HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 2 LT 7BI-iTS
DALLY DRILLING LOG
PENN JERSEY DRILLING CO.
2833 E~st 7end Avenue
Anchorage, Ahska 99S0~
Mike Whedbec
OWNER OF LAND ........
3~46 E. 67th. Ave. Anch. Al. 99507
ADDRESS ..........................................................
w£tJ~-srrF- ............ ~.~,~,l~].L_$.ub .....................................
DATE--STARTED ............... . .3. ~..1...6..U. -7...7- ..................................
3-16-77
DATE---END£O ...............................................................................................
DEPTH OF W~LL ................ ,?.3.:. .......................................
STATIC LEVEL OF WATER FT ............. ~..~.:. .................................
DRAW DOWN FT .......................................................................
20 GFH
OALS. PER HR. ...................................................................................
KINn OF CASINO ................... .6..-_i.n..ch._.~:~.!.~.!.~.~! .........................................
KIND OF FORMATION:
' IIELL
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MISCL. INFORMATION:
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DRILLEWS NAM E.....I,?,r.r~: _i...'f J~...~.~_ka~:h.1 a ............................................
' /"~JNICIPALITY OF ANCHORAGE
DEPARTMENT ~ HEALTH AND ENVIRONMENTAL .'ROTECTION
· 825 L Street, Anchorage. Alaska 99501
" I 264-4720
~_.- Date Received: September 30, 1977
~1: Time 9:30 am ~2: Time %3: Time
Date 10-5-77 Wednesday Date Date
Insp Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: State of Alaska Veteran's Administration
Mailing Address: 907 West Northern Lights'Blvd. Phone:
e
Property Owner:
Mailing Address:
3. Legal Description:
Kenneth Whedbee
3445 East 67th Avenue 99502
Phone: 349-2167
Lot ~ Block 2 Camplbell Heights Subdivision
4:
Se
Single Family Residencef (x)
Multiple'Family Residence: ( )
Number of Bedrooms: Two
Number of Bedrooms:
Well System:
Permit #
Construction
Individual Well (x) Community/Public System ( )
Depth of Well Well Log on File
Bacterial Analysis
( )
Se
Sewage Disposal System:
Permit %
Septic Tank Size
Absorption Area
On-site System ( ) Public Utility
Installed Installer
Manufacturer
Soils Rate Material
(x)
e
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest ~ot line Absorption Area
to Nearest Lot Line
®
qUNICIPALITY OF ANCHORAGE ° .........
Department of Health and Environmental Proteqt~on.".~.~ ~,' ''
825 L Street, Anchorage, Alaska 99501 .....
264-4720
· - .....
uest for Approval of Individual Sewer and Water Facilities
Property Owner: /~/(~0 iq Q ~q ]9]
Mailing Address: ~q~ ~_ ~,
Name of Buyer: /~,.~,v ~, S_~r~ ~
Mailing Address:
Phone:
Phone:
Lending Institution:
Mailing Address:
Phone:
®
Realtor/Agent:
Mailing Address:
Legal Description:
Street Location:
Phone:
Single Family Residence:
Multiple Family Residence:
Number of Bedrooms:
Number of Bedrooms:
Water Supply: *Individual Well
If Individual Well, well depth
If Community System, name of system
Sewage Disposal System: On-site System
If On-site System, date of installation:
Public/Community System ( )
( ) Public System
*NOTE: A well log is required on ALL wells drilled since 6/75.
'3/77
Page Two
~ - Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 7B Block 2 Campbell Heights Subdivision
Comments:
Affadavit Attached: ( )
Approved: '
Disapproved:
Letter Attached: ( )
Date:
Date:
Department Worksheet: