HomeMy WebLinkAboutALPINE VILLAGE BLK 5 LT 4Alpin Villag Block 5 Lo1- 4 #014-132-13 9951 ~ ANCHORAGE~ ALAI~iKA 844-?714 SIX INCH WATER WELL DRILLED OUT TO THE DEPTH OF ..1 41 ~'e e'b . DRILLED AT THE RATE OF PER FOOT. Steel casirlg seated to i L~t ' , PROPERTY OWNER -~l'idel C. Johli~ /P3U 7, urich St Ancn. 9~PU7 d1/413~1~ Alp.fine Village Bi~. P Lt. ~ of ~ampart Dri±ling Wor~s. LOCATION OF WELL SIT~- DRILLER .... ~ e ~ ~'~:~ e C 1 a U S WELL LOG: 0 - 15' Si.!t7 sanay fine grav~i. 3>~ clay materia±. 1~ - b4" ~V'arcpan. A ce,.~entem gravel. 04 - lop' Gt.a~ei with 40% clay. I~) - 13~' A silty fine gravel with 20% wet c±ay. 13© - 141' Water bearing coarse gravel. Very gooa water aquifer. The full water production at 1OO9;. ou.'nping rate is Sgpm. ~¥hter recovery is back up to within 35 feet of surface. m,.-.~.,..o~ Water Well. paid in full by' Patricia Vanaer Plaats, p/b/91 Check ;/~ ~:,:.1-I.,)9 C~.,.~rge for ~5~ feet onzy. Top of casing, ~q.l feet RECEIVED MAY 1 199 . Mun~c,~pal~zy of Anchorage Dept, Health & Human Services COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF THANK YOU VERY MUCH. ~ ~~'~ A~ BERNIE CLAUS OF R S DATE ~ay t2, t991 SERVICE* CHARGE OF 1½% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS. PAGE 1 OF 1 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 SYSTEM PERMIT PERMIT NUMBER:SW910078 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:JOHNS MARIDEL C OWNER ADDRESS:7238 ZURICH ST ANCHORAGE, AK 99507 DATE ISSUED: 5/01/91 EXPIRATION DATE: 5/01/92 PARCEL ID:01413213 LEGAL DESCRIPTION: ALPINE VILLAGE BLK 5 LT 4 LOT SIZE: 8450 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: 0 4J 0 4J ~U 0 -H oooo oo~ 0 ~0~ oooo ~o~ 4J >. 0 ~ U 0 ~ Z rO 0 ~ Z c~ U oooo O~ ZU 4J :> ooo oooo oooo oo~ oo~ oo~ oo~ ooo ooo ooo oo~ oooo oooo ooo~ oooo ooo ooo Mun,c pal,ty of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program .,~ · 4700 South Bragaw St. ,~ ~ P.O. Box 196650 Anchorage, AK 99519-6650 i ~111111~ ~ ~' www.ci.anchorage.ak.us 1~i~ (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY" APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 014-132-13 1. GENERAL INFORMATION Expiration Date: Complete legal description ALPINE VILLAGE SUBDIVISION; LOT 4, BLOCK 5 Location (site address (Jr directions) 7434 ZURICH LANE * ANCHORAGE, AK Current Property owner(s) MARK LAPALM Mailing address 7434 ZURICH LANE * ANCHORAGE, AK Lending agency Mailing address Real Estate Agent Mailing address Day phone 357-4781 Day phone SEAN PINELLI w/ PRUDENT~L ~STA Day phone 4241 'B' STREET * ANCHORAGE, AK 99503 440-2829 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OFWATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Sen/ices Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-fatuity on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private er Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties sen/ed by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1,025 at, or pdor I to closing for the engineering sen/ices pmvfded. I 4, STATEMENT OF INSPECTION BY ENGINEER As cerfified b~/;~y, seal affixed hereto and as of the validation date shown be/ow, li%e#fy that my investigatio~;'bas'~d on procedures outlined in the Health Authority Approval Guidelines'for this application, shows that th'e on-site water supply and/or wastewater disposal system is(am) safe, functional