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Home My WebLink AboutTIMBERLANE PARK #1 BLK 1 LT 11Onsite File 4. � r :M.., �C L' N Municipality of Anchorage '',•. Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page f of Www.cl.anchorageak.us (907)343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO40166 PID Number. 019-142-14 Nim,. Don & Georgia Rogers Wastewater System: ❑ New 0 Upgrade Mwm: 921 Old Klatt Rd ABSORPTION FIELD Ph": 349-9104 rwncr of e.moa•e: 3 DDMp Trar/r 015 a Tr [38W ❑MOWN ❑oew. Sod NWnQ ToW DFpei km OrWWr greet: LEGAL DESCRIPTION 1.2 GFDFtr N 2.75 / S 2.73 F , B1opk Lot Sues elM: Timbedane Park #1 Dope, x, P" edan han ay. Vim: m Cdepth b.M pipe: 0.5 1 11 Fr, N 0.5/ s fl. iownlp: n.q.: wear F..OMO Wow W9" Vim: N 0.271 S 0.83 Ft, Cr LMvm: N 38.0 / S 38.0 Ft. Well: El New E3 Upgrade or.w.Nm: 5.0 wrorarw: 2 Deurce tNl...nMw: 10 Ft, FL CW e. A B. Cy Tar 0"M: Cn.d b: Tar W.erpw F : 360 Pq M.urrw: I ASTM D3034 n Ja Tc Ft, FL Ft' Drat DFW Drew: SUW Wrer Lents: lri . Denali Exc. DOW YrYled: June 30, 2004 FL . ° Fumps«W TANK DFM F L SEPARATION DISTANCES E]Sep6c 13 Holding ❑S.T.E.P. ❑Other. To From Septic Tank Absorption Field Lift Station Holding i Tank OutAcYPrIvate Sewer Line CGU" Anchorage Tank ty' 1000 DW M.4rW: Mnbraca.wc+.nd: w.r 135 140 NA NA 100+ steel 2 suff"Wrer 100+ 100+ NA NA LIFT STATION K1WM: Lot L" 35 10 NA NA NA vWnp ori rw ec n•W.,p ec npn..ur r.rm ec Fandetm 20 60 NA NA h �. Puny MYe a Modal EMce.al eOPc purm^N ey. cW«nDw NA NA NA NA atr� Old tank abandoned in place. Old drainfield tied BENCH MARK in to diverter valve. Louuon ad Daaap,a^: top of north end of east retaining M awn: wall on north side of house. FL 100.00 Engineer's Stamp c�,...o.F..... 4 qS by: Cindy W. Ellis Dates: 1r6/29/0449TH .Inspections `.9nd performed 6/30/04Developm (k._e nt Services Department Approval_'.�_w ClW. Ellis Reviewed and approved by: Date: 10577 ; ��ESSlt7t.IPL � . Permit No. SW040166 Page 2 of 3 DATE: 8/3/04 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 11, BLOCK 1, TIMBERLANE PARK #1 SUBDIVISION PID No.: 019-142-14 20' UTILITY MARK PROPERTY LINE B C STI VI 26.0 22.2 ST2 -- O — 26.7 DCO -- 24.0 oa DV -- MT3 CO3 C05 60.0 31.6 -- col 05 OLD DRAINnELD -- 0O2 MT4 \ \ m W RETAINED �� FLOW SPLQTER (FS)I \ \ MTI M2E � / SUMP7/ 65.2 NOT TO \SURFACE n \ \ > 0O3 85.4 88.4 -- TH/2 THIS LOT SERVED BY / -- TH 1 \\ O1 \ \ A.W.W.U. WATER \ I MT4 I \ -- \ I 101.0 I \ \ \ 1 \ \ C05 /\\�-_�// / CD2 1,000 14LON STEEL DV SEPTIC TANK OLDS TIC TANK �� rP / EXISTING WELL ABANDONED IN PLACE 100 RADIUS �' ST 2 B \ /STI - - - - - - - EXISTING FCO \ / i i C i HOUSE i i / BLOCK 1, LOT 11 TIMBERLANE PARK /1 S/D MARK A B C STI -- 26.0 22.2 ST2 -- 24.5 26.7 DCO -- 24.0 29.8 DV -- 25.7 33.8 C05 60.0 31.6 -- col 67.8 73.7 -- 0O2 64.0 88.2 -- MT1 67.0 75.7 -- MT2 65.2 89.7 -- 0O3 85.4 88.4 -- 004 81.8 100.1 -- MT3 86.4 90.0 -- MT4 82.0 99.8 -- SUMP 101.0 64.0 77.0 ASBUILT SCALE: 1"=30' C04 - MT2 49TH' *I �,: CinZ W. Ellis"' - llis '- Permit No. SW040166 Page 3 of 3 DATE: 8/3/04 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 11, BLOCK 1, TIMBERLANE PARK #1 SUBDIVISION PID No.: 019-142-14 SECTION 1 Cal MTI IITI-� CO2 FABRICSEPTIC FILTER AND NOTE: INSULATIONORIGINAL CRADE 1 1 TEST HOLE RELATIVE ko SEWER ROCK 'Y�9.G• M1R°fTF� :r TRENC GRADESOUTH CO3 MT3 MT4 •• 1 1 OT FNE9 , Z �� .:, ra . _. r .:ST i5 HOLE RELATIVEi 92.70' 38.0' NORTH TRENCH N.T.S. MUNICIPALITY OF ANCHORAGE �I Development