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Home My WebLink AboutFOREST GROVE LT 1AForest Grove Lot 1 #014-081-28 ARCTIC PUMP & WELL INC. 'A Jim Sullivan, CPI I 1 PO Box 770197 SO Eagle River. AK 99577 (907)688-2510 (907)258-2510 apww1 gci.nct Pump Installation Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Legal Description:Forest Grove Property Owner Name & Address: William Creech Lot: IA 7020 Elmore Road Block: 4nrh 4K 0"07 Pump Installation Date: 7/15/2009 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: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Well permanently decommissioned by procedure15.55.060L.c. Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page I of G.,<a.HDI GRr4TER ANCHORAGE AREA BOROT=�H I HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING LOCATION SEPTIC TANK: DISTANCE FROM WELL / MATERIAL 5/ PC'f S `/^ LIQUID CAPACITYJ�GALLONS. INSIDE LENGTHr"' INSID(/ W SEEPAGE SYSTEM: SEEPAGE PIT: OF MFNTS LIQUID DEPTH - NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH , LENGTH , DEPTH LINING MATERIAL . DISTANCE FROM WELL . BUILDING FOUNDATION , NEAREST LOT LINE . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SO. FT. TILE DRAIN FIELD: �'j� � TOTAL LENGTH DISTANCE FROM WELL /` (�, FOUNDATION , NEAREST LOT LINE, OF LINES, NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA n� Z .50. FT. LENGTH OF EACH UNE- DEPTH: INE DEPTH: TOP OF TILE TO FINISH GRADE � DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL:/ DISTANCE FROM WATER TYPE T^ DEPTH, BUILDING FOUNDATION. SAMPLE ��%! , NEAREST NEARETLOT LINE EWER LINEAL_' TANKC /S� / , SYSTEMSEEPAGE//S11// //. CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: CSI z4v C " DATE _1�Iel:_ r GAAB-II1D-2 GREATECANCHORAGE AREA 0ROUGH CaseNo.327 IIEALTII DEPARTIIIENT ' 327 Eagle St. Anchorage, Alaska 99501 279.2511 o SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT f' e? 4'llPc f� MAILING ADDRESS X -Z' 952 S PHONE NO.227_-?A [[oP RESIDENCE ADDRESS a u� S`Af'P—LOCATION OF INSTALLATION 7000 �tac� X4277 ,ED, LEGAL DESCRIPTION LoT 40 S,t 4 T1.2w /13 GrJ APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PIT '� , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY /1 .3 4 dem FINANCEO,THROUGH ;�P l f TO BE INSTALLED BY 'Ire culr- ,f/on�F TEST RESULTS ANTICIPATED GATE OF COMPLETION z 4W -/3a 8 399 -sass' o-7a-9it4 BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS AS . SEPTIC TANI DISTANCES: Health Authority , PERMIT TO INSTALL A I certify that 1 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. DATE APPLICANTS SIGNATURE TMT AVC11uRACF1 I l L l F.461 it PNF. 6% 249 EAS- SISI AVENUE • P•O. BOX BOBS . ANCHORAGE. ALASKA 93503 • TELEPHONE 907.279.0483 • TELEX 09005419 April 7, 1976 Mr. Robert Creech 2221 N. Star Drive Anchorage, Alaska 99503 R & M No. 656215 RE: Test Hole and Soil Log Report for Sanitary System Lot 40 Forest Grove Subdivision SEk Section 4 T12N, R3W, S.M. Dear Mr. Creech: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of April 7, 1976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough, Department of Environmental Quality. A single test hole was put down within the Lot 40 area for the purpose of defining general subsurface soil conditions for the proposed Sanitary System. Excavation was accomplished with an auger type drilling rig and thes test hole was extended to a total depth of 14.