HomeMy WebLinkAboutROSEWOOD PARK ESTATES BLK 2 LT 10 ROSE HILL II TOWNHOMESRosewood Park
Block 2
Lot 10
#014-134- 27
~,nchorage/Rosewood Park
Est.
Well Log
Owner Name & Add,ess: Muhammad Ali
3705-Arctic Blvd 1334
tAnchorage, AK 99503 Bengal Group LLC
Mcrldiar/ 'I owl~ship -- Range
top of casingpeuta
stickup 0
peat 2
silt / gravel 10
silty clay w/gravel 18
silt / gravel 20
moist silty clay w/gravel 58
wet sand w/gravel 70
sand & gravel w/H20 74
10
118
7O
Drilling method: (X } Air rotm'y. I ) Cable mol Othcl. .......
Well itse: ~ } Public supply, i× / Domestic. Other .............
Depth of hole: 80 Ii, ( using sfickup: __ L I~
Casing typc:~te~l Ihickness: -~50 h~chc~
Cnsing diameter: _6___ inches Casing depth: _. 74 ~.. f~
Liner type: _ - __ Diam~'ter: ._-..inches Dcpth:._ .2__ ~t
static ~a~e~(rr*m top or ~asin¢i: 4 ti onQ~.'2.2 2008
Pumping level & yidd: lbet afier hours at gpm
Recovery rule: ___~ gpm, Method nl tcsdng:~i~]i~
De*elopmem meth~: airli~ Duration: ~ hour
Well intake opening type: (
Screened: Start: 75 fi, Stopped
Screen* type:dp~h~soq_~;Sz_ Slot~mcsh size: .012
Perfbraled: Sim~: FL Stopped:
Stun: - fi. Stopped:
) ()pen end. l ) Open hole. Other screerl
Grout type: ~orlit~_____ Volurac ____.__-__
Depth; fi-om ,,ground surface . to
Pmnp intake depth: ......
Pump size: ..............
Was well disinfected upon compietion?{ X ) Yes. ( ) No
Method or disinibction:Calcium. HypocblorJie..(ChloriBe)..,
~¢h drdler name: Johnny
Company name:.,,,~ ..Q[([].{~L~.: .......................................
City: _6~9)omge
Phone number: { 907 } 345 - 05~ ~:345-4700
Drillers signature:
Municipality of Anchorage
Development Services Department
Building Safeg,, Division
On-Site Water and Wast~water Section
4700 Seth Bmgaw St,
P,O. Box 196650 Anchorage, AK 995 t 9-6650
www, munLorg/onsite
(907) 343-7904
~,ttention: Property owner Shall provide a well log to the
::)SD within 60 days of well completion.
' Permit Number: N/A
Date of Issue: / /
Parcel ldentillcafion Number: -
ts well lucaIed at approved permit location? (X) Yes or ( ) No
Mar 29 22 04:46p Anchorage Well & Pump Ser 9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department o Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation
Well Drilling Permit Number:
Parcel Identification Number: 014 134 27
Legal Description Block Lot
ROSEWOOD PARK ESTATES
ROSE HILL II TOWNHOMES 1 2 10
Pump Installation Date: 03 _ 25 - 2022
Pump Intake Depth Below Top of Well Casing: 70
Pump Manufacturer's Name: PENTAIR
Pump Model: 507231 - 10GPM
Pump Size: -75 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name: Campbell
Pitless Adapter Installer:
Well Disinfected Upon Completion? X Yes ❑ No
Method of Disinfection: PELLETS
Comments:
Log
Date of Issue:
Property Owner Name & Address:
STRAMILOV, DMITRY A & ALI A
15920 SUNSET BEND CIRCLE
ANCHORAGE. AK 99516
feet
Pump Installer Name:. ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
Company: ANCHORAGE, AK 99518
Mailing Address: 907-243-0740
State:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage
On -Site Water & Wastewater Program --:
(907)343-7904
i-C�-('aSvtunC�
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 014-134-27
Expiration Date:
CG
,_2
1. GENERAL INFORMATION
❑
Individual Holding tank
❑
Complete legal description
ROSEWOOD PARK ESTATES S/D; BLOCK 2, LOT
10
❑
Location (site address) 2123 E. 74TH AVENUE, ANCHORAGE, AK, 99507
Current Property owner(s) JOHN PTACIN
Day phone
Mailing address 2123 E. 74TH AVENUE, ANCHORAGE, AK, 99507
907-310-6461
Real Estate Agent CHRIS REHKOPS W/ KELLER WILLIAMS Day phone 907-865-6422
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex -
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: X 1%
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
0
W aiverNanance request for:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ Waiver Fee $
Date of Payment
Receipt Number /
COSA # -3 l i
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. 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) ih 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 JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, Lb). 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 cribs
system under the conditions encountered at the time of the test, and separation
distances measured to madilymentifiable features. The operational life of all wells and
septic systems depend on the local soils condition, gmundwaterievels 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 authonzed nor will it confer any legal right whatsoever.
