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HomeMy WebLinkAboutPANICHELLO LT 37CPanichello Lot 37C #008-042-81 p Development Services Department •0,4 ti1-,% Building Safety Division "5G�t On -Site Water At Wastewater Program 4700 Bragaw Street Mark Begich P.O. Box 196650 Anchorage, AK 99519-6650 Mayan Wv muni.or9/onsite (907)343-7904 Well Log Permit Number: #SW 0_50149 Date of Issue: 5131/05 Parcel Identification Number: 208-042-81 Date Started: 613/05 Date Completed: 6=5 Is well located at approved permit location? m Yes ❑ No Legal Description: Panlchelto Subdivision, Lot 37c Property Owner Name & Address: Frank Panlchelio, NAN Piper Street, Anchorage, Ak 99507 Borehole Data: Depth Soil Type, Thickness & Water Strata From (ft) To Method of Drilling © air rotary ❑ cable tool Casing type: steel Pipe Wall Thickness: •25 inches Diameter: a inches Depth: 78 feet Liner Type: Diameter: _ inches Depth: _ feet Casing stickup above ground: _feet Peat Organics ° 4• wetsanaycrarel 4' 27 Y Dry Glaclel Tit and Gravel 22• • S Wet Sandy Gravel Z � n Permit Number: #SW 0_50149 Date of Issue: 5131/05 Parcel Identification Number: 208-042-81 Date Started: 613/05 Date Completed: 6=5 Is well located at approved permit location? m Yes ❑ No Legal Description: Panlchelto Subdivision, Lot 37c Property Owner Name & Address: Frank Panlchelio, NAN Piper Street, Anchorage, Ak 99507 Borehole Data: Depth Soil Type, Thickness & Water Strata From (ft) To Method of Drilling © air rotary ❑ cable tool Casing type: steel Pipe Wall Thickness: •25 inches Diameter: a inches Depth: 78 feet Liner Type: Diameter: _ inches Depth: _ feet Casing stickup above ground: _feet Peat Organics 01 4• wetsanaycrarel 4' 27 Dry Glaclel Tit and Gravel 22• 59' Wet Sandy Gravel 59, 72-• Static water level (from ground level): 22 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: Bentonite Grout Volume: 50 tbs. Depth: Start 2 feet Stopped 20 feet Pump: Intake Depth _ feet Pump size _ hp Brand Name Well Disinfected Upon Completion? ❑ Yes No Method of Disinfection: Comments: Well Driller: Denali Drilling, Inc. 8240 Petersburg Street Anchorage, AK 99507 Water Sample Results: Arsenic: _ ug/L Nitrates: _ mg/L Total Coliform Bacteria: _ colonies/100mL Other Bacteria: _ col/100mL Attention: The well driller shall provide a well log to DSD within 30 days of completion. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 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: SWO50149 Legal Description: PANICHELLO SUBDIVISION LOT 37C_� Design Engineer: 0000 None Required Owner Name: FRANK PANICHELLO Owner Address: NHN PIPER STREET ANCHORAGE. AK 99507 - Date Issued: May 31, 2005 Expiration Date: May 31, 2006 Parcel ID: 008-042-81 Site Address: NHN PIPER STREET Lot Size: 12564 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit Is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must 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 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". IT IS THE BURDEN OF THE PROPERTY OWNER TO DETERMINE PROPER SEPARATION TO SEWER LINES AND MANHOLES. WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By. Date: 6 -11105 - Issued US^ Issued By� I I Date: S o -' Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 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 Parcel I.D. ()Ds-I)L12—g I Permit Number SW Property 110 phone 7. �1 F —W-76 Mailing address q7/0 (Pt iy Z sE . Zip Code 9 9 5-07 Site address m No Ptpeiz- Si AIA Zip Code 9950 Legal description (Lot, Block & Sub'd.) DoT 3% L PAAIC1 110 Sc.t3 Legal description (Section, Township & Range) Lot Size Acres q.F . THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only K Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Singl�mi�r Dwel}lag-an is in accordance with applicable Municipal Codes. 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GENERAL INFORMATION Expiration Date: 9— 2 3 0 r) Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address PANICHELLO S/D• LOT 37C 4700 PIPER STREET • ANCHORAGE. AK 99507 LARRY MCBAIN Day phone 223-3725 P.O. BOX 231169 • ANCHORAGE. AK 99523 Day phone OWNER AGENT Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well . a Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank ❑ Community On-site ❑ Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certiCed by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 6 ci OG Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance of the system under the conditions encounlored at the time of the test, and separation distances measured to readily idontifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory lest results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. ............... '• t CA. pygGorness.� Conditional approval for bedrooms, with the flowing stipulations: Attachments: COSA Checklisty Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other • ON_SIT ;' WATER AND WASTFWATGR PRGO�RAM By Odginal Certificate Date: is - 2 3 " O C� fpr 11MI Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water b Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 9951966W www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: PANICHELLO SUBDIVISION; LOT 37C, Parcel ID: & A. WELL DATA Well type SATE if A, B, or C provide PWSID# N A Date completed 6/3/2005 Sanitary seal (Y/N) YES Total depth 78 ft. Cased to 78 ft. FROM WELL LOG Data of test 6/3/2005 Static water level 20 ft. Well production UNKNOWN g.p,m. WATER SAMPLE RESULTS: Coliform a colonies/100 ml. Arsenic: NQ_ug./L. S. SEPTICIHOLDING TANK DATA Tank Type/Material Tank size gal. Foundation cleanout (Y/N) Well Log (YM) YES Wires property protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 5/4/2006 31 ft. 4.24 g.p.m. Nitrate S.ge mgJL. Other bacteria 1 colonies/100 ml. *6/9/2006 Data of sample: 5/4/2006 Collected by: GEG Ltd. *ARROW PUMP do WELL PUBLIC SEWER Date installed Number of Compartments Pumper tank (Y/N) _ High water alarm (Y/N) C. ABSORPTION FIELD DATA PUBLIC SEWER Date installed Soil rating (g•p•d./ft'or ft'lbdrm)_ System type Length Width Total depth ft. Eff. absorption area _ fe Date of adequacy test ft. Depression over field Fluid depth in absorption field befo _ in. Water added _gal. New depth _in. Elapsed Time: Final fluid depth _ in. Absorption rate >= g.p.d. An tion treatment (past 12 mo.) (YM 8 type) If yes, give date D. LIFT STATION Date installed "Pump on" level at _in. Size in gallons High water alarm level at Cycles tested Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot N/A Absorption field on lot N/A Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent kms 100'+ On adjacent lots 100'+ Public sewer manhole/deanout 100'+ Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO: PUBLIC SEWER Building foundation Water main Property line Water Absorption water Well= Nets PUBLIC SEWER SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Surface water dveway, parldng/vehide storage _ Curtain Wells on adjacent lots F. COMMENTS G. ENGINEER'S I cent* that I have detemdned through field inspections and tct1�- y* review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on flus date. ey A. Garnaas; Engineer's P6 d Name JEFFREY A. GARNESS A 79 3 O Dae s,9D�i e.���.ob•.° ey Prnl604- 1.o COSA Fee S 4130 • UC) Date of Payment/,;I j I CC Receipt Number 004 94 15 (Rev. 1I=) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage , • .�a ,a, y.��r. Development Services Department ; •.�< :;�.: Building Safety Division • s• ar• On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 060260 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 37C of Panichello subdivision. This inspection revealed a nitrate concentration of 5.88 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.