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Home My WebLink AboutGALATEA ESTATES BLK 8 LT 9Galatea Estates Block 8 Lot 9 #014-054-14 Al'�,ne Drilling & Enterpri"s Well Log Permit Number: #SW141433 Date of Issue: 10-10-14 Parcel Identification Number: 01405414000 Date Started: 6-9-15 Date Completed: 6-9-15 Is well located at approved permit location? x Yes ❑ No Legal Description: Galatea Estates Block 8 Lot 9 Property Owner Name & Address: Hagmeier John C & JudilhA DBA John Hagmeier Company 2204 Cleveland Avenue #201 Anchorage. Alaska. 99517 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Method of Drilling x air rotary ❑ cable tool Casing type: steel Stick-up 0 2 Wall Thickness:.025 inches Silty Gravel fill 2 Gravelly silt 6 6 11 Diameter: 6 inches Depth: 61 feet Liner Type: Diameter: inches Depth: feet silt 11 25 Casing stickup above ground: 2 feet Static water level (froth ground level): 14 feet gravelly silt 25 38 siltygravel 38 58 Pumping level: 60 feet after water sand & gravel 58 61 2 hours pumping 20+ gpm Recovery Rate: 20+-gpm Method of Testing: air li Well Intake Opening Type: x Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: I Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet i WATER Q(: ? e VESTING i. 1 r�1 CoUjoo� Pump size hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No , Nitirms—F1�L (0T$ `i _ U91 Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AKAlaska Development Services Department Building Safety Division ® On -Site Water & Wastewater Program 4700 Eimore Road P.O. Box 196650 Mark Bagich Anchorage, AK 99507 Mayor www.muni.org/onsite _ - (907)343-7904 Plump Installation Log I Well Drilling Permit Number: SW 14 �,�/�3 Date of Issue: I C is Parcel Identification Number: 01t4.0 s�tfit 1 CIO C) Cha I��2Gt �:3i�1�ie5 Pump Installation Date: 5, 1d Pump Intake Depth Below Top of Well C.9sing: 5A feet Pump Manufacturer's Name: (IOi,I I GI s Pump Model: 105 fl0 Pump Size I /A hp !!�� Pitless Adapter Burial Depth: IV feet I' �/�,(/) Pitless Adapter Manufacturer's Name: Hq jam' e ✓156.0 �j Pitless Adapter Installer: - 0,pj Well Disinfected Upon Completion? 0 Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aarow Pump & Well Service P.O. Box 110496 Autharswe, AK 99511-0496 pY__6 O.nRui✓; r�iGC y, MEN B'A ETY Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Please save for your engineer. This is needed for your COSA. 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 ~ar tr~lellt Permit Number: OSP141433 Tax Code Number: 01405414000 Work Type: Well Initial Permit Effective Dates: October 10, 2014 to October 10, 2015 Design Engineer: Subdivision: GALATEA ESTATES Site Legal Address: GALATEA ESTATES BLK 8 LT 9 G:2033 Owner/Address: HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMEIER COMPANY 2204 CLEVELAND AVENUE #201 ANCHORAGE AK 995173011 Site Mailing Address: Lot Size in Sq Ft: 10200 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. 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 Legal description (Township, Range & Section) ~ ,,~///~ Lot Size .Sq. Ft. Number of Bedrooms APPLICATION IS AN: TYPE OF DWELLING: APPLICATION IS FOR: (~;~ all that apply) Absorption Field [] Septic Tank [] : Holding Tank [] Privy [] Private Well ~ Water Storage [] Initial ~, Single Family (SF) (w/wo ADU) Upgrade [] Duplex (D) Renewal [] Multiple Dwellings (SF and/or D) THIS APPLICATION NCLUDES A VARIANCE~ .,~ A]~R'_~E. QUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. '"~gr~ure of property owner or au¢lorized agent) Permit/Rush Fees: Receipt Number: (~ ~ ~----'3~ ~,-'~ Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_L'- :- :£.Cc ~' MUNICIPALITY OF ANCHORAGE WATER l WASTEWATER UTILITY 3000 ARCTIC BLVD. WASTEVV'ATER CONNECT PERMIT DATE OFAPPLICATION: 08/05/2014 PHONE:(907)564-27,62, ~- BLOCK/LOT/TRACT: BLK 8 / LT 9 / SUBDIVISION: GALATEA ESTATES TAX CODE: STREET. ADDRESS: 01405414000 GRID: SW2033 AK SCHEDULED COMPLETION DATE: 12/31/2014 [] SINGLE FAMILY [] DUPLEX [] COMMERCIAL [] MULTI-DWELLING No. APTS 2 OWNER: HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMEIER COMPA PHONE: MAIL ADDRESS: 2204 CLEMELAND AVENUE #201 ANCHORAGE AK 995173011 CONTRACTOR BC Excavating ASSESSMENTS [] Repair Existing Service [] Main Line Extension .~n Property Only [] City Tap [] Have Been Levied [] 'Hydrant Only [] To Be Levied [] Main Tap - To Property Line Only Comments: [] Main Tap & On Property Connect Row No. ~ . ' "~ [] Disconnect [] R & R - Main Tap Only pw~er I Staff CONNECT SIZE '4 in ,' ' "lSS~JC:D WV~SAP · ~ ~ - INSPECTION FEE $' · ' 0.00 '~PAID [] CASH ' : ,:PERMIT, FEE $ 72.00 [] CHECK# .,. ,., .,., .. 