HomeMy WebLinkAboutP & S LT 5Onsite File
#015-142-41
06/11/25"13 23:41 9ei?-345-•-_J'20'2 AL_PINL UNILLih:G Nt'UE W/U1.
:alpine Driffing & Enterprises
Well Log
raxaii± I4r'taat 4 ea': ti 'i 9_l '2" $�itte crfi >tsstae; -2 -7J
Parcel identification Number: 01514, 4`l000
Date Started: 9-25-13 ,Date Cmmplete€i: 9-27-7-9 is well located at approved permit location? x Yes Ll No
Legal Description., P&S Lot 5
Property 0wxier Name & Addm ss: C%hl'istina Hutten
5140 F I1?th Ave
Anchorage, A!aska
BorebOe Data:
Soil Type,-Mickress arc 'Eater Strata
stick.-vp
organirs ct: Silt
b�rrvallj� gilt
sratrdy silt
silt
gravelly silt
silty grcnel
silt
sanriy silty -K ater & gravel
silt
graxvelll, sil; wet
slW4, water sand & gravel
Depth (ft)
Frorn To
G
ro
3
i2
41
44
81
3
149
11i
I9
1161
2
z
12
,11
44
81
33
89
illi
j1 7
.Irl
107
ft; ER QUALITY TESTING
Collbrrn eA C01/100mL '(WI,
NitratesN D L
ArsenicND W/Lof 15l 'I
I,[ Fla H"sup- D
Method of Drilling x rir rota -q ❑ oable tori.
Casing type: steel
Wall Thickness -.250 inches
Diameter: 6 iticbes Depth: 167 feet
Liner 1),pe: ,--
Diameter: _ inches Depth: _ feet
�C'aslla stie9ku above ground; 2 %et - -
_-- —
StR,tic water level (ti-om ground level): 77 feet
'Fumping level: 1 g feet a�cer
l7Atrs pumping 10 gpm
I
Recovery R ate: 10 gpm
Metlwd of Testing: air 1O
Well IntAe t?pelrlexg Type:
x Open Rud ❑ Open Hole
0 Screened Start neer "Stopped
feet
t Ej perforations Start feet Stepped --
feet
Grout Type: bentonite•cam riles Volume, 2 bgs
Pump: Intake Depth - - feet —
Pump size hp Brand Name ___
Well 7lDisinfeettsl TJ pon Completion? X y vs
Method of Dislufeetion. Chlorine tatlets 111
a
Comments:
Well Driller; Alpine Drilling & Enterprises
NO Box 11049E
Anchor•azge. f4]i:9.9511
U0! LI 1 :1 'j.L UO .---..Z0«,
MUNICIPALITY OF ANCHORAGE
904
oeveiopnient Services Department P! P07-13-7 99
7
On -Site Water & VVastewater SOctir Fax 907-343-7
ptlynp Iristallation Log
Well Drilling Permit Numbwr, 1,01423 Date, of Issue: 92719
Parcel Identification Number. OIE-141.41WO
ri,operty owiier Name & Address:
Viistlne HuMn
52140 E. 112th AVe
Anchornae. AK 13V516
Pamp Installation Date: _2019
160
F111tip Intake Depth Belvw Top Of WL�ll feet
,v,uinp Manufactartr's Xmite: Goulds
Pump Model: 10SH07
ptimp Size: 3/4 --hp
Pidess Adaptec- Burial Depth.. NfA_.- feet
Pitless Adapter . ManufactUrer's Name:/A
Pitless A&apter Igst,01erNIA
Well Disinfected Upwa CompletiOn? 0 Yes '-I -NO
*Nfethcd of D4111fectitin , cn!-:)trp. tablets
Comments*
PLEASE SAVE FOR C05k
Pitaiap Installer
Company.*ALP'NE DR'LL'NG & ENTERPRI.
Iv ailing Address- P.O. Box 110496
CRY: Anchorage Suite: AK Zip: 99511-
Attention.
