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HomeMy WebLinkAboutSLEEPY HOLLOW #2 BLK 1 LT 8Sleepy Hollow 4120-M Block 1 Lot 8 #051- 501- 42 Pump Installation Log Arctic Pump & Well Inc . Jim Sullivan PO Box 770197 Eagle River, AK 99577 (907) 688 -2510 (907) 243 -2282 jim@arcticpump.com SW 05150142000 Sleepy Hollow # 2 8 1 Zachary/Rebecca Kissee 23644 Charlie Rd Chugiak AK 99567 12/3/2018 50 Franklin 10FRD05P4-2W230 153 PSI 10 Feet B-10 Well Drilling Permit Number: Parcel Identification Number: Date Of Issue: Legal Description Lot: Block: Property Owner Name Address: Pump Installaion Date: Pump Intake Depth Below Top of Well Casing: Pump Manufacturer's Name Pump Model: Pump Size: Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Name Pitless Adapter Installer: Well Disinfected Upon Completion? Method of Disinfection: u/k Yes Chlorine Comments:Well scoped with a well camera on 8-7-23 perforations 45' - 48' no other cracks or breaks in the casing Pump Installer Name: Arctic Pump & Well, Inc. 5Y Monday, August 7, 2023  MUNICIPALITY OF ANCHORAGE DEPAR'FMENT OF HEALTH & ENVIRONMENTAL PROTECI'ION '~-- ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telel)hone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MA,.NOA~I f~ ~ lib / D,STANOE TO: ~¢ J~/o¢~-d ~ /Liq. IF NOMEMADE: Inside length Width Liquid depth We~ Dwelling ~ PERMIT NO. Liquid capacit Well ~ Foundation Nearest )et line PERMIT NO, DISTANCE TO: ~_~-_~ 0 )/-- /O · NO. of h~7/L,Z.~ %e.~l~f~.ac~ ,~ Total length of Top of tile to finish Material beneath tile Total effecfive absor ~ area Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. t~ t~c t-a~ Absorption area(s) Depth Driller DISTANCE TO: Building foundation Sewer line OTFIER PIPE MATERIALS /, ? , LEGAL APPROVED DATE PEI:;~:H I"1" NCL [:,EF:'SRTr,'IENT , HEFIL...-['H Fir,t[:, EN',/I RONMEN'TF. IL.. OTECT I or.,I :325 -" L'" '.BTREET., Fff.,!CFIOF.".FIGE, FIK. 995E.~::L 264-4'72E~ ( :3:t£~65E~ ::, iFFI...Z .HN F L..Eu::FIT~ i.E3FII. i:~F..U;,.:, F" -' J::,l.j,.'., LEIT L:..: E, LF..: ..... ± S;LEEF'"r' HCILLEfi.,.I ..".,UE," " I_OT S:[ZE: T'¢F:'E i:IF' :,l...lll_. IqE,_,_I~.FI I..hl .:,T:qEI'I l:,. [:,RFItNFIELD ': '" ....: 3 hlFl:;',:If"lI.JM NIJt'IE:ER OF: [.E.L.R.....H ...... _. ; .... ,:: 'E;Q 9;2! '::': 'IL [. [ ] N 3 FT',."'BR:)= THE RE:E:!UIRED ::,I~.E CIF THE SOIL. I~E,.z,...RF F.._N _,~_,IEtl Iz,. ]"HE LENGTH DIMENSION :IS '['HE L.EI',IGTH (]:N FE:ET> OF: THE I'RENCH OR DRFIIF~F];ELD. THE DEF'TH OF FI TRENCH OR PZT IS THE [:,ZSTlaNCE E:E;T[,IEEN THE SIJRFFICE OF THE GROUN[:' FIN[:, THE [::TT:f'I OF' THE E.,':,CP ,RI ~',1 (IN f"E.E'/~6.i~=.; ,~ ,-.;..-..-, ,-...- . .... ~ ~: ..-: THE GRF'IVEL DEPTH L~ THE HIN:EHL.IH [::,EF'TH OF C*RF¢,,,"EL. BETHEEN THE OUTFFILL F'ZPE I~N[:' THE E:OTTOhl OF T'HE E',:':',C:F:I',,,'FIT :[ ON '::ZN FEET::'. FE.FLtlZT F~PF'L. ZCFINT HFIE: THE RE.=.F _hI.:,IE, IL[ T? TO INFOF::hl 1H_:, E:,EF'RF~'.ThlEI".F[' E:,I_IRII'.,I(3 THE: ............. qF IL-.