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HomeMy WebLinkAboutEARLES LT 4Earles Lot 4 #012-242-30 Certified Drilling Log BILL R. COLE OC CO d6a �ULLIVAND WATER WELLS OWNER OF LAND: Alexander Home Construction ADDRESS: PO BOX 110344 Anchorage, AK 99511 Bore Hole Data Depth From To LEGAL DESCRIPTION Earls Lot 4 DATE: 09/30/2013 0 2 PERMIT NUMBER: 131327 DATE OF ISSUE: 9/18/13 TAX IDENTIFICATION NUMBER 01224210000 Is well located at approved permit location: ❑x Yes ❑ No Method of Drilling: ®air rotary ❑ cable tool Depth of Well: 304 ft. Casing Type: Steel wall thickness ,250 inches Diameter: 6 inches, depth 304 feet Liner type none Static Water Level: 78 feet Recovery Rate 60+ ® gpm ❑ gph Method of Testing air Well Intake Opening Type: ® open end ❑ open hole Screened Start feet Stopped293 El Screened ❑ Perforations Start feet Stopped Grout Type: bentonite Volume: 100lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ® yes ❑ no Method of Disinfection: Chlorine 50 ppm Comments: 2 4 4 55 55 112 112 151 151 169 169 212 212 230 230 290 290 293 304 Casing Stickup Overburden Sand & Silt brown Sand, Silt & Clay gray Clay Silt & Sand w/ Gravel (water, silty) Clay w/ Sand and Gravel Silt Clay & Gravel Boulder Heaving Sand & Gravel 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. :,evelopment Services Department Building Safety Division -7 s° On -Site Water & Wastewater Program aR' 4700 Elmore Road P.O. Box 196650 MarkBegieh Anchorage, AK 99507 s "` Mayor www.muni.org/onsite (907)343-7904 Pump installation Log Well Drilling Permit Number: SW-+4+set 131327 Date of Issue:= = Parcel Identification Number v M 24210 Legal Desccrription Property Owner Name & Address: Earles l.ot,T"' � Aloxander Nomas ✓ P.O. Box 110344 Anchorage, AK 99511-0344 Pump Installation Date: 11/21/2013 Pump Intake Depth Below Top of Well Casing: 233 feet Pump Manufacturer's Name: Goulds Pump Model: 7SBI0422C Pump Size 1 hp Pitless Adapter Burial Depth: NSA feet Pitless Adapter Manufacturer's Name: NIA Pitless Adapter Installer: N/A Well Disinfected Upon Completion? Q Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aamw Pump a well service, LLC P.o. Box 110496 Anchorage, AK 99511-0498 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131327 Tax Code Number: 01 2242 1 0000 Work Type: Well Permit Effective Dates: September 18, 2013 to September 18, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: EARLES Site Legal Address: EARLES LT 4 G:2226 Owner/Address: S & L INVESTMENTS LLC 14800 ZIRCON CIRCLE ANCHORAGE AK 995164335 Site Mailing Address: 7642 HUCKLEBERRY ST, Anchorage This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 13500 Total Bedrooms: 3 Y Private Well N Water Storage 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 (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel l.D. 61a-2(4-10 Property owner(s) ALEXANDER HOME CONSTRUCTION, LLC. Day phone 830-6211 Mailing address PO BOX 110344 *ANCHORAGE, AK 99511 Site address NHN HUCKLEBERRY STREET *ANCHORAGE AK Legal description (Sub'd, Block & Lot ) EARLES S/D LOT 'V Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms_ APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Gall that apply) Absorption Field ❑ Initial ® Single Family (SF) EK Upgrade ❑ (w/wo ADU) Septic Tank ❑ Renewal Duplex (D) F-1❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number. Permit No. Q Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) September 9, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Earles Lot 4. Request for Well Permit; The referenced property is currently vacant and the owner is proposing to construct a 3 bedroom home on the lot. He is proposing to have the home be served by a private well and AWWU sewer. There are no AWWU water mains in close proximity of the property, eliminating the option of connecting to AWWU water. Per the AWWU drawings and our site plan, the separation distance between the proposed well and sewer mains and manholes is greater than 75 feet and 100 feet respectively. At this time we request that your department issue a well permit for the subject lot. If you have y1y�questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com OSMOND OLSEN S/D LOT 2 OSMOND OLSEN S/D LOT 3 OSMOND OLSEN S/D LOT 4 OSMOND OLSEN S/D LOT 5 I � I I I I I I STRAWBERRY PATCBLOCK 11 , S/D DT 1 PRO rSERV _ I I I I I I � I i I I I \ I � I I FARCES STRAWBERRY LOT PATCH S/D PUBLIC (BLOCK 1, LOT 2 PUBLIC SEWER �• I I I I I EARLS LO L _ _ _ _ PUBLIC I , FARCES S/D CEPOS TODD'S HALF ACRE (ry LOT 3 EARLES S/D PU^B,L,IICC SEWER LOT 5 / ' PUBLIC SEWER 4yrf,�/, W � REDOPOS ROPOSED ess.