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Home My WebLink AboutGALATEA ESTATES BLK 8 LT 8Gcilatea Estates Block 8 Lot 8 #014-054-15 09/15/2014 23:47 907-345-0202 ALPINE DRILLING PAGE 01/01 Alpine Drilling & Enterprises Well Log Permit Number: #SW 149434 Date of Tissue: 90_1.0-2014 Parcel Identification Number: 01405415000 Date Started: 12-30-14 Date Completed: 12-31-14 is well located at approved permit Jooation?T Yes ❑ No Legal Description: Galatea Estates Galatea Estates Slock 8 Lot S Property Owner Name & Address; Hagmeler John & Judith A DSA John Hagmeier Company 9204 r1ovelond Ave # 201 Anchoraae. Alaska 99517 i-Grehole Data: Depth (ft) Method of Drilling x air rotan+ ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type., steel Stick-up Silty gravel fill Gravelly silt 0 2 6 2 6 11 Wail Thickness: -250 inches ftiamete-:6Inches Depth: 61 feet Litter Type: Diameter: inches Depth: __ 1eet silt 11 25 Casing stickup above ground: 2 feet Static water level (fmm ground level): 1 feet gravelly silt 25 38 silty gravel silty water sarin & gravel 38 58 58 01 Pumping level: 60 feet after 2 hour s pumping 20+ gpm Recovery Rate: 20+ gpm Method of Testing: air li - Well Intake Opening Type: x Open Eod ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped _ feet (Trout Type: bentonite Granules 'Volume, >� Depth: Start g Leet Stopped ?. feet Putap sizehp Brand Name Y� Well Disinfected Upon Completion? X Yes ❑ No Method of Disinfection: ehlQrine tablets Comments: Weil Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 �" f\ X 1- Nps ►'� E �11P7l Development Services Department Building Safety Division ® On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 MarkBegich Anchorage, AK 99507 Mayor 1vww.mun(oor /onsite (907)343-7904 Pump Installation Log Well Drilliung-Permit Number: SW 141434 Date of Issue: 10-10-2014 Parcel Identification Number: 01 4 05 41 5 00 0 Legal Description Galatea Estates Block 8 Lot 8 - property Owner Name & Address: Jahn Nagmeler Company 22114 Cleveland Ave 0 201 _ Anchorage, Alaska 99517 Pump Installation Date: 1123!2015 Pump Intake Depth Below Top of well Casing: 52 feet Pump Manufacturer's Name: Goulds Pump Model: 10ss05 Pump Size 112 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: Martensen Pitless Adapter Installer: Aaiow Pump & Well Saroice, LLC Well Disinfected Upon Completion? 0 Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: grow Pump & Well Service, LLC P,O, Box 110496 - - Anoborage, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. �iuNi�wrr�r,� � IR SGS SGS Ref.# 1151029001 Client Name Pannone Eng. Sty. Project Name/# 6720 O'Brien Client Sample ID 6720 O'Brien Matrix Drinking Water PWSID 0 Sample Remarks: PrintedDate/Time 03/31/2015 11:54 Collected Date/Time 03/23/2015 11:55 Received Date/Time 03/23/2015 16:40 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 6.14 5.00 ug/L EP200.8 B 03/24/15 03/25/15 ACF Waters Department Nitrate -N 1.00 U 1.00 mg/l, EPA 300.0 C (<10) 03/30/15 03/31/15 KCT Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 03/23/15 SLC Total Coliform Negative 1 100mL SM21 9223B A 03/23/15 SLC 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: OSP141434 Tax Code Number: 01405415000 Work Type: Well Initial Permit Effective Dates: October 10, 2014 Design Engineer: Subdivision: GALATEA ESTATES Site Legal Address: GALATEA ESTATES BLK 8 LT Owner/Address: HAGMEIER JOHN C & JUDITH A mrtment to October 10, 2015 8 G:2033 DBA JOHN HAGMEIER COMPANY 2204 CLEVELAND AVENUE #201 ANCHORAGE AK 995173011 Site Mailing Address: Lot Size in Sq Ft: 8640 Total Bedrooms: 6 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. Received By: Issued By: Date; 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. 0//-/'0 ~--.,,,~.~',,"2 ~ ~ Propertyowner(s) ~/~../..?',~.//.~-----//~/ ./-~//~¢,//2~/~y phone 72 ?- Mailing address 2~ ~~~ ~ - Site address ~/~/~ Legal description (Sub'd., B~ock & Lot) ~ ~ ~ /~~ ~~ Legal description (Township, Range & Section) LotSize~~ Sq. Ft. Number of Bedrooms ~ APPLICATION IS FOR: (~] all that apply) Absorption Field [] Initial Septic Tank [] Upgrade Holding Tank [] Renewal Privy [] ~L,~'~ ~ ~] Private Well ,~ Water Storage [] $~-P ~ APPLICATION IS AN: TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I fur[her certify that this is in accordance with applicable Municipal Codes. (~j~ature of properly o~thorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:{907)564-2762 WASTEWATER CONNECT PERMIT DATE OF APPLICATION: 01/03/2014 SCHEDULED COMPLETION DATE: 12/31/2014 BLOCK/LOT/TRACT: BLK 8 / LT 8 / SUBDIVISION: GALATEA ESTATES TAX CODE: 01405415000 GRID: SW2033 [] SINGLE FAMILY [] MULTI-DWELLING No. APTS [] COMMERCIAL STREET ADDRESS: , AK OWNER: -IAGMEIER JOHN C '& JUDITH A DBA JOHN HAGMEIER COMPA PHONE: MAIL ADDRESS: 2204-CLEVEL,~ND AVENUE #201 ANCHORAGE AK 995173011 CONTRACTOR' .