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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 3 LT 7Eagle River Heights Block 3 Lot 7 #050 - 281 - 08 Z&Dlkbr ' 3530 West Spence Ln. WasiltaAK 99623 .0 ,0 ,. Borough Subdivision s4se£ Lot Block Section QTRS Section Township Range Meridian #1.014 ? 3 60 t Location f Sketch Well Owner muAtetrA4 f r�finclDr v tfOrA /tf OvJ► i Depths Measured From: ® Casing Top ❑ Ground Surface Well Depth -Date Of Completion Depth of in /,29 Ft. �, / Depth of irisCasing: /2/ F[. Borehole Data: Depth Material Type 8: Color From TO/ IC ,U 3 Dte�ptth' To Static Water Level: Ground Surface Ft, Below jTop of Casing;[01 Se�L J A �% ^J /,J 0 /3j' Method Of Drilling: J] Air Rotary Cable Tool - ❑ Other: / CL.4 U.fi4t/[ L r3s 5-9 Use Of Well: ® Domestic ❑ Irrigation ❑ Monitor ❑Public Supply ❑ Other Casing Stick -Up;-.?_ Ft. Diia n: In. to Ft. Casing Type: ;=in.to A&&—"9Z Ft. {�,��., ,` A r"�"�f ` / 63 / /f off Well Intake Opening Type: ja Open End El Screened 0 Perforated ❑ Open Hole Depths Of Openings: To: f�Fp, Screen Type:. A-%"�-- Diameter. In. SloUMesh Size: Length; Ft._Tq. i Gravel Pack Type: ♦Lxtil! Vol nine Used: Depth to Top: Grout Type: N16,V*Lume:: Depth: From t Ft. to Ft, Development Method: Duration: rn�''ppi°fig Level & Yield: 1 a:� JFL AfteL� EId C3UALITY TES ING Firs, Pumpinggpm NttratOS �t / m •--=Yf------ L Pump intake Depth: Ft. Horsepower Well Disinfected Upon Completion? ❑ yes ❑ No CONTRACTOR INFORMATION: 5 or < W,o7ioe t.eraG» rye r ,CffD [.vM/4G2 Registered Business Name Signature Signature of Authorization Representative Date REMARKS: 1 - Development ServicesDepartment BuildingSafetyDivision On -Site Water & Wastewater Program 4700 ElmoreRoad Box 196650 Anchorage, AK 99507 a a a i i PumpInstalladon! • Well Drilling Permit Number: S' Parcel Identification Nsnwber. Date ofIssoe; — of Neil Casing: 15,6 feet dacturer's Name. ,Glou1ds X: 51�> 1DCA— hp Pi Adapter Burial V"d RO.&Cet Pities Adapter Manufacturer's Name: 01S'l`n Installer: 'j n CY)jC)Pjf)C Name bt i- El YL -'-N V� 0,A -CX' 10 Attention: The pump installershail provide a Pump MialIation log to &eDSD SD within 30 days of pump ➢nstallalion. On-Site Water System Permit jr i~ 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: OSP121215 Tax Code Number: 05028108000 Work Type: Well Initial Permit Effective Dates: July 26, 2012 to July 26, 2013 Design Engineer: Subdivision: EAGLE RIVER HEIGHTS Site LegalAddress: EAGLE RIVER HEIGHTS BLK 3 LT 7 G:0053 Owner/Address: FENDICH ANATOLY DBA ROYALTY HOMES 2253 W RIDGEWOOD DRIVE WASILLA AK 996540000 Site Mailing Address: 10015 CHAIN OF ROCK ST, Eagle River Lot Size in Sq Ft: 47175 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy 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 Wastewater 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. Date: ~L~ ~-'-//~._ Date: ~/~/,, ,~'.~ MUNICIPALITY OF ANCHORAGE Co%¢~y Development Depadment Develobmbnt Services Division ~:S~ W~er & Wastewater Program ' ,~~~ Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O ~-C)-~ -- OY Property owner(s) ~/]~ -'~Ok_--/ ~'Ek~ Day phone Mailing address ./'~%-"'~ ~/IP~ /~r~c'{_ L~'- Site address -- -- Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size /~,/,¢~- Sq. Ft. Number of Bedrooms f-/ THIS APPLICATION IS FOR: (~] all 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 Codes. (Signature of property o'~er or authorized agent) Permit/Rush Fees: ¢:~l~'-- ~O-~Z~¢h Waiver Fees: DateofPayment:-~1~5/~- Date of Payment: Receipt Number: J~OLo t Reoeipt Number: Permit No. ~ jO I~- t'~ L ~ Waiver No. G:\Building\On Site\Forms\Client Forms~Permi! App_010411.doc (Rev. 1/11 ) Parcel I.D. %"5- - YU