Services Department l V On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO40166 Legal Description "Timberlarie Park #1 Block -1 Lot 11 ' Design Engineer: 0844 Watkins Engineering, Inc Owner Name: Don Rogers Owner Address: 921 Old Klatt Rd Anchorage, A 99515 - Date Issued: Jun 02, 2004 Expiration Date: Jun 02, 2005 Parcel ID: 019-142-14 Site Address: 921 Old Klatt Rd Lot Size: 48351 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of., Q Disposal Field ❑D Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 2. All 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 DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: �� — Issued By /1 R Date: L,44 \ Municipality of Anchorage 40 Development Services Department �<< Building Safety Division ' On -Site Water and Wastewater Program ..... 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 019-142-14 Permit Number SW Property owner(s) Don & Georgia Rogers Day phone 349-9104 Mailing address (1) 921 Old Klatt Rd Mailing address (2) Anchorage, AK Zip Code 99515 Legal description (Lot, Block & Sub'd.) Timbedane Park, Addition #1, Blk 1, Lot 11 Legal description (Section, Township & Range) Lot Size 48,351 Acres/Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade El THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. it/ (Signature of p�perty owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: e / 0 q Date of Payment: Receipt Number. Receipt Number. (Rev. 12/00) S s Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net May 25, 2004 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Timberlane Park, Addition #1, Block 1, Lot 11 Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation for upgrading the septic system for the referenced 3 bedroom house. The existing septic system was installed in 1983 and has failed. The tank has collapsed and the drainfield is surcharged. It is proposed to install anew 1000 gal. septic tank and 2 shallow trenches 38 ft long each. The proposed design is based upon a test hole dug on May 14, 2004. Two test holes were dug, with TH#1 containing an impermeable layer of silt at 7 ft from surface. Water was encountered at the top of the impermeable layer. Test hole #2 was dug to a total depth of 13.5 ft and had a small seep of water at 6.5 ft. This water was not evident after 7 days of groundwater monitoring, while test hole #1 had water at 8.75 ft. Percolation tests were run in both test holes, in the sand and gravel layer. Both had rates of less than 1 minute per inch, with soil quality sufficient to preclude use of a sand filter. The soil logs are attached. Proposed Soil Absorption System: 3 Bedrooms x 150 GPDBR = Application rate: 450 GPD / 1.2 gpd/ftp _ System Type: Maximum Depth: Effective Depth: Length Required = Proposed Length: 450 GPD 1.2 gpd/ft' 375 sq. ft required shallow trench (5 -wide) 2.75 ft 0.5 ft 375sq.ft/5ft = 75ft 2x38ft Sewer Upgrade Permit Application forTlmberlane Park 81, Blk 1, Lot 11 Watkins Engineering, Inc.; May 25, 2004; page 2 The current septic tank will be abandoned in place, and the existing drainfield will be retained for future use, with a diverter valve installed. There are no surface waters or private wells within 100 ft of the proposed septic system. am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851 or 360-3389 (cell). Yours truly, Cindy YEllis, P.E. DESIGN CRITERIA: MOUND OVER 3 BDRM X 150 = 450 GPD (TH/I) o GRADE APPLICATION RATE: 1.2 GPD/SQ. FT. -0.5 