HomeMy WebLinkAboutUS SURVEY 3045 LT 51 T10N R2E SEC 8US Survey
3045
(T1ON R2E Sec. 8)
Lot 51
#075-031-05
JAN -22-2015 10:37A FROM:
TO:3437997
P.2'2
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STATE OF ALASKA
DEPARTMENT QF NATURAL RESOURCES
DIVISION OF MINING, LAND & WATER
WATER WELL LOC
Drilling Started:Q9 5 20 12013, Conrpleted:09in. OIL
City/Borough:
Subdivision:
BLOCK
LOT
Property Owner Name & Address: Jake Thompson
Girdwood
Crow Creek Rd.
51
P.O. Box 355
Girdwood, AK 99587
Meridian Township Range Section t%aof_ la of
BOREHOLE DATA (from top of casingpepth
___,__— „_,__Vtof ____
Drilling method: (X ) Mr rotary, ( ) Cable tool, Other
Material: Type, Color Be wemess l Prom l Ta
Weil use: ( 1 public supply, tX) Domestic, Other
Stickup
0
2
Depth of hole: 50 ft, Casing stickup: 2 ft
Cuing type: steel Thickness: .250 inches
Casing diameter: 6 inches Casing depth: 50 n
loose gravel
2
12
Liner type: Diameter. inches Depth;_. ft
__� ___
Static water (from top of easing): 23 ft on 09 / 20 /201..3
clay w/ gravel
12
35
Pumping level & yield: feet after hours at gpm
_
Recovery rate: 30 gpm, Method of testing: airlift
day w/ gravel & little H2O
35
40
Development method: airlift Duration: 1 hour
coarse w/ H2O
40
50
Well intake opening type: (X) Open end, ( ) Open hole, Other
gravel
Screened; Start: ft. Stopped ft
Screen type: Slot/mesh size:
Perforated; Start: ft, Stopped:
Start: ft Stopped: ft
Note:
Grout type: _ bentonite Volume -
Depth; from _ground surfpce , to 20 ft
Pump intake depth: it
Pump size: hp, Brand name:
Was well disinfected upon completion? (x) Yes, t 1 No
Method of disinfection:.DalciuDtH.ypochtontte.(Chlorine)
Driller comments/ disclaimers:
Well driller name. Kyle
Company name: Hefty Drilling, Inc.
Mailing address. 3540 Akula Dr.
City: Anchorage stale: zip 99516
aii.
Phone number : j 907) 345 - 0593 fax:345-4700
Drillers signature:
Alaska state law requires thut a copy of this µtil log be sent to the
Department of Natural Resources within 45 days: faxes me
acceptable. (AK statutes 38.05.020. 38.05,035. 41.08.020,
46.15.020 and AK regulations 11 AAC 93.140),
DNR•' Division of Mining, Land and Water.
550 W 7th Avenue. Suite 1020
Anchorage. AK 99501- 3562
Phone (9071269-8639 and f. -,x (90711.69.8947
Within the City of Anchorage, it Is required that a copy of the well log be
sent to the appropriate city office within 60 days and that another copy of
the well log be sent to the well/property owner within 31) days.
Permit Number: 05P121366
Date of issue: / /
Parcel Identification Number:
Is well Incatad at appmvcd permit location? (yt) Yes or ( ) No
SRN -22-2015 10:37R FROM:
Mark 8egich
Mayor
TO:3437997 P.1'2
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www. mum .arg/onsite.
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number-EP/V-640 t3GG Date of Issue: p
Parcel Identification Number:
Legal Description
Ota
e,(rr V i2rli / �, cj
ks Slfvel 34,5 L,sl
Property Owner Nap & Address:
�''
J kt t L• 0pa-t
ped•'da aS , ,tic q ` 4 87
Pump Installation Date:
Pump Intake Depth Below Top of Well Casing: CO feet
Pump Manufacturer's Name: d ?a
Pump Model: /0 59C O)b-den
Pump Size
Ntless Adapter Burial Depth: /0 feet
Pidess Adapter Manufacturer's Name: Ceiv7ke// 8-/0
Pities Adapter installer: Jk47 D✓i 'I /titl itt:,
Well Disinfected Upon Completion? Yes n No
Method of Disinfection: 111 ��`
Comments:
Pump Installer Name:
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: OSP121366
Tax Code Number: 07503105000
Work Type: Well Upgrade
Permit Effective Dates: October 19, 2012 to October 19, 2013
Design Engineer: HATCHER W RACHEL &
Subdivision: US SURVEY 3045
Site Legal Address: US SURVEY 3045 LT 51 T1 ON R2E SEC 8 G:4715
Owner/Address:
HATCHER W RACHEL &
THOMPSON JAMES G PO BOX 355 GIRDWOOD AK 995870355
Site Mailing Address: 388 CROW CREEK RD, Girdwood Lot Size in Sq Ft: 48787
Total Bedrooms: 5
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 : A iia!
