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HomeMy WebLinkAboutBREWINGTON TR A-1Onsite File t;j(@uvAmRRm"@,w www.sullivanwaterwells.com 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