HomeMy WebLinkAboutGATEWAY TO THE PARK BLK 1 LT 3Goln i.A. d►�
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COLE
BILL 8. DOC CO tlba
ULLIVAN WATER WELLS
RO. Box 670269, Chugiak, AK 99567 688-2759
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW 910253
Date of Issue 8-27-91
Parcel Identification Number: 06760111
Legal Description
Gateway to the Park Blk 1 Lot 3
Property Owner Name & Address
John Paskievitch
2107 Mt. Kiliak Cir, Eagle River, AK 99577
Pump Installation Date: 6-5-15
Pump Intake Depth Below Top of Well Casing: 72 feet
Pump manufacturer's Name: Goulds
Pump Model: 7SB10412CL
Pump Size: 3/4 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Installer: UNKNOWN
Disinfected Upon Completion? ® yes ❑ no
Method of Disinfection: CHLORINE 50 PPM
Comments:
Pump Installers Name: COLE & TERRY—SULLIVAN WATER WELLS
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
of Anchorage Page 1 of 7i
,-Municipality
_ DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: -I 1 022- PID Number 6(01-("0 l I 1
moName: ri •
o+-F.,t �P�S►t-►�J�T�
Wastewater System: 7iNew 0 Upgrade
Y
Address: 4,42_ . �o�C -i-1.G (0s8• ti -
ABSORPTION FIELD
Phone:
e IS
No. of B ooms.
0 Deep Trench hallow Trench 0 Bed 0 Mound 0 Other
LEGAL DESCRIPTION
Soil Rating:
O. GPD/Sq. Ft.
Total Depth from original grade:,
4
Lot_ Block Subdivision:
1 Nrr 1�.�i�Y T/i
�Depthh to pipepbottom from original grade
'Ifs-- 1... Ft.
Gravel depth beneath pipe /
" Ft.
Township:Ran
g e I Section:
Fill added above original grade:
.721V Ft
Gravel width: i
Ft.
Gravel length:
Number of lines:
i
// --,
�W Ft.
Distance between lines:
N I¢- Ft.
WELL: 0 New 0 Upgrade
Clala[s,/ifi,ccaa�tion (Private.. A{.B.CI-
l 12 k / - -
Total Depth.
Ft.
Cased To:
Ft.
Total absorption area: �j�
�"7e/ SQ. Ft.
Pipe material: 1✓�l lb fee.
-17:70
4
Driller.
Date Drilled.
Static Water Level:
Ft.
Installer:
G GG Go,--tr.
Date instaUed: ' 2--Z--.9
-cl
� 1
Yield
GPM
Pump Set at:
Ft.
Casing Height Above Ground.
Ft.
TANK
SEPARATION DISTANCES
Septic 0 Holding ❑ S T.E.P.
To
From
Septic
Tank
Absorption
Field
Lilt
Station
Holding
Tank
Public Private
Sewer Lines
MM^a--nu'fwacturer /��
. * l 6. I _-
Capacity in gallons
t QVo
Well
I cps `
s
t2"1�
--.
•—
Z44—
Material:
,‘TrG,�.t.,--
Number of Compartments:
2
SurfacWaere
iCV14-
ted+-
--
_
LIFT STATION
Lot'
Line
0t+-
•4-
119
Size in gallons:
Manufacturer.
Foundation
j475:--jU
-
•
'Pump on level at;
- ump'off' level at:
High water alarm at:
Curtain
Drain
-1..3 Oi-1.
V_.1...1
o1,,
Id
Pump Ma • Model
Electrical Inspections performed by-
yDrain
Remarks:
BENCH MARK
Location and Description:
—r,P o� 4-.)&-.4----• 5 L—
Assumed Elevation: O
1�'Ft
ENGINVL
�'OF_ALMi
r riry�P.E.�....... qs h
e•/,9i
i * 497E 6/%1P
* i
one .« ...
•
S i S ENGINEERING
Eagle River Loop Road. No. 204
17034 Ea9,.
Inspections by:tagteitDates. 1st 9-1 ' °t 1
performed
2nd Cl -22 1l
0 •I
..•..« • • » •
I t'• ROGER SHAFER • �;
�j No. 8215 • a_
lei Fo.7..•«�.1• ���-�
,%\�;` N~�
Department of Health and Human Services approval
Reviewed and approved by: - t11J IIA Int Date. iii /q4"
Permr3 No SW910253
Page
2
of
2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
GATEWAY TO THE PARK SUBDIVISION,
Legal Description: BLOCK 1, LOT 3
PID No • 06760111
CO1 CO2
/r 102.3'
FINAL GRADE
NEN
977 1000 GAL
SEPTIC
TANK
N.T.S.
