HomeMy WebLinkAboutTURNAGAIN #2 BLK 2 LT 5
Tom Fink,
Mayor
unicip lity Anchor
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
April 30, 1992
Fern Ola Baker
11401 Turnagain Street
Anchorage, Alaska 99517
Subject:
Lot 5 Block 2 Turnagain Subdivision ~2
Permit #SW910074, PID 9016-131-21
The subject permit, issued April 30, 1991 by this office
single family well and/or on-site wastewater system, has
expired as of April 30, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If 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 a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, 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.
When applying for a new permit, the fees are: $200.00 for
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
for a
If you have any questions,
Sin~rely~ ~
On-site Services
please
call this office at
an
343-4744.
enc: Copy of Permit
PAGE
1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.Oo BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW910074
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:BAKER FERN OLA
OWNER ADDRESS:il401 TURNAGAIN ST
DATE ISSUED: 4/30/91
EXPIRATION DATE: 4/30/92
PARCEL ID:01613121
LEGAL DESCRIPTION: TURNAGAIN #2 BLK
2 LT
5
LOT SIZE: 26575 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
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 FOLLOWING SPECIAL PROVISIONS°
SPECIAL PROVISIONS:
RECEIVED BY: ~---~ - ' ~' %-~"'~ -- ~
ISSUED BY:/ /
DATE:
DATE:
.OCATION Or WE .L 19J
STATE Ob' i~J~ASKA
DEPi~/~TM]ZNT OF ~qATUI~kL I~ESOI/RCES
DIVISION OF GEOLOGICAL AND GEOPHYSICAL SURVEYS
WATER WELL RECORD
egistered Busine~Name
iq~ature of Authorized Representative
ate
PLEASE MAIL WHITE COPY OF LOG WITHIN 45
DAYS TO:
DGGS
PO BOX 77-2116
EAGLE RIVER, AK. 99577
~OROUGH SUBDIVISION LOT BLOCK SECTION QTRS ~c TOWNSHIP RANGE MERIDIAN
WELL DEPTH: DATE OF COMPLETION
MEASURING POINT: E~top of casing
[]ground surface []other: Depth of hole: I (~___ft
Depth of casing: i ~i ft .~,. - ~<~-
BOREHOLE DATA: Depth STATIC WATER LEVEL: ~i~ ft. Date ~.~.
~aterial type and color FromI To .
~k\'~" -\"Q '~'~> ~ I /"% ~l M~THOD OF DRILLING: ~alr rotary
~cable tool []other:
..~ .~tj~/~ , 1 ~' ~ ~ (~ ~ "'~,f.- ~0 USE OF WELL: ~domestic ~irrigation ~monitor
~ .~ CASING: Stick-up ~ '/~_. ft. Diam: in
~e~ ~ WELL INTAKE: ~ open end ~screened
~q*~ ~" % '~' ' ~;~- ~.~? ~ perforated
'~ ~'~" :~'~'%" .... ~ ~ ~ ~'~ " ~open hole
~ ~' ~ / ~ ~ , .~ ~ , Depths of openings:~ to {~/ft
~ ~% Length: ft
~, - Set Bet ~een and fL
~ ~ ~ , . G~VEL PACK TYPE:
~'~' 5-& /~',?~a,% .~%% ~,~{ ~:,~t~..%,%' ~ ~]~{ ~ ~"~,. Vol~e used: .Depth to top:
Depth: from ft to ft
DE~LOPMENT METHOD: 'L-'F~ ~ ~F~ '~t~
~ura~ion: ( ~t ~,~"~ ~ ~'.: ~%~ }~ ,
~ ft after ~ hfs pumping. ~'~m
MAY 6 1992
MUmcipa~i'~Yo~Ancbora P~ INTA~ D~PTH: ~1~ ft Horsepower:
Dept. Health & Hum~ ~ qe Date Pump Installed ~7' - ~¥ - <7~
ONT~CTOR INFO~TION:
WATER CHEMIS~RY S~PLE TAKEN? ~yes ~o
/ .~. Well disinfected upon completion? ~ves ~.no
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
TELEPHONE (go7) 562-2343 5633 B Street
Anchorage, Alaska 99518
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
[] PUBLIC WATER SYSTEM leD.#
[] PRIVATE WATER SYSTEM
Namo
Mailing Address
City
SAMPLE DATE: ~ Mo.
Phone No.
State
Day Year
zip Code r /I
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no,
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
i I
2 I
31
4 I
s l
LOCATION
Time
Collected
Collected
By
TO BE COMPLETED BY LABORATORY
alysis shows this Water SAMPLE to be:
sfactory
Unsatisfactory
[] Sample too long in transit; sample should
not be over 30 hours old at examination
to indicste reliable results. Please send
new sample via special delivery mail,
Date Received ,-~"-/~'
Time Received
Analytical Method: Membrane Filter
* No. of colonies/100 mi.
Lab Ref. No. Result*
?t.t7tt
47 [-~
I
I
Analyst
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
BACTERIOLOGICAL WATER ANALYSIS RECO~.///7, ~-~ ~,'~/~
Membrane Filter Direct Count ~-~ Coliform/100 mi
Verification: LTB. BGB
Final Membrane Filter Results
.Coliform/lO0 mi
Date ,~---~/-~/
Time: /5 ~-- a.m.
TNTC -- Too Numerous To Count
OB = Other Bacteria