-P [SRS OT 4 T12N, R4W, SEC11, N2,NW4,SW4,NW4,NW4, PARCEL 16 TODD'S HALF ACRE T12N, R4W, SEC 11, NE4,NE4,SW4,NW4,NW4, PARCEL 21 EARLES S/D �\ LOT 5 PUBLIC SEWER S/D 6 \�— SEWER i T12N, R4W, SEC11, N2,NW4,SW4,NW4,NW4, PARCEL 16 TODD'S HALF ACRE T12N, R4W, SEC 11, NE4,NE4,SW4,NW4,NW4, PARCEL 21 T12N, R4W, SEC11. W2,NW4,NE4,NW4,NW4 1\ J \ \ \ T12N, R4W, \ SEC71, � 2,SW4,NE4,NW4,NW4 WELL RADIUS I� 1 I / / J / GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS HIDDEN ACRES LOT 5 PUBLIC WATER & SEWER 5701 E 1000R ROAD, SURE 101 • N MRAGE, AI( 99507 • PHONE (907)3]7-61]9 • FM (907)338-3248 WE851IE: ww.9ammm9I.w g.. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ALEX SNEGIREV 830-6211 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: EARLES S/D LOT 7 PN8 TYPE OF WORK: DATE: SITE PLAN 9/9/13 WELL DRILLER MUST FIELD VERIFY SEPARATION EARLES S/D LOT 3 DISTANCES PRIOR TO DRILLING. PUBLIC SEWER SPECIFICALLY SEPTIC SYSTEMS ON I - Tl 2N, R4W, SEC11, W2, NW4, NE4,NW4, NW4 & J Tl 2N R4W, SEC 11, W2, SW4, NE4, NW4, N.W4�- \ Q & SEWER SERVICE LINE ON EARLES�Oi 5. O / N LL,/ PROPOSED /WWER SERVICE LINE = I , O APPROXIMATE LO)CATION OF SEWER TIN 1�r / EARLES S/D LOTI4 /PROPOSED HOUSE WILL BE SERVED BY AWWU SEWER. /.'d... PROPOSED 3 BEDROOM " • HOUSE EARLES S/D LOT 6 PUBLIC SEWER �Dd PROPOSED EARLES S/D LOT 5 PUBLIC SEWER GARNESS ENGINEERING GROUP, Ltd. --- - CONSULTANTS & GENERAL CONTRACTORS 5701 E. WMR ROW. SURE IDI • .WCHORSGE. M 995D7 * PHME (907)337-6179 ' FM (907)356-3946 • W SM xw mm9lw dn9.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ALEXANDER HOME CONSTURCTION, LLC. 830-6211 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: EARLES S/D LOT 4 PNB TYPE OF WORK: DATE: WELL DESIGN 9/9/13 Imam y Gar ess,- CE�� �7 53 6`i Ali/z3 'o, 00 Municipality of Anchorage < On -Site Water & Wastewater Program . (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 012-242-10 Expiration Date: ZS l 1. GENERAL INFORMATION Complete legal description EARLES S/D; LOT 4 Location (site address) NHN HUCKLEBERRY ST, ANCHORAGE, AK, 99515 Current Property owner(s) Mailing address Real Estate Agent ALEXANDER HOM Day phone 650 W. 58TH AVENUE, ANCHORAGE, AK, 99518 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Day phone 830-6211 TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer IN WaiverNariance request for: Received H rr - ,. COSA to be released to the efiginek, unless otherwise requested by the engineer. COSA Fee Date of Payment`/�1 Receipt Numbers iD��r't COSA # 5'5L i } ' I D'1"j`@,O ;r f'�-z t.. w . Date: ., j+« Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: — 5. STATEMENT OF INSPECTION BY ENGINEER verify that my As certified by my seal affixed hereto and as of the validation date shown bstemselow l Approval Guidelines for this application, investigation, based on procedures outlined in the Certificate of On -Site Sy and fshowso he nuat the on-site water mber of bedrooms andly ystem is (re) functional structure indicated herein, I further verify that based oln theade the rom y investigation oneationwatobtained supply arum the M nisi o 1itdisposal system itfit (are) n es and f ompliance with aft applicable Mul nnonicipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Address Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with and ADEC MOA DSD Guidelines & Regulations. The reported results described the performance of the nditions encountered at the time of the test, and separebon system under the co distances measured