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)
------------
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('907) 522-6476 i';s rs
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