The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 7 LT 68 by SULLIVAN WELLS P.O, BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION PERMIT NUMBER..~O .';~5 Date of Issue ¢? TAX INDENTIFICATION NUMBER_~,.~]~- /~1 - /7 Is well located at approved permit location? (~-.Y6s I~ No Method of Drilling: ~I'F rotary [~1 cable tool Depth of well: ~-/0 ~ Casing Type ~Wall Thickness ~ ,-~5'-~ inches Diameter __. ~j~// inches, depth~.~ Et I feet Liner Type: .. Casing Stickup Above Ground: c~3 feet Sta[ic Water Level (from ground level): '70 feet Pumping level', feet affe[ hrs. pumping gpm Recover Rate: /O ..gpm Method of Testing: ~1 Well intake Opening Type: I~1 Open End [~ Open Hole [~1 Screened; Start ~;~'~oration~ Start Grout Type: ¢~% Depth: from__ Pump Intake Depth: Pump Size. feet Stopped feet , _feet Stopped ,~¢'~ ._.feet Volume _ feet, to ~ feet feet Brand Name Well Disinfected Upon Completion? ~;~'Yea {~ No Method of Disinfection'. ~'~/'¢4-wq. BORE HOLE DATA DEPTH RECEIVED ,_ Dept, Health & Htmman Services Driller's Name __./~'~ '~""¢'J""'"'~ ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority, Municipality of Anchorage: Department of Health & Human Services and/or Depadment of Environmental Conservation. MatSu Borough: Depadment of Environmental Conservation. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Sep 20, 1999 Expiration Date: Sep 19, 2000 Permit Number: SW990343 Legal Description: T15N R1W SEC 7 LT 68 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Mary Kay Tomczak Owner Address: 19926 Tenada Ave. Chugiak, AK 99567-5858 Parcel ID: 051-161-17 Site Address: 019926 TENADA AVE Lot Size: 161608 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing, 5. The following special provisions. The existing well shall be decommissioned as per AMC 15.55 Date: Date: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consultiug Engineers September 20, 1999 Municipality of Anchorage Department of Health & Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Donna Mears REFERENCE: Emergency Well Permit Request: T15N; R1W; Sec 7; SE 1/4 of Lot 68 Dear Ms. Mears: Request you issue an emergency well permit on the referenced property. The well has collapsed and is unoperative. Attached is a site plan showing the proposed location for a new well. There does not appear to be any adverse impacts associated with our proposed well relocation. The old well will be properly abandoned in accordance with MOA well ordinance requirements If you have any ques~ ns, please call me a 337-6179. Thank you for your assistance. Since ., M.S. Presj)fledt (~ JAG/gd RECEIVED SEP 17 1999 NOTE: HOUSE, WELL, AND SEPTIC LOCATIONS ARE APPROXIMATE. LOCATIONS DRAWN BY FIELD MEASURMENTS AND M,O.A, RECORDS, / / ~ Lo'r STA, XNIKWO00 S/O / / ~ / / / -? TENADA AVENUE ............ /- - 4- ..... / / _ / / / ~ ~ / / / E×,ST~NG SEPTIC SYSTEM EXI~NG / / / / / / ~ ~ .o~ / / / / / / / / ~ w~,~ / / / / / / X / N~ WELL / / / / / / I / / I / / / I/ / / SY~EM / / ~ ,o~ .