HomeMy WebLinkAboutTIMBERLANE PARK #1 BLK 2 LT 6 MUNICIPALITY OF ANCHORAGE
/ ,' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION ~ ~1, ~_~)~ '-~
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME · PHONE
' ~ Manufacturer~ Dwelling ~ PERMIT NO.
~ ~ ~ DI STANCE TO: Well
O ~ < Material Liquid capscity in gallons
~ DISTANCE TO: Trench -
~. No. oflines / Lengthofe.~ Total lengthof~es .~ inches
grade~ ~) I~ Total effective abso tion area
~ Top of tile to finish~ Material bentath tile~ inches
Length Width Depth PERMIT NO,
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE T~: Building foundation Sewer line Septic tank Absorption area(s)
SOIL TEST RAT?¢~ ¢
REMARKS
APPRO~ DATE LEGA~
72-013 3~78)
I
"L" ~ E '
825 . SIR:E?
ANCHORAGE, ALASKA 99501
(907) 264-4111
December 31, 1979
Jim Weatherby
~111
4225 Spenard Road J~
Anchorage, Alaska 99503
Permit ~ 790004
Subject: Lot 6 Block 2 Timberlane Park Subdivision
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this'department to document the installation date.
If an engineer has inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files.
If there are any further questions, please contact this
office at 264-4720.
LNB/ljw
enc: Copy of Permit
PERMIT NO. < 79000G )
RPPLICRNT
LOCRTION
LEGRL
JIM WEBTHERBY
TIMBERLBNE
L6 B2 TIMBERLBNE PK S/D
LOT c ~
_,IaE 23:600 SQI_IRRE FEET
TYF'E GF SOIL. RB_,ORBTION _,Yi.-,TEM I:=~. TRENCH
I18,:,IM_M NUMBER OF BEDROOMS = 3: SOIl. RRTING (SE.' FT,. E,E.¢-
'THE REQUIRED SIZE OF THE'g_OIL RBSORPTION c',_,.r_TEM, g IS:
'~.'90
[:'EF'-fH= 12 L E I'-,IGT H = 4-:1 I] R R"..-' E L [:' E P l- F~ ~-: 1TM
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL, D.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE 8ETWEEN THE SURFRCE OF THE
GROUND 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET),
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE 80TTOM OF THE EXCRVRTION (IN FEET).
E:EL%!LI I i~:E[~, SEF'T I C: TR~'-.~I-:': "=; I ZE= i.~2~ ~.-'::~ ~-'~
PERMIT RPPLICRNT HRS THE RE--,FON--,IBILIT'r TO INFORM ]HI.", DEPRRTMENT DLIRING THE
INSTFILLRTION iNSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY FIND THE
NUMBER OF RESIDENCES THRT THE WELL WILL '= '
_,ER CE.
TWO ( 2 ) I I'-,ISF"E ~_::-f I L--'~'4S R~:E R E _ri:-.! L! I l~:E[:
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL B"r' THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRN~.E BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL. SYSTEM IS
100 FEET FOR R PRIYRTE WELL.~ OR
±50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC: WELl
WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ]:0 DRYS
OF THE WELL COMPLETION. ~~,~
OTHER REQUIREMENTS MRY APPLY. SPECIFICRTIONS RND CONSTRLIC~I~J RRE
I CERTIFY THRT
±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPRLIT~ OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE HITH THE CODES.
~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM WRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
'v'2:. 2
PERCOLATION TEST
Jim Weatherby
Lot 6, Block 2
Timberline Park subdivision
Anchorage, Alaska
R & M NO. 751149
ELAPSED
TIME TIME INCHES DROP IN INCHES
3:15 0 0.50 0.00
3:16 1 3.50 3.00
3:17 2 3.75 3.25
3:18 3 4.25 3.75
3:19 4 '4.25 3.75
3:20 5 4.25 3.75
3:21 6 4.25 3.75
3:22 7 4.38 3.88
3:23 8 4.38 3.88
3:24 9 4.50 4.00
3:25 10 4.50 4.00
3:30 15 4.50 4.00
3:35 20 4.63 4.13
3:40 25 4.63 4.13
3:45 30 4.75 4.25
3:55 40 5.00 4.50
4:05 50 5.00 4.50
4:15 60 5.13 4.63
......................................................... 4.63·inches Total-Drop or ............................ 12.96 Minutes per Inch
DDcember 29~ 1978
4780329
Jim Weatherby
4225 Spenard Road
Space 111
Anchorage, Alaska 99503
Subject: .Lot 6 Block 2 Timberlane Park Subdivision
A permit issued by this department for well and/or
sewer system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be
sent to this department to document the installation
date°
If there are any further questions, please contact
this office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/ljw
eno: copy of permit
PERMIT NO.
