HomeMy WebLinkAboutUS SURVEY 3045 LT 45 PTN S2US Survey
3045
Lot 45 PTN 52
#075-031-14
HW -3i-2016 11:23P. FROM: "rO:3437997 P.1/1
Development Services bepaphnent
"Idirlg Safety blvislon 4p4�
Ort -Site Water 6 Wastewater Prograrm
4700 Elmore Roar) M.
~ P.O. Bax 196550 Anchorage, AK 99507tlr V
MarkBegica MWAM !a4 10 s�,ite
mayor (907)343-7904
Well Log
Permit Number: OSF141067 pate of Issue: April 09, 2014
Date Started:t 4-24-14 Date Completed: 04-25-14 is well located at approved permit location? Ux J Yes U No
Legal Description: US Survey 3045It45 PTN 52 G:4715
Property Owner Name & Address: Mark Ryan
Borehole Data: Depth (ft)
Soil Type, Thickness & Water Struts From TO
stickup
0
l 2
overburden
2
6
clay
6
10
slit & gravel
10
20
...clay �-�- —
20
35
slit & gravel
35
60
wet slit & gravel _
60
65
gravel W1little H2O
6S
70
drysllt&gravel
70
111
Water Sample Results:
Arsenic: ug1L
Nitrales: mgtL
Total Coliform Bacteria: coluniesil00ml,
Othor Bacteria: coll]OOntl,
Method of Drilling W air rotary ❑ cable tool
Casing type: steel
Nail Thickness: .250 inches
Diameter: 6 inches Depth: 111 fact
Liner Type: ____
Diameter: - inches Depth: - feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 45 feet
Pumping level:______feet after
-_._,__ hours pumping _____ gpm
Recovery Rate: 15 gpm
MfetbodofTustin g: airlift
n Open Fid M Open Bole
❑ screened Start_ :bet Stopped _feet
�i Ferfomtior4 Star! 65 feet Stopped_7U foot
Depth: 20' start0 feet Stoppod 20z
Pump..utakeDepth — feet
Pump size — hp Brand Name
Well Disinfected Upon Completion? n Yes 7 -No
Methad of Disinfecttrmjchlorine tablets
Comments:
Well Driller: Hefty Drilling, Inc.
3540 Akula Dr.
Anchorage, AK 99516
Attention: The well driller shall provide a welt log to D3D within 30 days of completion.
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: OSP141067
Tax Code Number: 07503114000
Work Type: Well Initial
Permit Effective Dates: April 09, 2014 to April 09, 2015
Design Engineer:
Subdivision: US SURVEY 3045
Site Legal Address: US SURVEY 3045 LT 45 PTN S2 GA715
Owner/Address: RYAN DONALD MARK
2012 WICKERSHAM DRIVE ANCHORAGE AK 995070000
Site Mailing Address: Lot Size in Sq Ft: 15180
Total Bedrooms: 1
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,
MUNICIPALITY OF ANCHORAGE
Community Development Department ' Phone 907-343-7904
Development Services Division�Ta 7997
On -Site Water & Wastewater Program I L
ON-SITE SEWER/WELL PERMIT APPLICATIMR 4 2014
Parcel I.D. 0-15 • 0191 • 14 •oov
Property owner(s) M • 'RJ% -N) Day phone 3S 15 - o t L. D
Mailing address 9-0 (2 W t e, t<fz" a t.� 'gy(L, i P"' ` -40A,"q4 r—) ,x� Ic 11503
Site address %95 5.4 J'15�( '304'v P LT 45 , P'e N %2-
Legal
2Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size 191 1 Sf0 Sq. Ft. Number of Bedroomsr Qy,�
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® ail that apply)
Absorption Field ❑
Initial ® Single Family (SF)
Septic Tank ElUpgrade
(w/wo ADU)
ElDuplex
Holding Tank ❑
Renewal E]Duplex(D) ❑
Privy ❑
Dwellings ❑
(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.
bbl. 641k qe
(Signature of property owner ofauthorized agent)
Permit/RushFees: o�%J� Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: Receipt Number:
Permit No. &$%J N/CO' Waiver No.
Permit App_9-1-12.doc
- s (-I *=— ?L_&n1--
RYAN DRIVEWAY, WELL APPLICATION DETAIL REV FINAL, 04 APRIL, 2014
LEGAL: US SURVEY 3045, LT 45, PTN S2
OWNER SIGNATURE: � ,2
10
P'
doe k\
APPROX
Qin 5p�
l
LOC wEkL
APPROX CIL CROW CREEK RD
J
LMT SHOULDER CROW CREEK RD
APPROX LOC SEWER MAIN LINE TAP
LOC EXISTING SEWER STUB OUT "j I
►1
14'S� ?d /I -p5 Q2JP
v�rKrEti. s�P y,re.�c� i'2a P
6't5 o3►IS
50' BLM RESERVATION / UTIL. EASEMENT
NO EXISTING STRUCTURES ON LOT
NO EXISTING WATER SUPPLY WELLS WITHIN 50"
EXISTING WELLS WITHIN 200 FEET OF THE SUBJECT PROPERTIES, AS PER
I
1"=50'
ATTACHED SHEET 10 OF 32, AEE, GIRDWOOD - ALYESKA, SEWER COLLECTION
SYSTEM PLAN AND PROFILE
•
59 M H AND rpp llj > 2oe ` TO <oL TROP6560
� I
P
1
J
j
'
t
1
EXISTING WELLS WITHIN 200 FEET OF THE SUBJECT PROPERTIES, AS PER
I
1"=50'
ATTACHED SHEET 10 OF 32, AEE, GIRDWOOD - ALYESKA, SEWER COLLECTION
SYSTEM PLAN AND PROFILE
•
59 M H AND rpp llj > 2oe ` TO <oL TROP6560
i
c
y
c
A
m
CA
0
w1.1
SGS Ref.9
1183261001
Client Name
Residential Testin(Y-Cash Account
Project Name/#
Girdwood
Client Sample ID
18175 Pt. Stephens Rd.
Matrix
Drinking Water
Sample Remarks:
Parameter Results
Printed Date/Time
07/06/2018 13:51
Collected Date/Time
06/28/2018 13:35
Received Date/Time
06/28/2018 16:40
Technical Director
Stephen C. Ede
Allowable Prep Analysis
LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
EP200.8
Arsenic
ND 5.00
Waters Department
DSII
Total Nitrate/Nitrite-N
0.548 0.100
Microbiology Laboratory
(<10)
E. Coli
Negative I
Total Coliform
Negative I
ug/L
EP200.8
C
(<10)
06/29/18 06/29/18
DSII
rno/L
SM21 45003\103-F
B
(<10)
07/05/18
AYC
I 00ml- SM21 9223B A
100niL. SM21 9223B A
06/28118 K.W
06/281/18 K.W
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