HomeMy WebLinkAboutTANAINA HILLS LT 12Oil 0 '1
LoT
"NAME
LEGAL DESCRIPTION
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVlRONIViEN'I'AL ENGINEERING DIVISION
825 L Str0et- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
P~P; ONE
~/~-- ~7~ [] UPGRADE
Manufacturer
Liq. capacity in gallons W~elllF
~.,~ ~,~"O HOMEMADE:
DISTANCE TO: IWell
Absorp~
Inside length
jWdtl
NO, OFBEDROOMS
PERMIT NO.
No. of compartments
Liquid depth
Manufacturer Material
Well Nearest lot line
DISTANCE TO:
No. of lines :h of each line Total Im~gth of lines Trench width
Top of tile to finish grade Material beneath tile
Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation PERMIT NO.
Distance between lines
Total effective absorption area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective ahsorption area
Well Building foundation Nearest lot line
DISTANCE TO:
31ass Depth Driller Distance to lot line PERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS .'.',
/ S & S ENGINEERS
5610 SiIverado Suite A7
ANCHORAGE, ALASKA 99502
· (907) 274-9397
VED ---- DATE LEGAL
U-W DRILLING, Inc.
P. O. Box 4-1224 · 1310C International Airport
(907) 274-4611
ANCHORAGE, ALASKA 99509
DRILLING LOG
Well Owner Alaska Building & Design Use of We]] Domestic
Location (address of: Township, Range, Section, if known; or distance main road
Lot 12 Ta~a Hills Subdivision
/~o
Size of casing 6" Depth of Hole ~ feet
Cased to -1~ 2.31 ' feet
Static water level ft. (above) , (below) land surface. Finish of well (check one) open end ( X );
Screen ( ); Perforated ( : ).
Describe screen or perforation N/A
-Well pumping test at galions per (hoUr)
of drawdown from static level.
(minute) for
hours with D?T. OF HE,\LT:q ~',, ' ft.
Date of completion k'.ov. 1 ~. ~. qC, 1
FES 1 7 i3E,2
Wt:£L LOG R E C E 1 V E D
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
.TO¸
Casing ~ickup
Organics
Sandy clay, tan
Tan silty ~ravel . .
Gray silty' sand and,clay
Graf silty Clay and gravel
Water gravel
Z
Cert~fio,.,~ No:~ Contractor
-- · o.~4 & 97,3
3--CONTRACTOR
PERFIIT
FIP(:'!. :1:
I..OCFI T I Eft,!
I..EGFI! ..
GF:IR'T'H I','IE:F;~r4: I M_.
:!~; F!?.,! f)
LOT ::[,:~: 'TFIIqFI :[ NFl H ILLS
~;2CIEIO S(;:~L,II::~F::E: FEi;ET
'T'"r'F'E OF L:'i;OIL F:IE:SC~F;:F'TIOF,I :=;"¢'.:-:;-!'Ei"I ):S: 'T'F~:ENCH
I"IFI::':::[FILli'"I NUI'"IE:ER OF E:EDIRE"ZII"IS .... :!-
THE RE(;:!U :[ F-.'ED S I ZE: OF THE SO I L. FtE:'_':~;I::~i~:f:'-!" I: O!",! S"?STEI"'I I S:
TI'-IIE [_EI",!GTH D ;I:t',IEi'.,IS .'[ EIN ]: S THE L.E:NGTH ( ):t'.,I FEET ) OF THE Tt:4?=':I",!E:H Ot:;~ t::q:.i:F:l:[ I~IF ]: ELI::,
THE: DEF'TH OF I:::1 'I-RE:!",IE:!'I O[;~: I::']:T :[:_:.'; THE: DISTFII",I(::E BETI,I!EEIq THE :{¢L.I[',;:F:'!:;I(:)E (3F THE
GI~'.OLIi'.,ID Fli",[l'2 'THE: E',O'TTOH OF 'THE
TH[:_'FdE .IS r.,Io SE'T I,IIDTH I:::'OF~: '!'!;~:Ei'.,E:FIE;',~.
"tF.IE GF?.FIVEL. I'::,EF:'TFI :[':.C, THE FlIiqil'qLIf,'l [)E:!::'TH (:ir..:' GRFI',,,'EL. EIETI.,!F.:E:N THE: OLFf'FF:!L.L F:':[F'E;
I::li'.,!D THE: ErOTTCff'I ElF THE E!;,~-:iC:FI',,,'FITICII",f (ZP,I
t::'!~!:,~:1"1:['[' I::II::'F'L.:[C:i:'ih!T I'"IFI'_::~; THE I:,;:(:~:SI::'()I'.,I~i;I[~:I:L]:T'.r' TO :[I',IF'OF;~I'I TH:IS DE:I::'FII:;:'TPIENT' DLII:;;:II'.,tG '['t-.tE
I:I",I'iiFI"F:II...L,FITIOI',,! iI",ISpI_=_"CT:[OI",I'.ii; OF FIt=,I'¢ !,.!EL.L.'i!; FIDJFICEt",!-J" TO "FFI:~'=; PFi:OF'EF~:T'¢ FII",!D THE
I'.,tlJl'"tEdEI;i: OF t".':IE'.:=;IDENC[!:S THI::IT THE ~,.IE:I,J~. P.I]:!._L,.
