HomeMy WebLinkAboutUS SURVEY 3043 LT 68 A-1 T10N R2E SEC 18/19Onsite File
Suservey 304.10
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Jul 15 22 10:35p Anchorage Well & Pump Ser
9072430742 p.1
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:
Parcel Identification Number: 075_091 09
Date of Issue:
Legal Description Block Lot Property Owner Name & Address:
US SURVEY 3043 MCCARTHY DAVID SEAN
LT 68 A-1 1317 INLET PLACE
T10N R2E SEC 18/19 ANCHORAGE, AK 99501
I Pump Installation Date: 07 - 13 - 2022
IPump Intake Depth Below Top of Well Casing: 70 feet
Pump Manufacturer's Name:
Pump Model:
MYERS
3N FL52-8-P4-02
Pump Size: .75 hp
Pitiless Adapter Burial Depth: 10
I Pitless Adapter Manufacturer's Name:
I Pitless Adapter Installer:
feet
MARTINSON
Well Disinfected Upon Completion? l Yes
Method of Disinfection: PELLETS \
Comments:
�cr
Pump Installer Name: _
ANCHORAGE WELL &PUMP SERVICE
Company- 7640 KING STREET
ANCHORAGE, AK 99518
Mailing Address: 907-243-0740
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M, SULLIVAN,
MA YOR
DEPARTMENT OF REALTH AND ENVIRONMENTAL PROTECTION
December 31', 1980
D. Leroy Kotila
Box 616
Girdwood, Alaska
99587
Permit # 800163
Subject: Lot 68 A-1 U.S.
Survey ~3034
A permit issued by this department for well and/or sewer
system has expired as of this date.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
tf an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions, please call this
office at 264-4720.
Sincerely, / / /~
Senior Environmental ~cialist
LNB/ljw
SWP/057
MUNICIPALI-FY 8F ~NG~OR~E
DEPAR]'MEN¢'~IF'HEALTH AND ENVIRONMENT~--PROTECTION
82S 'L' STREET, ANCHORAGE, AK. 99501
264-4720
WELL PERMIT
PERMIT NO. ( 80016B )
APPLICANT D. LEROY KOTILA BOX 616 GIRDWOOD
LOCATI ON G IRDWOOD
LEGAL ~L68 A-1 USiSURVE~ BOB4¢¢.~4~¢~ LOT SIZE
10000 SQUARE FEET
Minimum distance between a well and any on-site sewage disposal system is
100 feet for a private well or 1SO to 200 feet from a public well depending
upon the type of public well.
Minimum distance ~rom a private well to a private sewer line is 2S ~eet and
~o a community sewer line is TS feet.
Well logs are required and must be re±urned to the depar±men~ within BO days
of the well completion.
Other requirements ;nay apply. Specifications and construction diagrams are
available to insure proper installation.
Permit e~pi res December ]~1. 1'580
I certify that
1: I am ~amiliar with the requirements for on-si±e sewers and wells as
forth by the Municipality of Anchorage.
22 I will install the system in accordance with the codes.
APPLICANT D~EROY KOTILA
se~
V4.0
r't [,Il I
f:IPI::'I.!OF:IWF D. I..[!it;:',(F'r' I<OT!I..R 80H 6;:1.6 GI?.DHOOD 781:"'"4822
L.OE:FIT I ON G I I'~'.[::,HO C~13,
F'"'" ':6111:;",:[:':.¢' '"~' ~b~) b LOT SIZE 'ii! 2:. ;~ ;il Sll:II..IFII:;~:E F:'!EET
L. IEGFII.. I.._:,,:, I::1--:1. L?; ...... ." .... " ~.0,
t"tIh!iFIUI'! DI'.BTFINCE E:ETI,IEEN F:I HELL. RN[:' FIN'¢ ON"<~;ITE SEHFtGE Di[SPOSFd.-
fi..SEI F'EET FOR R Pr;~]:VF:Fi'E: I.,.!ELL.~
i'.:!iEi TO 2E'.~E~ FEET FI:;;:OP1 F:I F'LIBLZC: klELL. DE:PENDiNG UPON THE: T%"F'E OF F'UI3t..!C HELl .....
t.4EI..L L()G% !::I[~:E RE~.i.]UZI;'.E[> RND b'IUST BE RE-f'UF?.I',IEII TO THE DEPRR-[MEHT H Z'TId]:N
Ell:::' YHE HEt. L COf'IF'LETZON.