P5� ^B4 X61 cipahty of Anchorage ° V U g k On- it Water and Wastewater Program NOV 16 ail � (907) 343-7904 s e r 050-281 1. GENERAL INFORMATION Complete legal description of On -Site Systems Approval Expiration Date: 2-Z7-9115 le River Heights S/D, Block 3, Lot 7 Location (site address) Chain of Rocks Street, Eagle River, Alaska 99577 Current Property owner(s) Royalty Homes Day phone (907) 355-7335 Mailing address 2253 W. Ridgewood Drive, Wasilla, AK 99654 Real Estate Agent O'Hare, ReMax of Wasilla Day phone (907) 631-5100 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: Individual Well ll Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 WaiverNariance request for: Distance: Received by: _i -.1r, Date: COSA to be released to the engineer, unless otherwise requested by the engineer. - COSA Fee $ (05 rQt>L5l') Waiver Fee $ Date of Payment .t 1,�h l,' I I a• (� Date of Payment Receipt Number cJ� la Receipt Number COSA # O l)CA O �J � Waiver # 6. 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. Name of Firm Douglas T. Kenley P.E. Phone (907) 746-1073 Address 9806 E. Northstar Circle, Palmer, Alaska 99645 Engineer's Printed Name Douglas T. Kenley 6. DSD SIGNATURE System #1 Approved for '4 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the By: Original Certificate Date: /Z The Municipality of Anchorage velopment 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 blue sheet f , c 7 - If more than 1 septic system is on the tot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Eagle River Heights SO, Block 3, Lot 7 Parcel ID: 050-281-08 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 7/28/2012 Sanitary seal (Y/N) Y Wires properly protected (YM) Y Total depth 172 ft. Cased to 171 ft. Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test 7/28/2012 Static water level 145 ft ft Well production 10 g.p.m. 9 - p.m -WATER SAMPLE RESULTS: Coliform Nege'colonies/100mL Nitrate ND mg/L Arsenic N o ' UgIL Date of sample: 11/10/12 Collected by: F. Kenley B. SEPTICIHOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments _ Cleanouts (Y/N) Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d.e or fe/bdrm) System type Length ft. Width ft. Gravel below pipe fL Total depth ft. Eff. absorption area ft' Monitoring tube _ Depression over field Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N $ type) If yes, give date 1 D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in High water alar level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankllift station on lot NA On adjacent lots 100+ ft. Absorption field on lot NA On adjacent lots 100+ ft. Public sewer main 75+ ft. Public sewer manhoWcleanout 100+ ft. Sewer /septic service line 25+ ft. Holding tank NA Animal containment areas 50+ ft. Manure/animal excrete storage areas 100+ ft. SEPTIC/HOLDING TANK ON LOTTO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION 1 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 Name Douglas T. Kenley Date i l 1 15 / 12 COSA brown sheet_10.10.12.dx C!/9/i01 ..5 A 141111 T I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO�ENCR CHMENTSrEXIeEXCEPPT 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 SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BDUND- ARY LINES. JSwAKD &ASSOCIATES LAND SURVEYING 69 SCALE: low -DATE "•-.:• GRID .