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Home My WebLink AboutVALLEY VIEW ESTATES #1 BLK 1 LT 2VA View MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion?;;<HV No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 050 521 66 VALLEY VIEW ESTATES #1 1 2 STEPP FAMILY LLC 2809 IRIS DRIVE ANCHORAGE, AK 99517-3242 03 07 2023 550 RED JACKET 100C2118S21 1.00 15 MARTINSON PELLETS ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET ANCHORAGE AK 99518 i ~ ~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE [] UPGRADE MAILING ADD~S~ LEGAL DESCRIPTION LQCATION NO. OF BEDROOMS ~ DISTANCE TO; I Well / *-S 1., I Absor~tion ~g~ , Dwelling /'~ ,~ PERMIT NO.~, Z, Material No. of compartments ~Z Manufacturer ~ ~ ~C ~)~G~ ~ Liq. capacity in gallons Inside length Width Liquid depth Z. ~0 IF HOME~DE:~ .... ' ~ Well ~] ]. Dwelling PERMITNO. ~ ~ ~ DISTANCE TO: O z ~ Manufacturer'/~ Material Liquid capacity [n gallons D Well :oundation Nearest lot line PERMIT NO. ~ Z No. of lines Length of each line tel length of lines Trench width Distance between lines Length 70 , Width Z.'q j Dept~ / ¢ ~,~, /~ ~, ~, g. ~, ~ ,, Type of crib.~ ,. Crib diameter~.= Crib de~~ ~ Total effective absorption area~?¢ ~ ~ ~ DISTANCETO: Well--] ~ /~ Buildingfound.~ ~.~i n Nearestlotllne ~O {~ j Class~A~M[/ ~ ~p~ Driller Distance to lot line PERMIT NO. OTHER PIPE MATERIALS~ V~ ~ .~ ~L~ ~ ~,~ I j ITt r 4~0~ 4)'%., P ,/ ,.3/78) MUNICIPALITY OF ANCHORAGE Department.~? Health and Environmenta,~rotection 825 ' 4' Street, ~nchorage, AK. J9501 / 264-4720 ~ * * * HANDWRITTEN PERMIT * * * Applicant: /~/~~ Mailing Adaress/~ ~6~ Type of Soil ~sorption System Is: / Trench: Drainfield: Seepage Bed~ ~ Holding Tan~~ Maximu~ N~ber of Bedrooms: ..~ Soil Rating(sq.ft/br) ~/~3~ The Required Size of the Soil ~sorption System Is~/ / DEPTH J ' LENGTH ~ ( GRAVEL DEPTH~(¢~WIDTH · he 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(i~ feet). There is no set width for trenches. The gr~vel depth is the minim~ depth of gravel betwee~ the outfall ~ipe and the bottom of the excavation(in feet). · * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS ~ermit applicant has the responsibility to infom this departmen% during the installation inspections of any wells ~djacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * B~ckfilling of any system without final inspection and approval by tni~ department will be subject to prosecution. Minima 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. ~inim~ distance from ~ private well to ~ private sewer tine is 25 feet and to a Co~unity sewer li:e is 75 feet. Well logs are required and must be returned to this department within 30 d~ys of the well completion. Other requirements may apply. Specifications and construction diagr~s are available to insure proper i~stallstion. · * * PERMIT EXPIRES DECEMBER 1 9 3 * * * I certify that: (1) I ~ faili~r with the requirements for on-site sswer~ a~d wells ~s set forth by the M~icipality of ~chorage. (2) I wi~inst~ll ~system in accordance with codes. t~e ~~; remodeled to include more that 3 besoms. Sign~~~~~/ IssueS by: SWP/024 (1181) 1 2 3 4 5 6 7 8 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST SLOPE PERCOLATION TEST DATE PERFORMED: SITE PLAN 10 11 12 13 14 15 16 17 18 19 20' COMMENTS WAS GROUND WATER ~ ~ ENCOUNTERED? ~ E IF YES, AT WHAT DEPTH? ['' t'Giro~ff ' Ne, Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~'~ FT AND y FT /// (minutes/inch) , ATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Ge0ogic.al a GeophysicolSurveys Drilling Permit No, LOCATION OF WELL (Please )late either' Io, lb or lc.) A.D.L. No. tRa,ou0h Subd v s o. Lot S OCk '/.btrs. S..on .o. Town,h p.D Rang. ED Address: ~er ~ Street Address and Area of Well Lbcatlon Chug!ak, :~, 99577 2, WELL LOG Surface ~ravel~ sand~ silt 0 23 e. ~ceb~e,oo, ~ao,e~y ~or~vo. ~oua Sand~ 8ravel t silt 90 98 ~ Irrigation ~ Recharge ~ CommerlcGI Black rock llO 161 ~. CASING: ~ Thr~oded ~l~ck rock ~7() 177 d~am..~in, to ft. Depth Sflckup ft White rock 177~: 220 9. FINISH OF WELL: Black rock 220 257 Type: Olameter: ~?i~t~ ~ock 2~7 3~1. Slot/Me.h Size: Length: ~l~ck roGk 3.51 431 ' Set between ft. and ft. ~ay ~OC~ 4~ 4~'/ BackfiUing Gravel pack :,Gray and wh~be rock 437 440 W~:[3.:e i"OC~: 440 4~2 lO. SrATtC WATER LEVEL: ft. Gray rook ~7~ DIO ~ Above or ~ Below land surface ~?