HomeMy WebLinkAboutGLEN EAGLE BLK 4 LT 2 Onsite File
Glen Eagle
Block 4
Lot 2
#050 - 601 - 19
Permit Number- ##SW Date of Issue: � 4111k' Parcel Identification Number:
to Started: ;,F'" Date Completed: / Is well located at approved permit location?„q Yes ❑ No
Legal cription: 6z elly
Property Owner Name, & Address: Inn,
BoreholeData: Depth (ft)
Soil Type, Thickness & 'Water Strata From To
"mazir mampae Results:
Arsenic: t� -b_ ug/L H 11122
Nitrates: _ mgj,
TotalColiform Bacteria:. 14- colonies/100mL
Other Bacteria: - col/100ml,
Mythod of Drilling 4 air rotary ❑ cable tool
Casing types5 S lee G -
Wall Thickness: o �I-Ginches
Diameter: 4 inches Depth: ,L& feet
Liner e•
Diameter: inches Depth: .feet
Casing stickup above ground: feet
Static water level (from ground level): feet
Pumping level: feet after /7/
_-/— hours pumping G � gpm �
RecoveryRate: gpm
Method of Testing:„
Well Intake Opening e:
Open End ❑ Open dole
Q Screened Start feet Stopped feet
�E' Perforations Start feet
g feet Stopped feet
Grout e•e .✓ 7el7'd' ®& Volume: ✓.s � �
De the Start feet Sto p d
Fut ap: intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection: 4,—O/ " 5-.
Comments:
Well Driller:
Attention: The well driller shall provide a well log to DSI) within 30 days of completion.
�(a v
ARCTIC PUMP & WELL INC.
Jim Sullivan
PO Box 770197
ca I W1111 srsiIj
Eagle River, AK 99 77
se«s a s[anet (907) 688-2510
1 ti�
(907)243-2282
jinv'li.arcticpunip. coin
arl"If t t t
Well Drilling Permit Number: osp181269
Parcel Identification Number: 05060119000
Date of Issue: 8-20-18
Arctic Puinp & Well, Inc.
Page I of I
Legal Description: Glen Eagle
Property Owner Name & Address:
Lot:2
Melvin Bowns
Block:4
23708 The Clearing Dr
Eaale River AK 99577
Pump Installation Date: 8-27-18
Pump Intake Depth below Top of Well Casing: 50
Pump Manufacturer's Name: Franklin
Pump Model: 10jrd05p4-2w230
Pinup Size: 1/2
Pitless Adapter Burial Depth: 9.5
Pitless Adapter Manufacturer's Name: B-10
Pitless Adapter Installer: Arctic Pump
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Puinp & Well, Inc.
Page I of I
6 �� 'w WQA
SGS ReO 1221347001
Client Name Residential Testing - Cash Account
Printed Datetrime
04/21/2022
11:29
Project Name/# Mel Bowne, ,
Collected Date/Time
04/01/2022
11:00
Client Sample ID 23708 The Clearing Dr.
Received Date/Time
04/01/2022
11:54
Matrix Drinking Water _ _
_. _.Technical Director
Stephen C. Ede
Sample Remarks:
Allowable Prep'
Analysis
Parameter .. Results
LOQ _
Units
Method Container ID
Limits Date
Date
Init
Metals by ICP/MS
Arsenic ND
5.00
ug/L
EP200.8 B
(<10) 04/02/22 04/11/22
DSD
Waters Department
Total Nitrate/Nitrite-N 2.88
0.200
„ mg/L
SM214500NO3-F ' C `'
(<10)
04/05/22
EBH
Microbiology Laboratory
E. Coli Negative
i
100mL
SM21 9223B A
04/01/22
M.A
CZE G �Y
5lyl2Z
CL)A
D\�
SGS Ref.# 1221799001
Client Name Residential Testing - Cash Account Printed Date/Time 05/02/2022 16:10
Project Name/# Mel Bowns Collected Date/Time 04/25/2022 12:00
Client Sample ID Well Received Date/Time 04/25/2022 13:53
Matrix Drinking Water Technical Director Stephen C. Ede
Sample Remarks:
Parameter
Results LOQ Units
Allowable
Method Container ID Limits
Prep Analysis
Date Date Init
Metals by ICP/MS
Arsenic
ND 5.00 ug/L
EP200.8 B (<10)
04/29/22 04/30/22 DSD
Waters Department
Total Nitrate/Nitrite-N
2.54 0.200 mg/L
SM21450ONO3-F C (<10)
04/30/22 EBH
Microbiology Laboratory
E. Coli Negative 1 100mL SM21 9223B A 04/25/22 M.A
Total Coliform Negative 1 100mL SM21 9223B A 04/25/22 M.A
MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program �� S
; PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
% httpa/www.muni.org/onsite
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9kcNOR
On-Site Water System Permit
Permit Number: OSP181269 Effective Date: 8/20/2018
Work Type: Well Upgrade Expiration Date: 8/20/2019
Tax Code Number: 05060119000
Site Legal Address: GLEN EAGLE BLK 4 LT 2 G:0160
Site Mailing Address: 23708 THE CLEARING DR, Eagle River
Owner: BOWNS C MELVIN & DOLORES A Lot Size in Sq Ft: 183668
Design Engineer: Total Bedrooms: 2
