HomeMy WebLinkAboutEAGLES NEST S-10557SHORT PLAT
SUMMARY OF ACTION
MAY 22, 2000
S-10557 EaKle's Nest Subdivision, Block,2~ Lots 1C-1 and 1C-2
* amended 10-11-2000
Approv~ of ~e Plat subiect to:
1. Obtmlning approval of Public, Fir~ and' Planning for access to both
lots.
2. Resolving utility easements. ·
3. Resolving drainage and the need for drainage easement with Public
Works.
4. Ensuring each lot meets the lot width and size requirements o'f the
zoning district.
5. Providing soils and water availability infom'~ation to the DHHS to
sa .tisfv the requirements of AMC 15.65.~~_~ ..' .~
S-10592 Third Addition AOT, MOA ROW Acq/Uisition
Approved as submitted.
S-10594 Welch's Subdivision, Block 42A, Lot 12,
MOA ROW Acquisition
Approved as submitted.
JEST. Weaver,
Platting Authority
acc G:'~C P D~..~'t...olaP, P B S OAU:~l:~s~a200~- -'~-- -g-22 -00.d~·
~~~) ENGINEERING .
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
September 19, 2000
James Cross, PE
Program Manager, On-site Services Section
Municipality of Anchorage
Dept. of Health & Human Services
P.O. Box 196650
Anchorage, AK 99519-6650
RE: S-10557 EAGLE'S NEST S/D -- DHHS COMMENTS
Dear Jim:
We are submitting the remaining requested information for the above referenced
property for your review and approval on the proposed Lot lC-1.
Per your request and in accordance with AMC Section 15.65.180B.1, attached is
the wastewater disposal reserve area site plan. If you have any questions, please
contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
KND Engineering
Brent M. Western
Attachment:
Wastewater Reserve Area Site Plan
6/ELL
K D
& ~/ASTE~/ATER
EAGLE NEgT
Lot lB
DISPOSAL SYSTEM
g/IL LOT 1C-1, BLOCK 2
Lot 2
RESERVE
Lof lC-1
2.491 Acres
108,512 s.f.
R£$rRV~ AR~A
NOT£, (N ~C[]R~*~C~ VITH ANC SI:CTION 15.65.ISOB.I
AREA
LOT 2
P~OP~sstO~t'~' ~
PREPARED FOR:
HONTE GATES
79513 UPPER SKYLINE
EAGLE RIVER, AK
694-4406
FIELD BOOKS
.ou.o~ BOUNpARYI
ST~N~ STAKING
*S~..T: ASBUILT
^c^o n,r. 99097.DWG
.,A,,: VBG
cHcoo~. KMD
9/'19/00
NW355
99097
.Scc~te: 1'= 100'
PAGE 1 DF 1
~1]~ ENGINEERING
2044! PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
~v~.~v~:~:~.~:~:~:~:~:~:~;~:~X~?:~:~v~v~v~v~v~:~:~:i
6/ELL &
K D
6/ASTE6/ATER
EAGLE NEST
DISPOSAL SYSTEM
S/D, LOT 1C-1, BLOCK 8
Lot 2
Lot 1C-1
2.491 Acres
~ 108,512 s.f.
RESERVE
AREA
Lot lB
RESERVE AREA
Ol
LOT 2
NO PUIILIC VELLS VITHIN EOO'
PRDPI3SED SYSTEM.
ND PRIVATE VELLS VITHIN EO0'
PRDPDSED SYSTEM EXCEPT AS ~TED.
NO SEPTIC SYSTEMS VITHIN
PR~SED ~LL EXCEPT AS ~TED.
~e~ mu. ~ 0
NOTE, IN ACCI]RDANC~: VITH /kqC SECTION
J~o,~sstO~~ ~
PREPARED FOR:
NFINTE GATES
79513 UPPER SKYLINE
EAGLE RIVER, AK
694-4406
· FIELD BOOKS
BOUNDARY
STAKING
ASSUIL~ ASBUILT
DWG, ~
^c,o r,.¢: ggo97.DWG
COMPUTED:
C~ECX£~. KMD
Sco, ie: 1'= 100'
PAGE 1 OF 1
~~) ENGINEERING
;~0441 PTARMIGAN BLVD.
9/19/0 0
NW355
99097
EAGLE RIVER, AK 99577-8736
(907)696-61 ll//FAX (907)696-8111
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
September 14, 2000
James Cross, PE
Program Manager, On-site Services Section
Municipality of Anchorage
Dept. of Health & Human Services
P.O. Box 196650
Anchorage, AK 99519-6650
RE: S-10557 EAGLE'S NEST S/D -- DHHS COMMENTS
Dear Jim:
We are submitting the remaining requested information for the above referenced
property for your review and approval on the proposed Lot lC-1.
Attached are the soil log and the proposed wastewater disposal site plan with
requested topographic information. If you hav.e any questions, please contact me
at 696-6111/FAX 696-8111.
Respectfully submitt6d,
KND Engineering
Brent M. Western
Attachments:
Wastewater Site Plan
Soil Log
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Date:
To:
From:
Subject:
February 7, 2000
Zoning & Platting, CPD
James Cross, PE, Program Manager, On-Site Services Program
Request for Comments on Subdivisions
February 4, 2000
The Environmental Services Division, On-Site Services Program, has reviewed
the following cases and has these comments:
S-10555
Anchorage Evangelical Free Church Subdivision
No objections.
S-10556
Sky Harbor Estates, Lot 3A & 7A
No objections.
S-10557 Eagle's Nest Subdivision, Block 2, Lots lc-l, & lc-2.
Information to satisfy the requirements specified by AMC 21.15 and AMC 15.65
must be submitted for each lot of this proposed subdivision. This information
~.,must include, but may not necessarily be limited to:
(1. Soils testing, percolation testing and ground water monitoring must be
/'~'~' ~ conducted to confirm the suitability for development using an on-site
/\. ~ wastewater disposal system. Ground water monitoring must be conducted
! during high ground water season in either the fall (October) or spring
(April - May).
2. Areas designated for the original and replacement wastewater disposal
system sites must be identified and must meet all criteria specified in
~~'~)' ~. ,.~t,~)l-- AMC 15.65 including slope and slope setback requirements.
