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HomeMy WebLinkAboutSPENARD HEIGHTS ADDITION LT 5penard Heights Addn Lot 5 #012-052-35 Development Services Department Building Safety Division �t e On -Site Wetter & Wastewater Program, 4 `c 4700 Elmore Road =v P -O, Box 196650 Anchorage, AK 99507 e a E r r Mark Begich Mayor ''x'(907) 343 -/onsite (907)34? -7904 Well Log Permit Number: OSP151113 Date of IssueMay15,2015Parcel Identification Number: Date Started: 6-3-15 Date Completed: 6-12-15 Is well located at approved permit Iocation? Lx Yes U No Legal Description: Spenard Hts Addition Lt5 62026 Property Owner Name & Address: Bruce Leasure 3709 W. 61st Ave, Apt A Anchorage, AK 99502 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Stickup 0 2 overburden 2 4 silt & gravel 4 32 clay 32 80 clay w/ gravel 80 85 clay 85 110 sand 110 140 sandy clay _ 140 230 clay w/ gravel 230 315 dry silt w/ gravel 315 325 moist gravel w/ clay 325 335 coarse gravel w/ H2O 335 340 Water Sample Results: Arsenic: Nitrates: Total Coliform Bacteria: Other Bacteria - 14_5 ug(L ND mg/L Neg. colonies/100mL Neg col/I00mL Method of Drilling U air rotary U cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 340 feet Liner Type: Diameter: —inches Depth: _ feet Casing stickup above ground: 2 feet Static water level (from ground level): 87 feet Pumping level: feet after hours pumping gpm Recovery Rate: 100 gpm Method of Testing: airlift FX Open F,nd ❑ Open Hole ❑ Screened Start feet Stopped _ feet I-1 Perforations Start feet Stopped feet 20' Start 0' feet Pump: Intake Depth 190 feet Pump size 3/4 hp Brand Name Webtrol Well Disinfected Upon Completion'? 91 Yes ❑ No Method of Disinfection: chlorine Comments: Well Driller: Hefty Drilling, Inc. 3540 Akula Dr. Anchorage, AK 99516 Attention: The well driller shall provide a well log to DSD within 30 days of completion. feet Development Services Department Building Safety Division On -Site Water $ Wastewater Program 4700 Elmore Road s P.O. Box 196650 mark Begich Anchorage, AK 99507 Mayor www.murli.org/omite (907)343-7904 Pump Installation Log Well Drilling Permit Numbers OP 151113 Date of Issue: MmE,q 17,.M5 Parcel Identification Number: Legal Description � S�"' a''d � � � i.� l aL, L4 t G' 2va� Property Owner Name &Address: ��uce Le a5wre 3 7 o -v w (o i St Avt O� Iq t 41e e / Pump Installation Date: t�5 . Z(0_ /5 - jPump Pump Intake Depth Below Top of Well Casing: /qo feet Pump Manufacturer's Name: wt b A.ro l Pump Model: / JPS .2 Ev. Pump Size 3)q hp Pitless Adapter Burial Depth: /0 feet Pitless Adapter Manufacturer's Name: /(J Pitless Adapter Installer: k G 0/;I (AL ' G Jn Well Disinfected Upon Completions? j Yes No Method of Disinfection: Comments: Pump Installer Name:J� \ hl � K e. t l Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ref.# 1152793001 Client Name Hefty Drilling Project Name!# Well- 3709 W 61st Ave Client Sample 10 Well- 3709 W 61st Ave Matrix Water (Surface, Eff., Ground) Sample Remarks: Parameter Results Printed Date/time 06/25/2015 9:05 Collected Date/Time 06/12/2015 13:30 Received Date/Time 06/12/2015 14:16 Technical Director Stephen C. Ede Allowable Prep Analysis LOQ Units Method Container ID Linats Date Data roil Metals by ICP/MS Arsenic 14.5 5.00 ug/L EP200.8 C Waters Department Total Nionate/Nitrite N ND 0.100 mg/L SM2145GONO3-F B Microbiology Laboratory E. Coli Negative 1 IOOmL SM21 9223B A Total Colifomt Negative 1 IOOmL SM21 9223B A 06/16/15 06/22/15 EAB 06/16/15 SLC 