HomeMy WebLinkAboutCHARLICE TR ECharli'oce.
Tract E-
#068-01 1 - I I
• MUNICIPALI7YOFANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Permit Number: SWO40470
Legal Description: CHARLICE SUBDIVISION TRACT E
Design Engineer: 0000 None Required
Owner Name: JOHN DELLA CROCE
Owner Address: NHN ROOP ROAD
EAGLE RIVER. AK 99577 -
Date Issued: Nov 03, 2004
Expiration Date: Nov 03, 2005
Parcel ID: 068-011-11
Site Address: NHN ROOP ROAD
Lot Size: 137503 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IF
THERE ARE ANY QUESTIIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER
PROGRAM AT 907-343-7904.
Received By.
Issued By.
Date: I/A0)Y
Date: fi lz o l
Municipality of Anchorage
• --�1 Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
AL
Parcel I.D. char t t C", T Z 6�9- 1b l (- I Permit Number SW
ZD
Propertyowner(s) ��h
���.
CroC�
Dayphone
65q-c"3S (
Mailing address �-Q
77o Ge (
Zip Code
9f 'i S77
Site address
Legal description (Lot, Block & Sub'd.) C- A
Legal description (Section, Township & Range)
Lot Size 61>3 Acres/Sq.Ft.
THIS APPLICATION IS FOR:
"ItDIT_r Zip Code
;Le., r' &
Number of Bedrooms 4
Sewer Only ❑ Well Only
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
Wj
(Signature of property owner or authorized agent)
Permit/Rush Fees: ISS 6D Waiver Fees:
Date of Payment: 10 aQq Date of Payment:
Receipt Number: /Copp( Receipt Number:
(Rev. 09/04)
M -W Drilling, Inc.
•P.O. Box 110378*Anchorage, AK 99511•
•907-345-4000 ♦ 907-345-3287 Fax*
Job No.: 04-193 Parcel No.: 068-011-11 Permit No. SW040470
Groundwater Well As -Built & Lop
♦ Well Owner. Della Croce, John ♦ Use of Well: Domestic
♦ Legal Description: Charlice Subdivision, Tract E
Construction
♦ Yale Depth: 285' ♦ Casing Size: 6" ♦ Cased To: 42.28' ♦ Material: A 53 Steel
♦DrillMerhod: Air Rotary _
Perf.
♦
Well Completion- Open end X Screen _ Perforated _ Method.
♦Sereen/Perforadon description: None
♦Grout Notes: (1) Sack- No. 8 bentonite granules
♦ Notes:
♦ Well Development: dledrod: Air lift )Totes. Well was explofracked
♦Static water level (SHT) 66' (above) (below) top of casing (TOC).
♦ Well1•leld test at 5-6 gallons per minute (GPAI)/gallonspeP Jhour{GP") jor 1 hours
with 100% of drawdown (DD) from static level (SIFT).
♦bfethod. Airlift; frack job about doubled yield!
♦ Date of completion:
22 November 2004
Well Log
♦ Pump Install.,
Depth in feet from
top of casing.
Details of formations penetrated, size of material, color and hardness.
0
TO
2.5
Casing stickup
2.5
TO
5
Gravel pad
5
TO
7
Surface organics
7
TO
32
Boulder ravel: sand /silt
32
TO
41
Gravel: coarse, silt
41
TO
230
Bedrock: black -gray, siltstone ar illite with very small sea s in
TO
Sporadic fractures
230
TO
285
As above: more fractures- making 2-3 gpm before ex lofrack job
TO
TO
TO
TO
TO
TO
TO
r'� t,• tiVE"STSERG
-President,-v,- J Mir ing, Inc.
GWA-Certii ", cn vac or
erGficate Nos{}{� (x,
Contractors License No. i0on
TO
TO
