HomeMy WebLinkAboutSCHROEDER EAST BLK 1 LT 10511)
loom OIW5000
MUNICIPALITY 0-F ANCHORAGAE V3za-
Hu and jEnvironjac-,n�al- Vlrnter- �)ll
Fourth FlooL W(,., -;t-
8 2 5 L SLreeL
Anchoraqc�, Alaska 9950-L
264- 4 /20
HAj(PECTION KPORT CAUSITE VVIAM
Him ING MIMI V�
1 1011 IP 1 VIC --- ---
SFPrlClAf4K:
IWJAN(A N"IM-t-li-JI OF
i 1, ;J V, � I L � GO
i 1.11 1 ; G i 1 1 N-; I t) L 10 1 1 ')U 1 11 PV I V 11 F) C APAC I I YM14D, GAL LONS.
FQTAI, LEPTATH
I� Fouriof� i ION-IMPown -M APt S I I C-) I (_I�q Q; I HY�
4,� o f L in c s [):t, I /,r�JCF bf TWUT� I NET 1 KFMI 1 1111 It Wo IN 1-0fiU. U-J'H-.0 f IVE
1 1 i Q!) t�l F) cA (a 1 1. �-FIIGIFII t �lr
FT
I Uj �'i I it t i(� I :�!Yl [H! . . .
',LtEPAUL PIT:
C -rib F,
I(II "It, I i COV,
I C'
- J; 1 Di, qFAPFSF !Oft !NL,,, -SQ. I-
HEALTH AhID ENVIR, INPIEP-I"I'AL. MPCI*I'FF:TIC"iN
.5
AhICHORAGE., Ak.. 9'
2—
.. . .... ...
PF' RI -1 .1 J N Cl.
lo, 8riw
I "J
P. 0. F
AP'PLIC.:ANT 14C R]"Fl I NI1'YI_Ol`-,,l
I_CII-:A"I'1 ' ON fild-11, :E Lp
FT j"E'.19(i FEET
I EI'_3AI--- LT. 10 Bk'.. 1 SC:HF.IDEC,1ER S,.A."i
P,,1PE OF SOIL AF:SFIR8'f'ICiN lc:;: TREhIf."H
I'll A �X fill(Jr-1 I'A.IMBER OF B EI' F.'CIOVI ::T: S(DIL. RATING C.3'G! F*J'./BR'1=- d..,.-:5
THE REQUIREL, SIZE OF THE SCIIL AB.:';f."IRPT1ON S.4"TE11 IS:
1.::11 1 F -E F`- 1- F - I I L_ FE., r_4 11-4 V'.:" FJ=� —l]
F+I E L I' . NCiTH C�101P-.ISD-N IS THE L.ENGTH 1`1N F'EET) OF' THE TIPTNCH OR G-Fffl' NFIL.1.1:1
TI IE DEP"I'l-I IF
A TRENCH
OR PIT IS THE E' I'STFIP-4CE BETWEE61
THE SURFACE OF
GPI'DUND ANC,
THE BO"11"CIN
OF- THE E'r.::CAVA_I_fCJI'-4 (IN FEET).
THE"RE l'-10
_;i -,T w'1r,.:1TH
FOR. TRENCHES.
'I"HE GRA -,-'EL.
DEPTH IS. THE
11INIIII.J11 DEPTH OF GRA' -i[ "L BFD'WEIE.�-i
THE 01-ITFTILL PIFT.:'
AND 'THE
CJF THE
E::--%'C,,W,.1ATION 1:'IN F,EET'l.
04�.'
rA 9---- "E.' 1
97`1 9 C." I Ir ,II
F7:" Ei".-_ F::" P_ rA 1- IF`-�" "T" 1 C'j VA
TICIN aIBJEC':T TC.I TI IE
A FAC:KAGE"' MAY BE INSTAL.L.EC.- FIT Tl -,IE PERMITTEE -'S i..jP
11"C'I L L I" , IkIING
L EITHER A C:Lf-1.,:.:S I OR If N,:.:."F A F., F, R CI I...' E C, FL.ANT MAY BE ED.
F1 MAPITP-4ANCE
Z A C':C.iNTJNI._iCA.IS I*,1AIhITEhIAi%Jf":E A(AREEMENT IS REQUIUD. .1 F .11
J ., J
AGREEMENT IS NCY!" I -".EP f iDURRENT 1.001_1 MAI-? BE REQUIFPED TC ENLFiRf:E TI. -IF SCUI
AB-SCIRPTICIhi AND., -'OR 10"DIJ PlAY BE SIJB..'TECT TO PROC-1ECI ITI ON.
F -=n F -E I T�J ll`;�v E,
F.:FiC:I.::'F* I Ll... 11,03 OF' AhlY rYSTEM WITHOUT FINAL INSPECTION ANC, AF,M)�.,IAL BY IT] I
DEF',ARJ'I1FNr P-11L.L. BE Sl IBJECT TO PROSEck,.rrION.
[IINP-11.1,1 DISTANCE BETWEEN A WEL.1 AP. -ID ANY ON--S.Y'fE SEWAGI--_-' D
1C.iPi FEET F"CIR 1-1 PR.D.-'ATE WELL CIR 2PIO FEET FOR A P1 IBLIC: IdEt L_
JS W-41) FIF,f
OTHEf','., APPLY. SPE.f."J. F 1. CATI Ot
A'-,-'AfLABLE TO (hISLIRE Pke.OPEF, INSTAI LATI ON.
F,7,EEF—U1 1 'T FE X Gig F-__ C':: I[F Il' -1 Ein FE F.�,
__ET
J.: I AM FAMILIAR tku"i'vi Ti-iE FOF: ('04—.SITE AND WEI I
BY THE*-" MI-61NI(DIPAILT."I CIF' ANC"HORAGE.
2: 1 WILL INSTFILL THE' ;Y4TEVI IN FICI-ORDANCE I. -IIA -H THE CODES.
TAND -IAT HE _�::EWER SYSTEM MAY REG'!] P? E E N L A R Ci I` l',IP-1 1. 1::: 1111'
UP
'15 RENCIDELEC., TO 11FIRE THAN 3 BEDROOMC�-,,.
S I G N EC',
AF,F1L'[C":APT'I' P-JORMANI) Wf.jF'.TH1hIGTON 61
I J E 1': 1 B Y.
M -W DRILLING, INC.
DRILLING LOG
Well Owner —Use of Well—
Location (address of: Township, Range, Section, if known; or distance main road—
Size of casing --Depth of Hole— feet Cased to—feet
Static water level—ft. (above) (below) land surface. Finish of well (check one) open end
Screen Perforated
Describe screen or perforation
Well pumping test at gallons per (hour) (minute) for—' hours with --
of drawdown from static level.
Date of completion
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
—TO-
-TO-
-TO—
TO-
--TO
—TO
—TO—
TO-
--TO—
TO-
--TO
TO-
2 - STATE
-- ------------
2 - STATE