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Home My WebLink AboutT13N R4W SEC 23 LT 3 S2E2 PTNT13N R4W ec. 2 3 Lot 3 S2E2 PTN #001 � 131 �04 Permit No OSP121065 JUL 2 2 'o_j 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: T13N, R4W, SEC 23, LOT 3, S2E2, PTN — PID No.: 001-131-04 49T ...................... Y0`-.M1CHAEL N. ANDERSON:: �"%. No. CE 9A69 -*. , Alaska state law requires diat i copy of thi, well Jag be sent to the DepIInatent of N�hiial Resources willan 45 davS. JIixQS arc acceptable. (AK,t�ITItteS3S.O�.0--O,--,S.05.035,4i.08�020. 40.15,020an(IAKre�l,tilitic,ii,s!IAAC9',.140). DNR� Divikion of fVhnin-_,, Land and '�\'atci, 550 W 7th AAcnuc. Sure 1020 Anchorage. AK 99�01 - 3562 Phone (901)269-8639 and fix (9(Y7)269-fI947 Within the City of Ancliont&T, it is required tka a copy ofthe well log be seat to the approm late cily office within 60 days and that another cop�� of the well loo be sent to the well/propertv ownci within ' A0 days. Permit Number: CISP 121065 Dateofissuc: May� 15j20 12 Pjrccl ldclilification NUrnben Is��c[[IouiLedata[)j)jovedperniitIL)c;��tion'(X)Ye�or jNo STATE OF ALASKA DEPARTMENTOF NATURAL RESOURCES DIVISION OF M INING, LAND & WA I'LR WATER WELL LOG jZ� 7 Drilling startc(l: 5 � 16,2012 Conipleted 5,21.2012 CityiBorouE, 1:11:11)ill (yrj Property Om ner Name & Address: McCarrey JL I If & Barbara N Anchorage 3 2206 Culver Place Anchorage, AK 99503 Meridian TmNmship 13N Ran,,c 4W section 23 '/4 Of 4 0 f '4 of BOREHOLE DATA(fronn top of casing)DePth Drilling mothod: (X) Air rotaiv Cable too], Othei Material: !y e, Color & wettess Front -1 o _p W011LISC:( )PLIblicsupply, (X)Dojncsiic, othQr___ stickup 0 2 Depth oi, hole: 218 ft,Casingslickup: 2 - it Casina, type: steel--.-., Thicknegs:_-.250 ---- inches overburden 2 5 Casing diameter: 6 inches Casinedepili: 214 f! Liner type: - Diametet: - inches Depth: - P clay 5 130 Static w-aLct (from top of ensing): 24 if 0, 05,: - 21 - 2012 Purnping, leyel & vield: feet after hours at 2 111 Recovery rate, 100 gpin, MQ11hod of testing: airrift g sand w/ H20 silty 130 140 Development mothod: airlift Duiation: 1 hour sand w/ gravel 140 152 Well intake opening type: I Open end, I ) Open hole, othorscre en Screened: Start: — 213 11, stopped 218 ct screell type: Johnson S.S. Slorilnoslisizc: .025 1 -_ - clay 152 161 Pei torated: Start:— fir, Stopped: ft sand w/ rock 161 190 S t a I t: [I S it I p p c d It Notc� ...................... . , . sand & gravel 19 0 200 Glouttv C: �_erjtonfte_ volume Dept1f; from to 20 If _qround surface coarse sand, gravel w/H20 200 218 Fump intake depth: ft PLIMP Si/e: lip, Brand name: Was well disinfected upon completion'.' (X) Yes. No Method of d�sinfection:.Cal.CiUM-Hyp.00.hJ.orlte..(C.hlori.ne)-..----_J Driller coninients/ disclaimers: ....................... .................. ............ .......... ............ ................. ....... I ........ I ........ ............. ............... ....................... ........................ .................... WATER QUALITY TESTING Well driller nIamc:.J0!m ....... ........................................... .......... Colifam Hqfty.,grilling Inc. Cornpain- name: ... ... ........ 7 ........... I ......... ...... Mailing a,.,:.. Dr. addr .......................... -AAWTUU InL I Nitrates mg/L I A Cjtv: nchorage State: AK Zip 99516 -m- U[JIL Phone nUmber: ( 907 345 - 0593 fax:345-4700 Drillers SionalUle: Alaska state law requires diat i copy of thi, well Jag be sent to the DepIInatent of N�hiial Resources willan 45 davS. JIixQS arc acceptable. (AK,t�ITItteS3S.O�.0--O,--,S.05.035,4i.08�020. 40.15,020an(IAKre�l,tilitic,ii,s!IAAC9',.140). DNR� Divikion of fVhnin-_,, Land and '�\'atci, 550 W 7th AAcnuc. Sure 1020 Anchorage. AK 99�01 - 3562 Phone (901)269-8639 and fix (9(Y7)269-fI947 Within the City of Ancliont&T, it is required tka a copy ofthe well log be seat to the approm late cily office within 60 days and that another cop�� of the well loo be sent to the well/propertv ownci within ' A0 days. Permit Number: CISP 121065 Dateofissuc: May� 15j20 12 Pjrccl ldclilification NUrnben Is��c[[IouiLedata[)j)jovedperniitIL)c;��tion'(X)Ye�or jNo ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 0=7 Eagle River, AK 99577 (907) 688-2510 7 (907) 258-2510 (907) 745-2510 gpw&ciale Pump Installation Log Well Drilling Permit Number: osp121065 Parcel Identification Number: 00113104000 TP` Date Of Issue: 5115/2012 Friday, July 19,2013 Legal Description T13N R4W SEC 23 L3s2e2ptn Property Owner Name Address: JL III & BARBARA N MCCARREY Lot: 3s2e2ptn 2206 Culver Place Block: Anchorage AK 99503 Pump Installaion Date: 6/6/2012 Pump Intake Depth Below Top of Well Casing: 157 Feet Pump Manufacturer's Name Franklin Pump Model: Constant Pressure System: 20-SDQP-1.5HP Pump Size: 1.5 HP Pitless Adapter Burial Depth: 10 Feet Pitless Adapter Manufacturer's Name Pitless Adapter Installer: ulk Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: PumpinstallerName. Arctic Pump & Well, Inc. Friday, July 19,2013 On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road. PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121065 Tax Code Number: 00113104000 Work Type: Well Initial Permit Effective Dates: May 15, 2012 to May'15,2013 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: T1 3N R4W SEC 23 Site Legal Address: T13N R4W SEC 23 LT 3 S2E2 PTN G:1427 Owner/Address: MCCARREY JL III & BARBARA N 2206 CULVER PLACE ANCHORAGE AK 995030000 Lot Size in Sq Ft: 63875 Site Mailing Address: Total Bedrooms: 1 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Y PrivateWell N WaterStorage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Aleel Date: MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWERAIVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Phone: 907-343-7904 Fax: 907-343-7997 Parcell.D. Property owner(s) e- o v P_� Day phone Mailing address Site address Legal description (Sub'd., Block & Lot) -r 1 (L 4 (A) L V I P -M Legal description (Township, Range & Section) Lot Size (P 0 6,0v Number of Bedrooms f_!�� THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (N all that apply) Initial Absorption Field F� Septic Tank El Upgrade El Holding Tank Renewal El Privy El Private Well ujo-L Water Storage El THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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. Permit/Rush Fees: -2-00. Date of Payment: �j /-I Receipt Number: _ I's it Permit No. 0 5pratc)(05 Fees: Date of Payment: Receipt Number: Waiver No. GABuilding\0n SiteTorms\Client FormsTermit App -01 041 1.doc (Rev. 1 /11) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 April 27,2012 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Tl 3N, R4W, See 23, Lot 3, E2, PTN To Whom it may concern: This is my request for a private well permit on the above referenced lot. The lot is services by AWVY'U and will be connecting to the existing 36" sewer main shown on the plan. The neighboring lot to the north is also serviced by AVVVY'U. This new well will not impact any neighboring lots due to the remote location and existing AWWU sewer line, see attached site plan. Please call me if you have any questions. Sincerely I Michael N. Anderson, P.E. VACANT Ile I LOT I Az� I I 01 I PROPOSED,' AWWU LINE PROPOSED 4 BEDROOM HOUSE I PROPERTY LINE Septic Design Prepared for JL WCARREY T13N,R4W,SEC23,LOT3,E2,PTN Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4661 NATRONA AVE. DRAWN: ANCHORAGE, ALASKA 99516 345-3377 / FAX: 345-1391 SCALE: Ex NG HOUSE EXISTING WELL 100' RADIUS 4/26/2012 DJR 1"=100' MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCKILOT/TRACT: LT 3 E2 PTN / SUBDIVISION: T1 3N R4W SEC 23 TAX CODE: 00113104000 STREET ADDRESS: , AK GRID: SW1427 OWNER: MCCARREYJL Ill& BARBARA N WASTEWATER CONNECT PERMIT DATE OF APPLICATION: 05/10/2012 SCHEDULED COMPLETION DATE: 12/31/2012 MAIL ADDRESS: 2206 CULVER PLACE ANCHORAGE, AK 995030000 SINGLE FAMILY MULTI -DWELLING No. APTS COMMERCIAL PHONE: CONTRACTOR Mike N Anderson ASSESSMENTS F1 Repair Existing Service Main Line Extension On Property Only E]City Tap F] Have Been Levied Hydrant Only nX To Be Levied n Main Tap - To Property Line Only Comments: E] Main Tap & On Property Connect Row No. E] Disconnect R & R - Main Tap Only I Staff CONNECT SIZE 4 in ISSUED WWSAP INSPECTION FEE $ 196.00 �3,PAID E] CASH PER141T FEE $ 63.00 JaCHECK# $ 0.00 F1 OTHER REIMBURSABLE DEPOSIT $ 0.00 NUMBER TOTAL$ 259.09 INSPECTED BY DATE I REMARKS Fees are for 2 inspections during business hours PERMITEE (Please Print) MAILADDRESS SIGNATURE PHONE POST IN A CONSPICUOUS PLACE AT THE JOB SITE CUSTOMER COPY