L,..,~r..x..opographical information must be submitted.
~,..4.f~upporting documentation on water availability must be provided.
S-10558 Willard Subdivision #2, Lot 3a with easement vacation
No objections.
S-10559
Tudor Centre Subdivision, Block 2, Lot 3A
No objections.
~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for:
Monte Gates
Date Performed:
Project:
Eagle Nest Block 2, Lot lC-1
TEST HOLE # 00-1
Depth
(Feet)
ORG - rootmat, black
ML-- red/brown sandy silt
w/'org
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? YES What depth? 10'
Depth to water after monitoring? 92' Date? 09/14/00
11.
12-
13-
14-
15-
16-
17-
18-
19-
20-
GW-~gray sandy gravel
w/cobbles to 1'
seeps
B .O.H.
HOLE PRESOAKED
PRIOR TO TEST
Reading Date Gross Net Depth to Net
Time Time Water Drop
1 9/11/00 11:00 - 9- .
2 11:05 5 rain 5 7/16" 3 9/16"
3 * 11:06 - 9- _
4 11:11 S rain $ 9/16" S 7/16"
5 * 11:12 - 9- .
6 11:17 5rain 512/16" 34/16"
7 * 11:18 - 9- _
8 .11.'~ 5 rain 5 14/16" 3 2/16"
9 * 11:24 - 9- .
i0 11:29 5rain 514/16" 32/16"
11 * 11:30 - 9- _
12 11:35 5 rain 5 14/16" 3 2/16"
· Water Added
Percolation Rate 1.60 (min/in) Perc Hole Diameter 6"
Test Run Between 3.5 feet and 4.5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
~/ELL
K D
& ~/ASTE~/ATER
EAGLE NEST
Lot lB
DISPOSAL SYSTEM DETAILS/SITE PLAN
S/D, LOT 1C-l, BLOCK 2
Lot 1C-1
2.491 Acres
108.512 s.f.
! ?
o
DETAIL L.
3 BDRM X 150 GPD = 450 GPD
450 GPD/I.P GPD PER SQ. FT. (1.6 MIN/IN.)= 375 SQ. FT
(375/5'(W)) X .78(RF) (1.5' GRAVEL) = 58.5 FT. TRENCH
USE I TRENCH - 59 (L) X 5' (W) X 1.5'(9)
Totmt depth oF system is 4.5' From originmt grade.
Toter depth oF graver betow distribution pipe is 1.5' .
NOTES:
1.
P.
3.
4.
LOT 2
USE 1000 GAL. SEPTIC TANK. INSULATE IF <4' DF COVER.
INSULATE TRENCH WITH 2' HD BURIAL FOAM.
CONTRACTOR WILL ENSURE MINIMUM EX SLOPE INTO SEPTIC TANK.
ADDITIONAL FILL WILL BE ADDED OVER SYSTEH TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
CONTRACTOR WILL ENSURE ALL SEPARATIONS TD ADJACENT
WELLS & SEPTICS.
PREPARED FOR:
MONTE GATES
79513 UPPER SKYLINE
EAGLE RIVER, AK
694-4406
FIELD BOOKS
BOUNDARY
STAKING
· S~U~LT: ASBUILT
O~ RI.E:
^c~ r.z: 99097.DWG
~"^~: VI~G
o~£cxr~: KMD
o^~: 9//14//00
~,o: NW355
~o~ No.: 99097
Sc~te: 1'= 100'
PAGE 1 DF E
]-~~) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
~;~::~:~;~;~:~:::~::~:::~:~:~:~v~v~?>?~?~}}~>~>~?
{907)696-61lit/FAX 1907)696-8111
K D
WASTEWATER DISPOSAL SYSTEM
EAGLE NEST S/D, LOT 1C-I, BLOCK 8
TH:lC
MT
C
00-0
ROPOSED PRIMARY FIEL
CO
rC a
PROPOSED
GAL S,T,
PR ]POSED RESERVE FI
,D
DETAILS
PROPOSED
5BDRM
HOUSE
1000
PREPARED FOR:
MONTE GATES
19513 UPPER SKYLINE
EAGLE RIVER, AK
694-4406
FIELD BOOKS
eOUND,m~. BOUNDARY I
ST*X,Nm STAKING
,sau..~r: ASBUILT
DW~ FILE:
,c~ r,.£: 99097.DWG
CiDMI:KJ ~D:
~£~: KMD
o^~: 9/14/00
cmo: NW355
99097
Sc(il, e: 1°= 80'
PAGE 8 DF 8
~1~ ENGINEERING
80441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
MUNICIPALITY OF ANCHORAGE
COMMUNITY PLANNING AND DEVELOPMENT
' ~P.O. B~x 196650
Anchorage, Alaska 99519-6650
PRELIMINARy PLAT APPLICATION
OFFICE USE ~*
,. ~ ':nEc;DBY: ....
Please fill in'the informatiOn requested below. Print one letter or number per block.
1. Vacation Code 2. Tax Identification No. 3. Street Address
Iol~.lol-~l~ltlllol I/1'~1¢1/1~1 I~lePlekl I~l~lYl~-I/l~/l~l I¢1~1/1~'1~
4. NEW abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34).
LOTS I ,q llv b 2.1
· I
5. EXISTING al~breviated legal description ('r12N R2W SEC 2 LOT .45 OR SHORT SUB BLK 3 LOTS 34) full legal on back page.
I~-I~l~l~-I~l'lsl I~1~1~1~1 I~l~lsl I~l'klzl I~lol~l'l/I-Icl I I I I I I I I I I I I I
IIIIIIIIIIII!1111111-111!!11!,111.111111 IIII1:1
6. Petitioner's Name (Last - First) 7. Petitioner's Representative
I~1~1~'1~1~1 I~101,1~1~1-.I I I I I~ It ll I~1~1~1 I~1'1~1' I~1~1~1~1~1'1~-I I I I1 I'1 I I;
I:~1'1 I I'1-1,1 I-I I1'11 I I:11 III I I I~1 I~ '
o~ ~j~ P;~- ' st.,. x~ c~ '~s~. p.v~- · ~,.,. ~
8. Petition Area Acreage
9. Proposed 10. Existing 11. Grid Number 12. Zone
Number Lots Number Lots ~
I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to'subdivide it in
conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee is
nonrefundable and is to cover the costs assoCiated with prOCessing this application, that it does not assure approval of the subdivision. I also
understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further
understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board, Planning Commission,
or the Assembly due to administrative reasons. ' ,
,~ignature . ~,
*Agents must provide written prOof 6f authorization.
