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GREATER ANCHORt\GL ARLA BOROUGh,
Department of Environmental Quality
3330 "C" Street
Anchorage, A1 aska 99503
SOII,S l,O(i -- PEROI,ATION TEST
This form reports' Soils log_~!~- Percolation test
Depth
Feet
5-
6-
7-
8-
9-
10-
11 -
12-
13-
14-
tWas ground water encountered?
If yes, at what depth?
Reading Date Gross Time
Net Time
Depth to Water
Pe rcol a t i on ~r-a-~- ............... ~n-i-n-~-t-e-: ......
..Proposed installa~h? Seepa'.qe Pit Drain Field
............ Depth to bottom of [)it or trench
Depth of Inlet ..... ·
COMgE~TS:
~ -C-~'rt~ fi ed By:
EQ-OqO (~/74)
Net Orop
Date:
BIRCH
(SOUTHPORT DR.)
g
Permit Number: #SW 990137 Date of Issue: 6-15-99 Parcel Identification Number: 017-451-28
Date Started: 7-2)0-99 Date Completed: 7-21-99 Is well located at approved permit location? JZ Yes ❑ No
Legal Descriptio':- ContourAcres # flat 2B
Property Owner!1 ame & Address: Jerry Hanson
14945 Elmore Road
Anchorage, Ak 99516
Borehole Data:
Depth (ft)
Method of Drilling Z air rotary El cable tool
Soil Type, Thickness & Water Strata
From
To
Casing type: Steel
Stick up
0
2
Wall Thickness: .25 inches
Organics and silt
2
4
Diameter: 6 inches Depth: 160 feet
gravelly sand
gravelly silt
4
7
7
27
Liner Type:
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
silty gravel
silty gravelly sand
27
43
43
56
Static water level (from ground level): _feet
Pumping level: feet after
gravelly silt
56
125
2 hours pumping. 10 gpm
silt
125
147
Recovery Rate: . 10 gpm
silty sandy gravel seepage
147
150
Method of Testing: airlift
Well Intake Opening Type:
Bedrock 150 325
M Open End ®"Open Hole
E] Screened Start feet Stopped feet
[] Perforations Start feet Stopped feet
Grout Type: Bentonite A 8 Volume: Lbag
Depth: Start 0 feet Stopped - feet
Pump: Intake Depth feet
Pump size _ hp Brand Name
Well Disinfected Upon Completion? Z YesEj No
Method of Disinfection: clorox
Comments:
Well Driller: Alpine Drilling & Enterprises
P.O. Box'I 104 96
Anchorage, AK 99511
Attention: The well -driller shallpmvide a we14 log to the property owner within 30 days of completion and the property