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HomeMy WebLinkAboutLEDOUX LT 8Ledoux Lot 8 #050-291 - 50 IiQI3EATa3N �W-ALTER VVEZ.LB, ZNC. FO Boz 871218, il4ia.wMgxq AK 99657 C9A7)o 376-2041 VVI;T"T" L®Gi Name: Hall Quality Homes Address: P.O. Box 1987 City: Peer State: AK Zip Code: 99645 Well Site: Le Doux Lot: 8 Block: Additional: ell Depth: 194 ft. From: To: Formation: Selow Ground: 192 ft. 0 2 topsoil Above Ground: 2 ft. 2 17 sand, gravel 17 65 hardpan al/Min: 10 65 79 hard silt tatic Level: 156 ft. 79 85 brown sand asing: 6" ID Steel 85 95 brown clay 95 130 hardpan finer Pipe: none 130 145 gravel Greened: none 145 150 wet gravel erforated: none 150 183 hardpan 183 186 wet gravel routed: Bentonite 186 193 hardpan Depth: 20'+ 193 194 gravel, water evelop. Method: Air se of Well: Residential tilling Method: Rotary lnids Used: none ump Installed: none then: none Pate Drilled: 7-19-2012 Driller: Zae Hupp Development Services Department Building Safety Division �r Za 4'r0 On -Site Water & Wastewater Program 0p7 4700 Elmore Road x P.O. Box 196650 a Mark Begich Anchorage, AK 99507<Q 9507s " E T . Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW OSP121201 Date of Issue• 7-17-2012 Parcel Identification Number: 050-291-50000 Legal Description LeDoux Lot 8 Property Owner Name & Address: Edward Casey LeDoux P.O. Box 770514 Eagle River, AK 99577 Pump Installation Date: 10-15-2012 Pump Intake Depth Below Top of Well Casing: 190 feet Pump Manufacturer's Name: Goulds Pump Model: 7SBO7412CL Pump Size 314 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: Campbell B10 Pitless Adapter Installer: unknown Well Disinfected Upon Completion? ✓❑ Yes ❑ No Method of Disinfection: Chlorine recirculation Comments: Wheaton Water Well, Inc. (907)376-2041 Pump Installer Name: Wheaton Water well, Inc. 1190 N. Wasilla-Fishhook Road Wasilla, AK 99654 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On-Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121201 Tax Code Number: 05029150000 Work Type: Well Initial Permit Effective Dates: July 17, 2012 to July 17, 2013 Design Engineer: Subdivision: LEDOUX Site LegalAddress: LEDOUX LT 8 G:0054 Owner/Address: LEDOUX EDWARD CASEY PO BOX 770514 EAGLE RIVER AK 995770514 l)epartment Site Mailing Address: 18901 EAGLE RIVER RD, Eagle River Lot Size in Sq Ft: 8845 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Pdvy Y Private Well N 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 Wastewatar Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ,~ ~,.D..,,_.....~~ ~ MUNICIPALITY OF ANCHORAGE ommunity Deve nt De, pertinent Development Services Division ~ On-Site Water & Wastewater Program Mayor Dan Sullivan Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Property owner(s) ~,~/',~z~ ~.~,,.-~ . Mallingaddress /~,~. ~. /~? ~ Site address ~-~/g- ~;//~,~' ,~' Legal description (Sub'd., Block & Lot) ~.~/-~,~,~/--'~- ~ · , ~- ~' Legal description (Township, Range & Section} Lot Size ~/o°"~5-'~ Sq. Ft. Number of Bedrooms ... Day phone THIS APPLICATION IS FOR: (1~1 a~l that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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 Cedes. (Signature o~property owner or authonxad ~ent) Permit/Rush Fees: ('~ ~-~J/~/~) Date of Payment: ~/,~"~// Receipt Number: Permit No. (~ ~' P J~, / ~-.~ / .... Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:'~Bufldlng~On Site',Forms\Client Forms~,Permi[ App_g 10411 ,doc (Rev. 1111} 580,4 FOUND 5/8" REA~AR LOT 9 15' X 50' COMMON DRIVEWAY LOT 3 lo' ~ ,=Ir ,'~D I I LOT 8 / 8,845 Sq FL LOT 4- 578.2 GARAGE EL 578.0 LOT 7 15' T&E EASEMENT- 577,8 DRIVEWAY 'iBM TOP OF 5/8" REBAR EAGLE RIVER ROAD LEGEND 104.8 EXISTING ELEVATI( PATH 10..~.0 PROPOSED ELEVA -- SURFACE DRNI~ ' '" ' ' ', · ' ~ i,*.' :'-~:' - · :' '"" *'*' ' :"' * '* ** ":* "* LOT COVEP.~E -- 13.9~g EDGE OF PLOT PLAN X AS BUILT SCALE 1" = ~0' GRID NW54 PreJeat No. 12-07461 La n g (907) .522-6476 Registered Land Surveyors (907) 522-4625 kenOlangsurvey, eom/ JonothanOlangeurvey.cem & Associates, inc. .soo I:)aryl Avenue. Anchorage, Alaska 99515-3049 Phone Fax I hereby certify that I have surveyed the following desoribed properly:. LOT 8, LEDOUX SUBDIVISION(PLAT 2011-68) Anchorage Recording Didde. t, Alaska, and that rite Improvements situated thereon are wlthln the properly lines and do not enoroaoh onto the properly adjacent thereto, that no Improvements on the properly lying adjacent thereto enoroaah on the surveyed premleee and thai there are no roadways, transmlssion lines or other visible eaeemeats on said properly except aa Indioatsd hereon. Dated this the ~:,~h Day Of ~r-~...