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HomeMy WebLinkAboutTHE VILLAGES TIDE VIEW LT 10The Villages Tide View Lot 10 #020-091-54 iA+ f'~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchnrage, Alaska 99501 Telephon~ 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING ADDRESS LEGAL DESCRIPTION Width Well DISTANCE TO; Manufacturer DISTANCE TO: Length of each NO. of lines Top of tile to finish grade Total length Of 14~/-~ Depth Material Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: DISTANCE TO: Building foundation Sewer line r-"l UPGRADE NO. OF BEDROOMS PERMIT NO ~,~"?~-',f'-~ No. of compartments Liquid depth PERMIT NO. Trench wldth Liquid capacity in gallons PERMIT NO.~ :'~ ~''''¢'' zT'~ Total effective absorption area Nearest lot line Septic tank OTHER PIPE MATERIALS I N STA L LF~::~j~t/'" ~,~ g~,~'~j. ~)~-~-~ ~¢'~ APPROVED L 72~)13 IRev. 3178) DATE LEGAL PERMIT NO. DEPFIRTMEHT ['HEFILTH FtHD ENvlROr. IMEr. ITFIL '. OTECTIOH 825 "L" STREET, t~NCHORFIGE, BK. 264-4?20 I.-IELL. FI I~'.ID OI'".I--S I TE SEI-IER PERI"I I T ( 820010 > 8PPLICFIf4T NELSOH GINGERRICH SRFI BX ~80-J 8HCH LOCFIT I OH V.ILLBGES TIDEVIEH LEGFIL LT. 50 VILLAGES TIDEYIEH S./D LOT SIZE ~45-~0~ 45000 SQUFIRE FEET TYPE OF SOIL 8BSORPTIOH SYSTEM IS: TRENCH MFIXIMUM tqUMBER OF BEDROOMS SOIL RFITING THE REOUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ? LEI'-IGTH= ~-- GRFI%-'EL DEPTH= THE LENGTH DIHENSIOH IS THE LENGTH (IH FEET> OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTRHOE BETHEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCR',,,'RTION <IH FEET>. THERE IS HO SET I.IIDTH FOR TRENCHES. THE GRFIVEL DEPTH IS THE MINIMUH DEPTH OF GRFtVEL BETHEEN THE OUTFFtLL PIFE eND THE BOTTOM OF THE EXCRVFITION (IH FEET>. REC-!LI I RED SEPT I C TI=It-Il-( S I .SE= ::I...C-~ _~'-'3 0 GRLLOI'-.IS PERMIT RPPLICFIHT HFIS THE RESPONSIBILITY TO INFORM THIS DEPFIRTbIENT DURING THE INSTRLLRTIOH IHSPECTIONS OF ANY HELLS RDJRCENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THFIT THE HELL HILL SERVE. TI,~IO ( 2 ) I I'-ISPECT I 0 I'-.IS RF-:E REQU I RED BRCKFILLING OF RHY S'*'STEM I.IITHOUT FINFIL INSPECTIOH RHO RPPROVFIL BY THIS DEPFIRTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETHEEH R HELL AHD 8NY OH-SITE SEHRGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIYFITE HELL OR 150 TO 200 FEET FROM 8 PUBLIC HELL DEPENDIHG UPOH THE TYPE OF PUBLIC HELL. HINIMUM DISTRNCE FROM R PRIVATE HELL TO R PRIVRTE SEHER LINE IS 25 FEET AND TO R COMMUNITY SEHER LINE I$ 75 FEET. HELL LOGS ARE REQUIRED RNO MUST 8E RETURNEO TO THE DEPARTMENT HITHIH ~8 DRYS OF THE HELL COMPLETION. OTHER REQUIREMENTS MRY APPLY. SPECIfiCATIONS 8ND CONSTRUCTION DIRGRBMS ORE 8VHILABLE TO INSURE PROPER INSTBLLBTION. PERI'd I T EXP I RES DECEI'IE:ER ~--'! .. ~---q~82 I CERTIFY THFIT i:'" 'I '~H' ~HILIBR HITH-T~E' REQUIREMENTS 'FOR ON-SITE' SEHERS-~f:iD-I.IE~LS '8S- ~'E-T FORTH BY THE I'IUHICIPRLITY OF RNCHORRGE. 2~ I I,IILL INSTALL THE SYSTEM IN FICCORDFINCE I,IITH THE CODES. 5; I UHDERSTRND THFtT THE ON-SITE SEHER SYSTEM MFIY REQUIRE EIqLRRGEMENT IF THE RESIDENCE IS REHODELED TO INCLUDE MORE THFIH ~ BEDROOMS. SIGHED' APPLICANT N ELS/~G I N GERRICH ISSUED __.,_ .............. ~ ................................ V4. 0 ~-,'I~::[LLII. IQ ,e. HN',' ~'r'$rlzrt IllIIlOUr F[N;'II. [N-~..'cr[oII R.'t. ,.PF:.V,1L g'! .tHIS hill I ~ $1.1.~..I1~1.~i' I'O PI;?7~-'T.