C. i Please check or fill in the following:
i 1. Comprehensive Plan ~ Land Use Classification
' .~..' . ~ ';X" Residential
Commercial
Parks/Open Space
Transportation Related
M nlnl
Land
.var=m_ ~ ,~
CommerciaVIndustrial
Public Lands/Institutions
AlPine/Slope Affected
Industrial
Special Study'
~ 3. Environmental Factors ('~ any):-
1. Developable
Comprehensive Plan ~ Land Use Intensity, - Dwelling Units per Acre - ~,.Z/ -
"~ '~" " I ..... ~.'
.......... Alpine/Slope Afire:ted
~-. 2. Conservation
Avalanche ,4~/,~ '-
'Seisr~ic Zone (Ha;ding/Lawson),
Case Number
....... Case Number
Case Ndmber
Zoning Variance Case Number-'
Enforcement Action For . ·
. . : / I/
....... 3. -Preservation ................... ,--;. - - :.-: ....., .......
D. Please indicate below if any of {heSe event~ have occurred in th~ last five years on the Property.
Rezoning
........ Subdivision ........
i.~..,, .I C~)nditional Usd
'.' Building/Land Use Permit For.,
Army Corp of Engineers Permit
E. Legal description for advertising. = ....
F. Chectdist
· "'= 40 Copiesof Plat (Long Plat)
!
30 Copies of Plat (Short Plat)
Reduced Copy of Plat (8 ~.~ x 11) .,..: i :' ~ ' ·
Certificate to Plat; :" ....
Aerial Photo ~- .
Zoning Map
X Private Wells
Fee ...............
Drainage Plan
,-Topo MaP 4 Copies: ,:
i So~s Report 4 Copi~s ....
Pedestrian W,alkways.
Landscaping Requirements
............ Water;..
Sewer:.
Waiver
Public Utility
Public Utility
'Private Septic
community Well
Community Sys.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Date:
To:
From:
Subject:
February 7, 2000
Zoning & Platting, CPD
James Cross, PE, Program Manager, On-Site Services Program
Request for Comments on Subdivisions
February 4, 2000
The Environmental Services Division, On-Site Services Program, has reviewed
the following cases and has these comments:
S-10555
Anchorage Evangelical Free Church Subdivision
No objections.
S-10556
Sky Harbor Estates, Lot 3A & 7A
No objections.
S-10557 ~ Eagle's Nest Subdivision, Block 2, Lots lc-l, & lc-2.
Information to satisfy the requirements specified by AMC 21.15 and AMC 15.65
must be submitted for each lot of this proposed subdivision. This information
,~must include, but may not necessarily be limited to:
1. Soils testing, percolation testing and ground water monitoring must be
conducted to confirm the suitability for development using an on-site
Ground water monitoring must be conducted
wastewater
disposal
system.
during high ground water season in either the fall (October) or spring
(April-May). ' ' ' 1
2. Areas designated for the original and replacement wasrewarer aisposa
system sites must be identified and must meet all criteria specified in
\._. AMC 15.65 including slope and slope setback requirements.
3e'Tovom'avhical information must be submitted.
~l~'upporting documentation on water availability must be provided.
S-10558 Willard Subdivision #2, Lot 3a with easement vacation
No objections..
S-10559
Tudor Centre Subdivision, Block 2, Lot 3A
No objections.
05/24/00 12:01 FAX 907 343 '" Community Planning CROSS ~oo2,'oo2
, ECEIVI D
SHORT PLAT
SUMMARY OF ACTION
MAY 22, 2000
MAY 2 4 2000
Municipality of Anchorage
Dept. Health & Human 8ervice~
S-10557 Eagle's Nest Subdivision, Block 2, I~ts 1C-1 and 1C-2
Return for re-design to address lot width of Lot lC-1 (300 feet required),
minimum lot s/ze of 2.5 acres (per approval of Conditional Use Case
2000-022), and access approved by Public Works, DCPD and Fire Plan
Review for Lots 1C-1 and 1C-2.
S-10592 Third Addition AOT~ MOA ROW Acquisition
Approved as submitted.
S.10594 Welch's Subdivision, Block 42A, Lot
MOA ROW Acquisition
Approved as submitted.
,Jer~ T. Weaver, dr.
Platting Authority
ac=: G~CPD~on._P[=flpB SOA'~-°baoa2000~ 0 a5-22'00,0°¢
02/16/00 09:51 FAX 907 343 4220 Community Planning w CROSS ~002/006
Sh~rt l~at Summary of Action
February 14, 2000
Pag~ 2
3. Resolving the need for the following ~rith Bt~ilding Safety:
a. A final subdivision grading plan.
b. · ~ grading/~.xcavation/Edl permit.
e
c. Building permits for-any construction on the property..
Res,olv/ng the legal description wit~'the Municipal Surveyor, DPW
as existing Lot 3 is located in Sky Harbor. Estates and cxis6ng Lots
6 & 7 is located in Sky Harbor Estates Second Addition.
Carrying over Note i from Plat 85-8 that re~ds:
~rie down spaces in Trabt A shall be used exclusively by
members of Sky Harbor Property Owners Asiociation.=
e
Resolving ownership interest of Tract A and Tract B2, Sky Harbor
Estates Second Addition and ca_trying over and ~mending the
following notes from Plat 85-8 that currently read:
a. "Tract B2 is owned by Lots 6, 7 & 8.' {Note 3 per Plat 85-8.)
b. ~Tract A is owned by Lots 1, 2, :5, 4, 5, 6, 7 & 8.~ (Note 4 per
Plat 85-8.)
