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HomeMy WebLinkAboutTUXEDNI PARK WEST BLK 1 LT 5x dni Park West Block 1 Lot 5 #041-022-43 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page / of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: Va D ( co !g,— PID Number: o -f I — 22" —( $ Dwelling: MSingle Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project:xNew ❑ Upgrade Name: tcp i V t ei M ^aV ABSORPTION FIELD El Deep Trench Shallow Trench El Bed ❑Mound Address � S6 2 � �r Other Phone umber of Bedrooms Soil Rating Total depth from original grade S �7 2� D GPD/SF 'j^ Q Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade /f (5 Ft. Gravel depth beneath pipe /-(n0 Ft. SuWjvisiion 1 op�W S�' Block Lot )[Gj "� r W I Fill added above original grade Gravel length • �5 Township Range Section Ft. ,} �l � Ft. Gravel width SIC) Beds: Number of Lines Distance between lines e7 SEPARATION DISTANCES Ft. Fc To kpV Absorption L7ft'9tn Holding Sewer Total absorption area Number of trenches Dist. between trenches From Field Tank Line % Ftp r Ft. Well ,.T) f7 10o,4 100 f4 TANK ❑ Septic .T.E.P. ❑ Holding ❑ Other Manufacturer �k�n(L dr�cn 2p Capacity Gal. Surface Water /VUt +UJ,{, Material t-et Number of compartments Z Lot Line IV "'- / ?1% `i- NA Foundation�`-� 7 5 Zt� .�, L�— A W W Q Manufacturer Vt�,� .{ - n oir ev eo I'N Capacity 2 t9V O Gal. Curtain Drain IQ MCi /" . 0fi Remarks Pump on level at Q mp off level at High water alarm at ('Q in. in. in. Pump make and model 2t� Electrical Inspectionsp rtormed by Mv�, P-Fa^o-.O® Installer PIPEMATERIAL Housetotank Tank 0drainfieldto ? 70'i .1 Drainfield 307,1( CO/MT Inspector s Tali Y ( �� E. BENCHMARK (Assumed elevation) 00 ft Inspection ts" a I2 r,00 dates: 4 2�f' 2" Z I(O " Location and description COt WAr-L LC- !.7 tV, 3m 4°i ��. Ali COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: ®F Al Date r��P.• f 7 �6s 49TH ad �.4. �...: ..:at Id MICHAEL A •• N. ANDERSON•;y Approved CE-94 9 11�F� Date /6 R'�'' QfESSI`�T ®� ispecnon Neport_a-i-iz.coc Permit No. SW090165 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: TUXEDNI PARK WEST BLK 1, LOT 5 PID No.: 041-022-43 MARK, A 8 C FCO 30 —710. 4 -FCQ2 28 9 TCO 46 36 TCO2 \.60 43 col 58 Ml", 115122 CO3 11 121 I \\ ,650i— i — // X660 'I i 670— I FQ01 /` — 1 \ ( I J C t p/ I \ \\ \ I /�• i TH#3N,\ PVCO2\ \ // \ �\ 02 t 6'Q0' O. \\ ice I �\ \ I �P ti \� 1 TCO 01 MT/ \t �____ ----- 7Crt 2.000 GALLON $7EEL AOVANiEX TANK ADVANTEX 100' EXISTING�'J.i[1,ADIUS_ 100' EXISTING / PGM SEPTIC SECTION N.T.S. PIPE w/ MSLultl1Y k FAKNO PODS 100' EXISTING WELL1iADWS —710. WELL RADIUS \\ UILT — (� 2CA�Er -�9' — — aicwAL crzAGEI ...•� OF /I / I �♦ ♦♦ • 1� 49 it No. Lot 8 N O O N 00 D0 60 I Lot 6 35' S84'03'46"W 356.82' — — 10' T&E Ea_seement Z O l o tD I� N ke O rh M a N � N N Lot 5 70,� SSS' 01 00, °9e 3sj o°� •00, � 1 \ y Lot 4 �:. 