~ ~:i ,:: ;:;::: ::,, :IE i'"-I~ =:. E- E..: L.. ] :E L~ I -Jl ..:,. t:q] F: E: IFE: E: CT:l! IU :E ~';~: EE ~Z: .................. [:,[IL. KF :[LL. II,IL~ OF' FII",I'T' _~..rErl HI'FHOUT FIi'.,IRL Ir.,IE',F'ECTIOr,! FINE:, fliFI- PL E,r TII:[-:.; [::,EF'FIIR'T'r,llENT H :[ LL. E E . :,I..IE,..TEC. r TO F F..U.. EL. IJ [ ~[ Cfi' I. h'I.T.N.T. PIUI*I [:, ): E;TFINC:E BETHEEN Fl I.,IEL. L I:]f.,IE) FII'.,t'¢ ON-S];'TE E;EHFIGE [>IE;F:'OE;f:II.. SYSTE:f,1 IS J..EIE~ F:'EEI" FOR FI F'RZ'v'FI-FE HELl... OR t. 5C~ 'ro 2(.:~E1 FEE]' [::F;'.oi'"l FI PLIE:LIC HEL. L I::,EF'EI'.,IDII'.,tG UPON THIE T'¢F'E OF F'UE:L..IC .klEL. L. h'I]:N:[HLJM E:,ZSTRNE:E FROr¢I ~:~ F'R]:VRTE 1.4ELI_ TO R F'R]:',,,'FITE: SE.b. IER L]:NE :['.:2; ;?.5 FEET Fd'.,IE:, TO R COHPIlJN:['f"T' SEN[ER L:[I'.,IE ZE; '75 F'EET. O'THEF;: RIE(;!UIF~EhlENT'.5 i',lla'.r' I::IF'F'L'./. E;F'E:CIFIE:FI"rloNE; I::¢4D CCllq':2, TRt_ICTIOI'.,! B, IRGRRI',IS I:~RE R'v'FIZL. FIP.,I....E TO INSURE PROF'ER :[NE;TFIL. LRTZEq.,I. For:?.TH B"r' TFIE: HLINICIPRL):'I""r' OF F'IIqCHORFIGE. 2!!: :[ 14]:LL ]:I'.,IL:.';TFILL. THE L:;YS]"Ef'I :1:1",1 FtCCORDFINCE HZ]'H '['PIE CODES. :~:: :[ UNE:,[ERSTF:Ii",IE:, THF:I"f' THE CIN--.S]:TE 5;ElqER S'T'STEhl HF:I'T' REQUIRE EhILFIt;;:GEHENT _ ? E~E:[:,F.:OCd"IS. . , ,..., ....... ..,,.... , / .;,:,,-,, . L.-. :c-- :: .EF. T IF r THFIT :[ FIH FFIh'IIL]:FtR I.,.IZTH THE RE6:!IJZREP'IENTE; F ..F~...H ...ZTE. SEI.4EIE:S RNE:' I IELL._, R'-E; _,E.] MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONE/IEN'FAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG-- PERCOLATION TEST 5 9 10 11 12 13 14 15 16 17 18 19- 20- COMMENTS SOILS LOG [] PERCOLATION TEST W ASGRO..DW^TER , Io ENDO~NTE~ED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop TEST RUN BETWEEN FT AND ---- FT PERFORMED BY: 72-008 (6/79) CERTIFIED B~~'/ F:'EF~M I T NO. DEF'f~R]"MENT OF' HERLTH RND EN'v'IRONIqENTFIL. PROTECTIOI'4 825 "l STREET., RNCHORRGE, RK. 9S ~. ;264-4728 8:L04:1.;2 ) FIF'F'L i CFINT OCRT I ON I....EGRL JOFII'~ L GROSS E:RGLE RI'v'ER L 8 E,' I SL.E]EP't' HOLLOI4 S/I:, BOX ~.i6i L. OT SIZE 50000 Si:;!URRE FEET MINIMUM E:,IL::;TFINCE BE'FIqEEN la HELL RND Rf.,l't' ON-SITE SEI.,IFIGE DI'.SF'OSRI_ S'¢STEM IS :l. O0 FEET FOR FI F'RI',/FITE HELL OR '1_50 TO 200 FEE]" FROM Fl PUE:LIC l.,.ff£1..L DEF'ENE:,II',IG LIPON THE; T"r'PE OF PUBLIC HEI...L.. MZNIP1UM [:'ZSTRNCE FROM R F'RZ'v'FITE WELL ]"0 R F'RZ',/R'FE SEI,.IER L_ZI",IE IS 25 FEi:ET TO £q COMMUNZT"r' SEWER LZf,IE ]:2; 75 FEET. I,.IEI...L. LOGS RRE RE(;!UZREE:' laN]:, MU"2, T BE RETURNED TO THE E."EPF~RTMENT P.IZTHZN 2:::6) (.'FF' THE 1.4ELL COMPLETZCff',I. OTHER RE~T,~LJZREMEN'TS MFI"r' F~F'F'L't'. '.:.;F'EE:IFZE:FKI'ZONS RN[:' CONSTRLICT):ON DZFIGRFIM% FIRE: R',/RZLRBt..E '['FI ZNSURE PROPE:R Z N?.',]'RI.~LflTICrN. I CERTIF'¢ ]'HRT :].: I RM FFIMILtFIR NITH THE REQUIREMENTS FOR ON-SITE SEHERS FIND P.IELi..S FIS SET F'OR'FH B"r' THE MUNICIPFtLIT"/ OF RNCHORFIGE. 2: I HIL. L :[NSTRt_t_ THE S'¢STEM IN RCCORDRNCE HI]'H THE CODFZS. S I GNED: Rf:'PL. IC:RNT JOHN L GROSS Y4. 0 'JNICIPALITY OF ANCHORAGE Department ~ Health and Environmental £otection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT WELL Aftt~-/'~I~--ON--S-I'TE'~ PERMIT <' ~Q~ .