~, ~ ~/~ /I / / ~oo, II~ / / x I I I ( ~AS~ WATER ~ WASTEWATER CONS~T~TS, ~C. PHONE: (907) 337-6179/F~: (907) LOT 68, SE 1/4 OF SECTION 7, T15N, R~W ..... SITE PLAN FOR PROPOSED WELL LOCATION PREPPED FOR: PHONE NUUBER: TOMEZAK (907) 688-2395 UARY KAY O~WN ~ PAGE; ~Am9/20/99 BY: SCALE: U~ ~[P~o~.. J.L.M. 1 = 100' 1 OF 2 'A%~ ~ ~ ARE APPROXIMATE, LOCATIONS DRAWN BY FIELD I ~ ~, MEASURMENTS AND M.O.A, RECORDS. EXISTING / ~ .-----'/~--~ ~ SEPTIC // ~. ~ / '---. / , ~ ./~ E~ST~G_ ~ ~ ~PROPOSED ~ 0 00~ / / ~ 3~E~ ~ ,/ WATER LINE / ~ ~OgS6 ~ F LOCATION ~PROPOSED / ~ M~ WELL ORDINANACE~ ~ / N~ WELL /- % f , o~u~ LOCATION I % / ~AS~ WA~R ~ WAS~WA~R CONS~T~S, ~C. 6901 DE~RR ROAD, SUITE 2B, ANOHO~GE, AK. 99504 ~,.. DESIGN OF PROPOSED WELL LOCATION PREPARED FOR: PHONE NUMBER: 688-2395 TOMEZAK (907) MARY KAY ?~ ~ ...,..~ "~.~. .. ...... '¢~ DAT~:9/20/99 D~WN BY: SCALE: PAGE: J.L,M, 1 = 40' 2 OF 2 ~GREA1F_R ANCHORAGE AREA BORb,~GH Anchorage, Alaska 99503 INSPECTION REPORT ON-.SITE SEWAGE DISPOS~,L SYSTE/W SEPTIC TANK: DISTANCE / FROM WELL ~'=c/) '~ MANUFACTURER INSIDE WIDTH INSIDE LENGTH MATERIAL __ i~ _ COMPARTMENTS LIQUID DEPTH. LIQUID CAPACITY // 0-~ GALLONS. SEEPAGE P,T: , · ! ~ /~-~ . . NUMBER OF PITS ~L. DIAMETER__ OR WIDTH LINING MATERIAL {L~/~~ C'~I~SIZE: DIAMETER BUILDING FOUNDATION~, NEAREST LOT LINE ADDITIONAL ABSORPTION LENGTH/< DEPTH TANCE F/~ OM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT, WELL: TYPE · * CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED __ NEAREST SEWER LINE DEPTH /'~ DISTANCE FROM: SEPTIC -~-E) SEEPAGE / TANK , SYSTEM /]/'~¢~ REMARKS DISTANCES: PIPE MATERIAL: LOT SLOPE: Form No, EQ-031 DIAGRAM OF ~YSTEM ~ .'7~/~'/,~:~ / DATE /~,'/'~ ,¢,~__ APPRO,, G.A.A.I L GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT "EGALDESOR'PT'ON INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE PlT~'~ - DRAIN FIELD , OTHER NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINA~L INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SiZE TYPE SEEPAGE AREA SIZE .. DRAIN FIELD DRAIN FIELD · SEEPAGE PIT ALSO CONSIDER Area WELLS. , SEEPAGE PIT , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRiB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FittED WITH AIRTIGHT REMOVABLE CAPS. TYPE ] CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBed SYSTEM(.~_. IS IN ACCORDANCE WITH SAID CODE.~-~L~[~! - ~? ~'~"~'~ Performed For Leoal "O.e test ~s ~or/;~ m ~.,d ~p~o~s" ~O2204 Cleveland Anchorage, Alaska 99503 ~ T~Z~ Date Performed ~escrintion: Lot~lock Subdtvisinn~C ~ This Korm Renorts Soils nenth Feet Soil Characteristics t 6-- iOM 16-- 18 Percolation Test Was Ground Water Encountered? I¢ Yes, At what Denth? I Readinq Date Gross Time Net Time Depth to H20 Net Dron F -- Percolation Rate Hinute Prnnosed Installation: Seenaoe Pit Drain Field Deoth of Inlet Denth To Bottom Of Pit Or T~ench Test Perforrned By //,~6'/.,~u~ Date:-- ~/,~,~_