HomeMy WebLinkAboutBARCLAY CITY LT 2
NAME
MAILING ADDRESS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND~OR WELL INSPECTION REPORT
~" ~1~ ,~ ~ PHONE I
I
LEGAL DESCRIPTION
LOCATION
[] UPGRADE
NO. OFBEDROOMS
We I . L I /
DISTANCE TO: ] i.;~O7 ~'- Absorption area~'- Dwelling .~ /O~) PERMITNO. ~.~0~,
Manufacturer Material ~ No. of compartments ~
Lq. capacity in gallons IF HOMEMADE: Inside length ~ Width / Liquid depth
{0 0 o ~
DISTANCE TO: Well Dwelling~ / PERMIT NO.
Manufacturer ' /~ Material Liquid capacity in gallons
DISTANCE TO: Well ~ ~i~ Foundation jO~ j~ Nearestlotline /~ I* PERMITNO.~ ~-O'~
Trench width Distance between lines
No. of lines I J Length of each Jingo, Total length of line~oI ~ inches
Topoftieto i ' g ~ i Material beneath tile ~ inches. ~)~
Length Width Depth _ , / PERMITNO.
Type of crib Crib diameter Crib depth ~/~ Total effective absorption area
Well
DISTANCE TO: Building foundation Nearest lot line
JClass ~ __ Depth Driller Distance to lot line PERMIT NO.
DISTANCE TO Building foundation Sewer line Septic tank Absorpt on area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
-'
INSTALLER
R EMAR KS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR: '~.. ~ ~'.(__--I.~ "~ X(~-~ V r~rT-i ~k~ (~
DATE PERFORMED: ~"' C~ ~ -- ~'~ ~-'
LEGAL DESCRIPTION:
1
2
3
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9
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12
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14
15
16
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18
19
2O
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED7
O
P
IF YES, AT WHAT ~1 /~/,, E
,.,7//.-
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~'~/A'~ (minutes/inch)
~b~,~ A. Shefer
NO.
COMMENTS
TEST RUN BETWEEN FT AND ~ FT
CERTIFIED
72-008 (6/79)
-3149 RECEIVED
P.O. BOX 770504, EAGLE RIVER, ALASKA 99577
Mr. Dan Gray and Ms. Janet
2435 Eagle River Rd.
Eagle River, A~. 9950/
Clarke
Jan. 30, 1985
6" water well Lot 2,~Barclay City Sub., Eagle River, Ak.
365 ft. drilling @ $ 23.00 per ft ...................... $
Drive shoe .............................................
Well seal ...............................................
8395.00
75.00
30.00
$ 8500.00
3/4
231
331
Installation of
HP pump .....................
ft. of 1" galv pipe @ 1.50
per ft ..............
ft of # 12-3 well wire @.75
per ft ...............
pump - 4'hrs
$ 612.00
345.50
248.25
200.00
1406.75
Total dupe $ 9906.75
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ Geophysical Surveys
Drilling Permit No.
LOCATION OF WELL (Pleole complete either la, lb or lc.) A.D.L. No.
~,~.~ Barclay ? 1 ' _of_or_of -- sO wE]
~'~YA.CE A.D 0~%5}ON FR~M .DAD ,.T~.S~C~,O.S ~. OW.~ 0F W~LL: Dan Gray and Janet
~,~,: Clarke
2435Eagle River rd
Feet Below 4. WELL DEPTH: [final)
Material Type Top BoHom
Grey clay 45 49 0 Irri~tion 0 Recharge 0 Commerica,
Bedrock and greenstone 241 308 s.~,~,s.o~w~:
Black bedrock 308 365 zy..:
Slot/MeaL Size: Length:
Set between ft.
Backfillim~ Gr~vel peck
IO. STATIC WATER LEVEL:
Date
~ Above or ~elo~ land ~urface
Equipment used;
II. PU~PING ~VEL below land ~urface and
YIELD
........................... ~ ft. after ~r~. pumplng~ g.p.m.
DEPT. OF HEALTH ~
ENVIRONMENTAL PRATE( TION .. ft. after ~rs. pumping ... g.p.m.
12.GROUTING Well Grouted: ~ Yam ~ No
I~. PUMP: (if available) HP
Length of Drop Pipe2~ ft. capacity ~g.p.m.
~subm' 0 de, 0 centrifical 0 Other
14. REMARKS:
2roductiom
16. WATER WILL CONTRACTOR'S CERTIFICATION: i5. Water Temperature o 0 F ~ C
ThJ~ wel~ was arCHed unaer my jurisdiction and this report is true to the ~est of my knowledge and belief;
~,,~: E.O. Box 770504 [a~[e R~ver. Ak. 99577
a~ t~orlze'a Representative/ o~
Form OZ-WWR (ll/8~) Copy DistriDutio~; WHITE-Stcte DGGS~ PINK-DrHier, CANARY-Customer