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HomeMy WebLinkAboutCARPENTER LT 3B Carpenter Lot 3B #012 - 052 - 64 Development Services Department • s .9Building Safety Division E f On-Site Water & Wastewater Program ° 4700 Elmore Road �� ' i P.O. Box 196650 Anchorage, AK 99507 5 A , E T Mark Begich www.muni.orq/onsite Mayor (907)343-7904 Well Log Permit Number: OSP171094 Date of Issue: 5/24/17 Date Started:6/30/17 Date Completed:7/7/17 Is well located at approved permit location'?IJ Yes U No Legal Description: Carpenter Lot3B G:2026 Property Owner Name&Address: Heesch Jack T 6103 Loganberry St Anchorage,AK 99502 Borehole Data: Depth(ft) Method of Drilling IJ air rotary LJ cable tool Soil Type,Thickness&Water Strata From To • Casing type:steel stickup 0 2 Wall Thickness: .250 inchcs overburden 2 5 Diameter: 6 inches Depth: 340 feet Liner Type: sandy gravel 5 27 Diameter: inches Depth: feet clay w/gravel 27 42 Casing stickup above ground: 2 feet clay/grey 42 137 Static water level(from ground level): 90 feet silty gravel 137 140 Pumping level: feet after hours pumping gpm wet clay,sloppy 140 182 Recovery Rate: 60 gpm sandy silty gravel 182 210 Method of Testing: airlift gravel w/clay 210 315 Well Intake Opening Type: sand w/little gravel wet 315 320 n Open End n Open Hole coarse gravel w/H2O 320 340 ❑ Screened Start feet Stopped feet El Perforations Start feet Stopped feet Grout Type: Bentonite Volume:granules Depth: 20' Start 0 feet Stopped 20 feet Pump: Intake Depth 210 feet Pump size 3/4 hp Brand Name Grundfos SQE Well Disinfected Upon Completion? n Yes n No Method of Disinfection:.chlorine tablets Comments: 4 Well Driller: Hefty Drilling, Inc. 3540 Akula Dr. Water Sample Results: Anchorage,AK 99516 Arsenic: 10.6 ug/L i\vi,11-1 Nitrates: nd mg/L Total Coliform Bacteria: neg colonies/100mL Other Bacteria: neg coU100mL Attention: The well driller shall provide a well log to DSD within 30 days of completion. Development Services Department Building Safety DivisionF. GE e4 b' On-Site Water & Wastewater Program 47Pr '<a 4700 Elmore Road z z P.O. Box 196650 ` •a.L) I i Mar*Begich Anchorage, AK 99507 s A ETV Mayor www.muni.orq/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 05P I l l °11 Date of Issue: c")' '1 1 Parcel Identification Number: Legal Description Property Owner Name&Address: r C,C.I(eev) Lt 313 7oddL i '� f. ,, 14 C*103 Log n ba r 5 /4-CAP^Ca, c Al 9 coa Pump Installation Date: g- 11-17 J Pump Intake Depth Below Top of Well Casing: c210 feet ' Pump Manufacturer's Name: f 4S Pump Model: /0 5 Q50-7-i 0 a Pump Size 3// hp Pitless Adapter Burial Depth: I 0 feet Pitless Adapter Manufacturer's Name: CA►vl bed/ 3—i 0 Pitless Adapter Installer: 14v i e✓c.l 9r./45 Well Disinfected Upon Completion? Yes E No 111 Method of Disinfection: lJ" /� l_1 b r. Comments: -alPump Installer Name: 0h 16 7 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. _______SGS-- SGS Ref.# 11 74363001 Client Name Hefty Drilling Printed Dateifime 07/17/2017 13:23 Project Name/# Heesch Collected Date/Time 07/12/2017 9:30 Client Sample ID Well-Todd Heesch Received Dateffinte 07/12/2017 11:33 llatris Drinking Water Technical Director Stephen C.Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date !nit Metals by ICP/MS Arsenic 10.6 * 5.00 ug/L EP200.8 C (<10) 07/13/17 07/16/17 VDL Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM2I 4500NO3-F B (<10) 07/12/17 AYC Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 07/12/17 K.W Total Coliform Negative I I00mL SM2I 9223B A 07/12/17 K.W Page 2 of 5 rt �„ncnt 0 " MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program �� : 5 ; PO Box 196650 4700 Elmore Road ~ Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax:(907)343-7997 „ httpa/www.muni.org/onsite _ I cpartmcnt 4kCNOFOk On-Site Water System Permit Permit Number: OSP171094 Effective Date: 5/24/2017 Work Type: Well Initial Expiration Date: 5/24/2018 Tax Code Number: 01205264000 Site Legal Address: CARPENTER LT 3B G:2026 Site Mailing Address: 6103 LOGANBERRY ST, Anchorage Owner: HEESCH JACK T & Lot Size in Sq Ft: 10276 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank 0 Privy El Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close this permit, please submit: 1. Well log 2. Pump install log 3. Water sample results A.------- Received By: Date: r /y Issued By: Ul`t/e..eit_ C}uLreJ Date: 5M 7 MUNICIPALITY OF ANCHORAGE d„i 1.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. 0/L 7 ) /1 Property owner(s) l Vii{ eeSa---- Day phone ‘76YZ0 Mailing address 6 /0 ? 1 05/)-,? 2,r f-7 t`/ /lvr G LIOr1,-t 1/( '9 22_ Site address Legal description (Sub'd., Block & Lot) (_()/p0_ 11 1 e f 7 5 Legal description (Township, Range & Section) Lot Size 10/0r0 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial Single Family (SF) 4 (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (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. Irl. / L (Signature ofpr‘erty owner or authorized agent) Permit/Rush Fees: .! )6. C. Waiver Fees: Date of Payment: S -)---1-=1‘4-` Date of Payment: _Receipt Number: aI ` SS Receipt Number: Permit No. OSP 1l i fit{ Waiver No. Permit App 9-1-12.doc - SS I sc ss. LOT 2B-1 LOT 2A-1N 6 75'SEWER MAIN \ SETBACK LOT 1B 100'SEWER \\Z SETBACK y . 25' SEWER \ — -- SETBACK C PROPOSED WELL - - - MHN S89° 58' 05"E 172.68 SITE LOCATION 1 1 I '� ara 1 °° LOT 3 B I } - ,--,. 7 H I ..L. ' LU - ' I LU m \ �. ' rn rn CY o N90' 00' 00"W 100.00 ', , H o I � _ o Z I J —0 CO �' I oo cf Ce 1 LOT 3A I n �4) -- r w �,; � _ TRACT 8 25'SEWER i 100'SEWER 'r SETBACK �� LOT 4 Q / EXISTING o SETBACK 1\ O e, �' / �5 I o HOUSE O z //Z/1/ ///Z,f' / �S \ - -I_ "' I S . N. S89°44' 20"W 72.76 ` / 75'SEWER MAIN / tn SETBACK T .--- 100' r 100'SEWER 100'PROPOSED , SETBACK WELL BUFFER LOT 1 LOT 2 LEGEND: ® -PROPOSED WELL MH -SEWER MANHOLE 0 10......ww bellow Fi 11 ' - POSSIBLE WELL LOCATION 1 -PROPOSED WELL BUFFER GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. -LOT EASEMENT LINE v),„1, -///1:-.1.----'— CALL 811 FOR LOCATES PRIOR TO DRILLING.I -SS- -SEWER LINE SETBACK Li• SEPERATION DISTANCES AND SETBACKS PER - S —-SEWER LINE Ln AMC 15.55.060 TO BE VERIFIED BY DRILLER -UNDERGROUND GAS LINE ONGC.''(7.- - CARPENTER SUBDIVISION HE : PS CHECKED BY: SC antiacri I nc LOT 3B DATE: 4/5/2016 anc/liled..ne•e,y;nauny•a....•.•y..,y JOB NO: 15064 250HStreet WELL SITE PLAN Anchorage.AK 99501 SHEET NO: SCALE: °1907'21:-8985 PARCEL# 01205264000 1'=40 021 www l kygak com . ek.cxn 0: -ft TAX CODE No.. 1b MUNICIPALITY 31 GRID No. d� ;7zg: � F ANCHORAGE--- SEWER UTILITY PROP HiTy: Name Address Plat NO* Subd. Residential C3 Domme ria l 0 Industrial 0 sE� 1o. of units cct.No Lot_ z3A�oBiock CON NDT= � • � � ire � T Main Tap On Property Permit No.ype DrawingNo. Size Man Type Depth at Connect insulation eaou Type Connect end Inspector Dae 7 Comments Connect Loa n 3r. ft" JEKiM ASSESSMENTS: L. 1. D. No.. lPrivate Dev. No. Subd. Agreement Severer Agreement No_ _ T . 0 Roll No.— DYE: o_— DYE TEST' PositiveNegative C3 N.S.A. 0 Date Pag a Idp M.. No. Billing Cycle Tested By Commentsw It No. - E C3 I I i t I u SEE SHEET 17-1 n I 2 T a I •'b �°a s I �� 5 �w BE = BIRCH, COTTO1 iG F+-15'TEMP. ESM7 RF,a+ ";1^Svy,�` 103,67 i i BE =110.60 I N STA.0+00.00 EA T ++ G J•� STA. r+ai I STA.4+00.0 ASTM ^ 2 S11y STA. sem. EAST,�•' � ' � I 7 o q STA. 4 EAST i ;^ MH SH -24 / ^ 1:< I MH SH -25 MH SH -26 SIO' EMP ESMt y MH SH -26 i— wW — „. IO W61st. AVE. -- MB. �,; -- , o w.