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Home My WebLink AboutTURPIN #1 BLK 1 LT 14 1201 Remona St. 99515 ANCHORA(~E~ ~LA~$KA SIX INCH WATER WELL DRILLED .......... OUT TO THE DEPTH OF. DRILLED AT THE RATE OF $24-00 PER FOOT. Steel PROPERTY OWNER Mr. Steve Berber 6323 Markstrom LOCATION OF WELL SITE LtZ4Blk. I Sub. Turoin DRILLER Bernie Claus of Rampart Drilling Works WELL LOG: 0 - 16' Sandy silty fine gravel. 87 feet. casing seated to 87 _Anch. 337-2690 ft. -16 - 39 - 81' 81 87' gravel at 87 Coarse ~r~ve]. Hardve~. (Cemented gravel) Silty sandy wet gravel ~oing into a good feet &making 10 GPM. Water recovery coarse water bearing back uo to within 40 ft o'f surface. 1/3 or 1/2 horse submersible vumo Shbuld be installed five ft o'ff bottom of well. Water Well ~aid for in full by Steve.Berger at $2A.00 x 87 feet. No charge for mob or demob or set up. RECEIVED 1 5 199G Municipality ol A~}c~orage Dept. Health & Human Services COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLL'TION OF SAID DRILLING. WRITE.CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF .............. THANK DATe May_ 12th, 1996 - .~ _ . , - . Thank y eve: o 'ye ot class:~ '- PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.Oo BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW960002 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:BERGER STEVEN OWNER ADDRESS:6322 MARKSTROM DR ANCHORAGE, ALASKA 99504 DATE ISSUED: 1/05/96 EXPIRATION DATE: PARCEL ID:00609422 LEGAL DESCRIPTION: TURPIN #1 BLK 1 LT 14 LOT SIZE: 8400 (SQ. FTc) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF 1/05/97 SPECIAL PROVI SION~/ ~ ~ T. SPURKLAND P.E. 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Kevin K. Kleweno P.E. District Engineer State of Alaska Dept. of Environmental Conservation Anchorage District Office 555 Cordova Street Anchorage, Alaska 99501 November 22, 1995 Subject: Certificate To Construct Class C Well Lot 14, Block 1 Turpin #1 Gentlemen; We are applying for a permit to construct a Class C well to serve a proposed duplex to be located on lot 14, Block 1 Turpin # 1. The attaches siteplan shows the proposed location of the well and the location of buildings and wells on the adjoining properties. This area is served by public sewer, and all developed lots are connected. The proposed well has the required separation distances with the possible exception of the required 75 feet to the service line to lot 15. This line may encroach l 0 feet. Them is a storm water drywell located in the Right of Way of Markstrom, that may be considered a potential source of contaminants. A search of Municipal records did not locate any wellogs in the immediate area. The well on lot 10, Block 6. Is reported to be 67 feet deep. To protect the proposed well a minimum depth and/or grouting with bentonite if the insitu soil can not provide a tight seal for the casing may be required. Yours I I I LOT 7 LOT ,9 LOT ~ AR/( £ kl S[OM4 WArEle INLEt ( } DRYWELL ? £75.00 ~ iWell ~T LB/- 19~ LOT 15 LOT / I SEWER 13 ~fell I LIW 12 LOT 15 I 25 0 £5 50 75 SCALE; 1'~ = 50 FT. 1~5 150 TOBBEN SPURKLAND P.E. 205 W 15TH. AVENUE ANCH. AK. 99501 (?97) ~77-E?I~ LOT 14 BLOCK i TURPIN //1 6525 MARKST£OM STEPHEN BERGER PLOT PLAN DATE: NOK 21, 1995 SHEET: 1/! GRID: 1339 E, SI XTH- Ave. 0 MAR KSTROM Drive /$ ./0 F'ERP1Z T NO. FIF'F'L ~( C:FINT LCIC:FtT~ LqN [:'FILE I':::FIR.;F FIL.I:I flHB. k_- 1 [4. LIf'I ST,."T:,IZINNR [:'R Lid. E,I ±x,F FI[::'[;:'. TL] I"URF'ZN 2:2.:'Or~ BEII",ItFFIC:E F'I-:::!.,.IFI'~' .... [ L_Er[' .:, 1 ,~..E. PIlNIP1Ui"I DISTFiNCE BET~qEEN 1:4 HELL RND FIhlY ON"'"SITE SEI.41::IGE DISI::'OSFIL. L:~YS'TEP1 :LEI() FEET FO?. Fi PRZVFITE I.,.IELL~ :1.5E~ TO L:"'.C~Ct FEET FROhl F-I F:'UE:LZC HELL DEPEN[::,II",IG UPON THE: 'T'¢F'E OF' F'UE:I....IC HELL. 1.4ELI.... L.OGS FIRE F:E6:!IJII:RED FIND I"IUST E:E F'.ETURNED TO OF THE HELL CCff'IF'L.ETIOI'.4. OTHEI:;'. REQLIIF~:EI"[ENT5 f'lFl'-r' FIF'F'L"r'. SPEC:[FICFITIONS tiN[:, CONSTI~'.IJCTIEd"t Di[F:IEit~:~I::IhlS Fd~'.IE RVFI:[LFIE':LE TO INSUI:::'.E PRC~F'ER II",!STFILLFITION. Z CE[RT]:F'Y THFIT ±: I Rid FRPIII....IRR H.T_TH THE: REQUIREP'IENTS FOR OIq-SITE SEHERS RND HELL-fi; RS SET FORTH E:"r' THE P1UNZCIF'RL. ZT"r' OF' RNCHORRGE. 2: ~ H]:LL INS"f'IaL. L ]'HE: S"?'