HomeMy WebLinkAboutALPINE VILLAGE BLK 2 LT 8Alpine Village
Block 2
Lot 8
#014-132-08
Certified Drilling Log
DOC CO dba
BILL & COLE
, AK 99567 OBB-2758
SULLIVAN=0269,9ialkWATER WELLS
OWNER OF LAND: Gary Hunsaker
ADDRESS: 7334 Zurich St. Anchorage, AK 99507
LEGAL DESCRIPTION Alpine Village BILK 2 LOTS
DATE: 9/19/2013
PERMIT OSP131231 DATE OF ISSUE: 8/7/2013
NUMBER:
TAX IDENTIFICATION 01413208000
NUMBER
Is well located at approved permit location: N Yes ❑ No
Method of Drilling: Nair rotary ❑ cable tool
Depth of Well: 124 ft
Casing Type: steel Wall thickness ,025 inches
Diameter: 6
Liner type none
Static Water Level: 54
Recovery Rate 20
Method of Testing air
Well Intake Opening Type
inches, depth 124 feet
feet
N gpm ❑ gph
N open end ❑ open hole
❑ Screened Start feet Stopped
❑ Perforations Start _ feet Stopped
Grout Type: Bentonite grout Volume: _
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: N yes ❑ no
Method of Disinfection: Chlorine 50 ppm
Comments:
Bore Hole Data
Depth
From To
0 2
2 4
4 8
8 20
20 52
52 57
57 79
79 84
84 120
120 124
Casing Stickup
Overburden
Sand and gravel
Sand with gravel
Silt and sand
Silt and gravel
Hardpan
Sand and gravel with clay
Silty sand and gravel tight
Loose, heaving sand and gravel
Drillers Name: Cole Sullivan
ATTf,NTION: It is the responsibility of the property owner to submit a copy of the well log W the proper authority.
Wnicipality of Anchorage: Department of Health & Human Services and/or Department of Ewghv *ental Conservation.
4vlatSu Borough: Department of Environmental Conservation.
Development Services Department
Building Safety Division
Program
�r g pig E ,
Ali—ie ater �E �ti�'ewate1' G 4 <
4700 Elmore Road z
P.O. Box 196650
Marie Begich Anchorage, AK 99507 s a E T Y
Mayor mmmuni.ora/onsite
(907) 343-7904
Pump Installation
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description
�'1 U 1•° 1���..
733(
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: feet
Pump Manufacturer's Name: rt,,& L
Pump Model: ft') 5 (,�(�^ �- ou
Pump Size I f). hp
Pitless Adapter Burial Depth: 10 feet
Property Owner Name & Address:
-,,-( &ca`7 U .
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: Ae-. t 0jr 1 ns~ Ist-C
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection: Q/�
I Comments:
!I Pump Installer Name: Johnny Kay
Hefty Drilling, Inc.
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
SGS Rcf.#
1221410001
Client Name
Residential Testing - Cash Account
Pro.icct Name/#
The Bradley Co
Client Sample ID
Garage Spicket
Matrix
Drinking Water
Sample Remarks:
Printed Date/Time
04/18/2022 8:55
Collected Date/Time
04/06/2022 11:15
Received Date/Time
04/06/2022 11:40
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Parameter Results LOQ Units Method Container 1D Limits Date Date ]nit
Metals by ICP/MS
Arsenic ND 5.00
Waters Department
Total Nitrate/Nitrite-N ND 0.200
Microbiology Laboratory
E. Coli Negative I
Total Coliform Negative 1
ug/L
EP200.8
B
(<10)
04/10/22 04/12/22
DSD
mg/L
SM214500NO3-F
C
(<10)
04/08/22
EBI -I
IOOml- SM219223B A
IOOml- SM219223B A
04/06/22 M.A
04/06/22 M.A
2of5
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: OSP13'~231
Tax Code Number: 01413208000
Work Type: Well
Permit Effective Dates: August 07, 20~3
to August 07, 2014
Design Engineer: SPURKLAND ENGINEERING
Subdivision: ALPINE VILLAGE
Site LegalAddress: ALPINE VILLAGE BLK 2 LT 8 G:2133
Owner/Address: HUNSAKER GARY L & BONNIE J
161 SHELLY MARIE CIRCLE ANCHORAGE AK 995153489
~artment
Site Mailing Address: 7334 ZURICH ST, Anchorage
Lot Size in Sq Ft: 8450
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Fierd N SepticTank N Holding Tank N Privy Y Private Werl 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.
