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
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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
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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
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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
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4�AA
jonothanOlongsurvey.com
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I hereby certify that I have surveyed the following described properly:
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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.
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Dated this the Day of E. - • , , at Anchorage, Alaska
•
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It is the responsibility of the owner to determine the existence of any easements,
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covenants, or restrictions which do not appear on the recorded subdivision plat.
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