4CLTH ^ vid M. Dreyer LS-1111�0392 2-4" CDs �-h CD FD I 0 rn 32v .'2 4. �6 < 3 , 4" 50.7' e Existing Conc CE, .0 �a3 Building R I vault 0 20s 1 G7 .0 r9 2.7 -5 O 5 < � (D 1 v 2 O m � 0 ^ � a 15.0 Wel Islan \ I /O N .Z7 \ I V O s �o 0 0\6000), 13 \ I .. Legal Description: Ordered By. Steve Miller/Vintersun Inc. AS BoU I LT q Legend: Lot 5, i3ia�k I x Septic Standpipe 05 => "'Asphalt(j:j Water Well ® Tuxedni Park West Subdivision Fence—X—X— Ove hong LAND & CONSTRUCTION SURVEYORS—P 440 West Benson Boulevard, Suite 200 Anchorage, Alaska 99503 Plot: 2004-155 arid: 2042 Work order:2009—L-128 Fb/Pg: 78 Wood Detk EXCLUSION NOTES It is the owners' responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. NOTE: It is the contractor's responsibility to check top of foundation grade & building setbacks in relation to Iotlines & esm'ts. NERS-ENGINEERS SURVEY CERTIFICATION: LANTECH has conducted a physical survey of this Phone: 562-5291 property as shown on this'drowing and that the improvements situated thereon are within the property lines and no encroachments exist other Fax: 561-6626 than noted. Date: October 17,2013 jDrown By. dmd -9 Scole:1"=50' lChecked By. Rpd 35' g Lo m4' 2.2' Dia. I Manholle 6® 00 0 Septic 1i Boxs J l �-h CD FD I 0 rn 32v .'2 4. �6 < 3 , 4" 50.7' e Existing Conc CE, .0 �a3 Building R I vault 0 20s 1 G7 .0 r9 2.7 -5 O 5 < � (D 1 v 2 O m � 0 ^ � a 15.0 Wel Islan \ I /O N .Z7 \ I V O s �o 0 0\6000), 13 \ I .. Legal Description: Ordered By. Steve Miller/Vintersun Inc. AS BoU I LT q Legend: Lot 5, i3ia�k I x Septic Standpipe 05 => "'Asphalt(j:j Water Well ® Tuxedni Park West Subdivision Fence—X—X— Ove hong LAND & CONSTRUCTION SURVEYORS—P 440 West Benson Boulevard, Suite 200 Anchorage, Alaska 99503 Plot: 2004-155 arid: 2042 Work order:2009—L-128 Fb/Pg: 78 Wood Detk EXCLUSION NOTES It is the owners' responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. NOTE: It is the contractor's responsibility to check top of foundation grade & building setbacks in relation to Iotlines & esm'ts. NERS-ENGINEERS SURVEY CERTIFICATION: LANTECH has conducted a physical survey of this Phone: 562-5291 property as shown on this'drowing and that the improvements situated thereon are within the property lines and no encroachments exist other Fax: 561-6626 than noted. Date: October 17,2013 jDrown By. dmd -9 Scole:1"=50' lChecked By. Rpd 35' '-/ , 2- 3-i,, e- ii;0k MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW090165 Zq-ro F /0"Go Date Issued: Aug 26, 2009 Expiration Date: Aug 26, 2010 Parcel ID: 041-022-43 Legal Description: TUXEDNI PARK WEST BL 1 LT 5 Design Engineer: 0088 ANDERSON CONSTRUCTION & E Site Address: 7415 RIVER PARK CIR Owner Name: KEVIN MEYERS Lot Size: 136780 SQ. FT. Owner Address: 7415 RIVER PARK CIR Total Bedrooms: 5 Permit Bedrooms: 5 EAGLE RIVER , A 99577 - 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. A. THE DESIGN HAS BEEN REVISED WITHOUT THE ENGINEER'S KNOWLEDGE AND IS APPROVED TO CONSTRUCT AT THE OWNER'S RISK PER RON THOMPSON. B. THE THIRD PARTY INSPECTOR AND EXCAVATION CONTRACTOR SHALL HAVE A PRECONSTRUCTION MEETING WITH AN MOA ON-SITE WATER & WASTEWATER INSPECTOR PRIOR TO CONSTRUCTION. C. PLEASE SEE THE ATTACHED SHEET FOR ADDITIONAL REQUIREMENTS. Received Issued By: - Date: �/ Z C/ B �� Date: G'� TUXEDNI PARK WEST, BLOCK 1, LOT 5 ADDITIONAL PERMIT REQUIREMENTS: 1. CURTAIN DRAINS SHALL NOT BE WITHIN 50 FEET OF SEPTIC DRAINFIELD. 2. THE THIRD PARTY INSPECTOR SHALL BE AN ALASKA LICENSED CIVIL ENGINEER. 3. THE THIRD PARTY INSPECTOR SHALL DOCUMENT ALL SEPTIC SYSTEM CONSTRUCTION INCLUDING TYPE AND CONDITION OF MATERIALS AND ALL PERTINENT DIMENSIONS AND ELEVATIONS INCLUDING ANY CURTAIN DRAINS CONSTRUCTED ON THE PROPERTY. 4. THE SEPTIC DRAINPIPE SHALL ENTER THE SEPTIC DRAINFIELD AT THE MIDPOINT. 