FILTER FABRIC 450/1.2 = 375 SQ. FT. REQURIED -2.25 ML AND INSULATION REDUCTION FACTOR: 1.0 —2 25' 4'10 PIPE 5.0' WIDE TRENCH SW/OW —2.75' SEWER ROCK 375/5 = 75.0' REQUIRED -6 $ WATER- TRENCH: 2.75 DEEP \ 5.0' 0.5' EFFECTIVE ML `DRY AFTER 7 DAYS, 5.0' WIDE -13.5 MONITORING (2) 38' LONG BOH i m a' LAT 10 TERRA S/O —ALLISON CIRCLE— It EXISTING DRAINFIELD TO BE RETAINED ---1 PROPOSED SEPTIC TANK L -- \—EXISTING SEPTIC AREA EXISTING, COLLAPSED SEPTIC TANK TO BE A13ANDONED IN PLACE WELL EXISTING HOUSES �' J NOIE; THIS LOT SERVED BY A.W.W.U. WATER BLOCK 1, LOT 10 BLOCK 1, LOT -1 TIYBERLANE PARK JI SID TI RLANE PARK 11 r PROPOSEq DRAINFIELD1 — — — — — — LOCATION -OLD K L A T T ROAD - BLOCK 1. LOT 12 TIMBERLAKE PARK JI S/D EXISTING WELL 100' RADIUS BLOCK 2, r 7w TWBERIAN PARK J1 S/0 BLOCK 2, BLOCK x. for 1A mom== OT 0I S/O TIYBERIANE POA7RK 11 TIKBERKLAN PARK FI SU S/D Septic Design Prepared For DON AND GEORGIA ROGERS LOT 11, BLOCK 1 TIMBERLANE PARK #1 SUBDIVISION Prepared By: DATE: Watkins Engineering, Inc. PID NO. Cindy W. Ellis, P.E., M.S. SCALE: P.O. BOX 110443 DRAWN: ANCHORAGE, ALASKA 99511-0443 CHECKED: PHONE: (907) 349-1851; FAX: (907) 349-1934 AREA BLOCK 1. LOT 13 TIMBERLAKE PARK JI S/O SEPTIC —EXISTING WELL 100' RADIUS BLOCK x, LOT 6 TIMBERLAKE PARK JI S/O k: 491U. N k 5/264 %....G.. ? .. 019-142-1-14 / •. _ � Cin W. Ellis � 1"=100' w D R �,04'k O�ROFESS �NP��i 20' UTILITY EAS MEM w PROPERTY LINE N p3 ♦♦ ^a x Z FLOW SPUTTER (FS) Caw ED F THIS LOT • `♦♦ / ab `` '0• ATT1 h TH/2 .rC04 001 `.�� ' SERVED BY AW.W.U. WATER i i I I THt1 �\ �. ` ��CO2 / \`\ `` EXISTING DRAIN j I GELD T0� I iT MT2'r i % EXISTING` SEPTIC AREA BE ETAINED I , ----- RTER (DV) I `` ♦♦� NEW DOUBLE C.O. NEW 1,009-GALLON �'sTEEt SEPTIC TANK r r ��r1.52 r"S 0, .' ,--'------------<EXISTINC WELL 100' RADIUS ESEPTI COLLAPSED �` r �� SEPTIC TANK TO BE / ABANDON D IN PLACE / � EXISTING FCO i `♦ EXISTING 3 BEDROOM k%USE ♦♦ `♦ r r r r r i r r i I I I I • WELL r � � r r r � DRIVEWAY ` �\ LOCK 1, LOT 11 TIMBE E PARK J1 S/D \ i r Septic Des;9m Prepared For DON AND GEORGIA ROGERS �E OF A(gs��+ LOT 11, BLOCK 1 TIMBERLANE PARK #1 SUBDIVISION 49TH �> Prepared By. DATE: 5/26/24 Watkins Engineering, �' Inc. PID NO. 019-142-14 / " 'Ellis /� �'.Cin�y W. / Cindy W. Ellis, P.E., M.S. SCALE: 1"=30' j c No. 10577..-*: P.O. BOX 110 ANCHORAGE, ALASKA 99511-0443 CHECKED: PHONE: (907) 349-1851; FAX: (907) 349-1934 �� Municipality of Anchorage Development Services Department Building Safety Division +.e On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. muna.org/onsits (907) 3437904 Solis Log - Percolation Test Performed For. Don Rogers Date Performed: May 14, 2004 Legal Description: Tamberlane Park 1111, Bilk 1, Lot 11 Township, Range, Section: 5- 6- 7- 10- 11- 12- 13- 14- 15- 16- 17- -7-o ►"�- 5i It. h�aana i vytp.erYn ealoIe , 0 WAS GROUND WATER _r/1 Al �— Depth (Feet) ORGANICS 0,5 ML Loam 13 SW 81a&_5a.vi,( 7.0 V1/5wtk cl- Depth to Water ARB e,Dbbles -7-o ►"�- 5i It. h�aana i vytp.erYn ealoIe , 0 WAS GROUND WATER ENCOUNTERED? YES 8 IF YES. AT WHAT DEPTH? 7.0 L o Depth to Water ARB P Monitoring?_ 8.75 E Date: 5-21-04 PERCOLATION RATE -1 (n k-ftwu A) PERC HOLE DIAMETER. s TEST RUN BETWEEN 3.0 FT AND 3.5 FT COMMENTS Water N bottom of sane Layer at top of ML layer 0 7.0 R PERFORMED BY: Cindy W. Ellis. P.E. I A ^i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELI S IN EFFECT ON THIS DATE. DATE: 5.21-04 Municipality of Anchorage 14�NGINEER'S, AL}.