6. DSD SIGNATURE //
i✓ System #1 Approved for ` 11 bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Phone
337-6179
Date 3 t1�
o OFA �4
O'` ...........
0 4
O�a�P H.. .....
S�4o�G
4
..... . .. ......... J
r larn ss:'
-E-7953 d0
V 9. e
���aPro
fes stoo o§5
Conditional approval for bedrooms, with the following stipulations:
tOFt t�Cf 4,
q
=QP 7�Ty����
ON-SITE
WATER AND
m WASTEWATER oz^
By
Original Certificate Date: l
The MunicipalityErr chorage Develop, amt 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. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
rid>u IIlnS
Nitrate Advisory
Arsenic Advisory
Other
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: ROSEWOOD PARK ESTATES; BLOCK 2, LOT 10 Parcel ID: 014-134-27
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 8/22/08 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 80 ft. Cased to 74 ft. Casing height (above ground) 18+ in.
FROM WELL LOG
Date of test 8/22/08
Static water level 4 ft.
Well production 25 g.p.m.
WATER SAMPLE RESULTS:
Coliform '(�r colonies/100 ml.
Arsenic: NO ug./L.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size gal.
Foundation cleanout (Y/N)
Date of pumping
C. ABSORPTION FIELD DATA
Date installed
Length ft.
Total depth ft. Eff.
Date of adequacy test
Fluid depth in
Elapsed Time
AT INSPECTION
3/27/13
FROZEN NEAR SURFACE
4.52 g.p.m.
PUMPED 1570 GALLONS IN 347 MINUTES
Nitrate NO mg./L. Collected by: GFG. Ltd.
Date of sample: 6/2014
Number of Compartments
PUBLIC SEWER
Date installed
Cleanouts (Y/N)
Depression over tank (Y/N) — High water alarm
Soil rating (g.p.d./ft2or
Width
ft`/bdrm _ System type
ft. Gravel below pipe ft.
ft Monitoring tube_ Depression over field
Results (Pass/Fail)
bsor field before test in.
min. Final fluid depth
n treatment (past 12 mo.) (YIN & type) —
Water added _gal.
n. Absorption rate >=
For bedrooms
New depth _in.
If yes, give date
M.
D. LIFT STATION
Date installed_
"Pump on" level at in
Size in gallons Manhole/Access (Y/N
"Pump off"level High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOTTO:
Septic tank/lift station on lot N/A
Absorption field on
On adjacent lots 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
Water main
Wells on adjacent lots
Property line Absorption fielc
Water service line Surface water.
SEPARATION DISTANCE FROM ABSORPTION FIELD T TO:
Property line Buildin dation Water main
Water service line Surface water Driveway, parking/vehicle storage
Wells on adjacent lots
F. COMMENTS
G. ENGINEER'S CERTIFICATION
i certify that / 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 Printedame JEFFREY A. GARNESS
Date -66 I-7 J tk
(Rev. 11/05)
Municipality of Anchorage
On-Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEHS APPROVAL
Parcel I.D. 014--154-27
1. GENERAL INFORMATION
Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
ROSEWOOD PARK ESTATES; BLOCK 2, LOT 10
2121 & 2125 EAST 74TH AVENUE *ANCHORAGE~ AK 99507
TRACI SCHACHT Day phone C/O AGENT
2121 & 2125 EAST 74TH AVENUE *ANCHORAGE~ AK 99507
BETHANY MEHNER-WEISER
Day phone 762-5111
2. TYPE OF DWELLING: [] Single Family (w/wo ADU)
· Duplex
[] Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY:
Individual Well ·
Individual Water Storage []
Community Class Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding tank []
Community On-§ire []
Public Sewer ·
Received by: ,/~
COSA to be released to ~he engineer, unless otherwise requested by the engineer.
