HomeMy WebLinkAboutUS SURVEY 3045 LT 43 T10N R2E SEC 8Onsite File L),5 5urvey 3044, .t � fifi,mb,�� � AObk3I � 16 9TO to u MUNICIPALITY OF ANCHORAGE Development Services Department _ Phone: 907-343-7904 On -Site Water & Wastewater Section ` ' Fax: 907-343-7997 Well Log Permit Number: # 221110 Date of Issue: 5-13-22 Parcel Identification Number: Date Started: 5-18-22 Date Completed: 5-19-22 Is well located at approved permit location? Yes FI-1 No ❑ Legal Description:US Survey 3054 U43 T10N R2E SEC8 Property Owner Name & Address: Elaine Tweto 249 Crow Creek Rd Girdwood, AK Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Sitck Up 0 2 overburden 2 4 peat 4 10 wet clay & gravel 10 15 silt & gravel 15 17 boulder 17 19 silt & gravel 19 55 clay & gravel layer 55 56 wet silt & gravel 56 58 sand & gravel w/H20 58 75 coarse gravel w/H20 75 79 Water Sample Results: Arsenic: ND Nitrates: 0.620 Total Coliform Bacteria: NEG /'ZCa Z Z_ ug/L mg/L colonies/100mL Method of Drilling ❑■ air rotary ❑ cable tool Casing type: steel Wall Thickness:.250 inches Diameter: 6 inches Depth:.. 79 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 46 feet Pumping level: feet after hours pumping _gpm Recovery Rate: 8 gpm Method of Testing: airlift weir imaxe opening type: Fxj Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet ume: 20' Start 0 Well Disinfected Upon Completion? Yes No Method of Disinfection: tabs Comments: Well Driller: J011ny Kay 0 ❑ Company: Hefty Drilling, Inc. Mailing Address: PO Box 112130 Anch AK 99Z Attention: The well driller shall provide a well log to the On -site Water and Wastewater Section within 30 days of completion. evelopment Services Department Building Safety Division On -Site Water & Wastewater Program a ' 4700 Elmore Road of P.O. Box 196650 Mark Begich Anchorage, AK 99507 s Y Mayor www.muni.org/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number:-&W QSD Ila Date of Issue: Parcel Identification Number: Legal Description _ Property Owner Name &Address: (r) C) t r v-vj -50 (45 C-+ q 3 T I O IV R Z E 40 at _ 1 �K. Vic +o 5R u .22 yq C Yoati Gyre t( Rd . 6', `l7i S 6; ,-rJ w oad ,, IV-, Pump Installation Date: 7 _ (.- _ a Pump Intake Depth Below Top of Well Casing: ` 5 feet Pump Manufacturer's Name: G r v► kctk-S Pump Model: S � 0E 07 - .23v Pump Size d75 hp Pitless Adapter Burial Depth: 1�2 1i feet Pitless Adapter Manufacturer's Name: (-Ir d VX Pitless Adapter Installer: IVI A Well Disinfected Upon Completion? [11 Yes ❑ No Method of Disinfection: C,,j, j',,;,,e k-405 Comments: Pump Installer Name: Johnny Kay Hefty Drilling, Inc. Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water System Permit Permit Number: OSP221110 Work Type: Well Initial Tax Code Number: 07503116000 Site Legal Address: US SURVEY 3045 LT 43 T10N R2E SEC 8 GA715 Site Mailing Address: 249 CROW CREEK RD, Girdwood Owner: TWETO ELAINE Design Engineer: This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5/13/2022 5/13/2023 67082 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Toclose this permit please submit: 1. Well Log 2. Pump Install Log 3. Water sample results --4. WeXt Received By: �'`` —�"� Date: 05/13/22 Issued By: mac'/ �,7_ Date: r 3 MUNICIPALITY OF ANCHORAGE Development Services Department �f r� Phone: 907-343-7904 :On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. ►'L7-1-3oyy 07,5 11CA%je1_0 �.