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Home My WebLink AboutCHAPPELL LT 1Onsite File t a� #0 14 am 2 9 2 am I Certified Drilling Log ® DOC CO dba A Bi I COLE ULLVAN' WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Taco LOCO Products Inc. ADDRESS: 9004 Hartzell Rd. Anchorage Bore Hole Data Depth From To LEGAL DESCRIPTION Chappell Lot 1 DATE: 4-25-19 0 2 PERMIT NUMBER: OSP191038 DATE OF ISSUE: 2-27-19 TAX IDENTIFICATION NUMBER 01429217000 Is well located at approved permit location: ®Yes ❑No Method of Drilling: Mair rotary ❑cable tool Depth of Well: 205' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 205 feet Liner type Static Water Level: 42 feet Recovery Rate 50+ ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 501bs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ❑yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Heaved 3.5' 2 4 4 21 21 42 42 58 58 75 75 94 94 105 105 170 170 183 183 202 202 205 Casing Stickup Overburden Silty Sand & Gravel Wet Silty Sand & Gravel Tight Silty Sand & Gravel Silt Sand & Gravel Wet Clay & Gravel Silty Sand & Gravel Water Clay & Silt w/ Gravel Silty Sand & Gravel Water Tight Silty 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. www.suilivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP191038 Date of Issue 2-27-19 Parcel Identification Number: 01429217000 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 101 SGS Ref.# Client Name Project Name/# Client Sample ID Matrix Sample Remarks: 1196655001 Taco Loco Hartzel Hartzel Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 11/08/2019 12:42 11/05/2019 14:00 11/05/2019 14:21 Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Microbiology Laboratory E. Coli Negative l 100mL SM21 9223B A 11/05/19 A.L Total Coliform Negative I 100mL SM21 9223B A 11/05/19 A.L 2 w r SCS Ref.# 1196824001 Client Name "Taco Loco Printed Date/Time 11/22/2019 16:23 Project Name/ft Sink Collected DatePTime 11/05/2019 14:20 Client Sample ID Sink Received Date/Time 11/05/2019 14:49 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 43.7 * 5.00 ug/l, I P200.8 A (<10) 11/19/19 11/20/19 BML Waters Department Total NitratelNitrite-N ND 0.200 mg/L SM214500NO3-P A (<10) 11/15/19 13\4w 2 H0 ""rr MUNICIPALITY OF ANCHORAGE �. �-----_.\ men t On-Site Water&Wastewater Program \c, Ste„ PO Box 196650 4700 Elmore Road "== �i Anchorage,Alaska 99519 6650 Phone:(907)343-7904 Fax:(907)343-7997 � httpa/www.muni.org/onsite v t)c h ti tmcnt 4NCHORPGE On-Site Water System Permit Permit Number: OSP191038 Effective Date: 2/27/2019 Work Type: Well Upgrade Expiration Date: 2/27/2020 Tax Code Number: 01429217000 Site Legal Address: CHAPPELL LT 1 G:2333 Site Mailing Address: 9004 HARTZELL RD, Anchorage Owner: TACO LOCO PRODUCTS INC Lot Size in Sq Ft: 21651 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 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 this permit please submit: 1. Well Log 2. Pump Install Log 3. Water sample results illi Received By: W Y Date: 3/el 9 Issued By: ALI 4 Date: Z- • r MUNICIPALITY OF ANCHORA � � '°>> (.0ir.�• Community Development Department _ Phon907-343-7904 Development ServicesFax:,,907- 343-7997 �,' On-Site Water & Wastewater Program (S 0 h� Mayor Dan Sullivan 6 8 L.--S 5 On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 014-292-17 Property owner(s) ADAM GALINDO Day phone 907-830-0085 Mailing address 9004 HARTZELL STREET`ANCHORAGE,AK 99516 Site address 9004 HARTZELL STREET ANCHORAGE,AK 99516 Legal description (Sub'd, Block & Lot) CHAPPELL: LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ([8]all that apply) Initial ® Single Family (SF) Absorption Field ❑ (w/wo ADU) Septic Tank ❑ Upgrade U Duplex(D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: A 9.5Waiver Fees: Date of Payment: o�lvZG��l11 I-7 Date of Payment: Receipt Number: 103t0`fgC Receipt Number: (35r-461163g Permit No. Waiver No. (Rev.01/11) t. uanics GARNESS ENGINEERING GROUP, Ltd Advanced Peatment <<�7 ENGINEERING SALES CONSULTING 1,1 Dealer February 15th, 2019 Municipality of Anchorage Development Service Department On-Site Water &Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Chappell; Lot 1 To whom it may concern: The existing home is served by what used to be termed a "Class C" well (now a private well that serves less than 25 people) and AWWU sewer. The well is located to the south on Chappell; Lot 2. Per conversations with the owner, he would like to disconnect from the class "C" well and drill a private well on property. We are proposing to disconnect the water line from the class "C" well and drill a new private well that will serve Lot 1. Please see the attached drawings regarding the proposed well location and separation distances. