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Home My WebLink AboutABBOTT LOOP MANOR BLK 3 LT 5Abbott Loop Manor Block 3 Lot 5 #014-181-30 Certified Drilling DOC GOd s; HILL a. COLE tl �) a WATER P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Thomas Butcher ADDRESS: 1120 E. Huffman Rd #663 Anchorage, AK 99515 LEGAL DESCRIPTION Abbott Loop Manor B3 L5 DATE: 7-26-16 PERMIT NUMBER: OSP161180 DATE OF ISSUE: 7-21-16 TAX IDENTIFICATION NUMBER 01418130000 Is well located at approved permit location: Yes No Method of Drilling: ®air rotary cable tool Depth of Well: 143' Casing Type: Steel Wall thickness ,250 Inches Diameter: 6 Inches, depth 142 feet Linertype - Static Water Level: 61 feet Recovery Rate 25 gpm gph Method of Testing Air Well Intake Opening Type: N open end open hale ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: Zyes no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 2 5 5 29 29 68 68 81 81 89 89 104 104 129 129 139 139 143 Casing Stickup Fill Silt & Sand w/ Some Gravel Silty Sand & Gravel Silty Sand & Gravel w/ Clay Silty Sand & Gravel Water 3 GPM Tight Silt Sand & Gravel Wet Silty Sand & Gravel Water 4 GPM Silty Sand & Gravel w/ Clay Sand & Gravel Water Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. 0,')C Co dto BILL & COLE �. a ®®RRAN WATER WELLS ,4� P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suilivanwaterwells.com Purnp Installation Log Well Drilling Permit Number: SW Parcel Identification Number: Legal Description Abbott Loop Manor B3 LS Pump Installation Date: 7-28-16 Pump Intake Depth Below Top of Well Casing: 130 Pump manufacturer's Name: Grundfos Pump Model: 10SQE07-240 Pump Size: 3/4 Pitless Adapter Burial Depth Pitless Adapter Installer: 10 Pomraning Excavation Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Date of issue Property Owner Name & Address Spinell Homes 1900 W. Northern Lights Blvd #200 Anchorage, AK 99517 feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 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: OSP161180 Tax Code Number: 01418130000 Work Type: Well Initial Permit Effective Dates: July 21, 2016 to July 21, 2017 Design Engineer: Subdivision: ABBOTT LOOP MANOR Site Legal Address: ABBOTT LOOP MANOR BILK 3 LT 5 G:2233 Owner/Address: BUTCHER THOMAS W 1120 E HUFFMAN ROAD #663 ANCHORAGE AK 995153561 Site Mailing Address: 7730 Rancho DR, Anchorage Lot Size in Sq Ft: 11100 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 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 By:, Issued By: keX— Zi lrr;,, �,_ t Date: MUNICIPALITY O t 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 Parcel I.D. O ( lei 3 0 Propertyowner(s) HorniiS Day phone S44-Sb78 Mailing address %goo W Lq-%rS 'I�Lvo1 '-tr Zoo AnGwc19St-1 Site address Psi rtcho 'Dt2 P.r+c !norm c_ Legal description (Sub'd., Block & Lot) o r1oY' Legal description (Township, Range & Section) Lot Size l 1410 b Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial Single Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Ren t(„� 1'!,111 ¢t# &A L Multiple Dwellings El Privy (SF and/or D) Private Well J`-1 JUN 3 0 2016 Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE ! WAIVER REQUEST FOR: Distance: I certify that the above inf ti n i correct. I further certify that this is in accordance with applicable Municipal Cod 446 (Signature of property owner or au horized agent) Permit/Rush Fees: 7_1[5-00 Date of Payment: o Gol to �/1�0 3 Receipt Number: V &&- Permit No. Ins Pr u l 0 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. PIAT NO. P -647A ABBOTT LOOP MANOR SUBDIVISION ,--1 LOT 5, BLOCK 3 SAMPLE POINT EMEVATODHS �16'40,,C 17 FINISH DWNG GRADE GRADE A 99.0' 98.8' E 99.0- A.c. 0- X 99 p. a� A�PO� eu(�1Nc ' = A.c DRQ aY D BLOCKlLOTrrRACT: BLK 3 t LT 5 ! EM SINGLE FAMILY SUBDIVISION: ABBOTT LOOP M8tRR �-bUPLE)t ❑, COMMERCL41 TAX CODE: 01418130000 GRID: S1tV22SS ❑ MUtiIKDWELLING No. APT$ STREET ADDRESS: 007730 RANCHO DR , AK OWNER: BUTCHER THOMAS W PHONE: MAI.LADDRESS: 1120EHUFFMANROAD83ANCHOR4tgE AK 9S$153581 Q Repair Exiting Service [! On Prop, ty Only [� Hydrant Only Fl Mein Tap - To Property Line Only ❑ Main Tap & On Property Connect Disconnect ❑ R & R - Main Tap Only 4' ❑ City Tap Row No. CONNECT SIZE to INSPECTION FEE $ 103.00 PERMIT FEE 4 77.00 $ 1.51 REIMBURSABLE DEPOSIT $ 0.00 NUMBER TOTAL $ 17641 II�'I"B•. Q Main Lina Extenslon Have Been Levied ❑ 7b Be Levied ; Comments; ISSUED WWKMM ® PAID ❑ CASH YY _ Q CHECK# ® OTHER ct't 2011,a INSPECTED BY MAr= KEMARKS PERMITEE (Please Print) Pomraninc Excavation PHONE MAIL ADDRESS 11120 Great Dane CirAnclioWe, AK 99516 SIGNATURE E-MAIL POST IN A CONSPICUOUS PLACE AT THE: JOB SITE �,� ,UBDIVISION: iTNDI CA I -E NOPTH BLOCK: 3 1 LOT: _'5 - % SEWER SERVICE LINE SKETCH t SHOW LOCATION OF CONTROL MANHOLESXLEANOUTS. .tj ALLEY TYPE MAIN V I. CONNECT DEPTH AT MAIN 16. .CONNECT DE - � �ONNc PTH AT Prop, Line _J4. _zAt- ... 