HomeMy WebLinkAboutLARSON LT 9BOnsite File
ido z IuA y US Survey 3042 Lot 9 (East side)
�77
'll I I 'vC
Well' Loev
(1,107) -345-0,;93 Drillhit, Started; 04.; 111 200a-.-01nj, I red: 04., 131:2006
Citv.'Borotnfli. Subdivisioil: I,() Property 0m)er"Niame & Address:
-1 - Brett Wilbanks
Girdwood US Survey 3042 9 4701 Manytell Ave.
Anchorage, Ak. 99515
Meridian Totvnship 1 On Ram,c 2e Scc6oll 19 of is of 1,4 of �14
BOREHOLE DATiWrom top of casing)Deptil
I Driffino method: (X ) it rotary ( ) Cable too!, Other
Material: Typo, Color & wetness From [0
—
VY'CIIuse: ( )Publicsupply.
stickup
0
2
Deptliol'tiole: ft
Casing type: steel Thickness: .250 inclics
Casing dianicter: 6 inches Casidcp1b: . 163' ft
1ng
overburden
2
5
Liner 1vpc: Diameter: inches Deprii:III
sand & gravel
5
25
S1,16c waicrffrof i
oni top ocasne, 47' on 04:1 ; 13 112006
'1) — ---. ft
Punipino level & vic1d: feet after., hours at LIP111
. 11 1
lZecoven, rate: 60 _pm. iMethod of testing: airlift
silty sand & gravel
25
35
Developinciii nnetlio& airlift DUrati0n: 1 hour
sand & gravel c
35
65
Well intake opening rype'. (X 1 Open end. Open hole. Other
Screened: SUM It, Stopped
ScScreen,ty type: slot.iniesil size.
wet sand & gravel
65
83
Perforated: Start: ft, Stopped:
Stant arc I1. Stopped: r,
wet silty clay whittle gravel
83
121
INote:............................................................... ..............
dry silt & gravel
121
140
GrOUt m3c: bentonite Volume
---------
I
T)Cptjl; fi-0111 -Ciround surface to 201, et
silty sand & gravel w/H20
140
142
PLIMP intake depth:
Pump size: hp. Brand
moist gravel & clay
142
159�
Was weli disipfected Upon compiction? (X) Yes. N o
Method of disinfcction:CatCj.UM.Rypo.ohlo.rite..(.C.hiorine.) ...
coarse gravel w/H20
159
163
Driller comments i disctairners: ................. ...... .......... _ ... :_ .........
..................... ----------------- ___ ...................... ........................
Well driller narne:. Johnny Kay
Compan name:... .phllin Inc.
' Y _ . ___gi ..... .... � .... ....... ..............
M a i I ina address ..:��4q_A ku la � �Dr. ................................
(.,it,v: Anchorage Stale: AK Zip 99516
Phone number: ( 907 345 0593 fax:345-4700
Drillers signature:
Municipality of Anchorage Attention: Property owner shall provide a well log to the
)evelopment Services Department DSD within 60 days of well completion.
Building Safety Division Permit Number: SWO60003
On -Site Water and Wastewater Section
4700 South Bragaw St. Date of Issue: Jan ZO55/2006
P.O. Box 196650 Anchorage, AK 99519-6650 Parcel Iden6fication Number: 075 —092 _38
,www.muni.org/onsite
Is well located atapproved perinii location? t, X) Yes or No
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Jan 05, 2006
Expiration Date: Jan 05, 2007
Permit Number: SW060003 Parcel ID: 075-092-38
Legal Description: US SURVEY 3042 LT 9 T1 ON R2E SEC 19
Design Engineer: 0000 None Required
Owner Name: BRETT WILBANKS
Owner Address: 4701 MANYTELL AVE
ANCHORAGE . AK 99515 -
Site Address:
Lot Size: 65340 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well 0 Water Storage
All construction must be in accordance with:
1. The attached approved design.
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 closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IT IS
THE BURDEN OF THE PROPERTY OWNER TO DETERMINE ANY EXISTING WASTEWATER PERMITS EFFECT
THE LOCATION OF THE WELL. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE
WATER AND WASTEWATER PROGRAM AT 907-343-7904.
Received By. 6lA to Date• 2 / 7 1 ( 06
arIssued By:
Date: ,� 1-%
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Doti- 4'-i2.- 3S
Property owner(s) Sym- Wi 1 fCCO.KS
Mailing address 470 I MKP1yi'c(I Ave_
Site address WHO ALA/ ESKA 44Wv
Legal description (Lot, Block & Sub'd.) USS 304-2
Permit Number SW
Day phone 921— 2115
Zip Code 99515
Zip Code
LDT 9
Legal description (Section, Township & Range) TInK\ 'RIC. SEC 10,
Lot Size (D6., 31-1b Acre
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Number of Bedrooms
Well Only
Water Storage
Jacuzzi
Water Softening Unit
I 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.
fma
(Signature of property owner or authorized agent)
Permit/Rush Fees: D aWaiver Fees:
Date of Payment: I(l los Date of Payment:
Receipt Number.-ttfilvi KPA Receipt Number:
(Rev. 09/04)
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