and adequate for thS'~hUi~[~er of bedrooms and type of structure indicated herein. I further ve#fy that b~'~e'd on, [thb',~. inforr~a#~n obtained from the Municipality of Anchorege fi/es and from my investigation and i:~'p~fid~, the '~br/-site water supply and/or wastewater disposal system is(am) in compliance with ali applicable Muh'icipal a~d State codes, ordinances, and regulations in effect at the b'rne of installation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD. SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY' A. GARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the bTne of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being se~ed by the system. These conditions are outside the control of the evaluator of the system. Satiafactory test results do not guarantee future performance of the system, nor do they guarantee that there ara no hidden defects or encroachments. AKWWC. Inc. can therefore not provide any warranty or future esb'rnate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any re/lance upon or use of this report by any other person or parfy is not authOriZed, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE t./'"" Approved for. ,~ bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: \.. \,~ .. o ~-,~ · WAll:.ht AND ; ~ :. WASTEWATER; -= ... :~ ..... ~,~ Manitenance Agreements :x~ ?0/', · -~C~ Supplemental Engineer's Reort "-/.U~ U)) m~~' Other Original Certificate Date: ~ - ..~ (o "' ~) '~.~.. Municipality of Anchorage Development Services Department Building Safety OIv~lon On-Site Water & Wastewster Program 4700 South Bmgaw ~t. P.O, Box 196650 AncO. AK g9519-6650 csoz) a4a-z~04 Legal Oescrlptlon: A. WELL DATA Well type PmV^T~ Date completed Total depth 141 HEALTH AUTHORITY APPROVAL CHECKLIST ALPINE VILLAGE S/O; LOT 4, BLOCK 5 Parcat ID: 014-132-13 Data of test Static watar level Well production 8 WATER SAMPLE RESULTS: C~lfo~ 0 colonies/100 mL A~enic: N/A mgJl.. SEPTIC/HOLDING TANK DATA Tallk Type/Material Tank size__ gal. Founda~on cleanout (Y/N) Date ef p~h.p;.g C. ABSORPTION FIELD DATA If A, B. or C provide PWSID~ .N/A Wall Log (Y/N) YES 2/91 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Cssedto 14.1 f. Ca$tngbelght(aboveground) 12+ in. FROM WELL LOG AT INSPECTION 5/12/91 8/14/2002 58 fl. 77 It. g.p.m. 2.,5+ g.p.m. Nltrata 0.203 mgJl.. Other bectarla __ Date of sample: 8/14/2002 Collected by: PUBLIC Number of Compartments Depree,~i,"dl ~, ~ank (Y/N) Pumper 0 .colonies/100 mi. AKWWC, INC. SEWER Date installed Clea~n, ~ Hlgh water alarm (Y/N) Date Installed ,Soil rating ([~r lt¥odrm) ~ System type Length ff. Width lt, Grav~~/ R. Total depth fl. Eft. abeomUon area lta Monitor/Depression over field Data of adequacy tast Resu~~ For bedrooms Fluid depth in absorDflon field ~/~""~in. Water added, gal. New depth, in. Elapsed~,,,._a.,JaYa~--. Final fluid dep~ in. Absorption rata >= g.p,d. ~enatlon treatment (past 12 mo.) (Y/N & type) If yes, give date D. UFT STATION Date installed "Pump on' level at in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off" I~vel at Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/llft station on lotN/A Absorpaon field o~ lot N/A Public sewer main 75'+ Sewer/septic service line 25'+ Manltole/A~c~,~; (Y/ti) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A 6EPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Water