HomeMy WebLinkAboutBREWINGTON TR A-1Onsite File
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Pump Installation Log
Well Drilling Permit Number: SW Date of Issue
Parcel Identification Number:
Legal Description Property Owner Name & Address
Brewington TR A-1 Donald Brewington
38715 Eklutna Lake Road Chugiak, AK 99567
Pump Installation Date:
3-22-21
Pump Intake Depth Below Top of Well Casing:
100 feet
Pump manufacturer’s Name:
F&W
Pump Model:
4F07P05005S
Pump Size:
1/2 hp
Pitless Adapter Burial Depth:
4 feet
Pitless Adapter Installer:
Unknown
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
Pitless Manufacturer: Unknown
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.
Tract C
N 89'52'42"E 660.85'
Tract A
20.04 Acres
S 1184 'i -' 1 DEE; 0 1 ~_010
°c SEE "HOUSE DETAIL'
12.2'
SHED
.4- a! :~r~ ~ r~ ~--2 STORY RESIDENCE
/ //'
3o' ~Lr~l // ~2.~,
EASEMENT
DRY CREEK BED~
15' U~UT~---.LI I./'
~N 17'57'04"E 36.23'
,o.oo. /ltl
'~Z'~W~ NSU BD~ViDED
SCALE: 1" = 200'
PLOT PLAN AS BUILT X SCALE AS SHOWN. GRID NE 1413
Project No. 10-121
Lo n g (907) 522-6476
Registered Land Surveyors (907) 522-4625
kglangleOalaeka.nef / J¢langlsOalaeka.nef
& Associates, inc. ~500 Daryl Avenue, Anchorage, Alaeka 99515-5049
Phone
Fax
I hereby certify that I have surveyed the following de$crlbed properly:
TRACT A, BREWINGTON SUBDIVISION (PLAT No. 92-48)
Anchorage Recording District, Alaeka, and fhaf the Improvements slfu(rted thereon are
within the properly lines and do not encroach omo the properly adjacent thereto, fhaf
no improvements on the properly b/lng adjacent thereto encroach on the eurveyed
premises and that there are no roadways, transmission lines or other visible
easements on said properb/ except as indicated hereon.
Dated this the 1~'y Day of ~l'~-~r~-- ,
~l. ~ , at Anchorage, Alaska
If is the responsiblll~y of the owner fo defermlne the existence of any easements,
covenants, or resfrlations whlch do not appear on the recorded subdivision plat.
(g rlifi h rillin6
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
LEGAL DESCRIPTION , i} ~ '4 :'7 <:r ¢
DATE-Started //r ,: //? ;' Ended
/ /"
PE~IT NUMBER , ~/? :? < / ':~
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. / ,/
GALS. PER HR /:', '
KIND OF CASING /, ...-
KIND OF FORMATION:
From '(." Ft. to ::~' Ft O ~ dx~ /3; ,(~,:;..::',J From
From ~i} Ft. to {/ Ft. ~/.~ ~'2 ~/~d From
From // Ft. to, / ,'~> Ft. (~','~,~'~ 7F (,~ ~'~v~ From
From '/ '; Ft. t~ ~ :~ Ft '~ '~',-~d~ z, &/{(;rE &~/e_&:: c From.
' From., .5 ~- Ft. to--Ft. ~ ~'Z/ /~d From
From
rom
From ,{,',~ Ft. to_ } ~ Ft.
From ~-~ Ft. to O ',, Ft.
From <, ~ Ft. to "/ Ft.
From.: / 'i'>
; Ft. to~ / / Ft
From Ft. to,,, Ft
From Ft. to, Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to,, Ft.
From Ft. to., Ft.
From
From
From
From
from..
From
From
From ~
From
From ,.
From
Ft. to Ft
__ Ft. to Ft.
Ft. to.., Ft.
Ft. to Ft.
Ft. to~Ft
Ft. to., Ft.
__ Ft. to Ft.
~,Ft. to Ft.
Ft. to. Ft.
Ft. to Ft.
Ft. to Ft..
.Ft. to ..... Ft..
Ft. to Ft.
Ft. to Ft.,,
~Ft. to Ft.
Ft. to__ Ft.
Ft. to_ _Ft,
MISCL. INFORMATION:
DRILLER'S NAME , ' ,.,~.~ ' , ....... x ......
. Municipality of Anchorage Page [ of~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~~ ~ ~)~,4::::J "~ PID Number: (~)~'3~. [ I [ ~
~e~ ~~~ ~~~~ Wastewater System: ~ New ~Upgrade
Address:
~. ~ ~~ 1 ,~~ ~P~ ~ ABSORPTION FIELD
Phon ' I NO. of
e~~, ~~I ~ Deep Trench ~hallowTrench ~ Bed ~ Mound ~ Other
Beams:
Total Depth from original grade:,
LEGAL DESCRIPTION SoilRating: I'~ GPD/Sq. Ft.
