HomeMy WebLinkAboutLEDOUX LT 7Ledoux
Lot 7
#050-291-49
Sullivan
19076882259 p.1
Certttteb ;Drt'tttng dog
by
DOC co. db.
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 -TELEPHONE 688-2759
OWNER OF LAND: L 14'-1) 1f; 5Jkj C JS % zie
ADDRESS:
LEGAL DESCRIPTION: 49 4t +1
T
DATE:
iai3� iv;
PERMIT N MB Date of Issue- _
TAX IDENTIFICATION NUMBER:y� T ��
Is well located at approved permit location? Qd�es O No
Method of Drilling: it rotary ❑ cable tool
Depth of well:
Casing TypeQWall Thickness •a.+j`�J inches
Diameter inches, depth / < feet
Liner Type: .._,mMvJa
Casing Stickup Above Ground: feet
Static Water Level: I E f- feet
Recover Rate:gpm
Method of Testing:
Well Intake Opening Type: pen end ❑open hole
Screened; Start feet Stopped feet
=t Perforations Start ��-��ffee Stopped
n!
Grout Type:/P3 51 t Volo e
feet
Depth: from f) feet`, toIJ/D feet
Well Disinfected Upon Completion? 5rm ] Nowa
Method of Disinfection: �'/ o%.ja �rr-*1
WATER QUALITY TESTING
Colfform Ne m, C0111001ITtL
Nitrates rrtg/L
Arsenic ND ug/L
0
4;242 ",JG Se jLC']sf%3
L L) ae
6/',+JCL
Driller's Name COLL
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
Of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
e
a�
Development Services Department
Building Safety Division
Pump Installation Date: � _ / 0 - I
on-5ite Water & Wastewater Program
4700 Elmore Road
Pump Manufacturer's Name: C ptA-[d
P.O. Box 196650
Mark Begich
Mayor
Anchorage, AK 99507
www.muni.ora(onsite
(907)343-7904
Pitless Adapter Manufacturer's Name: ^C fj v, yO v\ Pox
Pump Installation Log
Well Drilling Permit Number: SW12 Date of Issue: g193 2,
Parcel Identification Number._�y�a
Legal Description
Le ot&y Lof -
Property Owner Name & Address:
Pump Installation Date: � _ / 0 - I
Pump Intake Depth Below Top of Well Casing: / ?0 feet
Pump Manufacturer's Name: C ptA-[d
Pump Model: sOt71 �{�aGL
Pump Size 3lq hp
Pitless Adapter Burial Depth: IC) feet
Pitless Adapter Manufacturer's Name: ^C fj v, yO v\ Pox
Pitless Adapter Installer: WNtt-CO 6�1 i
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection:
Comments:
Pump Installer Name: /j I, J p t, W k- e(W 0
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: OSP121358
Tax Code Number: 05029149000
Work Type: Well Initial
Permit Effective Dates: October 23, 2012
Design Engineer:
Subdivision: LEDOUX
Site LegalAddress: LEDOUX LT 7 G:0054
Owner/Address: LEDOUX EDWARD CASEY
PO BOX 291 KIHEI HI 967530291
to October23, 2013
Site Mailing Address:
Lot Size in Sq Ft: 8845
Total Bedrooms: 3
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 Wastewater
Disposal Regulations (18AAC72) and Ddnking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must-notif~ 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:
Date:
Community Development DePartment
Development Services Division
On-Site Water & Wastewater Program
MUNICIPALITY OF ANCH I J '
~"" Phone: 907-343-7904
Fax: 9072343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 0~'0-' ~.c~ ~_ L[O~
Propertyowner(s) ~/*~f~/~.~.~~~:.~'t Dayphone 7~/~
Mailing address ~[ ~f&~'~ ~ ~~ ~ ~
Site address ~ ~ ~ 7 ~ ~~
Legal description (Sub'd., Block & Lot) ~ ~ ~ ~
Legal description (Township, Range & Section)
Lot Size ~ Sq. Ft. Number of Bedrooms ~
APPLICATION IS FOR: APPLICATION IS AN:
([] all that apply}
Absorption Field [] Initial ~
Septic Tank [] Upgrade []
Holding Tank ' [] Renewal ' ' []
Privy []
Pdvate Well ,J~
Water Storage []
TYPE OF DWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D)..