9511-
Attention. The punlp in,�tajjer slia.11 provide pump irsta114t'.ern ,'j)gj,) wirbin 30. deys )f rjurnp inl,�Mllati011.
7 om
Ub/ I Z: -i a-'Ui J LU: UJ ti U Z11 - L9 -.' Ll U I i U11
MUNICIPALITY OF ANCHORAGE
DEMOPMENT SERVICES OEPAPI' 907-343-7904
On -Site Water �mdWastmate r Se t a Fax: 343-7997
www.muni.org/onsite
Subdivision Block __ Lot
T l Rp.rflrm fn�
On -Fite WRtCF &Nziatmvaker section ;Ftfled w.niractor performing the well decommissionircy
K"d n e:
Duv.'d Harper
CoMpany:
Alpine Orilling & Enterprises
Well decomrnls&ionjrgdatp- 9-27-19 Nlethod a° Cecommi-,ubnirg AMC' 1 b-55-060LI 0, ❑ b.
Location; Use the Gpac-, to provide a drawing -3f the pF)rer(y ZKI)-Niig the f011owng items-
• Ninth arrow
• Dammmisuioned w6l] jouatjorj
Location c'o!hw water wsijs an tije property
• Two separate ming -tie distances f0t gach %velt r:Mwn on the drawing
Neta: The swing -tie distances sheai be MGaLvred front 91ther pe:m..anr:srrt structures ur the pn)puqy comers.
Site e
*2Mr
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191423
Work Type: 0eII .Upgrade
Tax Code Number: 01514241000
Site Legal Address: P & S LT 5 G:2637
Site Mailing Address: 5140 E 112TH AVE, Anchorage
Owner: HUTTEN CHRISTINA
Design Engineer:
This permit is for the construction of:
❑ Disposal Field Cj Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
,, X11 C II_j
I
1) e P a I- till e 11 t
C( /Z3/`1
9/19/2020
21753
d 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
4. Well Decommissioning Log
Received
Issued By:
i
Date: <
Date: /
K,
n
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 016 -
°
Property owner(s) ��%�/�' /� /U� T/ (i/%/�J Day phone
Mailing address /� 0 � / c� ;�
Site address 791V ala2 7z -a(2— 775-16'
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
5 - L_o-�- 5
Lot Size Sq. Ft.
Number of Bedrooms
APPLICATION IS FOR:
APPLICATION 1S AN:
TYPE OF DWELLING:
(® all that apply)
Absorption. Field ❑
Initial ❑
Single Family (SF)
[�
Septic Tank ❑
Upgrade
(w/wo ADU)
Duplex (p)
❑
Holding Tank El
Renewal ❑
Multiple Dwellings
❑
Privy ❑
(SF and/or D)
Private Well
Water Storage ❑
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 pro
authorized agent)
Permit/Rush Fees: t 13S = 36n
Date of Payment: q -10 - ttl
Receipt Number: agg11o2
Permit No. 5 91gZ3
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
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Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Mark Begich Anchorage, AK 99519-6650
Mayor wmw.mumarg/onsitz
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description Property Owner Name & Address:
` ocive,0 /heslt�2tS
F
Pump Installation Date: 41 -a q -i41
Pump Intake Depth Below Top of Well Casing: %g feet `^
Pump Manufacturer's Name: �F�i��►CKC�
Pump Model: 50 G 3 i ( 05 tike
Pump Size r/#, hp
Pitless Adapter Burial Depth: /a feet
Pitless Adapter Manufacturer's Name: -�
Pitless Adapter Installer: �—
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection:
Comments: a
Pump Installer Name:
ANCHORAGE WELL &PUMP SERVICE, INC
330 EAST 76TH AVE
ANCHORAGE, ALASKA 99518
(907)243-0740
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
�_ a MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
/
PHONE
❑ NEW
E
MAILING ADDRESS
2�C1
LEGAL DESCRIPTION
01
LOCATION
NO.OFBEDROOMS
Well
d—
Absorption area
Dwelling
PERMIT IVO.
