HomeMy WebLinkAboutJOHN WELLS 1952 ADDITION BLK 2 LT 2Lo'l'
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
. ENVIRONMENTAL ENGH"~iEEPJNG DIVISION
825 L Street- Anchorage, Alaska g9501 Tdephone 2G4-4720
ON-SiTE SEWAGE DISPOSAL SVSTEM AND/OR ~NELL ~NSPEC3'ION REPORT
~MAILING ADDR~ ~ J . ~
~ ~SCRIPTION
Manufacturer,'~"~ ,~, ·
IF HOMEMADE:
Well
Absorption area
Material · .
I nside length [Width
%OMS
_ '/78
Liquid depth
Dwelling PERMIT NO.
Manufacturer Liquid capacity in gallons
Foundation
Length of each line
Top of tle to finish grade
[Material
"~N~ot line
Tronch wi~
PERMIT NO.
Distance between lines
inches
Total effective absorption area
Total length of lines
Material beneath tile
inches
Length Width Depth PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line TPERMIT NO.
Building foundation Sewer line Septic tank ] Ab~o~p~o~area(s)
DISTANCE
TO:
OTHER
PIPE MAT ER I~A I~S
SOIL TEST RATIN~
INSTALLER
REMARKS
DATE
72-0 3~Rev. 3/78) '
LEGAL
........ '~'~ ~"~*""~ ~ PO NUT FILL IN
8/66
Drilling Co. HA /V'/l A ['j /~ ~/~/~>/~ Well No.
Certificate No.
' ~ L ~g'~ Area
LocatiOn (a~ess of: ~6~s~ip, ~ange, a S~ti~%~no~; or aistance main
~o~ / ~ {~ ~,.~,-,..-r ~~. &~L ~-70 ~
Size of =sin~'" ~epth of "oZe/Z,.i fee~ C~sed ~o Z~TZ_feet
Static water level .30 ft. (above) ~ land surface~ Finish of well (check one)
Open end (~); Screen ( ); Perforated ( ). -
Describe screen or perforations
Well pumping test at y ~ gallons per (hour)~ for_~% hours with
of drawdown from static level.
Was casing collar sealed with cemen.~ grout
Depth in feet from
WELL LOG
Give'details of formations penetrated, size of material, color,
.,ground surface and hardness.
TO
TO
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TO
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Figure
0
We//' ?., ;/,"c_," Sp. / ?.; 7 t.y /,ret:, v A.
Date
Inspector
Comments
Time
Date
!e
Inspector
Date Sewer Installed
Soils Rating
Permit No. Septic Tank Size
Holding Tank Size
Well To Absorption Area Well Log Received
Well to Tank
APPLICANT F~LLS OUT LOWER HALF ONLY
Property Owner ~f~ PARKER
,,.~J:,~ Anchorage AK
Mailing Address 2227 E
Phone
279~33'q0
Buy~ ck Goertz
Address
Lending Institution
Address
Realty Co, & Agent
Address
Legal Description
Street Location
.~uRYHER, 1 LI6llTS
Phone
Phone
2227 East
Type of Residence
X[I Single Family
E] Multiple Family No. of Bedrooms '
iq Other
Water Supply
¥~,~J Individual A'fTACH WELL LOG. A well Icg is required for all wells drilled since June
~ Community 1975. For wells drilled prior to that date, .qive well depth (attach Icg if
[~ Public Utilitv~ ava!!Eb!e~)
Sewage Disposal ?
~-J Individual Year lndivMual In,~talled:.
LJ Pnblic tJtility When Conne(;ted to Public Utility: _
E]I Ioldin,g 'lank
ALASKA I FIUIROFImI FITAL COFITROL $ERUICeS, IFIC.
~§Jll~:¢rJn§ § ~lluirmlmcntal StucJics
JANUARY 20 1982
BENSON REALTY -HOSCHEN
555 W NORTHERN LIGHTS BLVD ~209
ANCHORAGE AK 99503
SELL.~R - W PARKER BUYER-D GOERTZ
SUBDIVISION-JOHN WELLS ADDN BLOCK-2
LO T- 2
-'Y TEM
ADEQUACY TEST FOR SEWER S S ·
THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN UNKNOWN AREA.
THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 1554 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
4 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON JAN 20 192
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
1250 GALLONS FOR THIS HOUSE OF 4
0 GALLONS IS INADEQUATE BY
BEDROOMS.
1220 ii. lest 25Ih Auenu¢ · A,~c~,orage, Alaska 99503 ·/907) 276-1361
ZOT' I
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Consultants Inc.
~.CHO.AO~ ~A,.B~.X" ALASKA
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