RJ~ for re-desi~ un~ ~c con~fio~ usc appli~on (Case 2000-
022) is hc~d ~ ~c Plmg ~d Zoning Co~ssion on M~ch 6,
2000. To be re-advc~scd ~ ~c nc~ sho~ ~lat cut-off date.
S- 105S8 Willard Subdivision No. 2, Lot 3A (with ~acation}
NOTE: No action was t~l~n on vacation of easement(s), as an
applicat, ion for vacation was not submitted and easements were not
shown on the plat.
Appro%al of the plat subject to:
1. Resolving utility casements,
REVISED
RE,Q~ FOR COMMENTS ON SUBDMSION$
DATE: January 18. 2000
The Municipality of Anchorage has received applications relaUng to platting activity for the
following cases:
Short Plats to be heard. February 14. 2000
Case No. Subdivision Name
S-10555 Anchorage Evangelical free church Subdivision. Lots 12a.13c & 14b
S-10556 Sky Harbor Estates, Lot 3a & 7a
S-10557 Eagle's Nest Subdivision. Block 2. Lots lc-1 ar lc-2 ?Jg,,C.-P
'S-10558 Wlllard Subdivision #2. Lot 3a with easement vacation
S-10559 'l~dor Centre Subdivision. Block 2. Lot 3a ~[ 0,
Attached are copies of the proposed plats. Please submit your comments in writing, specifying any
easements or other requirements that your department or agency may need.
If no easements are required at this time, please provide a list of those plats to which there is "no
comment'' or "no objection."
Please return blu~line print only if additional easements are required.
'Comments must reach our office by February 04. 2000 in order to be included in staff recommendations.
Jerry T. Weaver. Jr.
Platting Officer
Enclosures
l~wll~ & WA?Uq
SIrW~,~ & WATER
WCLL
~ FLC~V IEST
liT[ PLANS
' SOIL TeIT
pr~COLATION
TEST
BTIIIU~ A
c~q IIITE
WAI, TI WAT ER
SOILS LOG - PERCOLATION TEST I: .OBERTSHAFtI~.P.r.
........ OlVIL ENOINEE~o
SLOPE $1T£ PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? ___
~iflg? .. .
Grme Nmt Dtpth to Net
Fielding DIre Time Time Water Drop
PEfl¢OLATION RATE ~ (mmuleVInc~)
.TEST.UN BETWEEN i~ FTAND ~*~' FT
' cGq4MENTS:
RO3~RT ~. COW&N
1]'034 EA~LE NIVER LOOP, ~IT[ ~4, EAOLE NIVER
S 10 5 ~ 7 FEB ~ 4 ~0~'
Eagle§ Nest, B 2, Lot 1-C Prepared For:
ENGINEErinG
20441 PTARMIGAN BLVD. TOPO MAP Monte Gates
19513 Upper Skyline Dr.
EAGLE RIVER, AK 99577-8736
..... .... ,.,~ .~ ...... ~ :~, ~ ,?~ ,. ...... ~.:~,~ ,,~?, ::,.~_ Scale: NTS Grid: NW355 Eagle River, AK 99577
............................... ...... ~,.*~ ................... , tl Dmwnby: B~ Date: 01/00 (907) 6944406
(907)696-6111~AX (907)696-8111
$10557 FEB 1 42000
I1. Existing drainage is provided
through .surface infiltration,
overland flow and natural drainage
swales.
2. The proposed; re-plat will not
~D ENGINEE~G Eagleg Nest, B 2, Lot 1-C Prepared For:
20441 PTARMIGAN BLVD. DRAINAGE PLAN Monte Gates
19513 Upper Skyline Dr.
EAGLE RIVER, AK 99577-8736 Scale: NTS Grid: NW355 Eagle River, AK 99577
[1' _ .... -: ~n,~ Drawn by: BlVlW Date: 01/00 (907) 694-4406
(907)696:6111/FAX (907)696-8111
$~105 57 FEB ~ ,a 2~n~
~ND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-87;36
(907)696-6111/FAX (907)696-8111
June 13, 2000
James Cross, PE, Program Manager
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
RE: Approval Request S-10557 00-022 Eagle's Nest S/D, B2, Lots lC-1 and 1C-2
Dear Jim:
We respectfully request approval from the Department of. Health and Human
Services for the above referenced platting and conditional use cases.
The information to satisfy the requirements specified by AMC 21.15 and AMC 15.65
for the referenced property is attached. We do not expect there to be any adverse
effect on adjacent lots by the development of this property.
If you have any questions, please contact me at 696-6111/FAX 696-8111. Thank you
for your consideration of this request.
Respectfully submitted,
]t(txC] ~ Engineering
Brent M. Western
attachments: As stated
o
F
.v
oz
01---
Municipality of Anchorage Page I
DEPARTMENT OF HEALTH AND HUMAN SERVICES r
ENVIRONMENTAL: SERVICES DIVISION.
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Sile WasteWater DiSpOsal System and/or Well Inspeclion Report ..
Permit Number:, ._~t~ ~ "/O~,O"t PID Number: O ~o - ~ Gl - ~ O
Name: ~0~(~ ~h~ ' Waslewaler System: ~New D Upgrade
Address:
~oo ~U~u~T~ C,.c~ ~,-AIc ~'~ ABSORPTION FIELD
phone:
~-q~OG.' --IN°'°l~dr°°ms:. ~ Deep Trench ~ Shallow Trench DBed ~Mound ~Other
LEGAL DESCRIPTION so,.,,.0: O.~ ~"~. ~,.=~o,,~,,h,om~,~,.,,
Subdiv~lon: ~h ~ pl~ ~H~ fr~ or~l~l gr~e: Gravel depth ~neal~ pipe
~ ~ ~ O'- I.~~ ~.
WELL: ENs~d~ New D Upgrade o..~ wldlh: ~ '~ FL Numberlof lines: II~ta~tween~:~ FI.