0.oo ' OTHER DEPOSITS . , 103.00 REIMBURSABLE ''" ' ' ' INSPECTED BY ~.~.,(~ NUMBER TOTAL $ 175.00 DATE g" '5- REMARKS PERMITEE (Please Print) HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMEI$~N]~MPANY MAIL ADDRESS 2204 CLEVELAND AVENUE #201 ANCHORAGE, AK 995173011 SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: S-17-1(,, 1. GENERAL INFORMATION Complete legal description Galatea, Block 8, Lot 9 Location (site address) 6694 O'Brien Street Current Property owner(s) Hagmeler Homes, LLC Day phone Mailing address 2204 Cleveland Ave, Anchorage, AK 99517 Real Estate Agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Fx I Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 WaiverNariance request for:. Received by: Date: S/1 �oI is COSA to be released to the engineer, unless otherwise re ,-ted by the engineer. COSAFee $ (. t?0tLtl ` l!ll^6® Date of Payment Receipt Number 6MS COSA# oc->�ci(P1,-7 9 Waiver Fee $ Date of Payment Receipt Number Waiver 9 �6: s 5. STATEMENT OF INSPECTION BY ENGINEER tom} s As certified by my seal affixed hereto end as of the validation date shown blow, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this appication, 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 riles 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 accordbnce;with MoA SA t ar+ guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time,of (h test, and separation distances measured to readily identifiable features. The operational life of all wells and septic syste6deRentl on tH'e loc I soil' `t., 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 resins dvnot guarantee f%t e 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 Engineers Printed Name Steven R Pannone 6. DSD SIGNATURE - System #1 Approved for _,L2 bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 272-8218 Date 05/1612016 Conditional approval for bedrooms, with the following stipulations: By: rwv t'�2%I Original Certificate Date: 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 enors 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 sheets c If more than 7 septic system is on the lot: COSA Checklist # + of 1 Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Galatea, Block 8, Lot 9 Parcel ID:014-054-14 : A. WELLDATA: . ,Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 10/10/2014 Sanitary . seal (Y/N) Y Wires Properly protected (Y/N) Y Total depth 61 - ft. Cased to 61 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 10/10/2014 New Static water level 14 ft. New ft. Well production 20 g.p.m. New g.p.m. - WATER SAMPLE RESULTS: _ Coliform Negcolonies/100 mL Nitrate N� mg/t Arsenic 5.34 ug/L Date of sample: 05/04/2016 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size - gal. Number of Compartments _ Cleanouts (Y/N) Foundation cleanout (Y/N) _ ,Depressioq over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD.DATA. Date installed Soil rating (g.p.d./fe or ffz/bdrm) System type Length . ft. Width ft. Gravel below pipe ft. Total depth - ft. ,,.Eff. absorption area ftz Monitoring tubed Depression over field Date of adequa'eyYest Results (Pass/Fall) - For bedrooms Fluid depth in absorption field before test in. Water addetl gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.) (YIN & type) If yes; give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at ' in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tanMift station on lot N/A On adjacent lots 100+ Absorption field on lot N/A On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOTTO: Property line Building foundation Water main - Water Service line Surface water - Driveway, parking/vehicle storage _ - Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that i have determined through field inspections and review of Municipal records that the above 'systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 05/16/2016 COSA canary she t_2-6-15.doc tl�minorie: CE 8149 R M PLAT NO. 72-198 GALATEA ESTATES SUBDIVISION LOT 96 2B SOCK 8 GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 2000 E DOWLING RD., SURE 8 ANCHORAGE, ALASKA 89507 PHONE 248-5454 GRID DATE SW2033 5/2/2015, F.B. 3G8 NO. 15-06 GESS$ I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCELINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE W 30' 1 Yf=2a' ♦♦ ' OF`r`** �. .................. a JefferyL.� A. Gostaldi : i map ••......••'' a5�♦♦