-:;TEhl IN RCCORDRNCE 14ITH THE CODES. S ]: GNED: ..................................................................................... FIPF'L..T. CFII",IT [:'FILE I-:::I:I[',i:.:fFtI...FI :[ SSIJE[:, Ei'T' ...................................................................... [:,F"ITE ................................... ',,,'_:.':'. 1.3 GreaTer ANCHORAGe Area BorouGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. INSTALLATION OF: SEPTIC TANK SEEPAGE PIT _, DRAIN FIELD . ., OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT · DRAIN FIELD TYPE DIAGRAM OF SYSTEM I CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOR UGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE ,"~ APPLICANT'S SIGNATURE ~I'~CHO/~AGE April 7, 1978 Dale Karjala A~nchorage, AK Subject: L14, B 1 - First Addition %o Turpin Subdivision Dear Mr. Karjala: We have received and reviewed a plot plan showing the Class C well you wish to construct on the subject lot. The project is approved for the features with which this department is concerned. Sincerely, James O. Starr Environmental Engineer cc: DHEP-Les Buchholz sv MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES . Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone ~.,4¥- ,.,>-~-~-- / Day phone Day phone ~")~'- 772.p/ 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site 7 Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. I/91) Front MOA #21 5, STAT~ilfiENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of struc{ure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm I,~/~.~ ~,J,'- ~,'~.,t~ ~.P-~ Phone~__~--~9/,~ Address ~ ~ J~ ~ Engineer's signature ~ ~~Date &~-/~ / DHHS SIGNATURE · I// Approved for /::'~) U/~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Munlcipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~Y25(Rev. 1/91) Back MOA~I RECEIVED Municipality of Anchorage JUN DEPARTMENT OF HEALTH & HUMAN SERVICES ,, Environmental Services Division i~Nv~U~(~P~'~,~. 825 L Street, Room 502 · Anchorage, Alaska 99501 5- (907) 343-4744 Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth ~ 7/ ' Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level L~ Well production / O WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: ~/~'~'"'/'~ B. SEPTIC/HOLDING TANK DATA ~t//~__ Date installed Tank size Foundation cleanout (Y/N) ' Date of Pumping C. ABSORPTION FIELD DATA Date installed Length Width Effective absorption area Date of adequacy test Fluid depth in absorption field before test (in.); Fluid depth (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Health Authority Approval Checklist LOT tH ;P~ ~; T,~ ~,~1~ ~ Parcel I.D.: If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~ 7 ! Casing height (above ground) Wires properly protected (Y/N) y AT INSPECTION g.p.m. g.p.m. Other bacteria Collected by: /- --~ Number of Compartments __ Cleanouts (Y/N)__ Depression (Y/N) High water alarm (Y/N) Pumper Soil rating (g.p.d./fF or ft~/bdrm) Gravel thickness below pipe Monitoring Tube present (Y/N) Results (Pass/Fail) Immediately after Absorption rate = If yes, give date System type. Total depth Depression over field (Y/N) __ For gal. water added (in.): .g.p.d. bedrooms D, ' FTSTAT,O. Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station ¥" SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation Properly line Absorption field Water main/service line Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Propertyline Building foundation Water main/service line Surface water Driveway, parking/vehicle storage area Curtain drain Wells on adjacent lots ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records:that!th,~'-~ 'abO'Ve $~/&~e,~s are in conformance with MOA HAA guidelines in effect on this date. !:-,· ~' ~ ~,., Signature Date Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* CT&E Ref.# Client Name Project Name/# Client SampLe ID Matrix Ordered By PWSID 982386O07 Tobben Sp~ldand P E. 6322 Markstrom Lt 14 BK i Tarpin Drim~ing Water 0 Sample Remarks: Client PO# Printed Date/Time 06/17/98 13:27 Collected Date/Time 06/15/98 I5:40 Received Date/Time 06/15/98 17:00 Technical Director: Stephen C, Ede co[/]OOmL $N18 922~g 0(:/~5/98 ;M~ 0.!00 mD/L EPA 300.0 ~0 max 06/15/98 06/15/98 RHV