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MUNICIPALITY OF ANCHORAGE
Department? -,l Health and Environmenta�Jrotection
825 Street, Anchorage, AK. •3501
264-4720
Permit # C) HANDWRITTEN PERMIT
WELL AND/OR ON-SITE SEWER PERMIT
agcl
Applicant: Z1,'Z0 )e'ye.� Mailing Address: g%'V% enla '
Location: CR-? V7 Phone Number:
Legal Description: L I L041_f_d .,
Type of Soil Absorption System Is:
Trench: I/ Drainfield: _ Seepage Bed:
a 4�3 ;7,rfco
Lot Size: �z 6c> a
Holding Tank:
Maximum Number of Bedrooms: _,I- Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:
f
DEPTH 12— LENGTH S GRAVEL DEPTH ? WIDTH
The length dimension is the length(in feet) of the trench or drainfield. 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).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE GALLONS
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.
* *.* TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this departmen
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending 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 this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set fort�h by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I und6rstand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 b ooms.
Signe3: Issued by:J� iiC,�
Applicant
Date:
SWP/024(1/81) -��e
Test Hole 41
Depth in root
From To
0.0 2.0
• 2.0 13.0
13.0 16.0
Table A
Y1O M1881a
Date: 4-5-79
Logged by: O.11atch
Soil Descrintion
F-1, brown Silty Sandy ,ravel, dry,medium
dense, maximum particle size 2", GP1
NrS, brown very S^i fine to coarse Gravel,
dry, maximum particle size 2", GP
NFS, brown Sand with tract of Silt and Gravel,
damp, SP
Bottom of Test Hole: 16.0 ft.
Frost Line: 1.0 ft. \
Free Water Level: None encountered
NOTE: Percolation rate: 10 inches per minute
Sa.
Type of
Dry
No.
Doth
Sample
Strength
1
5.0
G
N
2
10.0
G
N
3
15.0
G
N
Remarks: 1.
2.
3.
4.
5.
6.
Unific
GP
GP �2J
SP
Type of Sample, G=Grab, SP = Standard Penetration,
U = Undisturbed.
Dry Strength, N=None, L=Low, M=Mcdium, 11=11igh.
Group refers to similar material, this study only.
General Information, see Sheet 1.
Frost .and Textural Classification, see Sheet 2.
Unified Classification, see Sheet 3.
DL Form 241
8/66
WATER WELL DRILLER LOG
DO NOT FILL IN
Drilling Co. V-1.1 Drillinr, Inc. Well No.
Permit No.
Driller Jordan/%estberr Certificate No.
Area
Well Owner Dan Davidaon/zuEkv Sun_niv Use of Well Com
Location (address of: Township, Range, Section, if known; or distance main
road 8747 Endicott Road
Anchora:e, Alaska
Size of casing Depth of Hole 2�7 feet Cased to 2=5 feet
Static water level 120 ft. (a'6ot-6) (below) land surface. Finish of well (check one)
open end ( X ); Screen ( ); Perforated( ).
Describe screen or perforation
Well pumping test at 25 Gallons per
of drawdown from static level.
Was casing collar sealed with cement grout No
for 2 hours wi
Depth in feet from Give details of formations penetrated, size of material, color,
ground surface and hardness.
0 TO 148-
48 TO CO
_ZTO 245
TO 252
252 TO 257
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
Sandv Gravels l' -_inns
Brown Sand: Tedium, er.°ular
Blue Sand: v-ry fine, silty/ruddv, adhesive
Sall Gravels Esn?v
S=all Gravel: sandy, rood watertearin�
0