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Home My WebLink AboutT12N R4W SEC 10 LT 30 W2Sep 10 20 04:5011 ^.,)chorage kNell &, PL1111P Ser C-07241-0742 p.4 S tn A A0,00 Elrr5orc Vzlrk Begich i c.i 3 r a,- c, A K 99507 Pump Installation Log Well Drilling Permit Number- SW Date of1wie: Parcel Identification Number:--o-U.- 0 9 w er arre Leal Description Proper", & AddreF.s: "1 Nv �j 5e C 0 �i �W�g 2- Coo W 9to,,"4AX . � INIMP Installatiars Date: it Pump Wtake Depth Mow Tor, of Welt Casirng: 2.feet Pump Mauufactu.rer's Name: PUM.pModel. —F-Vlj P11(ripsize tq, Fitless Adapter Burial Depth: feeT Pilless Adapter Manufacturer's Name. Pitless Adapter Installer: �lefl DiMafected'Cpoa Compictiov? ' 'Ves 0 ['Sc Merhad of Disinfection! Comments: P�aez Pump 111staile-1. Maine: wX14Y 4 Attentiou: The pump,nsv-dieT ShR11 provide a. pump, initallaTion toto the DSD withir. 0 dw,'S ofpump insiaflanOfl. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION 825,L. Street, Anchorage, Alaska 99501 264-4720 ~ ~ SOILS LOG - PERCOLATION TEST ~ .~ gq (' Kathy Claiborne ~AT. PE,FOaMfD: %~I~2 LEGALDESCRiPTioN:W. ~ Lot 30, Sec. 10, T 12 N, R 4 W ~ ]WAS GROUND WATER 11 (I 5' --I ~ ',) ENCOUNTERED? IF YES, AT WHAT DEPTH? 13- Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN COmmENTS PeRt -Le,s-& itq ~c~-:.f , 72-008 (6/79) W ~BTR AVENUE £~ NOTE~: Plat approved by the Mumc,~J Plotting Authority LOTS ?2A ~ ?;~B, SECTION I0, TI2N, Rq W. ,.~EWARI] tIER~DIAN ALASIIA CONTAINING Io ?~ ACRES HORE OR LESS DTI002388 i 981-18~ / / DTI002389 7821 O~ O§ VCELL W 80th AVE LEGAL DESCRiP310N 15983B s.L (3,67 ACRES) SAND LAKE 86.0' (TOP OF WATER 7/28/92) g FND REBAR UNSUSDIViDED TRACTi A I N0318 FND CN 1/1 TRACT B DT1002390 PLOT PLAN COOPER AND COMPANY 4601 NORTHWOOD ANCHORAGE. ALASKA 99517 PHONE (907 248-1924 GRID 2224-2225 SCALE 1"= 100' )ATE JUNE 1995 BOOK PAGE DRAWN BEC FiLE #92-07-27 q.O.# 92-07-27 MUN C P^UT OP ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION , ~ - ENVIRONMENTAL ENGINEERING DIVISION ' 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ ~ Liq. c~acitManuf"ctu~ ~~ M.tori~ ~o. of c~artments ~ Foundation 'Nearest 1°~7- 0 PERMIT ~ DISTANCE TO:/ W~~ ./~/ Tr~dt~ Distance ~y~ NO, of lines . Length of each llne Total le.gth of li.~ . ~ Topoftile~ofinish grade ~ Material beneath tile ~,~. ~-- Total effectiCe absorption area OTHEB 72-013 (R~ 3/78) MUNICIPALITY OF ANCHORAGE~-~ _ , Department?~f Health and Environmenta~?rotection 825 ~ Street, ~chorage, AK. 39501 ~ "~ '~ ~ 264-4720 ' ~ * * * HANDWRITTEN PERMIT * * * Permit ~qS'% ~ ON-SITE SEWER PERMIT Applicant :~rWZ~ ~4/~;~ Location: ~-~ /~ -7~/;A~ - ~ Legal Description: ~r ,~ C&~e~ ~) Type of Soil Absorption System Is: Trench: /Drainf ietd: Phone Number: Lot Size: Maximum Number of Bedrooms: Seepage Bed: Holding Tank: soil Rating(sq.ft/br) /~ The Required Size of the Soil Absorption System Is:~ DEPTH /~ ~ LENGTH $ ~ GRAVEL DEPTH ~ - WIDTH -~ The length dimension is the length(in fee~) of the, trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~..4~9 GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee~ for a private well or of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days Of the well completion. Other-requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * * I certify that: (1) 150 to 200 feet from a public well depending upon the type I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlar~ement if include more that/~ bedroo~s~ Issued by: ~~ the residence is remodeled to Signe'd.'