OTHE:I:~: Fi:E~i!LJ)iR[N'"IE:NTS MW'," f:IF'F'L",". SF'[EC!FICRTZONS RN[) COHS"i'RI..IC:T];OI".I
Ff'gF:IZL. F~E:L.E 'T'C~ ZNSL.IRE F'~'.OF'ER ZNSTlaLLRTZON.
I I.i:[:_'RT I [:%" YHI:::IT
::[.: :[ F:ff"l F'F:ff'I!L]:RR H ITH THE REIiCJIREP1. Eh!TS FO[;~: OH-SITE S~:;EiI.,.ffERS
I:':OF~:TH EI"¢ THE MUHIE:IPRL.}:T'T' OF FINCHORFIGE;.
2: I H:l:l.i. !i',ISTRLI.. THE S'¢S]-EM Ihl RCCORDRNE:E HZTH THE
SI ,:!,I'.,EI'i:.: ~..,..~.[l~iii~i~[...._.~1,l];!.[i,.i] ......................................
~ ' 3 '::" ' "'"% "7
P APPLl(
NT FILLS OUT UPPER HA, ONLY
Phone
· ~.~, Hayden, Fred R. & Jeanette S.
Mailin§Address 183 Ridgetop Loop, Fairbanks, Ak. ZipCode99~ 488-0138
Buyer Quain, Timothy P.
Address Rt. 2, BOX 306, Soldotna, Ak. ZipCode99669
Le~d~ng ~nsUtuuonNational Bank of Alaska (MaryAnn Fisk) Phone
Address 301 W. Northern Lights Blvd., Anchorage Zip C°de99503 265-2122
Realty Co.&AgentColdwell Banker Jack White Co. (Jack Vanden Berg) Phone
Address 3201 C St., Anchorage ZipCode99503 277--1553
Lega~De$¢ripUon LOt 68A-1, U.~. Survey 3043
StreetLocati~ ~.ile ]_.2 Alyeska Highway, east side of road (Beirne St.)
Type of Residence
(2] Single Family
~;] Multiple Family No. of Bedroorr~_ 2
[] Other
Water Supply Well log not available, Well
~] Individual ~,,-~S ~rilled ~y ~llnCo beca%%~e ATTACH WELL LOG. A weg Icg is required for aH wells drilled since June 1975.
[] Community. · ~ . For wells drilled prior to that date, give well depth (attach Icg if available).
[] Public Utilit~ ~'~'a~-~-~L%~- of ~e~r l:Lne ....
[] Individual Year Individual Installed:
:~] Public Utility /_ '~-~7 ~ When Connected to Public Utility: ]~st_..i~t~te 19~u
E] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Ti~.
Date Date Date Date ~' ~
Inspector Inspector Inspector Inspector
( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
Soils Rating Date Sewer Installed Well TO Absorption Area Well Log Received
Well to Tank Septic Tank Size
72.023 (3/~)
Fred R. and Jeanette So
183 %~idgetop Loop
Fairbanks, Alaska 996
January
Hayden
Lot 68A-a, USS 3043
31, 1984
~.'ub3 eet:
A~)proval for the individual se%'er and
until ~he foilowinwJ
~>'~.~]~!;. lo{~ sub,~aitt~d to ~hiI ot~fice for
water ti~ht.
wat~;r facilities cannot
ite~s have been completed:
files an{J
so that it is
~/C~ /33~e location of the co~munity sewer lino to your well ~aust
~' be verified by an engineer or surveyor re(Jister'3d by the
State of Alaska.
Your well distance to adjacent sewage disposal syste~us does
t,a~ toward
~ not ~neet ~4OA standards. 'i'he property to the ~ ~'
Alyeska has an outdoor privy approximately 88 feet from
-[,~C--~yot]r well. The proDerty to the ?;est has a holding tank 78
-: feet fro~ your well You are in violation of ?K)~ ordinance
/Your prope:ty is :upiex therefor~ the well operation is
~ ~ ,= of Al~,~a, De~ar~nuent o~ Environ~e~tsl
under tho ~t~ t.. ' ....
'~:,~-<'-~ Conservation - Phone A~%chorage 274-2533, Mr. Bruco
Erickson.
