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HomeMy WebLinkAboutTAFEL LT 7A1 Tafel Lot 7A1 #075-133-03 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Well Log Permit Number: #__________ Date of Issue: ________ Parcel Identification Number: __________________ Date Started: _________ Date Completed: _________ Is well located at approved permit location? Yes No Legal Description:_________________________________________________________________________ Property Owner Name & Address: _______________________________________ _______________________________________ _______________________________________ Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Method of Drilling air rotary cable tool Casing type: _________ Wall Thickness: inches Diameter: inches Depth: feet Liner Type: _________ Diameter: inches Depth: feet Casing stickup above ground: feet Static water level (from ground level): feet Pumping level: feet after hours pumping gpm Recovery Rate: gpm Method of Testing: _________ Well Intake Opening Type: Open End Open Hole Screened Start feet Stopped feet Perforations Start feet Stopped feet Grout Type: _________ Volume: _________ Depth: _________ Start feet Stopped feet Well Disinfected Upon Completion? Yes No Method of Disinfection: Comments: Well Driller: _____________________________ Company: _____________________________ Mailing Address: _____________________________ Water Sample Results: Arsenic: _________ ug/L Nitrates: _________ mg/L Total Coliform Bacteria:_________ colonies/100mL Attention: The well driller shall provide a well log to the On-site Water and Wastewater Section within 30 days of completion. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 n`Pump Installation Log Well Drilling Permit Number: (/ J 31 `'j l Date of Issue: Parcel Identification Number: - - Legal Description a Ft �.,:--, v i -J., Pump Installation Date: _L 2 - Block Lot Property Owner Name & Address: 7M 11 /,,,1* Pump Intake Depth Below Top of Well Casing: 150 feet Pump Manufacturer's Name: r 1P S Pump Model: �y ! 1gv,-\ 230 y 2 t,,. Pump Size: hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: 040 Pitless Adapter Installer: �V / Well Disinfected Upon Completion? Yes ❑ No n Method of Disinfection: `A6 ,!, Comments: Pump Installer Name: Ve Company:,D Mailing Address: City: hCA State: A-Zip:^I 7� Attention: The pump installer shall provide a pump installation log to On-site 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 n http://www.muni.org/onsite De partmenr On -Site Water System Permit Permit Number: OSP231051 Effective Date: 4/13/2023 Work Type: Well Initial Expiration Date: 4/12/2024 Tax Code Number: 07513303000 Site Legal Address: TAFEL LT 7A1 G:5013 Site Mailing Address: 651 ALYESKA HWY, DUPL, Girdwood Owner: TAFEL CRAIG C Lot Size in Sq Ft: Design Engineer: Total Bedrooms: 6 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Cif 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: fj To close this permit please submit: I' 1. Well Log ii 2. Pump Install Log 3. Water sample results ReCP17M�ffy: J-SSI{e�� /t- �St�✓»n��ei �i17 Issued By: Date: Date: Y LG 323 MUNICIPALITY OF ANCHORAGE Development Services Department 5 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 0-75-1330 3 000 Property owner(s) Z,s� 1'�'�+^ii� �.ri�`�� . Day phone '707-232-Z,413 Mailing address To?ox Vs' Z t�5— WItsi«ti , RL 9'd%_'P7 Site address i(l • adA c65 a%5 ,IPJ . to, l� br AI HN i4-�K.c3 Hwy Legal description (Sub'd., Block & Lot) 7,41 Legal description (Township, Range & Section) Lot Size J(ZJW Sq. Ft. Number of Bedrooms(� APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption. Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo AD U) Septic Tank ❑ Upgrade ❑ Duplex (p) ❑ Holding Tank El Renewal ❑ Multiple Multiple Dwellings ❑ Privy El and/or D) Private Well 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. nature of property owner or authorized agent) Permit/Rush Fees: /Z Date of Payment: `f 15 '?_9 Z_3 Receipt Number: 0_63 6?6; Permit No. 0S P Z 3 f O S l Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient FormsTermit Application.doc Art v m-�=*D — my m o3 Smarm 33oom y y y y< m Sm D A m ° o .s m M 0 oamo00--1 N +'O O D� a O r- 0 0 I`J = _a -� I� vS —m V! I +,0�7 y °•�on S O II 0 0 0- =0 o o o to nZ� d 7 0 �< ° a 0 ° m I � 0 3 (A _0 p°a=°psp 0O I al OZ II °' �'<°AaOm m m O y p p5 O II 3 g -'o O S° ,0 ,0. O O I CL='A 0'wN7 �� I s3T-7aO425 _ m y O N Sm i O y0 -�3vm X I 7 3 0 m'� A O A- > > <0 0 aa I H"1v3 a d0 �(% O p C 0 II N m cr SOS (A D p II 7 3 O0 N rt r 'v3 0 aZm� 0 m �< —0 y m a O c n m (A -r II ril p m O h D m A c0 o) (A r—-u Q O 0 D CDZ N �x 0' T� S Q > i� N U) c rU) c Q n Q. Q. (� f cn U) m v CD I �• 0 Z5�W N n to • I m cn -o ��zmo 0 ;mu _'DOO OO � m O o m D M00m C) O'n DOZ--, II V> 2 m _ ozmm�' Z cO.Zm7OKo- D m O En2 v N Mo r a�� m r cor 0 0 00 � X N C O C-) m G7 M O r v � D � D Z O Z m z \ ,44 \ q A11CYW4 � \ JOD 0 � in \ \ O -4 AtvkjLA, ytw-e.- m v DtC 171 � m� m0 D� m ZR° ZO mu �4m u m \ OD o;o \ ,44 \ q A11CYW4 � \ JOD 0 � in \ \ O -4 AtvkjLA, ytw-e.- MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 BLOCK/LOT/TRACT: LT 7A1/ SUBDV: TAFEL TAX CODE: 07513303000 GRID: SE5013 STREET ADDRESS: 651 ALYESKA HWY Girdwood, AK 99587 OWNER: TAFEL CRAIG C MAIL ADDRESS: 1912 W HOOD AVE #1A CHICAGO, IL 606600000 WASTEWATER S231036 CONNECT PERMIT DATE OF APPLICATION: 4/12/2023 SCHEDULED COMPLETION DATE: 12/31/2023 ❑ SINGLE FAMILY ASSESSMENTS DUPLEX COMMERCIAL On Property Only MULTI -DWELLING No. APTS 0 PHONE: CONTRACTOR: Premier Alaska Inc ASSESSMENTS F] Repair Existing Service ❑ Main Line Extension On Property Only City Tap ® Have Been Levied Hydrant Only To Be Levied Main Tap - To Property Line Only Cured in Place Pipe Comments: 0 Main Tap & On Property Connect Disconnect Row No. 231211 R & R - Main Tap Only Owner Staff CONNECT SIZE 4 in ISSUED WWVAH INSPECTION FEE $112.00 0 PAID F-1 CASH PERMIT FEE $77.00 [V� CHECK 1356 RCC $2.51 F-1 OTHER REIMBURSABLE DEPOSIT $0.00 INSPECTED BY NUMBER TOTAL $191.51 DATE REMARKS Main Tap & On Property Sewer Line PERMITTEE (Please Print) Premier Alaska Inc MAIL ADDRESS PO Box 876209 Wasilla, AK 99687 SIGNATURE PHONE (907)841-5201 EMAIL premakkc50@gmail.com POST IN A CONSPICUOUS PLACE AT THE JOB SITE •N'�..V� CUSTOMER COPY ��f�� MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 BLOCK/LOT/TRACT: LT 7A1/ SUBDV: TAFEL TAX CODE: 07513303000 GRID: SE5013 STREET ADDRESS: 651 ALYESKA HWY Girdwood, AK 99587 OWNER: TAFEL CRAIG C MAIL ADDRESS: 1912 W HOOD AVE #1A CHICAGO, IL 606600000 WASTEWATER 5231036 CONNECT PERMIT DATE OF APPLICATION: 4/12/2023 SCHEDULED COMPLETION DATE: 12/31/2023 ❑ SINGLE FAMILY ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI -DWELLING No. APTS 0 PHONE: CONTRACTOR: Premier Alaska Inc ASSESSMENTS ❑ Repair Existing Service ❑ Main Line Extension ❑ On Property Only ❑ City Tap ® Have Been Levied ❑ Hydrant Only ❑ To Be Levied ❑ Main Tap - To Property Line Only ❑ Cured in Place Pipe Comments: 0 Main Tap & On Property Connect ❑ Disconnect Row No. 231211 R & R - Main Tap Only Owner Staff CONNECT SIZE 4 in ISSUED WWVAH INSPECTION FEE $112.00 0 PAID ❑ CASH PERMIT FEE $77.00 ❑CHECK 1356 RCC $2.51 ❑ OTHER REIMBURSABLE DEPOSIT $0.00 INSPECTED BY �— cz ✓A C cc w _e V7— TNUMBER NUMBER TOTAL $191.51 DATE 7 I'd q " KtIVIHKNZ) Main Tap & On Property Sewer Line PERMITTEE (Please Print) Premier Alaska Inc MAIL ADDRESS PO Box 876209 Wasilla, AK 99687 SIGNATURE PHONE (907)841-5201 EMAIL premakkc50@gmaii.com POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY DATE 12/31/2023 TIME 12:00 AM INSPECTOR a v -- a SCHEDULED SUBDIVISION TAFEL BLOCK/LOT/TRACT LT 7A1/ INDICATE NORTH yip Pq L Z^Rz�2�0 E q,� ► . JC. z i � `'� 4�i yvl •� ,',c m o 7 SIZE MAIN: i3 ' TYPE MAIN: fl DEPTH AT MAIN: 9 AT PROP. LINE: /Q CONNECT LOCATION: N' 0) ff /Y1 FF dsc?i3 .067 COMMENTS: ova c� c�in� i9 uc QL pr" U' k-0 G�o n`^Pc6�. INSPECTED BY: LoLn f'd (,�, Q;� DATE: - �/ - 3 F MUNICIPALITY OF ANCHORAGE Development Services Department `� V Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 075-133-03-002 Expiration Date: 3/6/2025 Legal description TAFEL LT 7A1 CHAIR 1 SUITES Site address 651 ALYESKA HWY, GIRDWOOD AK 99587 Current property owner(s) LAST FRONTIER CONTRACTING LLC X The On-site system(s) is/are approved for 6 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 3/14/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 MUHMPA UTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 075-133-03 Complete legal description Tafel Lot 7A1 Location (site address) 651 Alyeska Hwy, Girdwood, AK 99587 Current property owner(s) Last Frontier Contracting Day phone (907) 232-2993 2. ON-SITE SYSTEMS SIZED FOR 6 BEDROOMS 3. TYPE OF WATER SUPPLY: ®❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ®❑ Community Septic or Public Sewer 5. SEPTIC TANK: P Steel P. Age NSA - See advisory if steel older than 20 years Waiver request for: Expedited review requested: ❑® Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ w y g Waiver Fee $ Date of Payment COSA # 0!�) G 2.� 10.6 (-1 Date of Payment Waiver # COSA Application—June 2022 Tafel Lot 7A-1 075-133-03 7/18/23 Forge Engineering 3/6/24 N/A N/A N/A > Benjamin Schiller, P.E. (907) 522-7773 NOTE: GROUND LEVEL IMPROVEMENTS ARE APPROXIMATE DUE TO SNOW COVER. PLOT PLAN AS BUILT X SCALE 1' = 40' GRID SE 5013 Project No. 23-08O/A1 � 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 pp'' Associates, Lang& A S S o c i a t e S, inc. (907) 522-6476 Phone (907) 522-4625 Fax vQdp�O�� 4a O F I �4� Professional Land Surveyors kenOlangsurvey.com v. ,...... ,9 4�AA jonothanOlongsurvey.com GG .•s •'�vo I hereby certify that I have surveyed the following described properly: 491H*" �� `t +� Q LOT 7A1, TAFEL SUBDIVISION (Plat No. 2022-72) Anchorage Recording District, Alaska, and that the improvements situated thereon aro •.. • ' • •. • •' .. • " "'1 within the property lines and do not encroach onto the properly adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed �"�' :; 'KENNETH •. • • •� .G premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. '� pG -, 'Lo��� Dated this the Day of E. - • , , at Anchorage, Alaska • .P-5202. Q ,o • • • �O� �k Q Prsslomm- It is the responsibility of the owner to determine the existence of any easements, 04440��0 covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963