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Home My WebLink AboutSPENARD HEIGHTS ADDITION LT 16Onsite File PENARD HEIGHTS ADDITION Lot 16 AN .2 4 OEM I I r.4 Certified Drilling Log DOC CO dba BILL 8& COLE '00'h'— N 4woALIVA" WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2756 OWNER OF LAND: John S. Sinclair ADDRESS: Bore Hole Data Depth, From To LEGAL DESCRIPTION Spenard Heights Addition Lot 16 DATE: 30-2-17 0 2 PERMIT NUMBER: OSP171286 DATE OF ISSUE: 9-27_17 TAX IDENTIFICATION NUMBER 01205220000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: ®air rotary Rcable tool Depth of Well: 336' Casing Type: Steel W3tl thlcl rRess .250, itches Diameter: 6 inches, depth 334 feet Liner type Static Water Level: 85 feet Recovery Rate 60 ® gpm gph Method of Testing Air Well Intake Opening Type: ® open end open hole ❑ Screened Start fleet Stopped 0 Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 Ibs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes no Method of Disinfection: Chlorine 50 PPM Comments: 2 4 4 28 28 62 62 91 91 121 121 179 179 221 221 251 251 302 3102 312 312 329 329 336 Casing Stickup Overburden Sand & Gravel w/ Clay Tight Silty Sand & Gravel Silt & Sand Siff & Ciay Silt & Sand Sand & Gravel w/ Clay Silt w/ Sand & Gravel Sand & Gravel w/ Clay `Ffeava�ng Silt Sand & Gravel w/ Clay Sand & Gravel Water 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. Matsu Borough: Department of Environmental Conservation. P DOC CO dba BILL & COLE tULLIVAN WATER" WELLS -0, P.O. Box 670269, Chugiak, AK 99567 688-2759 w uilivar ator elt .com- Pump Installation Log Well Drilling Permit Number: SW OSP171286 Date of Issue 9-27-17 Parcel Identification Number: 01205220000 Legal Description Spenard Heights Addition Lot 16 11 Pump Installation"Date: 11-1-17 11 Pump Intake Depth Below Top of Well Casing: 290 11 Pump manufacturer's Name: Goulds i Pump Model.: 10K{ .0,422C 11 Pump Size: 1 11 Pitless Adapter Burial Depth: 10 11 Pitless Adapter Installer: Scotts Services II'Disinfected`Upon Completion? ® yes 11 Method of Disinfection: Chlorine 50 PPM 11 Comments: Pitless Manufacturer: Martinson II Pump Installers Name: Sullivan Water Wells Property Owner Name & Address John S. Sinclair feet BE feet QUALITYWATER Col/100ml- coflfbrm • • It'3 wq Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. ,„H' ""'`,,F MUNICIPALITY OF ANCHORAGE v,-,,,,r On-Site Water& Wastewater Program ` S�; I1re PO Box 196650 4700 Elmore Road • Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite -- I)epart ii.•nt On-Site Water System Permit Permit Number: OSP171286 Effective Date: 9/27/2017 Work Type: Well Initial Expiration Date: 9/27/2018 Tax Code Number: 01205220000 Site Legal Address: SPENARD HEIGHTS ADDITION LT 16 G:2026 Site Mailing Address: 3819 W 63RD AVE, Anchorage Owner: SINCLAIR JOHN S Lot Size in Sq Ft: 17438 Design Engineer: Total Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank El Holding Tank El Privy Il 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, nitrates and arsenic. ' / /r Received By: , Date: - if~ aI 7 Issued By: eQw Date: 7/2 7 2 0/ 7 cE rt • Community Development Department ^',! f 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. 