L) Y
DISTANCE TO:
e-00,5 /
_
a za
Manufacturer
Material
No. of compartment
WF
rn
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
0 Y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
J � Z
_
Manufacturer
Material
Liquid capacity in gallons
O
w=
DISTANCE TO:
Well I
Foundation ,
�'ci
Nearest lot line /
.5
PERMIT NO.
J LL z
No. of lines
Length of each line
Total length of linep /
Trench width
Distance between lines
H Z LU
74
inches
cc�
Top of tile to finish grade 7
Material beneath theTotal
�i� S
effective absorption area
o
41
rtes
/v
Length
Width
Depth
PERMIT NO.
Lu
c7
Q F
Type of crib
Crib diameter
Crib depth
Total effective absorption area
as
Lu
LU
Well
Building foundation
Nearest lot line
DISTANCE TO:
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
W
�
DISTANCE T0:
Building foundation
Sower line
Septic tank
Absorption areas)
Y
OTHER
PIPE MATERIALS
SOIL TEST RATING '� s-0
INSTALLER
-
REMARKS - zl
/xe/
r
U
D,
APPROVED DATE LEGAL
7�c /U—/V—�G
71-013 (Hev. 3/78) �✓
r-1 n..J t -j I A._ - 1: F=• t•=-1 L_ I i °'P C-1 F F::= t -A r'_="� �A F'"A..� F=
DEPARTMENT 0: HEALTH AND ENVIRONMENTAL F OTEC T I F_ N �
25 'L_f STREET, ANK.
CHORAGE, A
{-4720
`�`a•� l t — !D- xO
c
PERMIT NO. 800571 0571 wtf.u--n 4
APPLICANT HANK PECK ST RTA E:OX%_•.tv 4—L I 2.� € i � ��:i�j: •t - �'L�
LOCATION EAST 1.12TH AVE.
LEGAL LLT 5 P&L. SUB J 111/ LOT . 27580 SQUARE FEET
TYPE OF SOIL IL ABSORPTION SYSTEM I =• : TRENCH /C); 'o"S U
t'iH;>;Itiilpi pallPiEEF: OF EEL:F:OOt'!_ = SnIL RATING ;SO FT,iEE::r= 50
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I S, :
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD,
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET::.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS. THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E
AND THE BOTTOM OF THE EXCAVATION IN FEET?.
F= F. ems! 1_ R : F= L =" • 1� F= T A "i- n N 6-==_ !E-l=F=
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENC:E`_ THAT THE WELL WILL SERVE.
— — — i 1-• 9 A�e s � :2 > ?t �'�• F—` ®� = —f e.®t .@ n F ~• F F F= !�a l_e T F-. r_= c- — — —
BRCKFILLING OF ANY SYSTEM WITHOUT FINAL IfidSPECTION AND APPROVAL BY THI_•
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC: WELL.
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE S•E14ER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE I'S 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F='F= FF° M I T F= e A F=' I IR_ E: *H. CA F= A_: E=_ M E?. E: Fv =z -1 o I "=8 CE"• Fr_v
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
L: I WILL INSTALL., THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON—SITE '=EWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
S I GNEGZJ3�drL.a6�_ _�----------------
APPLICANT
---•-------------
APPLICANT HANK PECK
1 SSUED
V4. 0
SOILS LOG,
MUNICIPALITY OF ANCHORAGE
y�\
'I DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIONEl PERCOLATION.
TEST'
t9� Pouch 0656, Anchorage, Africa 69562 276-2224
SOILS LOG — PERCOLATION TEST
(see prior dated 9%/880}
PERFORMED FdR: 'C0 Ae44 !rL/DATE PERFORMED: OLT. -7, 19fJ�
LEGAL DESCRIPTION: Lo- .a L SUbd/Y/5/Or! 11z'AA Ale.