main Water sewtce line Wefts on e~;cer, t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Water se;vice line Curtain drain COMMENTS PUBLIC Absoq~lon field Sunace water Building foundation Surface water Wells on adjacent lots O. ENGINEER'S CERTIFICATION I certify that I have determined thmugt~ field inspections end revfew of Municipal records that the above systems ere in conformance with MOA I-IAA guldeflnea in effect on this date. Engineer's Prln~d Ne]ne °ate JEFFREY A. GARN£SS , Fee$ Date of Payment Receipt Number (Rev. 100'+ SEWER Water main °rlvct.~y, parklngNehicie storage Waiver Fee $ Date of Payment Receipt Number ..~'C-I$-OZ IO:I?AU FEO~A-CT&E ENVIROnmENTAL $~V 90?$$15101 T-835 P.OZ/03 F-261 ,d~lkre~.. CT&E Environmental Sn~ice~ Inc. CT&£ Rtl'.# Client Name Client Sample 113 Ma~lx O~der~d By PWSID Sample 10250980O1 AK Water &. Wastewater Comultants In¢, Alpine Village IA, B5 Alpine Village 1.4, B5 Drinking Water ,All Dates/'flm~ are Alaslm Standard Time Printed Daterfln~ 08/1 ~/2002 Collected Datetflme 08/13/2002 11:55 Reeelwd Dale/Time 08113/2002 12:10 Technical Director Stephen C. Ede Results PQL l Jain Method Allowable Pte~ Ansly~$ IAmiu l:)ate I~te Init Nircate-N 0.203 0.200 mg/L EPA 300.0 {<"10} 0g/13/02 JDT Tolal C.431iform col/100mL SMI8 9222B 08/13/02 SBH 90755153Q1 T~835 P,03/O~ F-2;I CT&E Environmental Services Inc. · 200 W. Purer Drive )rlnking Water Analysis Report for Total Coliform Bacteria ^.~hor.,o.AK 995~8-1606 Tel: (907} 562-2343 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: 1907} 661o6301 MUST BE COMPLETED BY WATER SUPPLIER 13 PUBLIC WATER SYSTEM LD. # I~r PRIVATE WATER SYSTEM ' ri Send Res#~s r~ Send lnvoiee Month Day Year /~MPL£ TYPE: Routlfle ri Repeat Sample (for routine sample with lab reS, ~ Special Purpose Time ' SAMPC~ COCATtON Col[ecled ri Treated Water ti/. Untreated Water TO lie COMPLETED BY LABORATORY Analy.sls shows this Water SAMPLE to be: P~' Satisfactory O Unsatisfactory I~ ' Sample ov~ lO ~ou~ old; ~1~ may be ~liable . ~ Sample ~o long In ~nsiC sample ~hoqld ~ indicate reliable result. Please s~d new sample ~a Special dd~e~ ~il. ~me Revolved . ' ' f ~ ~ · Analytical Method:. ~--Mcmbtane Filter CI MMO.MUCi * Nember ofeolenies/100 t~l. Lab ReS. f%. Result* . Analyst Scm to A.D.£.~. Aneh FUk~ Jun Client notified of unsat!sfaetery results:. Foxed Faxet~ BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUI~ Result: Total COliform E, Colt Membrane Filter:, Direct Caunt ~ . , . Colonies/%60 Verification: LTD BGB COLIFIRM l~'ecal Coliform Con'fir~atlon Rnol Membrane Filter Resales Rrparted ll~ p~ Coliform/lO0 mi Date ~[~-/t~5'~ Time ~;~]t~-" hr. A N 89'59q2'1:' 130.00' 34,0 N ',' (/) o Fq g 89'59'12"~/ 130,00' SURVEY CDRNmERS SET THIS DATE SCALE,I' = e0* iNFORMATION HEREON IS FOR THE USE OF IrNOING INSTITUTIONS SP£CIfiCALLY TO SHOW ANY CONFUCTS BETW :[I~AC~ R~C~t)~NG ~$T~tCT, ~ ~ ~T ~1~ S~RES AND P~D ~T UNES OR ~[N~ ~O ~ NOT TO BE US~ FOR ~ffiONING ~ffiffiN.[~ vzsx~ l~s SI~TEA ~ ~ flffi ST~RE~ OR FENC~N[S.T~ ~RTY L~S ~O ffi VISI~ ~NTS ~ Or RECORD, O~ER ~ ~OS[ ~O~ ON ~[ RE~ROED ~T, ARE ~T S~ HEREON.(U~ I~CA~D) ~: A~ ~NC~N[S SHO~ AR[ ~D APP~XIUA~Y AHD ARE ~T TO BE ~ED TO D~RUIN[ P~PE~ ~ _~T ~ ~ ,I [; ;: SCAL ~. I", '1o~ EASEMENTS OF RECOrIo. OTHER THAN THOSE .SHOWN ON TIlE I~E¢OFIOED PLAT ARE NOT ~HO~¥N IIEI~OH. · ' ' AS*BUiLT