Waiver Fee $_
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on tile
information obtained from the Municipality of Anchorege files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted te provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These cond~idn$ ara outside the control of the evaluator of the system. Satisfacte,3/ test
results de 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 dght whatsoeve£
6. DSD SIGNATURE
System #1 Approved for ~' bedrooms.
System #2 Approved for bedrooms·
Phone 337-6179
Date
Disapproved.
Conditional approval for __
bedrooms, with the following stipulations:
Origi,al Cedificate Date'
/-
The Municipality or Anchorage Develop, emi Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the represenatafions given in paragraph 5 by an independent professional civil engineer registered in the State , ~f Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCNMENTS: - . * ' '
COSA Checklist
Septic System Advisory
Well Flow Advisory
(Rev. 11/05)
Nitrate Advisory .. - ,
Arsenic Advisory .., ~
Other .
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: ROSEWOOD PARK ESTATES; BLOCK 2, LOT 10
Parcel ID: 014-134-27
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 8/22/08 Sanitary seal(Y/N) YES
Total depth 80 ft. Cased to 74 .ft.
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 18+ in.
Date of test
FROM WELL LOG
8/22/08
AT INSPECTION
3/27/13
Static water level 4 .ft.
FROZEN NEAR SURFACEff.
Well production
WATER SAMPLE RESULTS:
25
.g.p.m.
4.52 g.p.m.
PUMPED 1570 GALLONS iN ,347 MINUTES
Coliform 0 colonies/100 mi. Nitrate ND mg./L.
Collected by: GEG. Ltd.
Arsenic: ND ug./L.
Date of sample: 3/27/13
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 wate~
Date of pumping Pumper
C. ABSORPTION FIELD DATA 2
Date installed __ Soil rating (g.p.dJft~or ft~/bdrm,,~-'~ System type
Length ft. Width _~'" ff. Gravel below pipe
Total depth ft. Eft, absorption~ ft2 Monitoring tube Depression over field
Date of adequacy test / Results (Pass/Fail) For ,bedrooms
Fluid depth in a~before test in.
Elap~ min. Final fluid depth
.,;~"rejuvenation treatment (past 12 mo.) (YIN & type)
Water added __ gal. New depth in.
in. Absorption rate >= g.p.d.
If yes, give date
D. LIFT STATION
Date installed, Size in gallons Manhole/A~__~__~N~ ..~---~
"Pump on" level at ~ High watsr alarm level at .in.
Datu.____.~m ~
Cycles tested. Meets alarm & cimuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main 75'+
Sewer/septic service line 25'
Animal containment areas. 50'+
On adjacent lots. 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
100'+
100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Property line. Absorption field
Water main Water sen/ise line Surface water ~
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTI~O~
Property line _ __ __~dation. Water main.
Water service line ~ Surface water Driveway, parldng/vehicle storage
Wells on adjacent lots.
F. COMMENTS
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.
Engineer's Printed Name JEFFREY A. GARNESS
.ata
(Rev. 11/05)
LOT 6
5' U.G. UT~LFrY EASE
LOT7
LOT
LOT 11
44,0'
14.,9" X 2,0'
I
2 STORY
WOOD
DUPLEX
I
CON'RED
LOT 8
FENCE
LOT 9
PLOT PLAN __ AS !BUILT I~ SCALE 1' = 30' GRiD SW 2133 Pro~ect No. 08-073
' 11500 Daryl Avenue, Anchorage, Alaska 9951,5-3049
Long &: Associafes, IFIC, (907) 522-6476 Phone
Registered Land Surveyors (907) 522-4e2s Fax
kglang~sOataska.net / JclangtsOalaska.net
1 hereby aedffy that I have surveyed the following desadbed properly:
LOT 10. BLOC}( 2. ROSEWOOD PARK ESTATES SUBDIVISION (PLAT No. 6g-t45)
Anahorage Recording DIsfl'lof, Alaska, and that the Improvements slfuafe~ thereon are
within the propenly lines and do not encroach onto the properly adjacent thereto, that
no Improvements on fha property lying adlacenf thereto enaraaah on the surveyed
premises and that there are no roadways, fransmTsslon lines or other visible
easements on said property exoepf as Indloated hereon.
Dated this the ~'~'~ Day of r'~c~f~e-~ep- , ~ , at Anchorage, Alaska
It ls the responsibility of the owner to determine the existence of any easements,