HomeMy WebLinkAboutELMORE #2 BLK 11 LT 4
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING, LAND & WATER
Alaska Hydrologic Survey
WATER WELL LOG Revised 08/18/2016
Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______
City/Borough Subdivision Block Lot Property Owner Name & Address
Well location: Latitude Longitude
Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4
BOREHOLE DATA: (from ground surface)
Suggest T.M. Hanna’s hydrogeologic classification system*
https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD
Depth
From To
Drilling method: Air rotary, Cable tool, Other
Well use: Public supply, Domestic, Reinjection, Hydrofracking
Commercial, Observation/Monitoring, Test/Exploratory, Cooling,
Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage,
Heating, Geothermal Exploration, Other
Fluids used:
Depth of hole: __________ ft Casing stickup: ___________ft
Casing type: __________ Casing thickness: _________ inches
Casing diameter: _________ inches Casing depth: __________ ft
Liner type: _________ Depth: _____ ft Diameter: _____inches
Note:
Well intake opening type: Open end, Open hole, Other
Screen type: _________, Screen mesh size: ____________
Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No
Perforation description: Perf from: ________ ft, Perf
to: _______ft, Perf from: ________ ft, Perf to: ________ ft
Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft
Note:
Static water (from top of casing): _______ ft on____/____/_____ Artesian well
Pumping level & yield: ______ feet after _____ hours at _____ gpm
Method of testing:__________________________________________
Development method:______________ Duration: ____________
Recovery rate: _________ gpm
Grout type: _________________ Volume __________________
Depth: From ___________________ft, To ___________________ft
Final pump intake depth: __________ ft Model: _______________
Pump size: _____________ hp Brand name: __________________
Include description or sketch of well location (include road names,
buildings, etc.):
Was well disinfected upon completion? Yes No
Method of disinfection:
Was water quality tested? Yes No
Water quality parameters tested:
Well driller name: ..................................................................................
Company name: ...................................................................................
Mailing address: ....................................................................................
City: __________________________ State: AK Zip: ___________
Phone number: (________) ________- ______
Driller’s signature:
Date: ______/______/_________
Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require
that a copy of this well log be submitted to the Development Services Department/City
within 30 days of well completion.
City Permit Number: _____________________________
Date of Issue: _____/____/_________
Parcel Identification Number: ______-_______-________
*Guide for Using the Hydrogeologic Classification System for Logging
Water Well Boreholes by Thomas M. Hanna NGWA Press
AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a
copy of the well log be submitted to the Department of Natural
Resources within 45 days of well completion. Well logs may
be submitted using the online well log reporting system
available at:
https://dnr.alaska.gov/welts/
OR email electronic well logs to
dnr.water.reports@alaska.gov
North
SE34012NS
3027
003W
120
n
NW
n
LARRY PETRASKA ,
DELTA DRILLING
SW
1977
B11ELMORE 2
n
L04
SW
30
n
6
n
Municipality of Anchorage
~,~:~, GRE^I'ER ANCHORAGE AREA BORb'UGH
Department of Environmental Qualiw
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SE,.~/VAGE DISPOSAL SYSTEM
.AME ~rr? Z. ~ ~'S,C.~ MA,L,NG ADORESS ./'.0. ~'o ,,~ q-I ?lOP.O.E ~ z -~1
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH INSIDE WIDTH
DISTANCE FROM WELL
NUMBER OF LINES
.. NUMBER OF
MANUFACTURERt~--/~/,~O;~.MATER AL _ COMPARTMENTS
LIQUID DEPTH
ABSORPTION AREA
.'~'/DEPTH OF FILTER
DEPT":TOPOFT,LETOP,N,SNGRAOE ~'~-- 'MATER,ALBENEATHT,LE Cf,N.
FOUNOAT,ON ~dO / NE^REST LOT L,NE /~' / TOTAL LENGTH
OF L,NES ~'~
/ ~,s,~.~ ~.~...~s ~/~ ..~.c. ~,~4,.. ~o~ ~.,v~
ABOVE TILE ~ IN,
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE , TANK-. SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES: "~
INSTALLED BY:
PIPE MATERIAL: (~"'~
LOT SLOPE: ~
REMARKS:
Form LQ-032
?
PeRrq T
MUN Z C .~J~ R I_ X T~-' OF' FIl'-.ii::~-i,13 AFl f3E
DEPARTt~ENT : HEALTH Arid ENVIRONMENTAL ,~ROTECTION
~S >L' STREET, Ai'.ICHORAGE, A~.~.
WELL AI"4D OI'-I--S T TE SEWER PEAr-1 I T
( ?7248 )
RPPLICRtIT'
LOCATIOti
LEGAL
TF_PPY L PFTP~I~'F~
L4 Bll ELMORE SUBD
P 0 BOX 4-i910
LOT SIZE
8~000 SQUARE FEET
TYPE Of SOIL RBSORBTION SYSTE~I IS: TRENCH
MAXIMUM NUMBER 0~ BEDRO0~IS = ~ SOIL RATING (SO FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL RBSORPTIOri SYFITE~I IS:
DEPTH= 7. 5 LEt~GTH= ~2 GRA~ZEL DEPTH= 4
THE LEtIGTH DINENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BET~IEEN THE SURFACE OF THE
GROUND RtlD THE BOTTOM OF THE EXCAVATIOt'I (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE t'IINI~IUH DEPTH OF GRAVEL BET~IEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCRVRTIO~I (IN FEET).