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy D Private Well 0 Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907)343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
To close out this permit, please submit the following:
1)Well log
2) Pump install log
3) Water sample results for total coliform, nitrates and arsenic
4)Well decommissioning log
Received By: Date:
Issued By: QJrf�t`�('9� C'_l��trt��,Y Date: V/2o/18
MUNICIPALITY OF ANCHORAGE
Development Services Department \`r t Phone: 907-343-7904
On-Site Water &Wastewater Section `—� Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. O,SQ - 60 J- /9-000
Property owner(s) 6O4Wit.s'1 C, nel✓in f NIOresAA Day phone 907- ‘ q4. -q58 f
Mailing address 2.3708 -i-Ac- C'Jeari tt;{ L)rI V e l 4171/C. /Over, /Q/as La._ 577
Site address 237D I --ft,_ Clearjrt `0ry ye" ca te. lei ver, A/as a_ 1 gs17
Legal description (Sub'd., Block & Lot) (/P/- ECl Ie, bloc-K- 41 Lot 2
Legal description (Township, Range & Section) -7'
i?onisof /4 AI /ean P { West Sec-fzmx- /5
Lot Size /c3 .3, 6 6 g Sq. Ft. Number of Bedrooms 2
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank ❑ Upgrade ES
Duplex (D) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings
Privy ❑ (SF and/or D) 5 6 7 8 9 10
b
Private Well d `� /7�
ti �
MANAW
Water Storage ❑ z
AUG 14 2018 1
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: 1 3
/r ti
/ Distanc e i w
\aBLg
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
0. eLA, 4;.-i,.- ? C' i<nEuli nil ipw n15 OA/vl .JRJ►.fit E -230 - c y
(Signature of property owner or authorized agent)
Permit/Rush Fees: ( Waiver Fees:
Date of Payment: $i i60 Date of Payment:
Receipt Number: l_,> /0399 Receipt Number:
Permit No. asp I$f W9 Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
SOUTH FORK CONSTRUCTION
P.O. BOX 770567
EAGLE RIVER, ALASKA 99577
(907) 694-4351 FAX (907) 694-1122
August 18, 2018
Municipality of Anchorage
On Site Sewer and Water
Re: Mel Bowns
1 ) New well is needed do to pumping mud and low flow, as per
Arctic Pump and Well, Jim Sullivan 688-2510.
2) Existing well to be abandoned as per MOA code.
3) Owner/Agent signed plot plan, see attached.
Thank you,
C-4/eie_15v2,4Ar
Dan Janke
South Fork Construction
907-230-8224
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GREA''' ,l ANCHORAGE AREA BOR( 3H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGIE/ DISPOSAL SYSTEM
NAME iC�I/� <—/��'/ MAILING ADDRESS ��� ���i ? PHONE 41 �z3�
LOCATION -/✓'� �7'�P �' �' LEGAL DESCRIPTION ^/O/ 2 8'1? 7 e�/
SEPTIC TANK:
DISTANCE6 NUMBER OF
FROM WELL G MANUFACTURER j�N-��% MATERIAL f •C7J,S,7/'!S COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ?c -'GALLONS.
TILE DRAIN FIELD:
TOTAL LENGTH
/=
DISTANCE FROM WELL 3C"' FOUNDATION `TLS NEAREST LOT LINE S OF LINES
� '�r
NUMBER OF LINES DISTANCE BETWEEN LINES 7 TRENCH WIDTH3—K IN. TOTAL EFFECTIVE
ABSORPTION AREA 117Z5?) SQ. FT. LENGTH OF EACH LINE 0 5'�-3U
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN.
WELL: ZDC`tl'I/ ,..3
TYPE Z2 19 CONSTRUCTION DEPTH 'J DISTANCE FROM:
BUILDING,s NEAREST NEAREST SEPTIC , SEEPAGE
FOUNDATION//� LOT LINE �S SEWER LINE , TANK �3U SYSTEM—
CESSPOOL
YSTEM CESSPOOL It/14 OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: C SZ—
LOT SLOPE: /
REMARKS:�'�/ 7� �7l c�;C,✓/
i `, !
Form EQ -032
REMARKS —
0 e//
DIAGRAM OF SYSTEM
'! ,,G.11
� 3v
�o
C = 3,C)
7;o—,,GCT7 "V / 2 2 7 ,/ .=
DATE / APPROVED
G.A.A.B.
NAME OF APPLICANT
GR -R ANCHORAGE AREA BO� GH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
r- t I-- -J/). Imo'.
INSTALLATION LOCATION I I L- ',=
LEGAL DESCRIPTION 1 n -r Z
MAILING ADDRESS
INSTALLATION OF: SEPTIC TANK leo< SEEPAGE PIT
TYPE AND SIZE OF FACILITY TO BE SERVED
PHONE
DRAIN FIELD OTHER
FINANCED THROUGH A TO BE INSTALLED BY
SOIL TEST RESULTS 670 , ro. ' 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. 1 F�
SEPTIC TANK SIZE TYPE U Qge-� � SEEPAGE AREA SIZE � L/ G TfPE t T row
MINIMUM DISTANCES, REQUIREMENTS � 6
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK - , SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
.ate
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD / y. 4)I ALSO CONSIDER AREA WELLS.
