HomeMy WebLinkAboutT12N R3W SEC 33 LT 196 E2
WEI..i.x l._c:,~.] mu~'L be ~ubmJ. t'L.r.-~d tl:~ Ht. tn:i.c:ipality csf Atto:hot'age Depart. merit c)f I..!ea].th
Fq:ROEJI=' C)!=' ABANDE)NI~!IENT ElF' EX J:ST:I:N[.:) WELJ.- HUST BIE F~RE)VIDED WZT'Iq THE
BIE:I....I.I....[]E~ 14:!:THIN TEN (J.O) I)~WS [fi:F: NE:I~ NELL EIli!i:iN(B C[1PIPL.ETED,
'!"I'JZE~ ,r'::'l~i:F;:N :J: -I" :IS :[E~SHE:)) F:(]R THEi: C(:JI~I~TI"F;rLIEXT~[)N !IF: (-~ NELL T(:] SEF~'.VE[
THE E X :1: S T ]: NE') :? EIE::0RD[)H ..c_-~ ]: NGL. IZ I::'FM"I :I: LY DI,~JEL. L. ]: IqEJ {~N)::) E: X t:::' L( Fi'.E:."!~ ON
:!: !:::I!i:RT :!: F'V I'I'"IAT~
,"c~ri:.h l::)y +..h~;' t"ii..u'~:Lc:J, palk¢_y c~f ~'~nd'~c]ra~jjE~ (HE)P.,) and
]: ~/~:i.:L:L ac:lh(.:~r~::~ 'L(::~ aZJ. H[}~.~ and Sta'L(~ (::)~ /:Cl. au~d<a requ:Lr~em~n'L~, For '[:.h~ ~(~'~:. b~(:::k
a].!~c) t_t~'~cl~:~rE~'Lartd 'Lha'L !'.1' ~ (.::) c:apac::i.t.y of 'E. kt~,, t. crLal ~y~t.(em :E~ 2 k)edrcx::)m~i and
arty (ellJ. al'gl.;xnr~rJ'L ~:k].]. r.~.~qu;Lre:, an addit.:k(::nai p~erm;tt.,,
M-W DRILLING, Inc.
=.O. Box 110378 · 10330 Old Seward H ghway
(907) 349-8535
ANCHORAGE, ALASKA 99511
o9-'1~3
DRILLING LOG
Well Owner RTCUBERTO OCHOA Use of Well
Location (address of: Township, Range, Section, if known; or distance main road
T,1 q6. go~'. 3% TI 2N: R3W: S. i,I. Anchorage
Doraesgic
Size of casing. 6" .Depth of Hole
Static water level 46' ft.
Screen ( ); Perforated (
133' feet Casedto 132' feet
ibelow) land surface. Finish of well (check one) open end (
).
Describe screen or perforation ' N~ne
Well pumping test at 2 gaii0~s ~ (~g;g)~
of drawdown from static l~el. :~i'
Date of completio~ SeT~tember~27 ~ i'9~9· -
× );
(minute) for 1 hours with 1
ft.
Depth in feet from
ground surface
0 .TO 2
2 .TO. 7
7 .TO. 24
24 TO 38
WELL LOG
Give d~tai!s of formations penetrated, size of material, color and hardness
C~Sir~g 'St i~kup MUNICIPALITY OF ANCHORAGE
~ly cobbles ENVIRONMI:NTAL PROTECTION
G ~ely Hardpan
0ST 1 n
- 1989
RECEIVED
38 .TO. 62
62 .TO. 65
65 .TO. 87
87 .TO_ 105
105 .TO. 123
Brown F~ravelt till - seepage
123 TO. 133
Sandy ~,ravet w/intermixed clay (bro~m) 2+gpm
~,33 TO_.__~
TO
.TO
.TO
.TO
$~ndy cl~y dry
Certified Contractor
Cer~icate No's. 814 & 973
3. CONTRACTOR
GP~ATER ANCHORAGE AREA BORO~Lr~.~
HEALTH DEPARTMENT
327 EAI~LE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
ADDRESS
DESCRiPTiO N~:~; "
LEGAL
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
NUMBER
OF
MATERIAL L ~)IL~6~.~/2:~ I
_ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH (~,/ DEPTHLIQUID
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH ~? , LENGTH~ '~ , DEPTH
DISTANCE FROM WELL //~.)~ t
BUILDING FOUNDATION
SQ. Fr.
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
, FOUNDATION
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE.
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TRENCH WIDTH_
DEPTH OF FILTER MATER AL BENEATH TILE
TOTAL LENGTH
· OF LINES
IN. TOTAL EFFECTIVE
IN: ABOVE TILE__
WELL: TYPE ~/) U (.? DEPTH'
NEAREST SEPTIC
LOT LINE . SEWER LINE TANK
DISTANCE FRO
WATER
SAMPLE
BUILDING FOUNDATION
SEEPAGE
/~ (~ I SYSTEM. CESSPOOl
NEAREST
OTHER
, SOURCES
DISTANCES:
h__¢?~ 2~
i¥o "
DIAGRAM OF SYSTEM
HEALiH AU[HORITY
GAAB-HD-2
GREATEr.. ANCHORAGE AREA .~,)ROUGH Ca,eNo. //~-
HEALTH DEPARTMENT
327 Eagle St. . ~ Anchorage, Alaska 99501 ~ 279-25] 1 / z .~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT~'
NAME OF APPLICANT
RESIDENCE ADDRESS
APPLICATION TO INSTALL: SEPTIC TANK //'"
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH ~.~
PERCOLATION TEST RESULTS
.~//~/M&,L,NG ADDRESS ~'70 ~ PHONE NO.~-~
~ (~~~CATION OF INSTALLATION ~
LEGAL DESCRIPTION ~, ~ ~/~/ ~ ~ ~
, OTHER
,SEEPAGE PIT. , DRAIN FIELD
TO BE INSTALLED BY
ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ,:"~ ~:~"~"'.'~
,.SEPT'CTAN"S'ZE TYPE SEEPAGE AREA
DIAGRAM OF SYSTEM
DISTANCES: //~//~
Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.