97.4'
1000 GAL SEPTIC TANK
F0
002
CO
CO
3 BDRM
HOUSE
FOUNDATIO
B
MALE V - 40'
003
TRENCH
• 81.8' WATER FOUND 8/7/91
A B
FCO
CO1
CO2
CO3
C04
MT
10.6
16.5'
17.0
36.0
79.5'
79.0
40.3
51.0
52.0
49.5
114.5
114.0
-5CuiwG 7704 TV A..T k -I rarr,G iv 7ier/A/
2-013 A (Rev. 9/91) MOA 25
//43
ENGINEER'S SEAL
Lit
;4°,06 •••.7.411÷
16.
tOTP
bort A. SMkiL•
iP o No. g57.f ;
Tom Fink,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 27, 1992
John Paskievitch
PO Box 770658
Eagle River, Alaska 99577
Subject: Lot 3 Block 1 Gateway to the Park Subdivision
Permit #SW910253, PID #067-601-11
The subject permit, issued August 27, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of August 27, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the t
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. All 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.
Sincerely,
n Smiifpf, P. E
ogram Manager
On-site Services
enc:
Copy of Permit
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
Oc-toben 21, 1991
Muni.cipaeity o4 Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: SEPTIC INSPECTION REPORTS:
NE o,SW a, SEC. 6, T14N, R1W, S.M.
Lot 3, Bean Park Subdivision;
Lot 6, Btock 4, South Fork West Subdivision;
Lot 16A, Sec. 15, T12N, R3W, S.M.
Lot 29, Hittside Pank Subdivision;
Lot 6, tock 8, Ttaits End Subdivision;
Lot 3, B.Lock 1, Gateway To The Park Subdivision;
Oven this bummers we have pegonmed .inspections on .the .insta.QLation ob
septic systems located on the above ne,Senenced propeaties. AU o4
-these systems were .ins.tatted in a satisfactory manner and .in accordance
with the penm.Lti. .issued by yowc oWee.
However, to date .these remain v.irtua-Ug undeveoped properties without
iounda ions ins -tatted. Once 4oundat ons are £n-6.taW-2ed we w.iU
comp.Leted inspection reports with swing .fres .tied into the corneas og
the house. The appropn,Late eeevatLon data can -then be -tied .into a
pnopL benchmark. Therebore, completed septic inspection repot -t6 4on
these propeati.es are gonthcom-Lng.
Ib you have any questions or comments pease contact us.
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
r 1
D
OCT 221931
Dep -i. F:'=a,'th;.� Human Seage
rvices
S.incereey,
ROGER J. SHAFER, P.E.
RJS/gm
cc: REFERENCED PROPERTY OWNERS
17034 EAGLE RIVER LOOP. SUITE 204, EAGLE RIVER, ALASKA 99577
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 AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910253
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:PASKIEVITCH JOHN
OWNER ADDRESS:P.O. BOX 770658
EAGLE RIVER, AK 99577
PARCEL ID:06760111
LEGAL DESCRIPTION: GATEWAY TO THE PARK BLK 1 LT
3
LOT SIZE: 198598 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
DATE ISSUED: 8/27/91
EXPIRATION DATE: 8/27/92
1St iHspeycrrogi
10:004.14A
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:
RECEIVED BY:
ISSUED BY:
DATE: 0-8/C)/
DATE:
1//
744 th e 0,0/ _716 aQ/// T/f /C/ �%%7 ,/ "70/
/4-7 / �' xl '7l L "/ /4 (42 e4
/ Ca -t- , ,J
A A.
*
(f RIVER. Phi
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
August 15, 1991
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
Mun i.cipa J. ty o6 Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, ALaaka 99519-6650
REFERENCE: Lot 3; Block 1; Gateway To The Pank Subdivision;
Request you issue a permit to &Litt a well and £.n41ta t a septic system
on the re6enenced pnopenty.
This is a large mountain side pnopenty o6 ovet 4 acres £n size. Most
ob the pulpvtty is very steep with slopes .in excess o6 90% on the
upper pontoon. HoweveJL, the lot ,i.s highly vegetated with a thick
ongani.c layer. The anew proposed on. the dn.ai-n6.ield trench is leaser
in grade and Sonms somewhat of a bench which .is suitable 6or an
on-site septic system.
Since these lots are so Lange we do not anticipate any adverse ebbects
on neighboning propentie.6 by the inatattation ob the proposed weft and
septic system.
Ib you have any questions or require additional inionmati.on 6or your
review, please contact us.
S.Lnceneey,
2a
ROGER J. SHAFER, P.E.
