HomeMy WebLinkAboutHILLSIDE NORTH #7 TR CHillside North #7 Tr C #041-021-76 Certified Drilling Log ,gWBILL & COLE CO dba �IILLIVANP.O. Box 670269, 9WATER WELLS OWNER OF LAND: Greg Booth ADDRESS: 9990 Middlerock Road, Anchorage, AK 99507 LEGAL DESCRIPTION Hillside North #7 Tr C DATE: 5-19-15 PERMIT NUMBER: OSPI51122 DATE OF ISSUE: 5-19-15 TAX IDENTIFICATION NUMBER 04102176000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: Casing Type: Diameter: 6 220 Steel Wall thickness ,250 inches inches, depth 44 feet Liner type 4.5" PVC Static Water Level: 80 feet Recovery Rate 20 ® gpm LJ gph Method of Testing Air Well Intake Opening Type: 0 open end ®open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite volume: Sobs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: yes no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 4 4 52 52 75 75 98 98 136 136 142 142 207 207 211 211 220 Casing Stickup Overburden Bedrock Soft Bedrock Brown Bedrock Gray Bedrock Gray w/ Quartz Bedrock Olive w/ Fractures Bedrock Gray w/ Quartz Bedrock Large Fracture Bedrock Gray 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. DOC CO dba uL i�AN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suilivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSPIS1122 Parcel Identification Number: 04102176000 Legal Description Hillside North #7 Tr C Pump Installation Date: 5-22-15 Pump Intake Depth Below Top of Well Casing: 185 Pump manufacturer's Name: Grundfos Pump Model: 30SQE35-330 Pump Size: 1.5 Pitless Adapter Burial Depth: 1 Pitless Adapter Installer: Sullivan Water Wells Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson B10X Date of Issue 5-19-15 Pump Installers Name: Cole & Terry —Sullivan Water Wells Property Owner Name & Address Greg Booth 9990 Middlerock Road, Anchorage, AK 99507 feet hp feet 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: OSP151122 Tax Code Number: 04102176000 Work Type: Well Initial Permit Effective Dates: May 19, 2015 to May 18, 2016 Design Engineer: Subdivision: HILLSIDE NORTH #7 Site Legal Address: HILLSIDE NORTH #7 TR C G:2043 Owner/Address: BOOTH GREGORY & JANE 9990 MIDDLEROCK ROAD ANCHORAGE AK 995070000 Site Mailing Address: 9990 MIDDLEROCK RD, Anchorage This permit is for the construction of: Lot Size in Sq Ft: 618988 Total Bedrooms: 3 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. Special Provisions: The following items shall be submitted for final operational approval. 1.Well Log 2.Well Pump Installation Log 3.Water Quality Results Received B Issued By: /�r.. _jT�.—L4, 5 A4 Irr MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-3434904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program SMISM117TLAI ON-SITE SEWER/WELL PERMIT APPLICATION MAY 12 2015 OttI -G2I•-f(o.-Ooo Tt vz+ C N 4199 Je l J , A" Vk -#�r�tch�rA Stul�e� Parcel LD. 7 Property owner(s) Mailing address _ Site address LA 2 Day phone 411 -4430 K Legal description (Sub'd., Block & Lot) 7VfZf C- RtI(StAe �J Legal description (Township, Range & Section) Lot Size (t-} , ( tw_ye_ q. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial Er Single Family (SF) Er Septic Tank ❑ Upgrade ❑ (w/wo ADU) Holding Tank El Renewal❑ (D) ElRenewal Privy ❑ Multiple Dwellings ❑ (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. owner or authorized agent) Permit/Rush Fees: 4 9,/5 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: l 3"Li Receipt Number: Permit No. ©S Pl6Jl ala Waiver No. Permit App_9-1-12.doc TRACT B1 S890 57'08"E N00° 06'40'W 208'84 T 4 210.20 1o22.s' S89" 58'40"E 216.97 :X NOW 01'20"E 61.511 L=21421'27"W /' S/L=48.81 ATER ANK ?�•N12° IPE I 2181q( f`I (3) FLOWE POTS N120 21'27'W 472.00 1 1 , 6 N380 38' WE 149.86 15' T&E EASEMENT 5' SNOW STORAGE, \ EASEMENT \\ MID oQ F O. A�vOop r:4�rHit.... JOHN D. HAr LS -1283D '••.4/7...... ••• 5�, LEGEND: S890 58' 40"E1011.0' TRACT B1 1 '.: iAsphalt svwn:.' 39.60 0' T&E EKE EASEMENT APPROXIMATE FINISHED FLOOR FF=10855 SEPTIC STANDPIPE ©::. Concrete:: •%; 0� fiO0 WATER WELL ® 9 DRAINAGE DIRECTION t` LEC. •'/ ELEVATION (NO DATUM) 1000.0' POWER / N. BOX Jk ffMt0C:hI Phone: 5625291 Mainline Inc ee phC9e.[tCCFvAO • &tg[nPRibV • duAvgi-g. Phone: 243-8985 DO ^C TRACT C / 14.21 ACRES SEE DETAIL to N If � •461.7' 53,E / N89° 55'58"W 424.82 1142.3' 1342.T Y/ 1010.5' S38° 38' 14"W 142.00 1Doo.o' L=60.30 R=175.00 Y a 1 BOX -Tkeve awe ko Se-p+(C sysictv,5 UJ Oki IOU'. Tke a)-j1Lc_ezr lot to tke e -a -sr 0.6-,k sov+k is Uacak`fi Tlne Cxisflij we(( wI(( be osc�--v- (au°lScape Wate�•t��° 5%(R/(5 OL-IntV- FND VPC ON 5/8" REBAR Q PROPOSED FINISH GRADE PFG 1085.0' '.: iAsphalt svwn:.' LUMINAIREO APPROXIMATE FINISHED FLOOR FF=10855 SEPTIC STANDPIPE ©::. Concrete:: •%; 0� fiO0 WATER WELL ® 9 DRAINAGE DIRECTION t` FENCE —X—X— Wood eck ELEVATION (NO DATUM) 1000.0' 250 H Street Anchorage, Alaska 99501 Survey Department ffMt0C:hI Phone: 5625291 Mainline Inc ee phC9e.[tCCFvAO • &tg[nPRibV • duAvgi-g. Phone: 243-8985 ORDERED BY: GREG BOOTH Mi rn W v 0 0 M CHUGACH STATE PARK Next LLtl IOe0.'haH SCALE 1"=20' G �. LEGAL DESCRIPTION: PLOT PLAN TRACT C HILLSIDE NORTH SUB. ADD'N. NO. 7 DRAWN DATE: 4/1/2015 WORK ORDER: 15010 DRAWN BY: MJH PLAT: 97-113 CHECKED BY: SB GRID: 2143/2043 SCALE: 1"= 150' FB/PG: 801/5-7 REF: 081-121 SURVEY CERTIFICATION: LCGLANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED. EXCLUSIONARY NOTE: IT IS THE OWNERSRESPONSIBILITYTO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT -OF -WAV TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT -PLAN PURPOSES.