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Home My WebLink AboutCARPENTER LT 3AS' wiell x OWNER QFLAND: DejnMestas ADDRESS: 61U7Loganberry Anchorage Bore Hole Data From To LEGAL DESCRIPTION Carpenter Lot 3A DATE: I1-13'17 PERMIT NUMBER: osp171227 DATE opISSUE: 8-21'17 TAX IDENTIFICATION NUMBER 01205263000 |swell located atapproved permit location: MYes [_]No cable F7in�� k��airrotary L�cab|eton| El Depth ofWell: 325' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 318 feet Liner type Static Water Level: 87 feet Recovery Rate ZO �< Dpm F] 8ph Method ofTesting Air Well Intake Opening Type: X open end [_]open hole F—1 Screened Start feet Stopped ------ F—1 perforations Start ---- feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: V<�yes [_]no Method of Disinfection: Chlorine 50 PPM Comments: 4 140 140 201 201 261 261 306 306 316 316 325 Casing Stickup Overburden Silt & Sand w/Gravel Heaving Silt &Sand Silt QGravel w/Clay Silt &Sand Sand Q Gravel Silty Water Sand @ Gravel Tight Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. K8atSuBorough: Department ofEnvironmental Conservation. Well Drilling Permit Number: SW OSP171227 Date ofIssue 8-21-17 Parcel Identification Number: 01205263000 Legal Description Carpenter Lot 3A Pump Installation Date: 11-17'17 Pump Intake Depth Below Top ofWell Casing: 190 Pump manufacturer's Name: Grundfos Pump Model: 10SQE07'200 Pump Size: 3/4 Pit|essAdapter Burial Depth: 10 Pit|essAdapter Installer: Scotts Services Disinfected Upon Completion? E yes F-1 no Method of Disinfection: Chlorine SD PPM U Comments: Pit|essManufacturer: Martinson 11 Pump Installers Name: Sullivan Water Wells Property Owner Name &Address Devin Mestas feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ret.# 118545001 Client Nt rue 907 Water Well Services Project Name/# 6107 Loganberry Client Sample ID 6107 Loganberry tlatrix Drinking Water Printed DMe/Time Collected Date/Time Received Date/Time Technical Director 10/0412018 11:17 09/241,2018 14:00 09%24: 2018 14:48 Stephen C. Ede Sample Remarks: Allo%wble Prep Alial,sis Parameter RCSUItS LOQ Units Method Container 11) Limits Date 1111C tim Metals by ICP/MS Arsenic ND 5.00 ugll, EP20U.8 C (< It)) 09/25/,18 IWOI1%11,3 I)S1i Waters Department Jowl Nitrate/Nitrite-N ND 0.100 rng!L SM21 -150ONO3-P 13 (<10) 09/'6;'18 AYC Microbiology Laboratory 1'.. Coli Ne<zative 1 100mt, SM21 922313 A 091124a S K.lt Total Colilbrm Negative I 100mL SM21 922313 A 09/24r IR K.it 2 of 5 �, iCPALIrr MUNICIPALITY OF ANCHORAGE , iN Y On-Site Water&Wastewater Program �o ent 50� PO Box 196650 4700 Elmore Road •. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite t 1) •� ai tmtit ',:.4N�MOa PV6 On-Site Water System Permit Permit Number: OSP171227 Effective Date: 8/21/2017 Work Type: Well Initial Expiration Date: 8/21/2018 Tax Code Number: 01205263000 Site Legal Address: CARPENTER LT 3A G:2026 Site Mailing Address: 6107 LOGANBERRY ST, Anchorage Owner: MESTAS AMY K & DEVIN M Lot Size in Sq Ft: 8249 Design Engineer: Total Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 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 out this permit, please provide the following: 1)Well log. 2) Pump install log. 3)Water sample results for total coliform, arsenic and nitrates. U 2( �r Received By: Date: e 1 Issued By: Att/6{►A CSU Date: S 21 20 11 • lin Vii' CllPALlTY • F 4\ NCH AGE i Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. O ( 20 ra0C6 Property owner(s) 4-04 y e Day phone 2 2-1- 74-70 0 Mailing address( (�v f' po l 4- p✓' octiO9vicz J'`cy 994'07 Site address CeIL LbSai b v' fy 5t Legal description (Sub'd., Block & Lot) (t p4pq Afc 4_04_ 3A Legal description (Township, Range & Section) Lot Size _ 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 ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well I Water Storage ❑ • THIS APPLICATION INCLUDES A VARIANCE !WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of pro•erty owner or authorized agent) Permit/Rush Fees: 1 Waiver Fees: Date of Payment: 114 - 1 - Date of Payment: Receipt Number: �� /DO Receipt Number: Permit No. DSk4l12Waiver No, Permit App_9-1-12.doc LOT 2A-1 LOT 5 LOT 2B-1 f 100'SEWER / .