~_~ _~'Z-~ '~ . ' Date: MUNICIPALITY OF ANCHOF~AGE ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 9950'i 264-4720 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:' Kath~ Claibo_rm~ DATE PERFORMED:__~.:'..[~-~'~/~' ~p LEGAL DESCRiPTiON: W. ~ LoE 30, Sec. 10, T 12 N, R /4. W 2 3 4 5 6 7 9 11 12 13 16 )WAS GROUND WATER IF Y[S, DEPTH? Reading Date 18- 19- 20- PERCOLATION RATE TEST RUN BETWEEN COMMENTS~?~c lZ-- (~,SJC' I'~,~ EERPORMED ¥: a.Iq'T 72-008 {6/79) SL~)PE ~ SITE PLAN _ ./Uo 0 P Dross Net Time Time FT AND FT DATE: PO~,JH 6-650 ANQIdO?,AGE. Al ..... , flonns n~n (907) 2.64-411 I <Permit ~: 820730 ,January 31, 1983 TO: Permit Applicant Subject: T12N R4W Section 10 W~ Lot 30 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. 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 needs to be sent to this department for documentation of the installation date and to close the permif. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documenta.tion. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 F'EF:H I T NO. L FE 3FJL .'-:'FITH_.EEF. 7[ R 'i E: 'JIFII'.JE !.,.!:1_,..";2 L%:E~ S. ±a T:L;ZNR4-N 'THE ~-~!El.:.ql..!): F:E[) '~ '[ ;;:ZE: OF T.-IE' 'J O I i. RE~SOF:F'T ;[ OH S'gS?'EH 'i :5: THE LENGTH D:[F1ENSZON :iS THE LENGT,H <If-,) FEET) OF' THE TRENCH OR DRR:r. NFIELD. ]".HE [:,EF'TH OF R 'I'F;'.ENCH OF: F'iT IS THE D~STRNCE 8ETI.dEEN THE SUF:FRCE OF THE GROUND RND THE BOTTOH OF THE EXCW,,,'RTION ,::ZF! FEET). '!"HERE IS NO SET !.,.I:fDTH FOR TRENCHES, THE GF'.FiVEL DEF'TH ~:5 THE I'!ZH:[HUH DEF'TH OF GF'.FQVEL BETI,]EEN THE OUTFFILL_ F'ZF:'E !aND THE BOTTOH OF THE EXC:FIVFITZON (ZN FEET). F'ERf'IlT F]PPLZCFff'JT HR'.5 THE :,-,:c,*-c'-c,~- ''fL, . _ .. !..E._,, L,r,_,J.,.,.,LI, , "FO INFI"'IF'H THIS [:,EF'FIRTHENT DI. JEE'.ING THE ~I"JS"FRI i RT'F-N ZNSF'FF'TT'N': OF biN? ~F' 'q A[).:Ff~C:F:F,!'T 'f'i3 %l J._ F'~;'rZF'E~'Ty RNC, THE h,)L.II',IE[EF~t OF ....... RES ZDEi'.JC:ES THRT THE bIF'L[. HILL. :~h.,~'""~'E..- l',i :i: lq ;[ l','ltJl,1 DISTF!NC:E BE'THEEN R HELL RN[> Rf'.,)~' ON-~SITE SEt,.IFIGE DISPOSRL S'¢S'f'E;H iS ZC~9 FEET FOR R PF'.ZVRTE HELL OF; ZEi¢ TO 2E~D FE:ET FROH Fl PUBL. ZE: HEL. L [:,EPENE)ZNG UF'ON THE 'T'gPE OF F'UBL. ZC HELL !','!IN!idLtH E:,ISTRNCE F'ROP'i i::i FmRi?'RTE t4EL. L TO R F'~:I',mCRTE SEI.,.IER LINE I:E; 25 FEET F~ND TO FI COi"iPIUNIT'¢ 5EHEF'. LZNE IS 75 FEET. OTHEE'. F'.E6)U:[RE:!"1ENTS t'1F4'~" RF'PL'-/. SF'ECZF'IC:RTiONS Rt"4E:, C:OF,!:~];TRLIm:::TION [:,ZR(3F?FIHS RF:E F:iVFIZL. FtBL. E TO ZNSURE F'ROPEF: ZNS'TRLLFFFZON. ! L-:EF:T Z FV ...... . __ _ J..: ! Rf,'t Fffli',l:[ L Z RF~: H.[ l H THE E:[(i;:)I..Ii [~:Ei',iEN'TS FOR OF,!-S I FOFJ:TH El'9 THE HI...IF,ilC::[F'F!L:[-F'.r' Cfi:' ff,t...I,...[ ,:;: T hiT[ !I'.,I'qTRL THE '- "-'~F'"I .......... :~.: m. ):f',! HL.L. LF.L. hF~L~: F.iITH THE CO[:,E!:. ~::_'[ !..INDERtSTF!ND THF!T --w~, ,~_ L,r,I-" -':_I,E- '=~l..,~:'m .... '='~=,~ [_~1":'" :'~' !','il-t~.'- ~:E~:]_ :(F'.E ENL. R[;:GEHENT IF' THE RES ): DENC:E ~":' ~?