Multiple Dwellings
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR.'
Distance:
I certify that the above information is correct. I fudher certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: o~,c::b~ I ;>~o--I~ Waiver Fees:
Date of Payment: '~O[lbll~- Dare'of Payment:
Receipt Number: C:I.J~ ,~,3L~ C_ Receipt Number:
Permit No. ~-p~ jOj~.¥'~--'~ Waiver No.
Permit App_9-1-12,doc
LOT 3
(^w~u S~ER)
LOT 8
(AWWU SEWER)
,(
PROPOSED
LOT 4
(A~WU SEWER)
N~O'OO'OO"E 70.~'
10' T& E & DRNNAGE EASEMENT
LOT 5
(AWWU SEWER)
586.8
OVERHANG
585,8
LOT 6
(AWWU SEWER)
LOT 7-
8,845
TBM~-TOP OF
5/8" REBAR
EL 580,0
585.6
EDGE OF
LEGEND
104.8 EXISTING ELEVATION
103.0 PROPOSED ELEVATIOI
EAGLE RIVER ROAD
-- SURFACE DRAINAgl
LOT COVERAGE = 22,1~
PLOT PLAN X AS BUILT SCALE 1' = 30' (;;RID NW55
ProJeot No. 12-191B1
Lang (907) 522-6476
Registered Land Surveyors (907) 522-4525
ken~langsurvey.eom / Jonathar~gangsurvey.eom
11500 I:h3~l Avenue, Anchorage, Alaska 99515-5049
& Associates, inc.
Phone
Fux
I hereby oerllfy that I have surveyed the following deserlbed properly:.
LOT 7, LEDOUX SUBDIVISION (PLAT 2011-68)
Anehorags Rsoordlng DIsfrlot, Alaska, and that fha Improvements elluated thereon are
within the properly lines and do not eneroaeh onto the properly adJaeenf thereto, fhaf
no Improvements on the properly I/lng adJaoent thereto eneroaeh on rite surveyed
premises and that there are no roadways, fronsmlsslon Ilnes or other visible
easements on said properly exoepf aa indlaated hereon.
Dated this the ~/~1~ Day of ~=r~:~ , '~.~VZ. , at Anahoraga, Alaska
If la the rosponslblllly of the owner fo determine the exlstsnos of any easements,
oovenants, or re~trloflon8 whloh do not appear on the recorded subdivlslon plat.
Municipality of Anchorage
On -Site Water & Wastewater Program -
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-291-49 Expiration Date: 2 �S
1. GENERAL INFORMATION
Complete legal description LEDOUX S/D; LOT 7
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
18909 EAGLE RIVER ROAD, ANCHORAGE, AK, 99577
MIDNIGHT SUN CONSTRUCTION Day phone
3861 SCENIC VIEW DRIVE, ANCHORAGE, AK, 99504
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:
Day phone
727-1433
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
0
Received by:'!s
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $
to S.�A
Date of Payment
11119-113
Receipt Number
/11
0/0 d Zy
COSA #
OS C 13 !'S 86
J
Date: r'%: ✓ 7*
i
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
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.
Name of Firm
GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name
Engineer's Comments:
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, GEG, La). 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 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 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 is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms.
Phone
337-6179
Date F t /it 113
14T.... ..........
..y.
!Cy A Wess,-
CE-7953 ,•O
Pr o f e s sio�°oma
System #2 Approved for bedrooms. OFiq&C rrrr/
Disapproved.
= ON-SITE
Conditional approval for bedrooms, with the following stipul i*S: .,..-rrm Awn m
Original Certificate Date:
The Municipality or Anchorag)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
(Rev. 11105)
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 S/D; LOT 7
Parcel ID: 050-291-49
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Well Log (Y/N) YES
Date completed 10/27/2012 Sanitary seal (Y/N) YES
Wires properly protected (Y/N) YES
Total depth 195 ft. Cased to 195 ft.