0 I a. O 5 c O °O II / Property owner(s) `�6�c. .ti 5i ; cel Ai(Z Day phone 9° 7 a 6 9 I e-{° yO Mailing address 3 g 147 W 6 3 ! `4 Site address 5/3 o'N, c Aa4I ov r Legal description (Sub'd., Block & Lot) 4L r orc-Q. )-.;�y�f s vt_e 4- 1 to Legal description (Township, Range & Section) ,1 Lot Size Sq. Ft. Number of Bedrooms ("1-- APPLICATION ZAPPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (tE all that apply) Absorption Field E Initial B. Single Family (SF) J. ❑ (wlwo ADU) Septic Tank ❑ Upgrade Holding Tank ❑ Renewal Duplex (D) El❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well E Water Storage ❑ . THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is co ect. I further certify that this is in accordance with applicable Municipal Codes. --2 . (Signature property owner or authorized agent) Permit/Rush Fees: l �j Waiver Fees: Date of Payment: q a/[Date G 61O Date of Payment: Receipt Number: a 1 c7q a Receipt Number: Permit No. ect.Ill - ,c Waiver No. Permit App_9-1-12.doc LOT 13 LOT 13 100'SEWER SETBACK 200'EXISTING WELL BUFFER / i \ _ N89° 57' 39"E 116.21 / '/. ////:://:////////://://:////://://///1///////, , , , / , , , , , , , , ,, LOT15 / / / / / / / / / / / / / / / / LOT 17 0 /;,';•;/;,', LOT 16 ; /',';/' / / , O \ 111 / // / / ,� / / / / ,/ ,/ / / O / / / / / / ,://// / ///// /,.// / LC) \ / ,//////////////////,/////// / / 100' PROPOSED /',///'//,////, WELL BUFFER > / / / / / y / ' / / ' / / / �7 // //7 ,',,, � �///�) / , O I75'SEWER MAIN EXISTING il c..r) I SETBACK HOUSE / 1 PROPOSED WELL w SITE LOCATION MI . • I /100'SEWER R SETBACK / I25'SEWER .; / SETBACK I 1\ 589° 55' 50"W 116.21 '100'SEWER / SETBACK WEST 63RD AVE. / N I i /- LEGEND: / 100'SEWER 0 —PROPOSED WELL _ , — . 1 SETBACK 0—SEWER MANHOLE '://:";://-POSSIBLE WELL LOCATION ,��M,y below. 2� 1 Cdl we.nw A, ----PROPOSED WELL BUFFER ———-LOT EASEMENT LINE GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. SS——SEWER LINE SETBACK CALL 811 FOR LOCATES PRIOR TO DRILLING. f1 -SEWER LINE SEPERATION DISTANCES AND SETBACKS PER —UNLDERGROUND GAS LINE AMC 15.55.060 TO BE VERIFIED BY DRILLER i 1 SPENARD HEIGHTS SUBDIVISI N DRAWN BY: PS C G ^ CHECKED BY: SC ant-arli ID.0 LOT 16 DATE: 09/19/2016 250 II St ct WELL SITE PLAN JOB NO: 15064 Anchor age.4K 99501 SHEET NO: PARCEL# 01205220000 SCALE: 0 � P 1907:243-N9S3 I-t90/)24:1-56291 '4°. MUNICIPALITY OF ANCHORAGE SEWER 86 0 415 z. ,1CONNECT CONNECT PERMIT • E iiiiig.. , DATE OF APPLICATION 42.2/R( e 1401.OF • SCHEDULED COMPLETION DATE WATER&WASTEWATER UTILITY Q SINGLE FAMILY ,' 3000 ARCTIC BOULEVARD O MULTIDWELLING PHONE 786-5557 No.APTS 2 0 COMMERCIAL LOTlT�}A6T ! BLOCK 41- _ _ 0 INDUSTRIAL SUBDIVISION 11E14174 g`0 14-E I!r H r,t TAX CODE 0 12-6:Z-7-0 GRID 2O7-c. DRAWING No. 7g Z i BUILDING ADDRESS 7 7 11 W ''' '' Ad OWNER LIA s-1"114-1Z r, (.T t 0 C.Lr( A' L LCh Cr PHONE MAIL ADDRESS 32 19 1.J &'3 4" AVE CONTRACTOR:ILIA/4C..tet [^•LA ASSESSMENTS • (License&Bond required) yi ON PROPERTY ONLY 0 Main extension agreement ❑ MAIN TAP—TO PROPERTY LINE ONLY O Subdivision agreement (MOA or State ROW Permit Required) 0 Extended connect agreement ' ❑ MAIN TAP&ON PROPERTY CONNECT 0 Pending O R-O ((MOA-W orNO.State ROW Permit Required) PERMIT ISSUED BY; • CONNECTION SIZE 4 r! CHARGES INSPECTION FEE S tO f lij PAID 0 CASH PERMIT FEE S S - .n CKI i7 REIMBURSIBLE INSPECTED BY: NUMBER DEPOSITS , TOTAL $ 1 J DATE: S.21i10 REMARKS. /` PERMITTEE(Please Prmt)F. 4•-+rLCC C0 tr.7 it en t4►6}pN i _ 24 ' L.*4c MAIL ADDRESS 11.11 L ,( 2.101.I ! A k_ "t 1'= b r • I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM f i. / PE-MI TEE SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE Bei"R"mei AWWU INSPECTOR 9 D -d L 9 —000 LOT: f SUBDIVISION: 5pei,o led }j,e.;c h,_.5. ----,,77 ./1 BLOCK: 02 J(A A 3$ ? 63 '6 iSTREET ALLEY a • C z P .. .,..---.-.Z...'---.7.P.>: }. Z V .Po wit INDICATE NORTH t Lu N SEWER SERVICE LINE SKETCH u: SHOW LOCATION OF CONTROL MANHOLES/CLEANOUTS c do i ' SIZE MAIN: TYPE MAIN: CONNECT DEPTH AT MAIN CONNECT DEPTH AT Prop. Line _ d� ��— ,, CONNECT LOCATION:°Z II Wes-t- 0'F -.—(=VF -l- 1.t� Ili COMMENTS: Ty5&A I Pipe U C ' ech ihJ4o 2y.i57 /1,-'7 `7 �c��, ?`"T� INSPECTED BY: Alan r _!'I ;115` DATE: 5jalleec, .„A ...— .. n.. .... .r..v.. .... ..,.r....rww. n•.,arvrr..rar....„ys.e•:rl:1.r.,. ...r....•l h%F'......... .