� Development Services Department Building Safety Division * ��TH On -Site Water and Wastewater Program "'�`��n"""••-• — 4700 South Bragaw St. P.O. Boz 196650 Anchorage. rege, AK 995196650 www.munLorglonsite G''•. Cin y W Ellis (907)343.7904'• CE-1os77 ' - Solis Log - Percolation Test ° " ••••••••";:Gd`"; Performed For. Don Rogers Date Performed: May 14.XCr Legal Description: Timberlane Park #1, Blk 1, Lot 11 Township, Range, Section: Slope Site Plan Th' Dep; oR6AAlCS0.5 wtL I loam 2 ,25 Blau- 5a1u4- Sw w/9rau� a- 6µ1 Cobbles 15- 16- 17- 18- 19- 20 - WAS GROUND WATER _&.6 s- seep (arty I;/1- ilt9- 9- ML W/yr-4ud -i 10- 6.5 Cobb1z5• Depth to Wets Aller SawtaMat 11- DRY E 12- 6rainy. 13- 15- 16- 17- 18- 19- 20 - WAS GROUND WATER ENCOUNTERED? seep "noWI IOI u-�- S IF YES. AT WHAT DEPTH? 6.5 L 0 Depth to Wets Aller P Monitoring? DRY E Date: 5-21-04 PERCOLATION RATE 't (r -.W~) PERC HOLE DIAMETER e TEST RUN BETWEEN 3.5 FT AND 4.0 FT COMMENTS Shallow troth pile at south and of TH. PERFORMED BY: Cindy W. Ellis. P.E. I /.// , >�./,�y CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI ES IN EFFECT ON THIS DATE. DATE: 521-04 "noWI IOI u-�- PERCOLATION RATE 't (r -.W~) PERC HOLE DIAMETER e TEST RUN BETWEEN 3.5 FT AND 4.0 FT COMMENTS Shallow troth pile at south and of TH. PERFORMED BY: Cindy W. Ellis. P.E. I /.// , >�./,�y CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI ES IN EFFECT ON THIS DATE. DATE: 521-04 M 72-013 (Rev. 3/78 (A.) 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION *0 - ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME„II PHONE KNEW ((�� ort f Vrt;OV IA Rca ors 2.47J—Lj(?cl(} ❑UPGRADE MAILING ADDRESS C/o 3035 W, 30' AMJ1or0,e Ay, g5665 LEGAL DESCRIPTION pa -s\ 12-, + 1 Lot II alk. T. berlane StA LOCATION OFA KIwai- RJ Off 0Id 5cuyor'� NO. OF BEDROOMS DISTANCE TO: Wel �ynYllUhi Absorption area Dwelling PERMIT NO. 03O (p7j— Uy 101 (�' n Q Lu F Manufacturerer Material ` f I Jf No, of compartments 2 Ions Lie. capacit/j y��91 IF HOMEMAD E: Inside length -� Width ,— Liquid depth i �wz DISTANCE TO: Well Dwelling PERMIT NO. = z H Manufacturer Material Liquid capacity in gallons Q DISTANCE TO: Wellt� � C�OY"rrl Foundation Nearest lot line -2q l PERMIT NO. Q30In7j } w= Uh'I 22 J LL Z No. of lines Length of each line �3Z Total length of lines i Trench width Distance between lines F Z w / �� (�y) inches Top finish Material beneath tile Total effective absorption area of tile to grade ^, p~i2. inches Length Width Depth PERMIT NO. w QF Type of crib Crib diameter Crib depth Total effective absorption area wd w rn Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J � DISTANCE T0: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS CAS+ IYOy\ yVC SOILTEST RATING 1`�O �f�2 Lie Lroorn - p 5 VV per' INSTALLER �1 ioneer Cxco:\I ;r EX 83' 1zL1 r G REMARKS /� n ,( Dire r/a.+ /�'O�/4 a 21 ' 1' er (� ( vrt rs �� 'rr'”` ` i ne� r-..er C> 12 i o� u5 t APPROVED DATE LEGAL rg �o+II 31kI i wbcvlane JLtVj 03.2 72-013 (Rev. 3/78 (A.) 0 bd Fes_ FA C3 E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L" STREET: ANCHORAGE: AK_ 99501 264-4720 1,1E 0_ t__0= -t P44 E-° ®_j V,j I A- E -° E R° g E E t°� T PERMIT NO. S3OG2 APPLICANT DON & GEOR:GIA R:OGER'= CIO 3=25 W. 35TH 99503: 24=-4090 LOCATION r1 LEGAL L ii B i T1MBER:LANE ' Pc s,( l UQ LOT SIZE 40000 SQUARE FEET TYPE OF =OIL ABSOR:PTIi_N SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = = SOIL RATING (SO FT/BR)= 150 THE REQUIRED SIZE. OF