Issued By:fOVNr 4/ •/ / 1..ti
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 09-5 - 63I." 65 r^ 4 aso ese
Property owner(s) < 1 2,O,G,S# Day phone �% V 3 - f1S442..
Mailing address 036 /16 D to 3 SS 6it-om us/3 4 K 9''9587
Site address 3t8 Cato -kJ CitiStIC jloat a
Legal description (Sub'd., Block & Lot) ;Led 6/ ti (,(S SUrve‘d 3045 LFS/
Legal description (Township, Range & Section) 6/ AnDieltell 1`►d Iv IZa'1 SECS
Lot Size 4i9;00e) Sq. Ft. Number of Bedrooms J
APPLICATION IS FOR:
(® all that apply
Absorption Field 0
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
APPLICATION IS AN:
Initial
Upgrade
Renewal
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D) ❑
Multiple Dwellings
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
0
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
R&ckettkt
(S' ture of property owner or uthorized agent)
Permit/Rush Fees: $ arm- Waiver Fees:
Date of Payment: /0//Q /l? Date of Payment:
Receipt Number: / 3 Poi Receipt Number:
Permit No. OSP/ a13(a(o Waiver No.
Permit App_9-1-12.doc
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LOCATION OF WELL' (Please complete either la, Ib or lc.)
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological a Geophysical Surveys
Drilling Permit No.
A.D.L. No.
1711 13 rouu h4.
,.Subdivision
Lot
5(
Block
Ib.
—of_of—of
I/4 qt re.
_
Sec lion No.
Township No
60
Range E❑
W❑
Meridian
lc.
DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS
Street Address and Area of Well Location
3. OWNER OF WELL: I /�, f> n -vhDml t .,l
Address:P D • �U�jCIl�/1�<l)S^ \ qi IlJ1 11W� v )
alCc i..,. -; EVA -1C"rtf
2. WELL LOG
Feet Below
Surfoce 1
4, WELL DEPTH: (final)
51
5. DATE OF CsOMPLETI N
27D
Material Type
ft.
t
_ y —
tel.
Top
Bottom
n1+} QA eAC)
aa
6. ❑Cable tool ale ary 0 Driven 0 Dug
InOtt5t-�' )nA kii` -
aa
3a
• Auger • ❑Jetted. 0 Bored 0 Other•:
/V' t a.NA + r
a
e,
7. USE: mestic ❑ Public Supply. ❑ Industry
O Irrigation ❑ Recharge ' ❑ Commerical
•
Test Well ❑ Other'
8. CASING: O Threaded Ca -gelded
diem. COtO� In. to ft. Depth We lght a SoIbs./ ft.
diem. in. to ' ft. Depth Stickup ft.
9 FINISH OF WELL:
�W�o" ff
yi �� Q^}- 1
Type: " Diameter:
Slot/Mesh Slee: Length:
Set between ft. and 11.
Backfilling Gravel pack
^C �y
10. STATIC WATER LEVEL ft. /5,q/
O Above or O Below land surface ` /Dote
Equipment used: + �l.i
-
-
11 . PUMPING LEVEL below land surface and YIELD
ft. after hrs. pumping_ g.p. m.
It. after hrs. pumping
12.GROUTING Well Grouted: as 0 No 01 -,,of
Material: O Neat Cement O Other:
13. PUMP: (if available) HP
Length of Drop Pipe ft. capacity g.p.m.
0 Subm. •
Jet ❑ Centrtfical ❑ Other
14. REMARKS:
16. WATER WELL CONTRACTORS CERTIFICATION:
15. Water Temperoture ❑ F ❑ C
_°
This
well
was
,i
'lied under
iIIin
my jurisdiction and Its report is true to the best of my knowledge and belief;
60L17
No
i tared Bus'ne
s Name Contract
1 Contract
License Number
Sigred: . 12bP•09 V/ Dole: _ (O — t�^' ?7
Authoriz R. resenlativo
Form 02-WWR (II/81) Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY -Customer
ON ID 001 Sfs
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER: SW970115
DESIGN ENGINEER:
OWNER NAME:JAMES THOMPSON
OWNER ADDRESS:P.O. BOX 355
GIRDWOOD, AK. 99587
PARCEL ID:07503105
LEGAL DESCRIPTION:
US SURVEY 3045 LT 51
LOT SIZE: 48787 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
DATE ISSUED: 6/02/97
EXPIRATION DATE: 6/02/98
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: ` 1,I LOW I
IMF
ISSUED BY:
DATE: Kl `� 1 -7
DATE: OF/C 7-17.7,
PROPOSED MTh) veal
n
mAIED)
at,. cA
PROPOS satins 1cM11
art. osstme )
:«.Na amen
MONT wea.a SEWS(
97,0
96,0
20
SOe MADIND smut(
RYAS BMWS SETBAIX
5-
/0
UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED
THE SURVEYOR TAKES RESPONSIBIUTY FOR THE INITIAL TRANSACTION
USTED DISTANCES PREVAIL OVER SCALING.