Classlfic~o. IP, l--te. A.e.cl: Total ~plh: ~o: Total absorptlo~r~L ¢ Pipe materb,: /
rR~4~¢ ~ r~. SO. FL,~T~
Driller: ~ ~ Drlll~: Satlc Water Le~I:Fi. Installec ~ ~P ~, Date Installed:
J~~ Yield: ~GPMjl Pump ~t at: FLIJ ~si~ ~ighl A~ve Gr~d:FL TANK
SEPARATION DISTANCES ~s,p~ D.o~d~n~ '
TO Septic Ab~r~ll~ LI~ Ho~i~ ~l~rNa~e Manufacture~ ~pacity In ga~ons:
From Tank Field Station Tink ~we, L~s ~~E r~ ieee
Number of Compadments:
We~ Io01+ Ioo~ ~ ~ Z~{+ Material: ~EL
Sudace
Water Iool+ Iool~ ~ ~ ~ LIFT STATION
Line / O ¢ IO ¢ - ~
Remarks: C'uT,c~ P4¢P~'.~ ~ ~d~.~.~. BENCH MARK
L~allon ~nd Descrlptlon:
~um~vation: JO0.0
18?ections pedormed by: s & S [N¢INE[[I~6 l~ ...........
Department of Health and Human Se~ices approval . ,, ~-~ ...... ~'~
Reviewed and approved by: Date: "~~-
72-013 (~ev. G/95) MOA 2S
PERMIT NO.,SW970309
Hunic i~i[?{_~ Anchorooe
DEPARTMENT OF AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
.P.D. Box 196650 e_Anchor~ge, At~sN~ 99519-6650 · Teteohone, 343-4744
ON-SITE WASTEWATER UISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOT 1C, BLOCK 2, EAGLE~NEST SUBDIVISION P.I.D. NO. 050-761--10
ALT. SITE #2
WITH USE OF
A LIFT STATION
~i~~~_GAZEB0
.~/(No W^TCn rcx~o)
/ /
/
/ / //
I
·
THI2
NEW
· 1000 GAL
SEPTIC
TANK
ALT. SITE #1
WELL
.NEW 1000 GAL.
SEPTIC TANK
TRENCH
\
NO WA{i~R FOUND
?6.6 B.O.H
15~'ALLCO ;'CO
SCALE l' = 40'
A B
3TI 13.0' §.6'
5T2 12.6'" 11.,5'
DBLI 13.6' 14.§'
DBL2 {.4.0' 15.0'
~Ol 28.0' 36.0'
MTt 30.0' 37.0'
002 75.0' 74.0'
MT2 74.5' ?3,5'
PERFORMED FOR:~
'LEGAL DESCRIPTION:-j''~'T' lC ~J./~ ;2. E4~,-[,~'
Municipality ol Anchorage
DEPA.R,,T, ,M, ENT OF HEALTH & HUMAN SERVICES .
825 'L Street, Anchorage, Alaska 99502-0650
SOILS LOG'~ PERCOLATION TEST ~
/~J ~ '~ ~ ,~ h.~ DA'rE PERFORME~'~:t-~~
/,//-ST Township, Range, Section:
SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
T' {; ST- //~ C (..
11
12
13
14
15
17
19
20
WAS GROUND WATER ~ 0
S
IF YES. AT WHAT
DEPTH?
Depth to Walcr Altar
~onitofing? , ~ 7 Date:
Reading ~ate Time ~ime Water Drop
PERCOLATION RA~E [m~nute~mch) PERC HOLE DIAMETER
~ES~ RUN SE~WEEN
COMMEN~S
S & S ENGINEERING _ i~-~/~~~~~ CERTIFY 3'HAT THIS TEST WAS PERFORMED IN
PERFORMED BY; 'j7034 ~.agie ~<iver I. oop Road No. 204 ~/30 /ti ~ -
ACCORDANCE WiIE~g{e~er~I~M~:MS~I~DIYAL GUIDELINES IN EFFECT ON 'I'HIS DA'rE. DA3-E;
PERFORMED FOR:_
Municipality Gl Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, AlaSka 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
· LEGAL DESCRIPTION: i[,~'r I (~. /'~ ~.~ ;:L. (Af.~,~. ~va~Yl'ownship, Range, Section:
SLOPE
· SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
WAS GROUND WATER' ~ ~
ENCOUNTERED? Si
~ L
IF YES, AT WHAT O
DEPTH? P
Depth t~ Water Alter ¢1/~ ~/c) ~
· Monitoring? J)~ 'Y Date: _
Gross Net Depth to Net
Reading Date Time Time Water Drop
· -- 3 -
.~' a~ ~ o ~,~ ~-" I ~="
~ ~o ~ ~- ~ ~/~ " I '~ "
~: ~)- ,~ Y Y~" I '% "
~ · ~-~ = ~ ~ '/~ - ~ ,'
PERCOLATION RATE 'o~. O (m~nute$/inch) PERC HOLE DIAME'[ER
'[EST RUN BETWEEN '~ FT AND ,,C'. ~ FT
COMMENTS
S & S ENGINEERING
PERFORMED BY:. 1-l~4~rRj~~
ACCORDANCE W~j~L~'~'~II~j~''I~AL GUIDELINES IN EFFECT ON THIS DA'TE.
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMI~ENTS
Municipalily o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
WAS GROUND WATER
ENCOUNTERED?
SLOPE SITE PLAN
S
IF YES, ATWHAT ~ OL
DEPTH? , p
E
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~O (min,Jtes/inch) PERC HOLE DIAMETER ~_~ tl
TEST RUN BETWEEN ~* FT AND ~' FT
$ &' I=NGINEERING ,-'"~/' ~tc~/'/z '~ CERTIFY THAT ,THIS EST WAS PERFORMED IN
PERFORMED BY: "i "- - ' ' ,/
1034 Eagle River Loop Road No. 204 -
ACCORDANCE WI'~II~I-I~I~jI[~I~I~IJ~.~AL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72~8 (Rev. 4/85)
SEWER l WAIER
.. I.I, llJN EX I E I, IS IOl'lS
8EWER &WATER
IHSPECTIOfl
E NCJNEERING STUDIES
ANOREPORTS
W~LL IHSP£CTION
&FtOWIES[
SITE pLN4S
ROAD DESIGN
$O4LIESI
I~RCOLATION
IEST
STRUCTURAL
IJECIIAMC~L
C~SITE
WASIEWATER
DiSPOSALSYSTEM
DESIGN
IqODERT O. COWAN, P.E.