5. THE EXCAVATION CONTRACTOR SHALL BE MOA CERTIFIED TO INSTALL SEPTIC SYSTEMS. MOA REVIEW Municipality of Anchorage_ P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 o Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Program ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET To: Mike N. Anderson Legal description: Tuxedni Park West, B1 L5 ®Permit ❑C.O.S.A. ❑Inspection Report nze.nt Department The attached paperwork has been reviewed and is being returned for the following reasons: 1. North arrow incorrect. 2. What is the extra easement line in south corner? 3. The legal addresses on the drawings are incomplete. 4. Label the contour intervals. 5. Any absorption systems with a design length greater than 50 feet shall be entered at the midpoint.' Name of reviewer: Deb Date: 2/19/09 ' F 4- `7' S (� I" (-f-4 i r S C�111 z --C , o -w ,-ems Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Program ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Mike N. Anderson Legal description: Tuxedni Park West, 131 L5 ®Permit ❑C.O.S.A. ❑Inspection Report ,enr �o S � � Department The attached paperwork has been reviewed and is being returned for the following reasons: 1. North arrow incorrect. 2. What is the extra easement line in south corner? 3. The legal addresses on the drawings are incomplete. 4. Label the contour intervals. 5. Any absorption systems with a design length greater than 50 feet shall be entered at the midpoint. Name of reviewer: Deb Date: 2119/09 �26 Cdr n'Je7 -�,'`��ed�c�l cusi'✓L G"�ai�n w�,,�� i7e C�� �r% /��eC� Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I. D. CSL( [ — 09_ 14 S Property owner(s) h c'v t ri 1\4 -&V ry S . Day phone Mailing address ',- RtV'r,r pw k. �� r� r�/,� %l.' Zip Code Site address Code Legal description (Sub'd., Block & Lot) ' Q K c c[ n ,t IRV J h, G.TS�" Q ! L C4 S— Legal description (Township, Range & Section) Lot Size 6.7 '! Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field Septic Tank (� Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 155— THIS APPLICATION IS AN: Initial K Upgrade ❑ Renewal ❑ I 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. iz��� -.1 (Signature of property owner or authorized agent) Permit/Rush Fees: !ZW tZ00 Waiver Fees: Date of Payment: 2 7A7 Date of Payment: Receipt Number: Receipt Number: (Rev. 11/05) C©%k_j Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 June 21, 2010 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Tudedni Park West, Blk 1 Lot 5, Change Order Request To Whom it may concern: After some time -off the owner has decided to build the house therefore we need to revise the septic permit from the permited conventional system to the Orenco Advantex system with duel pods for a 5 bedroom house. The new proposed system will be an Advantex unit with two pods and a 2000 gallon steel tank. Two new peres were completed with both holes showing the same material, silty gravel for the full depth with a seasonal high water elevation of 10 feet. The new drain field uses a very conservative application number for longevity. All of the original comments have been addressed on this new submittal. The north arrow was corrected. The extra easement line was removed. The legal address was corrected. The contour lines are 10 feet typical and the pipe enters the middle of the leach field. All of