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Home My WebLink AboutUS SURVEY 3044 LT 36D T10N R2E SEC 17US Survey 3044 Lot 36D #075 - 064 - 04 o A9rd;'°1 qi& f y D1" iiii11g, qn.G. J STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER WATER WELL LOG Drilling Started: 9 / 8 2014. Completed: 91 8 2014 Water 11-P11 Drill) ng at Fu 'Anchorage, :41a<ka too?) :.45=51.); City/Borough: Subdivision: BLOCK LOT Property Owner Name & Address: Allen Cornelison Site:1851 Alyeska Hwy 11009 Northfleet Dr. Anchorage, AK 99515 Birdwood U.S. Survey 3044 36D Meridian Township Range Section t/ of 1/4 of 1/4 of -1/4 BOREHOLE DATA(from top of casingpepth Material: Type, Color & wetness i From 1 To Drilling method: (X ) Air rotary, ( ) Cable tool, Other Well use: ( ) Public supply, (X) I �Domestic, Other stickup 0 2 Depth of hole: 58 ft, Casing stickup: 2 ft Casing type: steel Thickness: .250- inches Casing diameter: 6 inches Casing depth: 58 fi gravel pad 2 5 Liner type: Diameter: inches Depth: ft glacial till (dry) 5 38 Static water (from top of casing): 20 ft on 9 / 8 /2014 Pumping level & yield: feet after__ hours at gptn Recovery rate: 20 gpm, Method of testing: airlift silt and gravel 38 54 Development method: airlift Duration: 1 hour coarse gravel w/ H2O 54 58 Well intake opening type: ( x) Open end, ( ) Open hole, Other Screened: Start: ft, Stopped ft Screen type: Slot/mesh size: Perforated; Start: ft, Stopped: fi Start: ft, Stopped: 11 Note: Grout type: bentonite Volume - Depth; from ground surface , to 20 ti Pump intake depth: ft Pump size: hp, Brand name: Was well disinfected upon completion? (X) Yes, ( ) No Method of disinfection: .CalcJURJ..Hyp ch).Qrlte..(Chlarine)... Driller comments/ disclaimers- r Coliform P R - CoIM00mL N itratas A. n mg/L Arsenic ND U9n- Well driller name:....Curt.Hefty. Company name: Hefty Drilling, Inc. Mailing address. 3540 Akula Dr. City: Anchorage State: AK Zip 99516 Phone number : ( 907) 345 - 0593 fax:345-4700 Drillers signature: Alaska state law requires that a copy of this well log be sent to the Department of Natural Resources within 45 d vs: faxes are acceptable. (AK statutes 38.05.020. 38.05.035. 41.08.020, 46.15.020 and AK regulations 11 AAC 93.140). DNR' Division of Mining, Land and Water. 550 W 7th Avenue, Suite 1020 Anchorage, AK 99501- 3562 Phone (90.7)269-8639 and fax (907)269-8947 Within the City of Anchorage, it is required that a copy of the well log be sent to the appropriate city office within 60 days and that another copy of the well log be sent to the welUproperty owner within 30 days. Permit Number: QSP141 769 Dateoflssue: July t 30/2014 Parcel Identification Number: Is well located at approved permit location? ( x) Yes or ( ) No Mark Begich Mayor Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 1961550 Anchorage, AK 99507 www mum ora/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW �SPI`tl ?�i Date of Issue: �tki y 5or 110, t Parcel Identification Number: Legal Description � , a p , q 8 i,( 05 5, ({ l.' LT ,3C.2 To(v ,.)..ECP Property Owner Name & ddress: Allam C -Or" ��,61A n YYoo9 kb 4"'IeotVA Pump Installation Date: ) d // l r y Pump Intake Depth Below Top of Well Casing: 50 feet Pump Manufacturer's Name: g', yGrtne Pump Model: /0V 5Or 26` )oo Pump Size (/a hp Pitless Adapter Burial Depth: /0 feet Pitless Adapter Manufacturer's Name: 0 —/(0 Pitless Adapter Installer: 49.4-47 NYS ill r5 ,iiC Well Disinfected Upon Completion? cc, Yes n No Method of Disinfection: Comments: Pump Installer Name: 1/.67 rj 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: OSP141269 Tax Code Number: 07506404000 Work Type: Well Initial Permit Effective Dates: July 30, 2014 Design Engineer: Subdivision: US SURVEY 3044 Site Legal Address: US SURVEY 3044 LT 36D T10N R2E SEC 17 G:4814 to July 30, 2015 Owner/Address. CORNELISON ALLEN 11009 NORTHFLEET DR ANCHORAGE AK 995152580 Site Mailing Address: 1851 ALYESKA HWY, DUPLA, Girdwood Lot Size in Sq Ft: 10504 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy 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. • wet j laca4,d� �tvsQ h k ^-ao' du€ �317�� Me IocrA3`d, km/ fri oh til d5Dpphi, Received