~ ~ ~,,¢,-~ YY'L&X.64, ('~~ ASSESSMENTS [] Repa r Exstng Service ' c/ [] Main Line Extension [] On Property Only [] CityTap [] Have Been Levied [] Hydrant Only [] To Be Levied [] Main Tap - To Property Line Only Comments: [] Main Tap & On Property Connect Row No. [] Disconnect ~)wner a~--''~ %' [] R & R - Main TaP Only I St CONNECT SIZE 4 in ISSUED WWGEH NSPECT ON gL A D [] CASH PERMIT FEE $ ,~.~'¢~ ,6~Tou' $ 0.00 ~OTHER DEPOSIT $ 0.00 REIMBURSABLE NUMBER TOTAL $ ~~ INSPECTE~ B%~ ~ DATE REMARKS PERMITEE (Please Print) HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMBB~"4~E)MPANY MAiL ADDRESS 2204 CLEVELAND AVENUE #20I ANCHORAGE, AK 995173011 SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY 455 SF a F pY Q Municipality of Anchorage On -Site Water and Wastewater Program r' ` (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 014-054-15 Expiration Date:e9 / S 1. GENERAL INFORMATION Complete legal description Galatea, Block 8, Lot 8 Location (site address) 6718/6720 O'Brien St. Anchorage, AK Current Property owner(s) John Hagmeier Homes LLC Day phone Mailing address 2204 Cleveland Ave. #201 Anchorage, AK 99517 Real Estate Agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) "1 1 s 3. NUMBER OF BEDROOMS: 8 4. TYPE OF WATER SUPPLY: Individual Well n Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request TYPE OF WASTEWATER DISPOSAL: Individual ❑ Holding Tank ❑ Community ❑ Public Sewer El V_ --T - Received by: ? ;1 Date:�� COSA to be released to th* e6gineer, unless otherwise requested by the engineer. COSA Fee $ 11 1 %-9 Date of Payment u!/ M6 Receipt Number 0 COSA# 6SC15111? Waiver Fee $ Date of Payment Receipt Number 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Phone (907) 272-8218 Engineer's Printed Name, Steven R Pannone Date 3/26/2015 6. DSD SIGNATURE System #1 Approved for $ bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for - bedrooms, with the following stipulations: By: / p Original Certificate Date: The62representations tpality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage isnot responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r , - 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: Galatea, Block 8, Lot 8 Parcel ID: 014-054-15 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 12/31/2014 Sanitary seal (Y/N) Y , Wires properly protected (Y/N) Y Total depth 61 ft. Cased to 61 ft. Casing height (above ground) 18+ in. 'FROM WELL LOG AT INSPECTION Date of test 12/31/2014 New Static water level 1 ft New ft. Well production 20+ g.p.m.. New 9 - p.m -WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate OHO Umall- Arsenic i L ug/L Date of sample: 3 a ISI Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (YIN) Foundation cleanout (YIN) _ Depression over tank (Y/N) _ High water alarm (YIN) Date of pumping -- Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ftz or ftz/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. : Eff, absorption area ftz Monitoring tube . Depression over field Date of adequacy test Results (Pass/Fail) For -_ bedrooms Fluid depth in absorption'field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.q.d.. Any rejuvenation treatment (past 12 mo.) (YM i£ type) If yes, give date D. LIFT STATION Date installed Size in gallons _ "Pump oh" level at in. "Pump off" level at Datum E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tankllift station on lot N/A Absorption field on lot N/A Public sever main 75+ Sewer /septic service line 25+ Animal containment areas 50+ SEPTIC/HOLDING TANK ON LOT TO Building foundation Water main Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line _ Water Service line Curtain drain F. COMMENTS Manhole/Access (YIN) in. High water alarm level at in. Meets alarm i£ circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ Property line Absorption fiel Water service line Surface water Building foundation Water main Surface water Wells on adjacent lots Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION' I certify that I have determined through field inspections and review of Municipal records that the above systems are in **49TH conformance with MOA COSA guidelines in effect on this date. 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