to readily identifiable features. The operationa/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 served by the system. These con ,hens are outside the control of the evaluator of the system. Safisfacfory test results do not guarantee future performance of the system, nor ca t they guarantee that them am no any warranty 0( future estimate of how long the sys em w�l continue to meet he vide operational requirements of the ADEC or MOA DSD. The content of this report is far the other che Aperson or path is not authorized.e owner above, Any R oonfer any legal n9ht whan or a of this tsoeverport any 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following Phone 337-6179 Date f •i\iaf.\lE tij,, OF A/VC��rr`i ON-SITE WATER AND z= WASTE\I�ATER o= Original Certificate Date: Z Z� z 1 By. _ _ — u �eveJOA,0 The Municipality or Anchoramt Services Division (DSD) issues Certificates of On -Site Systems Approve! (COSA) based only upon the represenat mhotions given m 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 engineers work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory m— 11PW\ Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: A. WELL DATA EARLES S/D; LOT 4 Parcel ID: 012-242-10 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/30/2013 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 304 ft. Cased to 3D4 ft. Casing height (above ground) 24+ in. FROM WELL LOG Date of test 9/30/2013 Static water level 78 ft. Well production 60+ g,p,m, WATER SAMPLE RESULTS: Coliform __(� colonies/100 ml. Arsenic: 23 Z ug./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Foundation cleanout (Y/N) Date of pumping C. ABSORPTION FIELD DATA AT INSPECTION Nitrate ND mg./L. Date of sample: 2/13/2014 PUBLIC SEWER Number of Compartments NES ft. g.p.m. Collected by: GEG, Ltd. Date installed Cleanouts (Y/N) Depression over tank (Y/N) _ High water alarm Pumper. Date installed Soil rating (g.p.d./ft2or ft2/bdr System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorptio ea ft' Monitoring tube_ Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absor ' n field before test in. Water added _gal. New depth _in. Elapsed T' e: —min. Final fluid depth _ in. Absorption rate >= g.p.d. y rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date e D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at wa er alarm level at in. Cycles tested Meets alarm & circuit requirements? E: SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanWlift station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100,+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: PUBLIC SEWER Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIEI D-ei,4LOT TO: Property line . Water service n drain F. COMMENTS Byi�oundation Water main Surface water Driveway, parking/vehicle storage Wells on adjacent lots oo� G. ENGINEER'S CERTIFICATION fY 9inspections I cerci that !have determined through field and review of Municipal records that the above systems are in V_ conformance with MOA COSA guidelines in effect on this date. f r A. Go nesse Engineer's Printed Name s JEFFREY A. GARNESS 004 s CE)c�� Sao Date %'(�l�l� Did 'rofessloo (Rev. 11105) Municipality of Anchorage au, Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # OSC141048 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Lot 4 of Earles Subdivision. This inspection revealed an arsenic concentration of 23.2 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.or /og nsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. � N m O 0 D iO- O O D N �f ON mjm "e m .1WNp C � I*Ip N 00 i j 0 O �7 z A ®� V <<Op cz O 2 Im*1®R1�M Z 1 = Nzz Omm Z— mm c0+ zm m ® zmr, Mz mp 0 0 Oom ut a ®Zr,®ox- = N v z z o n m a rZCOCDX�m 022 y =4 ez6Onay -,� D tme mr-z Roo m g o ® s -4 m ♦ : fill • �o'a •N : ( :� • :CD m �H •� 0 .�• o 22.0 • H • • • � .o • : /� V V 10.2' T 20' ALLEY 10' UM. ESMT co W9 O ® DECK DECK o 22.0 2&0' 10.2' s.o m i a m rn x x z � w o U3 0 0 7.o' a zo b �g 11.0' 0 22.0' 24.8' �m � � W m ? r m b iv VU-UJ'JV"°W /D.uu W O HUCKLEBERRY A1 • T A co 0 0