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HomeMy WebLinkAboutCARROLL LT 3Onsite File Carroll Lot 3 #006-322-13 Q DOC CO dba OF BILL & COLE ;qh, ULLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 888-2759 OWNER OF LAND: Kevin Crowley ADDRESS: 2627 Carroll Place LEGAL DESCRIPTION Carroll Lot 3 DATE: 5-26-21 PERMIT NUMBER: OSP211046 DATE OF ISSUE: 2_24-21 TAX IDENTIFICATION NUMBER 00632213000 Is well located at approved permit location: ❑Yes ❑No Method of Drilling: Nair rotary ❑cable tool Depth of Well: 85' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 84 feet Liner type Static Water Level: 15 feet Recovery Rate 40 ® gpm Fj gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 150 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes Ono Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 2 4 Overburden 4 22 Silty Sand & Gravel 22 35 Sand & Gravel Water 35 57 Tight Silty Sand & Gravel w/ Clay 57 72 Silty Sand & Gravel 72 85 Sand & Gravel Water Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Legal Description Property Owner Name & Address Carroll Lot 3 Kevin Crowley Pump Installation Date: 7-15-21 Pump Intake Depth Below Top of Well Casing: 70 feet I) Pump manufacturer's Name: F&W 11 Pump Model: 4F11P07301S 11 Pump Size: 3/4 hp 11 Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: BTH Construction Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM II Comments: Pitless Manufacturer: Martinson IIPump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHOPJA,GE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:h1v ww.munLorg/onsite On -Site Water System Pelr~mit Permit Number: OSP211046 Work Type: Well Initial Tax Code Number: 00632213000 Site Legal Address: CARROLL LT 3 G:1537 Site Mailing Address: 2627 CARROLL PL, Anchorage Owner: CROWLEY KEVIN G: & Design Engineer: This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: nr X01 i Licl3�trtrnenr 2/24/2021 2/24/2022 MN ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy © 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. l�Covered, sealed, and heated to prevent freezing Special Provisions: To close out this permit, please submit the following: 1. Well log 2. Pump install log 3. Water sample results for total coliform, nitrates and arsenic. i Received By: _ Issued By- ' t T Date: 2 112.S I' ZO,>_ ( Date: `i la0 o� 3 Pil illilliq 11111�11jl 350 IT) Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 0()i� — Property owner(s) Mailing address Site address �, ON-SITE SEPTIC/WELL PERMIT APPLICATION 12-2-)1-000 1 11 e_j i "A LCe>­-) -q— Day phone OWJ-TSO-1-70� 96f S6 g Legal description (Sub'd., Block & Lot) Lot Legal description (Township, Range & Section) C cLrroLL SSD' Lot Size 01S 6 —Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (21 all that apply) Initial Absorption Field ER,,- F-1 Single Family (SF) Septic Tank 7 Upgrade F-1 (w/wo ADU) Duplex (D) ❑ Holding Tank EJ Renewal 0 Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well gr Water Storage M THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner of ,Authorized agent) Permit/Rush Fees: t P � 5 Waiver Fees: Date of Payment: aL2 Y d, o? I Date of Payment: Receipt Number: 09 75 0 � Receipt Number: Permit No. _ QSV.a.1 1,0 q (12 Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorrns\Client Fornns\Perrnit Application,doo MOA Onsite InformationRC\(�CLL L 3 i € ' Road E ynt � i I ........... L._._._._._._._._._._._. _._._._._._. a � � e�� ha ►'v� e G v� �A e a o 2/24/202111:58:15 PM 1:11250 0 25 50 100 ft Property Information WMS Drainageway Nodes Wastewater Facility Structure , I 0 Lots And Units =Generator Manhole 5 10 20 m ..........� Catch Basin w =Lift/Pump Station Grid 100 WMS Drainageways m.'µµWeter Station Streets - Local Storm Pipe AWWU SAS GIS, Sources: Esri, Airbus DS, USGS, NGA, NASA, CGIAR, N Robinson, NCEAS, NLS, OS, NMA, Geodatastyrelsen, Rijkswaterstaat, GSA, —--Easements ­ 4 Geoland, FEMA, Intermap and the GIS user community, Sources` Esri, .. .. Easements Easements_Legacy_Lines HERE, Garmin, FAO, NOAH, USGS, O OpenStreetMap contributors, and the GIS User Community Esri Community Maps Contributors, Matanuska-Susitna Borough GIS, Municipality of Anchorage; State of Alaska, Building FootprintUSA, Esri, HERE, Garmin, SafeGraph, METIINASA, USGS, EPA,