- Duane erk Seward fir . is -5 s 4pJ FB- /Z101/ DRAWN: Municipality of Anchorage Development Services Division On -Site Water and Wastewater Program menr Department **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP121403 COSA#:OSC121531 Permit#:OSP121215 PID#: 050-281-08 Legal Description: Eagle River Heights Block 3 Lot 7 Engineer: Doun Kenley Applicant: Royalty Homes Your request for a waiver of the required 75 feet horizontal separation from the private well to the public sewer trunk line has been approved. The approved separation distance is 63.0 feet. This waiver approval applies to the existing well only. Any future upgrades will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ....................................................... a................... 0 a.I Waiver is Granted: X Waiver is not Granted: Date: L6 /Z Approved by: 'Name of Revie r ........................................................... ................... Rec#: 055730 Amount: $1,050.00 Date Paid: 11/21/12 **** VARIANCEMAIVER REVIEW **** Eagle River Heights Block 3 Lot 7 Parcel ID: 050-281-08 Waiver for 63 feet from well to public sewer line 11/26/2012 General 1. Water test has a nondetectable nitrate reading. 2. If the well met the 75' separation, the total points would be 14.0, within the same range established by the ADEC. 3. Zero points were given for the water table gradient. Total points could be higher if gradient was determined. ADEC Criteria Points Water Table Depth of water bearing zone in well 163 feet Assumed depth of sewer line 15 feet 148 feet 7.3 Soil Sorption Soil descriptions Permeability Soil descriptions DEC PTS Depth From Depth To Thickness Calc. Pts silty clay gravel 3 15 130 115 2.33 sandy silty clay 4.5 130 135 5 0.15 clay gravel 3 135 158 23 0.47 sand gravel 0.8 158 163 5 0.03 0 0.00 148 0 0.00 148 2.98 3.0 Permeability Soil descriptions Water Table Gradient - Difficult to determine, neighboring well locations are not known Horizontal Separation 63 feet between public sewer line and well Calc. Pts 1.55 0.07 0.16 0.01 0.00 0.00 1.78 1.8 IP 1.52 Total Points 13.5 As per ADEC waiver guidelines, with a minimum point value of 13.5, no bacterial polution possible but chemical pollution possible but unlikely from household chemicals. DEC PTS Depth From Depth To Thickness silty clay gravel 2 15 130 115 sandy silty clay 2 130 135 5 clay gravel 1 135 158 23 sand gravel 0.2 158 163 5 0 0 148 Water Table Gradient - Difficult to determine, neighboring well locations are not known Horizontal Separation 63 feet between public sewer line and well Calc. Pts 1.55 0.07 0.16 0.01 0.00 0.00 1.78 1.8 IP 1.52 Total Points 13.5 As per ADEC waiver guidelines, with a minimum point value of 13.5, no bacterial polution possible but chemical pollution possible but unlikely from household chemicals. Douglas T. Kenley, P.E. 9806 E. Northstar Circle, Palmer, Alaska 99645 (907) 746-1073 105'0_ November 19, 2012 Mr. Jay Crewdson Municipality of Anchorage On-site Services 4700 S. Bragaw Street Anchorage, Alaska Re: Royalty Homes, Owner Eagle River Heights S/D, Block 3, Lot 7 10015 Chain of Rock Drive Eagle River, Alaska WAIVER REQUEST LESS THAN 75 FEET FROM CITY SEWER MAIN The above -referenced lot has a private well that was drilled on July 28, 2012, to a depth of 172 feet and eased to a depth of 171 feet. The well is 65.5 feet from the city sewer main and greater than 100 feet from each man -hole. Please consider this letter for review and approval of a waiver of 65�5 feet from the existing well to the city sewer main. 'C'3 ° The proposed project will have no measurable impact on reserve space, surface or subsurface, or on drainage to adjacent lots. If there should be any questions concerning this matter, please call me at (907) 746-1073 or 243-5372. Sincerely, D_1_11� Douglas T. Kenley, P.E. PE#8176 A > ! O i� O Iw 1 I I A m m o a gym+ r °0 I31 I SEE SHEETS OF 9 CL OENORA STREET T q 1 a 1 m I I OI G. O I5• +r I I � I I O I � � I I I 1 W I I I I _I RI N I I III - ¢, BAFFIN STREET CD O A x aA D BEAVeORT STREET a _ - Q CHAIN OF ROCK STREET so I Im 0