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HomeMy WebLinkAboutKWIK LOG BLK 3 LT 21 Dec_28.2022 05:12 PM Anchorage Well & Pump Service Inc 9072430742 #5010 P 1/ 1 MUNICIPALITY OF ANCHORAGE Development Services Department n Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-3437997 Pump Installation Log Well Drilling Permit Number: Date of Issue:.. Parcel Identification Number: 013_04338 Legal Description Block Lot Property Owner Mame & Address: KALENKA TRUST KALE NKA RALF & MARIANNE 1 CQ -TRUSTEE$ KWIK LOG 3 21 6221 TRAPPERS TRAIL ROAD ANCHORAGE AK 99596-2406 Fump Installation Bate: 12 - 28 2422 Pump Intake Depth Below Top of Well Casing: 85 feet Pump Manufacturer's Name: BERKELEY 1 PENTEK (PUMP ! MOTOR) Pump Model: UNCIVIGS-051 P43B0005A2-01-C Pump Size: .50 - hp Pitless Adapter Burial Depth: 14 feet Pitless Adapter Manufacturer's Nail>111e: MARTIN ON Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ©No Method of Disinfection; PF-LLETS Comments: Pump Installer Name: Company: Mailing Address: ANCHORAGE WELL. & PUMP SERVICE 7640 KING STREET ANCHORAGE, AK 99518 907-243-0740 State: —Zip* Attention. The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. V ®eveloMent Services ®epartment Building Safety ®ibision on-site Water .8 Wastewater Program r 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.Muni.org/onsite (907)343-7904 Pump hata Hon Log Well Drilling Permit Number: SW Date of issue: Parcel Identification Number. 013 - vq 3- 38" Legal Description �0 Pump Installation bate; � Pump Intake Depth Below Top of Well Casing:( feet Pump Manufacturer's Flame: Pump Model: "s S [ Pump Size hp Pitless Adapter Burial Depth: l`L- feet Property Owner Dame & Address: U1nSe Pitless Adapter Manufacturer's Flame: UL'k� �—s k-:!) I—, Pitless Adapter Installer: Well Disinfected Upon Completion?2--Yes 0 No Method of Disinfection: Comments: Pump Installer Flame: ANCHORAGE WELL & PUMP SERV. 330 EAST 76TH AVENUE .` ANCHORAGE, AK 99518 PHONE: 907-243-0740 AWPS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Tom Fink, Mayor J u icipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 29, 1993 Ralf Kalenka 6221 Trappers Trail Road Anchorage, Alaska 99516-2406 Subject: Lot 21 Block 3 Kwik Log Subdivision Permit ~SW920067, PID #013-043-38 The subject permit, issued April 29, 1992 by this office for a single family well and/or on-site wastewater system, has expired as of April 29, 1993. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of-the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. Ail inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincgrely, / /~ ~ogram Manager On-site Services enc: Copy of Permit PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW920067 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:KALENKA RALF OWNER ADDRESS:P. O. BOX 92824 ANCHORAGE, ALASKA 99509 DATE ISSUED: 4/29/92 EXPIRATION DATE: 4/29/93 PARCEL ID:01304338 LEGAL DESCRIPTION: KWIK LOG BLK 3 LT 21 LOT SIZE: 11135 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. WELL LOG IS REQUIRED WITHIN 30 DAYS OF COMPLETION OF WELL. 2. WELL MUST PRODUCE A MINIMUM OF 0.412 GPM DURING THE FIRST 90 DAYS OF OPERATION. RECEIVED BY: DATE' ISSUED BY: ~~-~ /~<~f DATE' // ?'/' "4 b) 7.~ /'M \ R E ¢ E :l V SURVEYOR'S CERTIFICATION I HEREBY CERTIFy THAT I HAVE SURVEYED THE PROPERTY DESCRIBED ON THIS PLAT AND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS Pt. AT. DATED T.,S:~ DAY or ,ID:? LEGEND 0 LOT CORNERS FOUNDATION ORAtNAGE ARROWS APR 2 Municipality o f,A~/~/~Ck9 NOTES= I. IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT BUILDING LOCATION SHOWN MEETS ALL SUBOIVISION COVENANTS AND ZONING ORDINANCES. 2. IT IS THF. RESPON$1B~LiTY OF I'IIE BUILDER TO V[RIFY ALL ELEVATIONS WITH RESPECT TO ALL UTILITIES. 5. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBEO 8ELO~ TAKEN FROM THE RECORDED PLAT DESCRIBING TftAT PARCEL. INSTRUMENTS RECORDED PRIOR TO OR AFTER THE FILING OF THE RECORDEO PLAT ARE NOT SHO~N ON THIS PLAT. 4. THE INFORMATION ON THIS PLAT IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SROW ANY CONFLICTS BETWEEN EXISTING STRUCTUR[S AND PLATTED LOT LINES OR EASEMENTS ~ THE PLAT IS NOT TO BE USED FOR POSITIONING AODITIONAL STRUCTURE8 OR FENCES. 549-6452 ORAWN BY, CHI(. DY ' BESSE, EPPS 81 POTTS 2220 E. 88th. AVE. ANCHORAGE, ALASKA 99507 349-6454 tDWG. NO. Octobeu 9~ 1968 I~P. Paul G. Stewart c/o Elmo R. Hoffman, Attorney P. O. Box 5695 Daytona Beach, Florida SUBJECTi Well Reserve Easement Lot 21, Blook 3, Kwik Log Subd. Dear Mr. Stewart! We understand that you hesitate to g~ant the subject easement to the owners of the Kwik Log Subdivision as you fee]. the easement will detract f~om your p~ope~ty val~e. This letter i~ to explain the necessity of the easement and to urge you to assist the owner of the system and thi~ office in our efforts to bmlng the wate~ supply into compliance with applicable The Alaska ^dmlnlstrative Code establishe~ p~oteutive radii around all semi-public and publio wate~ supply systems. It is against the law ~o ~nstall various po~tlons of sewerage systs~ within these radii. The well involved is a Class A, Semi-publi~ and the