HomeMy WebLinkAboutTRANQUILLITY HEIGHTS BLK 1 LT 41
Department of Health and Human Services
825 'L' Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
Rick Mystrom http:lN~wv cl,ancho~age ak.us
Mayor
Permit Number: #SW 000098 Date of Issue: 5-11-00 ,, Parcel Identification _Number: 014-151-23 ~
Date SLurred: 5-17-00 Date Completed: 5-17-00 Is well Io~ated at approved permit location? [] Yes [] No
Legal Descrip~ Tranquility H,qhts Blk I lot 41
Property Owner Name & Address: .John & Renay Simmons
1757 Dimond Dr.
Borchole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
stick-up 0 2
Cobbly gravel 2 5
gravelly sandy silt w/ h2o 5 12
gravelly silt 12 61
silty water sand & gravel 61 65
silt 65 66
gravelly silt 68 71
silty water sand & gravel 71 79
water sand & gravel 79 81
RECEIVED
JU /26 2000
Municlpalily et Anchorage
Dept. Health & Human Services
Method of Drilling [] air rotary I--I cable tool
Casing type: steel
Wall Thickness: ,025 inches
Diameter: _6 inches Depth: 8/feet
Liner Type:
Diameter: __ inches Depth:
Casing stickup above ground: _2 feet
feet
Static water level (from ground level): 33 feet
Pumping level: 81 feet aflcr
_2 hours pumping 40+ gpm
Recovery Rate: 40+ gpm
Method of Testlng: airlift
Well Intake Opening Type:
[] Open End [] Open tlole
[] Screened Start ~ feet Stopped
[] Perforations Start ~ feet Stopped
feet
Grout Type: Bentonite # 8 'Volume: I bg
Dcpth: Start _0 feet Stopped_+ feet
Pump: Intake Depth feet
Pump size hp Brand Name __
Well Disinfected Upon Completion? [] Yes [] No
Method ofDislnfection: Cledne Tablets
Comments:
Well Driller:
Alpine D~#1ing & Enterprises
P 0 Box 110496
Anchorage AK 99511
Attention: Thc well driller shall provide a well log to the property owner within 30 days ofcompletion and the property
.!
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: May 11, 2000
Expiration Date: May 11, 2001
Pen'nit Number: SW000098
Legal Description: TRANQUILLITY HEIGHTS BLK I LT 41
Design Engineer:. 0000 None Required
Owner Name: John & Renay Simmons
OwnerAddress: 1757 Dimond Dr.
Anchorage, AK 99507-
Parcel ID: 014-151-23
Site Address: 003540 72ND AVE E
Lot Size: 8470 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Pdvy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either:. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
~4
EAST 72nd AVENUE
N90'O0'O0*[
24. J'
£~istlng
To Be Moved 4~1~.'
F.F. 102.0+
Shed
Locotion
To Be Moved
10' Utility Easement
Nsg'sg'27"W
Boundory L~a
Other Boundory Lines
Buildings
........... £osements
NOTES
1. Dote of Survey:. Apr. 29, 2000
2. Ref. Field Book: 00-01 Pge.03.
5. Ref. Plats: 69-237.
4. [levotions ore approximate.
SURVEYOR'S CERTIFICATE
I hereby certify that I am properly
registered and licensed to practice
land euevey~ng in the State of Alaska
April 29, 2000.
~ ~... ..~-~
: ~;.' ~ "..:~%
~ ALLEN MINISH
Record of Survey
Lot 41, Block t
Tronqu;llity Heights
Anchoroqe~ Atosko
NHN Lost 72nd Avenue
ADM Land Surveys
P,O.Box 190768, Anchorage, Alaska 99519
(907) 243--4789
Minish
1"-20'
00003 1 :: I
4/29/00
dohn Simmons 00003