HomeMy WebLinkAboutCAMPBELL CREEK VIEW LT 3Campbell Creek
View
Lot 3
#008-072-90
1 M :." °]� is ♦; ' '' ;�. ; °` -,
Permit Number: #SW 141202 Date of Issue: 6-25-14 Parcel Identification Number: 008079290000
Date Started: 7-5-14 Date Completed: 7-6-14 Is well located at approved permit location? xYes ❑ No
Legal Description: Campbell Creek View Lot 3
Property Owner Name & Address: Mark & Dawn Warren
760 Powerline Road Unit B
Birdcreek Alaska 99540
Borehole Data:
Depth (ft)
Method of Drilling x air rotary ❑ cable tool
Soil Type, Thickness & Water Strata
From
To
Casing type: steel
stick-up
gravelly silt
0
2
13
Wall Thickness:.250 inches
Diameter: 6 inches Depth: 213 feet
Liner Type:
gravel
13
21
Diameter: inches Depth: feet
silt
21
24
Casing stickup above ground: 2 feet
Static water level (from ground level): 35 feet
Pumping level: 100 feet after
4 hours pumping 28 gpm
Recovery Rate: 28 gpm
gravelly silt 24 53
silty gravel 53 105
silty water sand &gravel 105 109
silt
109
118
Method of Testing: pump test
gravelly silt
sandy gf-avelly silt H2O
gravelly silt
118
143
149
143
149
193
Well Intake Opening Type:
❑ Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
x Perforations Start 106 feet Stopped 109 feet
sanely silt H2O
191
213
Grout Type: bentonite granules Volume: 2 bis
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? x Yes ❑ No
Method of Disinfection: chlorine tablets
WATER QUALITY TESTING Comments: Well was pumped at 28 gpm 4 horns with
i011fOrm D COI/100mL drawdown to 73feetfromswface.
itrafeS 0, Ci 01- Well Driller: Alpine Drilling & Enterprises
A!-senic Nib ug/L PO Box 110496
Anchorage AK 99511
Development Services Department
Building Safety Division
pit e4�
On -Site Water & Wastewater Program r4 0
4700 Elmore Road
P.O. Box 196650
Mark Be9 ich Anchorage, AK 99507
Mayor www.muni.oro/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW141zo2 Date of Issue: 6/25/14
Parcel Identification Number: 008079z90000
Legal Description Property Owner Name & Address:
-Campbell Creek View, Lot 3 Mark & Dawn Warren
760 Powedine Road, Unit B
Bird Creek, AK 99540 11
Pump Installation Date: 8/20/2015
Pump Intake Depth Below Top of Well Casing: 92 feet
Pump Manufacturer's Name: Grundfos
Pump Model: 22 s0E15-220
Pump Size 1.5 hp
Pitless Adapter Burial Depth: NIA feet
Pitless Adapter Manufacturer's Name: NIA
Pitless Adapter Installer: NIA
Well Disinfected Upon Completion? [Z] Yes ❑ No
Method of Disinfection:
I Comments:
Pump Installer Name: Aarow Pump & Well service, LLC
P.O. Box 110496
Anchorage, AK 99511-0496
WATER MY TESTING
Coliform QW10omL 1
Mates d• 9 M9&
Amedc IV(
Please save for your engineer.
This is needed for your COSA.
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: OSP141202
Tax Code Number: 00807290000
Work Type: Well Initial
Permit Effective Dates: June 25, 2014 to June 25, 2015
Design Engineer:
Subdivision: CAMPBELL CREEK VIEW
Site Legal Address: CAMPBELL CREEK VIEW LT 3 G:1834
Owner/Address: WARREN MARK J & DAWN
760 POWERLINE ROAD UNIT B BIRDCREEKAK 995400000
Site Mailing Address: 4880 CHUCK DR, DUPL, Anchorage
This permit is for the construction of:
Lot Size in Sq Ft: 27958
Total Bedrooms: 6
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.
Receive
Issued
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: OSP141202
Tax Code Number: 00807290000
Work Type: Well Initial .
Permit Effective Dates: June 25, 2014 to June 25, 2015
Design Engineer:
Subdivision: CAMPBELL CREEK VIEW
Site Legal Address: CAMPBELL CREEK VIEW LT 3 G:1834
Owner/Address: WARREN MARK J & DAWN
760 POWERLINE ROAD UNIT B BIRDCREEKAK 995400000
Site Mailing Address: 4880 CHUCK DR, DUPL, Anchorage
This permit is for the construction of:
N Disposal Field N Septic Tank N Holding Tank N Privy
Lot Size in Sq Ft: 27958
Total Bedrooms: 6
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.
Receive
Issued
MUNICIPALITY OF
Community Development Department "
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
ON-SITE SEWER/WELL PERMIT
Parcel I.D. Cy$ - b7 Z • Q • cy—'O
Phone: 907-343-7904
Pry: 907-343-7997
APPLICATION A�
JUN 162014
Property owner(s) - hn n� carve,, Day phone i
Mailing address 7(�Q p�� X-A�C' Ra<_'b
Site address
Legal description (Sub'd., Block & Lot) C cA.n,. %CUA.
Legal description (Township, Range & Section)
Lot Size _2 l Sq. Ft. Number of Bedrooms G
APPLICATION IS FOR: APPLICATION IS AN:
(® all that apply)
TYPE OF DWELLING:
Absorption Field ❑ Initial [�
Single Family (SF) ❑
Septic Tank ❑ Upgrade ❑
(w/wo ADU)
Holding Tank 1j Renewal ❑
Duplex (D)
Privy El
U�MIT�
TA
Multiple Dwellings El
(SF and/or D)
Private Well J S
Water Storage ❑ JUN 16 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
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permft/Rush Fees: 215 g� !y
5
ees:
Date of Payment: iD / Date of Payment:
Receipt Number. Receipt Number:
Permit No. Waiver No.
aboq
Permit App_9-1-12.doc
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