THE SOIL. AB=SORPTION SYSTEM IS: Eb E F=°TVA = ED L- E KA (A T Fl = -4- f> Ci Fes: 9-- " " E L- 12000=4_13-1= 03 THE LENGTH DIMENSION I- THE LENGTH KIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR: PIT I_ THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXC:AVATION (IN FEET). THERE IS NO :-ET WIDTH FOR TRENCHES,. THE GRAVEL DEPTH IG THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION (IN FEET). F=: E a'@ 6_@ l inC E 1 a n E= F ° - 1L (: -T-u=i P -J f< n51=0== A CA CJ CA Ci FA L_ L_ CA FQ `-° PERMIT APPLICANT HAS, THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER: OF RESIDENCES THAT THE WELL WILL SERVE. - - T L°.E co "__ .;i 1A On FO E ED T 1 C") 0110 _° e=1 F1 E F4_ E= CA LJ I FPS E f._ " — — — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM I5 100 FEET FOR: A PRIVATE WELL OR 953 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.. MINIMUM DISTANCE FROM A PRIVATE WELL TO H PRIVATE SEWER: LINE IS 25 FEET AND TO A COMMUNITY SEWERS LINE IS 75 FEET. WELL LOGS ARE R:EQUIR:ED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DA's"_ OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM'= ARE AVAILABL..E TO INSURE PROPER INSTALLATION. F=' E F4: I'°l x T E f° I Fes_ E' °= E-° E CT L-= Fl E5 E F=` = "_ _ AL _Q ED '- I CERTIFY THAT' is I AN FAMILIAR: WITH THE REQUIREMENTS FOR ON-S,ITE =•EWERS, AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. _'-: I WILL_ INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. . I UNDERSTAND THAT THE ON-SITE SEWER: SYSTEM MAY REQUIRE ENLARGEMENT IF THE R:ES,IDENCE 15 REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.. IGNED.-L-_ --------------------- APPLIi_:ffl•dT PIN & GEORGIA ROGERS ISSUED BY_. � ._I�"- &I �� V4. 0 POUCH 6-650 ANCHORAGE, ALASKA 9950' 'J650 (907) 264-4111 TONY KNO WLES. N 9 v017 DEPARTMENT OI I'FAI_T:! `.�.:: ENVIRONMENTAL PROTECTION <Permit #: 821110 January 31, 1983 TO: Permit Applicant Subject: Lot 11 Block 1 Timberlane Park Subdivision 41 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely �C-T,"d-- Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/1jw enc: Copy of Permit SWP/057 a d Iv- ff POUCH 6-650 ANCHORAGE, ALASKA 9950' 'J650 (907) 264-4111 TONY KNO WLES. N 9 v017 DEPARTMENT OI I'FAI_T:! `.�.:: ENVIRONMENTAL PROTECTION <Permit #: 821110 January 31, 1983 TO: Permit Applicant Subject: Lot 11 Block 1 Timberlane Park Subdivision 41 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely �C-T,"d-- Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/1jw enc: Copy of Permit SWP/057 DEPARTMENT HEALTH AND ENVIRONMENTAL ..;bTEC:TION OL') els 'L' STREET, ANCHORAGE: AIG. 99501 .�. Lr,.# -4 r72O 4ti1EL_1_ FIF•jCe a=e�-I—=ITE E1•AE� 1� EF?!rl I T PERMIT NO. { 821110 ) APPLICANT DON & GEORGIA ROGER S C/O 3e35 WEST 35 99503 243-4090 LOCATION LEGAL L11 Bi TIMBERLANE PARK #1 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL EATING <SQ FT; BR)= 150 THE REQUIRED SIZE OF THE _OIL ABSORPTION SYSTEM IS: E`-•EF"-rH= E'- --_ C3F2n VE:L.. CbEF°TS-'i= c THE LENGTH DIMENSION IS THE LENGTH GIN FEET) OF THE TRENCH OR GRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FRE�-!t 1 I F= ECb EF °T I ,= TF3P- K _• I E_ :JLC-yC-yCy 1:3FiL-1C®Fa PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENC:E'S THAT THE WELL WILL SERVE. — — — T W C.® <:2 > I "=• F' E C_- T I ID "!EF F9 F --'E: F --'F= C- � !