�S t>e1s:5
WATER MAIN TO SEPTIC TANK SEEPAGE PIT ,
DRAIN FIELD
� 1 r.
SEPTIC TANK, )OSEEPAGE PIT DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
i
G.A.A.B.
OR
LI ENSED DESIGNER
1
I CERTIFY THAT I ffJ FA (LIAR WITH THE REQUIREMENTS OF GREATER
DESCRIBED SYSTE IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE
FORM NO. EQ -01 6
��'+•.
ORAGEiAR
DIAGRAM OF SYSTEM
NlE
OUGH O-'I2DINANCE NO. 28-68 AND THAT THE ABOVE
.✓5r �
r,
ONO ON NEEN
■■■
■■■■ON■■ ■
■■�+�■■■�
a ■
V "' ■,rY■i�Y�■�ii�r
■L■■■■
0110001010101 :ME
NlE
OUGH O-'I2DINANCE NO. 28-68 AND THAT THE ABOVE
.✓5r �
r,
Performed for j
Legal Description:
This form reports:
Depth
Feet
I Le, v
'REATER ANCHOkAGL AM
-A BOM
(A DUG11)
Department of Favi roniiiental Qual i ty
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG -- 1"I"ROLATION TEST
2
3 4� 51906� 6tigoe'l
4
5
6 /115-0
7
',)ate Perforvv_7
'# ..�,J Z/
ation test
Fri
Was ground water encountered? Lqfie, If yes, at what depth?
(leading
Date
Gross Time Net Time
-Depth to Water
Net Drop
Percolation rate minute.
-Proposed installation: Seepage Pit Drain Field
Depth of Inlet Depth to bottom of pit or trench
COMIENTS: -1
Certified By. Itc
EQ -040 (6/74)
M -W DRILLING, Inc.
P. O. Box 4-1224 • 1310C International Airport Road
.(907) 274-4611
ANCHORAGE, ALASKA 99509
DRILLING LOG
Well OwnerUse of Well
Location (address of: Township, Range, Section, if known; or distance main ro
Size of casing Depth of Hole ' " feet Cased to C`'' feet
Static water level -''- ft. (above) ) land surface. Finish of well (check one) open end
Screen ( ) ; Perforated
Describe screen or perforation
Well pumping test at =fit gallons per (liddi) (minute) for ----hours with : > ft.
of drawdown from static level.
Date of completion
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
TO
TO
TO 4-5 alre
TO
TO
TO
—TO—
TO
OTO
—TO -
2
O
2 —STATE
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 6, 1976
Time of Inspection
Date of Inspection ~.l~,~, /~,
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by: Alaska National Bank
Mailing Address:
2. Property Owner: Brad and Paula Dickey
Mailing Address:
4.
5.
6.
Pouch 7-010, Anchorage 99510 Phone:
Phone:
Star Route A Box 194, Eagle River 99577
277-5511
694-9239
Legal Description: Lot 2 Block 4 Glen Eagle Subdivision
Location: Eagle River
Type of facility to be inspected
Well Data: Individual
A. Type
C. Construction
Single Family No. of bedrooms 2
B. Depth
D. Bacterial Analysis
Sewage Disposal System: On-site system.
A. Installed ~/~/~'-. B. Installer ~/~/_3 D/(~/~
1. Size /;~-~Z) 2. Manufacturer
1. Absorption Area ;~/j(J2. Material
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
Total length of lines
, Other contamination
A. Well to: Septic tank / ~/! '
, Absorption area //-//~ , Sewer Lines
Nearest lot line ~
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line~-m~/
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re it for Approval of Individual · ~r & Water Facilities
Legal Description Lot 2 Block 4 Glen Eagle Subdivision
Comments
Approved
~2~ · Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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
SIGNEDareEQ_ 034°perating(1/74) sat! s f'ac t°ri 1Y' ~' ~x~ k" >) ?~ ~-~/} ~~
Date
3330
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
"C" St., Anchorage, Alaska 99503 274-4~1
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
RECEIVED
1-Z-76
1. Type of Inspection: CMR0
VA FHA CONV xx
2. Property Owner: Brad & Paula Dickey
Mailing Address: SRA Box 194, Eagle River,Ak. Das Phone694-9239
3. Name of Buyer: C. Melvin & Dolores A. Bowns
Mailing Address: Box 342, Eagle River, Ak. Das Phone 694-2121
4. Name of Lending Institution: ALASKA NATIONAL BANK
Mailing Address: Pouch 7-O10, A~chorage
Phone 277-5511
5. Name of Realtor or Agent: n/a
Mailing Address:
Phone
6. Legal Description: Lot 2, Block 4, Glen Eagle Subdivision
Locati on: Eagle River, Alaska
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
single family No. Bdrms .2
XX
Individual (on-site)
ALASKA NATIONAL BANK
Ann LARose
Mortgage Loan Interviewer
EQ-037 (1/74)