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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 ?1 0 ZO PD o 0 8 `m N U 30�: � C C m to z o \ v 00 g - CA ul v CO crni�mz�vov�z�= Nil 'v in 0 0 rn i 3 z���iifnmW . O =mo o1ZEril o���o0�rn�rn m oocrn�mrnz > 0 c ���N tD omm�n� - v OOzcnvZo02 3: C= c coag v a 0 I :it 0 rn �; Z z60 co o zom z ,trn1)�.vzx�DOv rn rn �i 1 N r fi m z 0 m a v N 00007'00"W 65.00' W 0 ZURICH STREET