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water encountered in the test hole at a depth of 5.0 feet. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, I- \R & tl CONSULTANTS, INC. James W. Rooney Vice President JWR/pe xc: Municipality of Anchorage NO SCALE 5.0 4:. D V T.R.1 ORGANICS SILT, SONE SAND UIL) SANDY GRAVEL TRACE SILT (Gil) SAND, TRACE SILT (SP) rel 5' 9E 11.0' 4.0' T. D. �D'NN; VRZ %/ F.B. Robert Creech Property �CKD: W..D I t-� mLog of Tast 11ole GRjD: DATF 4-13-76 t. ^ Anchorage, Alaska PROJ.NO. 656215 SCALE: 1" = 3' R&M CONSULTANTS.INC. D'.VG.No. A-01 °"AB"°I GPr.4TER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING _ENAME 11-Lzeln L71rcll ADDRESS ✓Lt7ig LOCATION nE26/l DESCRIPTION:471,n SejC SEPTIC TANK: -� NUMBER OF Z DISTANCE FROM WELL MATERIAL / [ CNUMBER IO LIQUID CAPACITY UD DGALLONS. INSIDE LENGTH INSIDE WI TH DEEPTH ID SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH , LENGTH , DEPTH LINING MATERIAL . DISTANCE FROM WELL , BUILDING FOUNDATION , NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SO. FT. TILE DRAIN FIELD: DISTANCE FROM WELL / s -o r .FOUNDATION- NEAREST LOT LINE, OFTLINESNGTH ffo � NUMBER OF LINESDISTANCE BETWEEN LINES -TRENCH WIDTH �� / IN. TOTAL EFFECTIVE ABSORPTION AREA > V SO. Fi. LENGTH OF EACH LINE 49C DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE V IN. ABOVE TILE WELL: LOT LINE DISTANCES: DEPTHS, BUILDING FOUNDATION. SAMPLE �NEAREST NEAREST SEPTIC SEEPAGE Z5 7 , / OTHER E SEWER LIN, TANK, SYSTEM- CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM y DATE GAAB-IID-2 ' GREATECANCHORAGE AREA ^OROUGH IIEALTII DEPAR:TNIENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case No.s 2-3 NAME OF APPLICANT 611411nL-' 1VC2I MAILING ADDRESS /Q�-G �5as PHONE O. 359 RESIDENCE ADDRESS ��i�/ a2/z LOCATION OF INSTALLATION 70(20 TLK 4122 l� LEGAL DESCRIPTION LOT 40 & e. 9 T/2 /V le3CU APPLICATION TO INSTALL: SEPTIC TANK ✓ SEE/PAGE PITy , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY S Ar1jr14 . r 170 FINANCED rr THROUGH c>V LIQ' TO BE INSTALLED BY3 \OC7 V111t W414fC' PER£6L�T1ON TEST RESULTS ANTICIPATED DATE OF COMPLETION ?w Ar- Alat7c-e, BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS AS DESCRIBED BE SEPTIC TANK SIZ DISTANCES: Health Authority , PERMIT TO INSTALL A SIZE OF UNIT TO BE SERVED TYPE SEEPAGE AREA DIAGRAM OF SYSTEM TYPE I 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. DATE APPLICANTS SIGNATURE n ro�' GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Performed For7J)r (ry �ti Legal DescripLaon: Lot Block S d This Form Reports a: Soils Lop, r Depth Feet Soil Characteristics The 61, cIf clag is a retneirenf av tc✓aln'p fuaf Cuhidj hes bee.#) eou+red writ) alc k •f,V.. 0 CASE d Date Performed 2.5- A F 19Zq n sf Was Ground Water Encountered?_ If Yes, At What Depth 6 Location Sketch IMMAINIK■■■E Gross Time Net Time Depth To H2O Net Drop ■■■■■■m MOM NU. 11EME ■o■ 15'0MM NIMN IINMMMMME lion ■■■ 11EMMM ME I 0 NNE = MMUFFEMMM Reading :'ete Gross Time Net Time Depth To H2O Net Drop erco ation Raze •1nu e Frcp,sed Installattion— Seepage Pit 1/ Drain Field Depth Of Inlet „n/tnnr,r,� De, th To bottom Of Pit Or Trench COMMENTS: YLo Ja_//. l 1/.. �» ..�l.. ✓_ +_. _1 i Test Performed By:_ Aprypn Data Certified By: Date: