HomeMy WebLinkAboutUS SURVEY 3045 LT 43 T10N R2E SEC 8Onsite File
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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:
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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.
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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