<M �',5 e1 10Y a u I �ro .awap✓i: sne i ^aH pvc. ar�+5 F,. 400. LF 6 PVC ---- LF 8' PV .� ._ L 8" PVC - -- -- --I G - - --- --- -G -- -- -- G __ - - - -__ - - -- r ' <<i TH 4e 10 I1 I I l WALLni w B.E=98.72 15' I G o Ir I 9�1 I w au I d L Q �a' NB Pa � w E 0 ; 30 I 251 w w B.E=98.72 a a /O w I T.E=115.65 0 NB Pa � E 251 10' Y SEE RIGHT40 TE�AP,�HFAas SEE LEFT iI l E� � �ua �� g12 S':.> �F IO'TEMP ESWl i'i 1 �� • I I k -5' PERM ESM'T u74 m w r -- r w e m F o Q b 2 NOTE: THE EXACT LOCATION OF 4" SERVICE CONNECTS WILL BE DETERMINED IN THE FIELD.. *ON 4 4i-sd and .ate.'/iihf STA. 9 EAST 2 MH SH -28 10' _4 7.5' -35 -� s= I I 2/ �7 p I U -i 0 W Q n7 U MEN E 0 O MEMEMEE -- 0 ENE 0 IOy N MEED M®®EM®ME MEE__ I, Ell ME _EMO 0 ME -- — - w -om — — - -- T P e .I ap0.0 _-- -- -- -- — —N- IN I 1=7185 S. INV'=71.80 - l E. IN V=71.90 L - --- MEME MOEN ME on I NEE M ONE ME 0+00 1+00 2+00 3+00 4+00 10' Y SEE RIGHT40 TE�AP,�HFAas SEE LEFT iI l E� � �ua �� g12 S':.> �F IO'TEMP ESWl i'i 1 �� • I I k -5' PERM ESM'T u74 m w r -- r w e m F o Q b 2 NOTE: THE EXACT LOCATION OF 4" SERVICE CONNECTS WILL BE DETERMINED IN THE FIELD.. *ON 4 4i-sd and .ate.'/iihf STA. 9 EAST 2 MH SH -28 10' _4 7.5' -35 -� s= I I 2/ �7 p I U -i 0 W Q n7 U MEN E 0 MEMEMEE 0 ENE !' MEED M®®EM®ME MEE__ I, Ell ME _EMO 0 ME MEME MOEN ME on I NEE M ONE ME WORM . • BY r �� ® - -. law M: MEN M MEQ - C EMC M_� WMMECIMC C � NDCBPAL TY OF 4\ NCHOF AGE Development Services Department ro.�.. . .���.... ,. Phone: 907-343-7904 On-Site Water & Wastewater Section i' Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 012-052-64-000 Expiration Date: SP/-L 1 ao l8 1. GENERAL INFORMATION Complete legal description Carpenter Lt 3B Location (site address) 6103 Loganberry St Current property owner(s) Jack Todd Heesch Day phone 9072500281 Mailing address 2445 McKenzie Dr, Anchorage, AK 99517 Real estate agent Anita Bates Day phone 9072438777 6 '189 70 2. TYPE OF DWELLING: u`' ry ❑ Single Family (w/wo ADU) > 451. ❑ Duplex =� �� • eL JUN 0 8 2018 ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 a68Lg 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer Waiver request for: Distance: Received by/ � Date: /( Z/i COSA to be released to the en 'neer,unless otherwise requested by the engineer. COSA Fee $ I I I• (.Q g Waiver Fee $ Date of Payment (.0181•901 g Date of Payment Receipt Number 644(.PL4 oAtt/- Receipt Number COSA# OS C I 0 t 2ftol Waiver# • • 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems 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 State codes, ordinances, and regulations in effect at the time of installation. Name of Firm LCG Lantech Phone 245-8827 Address 250 H St., Anchorage, AK 99501 Engineer's Printed Name Dale McCoy Date 6/4/18 --L."- OF *Smh 6. DSD SIGNATURE yr '49 ,' ��� *� System #1 Approved for 3 bedrooms r System #2 Approved for bedrooms �, DALE L. MCCIY : Disapproved YoP CE 13357Le/.6./C7A,•\ Conditional approval for bedrooms, with the following k PROFESS\o�`��.