//~ Mailing Address: Applicant: '~c~7~ Location: ~ ~ Phone Number: Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: The Required Size of DEPTH LENGTH Seepage Beds __Holding Tank: Soil Rating(sq.ft/br) the Soil Absorption System Is: GRAVEL. DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion~ Other requirements may apply. Specifications and construction diagrams are available to insure proper insta].lation. * * * PERMIT EXPIRES DECEMBER 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipa].ity of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if Signed: the res~denc~e/ is remodeled ~licant to include more that 3 bedrooms. ::_ Date: I SWP/024(1/81) by DOC Co. dba SULLIVAN WATER WELLS P,O. BOX 272, CHUGIAK, ALASKA 99567 o TELEPHONE 688-2759 OWNER OF LAND ,,) [)r"/,~d ¢,'~r~o,~'S I)EPTH OF WELL ADDRESS ~O x]oy [ / ~ ( /?,I( .... STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION DATE - Started ~/~!: PERMIT NUMBER L.L¢~_< ~ .~F,'_ 6'6't>' I-t o~-¢ o'";DRAW DOWN FT. Elided a~//rtl / GALS. PER HR KIND OF CASING do -~- KIND OF FORblATION: From Ft. to Ft From Ft. to__Ft.__ From Ft. to____ Ft. From ,,i> q'~ Ft. to q-6- Ft, c:t<'~ [~ From Ft. to.._ Ft~ From ~g ,~'~ .Ft. to ~' ~'" Ft.~-~q~.-'~) ,~4'~t,.,~Z ~ From ...... Ft. to ...... Ft. From Ft. to _Ft. ~t~ ~Z:'~d Frmfl/ ," Ft/'to~_~F~ .... From 'q,5~ Ft. to -/ / Ft. C~ ,~_~ Frmn Ft. to Ft.~ / ' Frmn ~ / Ft. to _Ft. (~2/~0c ~ .... Frmn Ft. to Ft. Fromm_. Ft. to.~Ft~ From Ft, to Ft, From~ Ft. to _Ft. From Ft. to.~_Ft, Frmn Ft. to_ Ft. From_ .Ft. to~Ft From Ft. to~_ Ft. From~ Ft. to .... Ft. From.~_ Ft. to.~Ft. From ~Ft. to~Ft. From~Ft. to Ft, Frmn ~Ft. to _Ft, From Ft. to.~Ft. From Ft. to .... Ft. From .Ft. to_ _Ft. From Ft. to Ft, From Ft. to Ft From~,Ft. to~_ Ft, MISCL. INFORMATION: DRILLER'S NAME MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 051-501-42 Legal description Certificate of On -Site Systems Approval SLEEPY HOLLOW #2 BLK 1 LT 8 Site address 23644 CHARLIE RD Chugiak AK Current property owner(s) ZACHARY KISSEE Expiration Date: I I / n 2-tl z 3 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Arctic Pump and Well provided a surface seal at the well casing to pitless depth. See photos and invoice from APAW. �I By: Original Certificate Date: 8/18/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 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 Application 1. GENERAL INFORMATION Parcel I.D. 05150142000 Complete legal description Sleepy Hollow #2 B1 L8 Location (site address) 23644 Charlie Rd. Current property owner(s) Zachary KISSee 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 406-570-7376 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 11 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ 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 $ S� Waiver Fee $ Date of Payment -4' / / y / 1-011 3 Date of Payment COSA # 0 S C_ Z l Z Ly y Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA 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 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: From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) SepticlanWLift Station on Lot >100' In, ifNoft Community SewerNanhole/Cleanout >100' FmUYen ifNoft Tank hoProperty Line >5' [j] Yes ifNoft Neighboring Tank >180' F!] Yes ifNoft Private Sewer/Septic Line >25'[I-0lYes ifNoft Absorption Field onLot >10U' E] Yes ifNoft PhvaheVVe||a> 100' Holding Tank >1OO' FO-1YesifNoft Water yNain> 