----- \ SETBACK / SEWER \ WEST 61 St /75'SEWER MAIN f SETBACK ® SETBACK \ / OCO N90° 00' 00"E 100.00 PROPOSED WELLLOT 36 \ / ri LOT 3A _ _SITE LOCATION I CO I __------- %.° _ '/' cv CO N I co LOT 12 w I 111111 ; - EXISTINGf HOUSE '�'''' ,' L I o 0 25'SEWER ' ' ' ° SETBACK \ o 0 C1 / \ 100'SEWER / SETBACK >''.',', '.','/'' 589° 44' 20"W 100.00 LU00'PROPOSED \ WELL BUFFER LLJ \ LOT 2 v, / t2C100'SEWER 1_ .....-•-••• / (2 SETBACK — LU CO Z 75'SEWER MAIN----_ Q SETBACK e A 77O LEGEND: 0 -PROPOSED WELL /// PI 0-SEWER MANHOLE Know wears below POSSIBLE WELL LOCATION Call oeiae you my. ,r PROPOSED WELL BUFFER GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. -LOT EASEMENT LINE CALL 811 FOR LOCATES PRIOR TO DRILLING. -SEWER LINE SETBACK SEPERATION DISTANCES AND SETBACKS PER ; -SEWER LINE AMC 15.55.060 TO BE VERIFIED BY DRILLER -UNDERGROUND GAS LINE Lr' G CARPENTER SUBDIVISION DRAWN BY: PS CHECKED BY: SC Yt2rti Inc LOT 3A DATE: 4/5/2016 ale(/lee&ewe.e.,yi„eeuhg•d«ameyGlg WELL SITE PLAN JOB NO: 15064 250 4I Street Anchr gage,AK 995GI SHEET NO: SCALE: 243-8985 P:19071243-5629 1°=40 PARCEL# 01205263000 020 %.%,,.lcgak.cnm • • _,3 ...DN PROPERTY" Serv.ce Line Locatior By Sketch a 5.'1 :- Show '_ovation of Control Manhole a' 1- ALLEY ;_, o 3- AL I — •-...„. - '‘......-- 1 \ -- 4 C. -A\ Comments Re . P.P.1N CII A [TY OF ANCHORAGE Development Services Department (� 7 ) Phone: 907-343-7904 On-Site Water & Wastewater Section ' Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 01205263000 Expiration Date: 1 b 0 5) a C 1 1. GENERAL INFORMATION Complete legal description Carpenter 3A Location (site address) 6107 Loganberry, Anchorage AK 99502 Current property owner(s) Amy & Devin Mestas Day phone 907-227-7536 Mailing address 3641 North Point Dr, Anchorage AK 99502 Real estate agent Mackie Derrick Day phone 907-250-1674 2. TYPE OF DWELLING: Fl Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑x Private Septic n Water Storage n Holding Tank fl Community Well n Community n Public Water System Public Sewer x Waiver request for: Distance: Received by: 44:. oi GcUhe,.. Date: 11-5-1g COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ G 9. se Waiver Fee $ Date of Payment I I 1/11 le Date of Payment Receipt Number C,4.e� 7Q b1 Receipt Number COSA# OS( B r c7 g Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm LCG Lantech Phone 245-8827 Address 250 H. St. Engineer's Printed Name Dale McCoy Date 11/2/18 OF A(gSl1. /%4�P•• 'fy f+I 6. DSD SIGNATURE tt: 4,9 TH %I` *y� System #1 Approved for o2 bedrooms �d DALE''1'.;)1'DALE . L'�M CCOY • j System #2 Approved for bedrooms 1,1", CE/CE 33 7 sfF •.jIJ2i� ••r Disapproved ��° • `�a Conditional approval for bedrooms, with the following stipulations: ��\‘ ►�r/1/VChU("7 ON-SITE Cc\ WATER ATER IP / �C ^04",c• T SE�>>�� By: 1-6-befefiv Oct.x.Xcrd Original Certificate Date: 11 l05 Q D I S 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Carpenter Lot 3A Parcel ID: 01205263000 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA Well log is filed with Onsite (or attached) Well production at time of test 20 gpm Date drilled 11-13-17 Water storage tank volume NA gallons Total depth 325 ft Well disinfected for coliform test? ❑ Yes No Cased to 318 ft Coliform bacteria is Negative Sanitary seal is functioning correctly Nitrate mg/L 0 Nitrate less than MRL (ND) 0 Wires are properly protected Arsenic ug/L Arsenic less than MRL (ND) Casing height(above ground) 18+ in. Collected by 907 Water Well Services Date of flow test for COSA 11/13/17 Date of Sample 9/24/18 Static water level at beginning of test 87 ft. Comments Well test data was from the drilling log. B. TANK DATA C. LIFT STATION Age of tank(s) years [' Required maintenance completed Tank type/material Age of lift station years ❑ Standpipes/foundation cleanout per record drawing Lift station material Date of pumping Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) Adequacy test date ❑ ALL standpipes present per record drawing Results ❑Pass For bedrooms Total measured depth from grade ft(max) Fluid depth prior to test in Measured depth to pipe invert from grade ft(min) Water added gal ❑ N/A—pressurized field New depth in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time min depth into effective I=1 Code-required soil cover over field Final fluid depth in [' System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' p✓ Yes if No ft p✓ Yes if No ft Neighboring Tank > 100' 1 Yes if No ft Private Sewer/Septic Line >25' ✓E Yes if No ft Absorption Field on Lot> 100' J✓ Yes if No ft Holding Tank > 100' Q✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' Q Yes if No ft ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft Q✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft Property Line > 5' EYes if No ft Driveway/Parking > 0' ❑Yes if No, comment Absorption Field > 5' EYes if No ft Wells on Adjacent Lots: Water Main > 10' E Yes if No ft Private Wells > 100' ElYes if No ft Water Service Line> 10' 0 Yes if No ft Community Wells>200' ❑Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No ft Driveway/Parking > 0' D Yes if No, comment Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' fl Yes if No ft Private Wells> 100' El Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' ['Yes if No ft Surface Water> 100' E Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION _ ,�� 1 certify that I have determined through field inspections and review �P' '1"" f of Municipal records that the above systems are in conformance with 0* '49 I . �.\ *fir, MOA COSA guidelines in effect on this date. / • .,•• 4 TIT/. •• DALE t.MCCOY : j �,'�' CE 33 7 •-,,, / h4 •.•.•ii. t • - 6,'- COSA Checklist yellow sheet 30' EAST 100.00' X X 5'WATER EASEMENTX X X SHED / 0° x N II Lu W m / Nco LOT 3A X 26.3' Of —16.0' x iO jco W cc j 1f cn •:•:• _x vt LOT3B w • ._- co X Z o N EXISTING Q o M HOUSE 06 el o 0 Z co x X a00004p� OF q 0p 26.3' ao)... 49TH %\ �t7O "' D * : 49_ cri D D .! �� .. .. ---- X X x QST x100 x X X o� QQO s�,STEVES-12034 HAN:`��D SJ�°J 04�ea f„/3f/ •„6c2, LOT 2 J�4�Q OQ \ ,es(siono' �v �l4p0P' .�� NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN LEGAL DESCRIPTION: WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. 250 H Street ADDRESS: 6107 LOGANBERRY ST. PARCEL#: 012-052-63-000 NG. Anchorage,Alaska 99501 LOT 3A AS-BUILT SURVEY CERTIFICATION:LCG LANTECH,INC HAS CONDUCTED A PHYSICAL SURVEY OFTHE Survey Department CARPENTER SUBDIVISION PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS FAST Phone 562-5291 LEGEND: OTHER THAN NOTED. anr=ilml Inc Mainline DRAWN DATE: 10/26/2018 WORK ORDER: 18149 Asphalt Phone 243-8985 SEPTIC STANDPIPE O$ •. EXCLUSIONARY NOTE:ITIS THE OWNERS'RESPONSIBILITY TO DETERMINE THE EXISTENCE i ddlec&a to DRAWN BY: AP PLAT: 88-50 ',••'Concrete;; ;< -”F AECC 668 WATER WELL mm,;; • .._.__ ••-._.,. OF ANY EASEMENTS,COVENANTS,RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO CHECKED BY: SC GRID: SW2O26Overhang ::::::c: NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES FENCE —X—X—= SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION,FOR ESTABLISHING PROPERTY ORDERED BY: DEVIN MESTAS SCALE: 1"=20' FB/PG:811/67 Wood Deck LINES,OR FOR PLOT-PLAN PURPOSES.