RE~U I RED SEPT I ¢ tAt-~K S I ZE= l~c_~O GRLLONS
TI--lO ( 2 ::' I I'-ISPECT I OI'-,IS RRE REQU I RED
BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION BND APPROVRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
NININUM DISTANCE BET~EEN A WELL Arid ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL.
~3ELL LOGS ARE REQUIRED AND ~IUST BE RETURtIED TO THE DEPRRTNEHT WITHIN 30 DAYS
OF THE WELL COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
I NSTRLLFlT I ON.
PERM I T ~/RL I D FOR O/~E YERR FF:Or~ Issue
I CERTIFY THAT
4: I A~l FAr,IILIRR WITH THE REQUIREMENTS FOR ON-SITE SE~IERS AND ~IELLS RS SET
FORTH BY THE MUNICIPALITY OF Rt~CHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRt.~CE WITH THE CODES.
~: I Ut.~DERSTRND THAT THE ON-SITE SEWER SYSTEM I,IRY REQOIRE ENLRRGE~IEHT IF THE
RESIDENCE IS REMO~r~CLUDE ~IORE THRt.~ ~ BEDROOt,5.
£)~VIkDi~.. _.~.AL P~OTLCI;CN
May 13~ 1977
{.:lAY 1 1 7/
RE£EIVED
Municipality of Anchorage
Department of Health and Environmental Protection
Pouch 6-650
Anchorage, Alaska 99502
R&M No. 562114
Attention: Mr. Dill Dixon
Re: Sanitary Sewer System Soils Report for Terry Petruska,
Lot 4, Block 11, Elmore Subdivision
Gentlemen:
On May 3, 1977 Terry Petruska contacted us regarding an inconsistency in
the above noted soil report. The edited and drafted test hole log
indicated a ground water table at 16 feet below grade while the attached
letter noted that no ground water was encountered.
Per our phone conversation on May 3, 1977, I am attaching a copy of the
original field log which verifies that ground water was encountered at
16 feet while drilling.
I believe this should clear up the matter to your satisfaction. We
apologize for any inconvenience this may have caused you or Mr. Petruska.
Very truly yours,
CONSULTANTS, INC.
Senior Geologist
GAS/bb
o' (' lag OF TEST BORING. (
,' . . ~.~.r/o
· Date Begun RaM Hole No. l
CONSULTANTS I
Date Completed INC. Sheet I of
Rig NO. ~,~.t ~'~ A~CHORAGE ~FA~BANKS~U~AU Total Depth
Project No. 5~-I ~ ~ ALASKA
Location Ground Water Table
Weather ~ ~ ~,~ Date
Sampling D~SCRIPTION ~cation Nates & Diagram:
= ~ estimated particle size,
~ ~ ~] ~ c ~ ~ depths clrculat,on lo,,,
~ ~ ~ '~ ~ ~ N ~ ~ ~ note~ on drilling ease.
~ ~ -- ~ : -- Vegetation:
0
2
4
Ii
'8
0
CONSULTANTS, INC.
September 10, 1975
No. 562114
Mr. Terry Petruska
3055 Lois Drive
Anchorage, Alaska
RE: Test Mole and Soil Log Report for Sanitary System
Lot 4, Block 11, Elmore Subdivision
Dear Mr. Petruska:
We are submitting herewith the test boring results and our comments regard-
ing soil conditions encountered at the subject site. This investigation
was performed in accordance with your request of September 4, 1975, and
those procedures outlined in a letter dated July 15, 1975, by Mr. Roll Strick-
land of the Greater Anchorage Area Borough Department of Environmental
Quality.
A single test hole was put d~wn within the Lot 4 area for the purpose of
defining general subsurface soil conditions for the proposed sanitary sys-
tem. Excavation was accomplished with an auger type drilling rig and the
test hole was extended to a total depth of.q~ _~. ground surface.
The final log prepared for the test hole has been i~cluded in Drawing A-01.
G~round water was n~ encountered in the test hole.
We appreciate being given this opportunity to be of service to you. Should
you have any questions with regard to the above, please do not hesitate to
contact us.
Very truly yours,
R & M CONSULTANTS, INC.
Vice President
xc~ GAAB
TtI-1
9-9-75
ORGANICS
0.0'
1.0'
SANDY GRAVEL TRACE SILT (CW)
7.5'
SILTY SANDS w/TRACE GRAVEL
'16.0'
16.0' WD Y
SANDY GRAVEL TRACE SILT (OW)
20.0' T.D.
Log represents area of
test boring, Lot 4, Block
Elmore Subdivision
Consultants Inc.
9-10-75 Isc~L~ 1"-3'
ALASKA ,~UNEAU
Terry Petruska Property
Log of Test Hole
Anchorage, Alaska
[c.~o m' 14T_.D [~ou. NO..562114 Iowa
A-O1
MUNICIPALITY OF ANCHORAGE ,.,
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone264-4?20,'.'
1. PROPERTY OWNER
; CERTIFICATE OF INSPECTION
SEWER AND WATER FACILITIES
2. LEGAL DESCRIPTION
3. TYPE DWELLING
[~ SINGLE FAMILY RESIDENCE
r'-i MULTIPLE FAMILY RESIDENCE
OTHER (Describe)
4. WATER SUPPLY
~ INDIVIDUAL
r--I COMMUNITY/PUBLIC
E. SEWAGE DISPOSAL
INDIVIDUAk/ON-SITE
r-1 PUBLIC UTILITY
I-I HOLDING TANK {Maintenance Required)
~,,,APPROVED FOR ~) BEDROOMS
r~ CONDITIONAL APPROVAL (See Attached)
r-1 DISAPPROVED
72-014 (3/78)
SEAL ...