~ , "~., M Anchorage, Alaska It Is the responsibility of the owner to detsrmlne lite existsnce of any easements, eavenants, or restrlatlon8 whloh do not appear on the reearded subdlvislon plat. MUNICIPALITY Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-291-50 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: 7"Z ( ^Z I9 Z Complete legal description Ledoux, Lot 8 Location (site address) 18901 Eagle River Rd., Eagle River, AK 99577 Current property owner(s) Joshua & Meredith Hollingsworth Day phone Mailing address Same Real estate agent Stephanie Olendorff Day phone 907-229-6099 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ED Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer El Waiver request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of PaymentCom, — �2.OZ i' Date of Payment Receipt Number os.- 2Zrp Receipt Number COSA # 05C� 1 1 '19 9 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. I 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Crewdson Engineering LLC Phone 907-280-9493 Address 18368 Amonson Rd, Chugiak, AK 99567 Engineer's Printed Name James Crewdson Date 5-25-2021 i TH* 6. DSD SIGNATURE s:�s i ames A. Crewdson ; System #1 Approved for bedrooms �l C11527 i System #2 Approved for bedrooms Y pP 1���SNNP�' Disapproved Conditional approval for bedrooms, with the following stipulations: By: � &- lZ� The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Ledoux, Lot 8 Parcel ID: 050-291-50 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7-19-2012 Total depth 194 ft Cased to 194 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 5-21-21 Static water level at beginning of test 165 ft. Comments No storage tank. B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in se nk F-1 Standpipes/found eanout per record drawing Date of ng D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑Monitor tubes go to bottom of effective. If n ate depth into effective ❑ Code -required soil cover o geld ❑ Sys�ifnt (Requirr greater than 30 days prior todate /Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 4.5+ gpm Water storage tank volume 0* gallons Well disinfected for coliform test? ❑ Yes ❑ No ® Coliform bacteria is Negative Nitrate 3.48 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by Sullivan Water Wells Date of Sample 6-2-21 C. LIFT ST required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results. ❑ Pass r bedrooms Fluid dept r to test in ,k4A�r added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' dQ Yes if No ft M Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 7 Yes if No ft Holding Tank > 100' 7 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft 7 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M Yes if No ft M Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes ems'' ft Property Line > 5' ❑ Yes if No ft Wells o-n�Adjace Absorption Field > 5' ❑ Yes if No ft�..►-�' rP ivate Wells > 100' ❑ Yes if No ft Water Main > 10' lt No ft Community Wells > 200' ❑ Yes if No ft Water S ne > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway com stSw Property Line > 10' ❑Yes if No ft Wells on Adjacent Water Main > 10' ❑Yes if No ft -ovate Wells > 100' ®Yes if No ft Water Service Line > 10' �Ges-- I o ft Community Wells > 200' ❑ Yes if No ft Surface W _ 05-- ❑ Yes if No ft F. ENGINEER'S COMMENTS Property served by public sewer. G. ENGINEER'S CERTIFICATION I certify 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. COSA Checklist yellow sheet ��•4 T •��/ AO .rewdson ' % 011527 ilk\ /'ROF:SSOX' DATE'SCHEDULED 12/31/2012. TIME 12:00 am INSPECTOR SUBDIVISION LEDOUX BLOCK/LOT/TRACT LT 8 / INDICATE NORTNifCt�t _ 3 � qa n An SIZE MAIN: Z �r TYPE MAIN: DEPTH AT MAIN: tTAT`PROP.LINE: CONNECT LOCATION: i LOC 2gDt COMMENTS: �{� f @ INSEPECTED BY: DATE: —r' ffl7-- Municipality of On -Site Water and Wast (907)343-7 Certificate of On -Site Parcel 1. D. 050-291 _ _ 'D 1. GENERAL INFORMATION Complete legal description Ledoux; Lot 8 Location (site address) 18901 Eagle River Road Current Property owner(s) Jedidiah & Shannon Tooks PrhUr$'rd U (iii5 Expiration Date: ,/ / — 1 '7 / 5 Day phone 907-782-9767 Mailing address 18901 Eagle River Road Real Estate Agent Jamey Wood Day phone 240-0829 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 ❑ 4. TYPE OF WATER SUPPLY: ❑ Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for: N/A Received by: TYPE OF WASTEWATER DISPOSAL: Individual ❑ Holding Tank ❑ Community ❑ Public Sewer lid COSA to be released to the engineer, unless otherwise requested by the engineer. Date: AV14OfS COSA Fee $_221, — Waiver Fee $ _ Date of Payment g 1 i 11 r5CQ Date of Payment Receipt Number 0(,O—zl G Receipt Number COSA# 05CI51g3--1 Waiver# 5. STATEMENT OF INS Y ENGINEER _4 _<_ ,,, 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. I 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 Garness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road Suite 101 Anchorage AK, 99507-1259 Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation- Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary,. and are outside the control of GEG. Satisfactory test results do not guarantee future performance ofthe system/s, therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short GEG disavows any legal duty to anyone other than the person1party who paid for this report. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, \ZY OF c ON-SITE t WATER AND WASTEWATER cR3 PROGRAM with the following stipulations. q); f J-SERVtG�V )))))))J))1S.W By: // Original Certificate Date: 5 The -unic) ty 0 �� ®rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations 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. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doe 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: LEDOUX; LOT 8 Parcel ID: D50-291—.,gyp A. WELL DATA `PER CONVERSATION WITH JEFF POET, WHO CONFIRMED WITH WHEATON WATER WELLS. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/19/2012 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 194 ft. Cased to *194 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 7/19/2012 7/30/2015 Static water level 156 ft. 166 Well production 10 g.p.m. 4.92 WATER SAMPLE RESULTS: Coliform .05�r colonies/100 ml. Nitrate (' 42' mg./L. Arsenic: NO ug./L. Date of sample: 7/30/2015 B. SEPTIC/HOLDING TANK DATA PUBLIC Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) Date of pumping C. ABSORPTION FIELD DATA Date installed Length ft. Total depth ft. Eff. Date of adequacy test T Collected by: GEG. Ltd. Date installed Cleanouts (Y/N) High water alarm Soil rating (g.p.d./ftor ftYbdr _ System type Width ft. Gravel below pipe ft. bsorption aft2 Monitoring tube_ Depression over field Results (Pass/Fail) Fluid depth in absor ' n field before test _ in. Elapsed T' . _ min. Final fluid depth rejuvenation treatment (past 12 mo.) (Y/N & type) Water added _gal. in. Absorption rate >_ For bedrooms New depth _in. If yes, give date ... D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on lot N/A Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent 00'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 75'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption Water main Water service line Surface Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION Property line . Water service n drain F. COMMENTS G. ENGINEER'S CERTIFICATION TO: Water main Surface water Driveway, parking/vehicle storage Wells on adjacent I certify 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 Printed lame JEFFREY A. GARNESS Date 13 (Rev. 11/05) ------------ 10' ----------- 1G' T&E AND tDRAjNgGE EASEMENTS i.i 'Z LOT ODEIv i R fi�r,b q oy }( i Lid 3 U45 Sq FL LAST 9 c STORY RESIDENCE 9.8' 3S 11.0 5' �DRIVEWAYas.e' 14.0' EASEMET,'TS 7vx TE:E� EASti ENT . f 1 DIIIMAY I s' M : LO P"N AS 3—L&T X SCAiz 9a m 3V GRID N -M 54 H ,s 'o a3 rosp^r33.4°. ilty off 41he :t'>Tarar fa iistann iitnaa ; W e2n::�aaL of any ease, zam, -naaumG:rn%e -r ?tiS`AP M.Ai3 wN",,h ¢n,. :ens nn ' nn ?ha Maenr-lm 4"Nd sztnn m!M= ra„J,at9 ::cae i5®��4;Aa Lang &- Associates, inc, 11500 Daryl Av-ae, Anchorage, AlozkG 99595®3049 ('907) 522-6476 i';s rs + Reg;s ere end Surveyors t907) 522-4626 Fu ��/� F<.,. mti iart s�rsny.aa€r ! k eairmm4i .ngmurway.-Com � � a �� mby cwiffv *C1 s have sary ua-d +-8 fat owma 421scifood pmpaesiy- aM awen Wv� V aow+sF (eas [� La _a' y ..a!%v. 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