FOR CONSTRUCTION OR FOR ESTABUSHING BOUNDARY OR FENCE USES.
ON Y MD ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY.
REPRODUCTION MAY CAUSE ERRORS IN SCALE.
LJ LOT SURVEY SURVEY TYPE
❑ FOUNDATION AS—BUILT
❑ FINAL STRUCTURE AS—BUILT
121 PLOT PLAN ... AS—BUILT ... LOT SURVEY ... TOPOGRAPHY
11 AS—BUILT NO GORNERS SFT i1 REf WnF1CATON AS—RIAT . .
N0 CONNFRS SET
SYMBOLS
• SET REBAR PaLD DRAINAGE
o FOUND REBAR q 0 WOOD FENCE
004 ASSUMED. ELEV. X X X METAL FENCE
..:e
1/1/11
ASPHALT
CONCRETE
WOOD DECK
PLOT PLANS & LOT SURVEYS
IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE
TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE
THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT.
NOTE:
ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS,
ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW
MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED.
ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
SURVEY CERTIFICATION
PLOT PLAN
1 nw.ey artily mot l no.. phy O Iy wn.).d
u. lot drawn ma do.obW harem, and mal I
ho.. round ...mam.d on of m• ort comers
o.
shown an the plan and to the beet of my
w,o.1.da ma mnu.., on an.nw'me ho.e been
m.n.,r.d we one corral.
FOUNDATION AS -BUILT
1. Robert. Jr.. her.OyM col* DIM 1
hove p*lomw an A. -Bon y of the
/aneWlm m mu lot me mol c0 me
Simeon, and Informal,. m sham From
me no encroachment* meet anus
/hoencroachment*ln..w.
FINAL STRUCTURE AS—BUILT
I,
Robert E. Mum, .t.. hereby seDEY toot 1
have performed on Aturtura).OuIt tura). Of m.
structurstructureonUde lot one that a1 the
TMnelme ale nformaum oe Saes hereon
eri• W. and n .I000tmolt. .idol unless
.Sweeta.Sweet
.•se-•...............•rrt
C.
i :49th
•
t
•
t t ROBERT JOHNS" JR. �f i k-
•
SS
0
S-.. 4121—S .: _A
u
J J<
Prepared by
Robert E. Johns, Jr. & Assoc.
Professional Land Surveyors
842 E. 12 AVE.
ANCHORAGE, ALASKA 99501
Scale:
1l" = 60'
Rec. Lot S.F.
Rec. Plot File No.
Date Surveyed:
5-21-97
Drawn by.
R F. T
Checked by.
MLJ
Dote Drawn:
R_97_07
Grid:
4718
W.O.
47-nsn
Legal Description:
LOT 51, U.S.SURVEY 3045
SE4 SEC 8, T1ON, R2E, SM.
-c -k-
-7 \
i
7
al
1V
./ °;if 6/
r9 rip '9
7'i -n°727 rrnle
a
0
n
TAX CODE No. 075-0C3I -05
GRID No.
SEWER UTILITY
U55 3045
Se.8 TIOA) KBE
Acct. No
MUNICIPALITY OF ANCHORAGE —
PROPERTY: -
Name Address
S/ Block —
Plat No. Subd Gn2 tt nD h'oMiS/rE Lot
Residential 0 Commerial 0 Industrial 0 No. of units
CONNECT:
Tap Property 0 Permit No. Size
4
Type
Main 0 On
Drawing No. Size Main Type Depth at Connect
Insulation 0 Cleanouts Type
Date
9/-ZS/b9
Connect Agent A4 4 P Inspector 0 NEiQP/GI.C'
Comments
Connect Location A/O 'S ,50arty/P 1' <5,,,,c' MH
U-5
_<i
ASSESSMENTS:
L.I.D. No. Private Dev. No. Subd. Agreement 0 No.
Sewer Agreement 0 No PTE 0 Roll No
DYE TEST:
Positive 0 Negative 0 N.S.A. 0 Date
Page No. M H. No Billing Cycle
Tested By
Comments
STREET
"ON PROPERTY" Service Line Location By Sketch
Show Location of Control Manhole
ALLEY
'o.
o
m
z
3
LOT g i
II
0
St
9 �
u5
Lr
ck
C)
SZ
V
4
Comments
#(
! {
X0s.
co o
0 93
O ▪ 0
M • coo
0 (
e Fa 01
0 CO
Gordon W. Webber, Cartographer (Cadastral)
co
y *Ng sauao0 1V
0
Longitude 14S'08'32" W.,
0
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