DEPART~IEWT ~'~ HEALTH AND ENVIRONMENTAL ,P~\OTECTION
0~5 ~E STREET, ANCHORAGE, AK.
224-4?20
&qELL AN[~ ON--SITE SEWER PERMIT
APPLICANT
LOCATION
LEGAL
JIM WEATHERBY 42~5 SPENAR~ RD. SPill
TIMBERLANE
L ~ B ~ TIMBERLANE PARK SUB LOT SIZE
2~600 SQUARE FEET
TYPe OF SOIL RBSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ~
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTI~= 12 LEf-I~TH= 4i GRFI'~EL DEPTH= 7
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF 8 TRE~'~H OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GRO~D AND THE BOTTOM OF THE EXCAVATION (IN PEET>.
THERE I~ NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE E>~CAVATION (tN FEET>.
REQIJ I RED SEPT I C TR~'~}( S I ZE= iOOO GFiLLONS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS.ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TI-IO ( 2_ > I I'-ISPECT IONS FIRE REQU I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE. SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FdR A PRIVATE WELL~ OR
i50 TO ~00 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS ARE REQUIRED ~ND 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.
PERM I T E>~'P I RES DEO. E~IBER
I CERTIFY THAT
l: I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2~ I WILL INST~LL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~ I UNDERSTAND THAT THE OW-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
I BNED .................
APPLICANT .~IM WEATHEREf¢
ISSUE[) B ...... ~~___DATE ............... Vi2
Decentber 29, 1978
6780205
Jim Weatherby
4225 Spenard Road
Space 111
Anchorage, Alaska 99503
subject: Lot 6 Block 2 Timberlane Park Subdivision
A permit issued by this department for well and/or
sewer system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be
sent to this department to document the installation
date.
If there are any further questions, please contact
this office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
LNB/ljw
enc: copy of permit (this is a duplicate permit)
PEF:H!T
FiF'I::'L. )1C:I::iNT
I..OCFiT t ON
L.EGF:IL,
~]:FI
"F ! HE~ERL. Fff.,IE
L,.6 D2 T II'IE~ERL. F:I?'.!,E F'I::::
I"'¢F'E OF [;OIL. FIE~SOREri:'IOI'.~, S'¢:.E;TEf'I ZS:
HRXIHUI"I NUI'"IE:EI:,?. OF E~EDI';?.OOHS = 2i:
SCCI:L I:;;'.FITINEi ,::SQ F:'I",-'"E:R)=
THE REQUII:;?.ED SIZE ElF THE SOIL. F:IE:SOI:;~:I::'-FION S"FSTEP1 IE;:
I"I:"IE LENGTH: [:,IFIEI'.fSIOH IlS 'T'HE L..E:I',IG'T'H ,:lIN FEET> O1::' '['HE TRIENCFI LiR E:,RI::I:[NFIELD.
TIdE I)IEF'TH OF R TF:ENC:H O1:;?. l::'I-i' IS THE E:,IE;'T'FliqE:E BETHEEN THE SUI:;;:FRCE OF "I'I:"IE
GI:~:OLIND I::IHD "I:'HE: Br_)TTOH OF THE EXC:Fi',,,'FI-FIOhl ,:lIN F'EET::,.
THEI:~'.E ZS NO SET HZDTH FOR TF:ENCHIES.
]'!"-IE GF'.R',,"EL. DE:['TH IS 'THI:E HINIP'ILIH [:,EF:"I'H OF' GRI::I',/EL E',ETHEEI',I THE OLFFF::FII...L F:'IF'E
Flhl[:) 1-HE: DOTTCIP'I OF THE: Ei::.:',IZ:FI'gI::iT:[IiIN ():lq I:::'EE-F.':'.