_I I FP E LD. — — — BACKFILLING, OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A 14ELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE 'SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER, LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 19ND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F='EFR."M I T E�-:F= I F -'E= C -•EC- E:7E�EF-° I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 2: I UNDERSTAND THAT THE ON -'=ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN > BEDROOMS. � h ea <, �� 4 APPLICANT DOt R: GEOF?� R%iGE`Plzne: �! ISSUED BY V4. 0 ,16 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Ci AV LLQ J<1AZ C -AI n DATE PERFORMED: (� LEGAL DESCRIPTION: L f mSE9 LANCE PA(ZK rho ADD 'It SLOPE 7 SITE PLAN m P 1 5/va 2 Date Gross Time Net Time Depth to Water Net Drop A 4 s 5 a O f G 6 a 0 a 7 0 0 8 9 10 11 12 13 14 15 16 17 18 19 20 J � OCC c:LSI.�FCQ I, GrZAV15 L. GM -SLI.-T-°✓7 SAiiDY GPAvaL.i TLG64TLY {'Ac tct= 0 t/A4 ZG 2.0 rVsAL U WAS GROUND WATER ENCOUNTERED? f.S IF YES, AT WHAT �� DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN F 1.5o tm, / Gill1�/vt ISE T'WEFN �� PERFORMED BY:CO� dotHSu/-i�vA &'v CERTIFIED BY: - 72-008 (6/79) 11 DATE: d J� , MUNICIPALITY OF Development Services Department F On -Site Water & Wastewater Section Parcel I.D. 019-142-14 Legal description ANCHORAGE Certificate of On -Site Systems Approval Expiration Date: TIMBERLANE PARK #1 BLK 1 LT 11 Site address 921 OLD KLATT RD Current property owner(s) MALDONADO JEREMY & TIFFANY Phone: 907-343-7904 Fax: 907-343-7997 11/3/2023 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: $/3/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNMPAUTY OF ANCHORAGE Development Services Department �c� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 019-142-14 Complete legal description Timberlane Park #1 Block 1 Lot 11 Location (site address) 921 Old Klatt Road, Anchorage AK 99515 Current property owner(s) Jeremy & Tiffany Maldonado Day phone (713) 540-5800 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ®❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ®❑ Private Septic ❑ Private Septic serving 2 dwelling units Holding Tank L-1 Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 19yrs _ See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ �s L Waiver Fee $ Date of Payment '% I `—� �--3 Date of Payment COSA # o S <' Z 2 Waiver # COSA Application_ June 2022 Timberlane Park #1 Block 1 Lot 11 019-142-14 4.2 42 N/A 40 3.01 24+ 2/27/23 Forge Engineering 21.8 7/10/23 50" 3/9/23 A+ 6/30/04 3.0/3.0 N/A N/A N/A 2/27/23 4/0 641 5/0 1440 4/0 >450 6 4/0 2/6 We put water down the double cleanout after the tank and confirmed water flowing to both trenches. Benjamin Schiller, P.E.7/18/23 (907) 522-7773 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Phone: 907-343-7904 Fax: 907-343-7997 Parcel 1. D. 019-142-14 Expiration Date: IO —2-1- 20&) 1. GENERAL INFORMATION Complete legal description Timberlane Park #1, Block 1, Lot 11 Location (site address) 921 Old Klatt Road Anchorage, AK 99515 Current property owner(s) Georgia L. Rogers Day phone 244-4399 Mailing address 921 Old Klatt Road Anchorage, AK 99515 Real estate agent 2. TYPE OF DWELLING: ❑n Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well❑ Private Septic ❑■ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 9 12. 5� CO UI -0 Waiver Fee $ Date of Payment �/SCJ Date of Payment Receipt Number 0G367D Receipt Number COSH # __n�JG 2013 9 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave, Suite 100 Anchorage, AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 7/6/2020 +o•�E O ®��P.