DEPTH - - _ SLOPE SITE PLAN --
(FEET) V L� ,� j � I --��IFi I �
I I _
2 —i—fi —� f
5 j j
! QD
1-
6 ;
-- - i --- i r- - -
0 I
v
9 -
v b �
v ey
WASGROUND-WATER ' ! i
11 ENCOUNTERED? /V O L
O
12 .��Y'7%mv3/f/y -Sums/ P......k -
d E
N01A/ -SV;7 � q`yL IF YES, AT WHAT
13 16i# S�/'B�Qh* S.DEPTH? ).._ i- _
gn9u/air^
Reading
M
cohh/eS AD 2 ',
14
Depth to
Water
Net
Drop
- -
Bo7Ti7rn off' ho%
15 .
1s
of 4L ls�.
17-
7a18
/
18
•C L'J f ' 0. 00 N ..
_ 19
..
• • a s.. .. , n�
NO I'M E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/
M" SOILS LOG
MUNICIPALITY OF ANCHORAGE
,
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6650, Anchorage, Alaska 93502 27,f5 2221
SOILS LOG — PERCOLATIOW TEST
PERFORMED FOR:
Ae DATE PERFORMED
7%
LEGAL DESCRIPTION:
2
3
PERCOLATION
TEST
SLOPE SITE PLAN -
F
t�DEPTH
E ZEA�jj)
14L
/VZ.
13
14
15-
I
16-
17 —
18
19
20
COMMENTS
braenn loam, bCc®17749S
T
gray
Inh t
j7ray 74an
anavel
ens
and gem'v 'v
'?)wy 'Fundy S;//,
dine Si/ Sa'0701 40
4l/ ,0reWr WAS GROUND WATERS�
L
ENCOUNTERED? /VO
0
an
7,16a' P ? I IF YES, AT WHAT E
DEPTH?
Gross Net Depth to Net
15-E
9
Reading
Date
Time
Time
Water
Drop 6 2.)
-36,
le 174'
2:40
7, Oep
/0
Z. 50
7-3/
/0
0,44
3:oo
7.75
PERCOLATION RATE 30 (minutes/inch)
TEST RUN BETWEEN _zo_ FT AND FT _
PERFORMED BY: E�6wshaw CERTIFIED BY:
72-002 (7/76)
DATE:.
1w SOILS LOG
= MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
Pouch 6650, Anchorage, Alaska 99502 276-2221
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: 'r/yDsa/% DATE PERFORMED: !E5 /. �8 //pQ
LEGAL DESCRIPTION: �7� S10
SLOPE - SITE PLAN
DEPTH - •/ I --i---
1 MLM2-
/Vi-
3-
Mi -3 - yray- Ian yrgvp//y-
4 c M -�-- — f --
om
N
7
0
/y
14
-fray- fan SAY c�ya a/
o{� caorse o%n ��
and y�ve�/y sA.�d,
-fray 5"'dy s;//, 0n0/
Rine si/y%y se j no
4pVa WW/- WAS GROUND WATER
bedding' ENCOUNTERED?
Cobb/�S and,
[•�"u�dNAs 7� 'L IF YES, AT WHAT
w DEPTH?
y�gdarrr .
Bo�i'Cv» o�'hole
NO. Y515 -E
to s
L
O
P
E
Reading.
Date
GroEe(
TimpM'
Net
Time h7;n
Depth to
Water
Net.
Drop���
20
.7
2:40
7.0ly
-
/o
O. ZS
Z: So
7.31
/0
0,
l—
-QVI
3 : oo
7.75
.I
/0
_t
LI¢w
31,10
8,04
)I
r—
Reading.
Date
GroEe(
TimpM'
Net
Time h7;n
Depth to
Water
Net.
Drop���
20
.7
2:40
7.0ly
-
/o
O. ZS
Z: So
7.31
/0
0,
3 : oo
7.75
/0
31,10
8,04
2() -[
PERCOLATION RATE.79
� (minutes/inch)
try.TIVST RUN
BE 10 FT A/ND �'� FT
COMMENTS. �G��/iJJ19�/%Cf cry hoI 42 0 K '? ✓�' � •5� �9
PERFORMED BY: A. �. o wshawc/%. CERTIFIED BY:
3604 -/8/4
72-008 (7/76)
frvy. u. ��
77-
�, 6tayl
O'k
't ,�t
6
0