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Home My WebLink AboutSPENARD HEIGHTS ADDITION LT 13 W264'Spenczrd Heights Add Lot 13W264' #012-052-47 AU5-10-271E 08:1EP FROM: TO:3437997 F'.1,3 bevelop"nt Services ®epart"rit guildtng Safety Division'yc 4r,, On -Site Water 6 Wastewater Program 4700 Elmore Rood a P.O. Bax 396650 Anchorage, AK 99507 s e T r mak 8aglch W-0 muni.4m o9-1tz Mayor (9071343.7904 Well Log Permit 2Number:OSPI61154 irate of Issua: June 22,2016 Data Started. 07-12-16 Date Completed: 07-14:16 is well located at approvod permit location? >x ] Yes I j .No Legal DescrlpWi n-- 3penard Hgts Addition lot-1'TW264' G:2026 Properly' Owner Name & Address: Jasper Frank J & Patricia 0 6141 Jewel Lake Rd Anchorage, AK 99502 Borehole Data. Depth (ft) Soil Type, Thickness & Water Strata From To stickup �� 0 2 overburden v --'4 2 4 sandyclay Stopped ____e. feet 24 sandy clay w/ 24 1 30 clay 30 50 sandyclay So 19_o sand/gravel w/ wet clay 190 210 I tight silty gravel w/clay coarse gravel WIH2O 210 335 335 1 338 i I Water Sample Results. Arsenic: Nitrates: Total Coliform Bacteria: Other Bacteria: _ ug/L Q mg/L j_ colonies!] Mini, 0%_. covloamL Method of Drilling T air rotary Cjctiblttool Casing type: s eel Wall T3riclmem: x,250 inches Diamotcr. 6—inches Depth: 338 feet Liner Type: Diameter. _,_._ inches Depth: fact Casing stickup above ground.2 feet Static water level (from ground level): 92 fee: Pumping level;_ _ feet after v— hours pumping ____ $pm Recovery Rat'e:. SO gpm Method of Testing: airlift n Open End 0 Open Bole 0 Screened Start V feet Stopped _____e Feet 1-1 Perforations Start ____„„t®et Stopped ____e. feet Grout Type en oni Kotunte:gmru li Depth: 20' start 0 feet Stapped 20 t'eet Pump: Intake Depth — feet Pump size_ by Brand Name Well Disinfected Upon. Completion? Yes 0 No Method or DislaffectlonLchlorine tablets Comments: Well DrWer: Hefty Drilling, tnc.� _ 3540 Akula Dr. Anchorage, AK 99516 Attention. The well drillershall provide a well log to DSD within 30 days of completion. AUS -10-2510 0E:17P FRO,'!: -10:3437997 F.2�3 Development Services Department Building Safety Division • ' d On -Site Water dt Wastewater Program • 4700 Elmore Road P.O. Box 196650 Mak gayer Anchorage, AK 99507 Mayor Effauni.ora/onsite (907) 343 t9O4 Pump InsWiation Log Well Drilling Permit Number:,ffi� f 1 i 5q luxe of Issue�+!� )a, :)0/6 Parcel Identification Number: Description 51 ew%,,,d A%5+S/ �, r^ Property W/0?iy! t2. xz Pump Installation Date: 8-.2-16 Pump Intake depth Below Tap of Well Casing:,210 feet Pump Manufacturer's Name: G int, O&.0 S Model: /® 5QF 2140 Pump Size *q hp Pitless Adapter Burial Depth:/ rl feet PitleasAdapter Manufacturer's Name: Pitiless Adapter Installer: A 44.7 Om t 44j �M f Well Disinfected Upon Completion? Yes r"' No Method ofDisinfection: I'� ^ Comments: �{' Installer Name: Wvv7 VO Attention: The pump installer shall provide a pump installation log to the DO within 30 days of pump installation. Permit Number: OSP161154 Tax Code Number: 01205247000 Work Type: Well Permit Effective Dates: June 22, 2016 Design Engineer: On-Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Initial to June22, 2017 Subdivision: SPENARD HEIGHTS ADDITION Site Legal Address: SPENARD HEIGHTS ADDITION LT 13 W264' G:2026 Owner/Address: JASPER FP~,NK J & PATRICIA B 6141 JEWELL LAKE ROAD ANCHORAGE AK 995022037 epartment Site Mailing Address: 6141 JEWEL LAKE RD, Anchorage Lot Size in Sq Ft: 43560 Total Bedrooms: 4 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 MunicipaJ code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC60). 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. Issued By: Date: Date:~ Community Development Department Development Services Division On-Site Water & Wastewater Program JVIUNICIPALITY OF ANCHORAGE ~' Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. (~l'~. -O5~ Property owner(s) ~¢'/(/¢/o/~ ,~ ~c/E Mailing address ~2 ~ ~ Site address ~ E Legal description (Sub'd., Block & Lot) / Legal description (Township, Range & Section) Lot Size ¢~0~ ¢ Sq. Ft. Number of Bedrooms Day phone APPLICATION IS FOR: APPLICATION IS AN: ([~ all that apply) Absorption Field [] Initial [~ Septic Tank [] Upgrade [] Holding Tank ' [] Renewal [] Privy [] Private Well --~ Water Storage [] TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D). Multiple 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. (Si~'~1 tu're of property ~¢f~er or ~thorized agent) Permit/Rush Fees.~e~, Date of Payment~ Receipt Number: Waiver Fees: Date' of Payment: Receipt Number: Waiver No. Permit App_9-1-12.doc / 200' EXISTING - ~ / WELL BUFFER / SS S .... SS SS SS / $c~ ~- 75' SEWER MAIN 100' SEWER SETBACK ~ ~ ~ ' ' ~ ~ LOT 11 t 00' PROPOSED WELLBUFFER ~ ~ ~ ~~~ % ~89°58'$5"[ 265.7~ / 8~TB~ ~ .. %, ". i~ ~ - _EGEND:~ S89° 55'36"W 265.71 ~ ~ ~ ~ ~ - PROPOSED WELL .... PROPOSED WELL BUFFER .... LOT E~EMENT LINE G~ AND OTHER UTILI~ LOCATIONS ARE APPROXIMATE. 1 6 LOT 15 SS - SEWER LINE S~BACK CALL 811 FOR LOCATES PRIOR TO DRILLING. I - S -SEWERLINE SEPE~TIONDI~ANCESANDSETBAC~PER -~,," - UNDERGROUND GAS LINE AMC 15.55.060 TO BE VERIFIED BY DRILLER ~G ~~ SPENARD HEIGHTS SUBDIVISION c.~c~""~: . ~~ ~ LOT 13 ~: ~"~,,~, WELL SITE P~N ."'°"~.,..,..om,,O~ ~-~'~'~ PARCE L~ 01205247000 ~'~*":" 006 APPLI , NT FILLS OUT UPPER HAL,- ONLY Address Zip Code Lending Institution /~ ~-¢ ~. Phone Address Zip Cede Phone Realty Co. & A~nt Address Type of Resi~nce ~ Single Family ~ ~ Multiple Family No. of Bedroo~ ~ Olher Water Supply ~ individual A~ACH WELL LOG. A wal log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available), ~ Public Utility Sewer Disposal ~ Individual Year Individual installed: ~ Pubfic Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY ~ACH RE~EST BEFORE ~OCESSING CAN BE INITIATED, Time Time Time Time Date [)ate Date Date Inspector Inspector Inspector inspector Field Notes: ( ~ ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' Soils Rating Date Sewer installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size ?2-023