I'IC)B ERT R. 8tlAFE.fl, P.E.
WELL FLOW TEST DATA
CLIENT: ZD/t Ct-'[ k~,v~
LEGAL DESCRIPTION: ~ lC ~
WELL DEPTH: ~/ CASING DEPTIh
DATE DRILLING COMPLETED: ~O/q ~ DRILLER:
/
CIVIL EHG~EEt'~
(eOT) 604-207e
FAX (007) 604-1211
.,
DATE:'
' I
rMJSC. DATA: CASING tlEIGHT: I~-.n ''~ SANITARY SEAL:
WIRES IN CONDUIT: ,,eR GRADING O.K.:
3 BACTERIA AND NITRATE ~MPLES COLLECTED (date)::
TEST DATA:
' ' METER PuMPiNG DEPTH TO
CLOCK READING RATE WATER REMARKS
· .TIME (GALl (GPM) (FT} ...
[RESULTS: WELL CURRENTLY PRODUCES
GPM WITII A vaK,,,,ax~ DRAWDOWN
FLOW RATE NOT GUARANTEED-SUBSEQUENT VARIATIOIqS CAN OCCUR.
1503~ ~ORTII EAGLE [lIVER [OOP * SUITE 204 · EAGtE RIVER. AI~
IEN. TII NJTItOi~lT~t'
NTflOVN. S
SEWER&WATER
IJAJN EXTENS~OH~
6EWER & WATER
IIISPECTIO,'q
EN(~NEERHdG STUO~ES
ANO REPOflTel
I1'~ LL ItlSPECTION
&FLOWTES!
SOILTEST
PEItCOt~T~ON
TEST
STRUCTURAL&
· 14SPECTICN'49
OH SITE
W.A,S T E'NAT ER
DISPOSAL 6'~,T EM
ROBERT C. COWANo RE.
I'~)DERT A. StlAFER, RE.
CLIENT:
WELL LOCATION (legal): : I.-(Yi" t¢-
TEST DATE: :~/.~.-/C~ :::3/-
WELL DEPTH: -
CASING DEPTH:
WELL REcOvERY TEST DATA
TEST pROCEDURE;
1) Draw water down to pump.
2) Shut pump off 15-60 rain,
-record time
-record meter reading
3) Turn pump on. Drawdown.
4) Shut pump off. -record lime
-record meter reading
CIVIL ENG~'~EERS
(907) 694-2971)
FAX (00,7) 69,~-1211
TESTED BY;
WELL DRILLER: .~?,///,'~ ~
DATE DRILLED;
/
~.,ISC DATA:
Casing Ilelght: IZ..'' f'
Sanitary Seal?
Wires In Conduit?
Grading O.K.?
Pump Depth: u
Samples Taken?
Date:
Calculate gal.lmln, recovery.
·
TEST DATA: START TIME: ._[D_LZ.~__4' STATIC WATER LEVEL:
TRIAL II PuuP II T,~E II METER II G^L.~.~..
OFF ~:,~
2 o. G :~ _ ..~.. .
OFF ~: ~ ~
OFF ~'~
OFF ~:~ 5U~5 ·
4 ON ~:0~ ,~
OFF ~JO S~'J ..
OFF
' 8 O~ '
' OFF · '
,ESULTS; WELL CURRENTLy PRODUCES.' bi. ~p
FLOW RATE NOT GUARANTEED-SUBSEQUENT vARIATIOI
17034 NORTli EAGLE RIVER LOOP t SUITE 204 * EAGLE RIVER. ALASKA 99577
CE- 8801.
(.gerlifieh rilliu6
h¥
OOC Co.
SULLIVAN WATER WELLS
P.O. BOX $?02?2, CHUGIAK, ALASKA $056~' * TELEPHONE 688.27fi9
DATE. Started Ended _~ GALS, PER HR
PE~IT NUMBER
3~
KIND OF FORMATION:
F,om 0 Ft. ,o._,~_.--F,. ~--- ,q..~ ,~'J 6
~' 7"~ c,/-. ,J/~ F,om ~ F,. ,o~ F,.
From Ft. to _Ft.
From~Ft. to.~ Ft.
From~Fl.
FI. Io, FI
~Ft. to _____ Ft.
From Ft. lo FI.
Front yr. to, FI.
From ~.FI. In FI.
From~Ft. lo ,,Ft.
FI. to Ft.
_ Ft. to Ft.
From,
From FI. lo Ft.
From .FI. to__Ft.
From~Ft. to Ft.
From FI. lo ,.FI.
MISCL. INFOID, IATION:
From FI. to Ft.
From FI. to _ FI.
From~Ft. to Ft..
From FI. Io~FI.
From FI. to,. FI
01 TANAII~.. DRIVE · AHCHORAGE, ALASK. ~9502 · (907) 243-0740 ~
·
·
J~ 11, 2~0
Mon~ Gat~
19513 U~r S~e ~ve
~e myer, ~ 99577
~: Water well l~t~ at lot (lC bl~ 2) ~gle's Ne~ Su~on .
D~ ~. Gat~:
~er comple~g ~e hy~e o~mfion onyo~ well on Apffi 8, 1999, we mo~ to ~e site ~ t~
p~p g~ on ~y 3, 1~9. We ~ a t~ p~p ~d d~ ~e generator ~d ~g~ to p~p ~e
~e well m pnm~ for a to~ of 5.5 horn on ~e 3~ of~y. ~e t~ w~ ~tempt~ bd~y when ~e
pump s~d l~k~ ~d ~e ~e to ~e pump is not ~clud~ ~ ~e 5.5 ho~. ~e well ~d ~ ~
~fic rater l~el of 8.5 f~t ~d m pm~ at 9 g~lo~ ~r ~ute ~t~al!y ~d ~e'fi~l t~g m done
at 8 ~!!o~ ~r ~ute ~ ~e ~11 ~w do~ to ~e t~ prop w~ m set at 210'~ It ~ o~ op~on ~t
on ~e ~te ~e well m te~ ~ ~er, ~ng p~ ~e f~ mt~ ~m ~e ~, ~e well m mpable
ofpr~u~g 6 ~1!o~ ~r ~e for up to 4 houm ~r ~y. Plm~ b~ ~ ~d ~s m a ~o~ tes~
S~CE, ~C.
