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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