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HomeMy WebLinkAboutDEBORA #3 LT 24#oso i 000 MU" I C I F=*F=l L I TY QF= Fir4CHOF�: fzi1:3E DEPARTMENTHEALTH AND ENVIRONMENTAL PROTECTION 825 ' STREET, ANCHORAGE, AK. 95�'1 ' 279-2511 WELL PERMIT PERMIT NO. C 77649 > APPLICANT RONALD SCHWIGER BX. 194 E.R. 694 9837 LOCATION JUANITA LP. LEGAL LT. 24 DEBORA S/D #3 LOT SIZE 16000 SQUARE FEET MINIMUM DISTANCE BETWEEN fl WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES E>ECaMEER 31. 1 537 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: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED APPLICANT RONALD SCHWIGER ISSUED BY V3. 0 '-.)M-W DRILLING, INC.'.) DRILLING LOG Well Owner Ronald Sch:ai-er Use of Well Do -at., Location (address of: Township, Range, Section, if known; or distance main road Lot 24 e Subdivision ',`3 Da borck, t Size of casing 6 of of Hole 60 feet Cased to ---6-0---6 feet - Static water level 30 ft. (above) (below) land surface. Finish of well (check one) open end (v Screen ( ); Perforated ( X:: ). Describe screen or perforation -"' 4 shot perforations 0 44'-45' Well pumping test at 5 gallons per (fiouc) (minute) for —1—hours with 100% ft. of drawdown from static level. Date of completion � / 10 / 7 7 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ___L_TO 2 Casin,^: stickup 2 TO 3 Organics 3 TO 10 Silty gravel 10 TO 33 Clayey £•-ravel 33 To 40 Gravellv hardpan 4OL–TO—L-2— Silty water gravel 45 To 53 Gravelly hardpan 53 To 60 Shhl:l: —TO- O -TO- TO 0- O -TO- TO -TO- TO NWWA Certified Contractor Certificate No's, 814 be 973 2 2 — STATE