HomeMy WebLinkAboutNOLAN LT 55CNolan
Lot 55C
#075-061 76
7!i, HEFTY DRILLING
;i:,"-';':,,.~:.;.:':':~i.' 3540 AKULa DRIVE
ANCHORAGE, ALASKA 99516
· i.~,; :. ' (907) 345-0593 :
STATE OF ALASKA':
, .: . ,.,
DEPARTMENT OF NATAL ~SO~CES
MINING, LAND, WATER It~ROLOGIC
City/Borough: Subdivision/USS: Block Lot Prllperty Owner Name & Address:/t~o ~'~ "/' ..l'
~:!. Meridian ~rownship l~ange Section .. xo ¼ of .N of . N'of.;'?:'"'-
:.: Lat: N .>. Long: W NAD: 27 OR 83 Elevation: ....
~i:BOmmOLEDATA:(rromgroundsurrace) Depth Drining method: ~ Air rotary, [] Cabletoo m
'e I /~ {i]] Ot~ .......... Diameter: inches Depth:V.:':'?,?;ft
Liner type: ........ '
""' "' We e open e: en en e e
~ Screened; Start: .................... ft, Stopped. ' 'i': .... :' · ft.
Grout type: ......... r, Volume.
Depth; from .......... fl, to ,- · ft ' '
· ·. Pump intake depth: ...... ft ' .'
Pump size .............. bp, Brand name: .-'
Was well disinfected upon co/npletion? .~Yes, FI No. -'
Method ofdisinfection: ~/O-,~ ~.hlz.4 ' ' '
...... Driller comments/disclaimers:. . .....
· comPany Name: HEFTY DRILLING'~--ff '. ..
."' '- City: ANCHORAGE State: ALASKA .Zip:.',' 995'1~
!!i: i Share la"~, requires that a copy orthis ~vell log be sent lo Ihe Stale of Alaska
!~, :. '..whhifi 45 days. Faxes are accentablc. (AK statutes 38.05.020, 38.05.035,
· . '41.08.020, 46.15.020 and AK regulations I I AAC 93. ! 40)~
::,'.:'ii 75': "'7' DEPARTMENT OF NATURAL RESOURCES
· - Mining, Land & Water llydrologic Survey
":~'i'..,":'i : 550 W 7th Ave., Suite 900A
· Anchorage, AK99501.3577
- - Telephone (907) 269-8639 nnd FAX (907) 562-1384
Within the City of Anchorage, it is required that a copy ofthe well log be
sent to the appropriate city office within 60 days and that another copy of
the well log be sent to,the ~ell/property owner within 30 days
PermitNumber: ,3 L.t) a~O..k.; ~a , ' ' '
Date oflssue: . / /~_/~e.,%U.~3-- ..
Parcel Identification Number: 0 ~% :~~ '7{a'.".:
Is well located at approved permit location? 121 Yes or [] No
Uay 3019 12: v5p
Marc Becrrriz
,�7aycr
Anchorage Well & Pump Ser
_072430742
bevelopment Services bepartment
BuildikQ Safety Division
'On -Site Water & U' os"`ewater Progl-ani
4700 Eitnor( Road
°.-'-� Sox 196050
Anchon_g?, AK 99507
_VIAW.. ,.�nr_ nrgl5T ite
(997)343-79o=
Pump Instailatioll Log
Well Drilling Permit Number: ,sw
Parcel Identifzcatiotn Num5, r; Qq 5 -OW — r7 o
Legal Descrapta(,n
N oio-r�
L 55"
L
PUMP Inlitallutfou �"��,— ,—
Date: �a;
Pump Intake DepthBelow TcP Of M" Q) Cain;: �6) feL.t
Fvmla Ataraaafatturar's I�;mme: T?-�e{ �i :•-<..�� i
CZ_ t
UMP Model. �
P�i
Pump Size
Phle s Adapter ]:Burial 13eptit; t 0 &et
Pitless Adapteir s lanufactuier's Name:----
�
Fatless Adapter IMStaller:
Well Disinfecte,3 uiposa Completion? 2 Yes Nn
Method ofDisin ecaion:
CorAments:"S
PUMP Installer Name -
Av� " ,
U"�U`F�k
Date of issue:
Prolaert)' ON ner Itiaame^4M Adm eress:
lex`
K i
P.1
::err/; �e, I V
Attention: ':'i:e parnr installer st_aiI pr(,vlde, a r ,J xp inacaiatioIll. o ff a t%.E Lv;;zin0 p�:n�s. a_t.l.a,t
on.m
MUNICIPALITY OF ANCHORA GE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Jun 23, 2003
Expiration Date: Jun 22, 2004
Permit Number: SW030214
Legal D e s cription :[~NpJ.~ ~ ~L-6t ~55'~-~i
Design Engineer: 0071 LANTECH
Owner Name: Thomas O'Malley & Teresa Mercurio
Owner Address: PO Box 598
Girdwood, AK 99587-
Parcel ID: 075-061-76
Site Address: Unknown
Lot Size: 9704 SQ. FT.
Total Bedrooms: 0 Permit Bedrooms: 0
This permit is for the construction of:
r-"l Disposal Field [] Septic Tank
Holding Tank [] Privy
r-~ 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
Received By-
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
................................... ,ON-SITE .SEWER/WELL P_EBMIT. ABPLICAT. ION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Permit Number SW
Mailing address (2)
Legal description (Lot, Block & Sub'd.)
Zip Code
Legal description (Section, Township & Range)
Lot Size q "~ O L,( Acre~
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only ["-] Well Only
Sewer and Well [""1 Water Storage
Sewer Upgrade D
THIS
PROPERTY CONTAINS:
Hot Tub D Jacuzzi []
Swimming Pool r-~ Water Softening Unit []
Therapy Pool D
I certify that the above information is correct. I fudher certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property ~,~,~r or authorized agent)
Receipt Number: '~_ '"'~ "~-"~ O ~/~
(Rev. 12]00)
Waiver Fees:
Date of Payment:
Receipt Number:
" \LOT 55'{I
.I
~DT I
440 V~IT BD, dI:~ lit.l,4:), d' lC)3
~J~'O4 C)J~ADr. Ji,i.A L'ICA I J ~2.1,
SUBDIVISION