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Home My WebLink AboutGALATEA ESTATES BLK 8 LT 12Galatea Estates Block 8 Lot 12 #014-054-11 Alpine Drilling & Enterprises Well Log Permit Number: #SW141431 Date of Issue: 10-10.14- Parcel Identification Number: 01405499000 Date Started: 6-10-15 Date Completed: 6-10-15 Is well located at approved permit location? x Yes ❑ No Legal Description: Galatea Estates Block 8 Lot 12 Property Owner Name & Address: Hagmeier John C & JudithA DBA John Hagmeier Compan}� 2204 Cleveland Avenue #201 Borehole Data: Soil Type, Thickness & Water Strata Stick-up Silty Gravel fill Gravelly salt silt gravelly,�ilt silty gravel water sand & gravel 2 gpm silt gravelly silt water sand & gravel 7 gpm Silty gravel wgter sand & gravel Depth ( Method of Drilling x air rotary El le tool From To To Casing type: steel 0 2 Wall Thickness:. 025 inches 2 6 Diameter: 6 inches Depth: 12) feet Liner Type; 6 11 Diameter: _ inches Depth:. feet 11 - 25 Casing stickup above ground: 2 feet Static water level (from ground level): 15 feet 25 39 39 58 Pumping level:120 feet after 58 61 2 hours pumping 100+ gpm Recovery Rate: 100+ gpm 61 64 Method of Testing: air & t 64 98 Well Intake Opening Type: 98 103 ; .• x Open End ❑ Open Hole 103 116 ❑ Screened Start — feet Stopped —feet 116 121 ❑ Perforations Start feet Stopped _ feet Grout Type: bentonite Pranules Volume: 2 WATER QUALITY TESTING , Colla m _ COV100ML Agetic Al88nita tlU91L.g/L Received Time Feb. 4. 2016 3:53PM No. 1073 Pump: Intake Depth ^ feet Pump size hp Brand Name Well Disinfected Upon Completion? a Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AKAlaska Development Services .Department Building Safety Division p6 B` On -Site Water & Wastewater Program 4700 Elmore Road ry P,O. Box 196650 Anchorage, Mark 8egich ag , Ak 99507 Mayor mmmunl.org/onsite -. (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW 141431 Date of Issue: 10-10-14 Parcel Identification Number: 01406411066 Legal Description Property Owner Name & Address: Galarea Estates Block a Lot 12 John Hagmeler Company 2204 Cleveland Avenue #201 Anchorage, Alaska, 09517 122116 Pump Intake Depth Below Top of Well Casing: 92 Pump Manufacturer's Name: Goulds Pump Modeb 10SH05 Pump Size V2 hp Pitless Adapter Burial Depth: NIA feet Pitless Adapter Manufacturer's Name: wA Pitless Adapter Installer., NIA Well Disinfected Upon Completion? W1 Xes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aarow Pump & Well Service. ILC P.O. Box 110490 Anchorage, Ak 95511-0496 feet Attention: The pump .installer shall provide a pump installation log to the DSD within 30 days of pump installation. Receivrimb. 4, 2016 3:53PM No. 1073 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 )artment Permit Number: OSP141431 Tax Code Number: 01405411000 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 12 G:2033 Owner/Address: HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMEIER COMPANY 2204 CLEVELAND AVENUE #201 ANCHORAGE AK 995173011 Lot Size in Sq Ft: 7200 Site Mailing Address: 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. 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/VVELL PERMIT APPLICATION Site address ~ ~ ~ ~ ~ ~ Legal description (Sub'd., Block & Lot) ~ / ~ ~ Legal description (Township, Range & Sectien) ~ ~ ~ Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS AN: ~PE 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 lSF and/or D) THIS APPLICATION INCLUDES A VAEIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. "'"'"-(5'i~ature of pr~r authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. O~ Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_L'- :- ::..Cc ~ MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCK/LOT/TRACT: BLK 8 1LT 12 / SUBDIVISION: GALATEA ESTATES TAXCODE: 01405411000 GRID: SW2033 WASTEWATER CONNECT PERMIT DATE OF APPLICATION: 01/03/2014 SCHEDULED COMPLETION DATE: 12/31/2014 [] SINGLE FAMILY [] DUPLEX [] COMMERCIAL [] MULTI-DWELLING No. APTS 2 STREETADDRESS: ,AK OWNER: HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMEIER COMPA PHONE: MAiL ADDRESS: 2204 CLEVELAND AVENUE #201 ANCHORAGE. AK 995173011 CONTRACTOR BC Excavating ASSESSMENTS [] Repair Existing Service [] Main Line Extension [] On 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 pwner IStaff CONNECTSIZE 4 in ISSUED WWGEH INSPECTION FEE $. 103.00 ~Q,~PAID [] CASH PERMIT FEE $. 72.00 [] CHECK # o.oo ' ' THER DEPOSIT $ 0.00 NUMBER TOTAL $ 175.00 DATE ~.