~*.IJI JITJI'L [ ~>J,'r[F',-' TII:~IT L. [ ~, Ft'fl'i (L [H},: H[I'It I-iTJRT!I .P,'? fill-. I'IIIH[C[I"I'IL[I"~~ I.IJ: ':.:4 ~.: "L" STr{EET A,NCliORAGE, ALASKA 99501 26.'1 4111 January 4, 1982 Nelson Gingerich SRA Box 380 J Anchorage, AK 99507 Permit ~ 810162 Subject: L 10 Villages Tideview A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz.F~R~g. Program Manager~-'' Sewer and Water Program Enclosure: Copy of Permit PERMIT NO. 14ELL ( 810162 > Mt~r4 I C I,^AL I TY OF R r,ICI/"tRI~GE DEPARTMENT ,_. HEALTH AND ENVIRONMENTAL . ,<OTECTION 825 'L~ STREET, ANCHORAGE, AK. 99501 264-4?20 014--S I TE SEL4ER PERr~ I T RPPLICRNT NELSON OINGERICH SAR BOX ~80 J LOCATION VILLAGES SCENIC TIDEVIEW LEORL LiB VILLAGES TIDEVIEW LOT SI~E ~45-~0~ 45000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MR.~IMUM NUMBER OF BEDROOMS = ~ SOIL RATIN(~(S~ F~?BR)= i25 THE REQUIRED SIZE OF THE SOIL .BSORPTION SYSTEM ) / THE ~EPTH OF A TRENCH O~ PIT tIs~THE DISTANCE BETW~(N THE SURFAC~F THE THE GRAVEL DEPTH I5 THE MINIMUM DEPTH OF GR~VEL BETWEEN T~ OUTFALL PIPE INSTALLATION IN~ECTION~ OF ~NY WEL~ A~JAC~T TO T~I~ PROPERT~ 8N~ THE NUMBER OF RESIDENCES THAT TH~WELL CtILL SERVE. ------TNO ~2) I N~PEC~IO[41/RRE' REOUIRED----- BACKFILLING Of ANY, SYSTEM WIT~UT FINAL~CTION AND APPROVAL BY THIS DEPARTMENT WILL BE~SUBJECT TO ~ROSECUTIO~;--, / MINIMUM DISTANCE BETWEEN R WELL'AND 8NV ON-SITE'"SEWRGE DISPOSAL SYSTEM IS lee FEET FOR R PRIVATE NELL OR ~8 TO 2ce FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL ~ ~ '*x. MINIMUM DISTANCE FROH~ PRIVATE ~ELL~O R-PRIgRTE SEWER LINE IS 25 FEET TO 8 COMMUNITY SEWER LI(~E IS 75 ~EET/ ~ } WELL LOGS ARE REQUIRED 8~D MUST ~E RETORN~D TO THE DEPARTMENT WITHIN ~e OF THE WELL COMPLETION. %, ~ "' OTHER REQUIREMENTS MR~ 8PP~. : ~ECIFIORTIOMS AND CONSTRUCTION BIRGRRM~ ARE AVAILABLE TO INSURE PROPER I~ _LRTION. PERbl ! T EXP · RE~ DECEMBER 2~_~ ~-~8:L I CERTIFV THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IH ACCORDANCE WITH THE CODES. i-~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THR~I ~ BEDROOMS. S I GNED: ........................................ ~ APPLICANT NELSON GINGERICH V4. 0 ~ RE'OOIEEO ~.[Z~ ~' ~ SOIL ~TION F'L.~TH ~'! THE I'TI..q~ICIF"~_tT~ ~ ~ _~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION n PERCOLATION TEST 825 L Street. Anchm'age, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST OEPT~ SLOPE SITE PLAN JFEET). ,-.3: 8_O0~ 10 ENCOUNTERED? O P 12- ,~ · I IFYES. ATWHAT J/ I E 13- ~: ' ~ DEPTH? Gross Net Depth to Net 14 -... · Reading Date Time Time Water Drop 15- .' ~ X:;~ PERCO~TION RATE (mlnut~/inch) TEST RUN BETWEEN FT AND FT COMMENTS 72-008 (6/79) ~.. Vernf s Drillinc Villages 10 / / / ~ido Viow Nelson Gingerich . 'silty till boulder 0 s~lt~ c±ay 12 brown ~earock - red streak~ 16 brown rocm ory blue gray roca brov,~ s~rea~ ~n gray Heavy seepage black ro ca white streaks 5 gpm 19 19 80 ~0 100 100 190 190 200 RECEIVED 200 ' ft. 2 5. t--lc.b,.t l Izi, o .,'y 6. USE: ~sCIc ~Publlc SuPPly ~l~ustry ~ Irrigation ~ Rec~g, ~C~rclal DTest ~11 ~ O~her: 7. CASIN~: ~ Thr~ded ~elded [--1Rec;~rocltlng ft. Water Temperature: AA 3322 Anchorage, Alaska 99507 Municipality of Anchorage° On -Site Water & Wastewater Program `- -- (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel LD, 020-091-54 Expiration Date: �! 1. GENERAL INFORMATION Complete legal description THE VILLAGES TIDE VIEW S/D; LOT 10 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 17005 TIDEVIEW DRIVE, ANCHORAGE, AK, 99516 NELSON & MARGARET GINGERICH Day phone 1757 HOLLYBROOK CIRCLE, ANCHORAGE, AK, 99507 MARIANNE HAMILTON W/ REMAX/DYNAMIC Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: 345-2549 317-5756 TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site 0 Individual Water Storage ❑ Individual Holding tank 0 Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNanance request for :I Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ sato. A, Date of Payment 4/7//q Receipt Number_7 514z�24 COSA # dS C 1,`_/ ( `T l a3/ Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: — 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, i verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address GARNESS ENGINEERING GROUP, Ltd. 3701 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. allempted 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 of all wells and septic systems depend on the local 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 contra/ 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 safe benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. if System #1 Approved for 3 bedrooms. Phone 337-6179 Date 2,1A I �V- ooboopp�4 I( GC�.E.,,—(!79,4 . System #2 Approved for bedrooms. `a`\\�\�N iOF tNC� r`/ Disapproved. �QP O 141 � Conditional approval for bedrooms, with the following stipulat`l ON-SITE -%hfn-rPR AND Original Certificate Date: The Municipality or Anchorage Develop,emt Services 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 is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other /Rea 111M 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: A. WELL DATA THE VILLAGES TIDE VIEW S/D; LOT 10 *BEDROCK AT 16". Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 11/1/1982 Sanitary seal (Y/N)-Y-- Total depth 200 ft. Date of test Static water level Well production Cased to *22.58 ft FROM WELL LOG 11/1/1982 UNSPECIFIED ft, 5 nnm WATER SAMPLE RESULTS: Parcel ID: 020-091-54 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 8/16/2013 30 ft. 4.55+ g,p,m, Coliform 0 colonies/100 ml. Nitrate 2.60 mg./L. Collected by: GEG, Ltd. Arsenic: *ND ug./L. Date of sample: 1/21/2014 *ARSENIC SAMPLE 8/16/2013. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/13/1982 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES I / Depression over tank (Y/iN) NO High water alarm (Y/N) N/A Date of pumping 17 Pumper i l 1 �✓r G '�e <U c r C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 8/13/1982 Soil rating (g.p.d./ft2or /bdrm 125 System type TRENCH Length 47 ft. Width 2.5 ft. Gravel below pipe 4 ft. Total depth *9.2 ft. Eff. absorption area 376 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **8/16/2013 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test **2 in. Water added 540 gal. New depth 2 in. Elapsed Time: 5 min. Final fluid depth DRY in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **NOTE: HOUSE WAS VACANT AT TIME OF TEST. DRAINFIELD WAS PRESOAKED WITH 2085 GALLONS OF WATER IMMEDIATELY PRIOR TO TESTING. LIQUID LEVEL NEVER EXCEEDED 2" DURING PRE—SOAK OR TEST D. LIFT STATION Date installed_ "Pump on" level at in. n --- Size in gallons Manhole/Access (Y/N). "Pump off' level at wa er alarm level Cycles tested Meets alarm & circuit requirements? If: SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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 Printed Name JEFFREY A. GARNESS Date `Z ✓!cL I' (Rev. 11105) PLAT NO. 77-208 THE VILLAGES TIDE VIEW LOT 10 46,206 S.F. 5y titi5' �<'w + 'I SHED-� \ FENCE (APX)4 x \ / I �-�—GREEN ,c HOUSE x `1 \ SYStEM SE711C l /NC \ BUgOIryG 22.W Ca SVEM \ 31.5' �W • \ CDNC. WALL GRA`1t�DRz a \ WELLto N� 'AA 111=50' GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 2000 E. DOWLING RD., SUITE 8 ANCHORAGE, ALASKA 99507 PHONE 248-5454 GRID DATE SW3336 2/4/2014 F.B. JOB NO. 14-01 TVTV10 Q I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 1 "=20' OF 44 •:may♦ *t 49 H •• ® ;♦.................. ..� ...... .......... Jefferm y A. 6asialdi arSe 6091 s-0 �1 ® r0�ssional `a� '� ®o�aFArw®®��