGE
Ft. to Ft. ~FPT ~F I:-),IT[[ cc.
ENVIRONMENTAl .... J~CTION
Ft. to__Ft,
Ft. to Ft. JUN 1_ 8 1980
Fi. to Ft. 13 E/" E I XI E r~
l\ L ~,. I., I V
Ft. to Ft._
Ft. to Ft.
Ft. to Ft.
Ft. to Ft
MISCL. INFORMATION:
DRILLER'S NAME