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Home My WebLink AboutCAMPBELL HEIGHTS BLK 3 LT 19A-07Z: - ?5-° oc.,o Well Log · Location .. ~..1~..~..50g ~g{JpgS~ ~/~ . ~UNICIPALI~ OF AN~ORAGE Date completed ...... ~..f..! ~..~.~..J. ............. t~ .................................... m~...q~.me,k~.~. .... ~IRONMENTAL P2OTECTION Depth of well ........ ~ .................. .................................................. ~U[""9"~B87'" . 6,~. - Size of casing ........ . ...................................................... , ....... ~'~'~'i'~'['~'" aer ~' F~, ~o~_F~ - Distance to w l ................................... ~ ...... .~ ............ ~.., ............................. ~m' '~ ' ' Dis~ce ~o wa~er while p p g ........................................................ at rate o ................................................ g~llons ~er .hour. Formation J from j to ' I I I I I I I I I I Driller DELTA DRILLING COMPANY PERMIT NO. I ¢ I~RL I T~' OF ~r~CN~RRGE DEPARTMENT F 'HEALTH AND ENVIRONMENTAL~ eOTECTION 825 'L~ STREET, ANCHORAGE, AK. 99501 264-4720 lqELL PERMIT S10275 ) APPLICANT LOCATION LEGAL QUEST ENTERPRISES 8521 SOLAR DRIVE UNK LOT 198 BLK ] CAMPBELL HTS. LOT SIZE ~44-0746 8500 SQUARE FEET MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS ?,5 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DECEr'IBER ~:'1., '1 ~'c38'1 I CERTIFY THAT l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2; I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED:-~. QUEST ENTERPRISES V4. 0 O. 0 :I,,,IELL I~'ERP1 I T U:I:~T [Off Lg4K. . ; t~r.l~L t-or ~.'~ ~ ~ ~ HT~. LOT S[;~ ~"~'5'~ "5.GL.~ F~-'I .-' J~ MUNICIPALITY OF ANCHORAGE DMSIGN OF ~¢¢I){I~NL~L HEALTH DEPARTMENT OF HEALTH AND ~rXRQNMENTAL PRDTECTION 1. General Info, s~ation Application Date (a) Legal P~scription .(include lot, block, subdivision, section, township, rar~3e) Applicants Address (c) Applicant is (check one) Lending Institutic~ Bt.~e~' ~; Other ~ (explain); (d) fending Institution Address ~--~ ! Owner/builder Telephcne (e) Real Estate Co. & Agent Address Telephone 2. Type of Residence Single-Family _~ Number of Bedrou,s Multi-Family ~--~ Other .(describe) 3. $gater Supply Individual We 11 ..'~.. C~,~unity ~ Public ~-] Note: If u~,~.~nity well system, ~ust have written o~.firmation frcm the State Department of Enviror~ntal Ccnsarvation attesting to the legality and status. Is the well adequate fc~ the number of bedrcoms specified in this HAA~N),7 {~d{7~ 4. Sewage Disposal O~.site ~ Public ~ C~,,.,nity ~-~ Holdirg Tar~ ~ Is the ~stewater disposal system adequate f~ the r-,tuber of tedroo~s ,~7)~/N) [Page 1 of 2] 2-15-84 Engineering Firm Providing Inspectionsr Tests~ ~ata and Information certify that I have checked, verified, ~ confo~i,~d to ail MgA HAA Guidalims in effect ~n the date of this i~pection. (ENGIN~ SEAL) Sigced by ..6. D~EP Approval Appro~d for ~ bedroa,s Appro~d ,~,. msapproved ~ Terms of Conditior~l Approval The Municipality of An. chc~age Department of Health and Envirc~z~ntal Protection dces not Guarantee the continued satisfactory perfc~mance of the water supply a?