06/12/15 KCT 06/12/15 KCT 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: OSP151113 Tax Code Number: 01205235000 Work Type: Well Upgrade Permit Effective Dates: May 15, 2015 to May 14, 2016 Design Engineer: Subdivision: SPENARD HEIGHTS ADDITION Site Legal Address: SPENARD HEIGHTS ADDITION LT 5 G:2026 Owner/Address: LEASURE BRUCE W & DEMARIE 3709 WEST 61ST AVE ANCHORAGE AK 995020000 Site Mailing Address: 3709 W 61ST AVE, APT A. Anchorage This permit is for the construction of: Lot Size in Sq Ft: Total Bedrooms: iNent. Gf; apartment 17438 5 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. Received I Issued By: MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program usMITTAI ANCHORAGE MAY 08 2015 16 Gretchen Stuller Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel l.D.©/Z-6Sz-3�'o0 D Q��✓'''�r Property owner(s) `-k, SukF L✓ 0 Day phone G% D Mailing address _� -762 I-✓ b / sT &H C - L' . i/C. 01 o 2— Site Site address `�-709 u,/ L/ sT 'IVlz 12__"C-1'4 ArG Legal description (Sub'd., Block & Lot) 5,1eo4t w -.id 1'1%i6 -HTS r9 -©D/ 7io cm Z-7-.5— Legal description (Township, Range & Section) Lot Size / 7,y38' Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms 5— APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑ (w/wo ADU) Upgrade E]Duplex (D) Renewal ElMultiple Dwellings ❑ (SF and/or D) 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. of property owner or Permit/Rush Fees: 915 Waiver Fees: _ Date of Payment: '5J-7 /15" G .)(o) Date of Payment: Receipt Number: 1Y�1 9'0 Receipt Number: Permit No. (35 PI 151113 Waiver No. Permit App__- :L.:c. WEST 116.25' I I � 1 LEGEND I m SEWER MANHOLE Lot 5 ® PRIVATE CLEANOUT I I ® Proposed Well Pipe EY Off iron Q POWER POLE ! I�v�shr""th`ruPn'H -.--OVERHEAD ELECTRIC I II GUY N LINK F � �--- CHAIN LINK FENCE Lot 6 ® M WATER KEY w \RP" y�dy I FRAME FiDUSE F, P 1�� e� o ti LOT 2 A-1 \ rn I I I DM IPevenen� GALT a4-227,7, A.R.D.A. 1 i J FO 4n Rtr i WEST 116.25' 1 ' LOT 2 B-1 WEST SIXTY FIRST AVE ! �" T"" W OF g4gS'/r+'+r 9TH *ri .. .. Ip '• A hony P. Bonetc rrr LS -103,93 4+�' • Sly///.`�-' • I hereby certify that I have surveyed the following described -5 property: Lot 5, Spenard Heights Addition, Plat No. P-117 , Anchorage Recording District, and that no encroachments exist except as indicated hereon. This Plot Plan will only show the � I easements that appear on the recorded subdivision Plat No. P-117, ow M fes_ Anchorage Recording District; under no circumstances should this data hereon be used for the construction or establishing of boundary or fence lines. Spenard Heights Addition Well Site Plan APB Land Surveying Dl�ci�l Lot 5 Leasure Bruce & Demarie SCALE IM FEET As Depicted On: Plat N0. P-117 3709 west 61 at Ave 12204 East Prince of Peace Drive P Anchorage, Alaska 99502 Eagle River, Alaska 99577 Anchorage Recording District Surveyed: March 31, 2015 Grid: SM026 � .M (907) 227-1361 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 `r JUN 2, `1 @ y�pp� y9pS at civ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 012-052-35 1. GENERAL INFORMATION Expiration Date: Complete legal description Spenard Hts Addition Lot 5 Location (site address) 3709 W 61st Ave Current Property owner(s) Leasure Day phone 440-0218 Mailing address Same Real Estate Agent Larry Austin Day phone 440-0218 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class C Well Public Water System 5 TYPE OF WASTEWATER DISPOSAL: ® Individual ❑ ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer Received by: Date: / 1 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 501t Date of Payment WAY11P Receipt Number 631-13gC) COSA# OJCI61OL(06 Date of Payment Receipt Num 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. Name of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 6/27/2016 OF v d; 6. DSD SIGNATURE System #1 Approved for sj bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following By � ---�' Original Certificate Date:_..