"~ ............ ' ..... % C: ':::_:E; 'Z -
FEE {;;~ E..I:~ :it:: E;;i: E'_-¥1E::, .=:, E::_ F lJ _. '!"' F:~ ~'...~ tN:: ;;:~: EEl == :~_. ~;E,~ ~E:~ ~FZ~ ~Nii tFe! L.. IL__. C...,~ ~ ',.~ ....
F'ERH I T FII::'I::'L. ]: L'.FINT HFIS -i"HE: RESPONS l B ]1L.. I 'l"'.r' TO ! NF:'OFi:H 'T'H I ::.i; DEF'RRTI"IENT DIJF? ! I',,IG
I I'.4SI"FILLFFF I O1'.,I I I'.,!SF'ECI"I ONE; OF' F:IN"r' I.,.IELI_'.'5 FiD..:rI::ICENT TO TH ! E; I::'F,~'.OF'EF'."I:"-r' F:II'.,ID THE
NUk]EEER I:)l::' I;.'iES:EDI. ENE:EE; THFIT '[HE HELL H II:_L.
..................... T' ~.,,-~ [iD .::: ;? > % ["-,~ ~5 F--'" El El: T' % E~ ['-,,.~ dE; F:[ F~: EE t~:E: E: {;:~ LJI !1 F;~?.: E: E:
81::ICI:([ :[ LL Z N(:!i ElF FIN"r' %'~"%"['E1"1 14 :[ THOUT I::' '[ NRL Z t'.,!EE;I::'EC'I" I ON F:II",ID I:::IPF'ROVI::IL. B"r' TH Z %
[>EF'RRTHENT I:4:i:LL. DE SUB.J'ECT TO F'F'.OSEC:UTION.
["1INII'"[LIH DIE;TFI!'.,!CEE [-3ETHE[EN FI HEL. L. FINE:, F:IN"r' ON"-E;ITiE SEi!.qF:IGE D!6PO'.:SFII... 6'-,"6'1'1:-:i:1"1 ]:6
!El(i} FEET F'OR F:I F'I:-i:I'v'FITE HIELL..; OF~'.
:tES6~ TO ;2'.Elel I::'E:ET Fl::::Oi"! FI F'LIEC.!C HEL.I:_ DE:I::'E:N[)INE:J UF'OH THE T'¢F:'E O[:' F:'UE:L.IC: HEL_L.
P.IEIJ... L.OEiP-'; F:ff;~:[.E f4'.E~;iUII:4:E!:' FINE:, f'I:LP."~;-F E:E IRETLII::::HE[:' TO THE: DEPFII:?.T["I[ENT I,.I ): TH ): [",I !:e~ DFI'T'S
THE HELl_ E:EIHF'L.ETION.
OTHE'I:;'. Fi:EQU ! I:?.Ef"I[EN'I'S HI::I'T' I91::'t::'L"r'. E;PEEC I F: ! CI::IT I CINS F:II",iD E:EINSTI:;?I.ICT ]: CIN [:' I I:::iGF~:I:::IH2:; F':I?.E
F?,/I:::!II_I::IE~L[£ TO INS;UF:'.E PROPER INSTFILL. FITIOI'-L
F:E:JSII>ENC[E IS I::?,EiI'qODELE[> "FO II",]CL.I_JDE HOI:;?.E THFIN 3
',,,'3. 2
I
May 2, 1978
977239
Jim Weatherby
187 Mercy Drive
Eagle River~ Alaska
99577
oub3eot ~ Permit Expiration
A permit issued by this department for well and/or on-site
sewer installation on Lot 6 Block 2 Timberlane Park~
s~bdivision has expired since the issue date exceeds one(l)
year.
In the event you still plan to install the well and/or on-
site sewer system, a new permit is required. The original
soil test may be used to obtain a current permit.
If the well has been drilled, a well log should be sent
to this department to document the installation date.
If you have any questions regarding the above matter, please
contact this office i~mediately at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
F'ERMIT NO.
