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 \ j I)cpartmcnt 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 / N'.•,, Pli , v 2a 7;4/e7- CGC�J'�'•K/cr GZP/`� b —( "Q O_ 47" /z3 9 F d $ID f if: -r....._ • Id l po ���/ \ "��• � � � •moo _ c A . 1. �—y� n ; d o s di; d�ti ., ti ! I) j • 4- S9! fl/ 5 : o . ) f R -7— \,...:c C- P* 74 !cif ) 4 . Z. , „a, % . li, G, , , • --g d ca- . ., ; . .., v 0 . .n 6/ ' . ir G./e9a of: 4 . --- i . \ c:/.3 —I—) y",:if".2,---- ,A , '3 ,S. . ; X31 111°..' v' o So'feGTjex, C✓�4--- ex....A.-7.- . • Zoee,7'G. .03:4,04?; 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)