HomeMy WebLinkAboutSUNDI LAKE BLK 2 LT 6A0 II 131
Q DOC co dba
"ILL 4% GALE
U L L I WAN WATER WELLS
- ISO. Box 670269, Chugiak, Arc 99567 688-2759
www.suilivanwaterwells.com
• I 1 4.
Well Drilling Permit Plumber: SW Date of Issue
Parcel Identification Plumber: 6 11131 aSooO
Legal Description Poperty Owner Name &Address
1` r
Myr
'� Al -t '
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: 3 �� feet
Pump manufacturer's Name: 1, r, s-, L
Pump Model: J6 �- Q i P Lj OW
Pump Size: I V -,p _ 10 G p� hp
Pitless Adapter Burial Depth: : I O't feet
Pitless Adapter Installer: /L)ar�L.ty n
Disinfected Upon Completion? ® yes Q no
Method of Disinfection: Chlorine 50 PPM
Comments: Pitless Manufacturer: ApretA\
Pump Installers Name: Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Certified Drilling Log
OWNER OF LAND: Patrick McCormick
ADDRESS:
LEGAL DESCRIPTION Sundi Lake Block 2 Lot 6A
DATE: 10-18-22
PERMIT NUMBER: OSP221231 DATE OF ISSUE: 7-14-22
TAX IDENTIFICATION NUMBER 01113128000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 505
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 505 feet
Liner type
Static Water Level: 86.2 feet
Recovery Rate 80 gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
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: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 48 Silty Sand & Gravel Tight
48 101 Sand w/ Gravel
101 122 Sand & Silt w/ Gravel
122 209 Silt & Sand
209 235 Clay & Gravel
235 240 Gravel w/ Silt & Clay Water
240 501 Clay & Gravel
501 508 Sand & Gravel Water
508 520 Silty Sand & Gravel Water
520 525 Clay
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.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
0
907-343-7904
On-Site Water and Wastewater Section
Fax: 343-7997
www.muni.org/onsite
Well Decommissioning Lo
Legal Address: �� �'
Subdivision Block .. Lot
T R Section Lot
On-site Water & Wastewater Section certified contractor performing the well decommissio .n
I 1/� Signature:
? Go zpa,, : i yo-y,
r,
Well decommissioning date ��' �i� Method of decommissioning: AMC 15.55.060L1
a. ❑ b. c. RL
Location: Use the space below to provide a drawing of the property showing the following items:
North arrow
Decommissioned well location
• Location of other water wells on the property
Two separate swing-tie distances for each well shown on the drawing
Note: The swing-tie distances shall be measured from either permanent structures or the property corners.
V
w �
A6A'�
�.
,,� lI
G\Deveiopment Services\Building Safety\On Site Water and WastewaterlForms\tient Forms\well Decommisioning rorm.00c
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
P0Box 18G05V 47OVElmore Road
Anchorage, Alaska 9951S'O05O Phone: 04 Fax: (9O7)a43-7887
Nil)
hMp://mww.muniong//nsib:
"I"
�
c�It)
,
On -Site Water System Permit
Permit Number: {}GP221231
Effective Date: 7/14/2022
Work Type: Well Upgrade Expiration Date: 7/14/2023
Tax Code Number: 01113128000
Site Legal Address: SUND|LAKE BLN 2 L GA G:2224
Site Mailing Address: 821OSUNDIDR, Anchorage
Owner: MEYER ANT[)NJ&P|RKKOS Lot Size inSqFt: 25748
Design Engineer: PANN0NEENGINEERING SERVICES Total Bedrooms: 3
This permit iofor the construction of:
El Disposal Field 10 Septic Tank 0 Holding Tank 0 Privy 171 Private Well El Water Storage
All construction shall bein accordancevvith:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
VVaetevvahar Disposal Regulations (1 8AAC72) and Drinking Water Regulations (I 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.85.Provide notification bycalling (807)343-7Q04(24/7).