Lot:,BI°ck:~ ~' ~Subdivisi°n:l/~ Depth to pipe bottom from original~grade: Ft. Gravel depth beneath pipe~/ Ft.
: Township~~ [ Rang~~ I Sectionu Fill added above original grade: Gravel length:
WELL: D New D Upgrade Gravel~h:~l~~/ Number~flines: Distance between l[nes:
Ft. I ~ Ft.
Class~cation (Private, A,B,C): Total Depth: Cased To: Total absorption area: ~ipe mat~rial~
Driller: Date Drilled: Static Water Level:Ft. Installer:~ ~ Date installed:
Yield: GPMI~ Pump Set at: Ft.jl Casing Height Above Ground:Ft. TANK
SEPARATION DISTANCES ~Septic ~ Ho~ing ~ ~ S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~~~ ~~, ~~
Well l~ol i~I ~ Material: ' Number of Compadments:
Surface
Water {~'+ [~'+ ~ ~ ~ LIFT STATION~
Lot , I Size in gall°ns: I Manufacturer
Foundation ,~, ~[~, ~ -- -- "Pump on" level at: J 5~eve, at: I High water alarm at:
CurtainDrain ~ ~ ~ O{ ~ ~ ~~ Pump Make & Model~ E~trical Inspections performed by:
Remarks:~ I~1 ~ ~~ .~ BENCH MARK
Location and Description:
Department of Hea~ and Human ~ervices approval -"-'- ....
Reviewed and approved by:~gate://~-~/
72-013 (1/91) MOA 25
PermitNo. '~P~q I O~q Page ~ of ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
iO-~O-Clo
1W
72-013 A (2/91) MOA 25
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW910297
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:BREWINGTON GILBERT, DOROTHY &
OWNER ADDRESS:P. O. BOX 770561
EAGLE RIVER, ALASKA 99577
PARCEL ID:05711101
LEGAL DESCRIPTION: T15N R2E SEC 6 W2 SE4
DATE ISSUED: 9/19/91
EXPIRATION DATE: 9/19/92
LOT SIZE:
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD SYSTEM
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY:
DATE:
DATE:
September 12, 1991
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Proposed Tract A, of W~, SE~, Sec. 6, TI5N, R2E, S.M.
Request you issue a p~rmit to install a septic system on the referenced
property in accordance with our attached site plan.
This property is in the process of b~ing subdivided ~nd~r case #S-9095.
The installation of the proposed system is in accordance with Planning
Staff Comments for the subdivision.
As can be seen from the site plan this is a v~ry large lot with room
for several f~u~e upgrades. We do not anticipate any adverse effects
on n~ighboring properties by the insta~ation of the proposed septic
system.
If you have any questions or require additional information for your
review, please contact us.
Sincerely,
RJS/~m
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
SCALE
Munlcipalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502~650
$ 9 095 AU6 0 ? i~
.
LEGAl_ DEsC.iPTION:_ ~ ~/~ ~ ~ Township, Range, Section: ~1~
~ SLOPE SITE PLAN
2 /~L
3
4
5
.6 (--~? / L-~ ~,-~-F ~.~--
7
8
9
10 WAS GROUND WATER
ENCOUNTERED?
~ y~s, AT W~AT ~4Jk O
11
L
12 DEPTH?
--P
E
13 D~pth 14 Waer ~er
MoA~inD? ~ Dal~
Reading Date 6ros~ Net Depth to ' Net
~ Time Time Water Drop
16~
~ ~ ,, ~ ,, ~ -
2o ~-.y _ ~,,
~ ' ~ - ~ J PERCOLATION RATE ~ (minute~inch) PERC HOLE DIAMETER _
S & S ENGINEERIHG ~~ "
~ " ~ CE ~
' ~ = --~ C~TIFYT~;TT~STE T~AS PERFORMED iN
t2?~; ~teC. N4~; ~.TH ALL STATE AND MUNICIPAL GUIDELI T ON ';HIS :A~A~::TIF
RECEIVED
SEP 3 0 1991
Municipality of Anchorage
Dept, Health & Human Services
DOM BREWIMGTOM
PO BOX 770561
EAGLE RIVER, ALASKA '39?577
'Susan Oswalt
PERMITS
PO Bort 196650
Anchorage, AK '?95.19-6650
September 26, 1991
It is the intent of Dion Brei ington, Mile 9 Eklutna
Roast, PO Do- 770561, Eagle Ri've=', Alaska 99;5�7 tc;
-i-n-stall his awn 'Olunici•,oai App --roved Septic System
located at W1/2 SEI/4 Township 15:h Kande R12E Section G.
CONSIDERATION
With the n,};c e intent, I Don Rnewinrteon, with knoviedge
cf the regt:i -ed inspections, accept full respcinsibility
foi• the above Septic. System>
!)on 92.-av{ -gyton