HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 1 LT 13Onsite File
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DEPARTMENT OF NATURAL RESOURCES ',•
MINING, LAND, WATER HYDROLOGICSI)RVEYe
3540 AKULA DRIVE
ANCHORAGE, ALASKA 99516
(907) 345-0593,
WATER WELL LOG
•
,DrillingStarted: 7 /.3L/1(1'4Com pbated: __/.10'7
Oity/8orough:
Subdivision/USS:
Block
Lot
Pro Owner Name & Address. : P... u -y% R j LQ.:
4. % r r -,l Lore, cl tea �• -
Meridian Township Range Section t/a rt/a • • •
-.._ ...... ....-._ o of . e of
Elevation: --`__
'Let11%• AD:2OR
N
_Long:W..._,-..
BOREHOLE DATA: (from ground surface) Depth
'Material: Type, Color & wetness I From I Tel
93
Drilling method:XAir rotary, [1 Cable tool, Other_T_ .
.. .
Wellvse: 0 Public supply.X,Domestic, 0 Other • •'o: ..•' At..." •
/�
Depth of hole: O Q Casing stickup: • 12
I
'&1 --e.... 1, a -c1;
`J
I
Casingt,ypc:soe`A Thickness t Q4•S inches•
Casing diameter. b 6trhrs Casing depth • 40 S
'
l t�tf �c l`1 )'u Ut. L.
/
l
tJ5
Liner type: Diameter: inches Depth:.•• ft :
J
,t `-
�_.,
Stacie Water Wow top ofra•.P.•• !: it on ��'/ / J,
C Iy
\\
d S
--,4•E
Pumping level &yield: feet after _hours at• ._ppm • •
A,
Recovery rate: j C) -I-ppm, Method of Rating: .. -
/
• rat l,,t. f L to / Hao
3 S
Lio
Development method:: Duration: •.. •
'
Well intake opening type: i!(Oprn rnd, O Open holo
O Screened; Start: ft, Stopped d
•
Screen type: Slot/meshsize
•
D Pcrforatcd;Start: ft, Stopped 8
Start: f1, Stopped S
Note:
Grout type: „lc q,lLs_ Volume t
Depth; from ft, to _ it
•
Pump intake depth:
Pump size hp. R ra nd name:
Was well disinfected upon completion? *Yes, 0 N
Method of disinfection: Itbign•i...rs,
_
Driller comments/ disclaimers:•
..
Well Driller Name: tii.
Cod=
'
Company Name: HEFTY DRILL;
Mailing Address: 3540 AKULA DRIVE
City. ANCIiCORAGE Stale: ALASKA Zip; 99516
Phone NumbehN 71-907-345-3593 +`
Drillers Signature: ,' _ jj/hi 0,O lee lt•
State INV requirs data copy of this w it a he son a. du: %cote of Alaska
'i 15 days. Faxes ere scolsblc. (AK statutes 38.05.020, 3t05.035.
..020. 46.15.020 and Al( regulations 11 AOC 93.140).
DEPARTMENT OF NATURAL RESOURCES
Mining, La nd & Water Hydrologic Survey
S50 W 7th Ave., Suite 900A
Anchorage, AK 99501-3577
,Telephone (907) 269-9639 and VAX (907) 562-1384
(T'
Within the Cityor/jtichoragc, it is required that a copy of the well log be
sent to the appropriate city office within 60 days and that another copy of
the well log be sent to I! well/ ,roperty owner within 30 days.
Permit Number: -1-2
la 030',. 0
Date of Issue: 3 ' _.()&
Parcel IdentifcationNumbnr: 4 Js ).S• 1- / P
Is well located at approved permrt location? OYes or0No
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Sep 02, 2003
Expiration Date: Sep 01, 2004
Permit Number: SW030350 Parcel ID: 075-151-18
Legal Description: GIRDWOOD ORIGINAL TOWNSITE BLK 1 LT 13
Design Engineer: 0000 None Required Site Address:
Owner Name: Kim Rice Lot Size: 6000 SQ. FT.
Owner Address: PO 'Box 331 Total Bedrooms: 1 Permit Bedrooms: 1
Girdwood , AK 99587 -
This permit is for the construction of:
E Disposal Field n Septic Tank ❑ Holding Tank ❑ Privy [ Private Well E Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date.
Date: 2 0
Parcel I.D.
-J
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
075=15/ 18
V Permit Number SW030350
O
Property owner(s) •I ke �1 Cr
Day phone
Mailing address (1) i3 --.y 331 6llactiori
Mailing address (2) Zi61R�wOPD ORt6.1b4
Legal description (Lot, Block & Sub'd.)
783 OC -
79
795X7
Legal description (Section, Township & Range)
TOWNS ITE
x/77
elk 1 Lor 13
Lot Size )0(1)C) Acres Sq.Ft.�+ Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only 0 Well Only
Sewer and Well 0 Water Storage
Sewer Upgrade 0
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
❑ Jacuzzi
❑ Water Softening Unit
0
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelligg and is in acc5r n ith applicable Municipal Codes.
1 ---
(Signature of prbperty owner or authorized agent)
- 2-2_ -0'5
Permit
' --
Permit Fees: / 5 ' 0
Date of Payment:
-o3
Waiver Fees:
Date of Payment:
Receipt Number: 6 ¥ 0 2- fj eceipt Number:
(Rev. 12/00)
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MUNICIPALITY OF ANCHORAGE
Department of Health end Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Sep 09, 1999
Expiration Date: Sep 08, 2000
Permit Number: SW990328 Parcel ID: 075-151-18
Legal Description: GIRDWOOD ORIGINAL TOWNSITE BLK 1 LT 13
Design Engineer. 0000 None Required Site Address:
Owner Name: Kim Rice Lot Size: 6000 SQ. FT.
Owner Address: PO 'Box 331 Total Bedrooms: 1 Permit Bedrooms: 1
Girdwood , AK 99587 -
This permit Is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-4744 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
-V-vvna fleAAA
Date:
Date: 9-9-99
00
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,.) FINISH FLOOR DETAIL
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ELEVATION DATUM IS GAAS 1964 POST QUAKE DATUM
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DESCRIBED ON THIS PLAT AND THE
tuwwnururnTc CITI 'ATPa TMrwrrw ewr
0 = SET OR FND. 5/8" REBAR