the lot has a gentle slope of about 10 to 15 percent from the east to the west, as shown on the plan. The neighboring lots will not be impacted by this new septic system due to the large neighboring lot sizes. If you have any question please call me at 345-3377 Sind Michae Anderson, P.E. 0 ,DESIGN CRITERIA: 5 BDRM X 150 = 750 GPD SOILS = 750/2.0 = 375 SF 375 GA/10 = 38' USE 40' (1) TRENCH 5.0' DEEP 4.0'EFFECTIVE 5.0' WIDE 40' LONG \ X\ \\ `\\ IN N` \\ \\ `'N` �\ VACANT LAND �\� \ \N, \N. PROPOSED HOUSE 0.5 H2O ® 10' 1s (TH#3) MOUND OVER (TH#2 0 GRADE ORG INSULATION & FlLTER FABRIC 4"0 PIPE SEWER ROCK NN -LOT .5' I I IN. IN N", \�� ���� i 6 PP OPEfRTY LINE \\ \\ `\�I I /� \�� NO WELL OR SEPTIC 6 -LOT 6- WITHIN 200 11 I �1 `` \x_65 I I��/ EXISTING CURTAIN DRAIN '-�`--- WELL � � �� / � It I � PROPOSED NEW ADVANTEX SEPTIC TANK W/ N TWIN PODS =� -"�� EXISTING WELL 100' RADIUS - - r------------- i �\ ,' - A T EZ�I�F`R 6\R I -V -E*' T VACANT LAND Septic Design Prepared For 1 KEVIN MEYERS �E OF ��5t�. TUXEDNI PARK WEST SUBD, BLOCK 1, LOT 5 �:, •..;`# AV Anchorage, Alaska � �� 4 IH Prepared By .....:.. .. . .... ... ................ 0 MICHAEL N. ANDERSON, P.E. .... i 4640 SHOSHONI DRIVE ♦';MICHAEL N. ANDERSON:i (907) 345-3377 / FAX (907) 345-1391 ���� ' No. E 9 69, A CALF: 1 —100 JUNE 21, 2010 1'� ORG 0.5 GP GP -1.0 H2O ® 10' -5.0 1s INSULATION & FlLTER FABRIC 4"0 PIPE SEWER ROCK NN -LOT .5' I I IN. IN N", \�� ���� i 6 PP OPEfRTY LINE \\ \\ `\�I I /� \�� NO WELL OR SEPTIC 6 -LOT 6- WITHIN 200 11 I �1 `` \x_65 I I��/ EXISTING CURTAIN DRAIN '-�`--- WELL � � �� / � It I � PROPOSED NEW ADVANTEX SEPTIC TANK W/ N TWIN PODS =� -"�� EXISTING WELL 100' RADIUS - - r------------- i �\ ,' - A T EZ�I�F`R 6\R I -V -E*' T VACANT LAND Septic Design Prepared For 1 KEVIN MEYERS �E OF ��5t�. TUXEDNI PARK WEST SUBD, BLOCK 1, LOT 5 �:, •..;`# AV Anchorage, Alaska � �� 4 IH Prepared By .....:.. .. . .... ... ................ 0 MICHAEL N. ANDERSON, P.E. .... i 4640 SHOSHONI DRIVE ♦';MICHAEL N. ANDERSON:i (907) 345-3377 / FAX (907) 345-1391 ���� ' No. E 9 69, A CALF: 1 —100 JUNE 21, 2010 1'� WELL r � PROPOSED 5 BEDROOM HOUSE r r PROPOSED FCO 1.A' - �— EXISTING WELL 100' RADIUS CURTAIN DRIAN AROUND BLDG FOUNDATION ,,,—DOUBLE CO PROPOSED 2000 GALLON ADVANTEX SYSTEM W/ PODS ----DOUBLE CO .STH#1 i PROPOSED DRAINFIELD PROPERTY LINE —ATELI ER D/R\IVE— Septic Design Prepared For KEVIN TUXEDNI PARK WEST S BD,RBLOCK 1, LOT 5 : �P� OF q��s�♦.. Anchorage, Alaska ` '•'#1� .► 49 TH Prepared By ............. ... .��rr.::.. zyle MICHAEL N. ANDERSON, P.E. ���....:.. � 4640 SHOSHONI DRIVE ♦ ';MICHAEL N. ANDERSON�w (907) 345-3377 / FAX (907) 345-1391 ���%,': No. E 9 69 �� SCALE: 1"=3 ��♦Y�.•� 2/"'"tt••'•�': 0 JUNE 21, 2010 14 C -t Performed For: Legal Description: Depth 1 2 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraqe.ak.us ak.us (907)343-7904 Soils Log - Percolation Test OF '14 •.(ENGINEER' . � ,q e I� • • • • e• •••. y1/ ��• MICHAEL N. AN'DERSON�;a��� ,•. CE -945 0'etf Z✓y Date Performed: 1 lA e-. Township, Range, Section: L, - Slope - ?i (Feet)I �pft'O"�LS 5- "` 7- 8- 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- 20 - COMMENTS WAS GROUND WATER ENCOUNTERED? -L S IF YES, AT WHAT DEPTH? ! b E Depth to Water After0 P Monitoring? E Date: 7 ?% Of s D_ 'e._A. Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 77, 3 w -Q I F'tKUULA I JUN KA I t F• (minutes/inch) PERC HOLE DIAMETER (P TEST RUN BETWEEN _ , FT AND _FT PERFORMED BY: 1414 1C.). I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5 $" /� Co 11_ - Municipality of Anchorage Development Services Department Building Safety Division r On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchorage.ak.us (907) 343-7904 Soils Log - Percolation Test GIN , 9 V i+9 PP0 C iL y Performed For: f1i e V Date Performed: Legal Description: -fu '7. <i A .1 pa ��'l �-<<L Township, Range, Section: C -it- 110DI 6 C I - S .nth I 1- 2- 3- 4- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - COMMENTS J �'j qui/2 5 -e1 WAS GROUND WATER Date ENCOUNTERED? r� Depth to Water S IF YES, AT WHAT DEPTH? L Depth to Water After O Monitoring? Date: E E i e 7 4 Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop r� 5 -m C ] (minutes/incn) HERD HOLE DIAMETER_ TEST RUN BETWEEN 3 FT AND FT PERFORMED BY: M,hI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Performed For: Legal Description Municipality of Anchorage Development Services Department Building Safety Division ,ate. On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. ci. anchorage.ak. us (907)343-7904 Soils Log - Percolation Test OF Ajq��j C; '4ENGINEE 49TH •.. �•e PJ�ICHAEL N. ANDIRSCN ; PROFi"SSi`�1i"�� �'IV1 M T ig 2y-Zl' Z-4 014 + 12% — Lt0 M Date Performed: W %vl X P fin. Pur tC. (� ! �• J Township, Range, Section: Slope Site Plan Depth 0tCr aintZ 5 (Feet) 1- 2- 3- 4- 5- poo t -4-5- f%oot �k 6- 7- 8 - WAS GROUND WATER 9- ENCOUNTERED? S 10- IF YES, AT WHAT DEPTH? L Depth to Water After P P 11- Monitoring? Q E^ 12- Date: 2 Q 13- 14- Date Gross Time 15- Depth K Water Net Drop 16 ►►� O G' 17- 18- (0 4 s,� 19- 4 R1_4 Reading Date Gross Time Net Time Depth K Water Net Drop r (0 4 s,� r'+° I top�r S !� PERCOLATION RATE (minuteslnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS �� ?V'arb 14 (1 & y cy s PERFORMED BY: r r 150 I CERTIFY THAT THIS TESTWAS,. PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: l Q 1t FROM : ALPINE DRILLING FAX NO. : 967 345 0202 Apr. 21 20M 09:05W F1 Municipality of Anchorage Department of Health and Human Services 825 0V Street P.O. Box 196650 Anchorage. Alaska 995196650 Rick Myshtxm W:1t~.d.anchmaga.tlt.us Mayor Permit Number. #SW 0300378 Date of Issue: 4-14-03 Parcel Identification Number: 041-02,243 Date Started: 4-16-03 Date Completed: 4-19403 is well located at approved permit location? 13Yes Q No Legal Description: Right of Way acalsition Plat Tract 81 Property Owner Name & Address: Uxedini Paris Partnersh/p 1100 E Dimond Suite 3-545 Borehole Data: Soil Type, Thickness & Water Strata stick-up gravelly silt silty water sand & gravel gravelly silt silty gravel silt gravelly sandy sit cobbly silty gravel wib/drs wet silty cobbly gravel w/bldrs dry gravelly cobbly sift w/b1drs cobbly silty gravel H2O weathered bedrock H2O Depth (ft) Method of Drilling ® air rotary ❑ cable tool From To 0 2 31 35 49 56 72 93 111' 118 132 145 T t Xedn i PAr �< (c�esfi GI L-5 �ii55um�c�, bated o„ T,7+-, Mantrr rc�9or� dat�c� Mtiy 21 , Zoa3) Attention: Ile well driller shall provide a well log to the property owner within 30 days of completion and the property ....... _.o• san.. .•. .•. •.. .....01.....4. I�... .LtY..4a . sc.:... n. _s......ed.r. iw a.... .