HomeMy WebLinkAboutEARLES LT 4Earles
Lot 4
#012-242-30
Certified Drilling Log
BILL R. COLE OC CO d6a
�ULLIVAND
WATER WELLS
OWNER OF LAND: Alexander Home Construction
ADDRESS: PO BOX 110344 Anchorage, AK 99511
Bore Hole
Data
Depth
From
To
LEGAL DESCRIPTION Earls Lot 4
DATE: 09/30/2013
0
2
PERMIT NUMBER: 131327 DATE OF ISSUE: 9/18/13
TAX IDENTIFICATION NUMBER 01224210000
Is well located at approved permit location: ❑x Yes ❑ No
Method of Drilling: ®air rotary ❑ cable tool
Depth of Well: 304 ft.
Casing Type: Steel wall thickness ,250 inches
Diameter: 6 inches, depth 304 feet
Liner type none
Static Water Level: 78 feet
Recovery Rate 60+ ® gpm ❑ gph
Method of Testing air
Well Intake Opening Type: ® open end ❑ open hole
Screened Start feet Stopped293
El Screened
❑ Perforations Start feet Stopped
Grout Type: bentonite Volume: 100lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ® yes ❑ no
Method of Disinfection: Chlorine 50 ppm
Comments:
2
4
4
55
55
112
112
151
151
169
169
212
212
230
230
290
290
293
304
Casing Stickup
Overburden
Sand & Silt brown
Sand, Silt & Clay gray
Clay
Silt & Sand w/ Gravel (water, silty)
Clay w/ Sand and Gravel
Silt
Clay & Gravel
Boulder
Heaving Sand & Gravel
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
Matsu Borough: Department of Environmental Conservation.
:,evelopment Services Department
Building Safety Division
-7 s°
On -Site Water & Wastewater Program aR'
4700 Elmore Road
P.O. Box 196650
MarkBegieh Anchorage, AK 99507 s "`
Mayor www.muni.org/onsite
(907)343-7904
Pump installation Log
Well Drilling Permit Number: SW-+4+set 131327 Date of Issue:= =
Parcel Identification Number v M 24210
Legal Desccrription Property Owner Name & Address:
Earles l.ot,T"' � Aloxander Nomas
✓ P.O. Box 110344
Anchorage, AK 99511-0344
Pump Installation Date: 11/21/2013
Pump Intake Depth Below Top of Well Casing: 233 feet
Pump Manufacturer's Name: Goulds
Pump Model: 7SBI0422C
Pump Size 1 hp
Pitless Adapter Burial Depth: NSA feet
Pitless Adapter Manufacturer's Name: NIA
Pitless Adapter Installer: N/A
Well Disinfected Upon Completion? Q Yes ❑ No
Method of Disinfection:
Comments:
Pump Installer Name: Aamw Pump a well service, LLC
P.o. Box 110496
Anchorage, AK 99511-0498
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
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: OSP131327
Tax Code Number: 01 2242 1 0000
Work Type: Well
Permit Effective Dates: September 18, 2013 to September 18, 2014
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: EARLES
Site Legal Address: EARLES LT 4 G:2226
Owner/Address: S & L INVESTMENTS LLC
14800 ZIRCON CIRCLE ANCHORAGE AK 995164335
Site Mailing Address: 7642 HUCKLEBERRY ST, Anchorage
This permit is for the construction of:
N Disposal Field N Septic Tank N Holding Tank N Privy
Lot Size in Sq Ft: 13500
Total Bedrooms: 3
Y Private Well N 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 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
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
On -Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel l.D. 61a-2(4-10
Property owner(s) ALEXANDER HOME CONSTRUCTION, LLC. Day phone 830-6211
Mailing address PO BOX 110344 *ANCHORAGE, AK 99511
Site address NHN HUCKLEBERRY STREET *ANCHORAGE AK
Legal description (Sub'd, Block & Lot ) EARLES S/D LOT 'V
Legal description (Township, Section & Range)
Lot Size
Sq. Ft. Number of Bedrooms_
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DEWELLING:
(Gall that apply)
Absorption Field
❑
Initial ®
Single Family (SF)
EK
Upgrade ❑
(w/wo ADU)
Septic Tank
❑
Renewal
Duplex (D)
F-1❑
Holding Tank
❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
Distance: —
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number.
Permit No. Q
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 01/11)
September 9, 2013
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Earles Lot 4. Request for Well Permit;
The referenced property is currently vacant and the owner is proposing to construct a 3 bedroom
home on the lot. He is proposing to have the home be served by a private well and AWWU
sewer. There are no AWWU water mains in close proximity of the property, eliminating the
option of connecting to AWWU water. Per the AWWU drawings and our site plan, the
separation distance between the proposed well and sewer mains and manholes is greater than 75
feet and 100 feet respectively. At this time we request that your department issue a well permit
for the subject lot.