• ................ 9 e® Iwo a� 49th ®® 6. DSD SIGNATURE'yv°.7...... I... ""A I7""'ri""""0- - — - .- ® •""•....•....... .•,.. System #1 Approved for bedrooms ®� "-.MICHAEL E. ANDERSON System #2 Approved for bedroomssNo. CE -4381' ®® 7/6/20 Disapproved ®® ®lllll pROFESS\�`�oi•®® Conditional approval for bedrooms, with the following stipulations: Original Certificate Date:7- 2.1 r 2-0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Timberlane Park #1, Lot 11, Block 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 3/10/83 Total depth 42 ft Cased to 40 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) '12 in. Date of flow test for COSA 6/17/20 Static water level at beginning of test 28 ft. Comments B. TANK DATA Age of tank(s) 16 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 52 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 5/6/20 - Drain Masters . D. ABSORPTION FIELD DATA 5' Wide Shallow trench Which system tested (date installed) 6/30/04 ❑ ALL standpipes present per record drawing Total measured depth from grade 3 ft (max) Measured depth to pipe invert from grade 2.5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 019-142-14 Structure served by this system Well production at time of test 4.4 gpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2.95 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample 6/22/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 6/17/20 Results ED Pass For 3 bedrooms Fluid depth prior to test 4/0 in Water added 512 gal New depth 5.5/2.5 in Elapsed time 1440 min Final fluid depth 4/0 in Absorption rate '450 gpd Any rejuvenation treatment (past 12 months) If yes, enter date No E. .SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ Yes Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft M✓ Yes if No ft Neighboring Tank > 100' 7 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' �✓ Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Fv Yes if No ft Water Main > 10'✓� Animal Containment > 50' Fv Yes if No ft 7 Yes if No ft Q Yes if No ft Water Service Line > 10' F/ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 0 Yes if No ft F,71 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' FV -1 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' Fv Yes if No ft Water Main > 10'✓� ft Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' F/ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' U✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' F Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION US1111t 111140. �� I certify that l have determined through field inspections and review��p;.•°°°'� of Municipal records that the above systems are in conformance with �:' `°• Y ' MOA COSA guidelines in effect on this date.AN '; 4 9th Ig ......... a......a..... a .....s..auu.....9w COSA Checklist yellow sheet ...... ...... *.seat..M ....0 ............. u.. �n MICHAEL E. ANDERSON {J $� NO. CE -4381 Z.0 '«45 7/17/20 °°°°• `� ••...........°' �� 1,!?9Z A Lo.7" 2 7 Lar Z6 :: ,. Lo r- z.5 L a7' a 4- 57'30- W -5713O•W ,o"llriC, 7o.ao' 70.46 K�.CE.>?TtFIE�+ 5rAI<Er> NE ih/AJ GoRNEft3 AS -BUILT NO CORNERS SET THIS DATE 6 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON.�- I hereby certify that i have performed a Mortgagee's inspection of the following described property; Ti M F15 -P- L4 P4 RX 5 Mop A}'771i°A! / Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises In question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 1-5'r day of _, AY 19 g[o FRED WALATKA & ASSOCIATES (9M 248-1666 Engineers and Surveyors S`A i vo. e'�hry v o r � *GALE 40 auf moo' ]in ltt Z a1'rr-\1 r.. flZM: }tj., i,C7L ND O I JN 35.a- w/ Yellow PIa3f;c C�1: • FOUND 5Ie• d •� �v ' \ N m 1. 4. 2 r: K�.CE.>?TtFIE�+ 5rAI<Er> NE ih/AJ GoRNEft3 AS -BUILT NO CORNERS SET THIS DATE 6 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON.�- I hereby certify that i have performed a Mortgagee's inspection of the following described property; Ti M F15 -P- L4 P4 RX 5 Mop A}'771i°A! / Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises In question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 1-5'r day of _, AY 19 g[o FRED WALATKA & ASSOCIATES (9M 248-1666 Engineers and Surveyors STATE OF ALASKA 13504 DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG 1=.e0 sed 08/181"2016 Drillinq Started: _ / / Completed: 3 / 10 / 1983 Pump Install City/Borough Subdivision Block Lot Property Owner Name & Address DO "' N A L D R 0 G E S Anchorage TIMBERLANE PARK 1 " 1 11 Well location: Latitude Longitude Meridian S Township 012N Range 004W Section 24 1 SE 1/4 of NW 1/4 of NE 1/4 of SE 1/4 BOREHOLE DATA: (from ground surface) Drilling method:' Ir rotary,' able tool ;, Other Suggest T.M. Hanna's hydrogeologic classification system* Well use:OPublic supply,Domestic,QReinjection,OHydrofracking https://niy.ngwa.org/NC Prod uct?id=a185000000BYub3AAD ElCommercial,E]Observation/Monitoring, nTest/Exploratory,OCooling, Q Irrigation/Agriculture, ; Grounding, [Recharge/Aquifer Storage, []Heating,[]Geothermal Exploration,E]Other Fluids used: Depth From To stick-up 0.0 2.0 sandy gravelly silt 2.0 7.0 Depth of hole: 42 ft Casing stickup: ft Casing type: Casing thickness: inches Casing diameter: inches Casing depth: ft Liner type: Depth: ft Diameter: inches Note: sandy gravel 7.010.0 sandy silt 10.0 16.0 sandy gravelly silt 16.0 21.0 sandy gravel 21.0 29.0 Well intake opening type: E—Open end, U.Open hole,; Other Screen type: , Screen mesh size: Screen start: ft, Screen stop: ft, PerforatedOYesENo hard pan 29.0 34.0 water gravel w/ some sands 34.0 42.0 Perforation description: Perf from: ft, Perf to: ft, Perf from: ft, Perf to: ft Gravel packedQYes 0 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 Include description or sketch of well location (include road names, buildings, etc.): Final pump intake depth: ft Model: Pump size: hp Brand name: Was well disinfected upon completion? LjYes UNo Method of disinfection: Was water quality tested?[]Yes FNo Water quality parameters tested: Welldriller name: .................................................................................. Company name:. DENALI.DRILLING........................................................ Mailingaddress: ........ ....................................................................... ary City: State: AK Zip: 1 Phone number: ( ) 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 Driller's signature: Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: Date: Anchorage Municipal Code 15.55.060(1) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City https://dnr.alaska.aov/welts/ within 30 days of well completion. OR email electronic well logs to City Permit Number: Date of Issue: dnr.water.regorts(d-)alaska.gov Parcel Identification Number: 'Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press