�... � Casing type: steel 2 Wall Thickness. ZLO inches 31 Diameter: ¢ inches Depth: M feet 35 Liner Type: 49 Diameter inches Depth: feet Casing stickup above ground: 2 feet 56 Static water level (from ground level): 84 feet 72 Pumping level:-L49-fcct after 93 2 hours pumping est 10 gpm 111 Recovery Rate:set 10 gpm 118 Method of Testing: it Well Intake Opening Type: 132 145' ❑ Open End 1@ Open Hole 164 ❑ Screened Startfeet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: keraonite grmndes Volume: ,i! t Depth: Start 0 feet Stopped 2 feet Pump: Intake Depth feet Pump size k Brand Name Well Disinfected Upon Completion? ® Yes [ No Method of Disinfection: chlorine tablets Comments: see folkwingpump test Well Driller. Alpine Drilling & Enterprises PO Boz 110496 Anchorage Alaska 99511 Attention: Ile well driller shall provide a well log to the property owner within 30 days of completion and the property ....... _.o• san.. .•. .•. •.. .....01.....4. I�... .LtY..4a . sc.:... n. _s......ed.r. iw a.... .�... � 06/25/2013 22:32 >r � Mark 909 oh Mayor 507-345-0202 ALPINE DRILLING Development Services Department Building Safety Division On -Site Wetter & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage., AK 99507 www.muri.erg/on5ilt (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 0300378 Parcel Identification Number: 041.022-33 Legal Description 'ruxedina Park West R100k 1 Lot 5 Pump Installation Date: 1130-1 t Pump Intake Depth Below Top of Well Casing: 18 Pump Manufacturer's N3131e; cn:nfos Pamp Model: 155QE07 Pump Si<e.75 hp Pitless Adapter Burial Depth: 12 feet Pidess Adapter Manufacturer's Name: Ida Pitless Adapter Installer• nra Well Disinfected Upon Completion? © Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aarm Pump & Weil Service, LLC feet Date of Issue: 4.14-03 Property Owner Name & Kevin Myers 7415 Rlver Park Lards Eadie River, Ak 99572 PAGE 01/01 Attention: 'The PUMP In taller shall provide a pump installation log to the DSD within 30 days of pump installation. CIM x. z sn err Attention: 'The PUMP In taller shall provide a pump installation log to the DSD within 30 days of pump installation. CIM 67/05%2714 08:29 88' -2u5 -X2 2 .a-PINF. DRILLING PAuE 01/01 10-23-14 Jay Ckewdsva P.E. Development Sw°s. Divi-4kin, MOA Jay, as per out ;tone conve..rsadon convening. the ,pli th lc;g for'I'lasedmi Pnzk. We,4 Block 1, Lot 5, thepump camot be sc at what appear on the JoS of I8 .Cest in depth. Looking at the ; wadon logie,21Jy, we -,vould s;sy from the well log the frump would be set at appro-.IJmately 138 to 140 feet ir, depth as this would ke.T the pump inside the casing and provide maximum yield fiom'the ,,Yell. David L. Harper Amw Pwmp & Well Sevice., LLC. i 'r3 � ?It'iieM SGS ReLP 1145199001 Client Name Mike N. Anderson, P.E. Project Name/# Kevin Meuer Client Sample ID Kevin Meuer Matrix Drinking Water PWSID 0 Sample Remarks: Printed Date/Time 10/22/2014 14:47 Collected Date/Time 10/17/2014 9:30 Received Date/Time 10/17/2014 9:46 Technical Director Stephen C. Ede Parameter Allowable Results LOQ Units Method Container ID Limits Prep Date Analysis Date Init Metals by ICP/MS ' Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/17/14 10/21/14 ACF Waters Department Total Nitrate/Nitrite-N Microbiology Laboratory E. Coli Total Coliform 2.45. 