RJS/gm
nnu FACT F RIVFR I OOP_ SUITE 204 EAGLE RIVER. ALASKA 99577
•
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: Ni 1:74.1J E'J0z0
•� ��E _ =• 1
EreGINEE40110.S
*::4g
R
i1.1&7,
paOF
DATE PERFORMED:
ER J.
AFER,P.E fL�
Crr
15 •oof
t
• -s_ —
LEGAL DESCRIPTION: L3 Cid 1 -- 4E Township, Range, Section:— 3v4
SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
,pEPTH
�)
4V1
o•f v
e
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ptl 0
1 O
DEPTH? p
Depth W Water Ater,, 1
Me Bering?
Deal 6-1-01/
E
N
'
5
rre-
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
rii
%
¶1
1
141--011
'S:Zov,
5 tj"
'L
, 3 7
10 1.41.4
5 tis
s /74
1
g :50•s
'V.
ek
4Do•
5 1b''
(1.0,
4-'. to
s 4 "
Srv
S
PERCOLATION RATE
TEST RUN BETWEEN
L
t (minutesiinch) PERC HOLE DIAMETER
FT AND et FT
COMMENTS
PERFORMED BY' I
17034 Eagle River Loop Road No. 204
S & S ENGINEERING
ACCORDANCE WITI-fillikBRAIMMAteilkfaildra GUIDELINES IN EFFECT ON HIS DATE. DATE
CERTIFY THAT THIS TEST WAS PERFORMED IN
8-14-91
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: t l�(�>(--11Gt-1
LEGAL DESCRIPTION: L-3 fN 67/51.6t ' ,oj t ry`Township, Range, Section:
1
2
3
4
5
6
q&TH
skEEr)
ti
-a
/4r
10
11
12
13
14
15
16
17
18
19
20
J
COMMENTS
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water Aller 1
Monitoring? pelt 87-1 I
S
L
0
P
E
SITE PLAN
N
S
t(�i
S—
t
4 -
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
dIiLl ,47
1
131-'i)2-19
�
--
4... /2:4
._.
2'
1.:,c,
l b H ira
�J' &,"
""
► :4v
N
S
75k
5
Z:cG.
u.<,
"
t'2. N
PERCOLATION RATE (minutesiinncch) PERC HOLE DIAMETER
TEST RUN BETWEEN - FT AND 1 FT
5 & 5 ENGINEERING
PERFORMED BY 17034 a RoverI —" I( CERTIFY THAT THIS TEST WAS PERFORMED IN
Eagle Loop Road No. 2N
ACCORDANCE WITH gagfellehlt IrAillIalelrificaGUIDELINES IN EFFECT 0 THIS DATE. DATE'
t3 (4—Pb1
OWNER OF LAND
(1rrtifirb Drilling ititig
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759
J -1h1‘.1 PASKIgJ/ TC- hi
ADDRESS ti:.) Al 77 005 - E /2- STT. TIC LEVEL OF WATER FT 4 b
LEGAL DESCRIPFION4 S QC j! / C47" :-.-1,-1-,- 73 -ri-i //94
AAW DOWN FT
fqd
PERMIT NUMBER '` - "`'Rt DaFi 1,
DEI'TH OF WELL
�° to // 147:94 -
DATE - Started Ended
GALS. PER HR 90 '3
IUND OF FORMATION:
From c- Ft. to ` �Ft CifS /'v C. STICKUP From Ft to Ft
From Ft to 4 Ft Duc45UQAr r1/4 -J FromFt. to Ft.
From 4 Ft to'? Ft S/`t T CGA % t & `Ifrfitn Ft. to Ft.
From Ft. to Ft. i'c.+/ C a JAE -f From Ft. to Ft
From 1 r Ft. to SS Ft f/A4CDI'/g'v j L.J %3!d' d4 C"3" From Ft to Ft
..c‘From � Ft. to 70 F. Ct p / Melt 0 CL ci4-.)Frot om Ft. to Ft.
From 7 3 Ft. to S—i Ft. S /1-.."0 'ASG 4.From Ft. to Ft.
From Ft. to Ft. Lc) -1—&:' From 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
From Ft. to Ft From Ft to Ft
From Ft. to Ft. From Ft to Ft
From Ft. to Ft. ya� / From Ft to Ft
From Ft. to Ft. i " \��QQ�v \\ From F. to Ft.
i
From Ft. to Ft. \SP\ From Ft. to Ft.
From Ft. to Ft. 06From Ft to RECEIVED
MISCL. INFORMATION:
NOV 9 1992
Municipality of Anchorage
Dept. Health & Humdn Services
DRILLER'S NAME