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Home My WebLink AboutTHURMAN DRIVE LT 1 Onsite File Thurman Drive Lot 1 #012 - 052 - 49 OWNER OFLAND: Linda Combs ADDRESS: 5333Jewel Lake Road LEGAL DESCRIPTION Thurman Drive Lot 1 DATE: 4-I9-18 PERMIT NUMBER: oSpz71199 DATE opISSUE: 7/25/17 TAX IDENTIFICATION NUMBER 01205249000 bwell located atapproved permit location: i\]Yes| |No F7 Elcable of Drilling: ��air rotary L�cab|etno| Depth ofWell: lOO' Casing Type: Steel Wall thickness .250 inches Diameter: G inches, depth 180 feet Liner type Static Water Level: 50 feet Recovery Rate 60 [7 VN gpm F-1 8ph Method ofTesting Air Well Intake Opening Type: i\Jopen end | |openho|e [—1 Screened Start feet Stopped F� --- ---' �� Perforations Start feet Stopped Grout Type: Bentonite Volume: 50!bs Depth: from Z feet,to 42 feet Well Disinfected Upon Completion: Nyes Ono no Method ofDisinfection: Chlorine 5OPPM Comments: Bore Hole Data Depth From To 0 2 Casing Stickup 4 13 Silt & Clay w/ Gravel 13 41 Silt & Sand 41 89 Tight Sand & Gravel 89 104 Silt & Sand 104 170 Heaving Silt & Sand 170 180 Sand & Gravel � 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. W1at5uBorough: Department ofEnvironmental Conservation. Well Drilling Permit Number: SW 8GP171199 Date of Issue 7-25-17 Parcel identification Number: 01205249000 Legal Description Thurman Drive Lot 1 Pump Installation Date: 4-24-18 Pump Intake Depth Below Top ufWell Casing: 90 Pump manufacturer's Name: Grundfos Pump Model: 10SQE07-200 Hump Size: 3/4 Pit|essAdapter Burial Depth: lO Pit|ess Adapter Installer: Sanders @Sanders Disinfected Upon Completion? M yes F-1 no Method of Disinfection: Chlorine 50 PPM U Comments: P|dessManufacturer: Martinson Property Owner Name &Address Linda Combs Moss feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 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 Water System Permit Permit Number: OSP171199 Work Type: Well Initial Tax Code Number: 01205249000 Site Legal Address: THURMAN DRIVE LT 1 G:2026 Site Mailing Address: 6333 JEWEL LAKE RD, APT A, Anchorage Owner: COMBS LINDA T Design Engineer: This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date ,1» cin t_ Is, No n ,1 r. Department Lot Size in Sq Ft: Total Bedrooms: 7/25/2017 7/25/2018 11091 Q 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 out this permit, please submit the following: 1. Well log 2. Pump install log 3. Water sample results ?/1.2/17 40 'r tJe// keloCq- l Received By: Issued By:r��,��, 4 Date: d c -)-G Date: 71,-)5 o?Ot -7 MUNICIPALITY OF ANCHORAGE 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. 01205249000 Property owner(s) Linda T Moss aka Combs Day phone 907-249-3187 Mailing address 6333 Jewel Lake Rd Unit A Site address Anchorage, AK 99502 blgg Legal description (Sub'd., Block & Lot) Thurman Lot 1 Legal description (Township, Range & Section) Lot Size 11,091 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial 0 Single Family (SF) ❑ (w/wo ADU) Septic Tank 1:1Upgrade ❑ Duplex (D) x❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑x 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. nature of property owner or authorized agent) Permit/Rush Fees: 2-15 Waiver Fees: Date of Payment: 7/-Z-[ Z Date of Payment: Receipt Number: i 37 y Receipt Number: Permit No. OSP n legal Waiver No. Permit App_::- : :-'.,:c / \ \ \ / \ 10YSEVVERSETBACK \ � 75'SEVVERMAN `~\ SETBACK 10'X 15'ANCHOREASEMENT LOT 20 SHED 0 EASEMENT EXISTING HOUSE 25'SEWER SETBACK Lu PROPOSED WELL SITE LOCATION CO EASEMENT SHED FENCE- 75'SEWER MAIN SETBACK 100' PROPOSED 1-10, WELL BUFFER LOT 3 LtULINLI THURMAN SUBDIVISION PROPOSED WELL CHECKED BY: SC SEWER MANHOLE SETBACK POSSIBLE WELL LOCATION � PROPOSED WELL BUFFER --- EASEMENT LINE -S�- SEWER LINE SETBACK - �- SEWER LINE UNDERGROUND GAS LINE LOT 2 THURMAN SUBDIVISION DRAWN BY: PS/SC CHECKED BY: SC Inc SETBACK GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE.` � CALL 811FOR LOCATES PRIOR T0DRILLING. SEPER^J|ONDISTANCES AND SETBACKS PER y\ \ m�� °�� AMC lS.S5.06OTO8EVERIFIED BYDRILLER =" ` I- - "', THURMAN SUBDIVISION DRAWN BY: PS/SC CHECKED BY: SC Inc LOT I DATE: 4/14/2018 mq6welb'q ".4'cy""q st"'t AK 997101 WELL SITE PLAN PARCEL# 0 12-052-49-000 JOB NO: 15064 SHEET NO: 024 _ ------. . ' F N A R E ; H T : . • . .9. xi 1 I w 11 ___I NY l ----I— ---J 1 --- W.W4.1,,/ I II 1-•ITAIP Lag Kr TOM . P .., I ....___ I IM• : 5 1 5 i I 3 6 4/807 1//, /3 M Y ......Lh • --.. 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