HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 4 LT 11A
" Well Log
~ C. .4_ ~ ~¢r~r~f~ · ' '-
· 'or ......................... .~. ............................ 1-. ....... ~. ..................... ; .....................................
Location ~/"//'~¢ ~ ~7/ ~'~ ~'¢~¢¢//~¢~ '
Date completed ........ !.~.:.!~.:..~/. ...............................................
Depth of well ......... .7..: ................... ............................. : ....... ....................................
· /'1/ ...
Size of casing ........... .~ ...........................................................................................
Distance to water.... ...... :,.~...~....".....: ............. :.::..: ........ : ............ :.;.: ...........................
Distance to water while pumping ........... :...b.C. ................... ~ ............... at rate
o£ ................................................ gallons per. ;hour.
Formation
from i to
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MUNICIPALITY OF ANCHORAGE
[4%IVI~';;IL':;J;;A. I ,0 £':;,C ,1
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RECEIVED
Driller
DELTA DRILLING COMPANY
~..,'~ ' Date Date
Inspector Inspector Inspector
Comments Conditional Approval
( } ~Dis%,?rov?d I
Date Sewer Installed Permit No. Septic Tank Size
Holding Tank Size
Soils Rating Wetl To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Suyer
Address
Lending Institution .,¢~/~ ~,/~¢ ~¢~_~ Ct('f (. ~ & Phone
Address
Street L~atlon
Typ~f Residence
~ Single Family
~ Multiple Family No. of Bedr~ms
~ Other
Wate~upply
~lndlvidual A~ACH WELL LOG. A wetl log Is r~ulr~ for all wells drlll~ since June
~ ~mmunlty 1975. For wells drilled prior to that date, give well depth (attach log
~ Public Utility available.)
Sewage Dis~sal
~ Individual Year Individual InstallS:
Public Utility When ~nnected to Public Utltity:
~ Holding Tank
NOT~ THE INSPECTION FEE MUST ACCOMPANY ~CH REQUEST BEFORE PReCEdING CAN BE INITIATED.
February 18, 1982
C&E Enterprises ,
P.O. Box 10-911
Anchorage, AK 99511
SubJect~ Lot 11 A, Block 4, Campbell Heights
To Whom It May Concern,
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed=
~%e depression or pit around the well casing needs to be
filled with impervious type soil so that it slopes away
from the well casing.
· The water analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
Please notify this department for a reinspection when the
noted discrepancies have been corrected. If there are any
further Questions, please call this office at 264-4720.
Sincerely,
Robert C. Pratt
Associate Environmental Specialist