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HomeMy WebLinkAboutVANS BLK 5 LT 9A01z -2o2- 48 LoT 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)