If you have y1y�questions, please contact us at 337-6179. Thank you for your assistance.
P.E., M.S.
3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
OSMOND OLSEN
S/D LOT 2
OSMOND OLSEN
S/D LOT 3
OSMOND OLSEN
S/D LOT 4
OSMOND OLSEN
S/D LOT 5
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(BLOCK 1, LOT 2
PUBLIC SEWER �•
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FARCES S/D
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TODD'S HALF
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EARLES S/D
PU^B,L,IICC SEWER
LOT 5
/ '
PUBLIC SEWER
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ess.-P [SRS
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T12N, R4W,
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PARCEL 16
TODD'S HALF
ACRE
T12N, R4W,
SEC 11,
NE4,NE4,SW4,NW4,NW4,
PARCEL 21
EARLES S/D
�\
LOT 5
PUBLIC SEWER
S/D
6
\�—
SEWER
i
T12N, R4W,
SEC11,
N2,NW4,SW4,NW4,NW4,
PARCEL 16
TODD'S HALF
ACRE
T12N, R4W,
SEC 11,
NE4,NE4,SW4,NW4,NW4,
PARCEL 21
T12N, R4W,
SEC11.
W2,NW4,NE4,NW4,NW4
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\ T12N, R4W, \
SEC71,
� 2,SW4,NE4,NW4,NW4
WELL RADIUS
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GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS
HIDDEN ACRES
LOT 5
PUBLIC WATER
& SEWER
5701 E 1000R ROAD, SURE 101 • N MRAGE, AI( 99507 • PHONE (907)3]7-61]9 • FM (907)338-3248 WE851IE: ww.9ammm9I.w g..
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
ALEX SNEGIREV 830-6211 1 OF 2
LEGAL DESCRIPTION: DRAWN BY:
EARLES S/D LOT 7 PN8
TYPE OF WORK: DATE:
SITE PLAN 9/9/13
WELL DRILLER MUST FIELD VERIFY SEPARATION EARLES S/D LOT 3
DISTANCES PRIOR TO DRILLING. PUBLIC SEWER
SPECIFICALLY SEPTIC SYSTEMS ON
I - Tl 2N, R4W, SEC11, W2, NW4, NE4,NW4, NW4 &
J Tl 2N R4W, SEC 11, W2, SW4, NE4, NW4, N.W4�- \
Q & SEWER SERVICE LINE ON EARLES�Oi 5.
O /
N
LL,/
PROPOSED /WWER
SERVICE LINE
= I ,
O
APPROXIMATE LO)CATION OF SEWER TIN
1�r
/
EARLES S/D LOTI4
/PROPOSED HOUSE WILL BE SERVED BY AWWU SEWER.
/.'d...
PROPOSED 3 BEDROOM " •
HOUSE
EARLES S/D LOT 6
PUBLIC SEWER
�Dd
PROPOSED
EARLES S/D LOT 5
PUBLIC SEWER
GARNESS ENGINEERING GROUP, Ltd.
--- - CONSULTANTS & GENERAL CONTRACTORS
5701 E. WMR ROW. SURE IDI • .WCHORSGE. M 995D7 * PHME (907)337-6179 ' FM (907)356-3946 • W SM xw mm9lw dn9.wm
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
ALEXANDER HOME CONSTURCTION, LLC. 830-6211 2 OF 2
LEGAL DESCRIPTION: DRAWN BY:
EARLES S/D LOT 4 PNB
TYPE OF WORK: DATE:
WELL DESIGN 9/9/13
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Municipality of Anchorage <
On -Site Water & Wastewater Program .
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 012-242-10 Expiration Date: ZS l
1. GENERAL INFORMATION
Complete legal description EARLES S/D; LOT 4
Location (site address) NHN HUCKLEBERRY ST, ANCHORAGE, AK, 99515
Current Property owner(s)
Mailing address
Real Estate Agent
ALEXANDER HOM
Day phone
650 W. 58TH AVENUE, ANCHORAGE, AK, 99518
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
Day phone
830-6211
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
IN
WaiverNariance request for:
Received
H rr - ,.
COSA to be released to the efiginek, unless otherwise requested by the engineer.
COSA Fee
Date of Payment`/�1
Receipt Numbers iD��r't
COSA # 5'5L i } ' I D'1"j`@,O
;r f'�-z t.. w .