4. FrornOctober 16toAph/15,00ubeu�auesoil absorption system under construction during freezing weather
shall beeither:
a. Opened and Closed nnthe same day, or
b. Covered, sealed, and heated toprevent freezing
Special Provisions:
|oclose this permit please submit:
1.Well Log
2.Pump Install Log
3. Water sample results
� 4.Well Decommissioning Log
Received B,
Issued By:
Data
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 011-131-28
Property owner(s) Patrick McCormick Day phone
Mailing address 8485 Mountain Song, Anchorage AK 99507
Site address 8210 Sundi Drive, Anchorage AK 99502
Legal description (Sub'd., Block & Lot) Sundi Lake B2 L6A
Legal description (Township, Range & Section)
Lot Size 25,746 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) X❑
Septic Tank
1:1Upgrade
X❑
(w/wo AD U)
Holding Tank
ElRenewal
E]Duplex
(D) El
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
X❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 4 5 Waiver Fees:
Date of Payment: _ la'h ? bo.2 2 Date of Payment:
Receipt Number: N030 ) G Receipt Number:
Permit No. 051001 2.3 1 Waiver No.
Permit App__- : ._.:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221231, Deb Wockenfuss, 07/14/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221231, Deb Wockenfuss, 07/14/22
GR~ ,~ ANCHORAGE AREA BOROL
D~=~MENT OF ENVIRONMENTAL 0.UALI~I
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
ADDRESS '~r~~tc~ ~/,'~./~//~'~-*~ PHONE
LEGAL DESCRIPTION ~.~/Jx.~. ~.,~ /_.~, ,,~_¢~._~,.~....
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
NUMBER OF ../
MATERIAJ C'~"~ /''V/L'~''~''~----' COMPARTMENTS.
LQUD
GALLONS. INSIDE LENGTH ~NSIDE WIDTH. ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PiTS
LINING MATERIAL -
NEAREST LOT LINE
SEEPAGE PIT:
_OUTSIDE DIAMETER
~/~ ~/~' DISJANCE FROM WELL
/~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~ SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
.~ON NEAREST LO~ , OF LINES
DISTANCE FROM WELl ~ ' H~ '
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WiDT IN. TOTAL EFFECTIVE
ABSORPTI SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
WELL: TYPE "~/'Z//~/-"~ DEPTH ~-~"/~'~' ~- DISTANCE FROM WATER
, , BUILDING FOUNDATION /~ ~ SAMPLE~, NEAREST
OTH
NEAREST ~_~ SEPTIC / SEEPAGE
LOT LINE /~ ":~' . SEWER LINE /Z'J . TANK ~.x~2 SYSTEM__ /~//~ . CESSPOOL/U///~/-~/~,
DISTANCES:
DATE
DIAGRAM OF'SYSTEM
GrE:g~R ANCHORAGE AREA BO~3""cf)gh
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY TH
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
SEPTIC TANK tO seePAge PIT WALl - //~
SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS,
GRAVEl. BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
· ~}~'.A LTN ~URTH ORITY
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE,
Depth
Feet
2--
8'"~
10~
12----
Gray fine sand (GP)
with well graded sand
seam 8.5 - 9.3
Was Ground Water Encou~,tered?
if Yes, At What Depth
Location
Depth Of Inlet ~-"'~ ......
.... ~ , ~o Sottom Of Pit ~ 'l'~enc~
,,OM: LN ~,>
140 s uare feet of dra~ a e re ' ' ~ ...........
Tes{: Performed ~'~'
Data Certified = ....
oY, National Test~n~ Servmces Inc.