'ECT I ON
[. EF - RTHEt I I RNE:, EN',/I RONMENTRL
825 "L.' STREET., FINCHORRGE., FIK. 995~3t
279-.25::L1
'.'.' 77;.i'3:'2 .':'
Fl; L I L. tthlT
LOCRT 101'.,I
LEGRL
..TIH I,.IEHTH.,F,F.F,'~ 187 r~r.,._.T [.F..I , E
] I flE:ERLHF,IE'
L6 E,~. TIh'IE:ERLRNE F'FJRK ..,UE, E LOT .=,I~E
;;:_'3:EI.~IZ1 :,C. UHRE FEET
T'T'PE OF :,_IL. HE,_,t.l;..E,]I_i',l _~_TEH IS: 1F~.F_iq_.H
MR;:'-,'IMIJM NIJtlE, EI;.. OF BEC, ROOMS
.... ' .... ,:: SC! .......
'gFII[ RI-II IN ~ F F. E,F{.-
-.,L 11- RE:E;ORF'TIOI'-4 :, 'r':,'f EM IS:
:,:l.z.E OF THE '= .... -' '-'
THE REC!LIIREB, ~" ~' '
E F' -iFH F'~ ~= :;il.. ~?= L E ~'-.!i ,.3 'T ~4 .... :11.. :1_. L} ~: ~%~ E~-~ El F" 1- H -" 7'
THE LENGTH DIMENSZON Z% THE LENGTH (IN ~ET::' ~F/THE ~ENCd OR DRRINFIEL[:,.
THE DEF'TH OF R TRENCH OR PIT IS THE [:,ISTR~CE B~'f'I,.IEi~ THE SURFRCE OF THE
GF~OUND RN[) 'r-lE BOTTO',I OF 'T'HE ~C:R',/RTION (~N FE~I';/
TFIERE IS NO SET WI[:,TH FOR HEES. ~,_,,,~.,~? '
THE GRFI',/EL [)EF'TH IS 'THE I'"1 DEF'TH OF G~R'v'EL~E:ETI4EEN THE OUTFRL. L PIPE
RNI} THE EO"["I;]':IM IF 'l;~E
FEET). ~.
L. LJ'=<:, I )R II N..,F RPF'RI /E[:' F'I .[N=,IHI...I...EE..
:EC!UIREE:,. If: R MRIN"£'ENRNL-:E
::I.IRR[ REt;!I..IIRE[:, TO ENLFIRC4E THE sr3IL
'IR'¢ E,E F'ROSEC:UT t ON.
USE[:, Tl;-~_ LENGTH IS 29. ¢ FEET.
IS USED "I"~-~E L. ENGI'H IS ]:7. 8 FEE:T.
Fi "'"NTIM.: S r,'IRINI
· M aF. EEHE N [ NOT
B=: UI*.F I
IF FI
IF R ...LF ...... ti ~T...F
t
BRCKF Z LL I NG OF RF,IY S"r'S~f~M 1.41 THO, t_IT, ~F Z NRI.._ INSPECT Z Oi"~ RNB, RF'F'RO v RL B'¢ TH,~ ~;
E',EF'IRF;"I'f"IEI"~I" l,t T LL BF ql IE:JECT TO F RO.~ECI..IT Z ON.
MINIMLIM I::,ISI']F~NE:E ,E:~TP.tEEF,I~FI~ WELl... 1~1[:, FIN'¢ O[-~H~2~;ITE %EP.IRGE DISFOSFIL STSTE]"I IS
&E~¢ FEE]' FOE R F'RI~R"I"E 1.,.1~_ OR ~18 FEET FOR FI F'UE:LIC 14EL..L..
HELL LOGS RR.E REQUIRE[:' Rt'A)~ BE RETURNE[:, TO THE [:,EPRRTMENT H:[THIN ]:EI [:,Fl'r.5
3F THE P.IELL. COMF'LETION.
:,1" E.... I F I .... tT .[ ... [,I.., FIND -:nNSTRIJC]' t ON E:, I RGRRr'IS RRE H, H I LHE L.E TO I N... I..I~.E F I..... FEE
I NS'I-FtI_LFIT I ON.