•1. ., Property owner(s) Day phone qo-73so 72_60 Mailing address R 0. CSwL (owl , (�gj,. voA , Arc. R 9 g17-7 Site address 245 Crew Cree-" , G4rjvjopA ` lSi7 Legal description (Sub'd., Block & Lot) UA- 43 ().S 5L'ryey _ 9G Legal description (Township, Range & Section) —1 Iom 9L, _ "I- Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION 1S AN: TYPE OF DWELLING: (® all that apply) Absorption. Field ❑ Initial Single Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade ❑ Holding Tank El Renewal Duplex (p) ❑ ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well `9 Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 225 Date of Payment: 5�y�2Z Receipt Number: Z762r,2 Permit No. P22 It 10 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Com � New proTos.e.Q JC�1 slt —aprrox?M 1ocA},bn a.. _. P�a4-e...ce �r-. Loi.-•a�' "3'. C�3� 9���S�:�. /� •65CaLE 1PL2� O• FUtL 612E 32X34 \ yItOGRESS DR�iI(CVli)N y!i> FOR CO`l�lR w zi Wil AO.1 \ AR SE BACK DISTURBANCE ENVELOPE / SILT FENCE PROPOSED WELL / LOCATION 3 / 2 ......_ ... r - / �IEAVE EXTENTS /v \ _ C` \ i l DECK AM `6 L.._ DESIGN ELEVATION = 1802' EXISTING GRAVEL FILL PROPOSED SINGLE-FAMILY DWELLING SURVEY ELEVATION = 147 \� , US /0(/22 �SIITE PLAN SCALE: 1 D = 2❑I-❑D @ FULL SIZE 22X34 z EXISTING DRAINAGE 5 s D v"NWIN G v :w p,E s s vlw CTION NoT F DF A< <\ 49TH N FOR CCNSTRIJCTI/ N �I..:...................� Marco A Ia=m j 1I�gFA!ROFESSIOl1p�PQ`�� IZI ARCHITECTS ..,, , Wr U Z ZEn En Ww 0 0a. a Z w U W z W " Q �aY Q �ul a W W ° �-- 0 ` o 5 3 E3 '^ �- a lJJ SwBMITTAL: DRAWN BY: ET CHECKED BY: MAZ REVISIONS: COPYRIGHT 2022 .IOB NUMBER 21-36 A0.1 / EXISTING DRAINAGE 5 s D v"NWIN G v :w p,E s s vlw CTION NoT F DF A< <\ 49TH N FOR CCNSTRIJCTI/ N �I..:...................� Marco A Ia=m j 1I�gFA!ROFESSIOl1p�PQ`�� IZI ARCHITECTS ..,, , Wr U Z ZEn En Ww 0 0a. a Z w U W z W " Q �aY Q �ul a W W ° �-- 0 ` o 5 3 E3 '^ �- a lJJ SwBMITTAL: DRAWN BY: ET CHECKED BY: MAZ REVISIONS: COPYRIGHT 2022 .IOB NUMBER 21-36 A0.1 MUNICIPALITY OF ANCHORAGE WASTEWATER I5221033 CONNECT PERMIT WATER & WASTEWATER UTILITY DATE OF APPLICATION: 3/3/2022 3000 ARCTIC BLVD. PHONE:(907)564-2762 SCHEDULED COMPLETION DATE: 12/31/2022 BLOCK/LOT/TRACT: LT 43/ ❑ SINGLE FAMILY SUBDV: US SURVEY 3045 ❑ DUPLEX (-j COMMERCIAL TAX CODE: 07503116000 GRID: SE4715 ❑ MULTI -DWELLING No. APTS 0 STREET ADDRESS: 249 CROW CREEK RD Girdwood, AK 99587 OWNER: TURNION CORPORATION THE MAIL ADDRESS: PO BOX 994 GIRDWOOD, AK 995870000 PHONE: CONTRACTOR: Dirtworks Inc ` ASSESSMENTS ❑ Repair Existing Service ❑ Main Line Extension 0 On Property Only ❑ City Tap u Have Been Levied ❑ Hydrant Only ❑ To Be Levied ❑ Main Tap - To Property Line Only El Cured in Place Pipe Comments: ❑ Main Tap & On Property Connect ❑ Disconnect Rova No. Ej R & R - Main Tap Only f Owner IStaff CONNECT SIZE 4 in ISSUED WWVAH INSPECTION FEE $112.00 n PAID n CASH PERMIT FEE $77.00 ❑ CHECK RCC S1.69 ❑ OTHER REIMBURSABLE DEPOSIT $0.00 INSPECTED BY NUMBER TOTAL 5190.69 DATE REMARKS PERMITTEE (Please Print) Dirtworks Inc MAIL ADDRESS 3255 South Old Glenn Hwy Palmer, Alaska 99645 SIGNATURE EMAIL POST IN A CONSPICUOUS PLACE AT THE JOB SITE CUSTOMER COPY PHONE (907)355-4013