I:~i:I=ICI([::'I LL. I hlCi (::If:' l:::lr.,!~-,.* S"?ST[EI"! l,! I THOUT F::' :[ I",IF~L :[ NSF'E;C:T :[ ON FII",][:, I::It::'F:'F~:CCv'FIL B"r' 'I"H I S
DE;F'I=If4'.TI"IENT 1.,I:[LL. BE: SL.IEL~[EC:T-I"O PF~:OSEC:UT]:Oi",I.
I"1 ]: N I MUH D ]: S'I"Fli",tC:E E[IE TI,.IE Et',I FI I,.IE~:t..t_ F:It'..ID FIN","
::1.~!,3 FEE21" FOR FI F'F?.IVF:ITE FItEM...
I. JF'Oi'.,! 'THE: T?F'I!'Z OF F'I..IE:LIC I.,IE;L.I ....
I"1]: i'.,I Lr PIU P! [):[ S T!:at'.,IC:[!:
TO R COI','II',IUI'.,t I T'-? :i!;EHEI:;: I,. :[i'.,1[..:: I :i'i; 7'('.~ FEE:T.
HELL !...OG'.:~; F:II=4:E
OF THE I,.IEI.~L COI','II='[.E:TICII'.,I.
O'f'HEF:{: RE~I]:JI.J I P. Ef,IE:I'.,!'TS I'"lf::l~r
I=:1 ',,,'I::I ]: IJ::f IE'I L E TO
;[ CEF;:'I']:F"r' T'HF::I'!-
::L: I Fli'"l FFII'"IIL:[Fff;.' I.,.1:['i",~,1 THE F.~rE%iLI:I:F~:EI'"IEI"4TS F'(:)F:'. OI",I-'.E;];TE
F:'EIF;¥'I~F't Eff'r' THE i"II,,.II",!:[C::[F;'F:IL~I:T',i.' ElF FII",!C:HOF;:I::IGE;.
:F:: ;[ P,IILL. :[i",ISTFIL.L THE; ',?'r'ST[FI"I .(F,! t::'ICC:OI~:[:,i::IP, IC:t!:: !.,.IITH THE
:ii: :l: LIi'.,!D[:_::I;[?_;~;TF'~t~ID THFIT THE (31",I-'"S:(TE :E;E=I-,.!ER '_::',"¢?,'Tf:~ff'l I"1R'¢ I:;.:E(;iUIRE
:!5:: 3NE[:: .......... =.....~.~.~ .......... ~ ......... ~ ..................... ~ .....................
F1F'F:'I,. :i: C:FII'.,tT GI::IF~: '['H ['"lEFt F;: ;[ [_[... -'"'""~..
.[,_ ,:. IjEJ'., I: ::.~ ............................... DI::I't'[,~ ......................
SEF.IEF;:S I::II"~D HELLS [::IS L::i;IET
:( ,~::' THE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
'~'/'SO I L S LOG
F~ERCOLATION
TES1
PER FORMED FOR:
LEGAL DESCRIPT(ON:
1
2
3
4
5
6
7
8
9
SLOPE
DATE PERFORMED:
SITE PLAN
10
11
12
13
WAS GROUND WATER
ENCOUN]ERED?
IF YES, AT WHAT
DEPTFI?
14 Reading Date
17'
19
2o f71- L .
~ PERCOLATION RATE
TEST RUN BETWEEN
PERFORMED BY:
Gross Net
Time Drop
/I.'o:'
Net Depth to
Time Water
//.,_ ,
_(minutes/inch)
72-008 (6/79)
Time Time ·
Date Date Date
Inepector Inspector inspector
Comments (L./_~_~.¢ - ~/~"'z' ~'- '~- ~/~/w/g--~ C°ndltl°nal Appr°val
}~ ~ ) D:sapproved
Date Sewer Installed '%~w¥~':'~ Permit No. Septic Tank Size
l~ ~l Holding Tank Size
Soils Rating Well To Absorption Area ~ ~ ~ Well Log Received
Well to Tank / ~ ~
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner ~/~ ~ ~/~/~ Phone
LonOIn~ Instilutlon ~hono
ReBIty go. & Agent Phone
Legal Description g~ ~ 'T~-r~~ ~~ ~
Iyp~ 9[
~ Single Family
B Multiple Family No. of Bedrooms
[; Other
Water Supply
~lndividual A~ACH WELL I.OG. A well log Is required for all wells drilled since June
[3 Community 1975. For wells drilled prior to that date, give well depth (attach log if
B Public ~til~ available.)
Se~ge Disposal
<~ Individual Year Individual Installed:_/[
[3 Public Utility When Connected to Public Utility:.
(3 Holdin~ Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST SEFORE PROCESSING CAN BE INITIATED,
February 10, 1982
Garth ~'lerril 1
.~3t~k Box 413-E
Anchorage, AK
99504
Subjc~ct: Lot 12, Tanaina Hills S/D
Deal.~ Mr. Merrill:
Approval for the individual sewer and water facilities cannot
be granted until '[:he following ite~as have been completed:
~'~' A well log submitted to this office for our files and
review.
The depression or pit around tile well casing needs to be
filled with in,pervious 'hype soil so that it slopes away
frolR the well casing.
The water analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
0 'l'~e standpipe to tile sewer system need cap~,; on them.
)?lease notify this department for a reinspectien when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264.--4720.
Sincerely,
t%obert C. Pratt
Assoeiate Environmental Specialist