By: Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 075-06421000 Property owner(s) Allen Cornelison Day phone 907-952-9666 Mailing address 11009 Northfleet Drive Anchorage, Alaska 99515 Site address Mile 1.8 Alyeska Hwy Girdwood, Alaska 99587 (-7 /%ye Jk et Legal description (Sub'd., Block & Lot) Survey 3044 Lot 36D Legal description (Township, Range & Section) T10N R2E Sec 17 Lot Size 10,504 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (IS all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) SUBIVIITTAL JUL 2 3 2014 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 applicabl- Municipal Codes. ( gnature of property owner or authorized agent) Permit/Rush Fees: aIig Waiver Fees: Date of Payment: 1123114 r Date of Payment: Receipt Number: a:25104 1 d Receipt Number: Permit No. ("an/ 1 2Lol Waiver No. Permit App_- LOT 36 C I L 5 PP 36 A 168' s3 vey 3044 36 B 1 Pm r e., .e_ ., ' Fcow� SNYD 12 ° ro5,2 r e I - IS10N Lor 2 . 99.--7.11/4‘‘‘‘q`� .it' /�G%�P �' i ' • 9 iv*: 49TH %' Michae Horne •• j fiNo LS -5318 • i 4Pao Ess o al �•a�0••- a/ ,s P��I ?t'L NOTE: 1) Bearings and distances are as per Plat No. 2006-141. Farpoint Land Services, LLC SURVEYING, MAPPING, LAND PLANNING, GIS 1131 E. 7Gth Ave., Suite 10I Anchorage, Alaska 99518 FarpointAK.com • (907) 522-7770 • survey@farpointak.com PLOT PLAN SURVEY OF: Lot 36D, U.S. Survey 3044 Girdwood, Alaska SURVEY CERTIFICATION: FARPOINT has not conducted a physical survey of the subject property, the proposed improvements situated thereon are within the property lines as shown. WORK ORDER No. 14064 DATE: June 11, 2014 SCALE: 1"=30' DRAWN: ME CHECKED: MJH GRID No: SE4814 FB BOOK/PAGE: XXX/XX EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the Plat used for this survey. NOTE: Under no circumstances should any data hereon be used for construction or for the establishingof property lines. LEGEND 156') MOA ELEV. FLOW MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCK/LOT/TRACT: LT 3613/ WASTEWATER CONNECT PERMIT DATE OF APPLICATION: 07/22/2014 SCHEDULED COMPLETION DATE: 12/31/2014 SUBDIVISION: us SURVEY 3044 TAX CODE: 07506404000 GRID: SE4814 STREET ADDRESS: 1851 ALYESKA HWY Girdwood, AK 99587 ® SINGLE FAMILY ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI -DWELLING No. APTS OWNER: CORNELISON ALLEN MAIL ADDRESS: 11009 NORTHFLEET DR ANCHORAGE, AK 995152580 PHONE: REMARKS PERMITEE (Please Print) CORNELISON ALLEN MAIL ADDRESS 11009 NORTHFLEET DR ANCHORAGE, AK 995152580 SIGNATURE PHONE POST IN A CONSPICUOUS PLACE AT THE JOB SITE CUSTOMER COPY CONTRACTOR ASSESSMENTS 0 Main Line Extension ® Have Been Levied El Repair Existing Service X❑ On Property Only City Tap ■ Row No. ■ Hydrant Only ■ To Be Levied ❑ Main Tap - To Property Line Only ❑ Main Tap & On Property Connect Comments: 1 Disconnect ❑ R & R - Main Tap Only Owner I Staff CONNECT SIZE 4 in INSPECTION FEES 10100 ISSUED WWGEH REIMBURSABLE NUMBER 1 PAID ■ CASH PERMIT FEE $ 72.00 1 CHECK# $ 0.00` ❑ OTHER DEPOSIT $ 0.00 INSPECTED BY TOTAL $ 175.00 DATE REMARKS PERMITEE (Please Print) CORNELISON ALLEN MAIL ADDRESS 11009 NORTHFLEET DR ANCHORAGE, AK 995152580 SIGNATURE PHONE POST IN A CONSPICUOUS PLACE AT THE JOB SITE CUSTOMER COPY Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 075-064-04 Expiration Date: 3 -_ g 1 1. GENERAL INFORMATION Complete legal description US Survey 3044Lot 36D Location (site address) 1851 Alyeska Hwy, Girdwood, AK Current Property owner(s) Cornelison Allen Day phone 952-9666 Mailing address same Real Estate Agent Owner 2. TYPE OF DWELLING: Z Single Family (wlwo ADU) ❑ Duplex • Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER:SUPPLY: Individual Well Individual Water Storage Community Class C Well Public Water System Day phone 952-9666 TYPE OF WASTEWATER DISPOSAL: Individual ❑ Holding Tank ❑ Community ❑' Public Sewer Z Received by: COSA to be released to the engineer, unless rwise requested by the engineer. Date: l?j4//- COSA Fee $ SZ(o ?iirL�.,� Date: Date of Payment i J /J eS / / 5 itJ 1 Il6 Date of Payment Receipt Number 019.13 b 6 Receipt Number COSA# OSCAGIL {3 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified 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. I further verify that based on the information obtained from the Municipality of Anchorage files 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 NorthRim Engineering Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng 6. DSD $lGNATURE V System #1 Approved for 3 bedrooms. System #2 Approved for bedrooms. Disapproved: Conditional approval for Phone 694-7028 Date.11/25/2015xor 44. 