HomeMy WebLinkAboutHANSEN SAND LAKE LT 9DOnsite File
Hansen Sand Lake
Lot 9D
PID# 012-153-37
Prior to COSA approval the well pit must be
decommissioned and brought up to current code.
,� C-D S CAS s T'
C-\D N S 5 ��,�
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ANCHORAGE WELL & PUMP SERVICE, INC.
A���
7640 KING STREET
ANCHORAGE, AK 99518
PH.907-243-0740
pdMP SERA`
Bill To:
Huntley and Associates LLC
3505 C Street
Anchorage, AK 99503
Invoice
Ship To:
20254825
Huntley and Associates LLC
JOB: 3727 W 74th Ave
Anchorage, AK 99502
SALESPERSON
YOUR NO.
SHIP VIA
COL
PPD
SHIP DATE
TERMS
DATE
PG.
MARTIN, HENRY E.
40374
Net 30
9/23/2025
1
TY.
ITEM NO.
DESCRIPTION
PRICEj
DISC %
EXTENDED
TX.
PRICE
1
Service Call
SITE VISIT FOR BRINING SYSTEM UP TO
"-
CODE.
1
FIELD SERVICES
06/24/25 - Check site for bringing system up
to code.
FINDINGS:
Pit in front of house under metal plate.
Pit is 11' deep
Top of well is 9'
18" opening to pit. Cover over pit will need
to be excavated in order to AWPS to
access pit.
1
ST2-Mark
Service Tech
1
ST23-Fereti
Service Tech Helper
1
Service Call
NO WATER
1
FIELD SERVICES
09/11/25 - Check system. Wiring in pit
accidentally disconnected during excavation
work. Verify routing at wires and control setup
for shared well. Reconnect wires and verify
system functionality. System ok.
0.5
ST5-Tyler
Service Tech
0.5
ST19-Dennis
Service Tech
Scope of Work:
UPGRADE WATER WELL TO MUNICIPAL
STANDARDS. EXTEND CASING AND ADD
PITILESS ADAPTER. TEST SYSTEM.
1
FIELD SERVICES
09/15/25 - Arrive site. Pull pump and prepare
casing for upgrade. Install pitless adapter,
weld on 12' casing extension on well head.
SALE AMT.
Thank you!
FREIGHT
SALES TAX
TOTAL AMT.
PAID TODAY
BALANCE DUE
PNC `0RggP
ANCHORAGE WELL & PUMP SERVICE, INC.
A��
7640 KING STREET
ANCHORAGE, AK 99518
p . OW501111-_��
PH.907-243-0740
Bill To
Huntley and Associates LLC
3505 C Street
Anchorage, AK 99503
Invoice
Ship To:
20254825
Huntley and Associates LLC
JOB: 3727 W 74th Ave
Anchorage, AK 99502
SALESPERSON
YOUR NO.
SHIP VIA
COL
PPD
SHIP DATE
TERMS
DATE
PG.
MARTIN, HENRY E.
40374
Net 30
9/23/2025
2
TY.
ITEM NO.
DESCRIPTION
PRICE
DISC %
EXTENDED
TX.
PRICE
Re -set pump on pitless adapter. Chlorinate
well. Re -plumb pipe to pitless adapter and
flush well at well head until clear. Install
WTCC 6 well seal, conduit and paint casing.
System ok.
6
ST2-Mark
Service Tech
6
ST23-Fereti
Service Tech Helper
2.5
ST2-Mark
Service Tech
2.5
ST19-Dennis
Service Tech
12
WELL CASING
6" ASTM SCHEDULE 40
1
PTA-BRS-100BTLF/1
1" BRASS SLIDE PITLESS ADAPTER
14
CBL-FJC-12/3
CABLE 12/3 FLAT JACKET 31712500
3
ESP-SPK-4-SP4C
4-Wire Plastic Splice/Repair Kit
1
FIT-PVC-TPE-.75
PVC TAPE ALL WEATHER BLACK
3
PARTS:
1" SOFT COPPER
2
FIT-BRS-FLR-MAD-1X1
FLARE MALE ADAPTER 1"X1" BRASS MIP
1
FIT-BRS-CPL-1
COUPLING 1" BRASS NO LEAD
1
FIT-BRS-90-1
90' 1" BRASS NO LEAD
2
FIT-BRS-NIP-1X2
NIPPLE 1"X2" BRASS
2
FIT-BRS-BSH-1.25X1
BUSHING 1.25"X1" BRASS NO LEAD
1
FIT-SSL-HSC-1
1" HOSE CLAMP STAINLESS STEEL
1
EQUIPMENT
EQUIPMENT DAILY CHARGES: WELDER.
