HomeMy WebLinkAboutTIMOTHY Lot 27LOT'
51o
DL Form 241 WATER WELL DRILLER LOG DO NOT FILL IN
8/66
· Drilling Co. M-W Drillin~ inc. Well No,
Permit No.
Driller Gene Jordan Certificate No.
Area
Well Owner Frank Rasor Use of Well
Location (address of: Township, Range, Section, if known; or distance main
road__ Timoth~
Domestic
Sand Lake
Size of casin& 6" ~epth of Hole 175 feet Cased to l__~/~feet
Static water level4__~___ft. (~0 (below) land surface. Finish of well (check one)
open end ( X ); Screen ( ); Perforated( )o
Describe screen or perforation Nons
Well pumping test at l~O-l~allons per (~m~ (minute) for
of drawdown from static level.
1 hours with 1OO~ ~
Was casing collar sealed with cement grout
No
WELL LOG
Depth in feet from Give details of formations penetrated, size of material, color,
~round surface and hardness.
0 TO
7 TO 98
98 TO 100
100 TO 172
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
Fill & silty surface orsanics
Sand~ Very fine to fine, silty, damp to wet~_gccaisio__n__al very
small gravel seams.
~mall Gravel: sandy matrix
Sand: A/A.
Small to medium Mravel! minor sand metrix~ very Mood waterbeari~nng
POUC,~t 6 650
ANCHORAGE, ALASKA 99502
(907) 279 2511
DEPARTMENT OF !~EALTlt AND ENVIRON~,4ENTAL PROTEC]ION
(825 "[" St(oct}
February 4, 1977
Mr. Rasor
1701 Jefferson
Anchorage, Alaska
99503
Subject: T12N R3W Section 2 Lot
27 (Timothy Subdivision)
According to this department's recent perc test, the
sewer disposal system serving the subject property is
inadequate for a three (3) bedroom home and must be
upgraded.
A soil test must be conducted in the area of the proposed
new seepage trench to determine the specifications.
This department will grant temporary approval if funds
are set aside to upgrade the sewer system. A completion
date of June, 1977 is requested.
If there are any further questions, please contact this
office at 279-2511, extension 224.
Sincerely,
John Kennedy
Principal Environmental
JK/ljh
Control Officer
o t i ty
3330 C Street, Anchorage, Alaska 99503 274-4561
C. Date Received January ~0,
/~ Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
~-/-77 - ID:3D
1977
10:00 a.m.
1-11-77 Tuesday
KenBedy
1. ApProval requested by:
Mailing Address: Phone:
2. Property Owner: Mr. Rasor Phone: 279-2144~
Mailing Address: 1701 Jefferson
3. Legal Description: T12N R3W Section 2 Lot 27 (Timothy Sub)
Location:
7037 Timothy, Sand Lake area
Type of facility to be inspected Single Family No. of bedrooms 3
Well Data:
A. Type ~al B. Depth 175'
C. Construction D. Bacterial Analysis
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
On-site
1. Size /~0~3)
1. Absorption Area~'/A~o V ~_2.
Total length of lines
system
Installer
2. Manufacturer
Material
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines __
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption,area to nearest lot line
EQ-034 (1/74) Page i of two pages
~:Page '2 of two pages Re/'~Ast for Approval of .Individual F~er & Water Facilities
· Legal Description
T12N R3W Section 2 Lot 27 (Timothy Sub)
Comments
Approved
Disa pproved~~/ ~~ate
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained ia this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
~re operating satisfactorily.
SIGNED Date
EQ-034 (!/74)
MUNICIPALITY OF ANCHORAGE \~z' /
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO. VA
2. Property Owner: ~ ~
3. Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address:
6. Legal Description: ,-<~
Location: ~ ~' o-~
FHA__ .CONV
Day Phone:
Day Phone:
Phone:
Phone:
Type of Facility to be I nspected:--'~-~--~L~
Water Supply
Type of Supply: ~ Public Utility
No. Bdrms..~
rlndividual /~
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System:
Public Utility
Individual (on-site) ~"~'
If Individual, date of installation
72 003(3/76)
ADHW- LAB - 2W
DATE
STATE OF-ALASKA
D. ~RTMENT OF HEALTH AND WEb,
DIVISION OF PUBLIC HEALTH
BACTERIOLOGICAL WATER ANALYSIS
OFFICE
INDIVIDUAL []
REPORT RESUETS TO
OTHER
SAMPLE COLLECTED BY
DATE COLLECTED :
~ecords Jn Ibis office indicate this WATER SUPPLY to be
SaEsJaclory [] Questionable [] Unsatisfactory Sanitary Status.
· /
Analysis shows this Water SAMPLE to be:
{~ Safisfaclory [] Questionable O Unsatisfactory.
When?
Diameter eJ Well Depth Feet.
Well Casing
Maleriol Diameter Depth
[] drilled well ~ cistern
7. Relocate your well to a sale location in reJallonshia to your sewpge
disposal system. [~ see enclosure
8. Semele too long in transit: sample should hal ue over 48 hours old at
examlnolion fo indicole reliable resulls, please send new sample.
O BoHle Broken in transit, please send new sample.