WATER SYSTEM SERVICES · DOMESTIC AND INDUSTRIAL PUMP SALES AND SERVICE
]}OX ~-:~$¢-J}; ST~Xl~ ]I~OU'fl~ /~ ~N'CIIIOIi~AGE, /-~.LASI~A {~)50~
· slx iNCH water WELL DRILLED AND CASED OUT TO THE dEPtH Of
Drilled at ThE rATE Of ~19.00 PEr'FOOT.
PrOPErtY OWNER /~o
LOCATION OF WELL SiTF
DRILLER.
WELL LOG:
......... Tc~,f..o,L.Cn.4;l'o nfl. ~)~JJJJJ~.: ~r122.r;-oo Bo C.J,.o.,~tt,, Zo4'. ~JJ~ So~aJ. o~. 1)hJJ~ Sa,i:. lite.. .
COST INCLUDES ALL LABOR AND MATERIAL FOR'COMPLETION OF SAID DRILLING.
WRITE CHECK PaYAbLE TO RAMPart DRILLING WORKS FOR THE SUM Of $°q;~9~°00
THANK YOU VERY MUCH.
DATE
BER~IE~CLAUS OF RAMPART DRILLING WORKS
n/~,v~ 26.t/~, 1979 _~..~
SERVICE CHARGEOF I~/=% PER MONTH WILL BE AS~;ESSED ON PAST DUE ACCOUNTS.
844,,?v~14.: ..... .,'-'... ...,~.
' "", ' ' "~-" · c;",V",-' ,' '; . -- .. ·
'~ ~'.- .; .~i., i'V'. '. " -~ ~ . . .
~:'WY'.- - '" ' , ' - . ' .'; ' · ·
':Si~ INCH WATER WEL~'DRILLED AND CASED: ' OUT" ~TO THE DEPTH OF ~5 ~ .
¢..-~ ;..',, ... ,~.~ .....
DRILLED AT THE RATE OF
PROPERTY, OWNER
· LOCA:FION OF WELL SITF.
D r I LLE r B~_-v~ C~,~-~.
WELL LOG..'
0---.--10~
~0---'.J49'B~. ~ .o~ .evck w. Lt.h wa~e~ ~.Zo~ of. o~ qoZ p~ ~ ~
49 ~
49---95' S~ ~. ~o~ o~ ~ ~ ~ ~ ~ 85 ~ 90 ~.
95--772' S~ ~. n ~ o~ 3 ~ ~ ~ 172 ~
785 .to 788'
To~vb' l~ p,~duc,f,~n. .ohow. o ct. q, Le,t.d o~ a~ .Lea~ 4 ,C~Plll ar.i, fAa po~,~l.~ o~ 5 ~fl'lll
o~ be~Vt.e~ wZ.~.A iz~e of. I~eAL. tOa/ce~ ,o~:L ~ ~~ ~ w~ 40 ~ o~ ~~.
3/4
':'i~ ,? ':?';;'"" .'
· . "~. ':';,"'-"
~:'i;~;e~',ts: :: .... , '.t .~.-', : '~;-,~2'1.~ ~ ~ ~'~ ..' -- ~'~ :. · .' ': ..... . · :.. ,..
· .:j:~2~.:..;. , · , . ,~,.,.-;~.: .. .. . . . .~.::.~,:. . .. '. · . .. ~ ¢ . . . · . .... ... . . .....
· .A:,~;ez::~]",," ..
;~.~,.~ ~:~%,,.,~ .'... v::~.~.e' :.' ..: :.. · ·: · . . . :: -:'~:v(::~;L.' .. ", ~;-?.. · ,.:-. ',' r." . .' ':'. ": ' .' ' .. ......~:::~.: .... · · .,- . :. '.. ~...'~:':.'
, ...... ~,?~., . ..~ . . ,A ...
~,%:,,~.fi'~.:~:. '.:,,:~,~'z:,;: r'... ..... .. ...V.,..~ .; .... . :~.:,;L;~']. '-:" · · . , .. '-.. ': ' :.:,t?,::' ..
;,~;¥~:~;t,:;~- . ...~ ?V.'.. ...:..".... .' · ......:~.'. · · · .... - .....
~c~ ;:,~':~o 7': ....
".Z'~;~?~."'
~.'*"s~¢.~c." · ' . .,~... ... ' ' '. ' : · ' · '
· ' e.~v.~'4h'.'t · ' -,~....,x[ ...... · , · · · · · , ..... ~..,,... . · .' ?....'..~ · ......,
:,V~:4~,,:..~..,.,.~:2;,~.~..'~:.,'.::.., ..'.... .... :.,:.:. ~......,. ~0~ o..~.~.~ ..,~,.~ ~o..~ .... ·
.
· ..,'"- "-:.., ,,.~':~"~,"ms '. ,..... :,~.,.... ~~~. ~ ,. .... .:.~..
I~.'~'D~T~ '~ ~" ' ' '~" . :'~..':' ' '" "':": ' '
~ "'~ ,t":'." ~VIC'E CHARGg O F 15%' P~R N ~ DUE ACCOUNTS.
,:.;.~::~ ~. ....,..,~. .. .........., ...:.,,,....
From_ -F~. lO__Ft.
MI$CL INFOILMATION:
L~GAL D~CRI~IO, ~o~ ~. DRAw [)OWN FT.
DATE- grafted ~ Ended _ , GAL~. PER tlr ~~
P~RMIT NUMBER
" - ~ kINDOF CASING
KIND OF FORMATION: ~ ,-.
From ~~l. to--Fl. From .... _ ri, m ......
~'°"'~"'~~~'o ~Z~~~a3 _~,,,o .... ,,,, --
....
FrOn~Fh t~Ft. From~D. ~o~ J't ....
