HomeMy WebLinkAboutT15N R2W SEC 25 LT 25
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE E~EW
MAILING ADDRESS
LEGAL DESCRIPTION
I W~I00 / Absorption area PERMIT NO.
~ DISTANCE TO: ~ I /O ~ Dwelling/~ ~
~ ~ Manufacturer .I Ma~ No. of compartments
/O~O IFHOME~DE:
No. oflines / ~ ~ S~* inches
~ ~ ~ Top of tile to finish grade ~ r ~ ~aterial beneath tike / Total effective absorption area
Class r Depth Driller Dista,,ce to lot line
OTHER
I /
L
72-013 (Rev, 3/78)
· ~ ~,ll._lr-~ 'r g~- I F'~L_ I T"-P ,:.iF
DEPRRTMENT OF HERLTH ~ND ENVIRONMENTRL~.PROTECT~ON
PERMIT NO. < ~80~86 > ' 9 ~'~
HFFLI_.HN~ ~'8UL MRK~
LOCRTION HILLCREST DRIVE ~
l~lc,~z~O~l SQLIRRE FEET
LEGRL GOV L 25 SEC 25 T15N R2W LOT SIZE
_,oIL RB~ARBTION ~:,TEM IS: TRENCH ~J~t~oz-~
TVPE OF '=' -- . ~ '~ "' '
MR:gIMUM NLIMBER OF BEDROOMS = Z SOIL RATING (SQ FT/BR)= 210
]'HE REQUIRED SIZE OF THE SOIL RBSORPTION :,¥_TEM I_:
[~EF'TH= ':-~- L El'-.~-] T H= ?;:~- ~:.~ F~' FI '.,,' E l._ [:,EF'TH= 4
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFBCE OF THE
GROUND 8ND THE BOTTOM OF THE EXC~VRTION (IN FEET),
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTF~L.L PIPE
8ND THE BOTTOM OF THE EXC~VBTION (IN FEET).
~:::E[~.IJ I F~'E~:, SEP-F I C: TRf-,~g: S I ZEE=
PERMIT RPPLICRNT HRS THE RE:,PON_-,IE, ILIT~ TO INFORM THIS DEPRR. TME:NT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RD..RL. ENT TO THIS PROF'ERT"r' RND THE
NLIMBER OF RESIDENCES THRT THE WELL HILL SERVE.
MINIMUm4 DISTRNCE BETWEEN R WELL RND RN¥ ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR 8 PRIVRTE WELL,~ OR
150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T'-/PE OF PUBLIC WELL.
WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNEE) TO THE DEPBRTMENT WITHIN ~:0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MB'~ 8PPLY. SPECIFICBTIONS 8ND CONSTRUCTION DIBGRRMS FiRE
~VBIL~BLE TO INSURE PROPER INST~LLRTION.
I CERTIFV THRT
±: I FIM FFIMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B"/ THE MUNICIPRLIT'"r' OF FINCHORFIGE.
2: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE NITH THE CODES,
.-.'-:: I UNDERSTRND THRT THE ON-SITE SEWER SVSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE ~1ODELED TO INCLUDE MORE THRN 3: BEg'ROOMS.
,_
ISSUED BY .... DFITE___ "/~:
M-W DRILLING, INC.
DRILLING LOG
Well Owner
Paul W. "· ~
Use of Well
Location (address of: Township, Range, Section, if known; or distance main road
Lot 25 Sec 25 T15:~
Size of casing Depth of Hole
Static water level ft. (~
Screen ( ); Perforated (
160 feet Cased to 97.5 feet
(below) land surface. Finish of well (check one) open end ( %21
).
Describe screen or perforation N/A
Well pumping test at 3 gallons per ~
of drawdown from static level.
Date of completion 7/10/78
(minute) for t hours with 100%
WELL LOG
Depth in feet from
ground surface
Give details of formations penetrated, size of material, color amd hardness
~' TO
Z __TO 4
4 __TO 33
-, .~ -~ q
~'~ .TO '
.3~ TO $7
':' TO
;39 TO 94
9.'~ _TO 96
"~'~c TO.!01
~.,~.t TO.160
TO.
TO.
_____TO
TO.
__.~TO
Casing .stickup
Organ{cs
Gravelly hard 9an
.Sandy.. %lay
Silty gr'avel
:Damp~ ~rave~ '
Gravelly c~a¥
Sandy clay
i-;edrock, ~reen.~., water seeds_
Municipality Ol Anchorage
Oept. Health & Human Services
3--CONTRACTOR
-".' O.8- E GEOTL3HNICAL 8' DEVELO, MENT CO.
Box 90, Davis St,, Eagle River, Alaska 99577
694~2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 $0[L LOG 6~-22So
Soils 8- Foundations Land Developrneht
Performed for:
Legal Description=
Depth (feet)
Soil Charactertsttc~
6
11
12
16
Ground Water Encountered: Yes
No / If yes, what depth
Proposed Installation: Seepage Pit_._~Drein Field..._..._~
Comments:
Performed by: Oate:~-'- /~/~?~-~