9. Conlacl your nearesl [] Local Heallh Deaarlment or [] Alaska
Division o! Public Health, sanitation o{fice tar bulletins, consultation and
SANITARIAN'S REMARKS
STATE OF ALASKA_
D~'~.RTMENT OF HEALTH AND WELfaRE
~-~ DIVISION OF PUBLIC HEALTH
-BACTERIOLOGICAL WATER ANALYSIS
OFFICE
r PUBLIC ~1 SEMI-PUBLIC [~
NAME
INDIVIDUAL []
REPORT RESULTS TO
OTHER
. , .£-//,.
Records in this office indicate this WATER SUPPLY ~ be of:
I] Satisfactory [] Questlonnble [] Unsatisfactory Sanitary Status.
Analysis shows lhis Water SAMPLE lo be:
Satisfactory [] Questionable [] UnsaUsfactory.
If an "Unsatisfactory" or "Quesllonable" stalus is indicated above
you should take immediate aclion as recommended below.
1. Notily consumers water is polluted. Boil or i:hemlcaby
lreat this water as outlined in lhe enclosed leaflet
"Drink If Pure."
SAMPLE COLLECTED BY :
Well- ~ Dug ~ Driven [] Drilled [] Bored
SOURCE: [] Spring [] Cistern [] Other '
Dug Wetl or Cistern Conslruclion: Brick or
Walls - [] Wood [] Concrele _~ Metal [] Tile [] Concrele
When?
Diameter al Wel Deolh Feet
Well Casing
~*~aterial Djameler Depln
Length al Water Depth i
Drop Pipe From Bolrom Fe
rn Utility
~'Z. Increase chlorination sufficiently re meel recommended residual standards
Delermine source of contamination and lake aclion necessary Io maintain
a safe water supF y at all limes.
3. Check chlori&afinn and other mechanical equipment. Make certain il is
functioning properly.
4 Il'offer checMn~'equlpmen~ a disinfecting residual is nol obtained, ~lease
wire this office for-emergency ass[stance or advisory services,
5. This is a suHace water source and subiecl to pollution by man and animals
An approved water supply source Should be developea.
6. Improve your [] spring [~ dug web [] driven ~ell
[] drilled well [] cistern.
7. Relocate your well to e safe location in relalionshio to your sewqge
disposal sysmm. [~ see enclosure
8. Samole Ioo long in Iransit: sample should no~ ~e over 48 hours old al
examination to indicale refiable results, nleose send new samale
[] Baffle ~rohen in transit, please send ndw sample.
9. Contact your nearesl [] Local Hea[Ib Denarlmenl or [~ Alasl~a
Division of Public HeaBh, sanilalion office for bullelins, consultotion and
5ANITARIAN'S REMARKS
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Received ' - ' ~ ~: -ime Received //pm Lab. No.
EMB AGAR
Lactose Broth. 24 hrs 48 hrs.- Gram's stain
Coliform Oensit¥ ..~Aost ~robab[e No. aer I OOcc.
DIRECtiONS FOIl COLLECTING SAMPLES OF WATER FOR BACTERIOI.OGICAI. EXAMINATION
Re(id Cc~refully rind Follow Instructions Exactly
A~ongemenls should be made to Imve v.,¢ller SamlJles ~ec~ch Ihe labololozy as quickly us possible. After 48 hours the
signi[icctnce o[ Ihe b¢ldeliologi/(tl ancllysis is ilnpcdled, Fei ob',,ious roclsons Ihu [ui~oratoly piefels 1o receive sumples in
*~u~ly pud of lhu week but is williny to accepI sm~plos c,l any time.
In collodinEI scmlples flora TAPS el PUMPS p[oceecl els follows:
(Il) llm~oughly flush tclp o~ puml) by allowing waler to lun fioely for five minutes,
(b) Shut off wcflu~ crud florae Ihe oullel wifl~ Iolch ~ buHqn9 pupe~. 1he flame should nol be merely pussed over lhe
oullel bul d~ould be al;plied until [ixl0re shows indiculion o~ beh~g hol. Flame should I~e di~ecled ogaind indde
edge.
(~) Open fixture so Ihat u smell shoran flows.
(d) Remove bollle from moiling tube. I lold bottle by Ih~t Iowe, hull in one hand (md wHh ll~e othe~ ~umove lhe screw
cup with the fingers, leuving proper p,olecHng covo~ in piece. Fi[[ Ihe bolfle to Ihe shoulder, Repbce cop with poper
cover, sc,owing fimqy hflo pk~ce I;ul cio nol apply p~essu~e which will sphl cap.
(e) Puck Uulllo c¢~reful~y in moiling lube enclosing Ibis completed intorm(flion sheet.
In collecling sclmpIos flora S[REAM,S r, nd RESERVOIRS proceed as folldws:
(el) Remove cap und hold bollle (~s described under (d) above.
(b) ColJect sumple by hokling bollle in n denting posilion c~nd sweeping il below Ihe sulfcicc in suGh c~ man;:e~ thc,t
wolor Ihrd has I)oen in contacl wilh the hand is not Jnhocluced into the bollle. Avoid collecling suffoce scum
boltom seclinmnl,
PROPERLY.
STERILE WATER SAMPLE BOF[LES ARE AVAILABLE UPON REQUES1 FROM:
Depl. of Ileallh 8, Welfare
Dept. of Ilerdth & Welfare
SOU~IICEN~RAL REGIONAL IABORA'fORY
527 EAST 4fl~ AVENUE
ANCEIORAGK, ALASKA 99501
Dept. of Health &Wel[are
NORTIIERN REGIONAL LABORATORY
604 BARNE~TE S[REEE
EAIRBANKS, ALASKA 99701