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HomeMy WebLinkAboutWOODLAND PARK LT 19BRWoodland Park Lot 19BR #010-094-09 Certified Drilling Log P- BILL 8. COLE DOC CO dba ��► ULLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2759 OWNER OF LAND: Spinell Homes ADDRESS: 1900 W. Northern Lights Blvdg200,A/A 99517 Bore Hole Data Depth From To LEGAL DESCRIPTION Woodland Park Lot 19BR DATE: 6-20-16 0 2 PERMIT NUMBER: OSP151205 DATE OF ISSUE: 7-28-15 TAX IDENTIFICATION NUMBER 01009409000 Is well located at approved permit location: Eyes END Method of Drilling: ®air rotary ❑cable tool Depth of Well: 118' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 118 feet Liner type Static Water Level: 34 feet Recovery Rate 10 ® gpm L 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 SO PPM Comments: 2 22 22 82 82 85 85 114 114 118 Casing Stickup Silt & Peat Silt Silt & Sand Clay & Gravel Silty 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. �6ILL S COLE�CCO aOa ULLIVAN WATER WELLS 41P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suilivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW 050151205 Parcel Identification Number: 01009409000 Date of Issue 7-28-15 Legal Description Woodland Park Lot 19 811 Property Owner Name '& Address Spinell Homes 1900 W. Northern Lights Blvd #200 Anchorage, AK 99517 Pump Installation Date: 10-21-16 Pump Intake Depth Below Top of Well Casing: 70 feet Pump manufacturer's Name: F&W Pump Model: 4FOSP05301S Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Pomraning Excavation Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. RECF-iv OCT < -.; M, Spinell Home;,. . 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: OSP151205 Tax Code Number: 01009409000 Work Type: Well Initial Permit Effective Dates: July 28, 2015 to July 27, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: WOODLAND PARK Site Legal Address: WOODLAND PARK LT 19BR G:1628 Owner/Address: SPINELL HOMES INC 1900 W NRTHRN LIGHTS BLVD #200 ANCHORAGE AK 995173342 Site Mailing Address: 3410 OUTTA PL, DUPLA, Anchorage Lot Size in Sq Ft: 7000 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy 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 S Muni ity of Anchora o. • Ment S, do e - a y Anchorage. Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 epartment htto:11www. mu m.orWOnsite Development Services Division On -Site Water and WastewaterProaram **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV161073 COSA#: Permit#:OSP161206 PID#: 010-094-09 Legal Description: Woodland Park, Lot 19BR Engineer: PES Applicant: Spinell Homes Your request for a waiver of the required 100 feet horizontal separation from the public sewer manhole to the private well has been approved. The approved separation distance is 80.0 feet. This waiver approval applies to the proposed well only. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. .................................... ........................................ .., Waiver is Granted: x Waiver is not Granted: Date: 020 Approved Na a ofReviewer ........................................... ... r... r. ...... r............. MUNICIPALITY OF ANCHORAGE 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. 010-094-09 Property owner(s) Spinell Homes Inc. Day phone Mailing address 1900 W. Northern Lights Blvd #200, Anchorage, AK 99517 Site address 3410 Outta Place Legal description (Sub'd., Block & Lot) Woodland Park, Lot 19BR Legal description (Township, Range & Section) Lot Size 7,000 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial 0 Single Family (SF) Q (w/wo ADU) Septic Tank ElUpgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal F-1Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Well to Sewer Manhole �W^ .p certify that the above information is correct. I further certify that this is in accordance rdi i �/ applicable Municipal Codes. " (� Permit/Rush Fees: Waiver Fees: Ili Date of Payment: I f ` Date of Payment: -111-7 1 1.5 CCCh!l Receipt Number: 001P90Receipt Number: 0359U( Permit No. M?16J Q-0' j Waiver No. 05V 15 101 b Permit App_:- :- : L_c - Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com July 27, 2015 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O: Box 196650 Anchorage, Alaska 99519 Subject: Woodland Park, Lot 19BR Private Well Permit and Well to Sewer Manhole Waiver Request Ladies and Gentlemen: I am writing to request a permit to install a new well be issued for this property. The proposed systems will serve a proposed three (3) bedroom house. Currently the lot is undeveloped. The surrounding developed lots are served by AWWU water and sewer with the exception of Lot 16CR to the west which is served by AWWU sewer and a private well. This lot will be served by public sewer. There is a sewer manhole located to the east and to the west of this lot so there is no place available that is over 100' from a sewer manhole. See waiver request. I am writing to request a separation distance waiver between a proposed Private well on Woodland Park, Lot 19BR and the sewer manholes to the east of the lot in Outta Place, and in the utility easement to the west from 100' to 80'. The well log from Lot 16CR shows silt and gravel to a depth of 140 feet with a static water level of 30 feet. As outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Lot 19BR Well to Manhole Distance from sewer system bottom to groundwater 3.0 Soil sorption below sewage system 3.5 Soil permeability below the system 3.0 Water table gradient 0.3 Horizontal separation 2_2 Total Points 12.0 Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 "The sum of the above values could equate to the following conditions: 12-16 "No bacteriological pollution possible but chemical pollution possible but unlikely from household chemicals." It is in my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. I hope the above information will assist you in determining that the waiver should be granted. Please contact me if you have any comments or concerns. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: -Site Plan -Lot 16CR Well Log Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 14CR 14BR 15BR 1 M M � 16BR 1 .N 1 17BR-A ss w w CNO Q WELL (E) 16CR�� a 1 18BR-A ss ss s P w WELL (P) J 3BR S SS sS HOUSE(P)- 3 1 W � 1 W 86. r ` r w 7o o LOT 19BR -cNN W_wRtSERV O 3 NN FOR CONST NOTES: PANNOoNE7 EN SVANCHORAGE,C, 9 LC - o ACil Date /6/2015 PHONE (907) 272-8218 FAX (907) 272-8211%g�P �y++ Scale j *. 49*'j 1,.=50• ........ ... P.LD. NO WOODLAND PARK, LOT 19BR ... J„ 10-094-09 SPINELL HOMES INC. Steven . teven. Pannap % PERMIT NO. CE 3410 OUTTA PLACE I F 4./ OSP 151205 PLAN ANCHORAGE, AK 99507S(��P Sheet FEs ��, "��` 1 OF 1 Oap.M. • Municipality of Anchorage OE, 20?S On -Site Water and Wastewater Program' , (907) 343-7904 Parcel I.D. 010-094-09 C "I Certificate of On -Site Systems Approval T Expiration Date: 3 - `LZ- 1-7 1. GENERAL INFORMATION Complete legal description Woodland Park, Lot 19BR Location (site address) 3410 Outta PI. Current Property owner(s) Spinell Homes Inc. Day phone Mailing address Real Estate Agent 1900 W Northern Light Blvd. #200 Anchorage, AK 99517 2. TYPE OF DWELLING: Fx_j Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer El Waiver/Variance request for: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number OMUO Receipt Number COSA # del fBI542 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seaffixed here1lllllka nd as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certifcate of to -Site Systffls 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 Stale codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may Fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for _SL bedrooms System #2 Approved for bedrooms Disapproved Date 12/13/2016 *: TH •.* t Slevin R. • Paririarii I CE -8149 ••;qzr; Conditional approval for bedrooms, with the following stipulations: y� Original Certificate Date:' ZZ' 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 KI Well Flow Advisory Other COSAbluesheeU � c If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system I Certificate of On -Site Systems Approval Checklist Legal Description: Woodland Park, Lot 19BR A. WELL DATA Well type Private If A, B, or C provide PWSID # _ bate completed 6/20/2016 Sanitary seal (Y/N') Y Total depth 118 ft. Cased to 118 ft. FROM WELL LOG Date of test 6/20/2016 Static water level 34 ft. Well production .10 g.p.m. WATER SAMPLE RESULTS: . / Coliform Acolonies/100 mL Nitrate /y b mg/L Arsenic ug/L ' bateofsample: i;.hgl;Zol� B. SEPTIC/HOLDING TANK DATA Tank Type/Material . Tank size gal. Number of Compartments Foundation cleanout (Y/N) Depression over tank (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Parcel ID: 010-094-09 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION New New ft. New g.p.m. Collected by:. P (r S Date installed Cleanouts (Y/N) High water alarm (Y/N) Date installed Soil rating (g.p.d./ftz or ftZ/bdrm) System type Length ft. Width ft. Gravel below pipe. ft. Total depth ft.- Eff. absorption area ft' Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= _ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) . "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES ' WELL ON LOT TO: Septic tank/lift 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 80 Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line V Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage .Curtain drain Wells on adjacent jots F. `COMMENTS Waiver'on File OSV151073 G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 12/13/2016 _ COSA canary sheet_2-6-15.doc. * TH Steven )2'.�f�aririarie . • )'fig CE -8149 PLAT NO. 63-71 WOODLAND PARK SUBDIVISION LOT 198R, BLOCK B 7,000 S.F. N 89049'00"E 140.00' _ _Z� FFacc (l7 _ h Z2,0' N .l I 26.0' I WELL pp I o Opi I - EXISTING c GRAVEL DR. p Ln BUILDING u� x 3 � 2.0. 3 N I 16.0' PORCH BELOW N p c O Z h I � N 89049'00"E 140.00' AS—BU I L T L I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SURE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PIAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR GRID DATE SW 1628 10/10/2016 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE 16-02 WPSI9BR 20' L73 OF 00 44w X\ ......... .q ®6 0 o # a �;' 49TH •• v O v 't:....................t jo . Jeffery A. Gastaldl �:.0 0 m •. Ls-6q�1 � e �O N„P^••••(o �(af (e f. J(�m0 Q °op ••......•• Jy O 1 11=20' I- Municipality of Anchorage Development Services Department Building Safety 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 # OSC161592 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 19BR of Woodland Park Subdivision. This inspection revealed an arsenic concentration of 22.3 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.