- 0000��� ON-SITE WATER AND WASTEWATER L PROGRAM .fOttin Ci-;0\i‘ By: Q&OAR Cc_TOLO-0 Original Certificate Date: Jte d 01 a 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 Well Flow Advisory Other COSA Checklist blue sheet If more than 1 septic system is on the lot: COSA Checklist# of • Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Carpenter Lot 3B Parcel ID: 012-052-64-000 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 7/7/17 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 340 ft. Cased to 3 1(2ft. Casing height (above ground) 2 in. FROM WELL LOG AT INSPECTION Date of test 5/29/18 5/29/18 Static water level 90 ft. 90 ft. Well production 60 gp15.m. g p m WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate NEG mg/L Arsenic 7.25 ug/L Date of sample: 5/9/18 Collected by: X 7 4/,2-/ee 1--./ J-? 7, t B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout(Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 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.) (Y/N & 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 N/A Absorption field on lot N/A On adjacent lots N/A Public sewer main >100Public sewer manhole/cleanout '100' 25' Sewer/septic service line Holding tank N/A Animal containment areas N/A Manure/animal excrete storage areas N/A 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 Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION -it"������®\� •F ,A k I certify that 1 have determined through field inspections and ,`Q.• review of Municipal records that the above systems are in API Gj•• ••y y conformance with MOA COSA guidelines in effect on this date. *'. 49 TH -1N1 ✓ '.*dy Dale McCoy •/' Od Engineer's Printed Name • • (, ��• • • Date 6-8-18 DALE L. MCC•Y ¢$�F••• CE 1337 .•• ��/ llFOPROFESS.v' COSA canary sheet_2-6-15.doc S GS____ SGS Ref.# 1182044001 Client Name Residential Testing-Cash Account Printed Date/Time 05/17/2018 14:36 Project Name/# Todd Heesch Collected Date/Time 05/09/2018 12:20 Client Sample ID Kitchen Sink Received Date/Time 05/09/2018 13:00 Matrix Drinking Water Technical Director Stephen C.Ede Sample Remarks: • Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 7.28 5.00 ug/L EP200.8 C (<10) 05/11/18 05/15/18 VDL Waters Department . Total Nitrate/Nitrite-N ND 0.100 mg/L SM21 4500NO3-F B (<10) 05/10/18 AYC Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 05/09/18 DSH Total Coliform Negative I 100mL SM21 9223B A 05/09/18 DSH 2 of 5 6%0 AqQ Ailsk, tts Anchorage Well& Pump Service, Inc. V:Ali.4,1111111 330 East 76th Avenue Invoice Anchorage,Alaska 99518 ( � (907)243-0740 'O�Mrsc� Invoice#: 20181005 Bill To: Ship To: TODD HEESCH TODD HEESCH 2445 MCKENZIE DRIVE 6103 LOGANBERRY ANCHORAGE, AK 99517-1138 ANCHORAGE SALESPERSON YOUR NO. SHIP VIA COL PPD SHIP DATE TERMS DATE PG. MARK VANWINGERDEN 27905 Net 10 5/29/2018 1 ------ -- ------------ QTY. ITEM NO. DESCRIPTION PRICE DISC% EXTENDED TX. PRICE JTH109@HOTMAIL.COM 1 Service Call WELL FLOW TEST FOR SALE OF HOME 1 Field Service Field Services: 5-17-18-MOB TO JOBSITE. $92.00 $92.00 PULL PUMP OFF PITLESS. INSTALL PUMPING HEAD WITH FLOW METER. STATIC WATER LEVEL AT 90 FEET. START PUMP. PUMP AT 12 GPM FOR 1 HOUR. WATER LEVEL DROPPED TO 91 FEET. RESULTS OF FLOW TEST AT THIS TIME: 15++GPM. PUMP SET AT 210 FEET. WELL LOG STATES:WELL DEPTH 340 FEET-STATIC 90'-60 GPM. DEMOB FROM JOBSITE. 1 ST2 Service Tech: MARK VANWINGERDEN $98.00 50.51% $48.50 5-17-18 1 ST6 Service Tech: HENRY MARTIN 5-17-18 $98.00 50.51% $48.50 1 Field Service Field Services:5-25-18-MOB TO JOBSITE. $92.00 $92.00 FOUND LOOSE POWER WIRE TO WELL PUMP. FIX CONNECTION. TEST. SYSTEM OKAY. DEMOB FROM JOBSITE. 1 ST2 Service Tech: MARK VANWINGERDEN $98.00 1.02% $97.00 5-25-18 1 NOTE: CURRENT CONDITIONS NOTED DO NOT IMPLY FUTURE WELL PRODUCTION & CONDITION. -1 Z0602 DISCOUNT GIVEN TO HONOR QUOTED $78.00 ($78.00) PRICE SALE AMT. $300.00 WE APPRECIATE YOUR BUSINESS. THANK YOU! FREIGHT $0.00 SALES TAX $0.00 TOTAL AMT. $300.00 PAID TODAY $0.00 BALANCE DUE $300.00