HomeMy WebLinkAboutVANS BLK 5 LT 9A01z -2o2- 48
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MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Date completed ..... .7./..~../~..~.. ........................ ..K.~_.~/.~ ...... .~?...~....:. .........................
Depth of well ......... ~7.~ .........................................................................................
·
Size of casing ................... ~ ..................................... , ............................................
Distance to water ....... ~...~,.z..: ....................... , ..............................................
...at rate
Distance to water while pumping
of ...... ,...?,..2...0.. ......................... gallons per hour.
Formatzon
DELTA DRILLING COMPANY
SRA BOX 394 B
ANCHORAGE. ALASKA 99507
DEPT. OF ENVIRONMENTAL CONSERVATION
SOUTNCENTRAL REGIONAL OFF/CE
437 E Street
Second Floor
Anchorage, AK 99501
P.O. Box 1207
[] Soldotna, Alaska 99669
(907) 262-5210
P.O. Box 1064
[] Wasilla, Alaska 99687
(907) 376-5038
October 10, 1980
Charles Gregory
P.O. Box 1920
Anchorage, AK 99501
Subject: .Class C wells # 1 and # 2, Lot 9A and B, Block 5,
Vans Subdivision
Dear Mr. Gregory:
We have reviewed the "as-built" plot plans, well logs and
water analysis for the two subject public water systems.
These systems are approved for the features with which this
department is concerned.
We recommend however that you re-evaluate your pressure-cell
size requirement. A pressure cell (hydro numatic tank) is
usually considered adequate when the effective (useable)
volume is equal to 2 times the pump capacity, expressed in
gallons per minute, for systems where the pump capacity
exceeds the peak demand.
This department grants a waiver of 18 AAC 80.020 of the State
Drinking Water Regulations which requires a minimum sepa-
ration distance of 75 feet between a class C and a private
sewer line to 60 feet.
Enclosed with this letter you will find a certificate granting
approval to operate the water systems.
If you have any questions concerning our review of this
project, feel free to contact me.
Env±ronment&Z ~.ng±neer
enclosure
cc: DHEP
imc
STATE
of ALASKA
FROM:
Bob Gilfilian
Acting Regional
Region II
Supervisor
Tom Murrell '"-~?'~'~i
Environmental Enginee~~l~'
DATE:
EILE NO:
TELEPHONE NO:
SUBJECT:
October 10, 1980
274-2533
Class C Wells #1 and ~2
Lots (A and B, Block 5
Vans Subdivision
Charles Gregory, owner of two duplexes located on Lots
9A and B, Block 5 of Vans Subdivision, has requested that
this department grant a waiver of 18 AAC 80.020 of the
contaminate separation distance between potential sources
of contamination and public drinking water wells.
The project was constructed without prior departmental
plan review. Mr. Gregory was unaware of any requirements
for plan review prior to construction of his public water
systems. The Delta Drilling Company of Anchorage, who
drilled the wells, did not require Mr. Gregoy to show evi-
dence of any state or municipal approval.
In each project, a 4 inch ductile iron sewer service pipe
serving the owner's duplex is buried Within 60 feet of each
well. Each well log indicates that the producing aquifer
is located at or below the 80 foot level, and is capped by
several layers of clay and silt.
In my opinion, the risk of contamination from the ductile
iron service line is minimal. I recommend that we grant a
waiver of the private sewer line spacing requirement from
75 feet to 60 feet.
This does not relieve the owner or future owners from any
possible liability that could result from contamination of the
water system by sewerage lea]cage.
cc: Charles GregOry
cc: DHEP
CHEMICAL & GEOLOGICAL LABORATORIES I~F ALASKA, INC.
TELEPHONE (g07)-279-4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 S633 B Street
Drinking Water Analysis Report for Total ColifOrm Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
Water Syster~ Name
Phone No,
City State
Mo. Day Year
Zip Code
SAMPLE TYPE:
r- Routine
_- Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untrei~ted Water
SAMPLE
NO.
1
3
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows tins Water SAMPLE to be:
I~' Satisfactory
[] Unsatisfactory
--I Sample too long n transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
[:)ate -Received
Time Received
Analytical Method:
[] Fermentation Tube
~,~Membrane Filter
Lab Ref. No. Result* Analyst
":':.~ :'~)~:'~':! I I--I~i'
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev, 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
24 Hours
48 Hours
~onflr re&torY
24 Hours
~ , - DATE RECEIVED
INSPECTOR INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~ONMENTAL PEOTE~ION'
825 L Street - Anchorage, Alaska 99501
~ ENVIRONMENTAL SANITATION DIVISION OCT ~ 1980
Telephone 264-4720
REQUEST FOR APPROVAL OF I~DIVIDUAL WATER A~D SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing,
PROPER Y OWNER PHONE
PROPERTY R~[D~NT (If different from above) ~ PHONE
3'. LENDING INSTITUTION PHONE
MAILING ADDRESS
4. REALTOR/AGENT PHONE
MAILING ADDRESS
§, LEGAL DESCRIPTION
STREET LOCAI'ION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four
SINGLE
FAMILY
[] Two ~ Five
.[~/,. MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY
~ INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled
~ COMMUNITY since June 1975. For wells drilled, prior to that date, give well
[] PUBLIC UTI LITY deoth (attach log if available,)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE** 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 UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
EZ]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTI LITY
Connection Verified INSTALLER
[~]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
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
I[~'"~APP RO V E D FOR ,,~'~- BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED_ ~
DATE BY
72-O10 (Rev, 6/79)