10' Neighboring Absorption Fields > 100' ifNuft Animal Containment >5O' RE if ft ��Yes �No� ifNoft �� ---- Manure/Animal Excreta Storage > 1OO' Community SewerK8ain�75' �JYeo ifNo� — Yea ifNoft [I N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations >10" In, ifNoft Surface Water >100' Yeo ifNoft Tank hoProperty Line >5' Fim]Yeo ifNoft Wells nnAdjacent Lots: Field to Property Line> 10' 9Yeo ifNoft PhvaheVVe||a> 100' EYeu ifNoft Water yNain> 10' FE] Yes ifNuft Community Wells >2U0' E Yen ifNoft Water Service Line >1O' FE] Yes ifNoft |ftank orfield inunder driveway comment below F. ENGINEER'S COMMENTS The beginning of the field cleanout does not exist. The video evidence taken during the test will prove this. The double outlet line cleanout is approximately four feet from the beginning of the trench. Adding a beginning of trench cleanout would be unnecessary. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER Aucertified bymyseal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate ofOn-Site Systems Approval Guide|inea, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codas. ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name ofFirm Walden Construction &Cons. &Eng.,LLC. pboou 907-354-6661 I'litrate Advisory Certificate of On -Site Systems Approval # OSC231248 Subdivision: Sleepy Hollow #2, Block: 1, Lot: 8 A water sample revealed a nitrate concentration of 12.6 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/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. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. �Madmg Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org �, a5 . z From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. r x > Maihn Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www mum org .,� g WALDEN Construction Consulting and Engineering, LLC 2422 W James T Cir, Wasilla, AK 99654 8/9/2023 23644 Charlie Road, Chugiak, AK 99567 Subject: Well examination due to high Nitrates To Whom This May Concern, Concerning the process that has taken place so far regarding the well at 23644 Charlie Rd.: The grade was inspected at the time of testing and found to have adequate drainage away from and/or passed the well head. The well head has been visually inspected by camera By Jim Sullivan of Arctic Pump & Well and no other perforations were found other that the one from 45’-48’ which were described in the well log. No cross connection/contamination were found. The water below the perforations will be the same quality as above since it is coming from the 45’-48’ perforations. An assessment of the sounding areas has been taken and there are no farm land or farm animals within the 100’ radius of the well. There are no obvious waste water contaminations onsite. Please contact me for any additional information as needed. Sincerely, Robert L Walden, PE Cell #907-354-6661 robertwcce@gmail.com 8/9/23 M Gmail 23644 Charlie 1 message jim@arcticpump.com <jim@arcticpump.com> To: brandonsonsite@gmail.com Cc: anvyanchoragehomes@gmail.com Recommendations for cosa Brandon Jones <brandonsonsite@gmaii.com> Tue, Aug 1, 2023 at 6:29 PM Camera well to perforations to check for infiltration, if none I would then recommend installing