.... From~Fl. to~[
SULLIVAN WATER WELLS
P. O. BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
DAZE-
PERMIT NUMBER
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR ] ~ 0
:IND OF CASING
c>~O0I
/7
KIND OF FORMATION:
From ~ Ft. to ~ Ft. ~ ~ ~ ~ ~~ From
From ~ Ft. to ~O Ft. ~~ ~~c~ From
From ~,O Ft. to~ .Ft. ~~c From
Fmm ~ 3 Ft. to--Ft. ~ ~ ~ ' From~
F~ Ft. to Ft. ~ ~ ~ From~
From~Ft. to ~ ~ ~ ~t: ' ' ~~ ~ ~O~ From
From~Ft. to Ft.
From Ft. to Ft
From Ft. to Ft
From Ft. to Ft.
Fromm. Ft. to Ft.
Fromm. Ft. to Ft..
From Ft. to Ft.
Fr~m Ft. to Ft.
From __
From
From
From
From
. From ~
From
From
Ft. to Ft.
Ft. to Ft.
Ft. to Ft.
~Ft. to Ft.,.
Ft. to Ft.
Ft. to Ft.
,Ft. tO__Ft.
.Ft. to__Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to · Ft
Ft. to Ft.
Ft. to Ft.
Ft. to__Ft.
,Ft. to , Ft.
;
,Ft. to ' Ft
MISCL. INFO .RMATION:
DRILLER'S NAME
IV1-W DRILLING, Inc.
P. O. Box 4-1728 * 2811 Dawson
A C 907-279-1741
ANCHORAGE, ALASKA 99509
Well Owner.
Location
DRILLING LOG
£rnest Befford
Use of Well Dom'
(address of: Township, Range, Section, if known; or distance main road.
L1, Blk~, Timber Ridge Subdiv Add No 1, N~i~, SE~, Sec 6
Ti~N, R1W, S.14.
Size of casing 6
Static water level
Screen (
Describe screen or perforation
Well bumping test at__5 gallons per (]~)
of drawdown from static level.
Date of completion 1~ Oct 75
Depth of Hole..~02 feet Cased to 119 feet
129 ft. (~K~,~) (below) land surface. Finish of well (check one)
); Perforated ( ).
(minUte) for · 1 hours with 100%
open end ( X );
WELL LOG
Depth in feet from
ground surface Give delails of formations penetrated, size of material, color and hardness
0 ,TO 1 Loose Gravel Fill
1 .TO ~.~
5 TO 7_5 . '
, 75TO
TO
ft.
_205
TO
, .TO
,TO
TO~~
TO
.TO.
.TO
120
_ TO 205
TO
. TO .~i)2
Surface
Sm ~ LG~r_~xel.~ silty_~nd m a_t r~
Gobble Gravel
Wen the re d ,_..._fJ a__c__tu_ r.e_~_Bm_d r o c k
gr_ey t_o_.gr~n_~iLt~n~_~_artly .e 1 tered. ~lj~h_~y ..
clayey. ..
___~-. d r.o_¢k L__ A/~_ sp o r a di c_fx~c_ture L~tLth_~m~dl__w~t .- r s.e ~_p ~.
~ayne E. WestberU
., I -- CUSTOMER
J
VJ-:W DRILLING, Inc.
.,. O. Box 4-1728 · 2811 Dawson
A C g0?-2?g-l?41
. ANCHORAGE, ALASKA 99509
DRILLING LOG
1
Itt - l
(,/°
I Yqo jo' ,.f~"
Well Owner
Location
(address of: To~p, R~ge, Section, ff ~own; or d~t~ce m~ road ._~ ~:
t,O I 'I- I,q.
Depth of Hole ~02 feet ., 'Cased to 119 feet'
,~.1. t~-~; /-.~.~H ~-"~7- .
ft. (Wo69e) (below) land surlaee. Finish o! well (check one)
?erforated ( ). . :
Size of casing 6
Static water level 129
Screen ( );
open end ( . ' );
Describe_ scre....__en ~oration
Well p~mping test'a(.~Z/) gallons per
· of drawdown ~o'm static level.
(minute) for 1 hours with 100~; ft.
WELL LOG
Date of completion
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0 ,TO 1 Loose Sr~tve]
~ZFT. CF HEAl.."-,
Smt~ll Or~vel~ rtl'~.:, r,~nd r:r.~ri~t
iJeathered, £rv-ctureO b~drocR
clvy'.y.
.TO
.TO
' .TO
TO
MICHAEL QUINN CONSTRUCTION
PHONE HO. : 907 6944956
Aug. 26 1998
by
DOC Co. d~a
5ULLIYAN W TER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE
10:30AM P~
OVVNER OF LAND./q~/C ,z~/q E 4. ~J,~J
ADDRESS /b ~'oX '7 '~_~ ~ /
LEGAL DESCRIPTION
PERMIT NUMBER~ Date of Issue ~-~ -
TAX INDENTIFICAT1ON NUMBER ~'~___~.~.
Is w~ll located at approved permit Iocalion?
BORE HOLE DATA
~ L-'INo
Method of Drilling: ~'~ary l:3 cable tool
Dei~th of well: ..~ O
,Casing Type ,.,T'3'~p.-_~_ Wall Thickness c~_~ inches
D]amc~er__~ ~' inches, depth . ~.~ feet
Liner Type;
Casing Stickup Above Ground: ,.~ feet
Static Water Level (from ground, level): ~ feet
· P.u.mping level: feet after hrs. pumping .... '.~gpm
ReCOver Rate: ~ gpm
Open End l~1~1~ Hole
feet Stopped
feet Stopped
C/~olume' C~ OD < (~J
feet, to ,-'""--'-
Brand Name
I~ No
3'0
feet
feet
feet
feet
Method of Testin. g: /~/~
Well Intake Opening Type:
I~ Screened; Start
!~.,. Perforations Start
Grout Type:
Depthi from
Pump Intake Depth:
Pump Size hp
Well Disinfected Upo.n.Completion? ~ees
Method of Disinfection':'- (~--/'/A
Comments:
SEP 2 1998
· Municipality of Anchorage .
I~.,nf_ I-IR~lfh ,q, Hllm?Jn RRrvinn.q
ATTENTION: It is the responsibility of th.e property owner to submit a copy of the well Icg to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.