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HomeMy WebLinkAboutUS SURVEY 3043 LT 17 T10N R2E SEC 18US Survey 3042 Lot 7 075-09242 NO PUMP INSTALLED! Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Section 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 gttentlon: Property owner shall provide a well log to the DSD within 60 days of well completion. ?unlit Number: SVV070223 Date of Issue: At igOg /2Q07 i mccl ldcntitication Number: 075 — Q —1 h ,cell lueate-d at apin-oved penlut locution? i Xi Yrs or ( ) No _ Well Log 1)ri11'1•Jldmcd08 14.2008c,:»11r,, 108142008 .or rropom Owner -:iii c-& A:1dro.' : Robert Redmond 1 17 I P.O.o x 494Girdw Girdwood JUS Survey3043 99587 el;a att 10N goose 2E _ seci;un 18 4 of _ _ 30Rah0L DATA from top of casings :t D1iui,1.� tnrm(,d" fx 1,an ot.r1 i Cabic too", (rfvr >4atr1al.'I"%pC.. Color & metrics, I a,rl — —VI C11 usr. i )Public supply. (x l D t-1:;.uc. e- stickup i i 0 i 2 D� oh orholc: _. _. 78 ll, ; using stickup: --_—�-- F casing t,pc:steel liicincs: .250 inches silt & gravel 2 ; 12 _.I, , ; amct(:. ___ 6 li", psillu ficrlll:78 _ rt --U I_1Wrt,nc: - lurr: _ un hes ilcpti,:_-- ti silt w/ cobbles/gravel I 12 " 42 i S�auc miner ()' on, wn Gf=, s€ng): 42 t; oll 08 14200.8 t pornpi11_ 1.e.el to ) icid: _ feet M1mk'l' iloulS ai gpnl IZ:Covcr' :nitc 100 �;pin. 1\'I LihLli ()1 titin:,lit airlift — - moist silty clay w/ gravel 42 58 Dcerlopmem method: _ airlift )Ulil[Wn: 1 hour dry silty clay w/ gravel 58 65 t4 ell hake o1mii l2 rpc: IX -"'men lad. ( ! 0l� it nolo- 0i1), � Scic.Iwd. Start: .-, __—_- !i. Stooped - fi y w/gravel 65 70 >crcrn ta,e: - sl(,t;nl.-.i, _, .: - — --- - rgravel St I er - ft II I H2O 7Q 78 ;i v;t— ........ - i ca(l(tt,ll : -_ bentonite )cl,h lrom round surface . to 20+ ?prop intake depth: i j 'ulnp .ice: 1p- &';:ad Lama: 1 Fidisinfected upon a>mnicifon" t x Mctlloe. of disi»ihction:calci.um.H.ypochlorite-.(.Chlorine) i I ! t I DCI �Iei' Cflallli'n:�- (il5Cl::ihlira:...... l I, I : .. , ;i driiier na,nc:.� Johnny Drillin comp inn name:... Hefty g, Inc. ....... .. :. !. tofailing address......3540 Akula Dr. ....................... ............. ................ ....................... i .. /-,I%: _Anchorage slate: =K 7i1, 99516 Plume number : ( 907 345 - 0593 fax.345-4700 I Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Section 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 gttentlon: Property owner shall provide a well log to the DSD within 60 days of well completion. ?unlit Number: SVV070223 Date of Issue: At igOg /2Q07 i mccl ldcntitication Number: 075 — Q —1 h ,cell lueate-d at apin-oved penlut locution? i Xi Yrs or ( ) No Mark Begich Mayor Pump Installation Log Well Drilling Permit Number: SWC J Date of Issue CI�—%' 7 Parcel Identification Number:6o7,1 1 cZ Legal Description �� S j r u el 3 �? 7 > Iv E�' C�SL� 50C IV Property Owner Name & A re s: �' b w'l o t Pump Installation Date: 1 U v of '_ )o jj Pump Intake Depth Below Top of Well Casing: 70 feet Pump Manufacturer's Name: Gd rL„L I � 5 Pump Model: 10 SQL �� � -.)Uv Pump Size yZ hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's pN,ame: Pitless Adapter Installer: l V�r, i �� >� Yin r //// Wen nieinfrrtM Upon Completion? FYI Z'ng n 7\r. Upon _._._.i.__._ Method of Disinfection: Comments: Pump Installer Name: Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Re£# 1151071001 Client Name Residential Testing -Cash Account Printed Datefrime 04/07/2015 14:46 Project Name/# USS3043LT17TION R2E Sec 18 Collected Date/rime 03/25/2015 12:10 Client Sample ID Kitchen Sink Received Dateffime 03/25/2015 13:31 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 Waters Department Total Nitmte/Nitrite-N Microbiology Laboratory E. Coli Total Coliform ND 5.00 0.213 0.100 Negative I Negative I ug/L EP200.8 C (<10) 03/26/15 03/27/15 ACF mg/L SM214500NO3-F B (<10) 100mL SM219223B A 100mL SM219223B A 04/06/15 AYC 03/25/15 MEV 03/25/15 MEV MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Renewal Permit Number: SW070223 Legal Description: US SURVEY 3043 LT 17 T1 ON R2E SEC 18 Design Engineer: 0000 ZZ - NONE NEEDED Owner Name: ROBERT REDMOND Owner Address: PO BOX 494 GIRDWOOD , AK 99587 - Date Issued: Aug 29, 2007 Expiration Date: Aug 28, 2008 Parcel ID: 075-092-12 Site Address: Lot Size: 60984 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By: Issued By: Date: Off' a- A Date: 8 21rf ' 7 c Municipality of Anchorage Development Services Department \/ Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 %%ww.muni.orglonsite (907) 343-7904 Parcel 1.1 Property ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING phone Mailing address �D � Ljq4 (--It V-p)A)7)00 A(- Zip Code Site address Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size LOCt'N Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 12( Water Storage ❑ Number of Bedrooms Code _ L 3 THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ) (S� Waiver Fees: Date of Payment: $ I9�"IDl Date of Payment: Receipt Number. ggr3j, Receipt Number: (Rev. 11105) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SW060280 Legal Description: US SURVEY 3043 LT 17 TI ON R2E SEC 18 Design Engineer: 0000 NONE NEEDED Owner Name: ROBERT REDMOND Date Issued: Aug 24, 2006 Expiration Date: Aug 24, 2007 Parcel ID: 075-092-12 Site Address: Lot Size: 60984 SQ. FT. Owner Address: PO BOX 494 Total Bedrooms: 3 Permit Bedrooms: 3 GIRDWOOD . AK 99587 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 ). The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. The following special provisions. -THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. 3 4 5 Received By: Date: — it O Issued By: f �&_ Date:5 Z p Municipality of Anchorage ,•--,1 Development Services Department Building Safety Division ` - Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICP FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owners) fe.4b-f 14, �.� t•�,u�,t Dav Mailing address ib Qo y9y Zip Code 79,15—e% i Site address f . �b9s , iJV Zip Code rl'it<7f7 Legal description (Sub'd., Block & Lot) _U5S 30 %? k.A/7 Legal description (Township, Range & Section) Lot Size_ 66064 Sq, Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial Upgrade Renewal I certify that the above information is correct. I further certify that this application is being Single Family Dwelling and is in accord9pce with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment:La Date of Payment Receipt Number. D �%� �� Receipt Number. (Rev. 11/05) for a F L -7z /C C -05S 30 y3 !S (:)k Pu661C Siwe 5wvxe S . 0ZP. 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