Date: ~'~J~,~.~
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax:907-343-7997
ON-SITE SEVVERNVELL PERMIT APPLICATION
Parcel I.D.OI~1-132-08
Property owner(s) GARY HUNSAKER
Mailing address
Day phone 344-5061
Site address 7334 ZURICH ST., ANCHORAGE AK, 99507
Legal description (Sub'd., Block & Lot) ALPINE VILLAGE BLK 2 LOT 8
Legal description (Township, Range & Section)
Lot Size .Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
(1~ all that apply)
Absorption Field []
Septic Tank []
Holding Tank []
Priw []
Private Well []
Water Storage []
APPLICATION IS AN:
TYPE OF DWELLING:
Initial [] Single Family (SF)
(w/wo ADU)
Upgrade []
Duplex (D)
Renewal []
Multiple Dwellings
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
NONE Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Muni,ci@al Codes.
(Signat~ of property owner or authorized agent)
PermitJRush Fees:
Date of Payment:
Receipt Number:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_9-1-12.doc
11
8
10
77'
E ?4TH
NOE: THI~ I~ NOT A SURVEYED PLAT, WELL ce SEPTIC
LOCATIOI~ TAKEN r'~ ON-SIE IVATER AN§ WASTE WATER
DEPARIYA'?#' DOCU~V~NTATION. ALL LOCATIOI~
APPROXIklAE,
50 75 100 1,95
SCALE; 1' = 50 FT.
I£XISTII~ MANHOLE
I
SPURKLAND ENGINEERIN8
20,.? W 15TH. AVENUE
ANCH. bK. 99501
~907) p79-$916
AP~big VII_J~AOR BLt( 2 LT 8
GARY HUNSAKER
161 SHELLY MARINE CIRCLE, ANCHORAGE AK 99515
WELL PERI, IT
~ITE, JULY ,23, P013
SHEET~ 1/1
PERMIT # OSPlPlOXX PI9 ii 141-13,2-08 ALPINEVALLEYBPLB. SCSO, DW6
"'VIUNPUCPALITY OF ANCHORAGE
air
a�
Development Services Department Phone 907-343-7904
On -Site Water & Wastewater Section �' Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 01413208
1. GENERAL INFORMATION
Complete legal description Alpine Village 132 L8
Location (site address) 7334 Zurich St
Current property owner(s) Bradley CO
Mailing address
Real estate agent
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Expiration Date: 5P"" (c, - 2 2—
Day phone
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
❑
Private Septic
❑
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
0
Waiver request for: Distan
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 2 W Waiver Fee $
Date of Payment ��� S Date of Payment
Receipt Numberr, Y �q G Receipt Number
COSA # OS C Z 2-./. 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly
recommends buyers hire their own engineer to evaluate this report.
Name of Firm Pannone Engineering Services
Address P.O. Box 1807 Palmer, AK 99645
Phone (907) 745-8200
Engineer's Printed Name Steven R. Pannone P.E., F. ASCE Date
OF
T, 'r
6. DSD SIGNATURE � ..-. ....
U
System #1 Approved for bedrooms c :4 Steven R. i'annome
CE 8149
System #2 Approved for bedrooms k61: - .
Disapproved �� �'?oFESS'v'•
Conditional approval for bedrooms, with the following stipulations:
OF
i
`gIFG�
WATER AND
WAST ]V ATER z1
J
1
%app OJT\
J��%FST SER\I..G��
BY �.. ( Original Certificate Date:_'S--- 6o — Z
The Municipality of Anchorage Development 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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
Legal Description: Alpine Village B2 L8
If more than 1 septic system on lot: COSA Checklist # 1 of 1
A. WELL DATA
®❑ Well log is filed with Onsite (or attached)
Date drilled 9119/13
Total depth 124 ft
Cased to 124 ft
Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA �2 v22""'
Static water level at beginning of test 48„ ft.
Comments well flow and water sample by Hefty Drilling
B. TANK DATA
Age of tank(s) years
Tank type/material
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per reco drawing
Date of pumping
D. ABSORPTION FIELD DATA
Which system tested (date installed)
❑ ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 daZpriorto
date of test)
Gallons introduced gallo s
Comments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 01413208
Structure served by this system 1
Well production at time of test 11 gpm
Water storage tank volume na gallons
Well disinfected for coliform test? ❑ Yes No
0 Coliform bacteria is Negative
Nitrate mg/L O Nitrate less than MRL (ND)
Arsenic ug/L FMJ Arsenic less than MRL (ND)
Collected by Hefty Drilling
Date of Sample 4/21/22
C. =quired
ON '
El intenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date /
Results E] Pass bedrooms
Fluid depth. for to test in
War'added gal
ew depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Community Sewer Manhole/Cleanout > 100'
[Q Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' ✓❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑✓ Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' 121 Yes
if No ft
Neighboring Absorption Fields > 100'
Animal Containment > 50' ❑✓ Yes
if No ft
❑✓ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' Yes
if No
ft
❑✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' Yes Y s if No ft
Property Line > 5' ❑ Yes if No ft Wells on Adjacen of
Absorption Field > 5' ❑Yes if No ft �dvate Wells > 100' E] Yes if No ft
Water Main > 10' ❑ Yes if No r Community — y Wells > 200' _ ❑Yes- if No ft
Water Service Line > 10' ❑ Yes if ft If septic tank is, under driveway comment below
From Absorption Field on Lot to ease enter distances if less than required)
Building Foundation > 10' Q Yes if No ft If absorption field is under drive
mment below
Property Line > 10' ❑ Yes if No ft Wells :aCe
n Adjacent ots:'"'� f'
Water Main > 10' ❑ Yes if No ft Wells > 100' ❑ Yes if No ft
Water Service Line > 10' ❑ Yes if No Community Wells > 200' El Yes if No ft
Surface Water > 100' El Yes i o ft
F. ENGINEER'S COMMEN
public sewer system
G. ENGINEER'S CERTIFICATION
l certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MDA COSA guidelines in effect on this date.