Date: ., j+«
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
Distance: —
5. STATEMENT OF INSPECTION BY ENGINEER
verify that my
As certified by my seal affixed hereto and as of the validation date shown bstemselow l Approval Guidelines for this application,
investigation, based on procedures outlined in the Certificate of On -Site Sy and
fshowso he nuat the on-site water mber of bedrooms andly ystem is (re)
functional
structure indicated herein, I further verify that based oln theade the
rom
y investigation
oneationwatobtained supply arum the M nisi o 1itdisposal system itfit
(are) n es and f ompliance with aft applicable Mul nnonicipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Address
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with and
ADEC MOA
DSD Guidelines & Regulations. The reported results described the performance of the
nditions encountered at the time of the test, and separebon
system under the co
distances measured to readily identifiable features. The operationa/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 con ,hens are outside the control of the evaluator of the system. Safisfacfory test
results do not guarantee future performance of the system, nor ca t they guarantee that
them am no any warranty 0( future
estimate of how long the sys em w�l continue to meet he vide
operational requirements of the ADEC or MOA DSD. The content of this report is far
the other
che Aperson or path is not authorized.e owner above, Any R oonfer any legal n9ht whan or a of this tsoeverport any
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
Phone 337-6179
Date f
•i\iaf.\lE tij,,
OF A/VC��rr`i
ON-SITE
WATER AND z=
WASTE\I�ATER o=
Original Certificate Date: Z Z� z 1
By. _ _ — u �eveJOA,0 The Municipality or Anchoramt Services Division (DSD) issues Certificates of On -Site Systems Approve! (COSA) based only
upon the represenat mhotions given m paragraph 5 by an independent professional civil engineer registered in the State of Alaska
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work.
7. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
m— 11PW\
Nitrate Advisory
Arsenic Advisory
Other
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description:
A. WELL DATA
EARLES S/D; LOT 4
Parcel ID: 012-242-10
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 9/30/2013 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 304 ft. Cased to 3D4 ft. Casing height (above ground) 24+ in.
FROM WELL LOG
Date of test 9/30/2013
Static water level 78 ft.
Well production 60+ g,p,m,
WATER SAMPLE RESULTS:
Coliform __(� colonies/100 ml.
Arsenic: 23 Z ug./L.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size gal.
Foundation cleanout (Y/N)
Date of pumping
C. ABSORPTION FIELD DATA
AT INSPECTION
Nitrate ND mg./L.
Date of sample: 2/13/2014
PUBLIC SEWER
Number of Compartments
NES ft.
g.p.m.
Collected by: GEG, Ltd.
Date installed
Cleanouts (Y/N)
Depression over tank (Y/N) _ High water alarm
Pumper.
Date installed Soil rating (g.p.d./ft2or ft2/bdr System type
Length ft. Width ft. Gravel below pipe ft.
Total depth ft. Eff. absorptio ea ft' Monitoring tube_ Depression over field
Date of adequacy test Results (Pass/Fail) For bedrooms
Fluid depth in absor ' n field before test in. Water added _gal. New depth _in.
Elapsed T' e: —min. Final fluid depth _ in. Absorption rate >= g.p.d.
y rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
e
D. LIFT STATION
Date installed
Size in gallons
Manhole/Access (Y/N)
"Pump on" level at in.
"Pump off" level at
wa er alarm level at in.
Cycles tested
Meets alarm & circuit requirements?
E: SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanWlift station on lot
N/A
On adjacent lots 100'+
Absorption field on lot
N/A
On adjacent lots 100,+
Public sewer main
75'+
Public sewer manhole/cleanout 100'+
Sewer /septic service line
25'+
Holding tank N/A
Animal containment areas
50'+
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING
TANK ON LOT TO: PUBLIC SEWER
Building foundation
Property line
Absorption field
Water main
Water service line
Surface water
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIEI D-ei,4LOT TO:
Property line .
Water service
n drain
F. COMMENTS
Byi�oundation Water main
Surface water Driveway, parking/vehicle storage
Wells on adjacent lots
oo�
G. ENGINEER'S CERTIFICATION
fY 9inspections
I cerci that !have determined through field and
review of Municipal records that the above systems are in V_
conformance with MOA COSA guidelines in effect on this
date. f r A. Go nesse
Engineer's Printed Name s JEFFREY A. GARNESS 004 s CE)c��
Sao
Date %'(�l�l� Did 'rofessloo
(Rev. 11105)
Municipality of Anchorage au,
Community Development Department
Development Services Division
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC141048
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Lot 4 of Earles
Subdivision. This inspection revealed an arsenic concentration of 23.2
micrograms per liter (ug/L) for the property's well water sample. The
Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/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. Information on arsenic is
available from the On -Site Water and Wastewater Program website
(www.muni.or /og nsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
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