HomeMy WebLinkAboutUS SURVEY 3200 LT 10CLof lOG
GrF" I,~-r ANCHORAge AREA BO, ~UGH
DEPARTMENT OF ENVIRONMENTAL QUALITY ~/~PE MIT NO' --
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-455!
~.~?-'~T~f-- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~, , DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY tO BE SERVED ~m/~/'~-'~ ~/~/~/{/'/~ ~//~/~ --/~ ~ ~-
SOIL TEST RESULTS J7~~ ~C72) ~ 7~4 / NOT~: THIS P=RMIT IS NOT VACID WITHOUT SOIC
COMPLETION DATE ANTICIPATED ~~
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
DRAIN FIELD ~
WATER MAIN TO SEPTIC TANK /~ ~
DRAIN FIELD /~ /J '~
SEPTIC TANK, .. ~ ~) SEEPAGE Pit
TO RIVER, LAKE, STREAM.
ALSO CONS]DE~ AREA WELLS*
, SEEPAGE PIT ~,/'~ /
/ 0~J DRAIN FIELD ~JJ/~
DIAGRAM OF SYSTEM
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT ~EMOVABLE CAPS.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
Well Owner },, ....¢~.., r)vum
M -W, DRILLING, Inc.
P. O. Box 4-1224 · 1310C International Airport Road
(907) 274-4611
ANCHORAGE, ALASKA 99509
DRILLING LOG
Use of Well
Location (address of: Tbwnship, Range, Section, if known; or distance matn road
Size of casing ?'" Depth of Hole 7S feet Cased to $5o S feet
Static water level t ~ ft. (~)V~) (below) land surface. Finish of well (check one)
Screen ( ); Per~orated ().
Describe screen or perforation
Well pumping test at .} 0 gallons/per. '(ll¢t~) (minute) for
of drawdown from static lev*~i:
Date of completion .4 ti'~,b~ t9'76 ~
hours with
open end ( '* );
WELL LOG
ft.
Depth in feet from
ground surface
0 TO I
_TO. ~4
TO.
.-i,i .TO 44 ~ ~
:N'~ ~f12'O 4,, 9
'~.? TO. 50
~4 .TO 7~
Giye details of formations penetrated, size of material, color and hardness
:TO.
.TO.
.TO
.TO.
TO_
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NWWA Certified Contractor
Certificate No's. 814 & 973
.TO_
2 -- STATE