protective radii are a~ follows~ (2) (s) 0-~0 feat - No sou~ue of potential contamination ~0-80 feet - Only ea~t iron sewe~ pips with leaded and 80-120 feet - Enclosed pomtions of sewage disposal facilities, i. ~,, ~eptie tanks, A/C pipe, etc. beyond 120 feet - Seepage pits, drain fields, and other seepage systems may be installed. I~egardless of the exiatanoe or the nonexistence of tho required eas~ment~ At is illesat to violate the protective radii established in the code. The easement is merely a method of assuring that the well is not encroached upon without raquir&ng continued surveillance hy the Department. Mr. Paul G. Steweet Page 2 O~toher 9, 1968 We ara sur~ that you can appreciate this need if you aoneider that ~ny of these small subdivisions' wells stay in use fo~ 20 years or more. Recording of the easement provides a permanent record and an effective m~thod of preventing encroachment, As the situation stands today~ we are unable to approve the water system for service to additional homes~ consequently, if you were to develop your property, water from the existinE system would not he available. A~ain, we urge you to provide the necessary easements at this time so that this matter can be permanently dispatched. Sincerely, DAVID R, 5~ DUNCAN~ M. D. Medical Director BY~ Sanitarian RECEIPT FOR CERTIFIED MAIL. STREET AND NO, CITY, STATE, AND ZIP CODE EXTRA SERVICES FOR ADRt'[IONAL FEES del,rated delivered [] 50~ fee POD Fo~m 3800 No INSURANCE COVERAGE PROVIDED-- 'See other side) o w~om, ~a~e, and ~ Oe~lver ONLY address Where ~ollver~d ~ to addressee (Additioual charges reqttlredJor these services) RECEIPT Received the numbered article described below. REGISTERED NOo CERTIFIED HO, ]HSURED DATE OELIV£RED EASEMENT Page 1 of 3 This agreement, made and entered into this ~ ........ )day of ,by and between ~ /(~x~, ],/ ~ ~'~i '~>u' ~,~, _/ /~(~ ] of Anchorage~ Alaska, party of the first part, which expression shall include his, her, or their heirs, executors, administrators, agents, o~ m==i~ wh~ra the context so requires Or admits, and {..~ )~ of Anchorage, Alaska, party of the second part, which expression includes his, her, or their heirs, executors, administrators, or agents where the context so requires or admits, witnesseth: Whereas, the party of the first part owns and has title to that real estate and real property located near Anchorage, Alaska, described as follows And whereas, the party of the second part owns and has title to a parcel of property which adjoins the foregoing and described as desires to grant a perpetual easement for the purpose of ( b~ ,,.\.,.-~!~l,~ (>[a~% ~ L.O~ ev ~.f~l~[ )., said well shall be located at {._~i .','),~'~iz ~o-I ct, j~n,~"~ ~iU~,,.( and the easement shall be within the radius of from the well site. feet Now, therefore, it is hereby agreed as follows: The party of the second part does hereby grant, assign, and set over to the party of the first part a perpetual easement for Page 2 of 3 the purpose of installing and operating a community water system, said well shall be located at ( .% ~ ~ ~>~ ~'~ ~ o/ ti' i~/¥ '~ as located on that certain amended plat approved by the Greater Anchorage Platting Board and filed for record, such easement shall be within the radius of ( ? 7~ i~ )feet from the well site. The party of the second part shall fully use and enjoy the ~f~ro=~{~ pr~mlses, except as to the rights herein granted. This agreement is subject to the following provisions: 1. Second Party shall: a) Restrict the use of that portion of ( LoT ~1 ) which falls within the ( z/~ )foot radius of the well from all sources of contamination~ and that portion of said tract which falls within the ( ~ ~ )foot radius shall have no sewer, septic tank, or disposal fields, except that sewer lines of cast iron pipe with leaded and caulked joints shall be permitted, and that portion which falls within the ( /.~ ~) )foot radius shall have no seepage pits, and that portion which falls within the ( /~ ~ )foot radius shall have no cesspools, as regulated by the Greater Anchorage Area Borough Health Department. To have and to hold the said easement~ right, and right of way unto the party of the first part, successors, or assigns for a period of perpetuity and under the conditions: restrictions and considerations as set forth above. It is expressly understood and agreed that this easement is a covenant running with the land. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed under seal as of the day and year first above written. STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) This is to certify that on the ( ) day of ( ) before me, the undersigned Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared ( ) known to me and to me known to be the individuals named in and who executed the foregoing instrument, and acknowledged to me, each for himself and not for the other, that they signed and sealed the same as their voluntary act and deed for the uses and purposes 'therein set forth. IN WITNESS WHEREOF, I have hereto set my hand and official seal the day and year first above written. Notary Public {n and for Alaska My commission expires: