HomeMy WebLinkAboutKYLE AND ERICA LT 8Kyl
& Erica
Lot 8
#050-321-85
r ~ -- ' O ~--~' ''~'/"'~ MUNICIPALITY OF ANCHORAGE
DEPArTMeNT OF N~LTN AND HUMAN SERVICES
825 "L" Street, Anchorage, Ai~ka ~502, Telephone 26~4720
OH-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
i~ ~H DISTANCES
; -J~ ~ ~ SEPTIC ABSORPTION
~ TANK FECD WELL
Township, Ran~, ~tion
~ ~ . ~ t ~ ~ [~ A~BUILT O'A~RAM (Show .CLarion of w,I, septic system, prop~y lines, foundation.
TA~KS N
~ SEPTIC ~ HOLDING
M~ri~l N~. of Comp~men~
~ TRENCH ~D ~ W. DRAIN ~ OTHER ....
Total depth from ¢igin~ grade
FT ~ FT
~1~ 6QFT; ~ FT
Number of lines S~t rating Pipe material
REMARKS:
170~4 Eagll River ~ R~d No, 2~
72-013 (3/85)
SCALE
I
BUILT
M U N i C I P A L I T Y 0 F A N C H 0 R A G E
Department c~f Health & Human Services
825 L Street, Anch~)rage~ Alaska 99501 ~]T, 43.~-4720
ON-SiTE SEWER & SEPTIC, TANK & WELL F'ERMIT
Date J]ssued: 09/01/90 E~ngineer Designed
Owner' Name: J~MES PUT'MAN
Owner Addl-ess: BOX 771825
EAGLE RIVER, AK
995'T7
Day Phone:
694-3;683;
F:'ae ce]. i .d: 050.....3~Z 1-69
Lot Lega.l.: Subdivision: KYLE AND ERICA Lot: TRAC'T' A
Section: 16 Township: ].4N Range: tW
I...o{, Size 469141 (sq. ft. or acres)
Max Bedr. ooms: 'This Permit: 4 Total Capacity: 4
Block: 00()0
SEP'TIC 'rANK: Minimum total septic 'Lank capac, ity: 1,25() gallons. Each septic:
tank must have at iLeast [~.~ compar, tments. Depth to top o~ septic tank(s) < 4.(]i)
t eeL, r'equ:i, res insulation over tank (s).
WE]..I.~: I..og must b,x, submit't, ed to Municipality of Anchorage Department .of Health
a'tl'iC] Htiifi/i:t!"t ~i¢{.;:.."pv:i.C::EeS b.{i't..J]ir'l i]~,() days [:){ weil c:omplet..ior~.
'TI.~[S !i~YS'I'EM MLISI' BE INS'T'ALLED AS SHOWN ON THE ENGINEER'S DESIGN
DA"II~:D 8/10i90., A LIF:"F S]'A]"ION REQUIREE~ ~N ELEC'T'RIC;AL INSPEC',TION.
l',K]lIFY I)HHS BEF:ORE. ~.~t_t_ INSPECT1]ONS. THIS F:'ERMIT IS FOR A 4 BED ....
ROOM EiII',JGI...E F:AMIL.'g RESIDENCE ONL, Y, AND EXPIRES ON 121:?51/90.
1] CEil::,,'[' I F'Y FHAT:
1. I am fami ]. :J. ap wJ th the requirements fop on-site sewers and wel ],s as set
~orth by the Mur~icipality of Anchorage (MOA) and the State of Alaska.
2. I will instal], the system in acco~'dance with all MOA codes and
and ~n c:cxnpliance with the design criteria of this permit.
3. I will adher'e t.o all MOA and Sta'Le of Alaska requirements fop the set back
dis'Lances from any existing well, was't, ewater disposal system or pubizc
sewerage system en this or any adjacent or nearby lot.
4-. I understand that this permit, is valid for a maximum of 4 bedrooms.
alsc~ understand that the capacity of the tot. al system is 4 bedpoc~ms and
any enlargement will require an additional permit.
I~st..t~d ~Y ~r~ ~_~_....__~ ....... DATE: ......
DEPARTMENT OF HEALTH & HUMAN SERVICES ~e*~~,'*~.' ~i I
825 "L" Strut, Anchorage. Alaska ~2~
~ ~OP~ 5;T~
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t
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
oe~ to Water Aft~P),,~
Reading Date ross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ..-..~FT AND FT
5 & b P,,m~ll~--,,.~ R ---~ (~ ' ~ ~ CERTIFY THAT THIS,TEST WAS PERFORMED IN
PERFORMEDI~34 Eaele River eep ea¢l No. ~)4J ,/,/ t~:nT{l:¥ TI
ACCORDANCE'WITH ALL STATE AND MUNiCiPAL GU CT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW940261
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:PUTNAM SAN-DA L
OWNER ADDRESS:18525 MC CRARY ROAD
EAGLE RIVER, AK 99577
DATE ISSUED: 7/26/94
EXPIRATION DATE: 7/26/95
PARCEL ID:05032171
LEGAL DESCRIPTION: KYLE AND ERICA TR A
LOT SIZE: 469141 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
B R O A D W A T
E IR H E ~T
-d
NORTH 26400 (GLO
I:IA S I S OF
724 88 (REC 83-
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF WATER
WATER WELL RECORD
'.OCATION OF WELL
I I
LOCATION/SKETCH: WELL OWNER:
DEPTHS M~SURED FROM:~casi~ top ~gmund sudace WELL D~TH:
Depth of ~le:
BOREHOLE DATA: Depth Depth of casing:
Material Type and Color From To
DATE OF COMPLETION
DEPTH TO STATIC WATER LEVEL:
~'r~ ft below I-I top of casing
ground surface
METHOD OF DRILLING: [] air rotary ~ cable tool
D other
USE OF WELL: (~ domestic [] irrigation [] monitor
l-1 public supply ' [] other
CASING STICK-UP: /~d o ft. Oiam: ~-~ in. to ft
Casing type: in. to ft
WELL INTAKE OPENING TYPE: [] open end
[] perforated ~] open hole
Depths of openings: to
[]screened
Dept.
SCREEN TYPE: Diam: in.
Slot/Mesh Size: Length: ft
GRAVEL PACK TYPE:
VohJme used:
Depth to top:
GROUT TYPE: Volume:
Depth: from ft to ft
DEVELOPMENT METHOD:
Duration:
PUMPING LEVEL AND YIELD:
ft after ~/ hrs pumping /V~L gpm
PUMP INTAKE DEPTH: ft Horsepower: ~
WELL DISINFECTED UPON COMPLETION? [] YES [] NO
CONTRACTOR INFORMATION:
r // k //;
aegigered 8u.~r~ess/N~m~/
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO:
DNR/DIVISlON OF WATER
PO BOX 772116
EAGLE RIVER AK 99577-2116
Municipality of Anchorage
On-Site Water & Wastewater Program
(907) 343-7904
CERTIFIQATE OF ON-SITE SYSTBHS APPROVAL
Parcel I.D. 050-52I-eg' 5~j'_~
1, GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
_KYLE & ERICA; LOT 8
15155 MCCRARY RCAD 'Z-EAGLE RIVER, AK 99577
RONALD NORDQUIST Day phone
~EAGLE RIVER, AK 99577
696-1997
Day phone
2. TYPE OF DWELLING: · Single Family (w/wo ADU)
[] Duplex
[] Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well ·
Individual Water Storage []
Community Class Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
·
Received by:
COSA to be released to the engJneer, unless otherwise requested by th~ '~ngineer.
Date:
COSA Fee $
Date of Payment
Receipt Number
COSA #
'-/90
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
Aa certified by my seal affixed hereto and as of the vafidafion date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Gu/defines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
f°rthe number of bedrooms and type of structure indicated herein, l further verify that based on the
information obtained from the Munic/pafity of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance w/th afl appficable Municipal
and State codes, ordinances, and regulations in effect at the time of instal/arian.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD, attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life Grail wells and
septic systems depend on the fecal soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party ia not authorized, nor will it confer any legal dght whatsoever.
DSD SIGNATURE
'~/ System #1Approved for . LTL bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for
Phone 537-6179
Date
bedrooms, with the following stipulations:
~ ON-SITE ~'¢
~"~ WATER AND
~ ~ASTFWATER
BY'~/'/'~""/'"~//¢/' ~'~--~ Original Certificate Date: ~¢- ~'~'~--//~
ThefM'im~atg'y or ~orage Develop, emt Sen/toes Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage ia not responsible for errors or omissions in the professional engineeFs wod~.
7. ATTCHMENTS:
CaSA Checklist ~
Nitrate Advisory
Septic System Advisory
Well Flow Advisory Arsenic Advisory
Other
(Rev. 11/05}
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: KYLE & ERICA; LOT 8
Parcel ID: 050-321-71
A. WELL DATA
*PER S&:S ENGINEERING, CASED TO BEDROCK
Well type PRIVATE
IfA, B, orC provide PWSID~ N/A
Well Log (Y/N) NO
Date completed 8/13/94 Sanitary seal (Y/N) YES
Totaldepth .130 ft.
Cased to *30 ft.
FROM WELL LOG
Date of test
NO WELL LOG
Static water level
Well production ~
WATER SAMPLE RESULTS:
Coliform ~ colonits/100 mi.
g.p.m.
Nitrate~· ~ Omg./L.
Arsenic: /(~) Oug./L.
B. SEPTIC/HOLDING TANI
Tank Type/Material
Tank size 1250 gal.
Foundation cleanout (Y/N
Date of pumping 11~
C. ABSORPTION FIELD Di
Date installed 9/5/90
Length 58 _ft.