0.100 mg/L SM21450ONO3-F B (40 10/21/14 NTL Negative 1 100mL SM219223B A 10/17/14 SLC Negative I 100mL SM219223B A 10/17/14 SLC ov, MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WATER SUPPLY PERMIT Initial Permit Number: SW030078 :Legal Description: Right of Way Acquisition Plat Tract B1 Design Engineer: 0060 DHI Engineering Owner Name: Tuxedni Park Partnership Owner Address: 800 E Dimond Suite 3-545 Anchorage . A 99515 - Date Issued: Apr 14, 2003 Expiration Date: Apr 13, 2004 Parcel ID: 041-022-33 Site Address: 800 E Dimond Lot Size: 2026846 SO. FT. Total Bedrooms: 0 Permit Bedrooms: 0 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. M The following special provisions. ti THIS PERMIT IS EXPLICITLY FOR WELL WATER EXPLORATION. 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 r, 'INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRICTED. "i. THIS PERMIT IS FOR TUXEDNI PARK WEST BLOCK 1 LOT 5.' u Received By Issued By Date: Date: �4 �� Municipality of Anchorage 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.enchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. btfl -' d�� Permit Number §P<2200 71L Propertyowner(sTuxt-nclj Park,aipa"t---gh;p Day phone 144-11Ac; Mailing address (1) 800 E Dimond Blvd Ste 1-545 Mailing address (2) Anchorage Ak Zip Cade 99515 Legal description (Lot, Block & Sub'd.) Tract B -1 -Right of Way Acquisition plat (86-239) Legal description (Section, Township & Range)NW 1/4, Sec 6, T12N R2W, S.M. Lot Size 4 r _ S 14 .____0%crZVSq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only 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 Single-Fpmpy-Dwelling and isj6 accordance with applicable Municipal Codes. (Signature of or {u(p6rized agent) Permit Fees: /SO • oO Waiver Fees: Date of Payment: Y�/I �b �j Date of Payment: Receipt Number: -2 3-7 Receipt Number: (Rev. 12100) 0& DHI CONSULTING Civil o Surveying Mr. Jim Cross April 11, 2003 Municipality of Anchorage W.O.: 02558 Dept. of Development Services P.O. Box 196650 Anchorage, AK 99519-6650 RE: Tuxedni Park West Domestic Well Locations Dear Mr Cross, ENGINEERS Planning Enclosed is a map showing the location of the three wells which we propose to construct and test for purposes of meeting the "Aquifer Testing" as outlined by your Department. The wells as shown are at the same locations as we discussed during our meeting on April 10°. We intend to drill the well on Monday of next week in order to take advantage of the frost to support the drill rig. As discussed, we will drill the well on Lot 5 (proposed) first. Based on the information we obtain during the drilling of this well we will make adjustments to the depth to drill the next two wells. The object well be to tap and test the shallow aquifer (80 to 150 feet), as this is the aquifer which most of the existing wells (on adjacent lots) are currently using. Testing this aquifer should allow us to determine whether there will be impact to near by wells. Enclosed are the well applications for each well along with the $150.00 application fee (for each well). If you have any questions concerning the enclosed information, please give me a call. truly Dee High, P. Principal Wdh eoclaeu e to: rim Mutter Roger Creno 558chllsprum.hr Dimond Center Tower, 5th Floor • 800 E. Dimond Blvd., Suite 3-545 • Anchorage, Alaska 99515 (907) 344.1385 • Fax 344-1383 Z LLJ