a surface seal from the pitless adapter to ground level. This would be the maximum procedure that we could utilize for this well , we cannot line the well and shut off the perforations at 45'-48' because that is the only water flow from this well. We have used this method in the past to compete the cosa process. Thank you. Jim Sullivan, CPI Arctic Pump &Well, Inc. 907-688-2510 .0 Virus-free.www.avg.com Arctic Pump & Well, Inc.Jim Sullivan 688-2510 or 243-2282 Fax:688-2543 Email: jim@arcticpump.com Franklin Key Dealer PO Box 770197 Eagle River, AK 99577 Zachary/Rebecca Kissee IsProposal: Sleepy Hollow # 2 B1 L8 3833 Phone: Date of Completion::8 /15/2023 Qty Description Price per Unit Amount 23644 Charlie rd Static Level: 28 Well Depth: 62 PSwitch Setting: 40-60PSI Tank Precharge: 28 Price Pitless Depth: 10 Pitless Model: B-10 Cell Phone:(406) 570-7376 Fax Number: Legal: Street: Property Information: Email Address:zkissee@hotmail.com PO:PropInv:Invoice # workNum:OtherNum: Pump Depth: 50 1 serface seal installed to include excavation $4,950.00 $3,900.00$3,900.00 Received in Satisfactory Condition Total:$3,900.00 Estimate:PaidInFull: AmtOwed:AmtOwedLbl: Payment due on receipt of invoice unless prior arrangements made. All account Past Due will be charged 1 1/2% per month. $25 second billing charge. THANK YOU TIME INSPECTION APPOINTMENTS DATE RECEIVED MUNIC LITY OF ANCHORAGE MUNICIPAL TY 0': Ah!CIJ©RAOE DEPARTMENT()FHEALTH&ENVlRONMENTALPROTECTiO~ )~P'£ Oi ,~h & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENIAL ',,5 [£C Dh. ENVIRONMENTAL SANITATION DIVISION {}I., j O 0 i~,f~l Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEI~I~CI[IJI'~ D DIRECTIONS: Complete all parrs on page 1. Incomplete requests will not be processed. Please allow ten (10} days for processing, 1, PROPERTY OWNER : '-' ' I- _~'~ //~C' ~" ~S' PHONE MAILING ADDRESS PROPERTY RESIDENT (if different~rorn ab~ 2. rlUYER - ^HING ADDRESS 3. LENOI GINS~ITUTION AILING ADDRESS 4, REALTOR/AGENT MAll_lNG ADDRESS P:~ONE lONE PHONE 5. LEGAL DESCRIPTION STREET LOCATION [~' SINGLE FAMILY [] MULTIPLE FAMILY '7, WATER SUPPLY NUMBER OF~BEDROOMS [] One [] Four [] Other [] Two [] Five [] Three [] Six INDIVIDUAL* [] COMMIJNITY [] PUBLIC UTI LITY 8, SEWAGE DISPOSAL SYSTEM * ATTACH WELL LOG, A werl log ~s requlrea for all wells drilled since June 1975, For weus drilled ~rmr to that date, give well depth (attach Io~ if avaJlab ~ I N OlVl DUAt./ON-SITE** .~ f' [] PUBLIC UTILITY .YEAR ON-SITE SYSTEM WAS NSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 (Rev, 6/79) 1. TYPE OF RESIDENCE [] SINGLE FAMILY MULTIPLE FAMILY 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTi LITY Connection Verified ~ 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE E~3 PUBLIC UTILITY Connection Verified _ E~Septic Tank or [] Holding Tank Size: ~)~-~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AR EA DISTANCES WELL TO: Absorption Area to nearest Lot Line THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER PERMIT NUMBER ~)EPTH OF WELL DATE DRILLED LOG RECEIVED ~ANU FACTURER wer Line Line 5. COMMENTS E~/APPROVED FOR _ ---'-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ BY 72-010 (Rev. 6/79)