~/c~ the was~water disposal system. This approval indicates that, as of the velidaticn date shcwn above, based on the data and information furnished by an engineer r~gistered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tio~ml fc= the rnmber of bedrocks and type of structure indicated. ({3{-155' SEAL) 7. Mail the HAA to the following address: 2-15-84 Ae MUNICIPALITY C~ ~ ~mO~T~ ~OT~ON H~ ~ ~ (~) ~11 ~ ~nt ~) t~ ~ S~ttc ~r ~1 ~' ~ ~t At ~' .' ~i~ ~i~t ~ ~ ~ ~nit~ ~al ~ Ca~i~ (Y ) ~a~i~ Dis~s ~ ~11~ 0 To ~st ~ ~ ~tion Field ~ ~t To ~st ~blic ~ Li~ ~/~O~ To ~est ~blic ~r C~~ +/~' Wa~= S~ ~st ~1~ ' 0 B. SEFrZc/No~Dn~ TA~ ~ l~te Installed _ _. Standpipes (Y/N) Pelxession over Tank (Y/N) Sim__. _ u--=- Ai~-ti~ht Caps (Y/N) Pmt~ r~t Pumpsd : l:~O. C~ Ccmpa~h,~nts Foundation Cleanout (Y/N) Pumpinc/~intenan~ Contract c~ File (Y/N) ; fc~ Holding Tank High-Wate~ Alarum (Y/N) Tem[x~a~y Holding Tank Permit (Y/N) Separation Distar~s f~cm Septic/Holding Tank: To Building Foundation To Disposal Field To St~e~, Pond, I~ke, (x Major DrainaGe ,~,, b/,~ [PaGe 1 of 2] 2-15-84 Soils ~atinG in A~tion Strata Date Instalied Width of Field Square Feet of Abs~ptio~. A~ea De~=ession ~ Field (Y/N) ~esults of Lest ~eguacy ~st Type of System Design, Length of Field P~pth of Field Gravel Bed Thick~ess Standpipes P~esent (Y/N) Date of r~t Adequacy T~st Separation Distanc~ f~cm Absorption Field: To Water-Supply Wall To Building F~undation Lot To Water Main/Service Line To P~operty Line To Existing c= Abandoned System ~n ; On Adjoining Lots To Cutbank(if ~esent) To St=e~/Leke/~ Majo= D~ainage Course TO D=iveway, Pa=king A=ea, ~ Vehicle sro=age D. LIFT STATION Date Installed ~/~ Size in Gallons 'Pump On" Level at High Water Alarm ievel at Tested for Electrical Codas(Y/N) Dim~neions Manhoie/A~ess "laa~p Off' Level at wnt Pumping Cycies du~ing Adequacy 7~st. ** Cheok Pe~mftted Bedroc~ Rating AGainst HAA ~quest certify that I have ~ecked, verified, c~ conformed to all MOA HAA Guid~li~s in effect on the date of this inspection. Signed ~/~/~J~ ~J~/ Date KB1/dS/s [Page 2 of 2] 2-15-84 ALASKA 61 VIROI mflqTAL CORTROL SE RuiC6S, IRC. Enclin¢~rinq [, ~nuironm~nlol Slu~ics June $~ 198~ Huulclpallty of Anchorase Department o/ Health and Environmental Protection 825 L Street A-choraEes Alaska 99501 Attention: Kelth Bandt Dear Hr. Sandt: On Hay 21~ 198~ Alaska Environmental Control Services conducted a well /low test at Lot 1gA, Block 3~ Campbell HeiEhts Subdivision. The vel1 £1ow /or the 74 minute test period was 4~g sallons /or an average £1ow rate of 6°?4 gallons per minute. Based upon our test data the well is adequate for a two bedroom house. Sincerely~ Alan Donner Civil Engineer Approved By: 1200 ~Jcst 33rci /~ucnut. Suile B ·/~nchoraqe. Alesb 99503.{907) 561-5040 D) IRECEIVED F' ~ "' D)" 'IRECEIVED INSPECTION APPOINTMENTS ~ ~ E~IRONMENTAL SANITATION DIVISION F~ Tele~e MAILING ADDREB MAILING AODRE~ I& TYPE OF I~EIIDENCE NUMEER OF BEDROOMS [] One [] Four ' [] ~ SINGLE FAMILY '~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six Other 7. WAT R SUFPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) SEWAGE DISIN)SAI. SYSTEM [] INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. g~ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010 (Rev. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~.~/SINGLE FAMILY [--I ONE I-'I/THREE i"-I FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMEER 2. WATER SUPPLY [] INDIVIDUAL . DEPTH OF WELL [] COMMUNITY DATE DRILLED I--'1 PUBLI~ UTILITY · Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMEER D )N oI~y,,uNJ~C/ON -SITE DATE INSTALLED ~,POI3 LIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank ' ' Size: / ' ~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK / TOTAL ABSORPT(O~I AREA MATERIAL ~APPROVED FOR '~"'~BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany cert[ficate) [] DISAPPROVED 72.010 (Rev. 6/'/9)