Date:
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251289
Parcel ID 011 -131-28 Expiration Date: 6/19/2026
Legal description SUNDI LAKE BLK 2 LT 6A
Site address 8210 SUNDI DR
Current property owner(s) MEYER ANTON J & PIRKKO S
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
M
Original Certificate Date:
7/18/2025
This Certi 'cate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
syste s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X
Absorption Field Advisory
Tank Age Advisory
Other
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory X
1. GENERAL INFORMATION
Parcel I.D. 011-131-28
Complete legal description Sundi Lake Block 2 Lot 6A
Location (site address) 8210 SUndl Drive
Current property owner(s) Anton & Pirkko Meyer Day phone 907-632-9982
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: R Private Well serving # dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
❑ Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑ Plastic A-1 Concrete ❑ Fiberglass
Age 54 - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench n Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ 5_0 00 Waiver Fee $
Date of Payment
� - 17 Date of Payment
COSA # 05 si a 0 Waiver #
COSA Application Ap2025.doc
Sundi Lake Block 2 Lot 6A 011-131-28
1
4.4
505 NA
505
0.251
24 18.5
6/18/25 Forge Engineering
88 6/19/25
49"
5/27/25
1971
10.0
*
6/18/25
6
X
892
12
1440
6
>450
72
6
66
Forge Engineering (907) 522-7773
Benjamin Schiller, P.E. 6/26/25
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT A 907-343-7904
Cin -Site water and wastewater Section � � Fax: 343-7997
www.muni.org/onsite
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC251289
Subdivision: Sundi Lake, Block: 2, Lot: 6A
A water sample revealed an arsenic concentration of 18.5 micrograms per liter
(ug/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. information on arsenic is available from the On -Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
-
�\ �o
so/Vol
S 2� �58-00„ O0
IRON m/ �
PIPE `34I
ASPHALT
DRIVEWAY
z
z
it
'CONC. PAVERS
14.3' 21.4'm [
6
LOT 7A
L6
CD
M
LU
00
Lo
Ln
00
II
� I
IWELL(LY)
co I
I(SEE
NOTE 2)
14.7'1
29.4'
.4 2 -STORY
FRAME HOUSE
40.8'
CANT. W
q 24.7'
SEPTIC
STANDPIPES
SS%
N SEPTIC
= CLEANOUT
m
0
LOT 6A
25,746 sq. ft.
Ci
I
zizi WI
LOT 5B
W1 17,729 sq. ft.
U)
LU (SEE NOTE 1)
O I
01
OI
N
�I
LU
-I
p
Lr) .� V
O� I �nJQc
00 I op3
U)32
8.0' LOT 5A
I
OVERHEAD 10' UTILITY EASEMENT 1
UTILITY LINE
EOEO EO EO-
N 0006'00° W 87.60' UPOLEY
O M
ENDICOTT STREET
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
RECORDED SUBDIVISION PLAT (71-141 & 73-215) ARE NOT SHOWN
HEREON.
THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEYAND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT
BOUNDARY SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY
PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION
SURVEY STANDARDS.
JOB # 25216 1 NO CORNERS SET THIS DATE I SCALE 1" = 40'
0
0
LU
O
0
rn
0
00
_X_
FENCE
S 00001'00" W
46.00'
THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A
SINGLE PROPERTY TRANSACTION. RE -USE OF THIS DRAWING BY THE
ORIGINAL CLIENT OR BY OTHERS, FOR ADDITIONAL USES ATA LATER
DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR ISA
VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS
NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE
PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED
FOR SERVICES IN PREPARATION OF THIS PRODUCT.
s. b
0 20' 40'
NOTES
1. THERE IS AN OPEN
SPACE & DRAINFIELD 1
OF
EASEMENT ON LOT
5B. THE LOCATION = �' l/j
OF THE EASEMENT IS
NOT DELINEATED ON * TH * ��
THE PLAT. 4 i
2. A SQUARE PIECE OF Og�D4�25
METAL WAS FOUND
2.3' BELOW GRADE. g u Sahz o r
THIS MAY BEA 0
DECOMMISSIONED �/� J '. LS -14837
WELL. I� F
AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 5B & LOT 6A, BLOCK 2, SUNDI LAKE SUBDIVISION
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND NO VISIBLE
ENCROACHMENTS EXIST EXCEPTAS INDICATED.
DATED THIS 28th DAY OF JULY, 2025, AT ANCHORAGE,
ALASKA.
FIXED HEIGHT, LLC C.O.A.122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949