1
EQUIPMENT
EQUIPMENT DAILY CHARGES:
GENERATOR
1
WLC-ALM-952809/WTCC-E
6" ALUMINUM WELL CAP
1
FIT-ELC-CRL-MAD-1
MALE ADAPTER 1" CARLON ELECTRICAL
6
Electrical
PIPE 1" CARLON CONDUIT SCHEDULE 40
Thank you!
vi �r-�vV VVL 4)u.uu
Hiland Excavation LLC
10147 Chandalar St # B
Eagle River, AK 995778360 US
hilandexcavation@gmail.com
HIL/�Niv. -
EXC/&VATION
INVOICE
BILL TO
INVOICE
1158
Huntley &Associates REO Department
DATE
09/18/2025
3727 W 74th Avenue
TERMS
Due on receipt
Anchorage, AK 99502
DUE_ DATE
09/18/2025
DATE ACTIVITY
DESCRIPTION
COTY RATE AMOUNT
Services Remove well pit lid
-Excavate to top of well pit lid @ 3'
below grade
-Remove lid of well pit with excavator
and concrete saw.
-Widen excavation to allow for safe
working space forAW&PS
-Well pump wires ran through concrete
lid and required AMPS to come
onsite in order to get well back online
after lid was removed. Well is shared
between two houses.
Services Backfill Well pit
-1 truckload of D1 was imported and
used to backfill around pitless adapter
and waterlines.
-Native soil was used to backfill the
rest of the excavation.
-Any leftover D1 was spread on
driveway
L 'Mrsiid'-sw
Page 1 of 1
COSA Checklist WELL ONLY.docx
COSA Checklist
Legal Description: HANSEN SAND LAKE LOT 9C4 Parcel ID: 012-153-36
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled UNK Total depth UNK ft
Cased to UNKNOWN ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 4/17/25
Static water level at beginning of test 39’ ft.
Well production at time of test 3.5+ gpm
Water storage tank volume None gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic 10.7 ug/L Arsenic less than MRL (ND)
Collected by Date 4/17/25
Comments Per MOA docs well drilled circa 1969. Well is on adjacent Lot 9D & is below grade in cement structure w/
manhole. A well flow was conducted & the attached 30 scale sketch shows well and sewer manholes.
B. TANK DATA – PUBLIC SEWER
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA - PUBLIC SEWER
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.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
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GRID No.
MUNICIPALITY OF ANCHORAGE —SEWER UTILITY
Name.., Address
Plat No. Subd.
Residential C7 Commerial ❑
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❑ No. of un -its
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Insulation ❑ Cleanouts Type
Connect Agent Inspector Date
Comments
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ell—
G:~:~TER ANCHORAGE AREA BORe H
HEALTH DEPARTMENT
327 E., .E ST. ANCHORAGE, ALASKA 99501
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION -~'--~'-~ '-~----~
ADDRESS _
LEGAL DESCRiPTiON /-_,~Z-"- .~C' ~ ~Tz~
PHONE __
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE.
SEPTIC TANK:
DISTANCE FROM WELl. 2.~.---.
LIQUID CAPACITV GALLONS.
SEEPAGE SVSTEM: SEEPAGE PIT:
l-c
OUTSIDE DIAMETER
NUMBER OF
__MATERIAL O,f~,~4''I ~' ~ / COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH __
~ X._5 i.5'
OR WIDTH ,
D~STANCE FROM WELL ~-- /.Z. /
E' -/~-7 /
BUILDING FOUNDATION
TOTAL EFFEC-TIVE. ABSORPTION AREA (WALL AREA) Q~'/~) C,?~J~- SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL.
NUMBER OF LINES
ABSORPTION AREA
FOUNDATION
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
., NEAREST LOT LINE
TRENCH WIDTH
TOTAL LENGTH
. OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE.__
WELL: TYPE ~)J~Ji--~'~-J~ DEPTH ~-~7~-~ DISTANCE FROM ' //// WATER
, , BUILDING FOUNDATION. / ~ . SAMPLE /~7'_/~) , NEAREST
LOT LINE 4 7 / NEAREST / SEPTIC f/ , . £ SEEPAGE ' OTHER
....SEWER LINE ~ TANK, D.~L~t SYSTEM ~'/~-~/~, CESSPOOL SOURCEST
DIAGRAM OF SYSTEM
DISTANCES:
/
H->~=,_5-7/
~->8=
~ Dz il7
/
HFAITH AtJTHORITY
DATE mh W APPROVED
GREATEI _iNCHORAGE AREA . ~ROUGH Ca,eNo.
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APP,CANT~ ~ a ~ %o g~?~X MAlUNG ADDRESS :~?.~ I ~, 7~ P,0NE
RESIDENCE ADDRESS LOCATIO~ OF INSTALLATION
LEGAL DESCRIPTION Lo~ ~ C ~ ~ ~ ~.~a7 ~,~ ~,..
APPLICATION TO INSTALL: SEPTIC TANK ~)/ , SEEPAGE PIT.~ ~I~RAIN FIELD , OTHER
FINANCED THROUGH ~e L-~ TO BE INSTALLED BY ~ C
PERCOLATION TEST RESULTS. ~ ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS //"1~' ~L)C~7
AS DESCRIBED BELOW.
'76-o
· SEPTIC TANK SIZE i~.¢o
DISTANCES:
, PERMIT TO INSTALL A ~ ~,c~_
SIZE OF UNIT TO BE SERVED ~o
TYPE ff~//?~/d~-SEEPAGE AREA
DIAGRAM OF SYSTEM
Health Authority
TYPE
that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described/..~/~/~system is in acc/~dance/~-- ,,"2 with said code.