HomeMy WebLinkAboutSAND WILLHOLTH BLK 1 LT 2Sand Willholth
Block 1
Lot 2
#010-105-27
WELL LOG ID 57999
Development erviceDepartment
Building Safety Division s�
-Site eater & Wastewater Program
4700 Elmore Poad
P-O, Box 196650 Anchorage, AK 99507 s E
Mark BegiCh vjvj v.muni.orgJonsiie
Mayor
(907) 343.790,
Well Lag
Permit Number:OSP161054 Date of Issue:Apri) 01, 2016
Date Started:05-04-16 Date Completed: 05-05-16 Is well located at approved permit location'! U Yes L No
Legal Description: Sand Willholth Sub. lot2 blockl G:1629
Property Owner Name & Address: Judy D. Feltovic
3203 Cope St.
Anchorage. AK 99503
Borehole Data:
Soil Type, Thickness & Water Strata
Depth
From
(ft)
To
Method of Drilling U air rotary U cable tool
Casing type: steel
Wall Thickness: .250 inches
Diameter: 6 inches Depth: 117 feet
Liner Type: -
_ _
Diameter: inches Depth: _feet
Casing stickup above ground: 2 feet
stickup
0
2
overburden
2
4
sand &gravel
4
18
_
sand & gravel w/little H2O
18
23
sandy clay
23
112
Static water level (from ground level): 20 feet
Pumping level: 96 feet after
4 hours pumping 3 gpm
Recovery Rate: 3 gpm
Method of Testing: airlift
gravel w/H20
112
117
—
Well Intake Opening Type:
F� Open End n Open Hole
❑ Screened Start feet Stopped feet
n Perforations Start feet Stopped feet
Grout Type: Bentonite Volumc•gr-anules
Depth: 20' Start 0 feet Stopped 20 feet
Pump: Intake Depth 110 feet
Pump size •5 hp Brand Name Webtrol
Well Disinfected Upon Completion? FX] Yes n No
Method of Disinfection: chlorine tablets
Comments:
Well Driller: Hefty Drilling, Inc.
3540 Akula Dr.
Anchorage, AK 99516
Water Sample Results:
Arsenic: ug/L
Nitrates: mg/L
Total Coliform Bacteria: colonies/100mL
Other Bacteria: col/100mL
Attention: The well driller shall provide a well log to DSD within 30 days of completion.
Development Services Department
Building Safety Division
On -Site Water A Wastewater Program
4700 Elmore Road r
d
P.O. Box 196650 a�
Mark Begich Anchorage, AK 99507 s " F E T Y
Mayor www.muni.orgonsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: 25i61OS 4 Date of Issue:
Parcel Identification Number:
Legal Description Property Owner Name & Address:
ai l� �l jV b, a R �va�
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: 1 0 feet
Pump Manufacturer's Name: WP W61
Pump Model: 7 P1111
Pump Size ��� hp
Pitless Adapter Burial Depth: % ® feet "
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: A o(4-oll
Well Disinfected Upon Completion? A Yes n No
Method of Disinfection: S
Comments:
Pump Installer Name:
�tefty Drilling, Inc
P.O. BoXIMIJv
,�trcftoru�e, ,�(7(,99511
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Permit Number:
Tax Code Number:
Work Type:
Permit Effective Dates:
Design Engineer:
Subdivision:
Site Legal Address:
Owner/Address:
On-Site Water System Permit
OSP161054
01010527000
Well
April01,2016
Initial
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
to April01, 2017
SAND WILLHOLTH
SANDWILLHOLTH BLK 1 LT 2 G:1629
FELTOVIC JUDY D
3203 COPE STREET ANCHORAGE AK 995034528
Site Mailing Address: 3203 COPE ST, Anchorage Lot Size in Sq Ft: 10150
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field N SepticTank
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:
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
ParcelI.D. eib" tO5"" ;~--'~
Property owner(s) ,'"~-~,~AA '[-~. ~ _l'~b' ~ , Day phone
Mailing address ~/.30J~o /~)~,/_~',~?L j~,~ /~. ~
Site address ' '2.-~"~ (I~/'D-~ ~'~ ~J'I_C~,, ~T'~'~
Legaldescription (~u~'d., ~lock~L(~t) ~/,~ /'J.~ )L _~.
Legal description (Township, Range & Section)
Lot Size ]/-)l Sq. Ft. Number of Bedrooms .,~
APPLICATION IS FOR:
([~ all that apply)
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well J~
Water Storage []
APPLICATION IS AN: TYPE OF DWELLING:
Initial ~/' Single Family (SF)
(w/we ADU)
· Upgrade []
Duplex (D)
Renewal []
Multiple Dwellings
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Cod~s.
(Sign~r~ of~_~perty owner or authorized agent)
Permit/Rush Fees:
Date of Payment: .~/[~'
Receipt Number:
Permit No.
· Waiver Fees:
C~- ~'~e of Payment:
Receipt Number:
Waiver No.
Permit App_2- :- :'.dc
088,