4 - : -A ow 4 A r - w,'A Leg— PoPDX 7- E:kLfr A16 DATE: Certificate of On -Site Systems Approval Parcel I.D. 014-181-30 1. GENERAL INFORMATION Expiration Date: 0 V 13 2 0.21 Complete legal description ABBOTT LOOP MANOR BLOCK 3, LOT 5 Location (site address) 7730 RANCHO DRIVE ANCHORAGE AK 99507 Current property owner(s) CHRISTINA BROWNING Mailing address Real estate agent PO BOX 231271 ANCHORAGE AK 99523 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Private Septic ❑ Private Well ® Holding Tank ❑ Water Storage ❑ Community ❑ Community Well ❑ Public Sewer Public Water System ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: Distance: COSA # 05C ; U1 V�'f 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 8/7/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWGS . 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for 3 bedrooms bedrooms �J*Y49 TH ....... I... ... ��•�.'.- . • '.. Curtis Huffman . seF * ••$/7/21. ��kF, PROFESS10Nt'�,� bedrooms, with the following stipulations: �4 WAST 7-v;!ATER ?^ J` PROGF\AM JFJi/T n, -n\ I\G`� \\\\ WBy: 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. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: ABBOTT LOOP MANOR BLOCK 3 LOT 5 Parcel ID: 014-181-30 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA X Well log is filed with Onsite (or attached) Date drilled 7/26/2016 Total depth 143 ft Cased to 142 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/30/2021 Static water level at beginning of test 48 ft. Well production at time of test 7+ gpm Comments B. TANK DATA - NA Age of tank(s) _ years Tank type/material Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA - NA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade _ft (max) Measured depth to pipe invert from grade _ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system _ Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 0.482 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by WES Date of Sample 7/30/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth - in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: F: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S 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. 8/12/21 • -� Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 s.I E,. Certificate of On -Site Systems Approval °V Parcel I.D. 014-181-30 Expiration Date: u GENERAL INFORMATION Complete legal description Abbott Loop Manor, Block 3, Lot 5 Location (site address) 7730 Rancho Dr. Current Property owner(s) Spinell Homes Inc. Day phone Mailing address Real Estate Agent 1900 W Northern Light Blvd. #200 Anchorage, AK 99517 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well F-71 Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer El Waiver/Variance request for: Distance: Received b . Date: A61201 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -g g Waiver Fee $ Date of Payment �� ZS Il 3 ��/(p Date of Payment Receipt Number 0 �� (! �2 Receipt Number COSA # Waiver # r � F151 1 5. STATEMENT OF INSPECTION BY ENGINEER As certified.by my seal affixed hereto anti 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil 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 results do not guarantee 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 Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 11/28/2016 6. DSD SIGNATURE _.. .. System #1 Approved for � bedrooms i/r t Steven R. am CE -8149 System #2 Approved for bedrooms �t,,, . Disapproved PR S90, Conditional approval for bedrooms, with the following stipulations: r Original Certificate Date: � Z — 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 COSAbluesheel t ., - 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: Abbott Loop Manor, Block 3, Lot 5 Parcel ID: 014-181-30 A. WELL DATA Well type Private If A, B, or C provide PWSID'# Well Log (Y/N) Y 7/26/2016 YY Y Date completed Sanitary seal (Y/N) properly protected (Y/N} _ Total depth 143 ft. Cased to 142 .ft, Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION 7/26/2016. New Date of test Static water level 61 ft. New ft. 25 New Well production g.p.m. 9-p m WATER SAMPLE RESULTS: Coliform colonies/100.mL NitrateYhmg/L - Arsenic ug/L Date of sample: 11/22/2016 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tar k Type/Material 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 Date installed Soil rating (g.p.d./ftz or ftZ/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft' 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 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 tank/lift 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 LOT TO: Property line Building foundation Water main Water "Service line Surface water Driveway, parking/vehicle storage. Curtain drain Wells on adjacent lots F. 1 COMMENTS G. ENGINEER'S CERTIFICATION 1 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 e Aadde / Date 11/28/2016 CE -9 814 j, g •, COSA canary sheet_2-6-15.doc - PLAT NO. P -647A ABBOTT LOOP MANOR SUBDIVISION I nT c ml nnly Z AS -13U I L TI HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD.. SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR GRID DATE SW2233 9/26/2016 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE 16-02 ALM53 1i1=20' 0• ..OF... 0® Sip �. ..................E1 m Jetfgy A. 60a'toldl o. 1S m ® l0jessionat 4C>L°� is a®'Q' %