00 o °c:, c. ra 00 4 Steven W. Eng PE256' 6<(2s/. bedrooms, with the following stipulations: 41.7 ti0Alt(1f(it' t�ix r q , ON-SITE WATtH AND rn WASTEWATER z_ PROGRAM 7� SERVIG Original Certificate Date: 1 Z—' - Lc - The Municipality of Anchorage Devlopment Services Division (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheer 9-1-12 tloc Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of Oh -Site Systems Approval Checklist Legal Description: A. WELL DATA WeA type P If A, B, or C provide PWSID # Date completed 14//l% Sanitary seal (Y/N) Y Total depth Stift. Cased to 5$ ft. FROM. WELL LOG Date of test . 91/12A / Static water level as SoRI/ 304ey Lor.:3Cb zo ft. Well production 23 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate b mg/L Arsenic Nh ug/L Date of sample: ///291/3- B. //2y'//s B. SEPTIC/HOLDING TANK DATA PO6U.r c SAVER Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ Parcel ID: .67S 669dy' Well Log (Y/N) y/ Wires properly protected (Y/N) Casing height (above ground) 3 AT INSPECTION 40.5/ ft. 8-fr g.p.m. Collected by: NGr iet "t En) Date installed Cleanouts (YIN) High water alarm (YIN) Date of pumping Pumper C. ABSORPTION FIELD DATA P✓BGIG SE0£2 Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) Length ft. Width Total depth ft. Eff. absorption area ft2 Monitoring tube System type ft. Gravel below pipe ft Depression over field For bedrooms Date of adequacy test Results (Pass/Fail) Fluid depth in absorption field before test in. Water added gal New depth in. Elapsed Time: min. Final fluid depth Absorption rate >= If yes, give date Any rejuvenation treatment (past 12 mo.) (Y/N & type) g.p.d. D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level at Datum Cycles tested Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot NA Al4 Public sewer main 144 i* Sewer /septic service line • Animal containment areas On adjacent lots /00 On adjacent lots /O6"1` in. Public sewer manhole/cleanout /40 'f Holding tank /DO of • Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: At A Building foundation Property line Water main Water service line Wells on adjacent lots ABSORPTION FIELD ON LOT TO:4,4 Property line Building foundation Water Service line Surface water Curtain drain Wells on adjacent lots /Oa (4- Absorption f Absorption field Surface water Watekmain F. COMMENTS STRoN6 W tU- '#CLA Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed��Name S7�E Civ Mr Date ///� 5S COSA yellow sheet 2-6-15 doe w.c�,OF,A(4e to :Ay giro tP* A R` s * �saa:.* wH. •o •f• iot A b t+' a steyen W gno cy +CCr FE 6V6 ® •l1/4S ktgir sOo„ 36 C U.S. Survey 3044 1 \ \ \ 36 B \ SNYDER � SUBDAYISIox LOT 2 21- xx orktE9f A,r\q ,� j*49TH %\ *� 0 ,q1 Ast Michael J...me e o� �� ,,rrte�. No. L S 8 tv . NOTES: EARINGS AND DISTANCES ARE RECORD PER REFERENCED PLAT UNLESS OTHERWISE NOTED. �ir��`. p �IP°' a 2) SUFFICIENT BOUNDARY EVIDENCE WAS RECOVERED TO ESTABLISH THE SUBJECT PARCEL ON THE t` RUff Sp t'' A GROUND. NOT ALL CONTROLLING EVIDENCE 15 SHOWN HEREON. Farpoint Land Services, LLC SURVEYING, MAPPING, LAND PLANNING, GIS 1 1 31 E. 76th Ave.. Suite 101 Anchorage, Alaska 99518 FarpointAlccom (907) 522-7770 survey@farpointak.com Lot 36D, US Survey No. 3044, Girdwood, Alaska PREPARED FOR: Allen Cornelison Girdwood, AK LEGEND Recovered Monument OC.O. Septic Vent - Water Well SURVEY CERTIFICATION: FARPOINT has conducted a physical survey of this p operty as shown on this drawing and that the imp ovements situated thereon are within the property lines. WORK MEER NUMBER 14064 wre July 31, 2015 SCALE i"=30' Ram SURVEY a,a,EROR: July 29, 2015 DRAWN BY. LLA ME GPM) MMEN: SE4814 FIELD EOCNPAGE 111/65 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: Under no circumstances should any data hereon be used for the construction or for the establishing of property lines.