Total depth '3.12+ .ft.
Date of adequacy test,
Fluid depth in absorption
Elapsed Time: 15 rain
Any rejuvenation treatmE
Date ofsample: 5/24/15
DATA
SEPTIC/STEEL
Numberof Compartments 2
YES Depression over tank(Y/N) NO
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
*'10/26/12
15.8 _ft.
1.66 g.p.m.
**PERFORMED BY AWPS.
Collected by: GEG. Ltd.
YES
Date installed 9/5/90
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
ft.
NO
For 4- bedrooms
Newdepth 5 in.
Absorption rate >= 600+ g.p.d.
NONE If yes, give date -
12+ in.
26/12 Pumper SANITARY PUMPERS
~TA ] *BELOW EXISTING GRADE- DRAINFIELD IS INSULATED]
Soil rating (g.p.d./ft2or~ 150 System type BED
Width 24 ft. Gravel below pipe 0.5
--ff. absorption area 912 fi2 Monitoring tube YES Depression over field
5/25/15 Results (Pass/Fail) PASS
ield before test 2 in. Wateradded 788 gal.
Final fluid depth 2 in.
it (past 12 mo.) (Y/N & type)
D. LIFT STATION
Date installed
'Pump on' level at in.
Datum -- Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Size in gallons Manhole/~__~__.~ .-----------~
"Pump off" level~gh water alarm level at in.
*99'
Meets alam~ & clmuit requirements?
Septic tank/lift station on lot
Absorption field on lot 100'+
Public sewer main N/A
Sewer/septic service line 25' +
Animal containment areas 50'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
5'+
Absorption field 5'+
Surface water. 100' +
Property line 5' +
Water service line 10'+
Water main N/A
Driveway, parkingNehicle storage
Building foundation. 10'+
Surface water 100'+
Wells on adjacent lots 100'+
Building foundation
Water main N/A
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water service line 10'+
Curtain drain NONE KNOWN
F. COMMENTS
SIDE OF WELL TO SIDE OF ST1=101.28,
SIDE OF WELL TO SIDE OF ST2=101.37
10'+
(MEASURED WITH TOTAL STATION). WELL TRANSFERS WATER TO A BURIED 2000 GALLON GREER TANK
G. ENGINEER'S CERTIFICATION
(SEE ATTACHED INFORMATION)
I certi£y that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Pdnted Name JEFFREY A. GARNESS
Date
(Rev. 11/05)
. :;. I hereby ~ that I have sarveyed the following d~cribed-:.['-:-
'~2~ '- - .l...
..'~:~' ~..~'~r~ ' ~.~:~ -- -...--:.:.~: .-..
I
~ ~'~ "~ ~ ~%~'~-* ~:-' ': I''
~~ .- ...; -.--. ;..'
t'
11/06/2012 00;12 9072430742 AWPS, INC. PGE 01/01
WATER~
'Conduct
330 E 1
Owner Information
Address:
Well Location:
Static Water Level:
Max Drawdewn;
Air Line Depth:
Average Discharge:
PUMP ON Time:
PUMP OFF Time;
Water Level
Time Feet
Sq
YELL - TEST PUMP REPORT
d by Anchoi'a,qe Well & Pump Serv, ce
th Avenue, Anchorage AK g9~8-2~40
243-0740 F~X; (907) 243-0742
PRIOR
Well Information
Total Depth:
Depth o~ Casing:
Static Water Level:
Casing Size:
Screen Diameter:
Screen Stot:
Screened From:
Screened Tot
Remarks:
i
I
GALLONS PUMPED=
TIME PUMPED=
WELL TEST YIELD=
ANCHORAGE TANK & WELDING, INC. QUOTATION
2723 Rampart
Anchorage, Alaska 99501 Quotation Number: Q6984
Phone 1-907-272-3543 Fax 1-907-277-3715 Date: 07/17/2012
Web Site: www. anchoragetank, com
To:
Southfork Const.
p.O. Box 770567
Eag. le River AX 99577
Re.'
Terms: TBA
Quantity
1
Ship Via: Will. Call
Description
2,000 Gallon underground potable-water tank
10 Gauge steel construction
All required openJgns
30~' diamtar X 3' tall access manway
intedor and exterior coated with NFS approved
Chemthane 4200
Openings per drawing
t" SS flax hose
64" diameter X 12' Long
4 weeks lead time.
Ship To:
Will call
P.O. Box 770567
Eagle River AK 99577
Contact: Phylis & Don
Delivery:
FOB:-
Price
6,985,00
07/17/2012
Anchorage
Ext Price
6,985.00
This quotation is valid for a pefiqd of 30 days
THANK YOU FOR THE OPPORTUNITY TO QUOTE
THE ABOVE ITEMS ON YOUR PROJECT.
Total Quote Balance:
$6,98S,00
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