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, Jeffrey i e ness, , .E., M.S. Presi• - 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com i • APPROXIMATE .GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER LOCATION OF MANHOLE I THAT PERTAINS TO THIS DESIGN.BY PROCEEDING FORWARD WITH THIS INSTALLATION,THE ENGINEER,WELL DRILLER,CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. ROAD CENTERLINE I APPROXIMATE LOCATION OF SEWER MAIN PER AWWU RECORD DRAWINGS(SEE ATTACHED) I a MORRISON;LOT 7-RESIDENTIAL PROPERTY PER MOA TAX RECORDS - - lO i APPROXIMATE LOCATION AWWU OF SEWER 7'OFF CENTER U STUB AND SEWER LINE PER AWWU RECORD DRAWINGS —1.-// CONNECT CARD(SEE ATTACHED) J / / X 1111 i / 10' UTIUTY EASEMENT \ H�-- - I N o / / rCK / ` � EXISTING 2 \ C BEDROOM HOUSE \ \ m PROPOS / 1 y D / E°700 -:.--e-:'1;.: to ' id� :•I::.•i.:. _ I Trl , I / •:•iv ;3 DRIVEWAY :•:'; •••.'• 'i.tib':•,,• r . � 1:f....y, / I EXISTING WELL WHICH CURRENTLY SERVES CHAPPEL;LOT I \22 AND CHAPPEL;LOT 1.WATER LINE TO BE CAPPED ON l I PROPERTY FOR LOT 1 AND REMAIN IN USE FOR LOT 2 \ / \ I / EXISTING 100'WE L RADIUS. / \ \ I // \ N N \ / N� / I / I \ / S ALE: CHAPPELL;LOT 2-RESIDENTIAL � — — — -- I r 1"=40' PROPERTY PER MOA TAX RECORDS \ I II I / .��\\11\(11 44 Arl GARNESS ENGINEERING GROUP, Ltd =• 9 • ... •'* •% • ENGINEERING•SALES•CONSULTING 0 •�.. 0 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338.3216•VYEBSRE:www.gemessengineering.com 0.�• +• • •••• • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 e• ••1• • Games ': 1 ADAM GALINDO 907-830-0085 2 OF 2 •�J,'•• -795 ' '•-� PROJECT/LEGAL DESCRIPTION: DRAWN BY: 4. .�... JJ CHAPPELL; LOT 1 D.J.G. Iv;Of''••... (`'�ti.�P\, moi 4. TYPE OF WORK: DATE: LICENSE 44 wiur POrtry.``�4,�• DESIGN OF SEPTIC TANK UPGRADE 2/14/2019 LICENSE J 1 -- ,iis *I r:.... . i 1 ' lie HARTZELL STREET yi.,i; ii Pia g A .121111/,.. S 00'}2'16" E. 94.40' �, ; 1 ! 17 I k3 .lYL ;l I,1 i i ,,,rt,.•iiia} , i �i ili „.., r i7.1 , :42 i : it 0 t rii; y0142o 4' lig H • . 1 vs , ! • 1 ny s �Ji x. 0 .., d t . ,i ,'s g{ 1D.T1 T - ' co co z X1 1 «- 1 O } ` i : f •a --—.=7._— — . ., _ _.._ • i; ?s, x ,� 10' UNiT7 EASEMENT io s "+�,y�w,�'> " j lts'N oo'09'1O�W 4.96 ;r` 1.11//4- ,' 3js '; ;I 1!,-/I Ptfalligf owl" I F '" POST IN A CONSPICUOUS PLACE . .. LUilillr'l SEWER CONNECTION APPLICATION & PERMIT 1371 1 GREATER ANCHORAGE AREA BOROUGH 1 3500 TUDOR ROAD ANCHORAGE,ALASKA 99507 f S.S.A. BOOK. PAGE LOT SUBDIVISION GRID •LOT BLOCK CHAPPELL LUBDIVISICUH 1 - CONNECTION STREET ADDRESS 9024 Hartzell Road • Y CITY }� nn ST`TATE ZIP CODE 7z.4luH LAT.IMP.DIST.NO. • Z • Anchorage, AK. DST.MO. L.I.D.XXIII y70 I"� PROPERTY OWNER NAME 1' Lowell Chappell I-1 Z PROPERTY OWNER ADDRESS I} . 9024 Hartzell - _ . . CITY STATE ZIP CODE PHONE NO. CONNECTION DAT' •I Anchorage, ,u . 0O� Y • RESP. APT. ' NO.UNITS CONNE.CTIO INFORMATION X SIZE 4 INCH/C.O.REF. "d CONNECT TO TRUNK CONNECT TO LAT. • YES ❑ NO 0 YES NO❑ I i CONNECTION LOCATION • • 1 - 121 Ne• it Lor QF 4-6056 . !S`z rh of u SERVICE STATUS• N ego/el-K.4 �a>/ \ TRUNK SERVICE PROVIDED BY(AGENCY): `_ •-•vs • .- LATERAL ASSMT.: TRUNK ASSMT.: CONNECTION FEE: A, $7.00 ^i i r It • DATE PAID DATE PAID AMOUNT PAID $`.00 CONNECTION FEE PAID BY: CONNECT FEE RECEIVED BY: DATE: ;;�. ,•` • Carol Menzel 10/4/74 • Q}'R�M•AGENCY • - CONNECT AGENT AMOUNT DEPOSIT DATE DEPOSIT i If; '' G.A-y.Da • SELF MO.I DAY I YR. i - ti II • .i 4. Olt PROPERTY 24 hour notice. Call 279-8686, ext. 231 a; PAYER NAME • PAYER ADDRESS . -, ,.t CITY STATE ZIP CODE (ij BASIC PREM. TYPE BILL CODE BILL INDICATOR TILE ID ll r .`; -- _p T ! � . i •, �gti 2 . 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