~_ ,~ _/~ REMARKS PERMITEE (Please Print) HAGMEIER JOHN C & JUDITH A DBA JOHN HAGMEtt~i~N]~DMPANY MAIL ADDRESS 2204 CLEVELAND AVENUE #201 ANCHORAGE, AK 995173011 SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY Parcel I.D. 014-054-11 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 41('11(, tT-w Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 5 l -1 — I , 2 Complete legal description Galatea Est. Block 8, Lot 12 Location (site address) 6624 O'Brien St. Current Property owners) John Hagmeler Homes LLC Day phone Mailing address 2204 Cleveland Ave. Anchorage, AK 99517 Real Estate Agent 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Fx] Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 8 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer F] WaiverNariance request for:, COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 1 L l.(o g Date of Payment of 1 t Tit(, Receipt Number Q - 85-G CosA # Q `C1616 C/0 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGIP(EER + As certified by my seal affixed hereto and as of the validation date s gwns,¢,eldw verlfy'*fiaijmy investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines fob 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 in5peclion, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordir)ano s, 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 sy mrin acccc4�4 rdance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encougte'led�2t t time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic syste%s depend or`�t ' local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the systein,Thgg's conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not gtf2r tee 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. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed.Name Steven R Pannone Phone (907)272-8218 416- Date bDate 2�9/2015 RE OF Al -A *: TH � q� 6. DSD SIGNATURE ...•' System #1 Approved for bedrooms : Sle�none - CE -8149 j System #2 Approved for bedrooms 4 Disapproved Conditional approval for bedrooms, with the following stipulations: 3 0i*1-8ITE; WATER AND R' -1 . ern r AI' PRZOCi 1 By: Lyvt—` 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 errors 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 sheet f -- _, C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.dJft2 or ft2/bdrm) System type Length ft.. Width ft. Gravel below pipe ft. Total depth ft. Eff, absorption area f:2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) - For—bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >- g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) . If yes, give date If more than 1 septic system is on the lot: COSA Checklist # + of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Galatea, Block 8, Lot 12. Parcel ID: 014-054-11 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 6/10/2015 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y Total depth 1� 1 ft. Cased to 121 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/10/2015. New Static water level 15 ft. New ft. Well production 100+ g.p.m. New g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 0.734 mg/L Arsenic ND ug/L Date of sample: 1/29/2016 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) _ Depression over tank (YIN) _ High water alarm (Y/N) .Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.dJft2 or ft2/bdrm) System type Length ft.. Width ft. Gravel below pipe ft. Total depth ft. Eff, absorption area f:2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) - For—bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >- g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) . If yes, give date D. LIFT -STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at Datum Cycles tested Manhole/Access (Y/N) in. - High water alarm level at in. _ Meets alar+-& circuit requirements? E. SEPARATION DISTANCE$ WELL ON LOT TO: Septic tank/liffstation on lot N/A On adjacent lots 100+ Absorption field on lot NIA On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer /septic service line 25+ Holding tank TM+ 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 LOT TO: 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 Munic1pal. records that the above systems are in conformance with MOA COSA guidelines in effect on this date.. Engineers Printed Name Steven Pannone Date 2/16/2016 COSAcanary sheet 2-6.15.doc N m C) n o rn w a = O Cc: (n u Z O C4 rnInC -<D W > z - r --.tt 000 Dov 47 N m to �. z 0— ro No UYcoC °o m o rA cin vm R�m 9 m `z ''L ®0 q Z � z a �Ma�in0 2�rn o m Qc: i!0m91mm 0 0:0 o c®mmmQcz m� z mo t,)Ov�n�mo<9g-� 0 oommorn 0 M 0 Z 0 -q M --q Z �C ®g D �0 U) 7- M0630 N �Z>50�jjm®� nom} mz�rz�oa m a>s-.9500 m �0 N O v i N 00°07'00"W 60.00' x 10' UnLrrY ESMT. z m I oz I M I N I z 0 0 t' 24.8' 24.8' 5.2' � F w u �•Q l z N z U M m. ►o � � : W CA 0 m •. L O .J M .vN c 60.00' AV —I 0 5.3'Z 5.3' a 0 co F,- o� all � 21 m =g O'BRIEN STREET t o.S• 79.5' 79.5' 10.5' tae°°c \: '�'q•� F �•Q l z fz*1 M m. ►o � � : W CA • CD e� , ND ',.t : Is .: Q, •. L O .J M .vN N 00007'00"W 60.00' AV —I 0 AV a co ca all O'BRIEN STREET z m O W CA 1 1 M .vN 0 0 o�,aomto —I 0 a co ca M� W 0 Z