Casing height (above ground) 24+ in.
FROM WELL LOG
AT INSPECTION
Date of test 10/27/2012
—
Static water level 158 ft.
Well production 18 g.p.m.
— g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate NO mg./L.
Collected by: GEG, Ltd.
Arsenic: ND ug./L. Date of sample: 10/1/2013
B. SEPTIC/HOLDING TANK DATA PUBLIC SEWER
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
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed Soil rating (g.p.d./ftor ft2/bdr
System type
Length ft. Width ft.
Gravel below pipe ft.
Total depth ft. Eff=absorptio ea ft2 Monitoring tube_ Depression over field
Date of adequacy testResults (Pass/Fail)
For bedrooms
Fluid depth in absor ' n field before test in. Water added
_gal. New depth in.
Elapsed T' —min. Final fluid depth in.
Absorption rate >= g.p.d.
Arfy rejuvenation treatment (past 12 mo.) (Y/N & type)
If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at in.
Size in gallons Manhole/Access (Y/N)
"Pump off" level at wa er 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 On adjacent lots N/A
Absorption field on lot N/A On adjacent lots N/A
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer /septic service line �S * Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: IPUBLIC SEWER
Building foundation
Water main
Wells on adjacent lots
Property line Absorption
Water service line Surface w
SEPARATION DISTANCE FROM ABSORPTION
Property line _
Water service
in drain .
F. COMMENTS
-W
G. ENGINEER'S CERTIFICATION
Surface water
Wells on adjacent lots
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 Name JEFFREY A. GARNESS
Date(/ 3
(Rev. 11/05)
TO:
Water
Driveway, parking/vehicle storage
OF A
.,:... 7 T::-ifl:_71.i....:'.*
fr p. Gar ess:'
CE .•' w�
�Pr o f e ssio� o�
WHITTERS' EXCAVATING
AND LANDSCAPING
13945 Knob Hill Dr.
EAGLE RIVER, ALASKA 99577
(907) 696.0822
JOB /0 7 LCJOUf
SHEET NO. OF
CALCULATED BY 0"I ""✓�� I rF� DATE
CHECKED BY
5k�5 n,'F;t
PRODUCT 2041(3g1a SM)M I (WdW)
ltcSSe,.reF�
i
LOT 3
(AWWU SEWER)
LOT 8
(AWWU SEWER)
i
LOT 4 LOT 5
(AWWU SEWER) (AWWU SEWER) —
10' TBE AND
DRAINAGE EASEMENT
— — — —m — — _ —
1 STORY
RESIDENCE
LOT 6
(AWWU SEWER)
WELL SHARED DRIVEWAY
AY
LOT 7
8.845 S.F.
1
�.cc
C5
x-15' TBE EASEMENT
DR=A'Y
BIKE PATH
1 _
-
EDGE O—F PAVEMENi� .
EAGLE RIVER ROAD
PLOT PLAN AS BUILT X SCALE 1" = 30' GRID NW55 Project No. 12-191/B7
Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
(907) 522-6476 Phone
Registered Land Surveyors (907) 522-4625 Fax
ken®langsurvey.com / jonathan®langsurvey.comOF..A pap
v �� ...........
�s�o
I hereby certify that 1 have surveyed the following described property:O
LOT 7, LEDOUX SUBDIVISION (PLAT 2011-68) O�P fi X00D
Anchorage Recording District, Alaska, and that the Improvements situated thereon are >~ 49L * f
within the roe lines and do not encroach onto the ' """"""',
property �Y property adjacent thereto, that
no improvements on the property tying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible • ••; ..
easements on said property except as indicated hereon. QO KENNETH G. LAN o
LS -5202
Dated this the Day of OGZ59�m� itu' at Anchorage, Alaska ���'•.l� i?•.•' �G
It is the responsibility of the owner to determine the existence of any easements, ��ppRaFfSSIONAt�
covenants, or restrictions which do not appear on the recorded subdivision plat. p40ppo�a