z2 %�"��
COSA Checklist yellow sheet
From Absorption Field on Lot to ease enter distances if less than required)
Building Foundation > 10' Q Yes if No ft If absorption field is under drive
mment below
Property Line > 10' ❑ Yes if No ft Wells :aCe
n Adjacent ots:'"'� f'
Water Main > 10' ❑ Yes if No ft Wells > 100' ❑ Yes if No ft
Water Service Line > 10' ❑ Yes if No Community Wells > 200' El Yes if No ft
Surface Water > 100' El Yes i o ft
F. ENGINEER'S COMMEN
public sewer system
G. ENGINEER'S CERTIFICATION
l certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MDA COSA guidelines in effect on this date.
z2 %�"��
COSA Checklist yellow sheet
F. ENGINEER'S COMMEN
public sewer system
G. ENGINEER'S CERTIFICATION
l certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MDA COSA guidelines in effect on this date.
z2 %�"��
COSA Checklist yellow sheet
CONTRACTOR:
ASSESSMENTS
MUNICIPALITY OF ANCHORAGE
WASTEWATER
e°
❑ Main Line Extension
CONNECT PERMIT
❑ City Tap
® Have Been Levied
❑ Hydrant Only
EJ Main Tap - To Property Line Only
❑Cured in Place Pipe
To
❑ To Be Levied
WATER & WASTEWATER UTILITY
DATE OF APPLICATION: 8/11/2021
3000 ARCTIC BLVD.
PHONE: (907)564-2762
SCHEDULED COMPLETION DATE: 12/31/2021
BLOCK/LOT%TRACT: BLK 2/ LT 8J
❑ SINGLE FAMILY
SUBDV: ALPINE VILLAGE
DUPLEX
Q ; COMMERCIAL
TAX CODE: 01413208000 GRID: SW2133
❑ MULTI -DWELLING No. APTS 0
STREET ADDRESS: 7334 ZURICH ST Anchorage, AK 99507
ISSUED WWVAH
OWNER: THE BRADLEY COMPANY LIMITED LLC
PHONE:
MAIL ADDRESS: PO BOX 110226 ANCHORAGE, AK 995110226
❑ PAID ❑ CASH
CONTRACTOR:
ASSESSMENTS
Repair Existing Service
❑ Main Line Extension
❑ On Property Only
❑ City Tap
® Have Been Levied
❑ Hydrant Only
EJ Main Tap - To Property Line Only
❑Cured in Place Pipe
To
❑ To Be Levied
❑ Main Tap & On Property Connect
❑ Disconnect
Row No.
❑ R & R - Main Tap Only
Owner Sta
CONNECT SIZE 4 in
ISSUED WWVAH
INSPECTION FEE
$112.00
❑ PAID ❑ CASH
PERMIT FEE
$77.00
❑ CHECK
RCC
$1.49
REIMBURSABLE
DEPOSIT
$0.00
INSPECTED BYFck*"
NUMBER
TOTAL
$190.44
DATE " Z &L
REMARKS
PERMITTEE (Please Print) The Bradley Company PHONE (907)345-8153
MAIL ADDRESS P.O. Box 110226 Anchorage, AK 99511-0226
SIGNATURE EMAIL bob@thebradleco.com
POST IN A CONSPICUOUS PLACE AT THE JOB SITE so
INSPECTOR COPY
DATE 12/31/2021 TIME 12:00 AM INSPECTOR
SCHEDULED
SUBDIVISION ALPINE VILLAGE BLOCK/LOT/TRACT BLK 2/ LT 8/
INDICATE NORTH
/7'
SIZE MAIN: , % ''
TYPE MAIN:
DEPTH AT MAIN:
T PROP. LINE: '
CONNECT LOCATION: (
COMMENTS:
INSPECTED BY:
DATE: Z
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