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HomeMy WebLinkAboutCULVER TR 7 LT 2IS x I } May 05 22 09:34p 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: 012-052 32 Date of Issue: - Legal Description CULVER Block TR 7 Lot 2 Property Owner Name & Address: JOHNSON, LANCE M 6113 LOGANBERRY STREET ANCHORAGE, AK 99502 Pump Installation Date: 05 - 03 - 2022 Pump Intake Depth Below Top of Well Casing: 210 feet Pump Manufacturer's Name: RED JACKET 8S16 Pump Model. 75 Pump Size: hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: CAMPBELL Pitless Adapter Installer: Well Disinfected Upon Completion? XYes ❑ No Method of Disinfection: PELLETS Comments: 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. Permit Number: #SW 171081 Date of Issue: 5-11-17 Parcel Identification Number: 01205232000 Date Started: 5-20-17 Date Completed: 6-25-17 Is well located at approved permit location? x Yes ❑ No Legal Description: Culver Tract 7 Lot 2 Property Owner Name & Address: Lance Johnson 6113 Loganberry Street Anchorage, Alaska Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .250 inches sandy silt 2 13 Diameter: 6 inches Depth: 352 feet Liner Type: gravelly sandy silt 13 139 Diameter: inches Depth: feet silty sand 139 142 Casing stickup above ground: 2 feet sandy gravelly silt h20 won't clear 142 146 Static water level (from ground level): 9b feet sandy silt 146 231 Pumping level: 352 feet after 2 hours pumping 40+ gpm clay 231 312 Recovery Rate: 40+ gpm sandy silt wet 312 335 Method of Testing: air lift silty gravelly sand wet 335 346 Well Intake Opening Type: silty sandy gravel 346 352 x Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 2 bgs Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet WATER QUALITY TESTING � Pump size hp Brand Name CCol rm 9-A Col/100mL Well Disinfected Upon Completion? x Yes ❑ No Nitrates SE' MWL 21 G,Comments: ii Method of Disinfection: chlorine tablets Arsenic Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 �— -� I�t96ir --espe��� �@Lg9a9�63 A � � 4700 Elinore Goad P.O. Bo: 196650 LlILL_l..J E r Mark Begich Anchorage, AK 99507 s � te' Mayor vnvvi.muni.orq/onsite (907)343-7904 Puni[p �� o©c� L©o Well Drilling Permit Number -5, OSP , \rA \ t Date of ffssuae: Parcel Identification Plu-tuber: ]Legal Description Property Own blame �& Address: /"VII�756 �\ A ear- � i. s, �' C,ele,)�a`�' � L � -n ��� d)-� Pump Installation Date: 7, a ® 17 Pump Intake Depth Below Top of Well Casing:A%0 feet Pump Manufacturer's Mame: �11U&14,5 Pump Model: f (� t5 ()? "2-00 Pump Size Nq hp Pitless Adapter Bursal Depth: /U feet Pitless Adapter manufacturer's Name: C -,--UP, l a f/ Pitless Adapter Installer: V/A Well Disinfected Upon Completion? ISI Yes F7 No Method of Disinfection: 19 1a 1 ;,4 Comments: Pump Installer Name: Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE ° ,rit r n r On-Site Water& Wastewater Program ��� 5r; PO Box 196650 4700 Elmore Road s 4, Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 , y httpa/www.muni.org/onsite cparnnunt ,h�H DR AGE On-Site Water System Permit Permit Number: OSP171081 Effective Date: 5/11/2017 Work Type: Well Initial Expiration Date: 5/11/2018 Tax Code Number: 01205232000 Site Legal Address: CULVER TR 7 LT 2 G:2026 Site Mailing Address: 6113 LOGANBERRY ST, Anchorage Owner: JOHNSON LANCE M Lot Size in Sq Ft: 18555 Design Engineer: Total Bedrooms: 5 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank El Holding Tank ❑ Privy 2 Private Well ❑ 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 this permit, please submit: 1. Well log 2. Pump install log 3. Water sample results W " 1 W 1,x°ve A r.c ( 5/1 Received By: Date: J /2- I Issued By: .� Date: 5/12° 1 7 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax. 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWERNVELL PERMIT APPLICATION Parcel I.D. C.) 1 252- 32CZ Property owner(s) tA'1L E J f J5o nJ Day phone 90?-22-3—an? Mailing address 611 3 Go 6,1-A13C r 57- Site TSite address Si�N7 -(���ck "1 Legal description (Sub'd., Block & Lot) Cl. .t.EJ2 5v13 . LOT 2 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: {0 all that apply) Absorption Field ❑ Initial [ Single Family (SF) I] (w/wo ADU) Septic Tank ❑ Upgrade ❑ Holding Tank ElRenewal Duplex (D) ❑ ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well [� Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Munic. al Codes. vinyl Ai, at of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: 57(/// Date of Payment: t"i1Receipt Number: C1 SC/613b Receipt Number: Permit No. O5'f { O(-4 1 Waiver No. Permit App_9-1-12.doc H LOT 3B co .441 LSI L '—100' SEWER LOT 12 v~i LOT 3A SETBACK >- I f= 1 CC W CO 75' SEWER MAIN z SETBACK } Q l.7 L 100' SEWER 1 0 25' SEWER SETBACK J SETBACK 589°44' 20"W 172.76 I / / I / / /or_: , / . , OCO / . , / / / / M,, . / ./. 4 ., / / \Q LOT 2 / / EXISTING / F., / / HOUSE 1 o / / b*)/ c- 1 O ��� // / ° z O / r�/� / o PROPOSED WELL ��� / o I SITE LOCATION %%%j41 " / / / / I 0 I 7 / / / / / / //// I / / r 589°41' 21"W 172.07 1 I \ 75' SEWER MAIN 1 SETBACK / \ / \ _ –100' SEWER / \ SETBACK LOT 3 / N \ 100' PROPOSED WELL BUFFER — LEGFNDi ® -PROPOSED WELL e_SEWER MANHOLE 4 -POSSIBLE WELL LOCATION PROPOSED WELL BUFFER GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. ----LOT EASEMENT LINE CALL 811 FOR LOCATES PRIOR TO DRILLING. --SS -SEWER LINE SETBACK SEPERATION DISTANCES AND SETBACKS PER S -SEWER LINE AMC 15.55.060 TO BE VERIFIED BY DRILLER - -UNDERGROUND GAS LINE Lc CULVER SUBDIVISION DRAWN BY: PS — CHECKED BY: Sc 12Ch Inc —IT czC..� 7 LOT 2 DATE: 5/15/2017 aochiterhv'.e•en9i ue1in9�auwegi..9 JOB NO: 15064 noiis mt WELL SITE PLAN cCnragc.4,: w1rpi SHEET VC' SCALE: P 1'071249-Wee PARCEL# 01205232000 2IJ'�2I/'� Ci!�7!21a fa,1'1 1"�40 22r197,243 r.a.IcyaA.cnin