—� The Municipality of Anchorage Devlopment 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 blue sheet 9-1-12.Uoc If more than 1 septic system is on the lot: COSA Checklist# of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description:Sf E/�/��Q /!T—S AAD 4.5 Parcei lD: O/Z—QT2-3S A. WELL DATA Well type __R - If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed Z /5 Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth su0 ft. Cased to 340-0 ft- ! Casing height (above ground) �in. FROM, WELL LOG AT INSPECTION Date :qf test . Cy%/2 �/ 5 C.-12 7%/6 Static water level . , g 7 7 ft: Well production /Q g.p.m. ! {" g.p.m. WATER SAMP,41�;.RESULTS: Coliform colonies/100 mL Nitrate A%Q mg/L Arsenic _AI_6 ug/L Date of sample: Z / - B. SEPTIC/HOLDING TANK DATA PiJZL-# e, 4e54'€9— Tank Type/Material — Collected by: Cn Date installed Tank size gal. Number of Compartments _ Cleanouts (Y/N) Foundation cleanout (Y/N) _ . Depression over tank (Y/N) — High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA PUA-9C. S6&-- 4 2 Date installed,Soil rating (g.p.d./f:2 or ftz/bdrm) System type Length t` ff 'n Width ft. Gravel below pipe ft. Toth depth. , ft.. r jJfP absorption area ftz Monitoring tube _ Depression over field ,+.A Dato,ofadequ oyte�t_� { Results_(Pass/Fail) For _b6 rooms Fluid,depth in absorptioWfield afore test - in . Water added gal New depth in. ' Elaps�Time mita81 r Final fluid depth in. Absorption rate >-' g.p.d. Any rejuvena(past 12 mo.) (Y/N & type) If yes give date D. LIFT STATION AJA Date installed Size in gallons "Pump on" level at in. "Pump off" level at in. Datum Cycles tested Manhole/Access(Y/N) High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot /(1Q i iNA) On adjacent lots ZOO Absorption field on lot p(A On.adjacent lots lQ0 fit. Public sewer main IQ,, Public sewer manhole/cleanout X60 r� i Sewer /septic service line Z e T Holding tank Animal containment areas ` O f Manure/anirmpl excrete storage areas A00 F 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: N A Property line Building foundation Watew main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain F. COMMENTS Wells on adjacent lots 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. Engrfieer's Printed Name Date�� COSA yellow sheet 2-6-t5.doc A Lot 3 Lot 6 W Lot 4 EAST 116.25 i' E to U) West 61st Avenue OF A4 qs t �l j 49th ••'�9 00 ^s .Fred Walatka:ff/ �� sF • 3255 - S • �e �: 5 � 1 ""OrE3a104, X%\XN"*- SCALE: 1 "= 30' EASEMENTS OF RECORD, OTHER THAN FB 16-4 THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. PG 20_21 Lot 8 Galt Subd. 2A-1 REVISED 6-30.16, ADDED WELL SW AS -BUILT NO CORNERS SET HIS DATE I hereby certify that I have Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property tying adjacent thereto, that no improvements on the property tying adjacent theretoencroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchors a, Alaska this 22na dayof JUNE ,2016 FRED WALATKA & ASSOCIATES iZ (907.248-1666) Engineers and Surveyors