~'F r' ",F~ ~:[" 'TO I NCLUE:,E HORE THRN 4 F ED~'F'~' H': MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ,,~ SOILS LOG PERCOLATION TEST PERFORMED FOR: Kathy Claiborne LEGAL DESCRiPTioN: W. ~ Lot 30, Sec. 10, T 12 N, R 4 W DATE PERFORMED: COMMENTS SLOPE ,WASENCOUNTERED? GROUND WATER IF YES, AT WHAT DEPTH? BITE PLAN 220 o £~ ~, ~. I,~_V~/ · ~ 7/~4,/¢~..E Gross Net Depth to Net Reading Date Time Time Water Drop 5-- -~ ~'' %" 4" 7~o.5~' ~, TEST RUN BETWEEN CERTIFIED BY: DATE: M. t~mbe 7' 72-008 (6/79) MUNICIPALITY OF ANCHORAGE Department/~ Health and Environmenta]X~lrotection ~' 825 ~ Street, Anchorage, AK. v9501 ' "~' 264-4720 * * * HANDWRITTEN PERMIT * * * Permit # ~%f~3~ ~,~-ON-SITE SEWER PERMIT Location: ~/~' Phone Nu~er: Type of Soil ~sorption System Is: Trench: ~ Drainfield: Seepage Bed~ Holding Tank: Maxim~ N~ber of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minim~ depth of gravel between the outfall ~ipe and the bottom of the excavation(in feet). Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the n~ber of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Min~um distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minim~ distance from a private well to a private sewer line is 25 feet and to a co--unity sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days Of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 5g 1 9 8 3 * * * I certify that: (~) I ~ f~iliar with the requirements for on-site sewers and wells as set forth by the Municipality of ~chorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to SigneR: ~~ ~~/<_3~ ~Applicant include more~?~bedrooms. D at e: O/~9--/ / SWP/024(1/81) ,i M-W DRILLING, Inc. ~ P. 0. Box4-1224 · 1310£ International Airport Road (907) 274-461 ] ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Kathleen Claiborne Use of We]] Domestic Location (address of: Township, Range, Section, if known; or distance main road W~ Lot 30 Section 10 T12N R4W Seward Meridian Size of casing. 6" Depth of Hole 281.6 feet Casedto 27h feet Static water level 120 ft. ~.~ (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation None Well pumping test at 50 gallons per (h~) (minute) for 1 hours with 100°/~ of drawdown from static level. Date of completion July 21, 1)82 × ); WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 __TO 2 Casing stickap 2 __TO 3 3 TO 18 Sand 18 _TO 85 85 TO 10~ 103 TO 111 111 _TO 155 155 TO 168 168 TO 23O 230 TO 265 265 _TO 27/~ TO _TO .TO. TO. Organic material Sandy loose gravel Sand Silty sticky sand Silty 01~¥ Dared sand - no ~ravel Damp silty sand Silty clay Waterbearing gravel I -- CUSTOMER CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of ,/?./ /-] /- "' ?') ''~,' '"; ' ~'' public water system located . Alaska, submitted in accordance with 18 AAC 80.100 have been reviewed and are []. approved. .ID conditionally approve?<,(see attached conditions). DATE If construction nas not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract oraer no. Approved by Date or descriptive reference) tThhee;'u/~It~cP.ROVAL TO OPERATE" section musty compl~t, d b(/~fo~y water is made available to. APPROVAL TO OPERATE G ~ ~ ~~-/~~ ' ,~ water system was completed on {dato). The system is hereby ~rantod interim approual to operate for 90 days followin~ the cgmpletion date. BY TITLE DATE As-built plans submitted during the interim appr~)val period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operate. BY TITLE DATE