~ ~ ,_h~s Orifice with authority to
ou will need to ur~ish ~ ~ '
Fred R and deanette
January 31, 1984
Page 2
J)ayden
Please notify this Depart~'~lent ~or a reins~)ection wh(¢n the
noted discrel)ancies have been correctedo ~f there are Shy
further questions, please call this o~fice 4_~t
Sincerely,
JR29/ej/E1
Attached~
15.55
Ji~ Roberts
Associate Envirollmental Specialist
~ary Ann Fisk
National Bank of Alaska
3iJl W. Northern Lights blvd.
Anchorage, AK 99503
Jac}~ VandenBerg
Caldwell Banker - Jack White Company
3201 C Street
Anchorage, AK 99503
Bruce Eriek$or~
DEC
DEPT. OF ENVIRONMENTAL CONSERVATION
BILL SHEFFIELD, GOVERNOR
~lephone: ~0~ 274-2533
Address: 437 E. Street
Suite 200
Anchorage, AK
99501
April 5, 1984
Mr. Jack R. Vanden Berg
Coldwell Banker
3201 "C" Street, Suite 100
Anchorage, Alaska 99503
Dear Mr. Vanden Berg:
Subject: Class "C" Well, Lot 68-A-1, U.S. Survey
Girdwood, Alaska
The Department has reviewed the subject well and temporary waiver request
and hereby waives the following separation distances for and approves the
system for a period of 90 days from the date of this letter:
84
The horizontal separation between the well and
community sewer ma~]ole is waived from 150 ft to
94 ft.
be
The horizontal separation between the well and
holding tank is waived from 100 ft to 78 ft. -J
The horizontal separation between the well and
privy is waived from 150 ft to 88 ft. ~'
Sincerely,
Environmental Engineer
BEE/msm
ALYESKA AREA
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4.
5.
6. Well Data:
A. Type Individual
Location:
Date Received October 22, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF ~'~
Spokane Mortgage Company % Shirley
3201 C Street Suite 250 Phone: 277-0543
Jack Vanden Burg
Phone: 277-1553
% Jack White Co, 3201 C Street
US SURVEY 3043 Lot 68 A-1 of resub Lot 68
Aly~ska Road, 1.2 miles in from Seward Highway ~)TT~~/
Type of facility to be inspected Single Family No. of bedrooms 3
C. Construction
Sewage. Disposal System:
A. Installed ~74
o
C. Septic Tank: 1. Size
D~Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
B. DePth 56'
D. Bacteria] Analysis
Holding Tank
B. Installer
2. Manufacturer
2. Material
, Sewer Lines __
,Absorption area
, Other contamination
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page I of two pages
MUNICiPALiTY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF ENVIRONMENTAL QUALITY ENVIRONMENTAL PROTECTION
2510 E. Tudor, Anchorage, Alaska 99503 -276-2221 Ex. 283___ ,~
1976
;4.
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
RECEIVED
1. Type of Inspection: CMRO VA ~ FHA CONV
2. Property Owner: Jack Vanden Burg
- 3201 "C" St.
Mailing Address: c/o Jack White Co. ~ Calais ~ffice Ctr
3. Name of Buyer: Richard H. Mikkelson
Mailing Address: 805 W. 23rd~ Apt 2~ Anch., Ak 99503
4. Name of Lending Institution: Spokane Mort~a_~e Co.
Mailing Address: 3201 "C" St.; Suite 250: Anch 99503
5. Name of Realtor or Agent:
Day Phone 277-1553
week in~10/27-11/3){Slope wor~
Day Phone 272-2386 e~
Phone 227zo543
.Trunk Vmnden Bur~ - Jack White Co.
Mailing Address: 3201 "c" st.: Suite 2f)O: Aneh 99503 Phone 277-1553
Legal Description: Lot 68 A-l; o¢ the rmm.b n¢ 68: U.S. g~trvey 3043
Third Judicial District, State of Alaska.
Location: 1_~ m~z¢ Alypm~m,W~Chwmy; Girdwnnd Al,qsk,~ 99.587
30 miles from Anch.,
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
Anch. Recording Dis~,%
so on Seward Highway; left onto Alyeska Highway~ 1.2 miles in.
HOME No. Bdrms. 3
Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well 56 feet
Sewage Disposal System
HOLDING TI~NK
Type of System: Public Utility
If Individual, date of installation Summer 1974
Individual (on-site) XX
ONE
EQ-037 (1/74)
Page '2 of two pages - Re~X-~'st for Approval of Individual S~-X~r & Water Facilities
Description us SURVEY 3043 Lot 68 A-1 of resub of Lot 68
Comments
Disapproved
Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)