I CERTIF"r' THRT
1: I l::fi"~ FRMILIRR klI'l"l-'l THE: RE:QUIREI;flEI'4-f'S FOR ON-SITE SEWERS RNE) HEL. LS RS SE'¥'
FORTH B'.,-' THE MUNICIF'RLIT'¢ OF RNCHORRGE.
2: I HILL INSTRLL. ]"HE '=-,'¢STEbl IN RCCORDRNCE I,.IITH THE CODES.
I UNDERSTRNB, :FI4RT THE ON-SITE SEHER S'¢STEM MFI'¢ REC!UIRE ENLRREiEMENT Il:: THE
REMOE:,ELED TO INCI.JJC, E l;'l;ORE 'THFIN ]1: H3EE:,ROOM'.5.
RPPLtCRN]- ..TIM I.,.IEFI]"HERB'¢ / ~ --~ ¢, ,11 ,
April 26, 1977
R&M No. 751149
Mr. Jim Weatherby
187 Mercy Drive
Eagle River, Alaska
Re: Test Hole and Soil or . . ~nitary System
Lot 6, Block~2<~i~%~flin~ Subdivision,~nchorage, Alaska
Dear Mr. Weatherby: ~/~"~ ,~'~-~'~'~"~'
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This in-
vestigation was performed in accordance with your request of April 21,
1977 and those procedures outlined in a letter dated July 10, 1975, by
Mr. Rolf Strickland of the Municipality of Anchorage Department of
Environmental Quality.
A single test hole was drilled within the subject site area for the
purpose of defining general subsurface soil conditions for the proposed
sanitary system. Drilling was accomplished with an auger type rig and
the test hole was extended to a total depth of 16.0 feet below ground
surface. The final log prepared for the test hole has been included in
Drawing A-01.
Groundwater was not encountered in the test hole while drilling.
A percolation test was performed from a depth indicated on the attached
table and reflects average infiltration from that depth to the bottom of
the hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M CONSULTANTS~ INC.
Ed Yarmak, Jr.
Geotechnical Engineer
EY,Jr./gld
Attachment
xc: Municipality of Anchorage
· T,H. 1
Lot 6
Block 2
Timberland Park subdivision
T.H. 1
4-23-77
Ail Samples A 0.0'
ORGANIC MATERIAL (0) 1.0,
SANDY SILT W/TRACE GRAVEL
(SM-ML) ')- b~
Brown, Very Moist, Firm~ --~.5
SANDY SILT (SM-ML)
Brown, Moist, Firm
5.0'
SILT W/TRACE ~SAND[ (ML)
Brown, Moist; Pirm.
7.0'
SILTY SAND (SM-ML)
Moist, Medium Dense 7.5'
SILT ?;/TRACE SAND (ML) ~'
Brown, Moist, Firm
@10' Trace Gravel
11.0' '
SANDY GRAVEL W/TRACE SILT
(GP-GM)
Moist, ~edium Dense 12.5'
SILT W/SO~ SAND, TRACE ~
GRAVEL (ML)
15.0'
SILT W/SO~-~ SAND, SOME
GRAVEL (ML)
16.0'T.D.
Occasional Cobble
Test Hole location is approximate
and has not been located by survey
methods.
Refusal on Boulder
No Ground Water Table Encountered
[eWN:
CKD: J~MS_
DATE:
JIM WEATHERBY ' GRID: '. 2729
ANCHORAGE, ALASKA ~N~4
I ~PERCOLATION TEST
Jim Weatherby
L~6~Block 2
~rline Park Subdivision~
Anchorage, AlasKa
R & M NO. 751149
ELAPSED
TIME TIME INCHES DROP IN INCHES
3:15 0 0.50 0.00
3:16 1 3.50 3.00
3:17 2 3.75 3.25
3:18 3 4.25 3.75
3:19 4 4.25 3.75
3:20 5 4.25 3.75
3:21 6 4.25 3.75
3:22 7 4.38 3.88
3:23 8 4.38 3.88
3:24 9 4.50 4.00
3:25 10 4.50 4.00
3:30 15 4.50 4.00
3:35 20 4.63 4.13
3:40 25 4.63 4.13
3:45 30 4.75 4.25
3:55 40 5.00 4.50
4:05 50 5.00 4.50
4:15 60 5.13 4.63
4.63 Inches Total Drop or
12.96 Minutes per Inch i~ 0~'
[V[-W DRILLING, Inc.