~[~te ~ock ~.0 ~ Equipment used: ~l'~l~ rock - D}8 ~ (~I II. PUMPING LEVEL below land surfaoe and YIELD [~.GROUTING Well Grouted: ~ Yes ~ No Perforations fEom 85-98 16, WATER WELL CONTRACTOR'S CERTIFICATION: 15, Wefer Tempereture o ~ F ~ C Magnuson Drilling AA 5~85~ ~d~s: P.O~ BOX 504 Eagle River~ Ak, ~..,77 Form O2-WWR (H/8i) Copy Distribution: WHITE-Stele DGGS~ P[NK-Driller~ CANARY-Customer /. ~ CHEMICAL & GEOi~)GIC.4L L~tBOR.4TORIES O~'tL~ISK.4, INC. · ~"'., TELEPHONE'(~07) 562-2343 ANCHORAGE INDUSTRIAL CENTER /~., , . 5633 B Street - ~ z,- ....... ~ Drinking WaterAnalysis Report for Total Coliform Bacteria WATER SYSTEM: Water System Name TO BE COMPLETED BY WATER SUPPLIER/~ Mailing Address City SAMPLE DATE: Year Zip Code SAMPLE TYPE: [] Routine .. '~ [3 Check Sample (for routlnel Sample. : T" l:tedre,a water with lab ret. no. ' ' [] Special Purpose : D Untreated Water· SAMPLE : ~ ' Time Collected NO. LOCATION . ~,~.~,~ ,~ Collected By 2 I 3 I TO BE CO. MPLETED BY LABORATORY Analysis snows tins Water SAMPLE to De: Sati-sf' ctorv [] Unsatisfactory [] Sample too long in transit: sampm should no[ De over 48 hours old at examinaUon to ndmate reliable results. Please send Date Received ~f~ ' Oce ved;~ Analytical Method: Fermentation Tube E~/Membrane Filter Result* Analyst · '~Sr,, 06-1220 (e) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev, 3.978 READ INSTRUCTIONS BEFORE Date Collecte<S. Source COLLECTING SAM PLE_..~- - I~mbrane Filter= Direct Count HEMICAL ' & GEOLOGICAL LABOI~/m~RIES OF ALASKA, INC. · TELEPHONE (907) 562-2343' ANCHORAGE iNDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER (*) See h on back WA//~R SYSTEM: _ ~ D NO SAMPLE DATE: ~ SAMPLE TYPE: Z~- ~-' &/ Routine Check Sample (for routine sample with lab ref. no. ) .l~.Treated Water ,~;~Special Purpose ~ntreated Water SAMPLE NO. 1 2 3 4 5 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,~Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Time Received K"'~ O f Analytical Method: i-I Fermentation Tub~ -~Membrane Filter Lab Ref. No. Result* Analyst I I ICI I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIO LOG ICAL WATER ANALYSIS RECORD CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION. PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of O. public water system located , Alaska, submitted in accordance with 18 AAC 80.100 have been reviewed and are approved. [] conditionally approved (see attached conditions}. BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS . Change (contract order no. Approved by Date or descriptive reference) The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the l~,(~'I[' ~ ~(-O<L~'-~J'- ~'/~/.L~. ~/~-cu ~-&":t~T~-~' public water system was completed on 1~ - z-( - ¢,(-~ (date), The system is hereby granted interim approval to operate for 90 days following the c.omp et on date, BY TITLE DATE As-built plans submitted during the interim appr~)val period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted final.approval t.o Q ~pera~:~ /7 APPLICF'tT FILLS OUT UPPER HALF/ NLY Phone Pr~pert;~ O!.~er MCT Mailing AOdres~ Zip Code 69 ~-/+/,1/+. Buyer Richard & Diane Allen Address Mile ~, Ea~le River Valley, Eagle River, AK ZipCode 99577 Lending institution First National Bank of Anchorage Phone Address Bonifa ~ Branch. z,p Cod~ 265=3891 ~eag~Co. aA~,t ~/MAX of eagle river~ Inc. (Jim Montaguo) Address PO Box 848, Eagle ~iver, AK ZipCode 99577 694-g~200 Legal Oescripti°n Lot 2, Block 1, Valley View Estates Streel Locati~ ~ Berryb~ q 1 B~i v~ ~ Single Family Community ~N ~ Fo~ wells drilled prior to that date, give well depth (attach Icg if available). Public Utility ' O Public Utility When Connected to Public Utility: ~ Holding Tank NOTE; THE INSPECTION FEE MUST ACCOMPANV EACH RE~EST BEFORE ~OCESSING CAN BE INITIAT~O. Time Time Time Time Date Date Date Date /(~ Inspector Inspector Inspector Inspector DEPT. DP q~ ~'ENV x~NM%ql'AL" ~ pROTECTION RECEWED (~ ) APPROVED BEDROOMS 'CONDITION8 OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONA~ APPROVAL' / Soils RAting Date ~wer Installed Well To Absorption Area ~ ~ Well Log Received