P.O. BOX 4-1224 * 1310C International Airport Road
(907) 274-461 ]'~
ANCHORAGE, ALASKA 99509
Well Owner
Location
DRiLLiNG LOG
.Use of Well
(address of: Township, Range, Section, if known; or distance mare road.
S/ze of easing. Depth of.Hole feet ' 'Casedto ' ' feet
Static water level -' ft. (~o~,~ (below) land surface. Finish of well (check one) open end ( :l.x
Screen ( ); Perforated ( ).
Describe screen or perforation "'
Well pumping test at '' gallops per (h~otir) (minute) for : hours witk '[ '" "'
of drawdown £rom ~tatic level,
Date of completion 'J/'- ~ "~'
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
);
ft.
TO
TO
TO
"' :' TO
TO_
_TO.
_TO
~TO
_TO,
_TO.
.TO.
TO
_TO
_TO
_TO
NWWA C'ere~li(xt Cqntraeto,
Ccr~fieate No's. ~i4i ~r ~J(l
3,--CONTRACTOR
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M.$ULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
October 8, 1980
James Weatherby
4225 Spenard Road #tll
Anchorage, Alaska 99503
Subject: Lot 6 Block 2 Timberlane Park Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The well log submitted to this department for our
review.
(2)
The water analysis report be delivered to this
department from Chem Lab, 5633 B Street, for
our review.
it slopes away from the well casing.
If there are any further questions, please call this
department at 264-4720.
The depression or pit around the well casing needs
to be filled in with impervious type soil so that
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Home Federal Savings and Loan
535 D Street 99501
/~ C. HEMICAL. & GL.iLOGICAL LABORATORIES ~ ~ ALASKA, INC.~
-- TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER
/~ 274-3364 5633BSt re et
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D. NO.
Phon~ Nol
Water System Name
Mailing Address
City
State
Zip Code
MO. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
1
2
3 I
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Ana ,/s~s shows this Water SAMPLE to be:
[~ Satisfactory
[] Unsatisfactory
[] Samole too long in transit; san' o~e should
r~ol be over 48 hours olO at examination
to indicate reliable results Please send
new sample.
Date Received
Time Received c:' /.:.,//-%
Analytical Method:
[] Fermentation Tube
E~,;Membrane Filter
Lab Ref. No. Result* Analyst
I I t--[-I
I I
READ INSTRUCTIONS
BEFORE
COLLECTING SAM PLE
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Co)lect~J Source
Presumptive 10mi 10mi 30mi /Omi 3Omi 1.0mi 0,1mi
24 Hours
~.- DA~E RECEIVED
...... INSPECTION APPOINTMENTS ~ ~y-~..~,_,
TIME TIME TIME
CATE DATE DATE
INSPECTOR INSPECTOR I NSP ECTO~,~ ,~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
MAILING A D DR E~SS
PROPERTY RESIliENT (if di{ferent fro~ above) ~ PHONE
2, BUYER PHONE
MAI LING AD DR ESS
MA[(_ING ADDRESS '
4. REALTOR/AGENT PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
ST R~E~E T~'~ O C AT~ii O N 1~t~'
E. TYPE OF RESIDENCE NUMBER OF~EEDROOMS
[] One [] Four
~ SINGLE FAMILY [] Two [] Five
[~ MULTIPLE FAMILY '~:~'--. Three [] Six
[] Other
7. WATER SUPPLY
~:~_1NDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available,)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE** ._..(L..C-f-~ 'YEAR ON-SITE SYSTEM WAS
INSTALLED,
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY "
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic.~.c.)TaJ~.~k or[~Holding Tank
Size: i,v¢''~ If Tank is homemade SOILS RATING
give dimensions:
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~'~'~ONDITIONAL APPROVAL {letter must ac .ompa~¥ certificate}
72-010 (Rev. 6/79)