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HomeMy WebLinkAboutCHARLICE TR B-1Onsite File harY �� mow`. �.'ttg� Y pTxre. #00'a 7 mm 0 1"a I mm 18 .. HeallrNICIPALITY OF ANCHORAGE and Environmental Prote Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL. SYSTEM NAME /�' +®- ` J}y^� MAILING ADDRESS�N CAI., a 1 1 a iz• PHONE 09.-y� kC, LOCATION R 'y��- LEGAL DESCRIPTIONT I L ;Jet w 5 24,t. TawRISaC SEPTICTr p DISTANCE ra FROM WELL I OOH MANUFACTURER GMATERIAL INSIDE LENGTH NUMBER OF COMPARTMENTS INSIDE WIDTH - LIQUID DEPTH LIQUID CAPACITY 000 t_-. • T l dr ( / TOTAL LENGTH DISTANCE FROM WELL i oo L_FOUNDATION 34 NEAREST LOT LINE Pe} OF LINE -Z`S # of Lines / DISTANCE BETWEEN LINES PM TRENCH WIDTHI‘ IN TOTAL EFFECTIVE r�U , ABSORPTION AREA tJ v v SQ FT LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE CO TR? -ABOVE TILE IN SEEPAGE PIT: DIAMETER - OR WIDTH_ LENGTH_ DEPTH Log Crib Rings Crib Size:', DIAMETER_ DEPTH DISTANCE FROM: WELL BUILDING FOUNDATION NEAREST LOT LINE TOTAL. EFFECTIVE ABSORPTION AREA (WALL AR"A) Well Are 7-41664-) Class: Depth: Well Distance To: Lot Line Bldg: SeweLine: Pipe Materials: C: -„] # of Bedrooms: 3 ` Installer: U-st.4 Remarks: (00 0 SQ. FT. DATE/1547 DATE f_/y-7 jAPPRO +1 1 1 ° E e. ' , 4 Iii i I , .11P1 Elm" 1 1I k*!' JI i k { l 1 j+� t A i t f DATE/1547 DATE f_/y-7 jAPPRO +1 CJrxdifirb arittiiq iru0 by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694-2588 r. OWNER OF LAND J a YE Ad U O (HL DEPTH OF WELL 3 4 ADDRESS STATIC LEVEL OF WATER FT rit LEGAL DESCRIPTION 7 / g Al R ILci.S.1q5 .'' ' DRAW DOWN FT RU " DATE - Started nded GALS. PER HR 6 a 0 PERMIT NUMBER 77 S7/ KIND OF CASING 6 -0 KIND OF FORMATION: // From 0 Ft. to 3 (i Ft. d« Y � 6 Q G ,Irom Ft to Ft Fromm Cl Ft. to /1 -.. Ft. (IL ni 6 f%' 6' L tda Jt 42615 om Ft to Ft From) / S Ft. to c7 / O Ft. SC.)QocA Sa 0,0 From Ft to Ft From )1 O Ft. to 2 •-Z 5—Ft '3E O kb c. e r44 i VE'�'0 From / r ��� Ft. to Ft From .2.2 r Ft. to 27 9 Ft. ids(' 2.4 PC SO4 e AO From Ft. to Ft From :27est Ft. to d9d Ft. S&94)acC f ,¢c70,e-,O From Ft. to Ft From Ft. to Ft. 9✓74, TL J.E 0 d S From Ft. to Ft. From Ft. to 33:3,1 Ft. I'33,O,eoC ,t .S D LC From Ft. to Ft. From 5 J ` Ft. to ' 3 P Ft. &E0,QocK 52F4c742670 From Ft. to Ft /06P 2t /77 From Ft. to Ft. Q✓.9T t / .J 5 Ed From Ft to Ft From r," Ft. to 4 "' Ft. r3C,2Q a c'G S L ,0. From Ft. to Ft From Ft. to Ft. From Ft. to Ft From Ft. to Ft. From Ft. to FL From Ft. to Ft From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: r n 7,9c 6a C6iSn j DRILLER'S NAME x ` teAo N 54,0e5 °YL -fyL 0:(Y)not_ -7-77 4_,Lmt4. UK. Coly ep_60,?e cHArhoe- $/0 4r,,,Agfebt m7) citlit,//te 1--ee Ren,pcza- -44-tuki&Z- Attefin'e-Q-11Ar 004-, --rat.regmebt-Leda 9/0 .... . . ... LT. • 1 BEATER ANCHORAGE AREA BOROUGH = i CASE atigairawaf ANCHORAGE, ALASKA 99501 J' pS /a ged6-eR rr �{. / () 7yae/Lc'f V 4-s�s Performed For (1 D 6 }t} f}�,q-� U Date Perf ;. med ij'-.3 D 7 7 Legal Description. Lots Blocn�_ buD"7,sic^ Ip,,, _4/3 Li �,S iZLO 6 J This Form Reports a: Soils Log. a. _ Ferccciat on Test 015 '-', — Q,v(/ Depth Feet Soil Characterirtics 8 11.4 /6' 14 - Was Ground Water ountered?gp If Yes,,.tat De;th A/'9 B eGC roc k E.vc. DepiA COMMENTS: /gc ‘S4 Location Sketch Gro;: Tire { r Net le Depth To H2O Net Drop d 1 it L1ilIIim ii.loriini r m i Gro;: Tire { r Net le Depth To H2O Net Drop d r;inufe on; Seepage Pit Depth Ipst- To Bottom Of Pit Or Trench Drain field Test Performed By: Data Certified Ey; LJ//1-2 41/9-cI Date: ._..,_. 4-7--,3O 54337 " 1977, Municipality of Ancho On -Site Water and Wastewater Pro (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS Parcel I.D. 067-011-05 1. GENERAL INFORMATION Complete legal description CHARLICE TRACT B Expiration Date: %2-/ZQ5 Location (site address) 6949 CLEMENS CIRCLE, EAGLE RIVER, AK 99577 Current Property owner(s) JOHN & THERESE VOEHL Day phone Mailing address 26651 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577 Real Estate Agent Day phone 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: Individual Well ® Individual Individual Water Storage ❑ Holding Tank Community Class Well ❑ Community Public Water System ❑ Public Sewer TYPE OF WASTEWATER DISPOSAL: 11 9 9 WaiverNariance request for: Distance: Received by: a COSA to be released to the engineer, unless oto-` }de�fequested by the engineer. Date: ? COSA Fee $ 5 2- - Waiver Fee $ Date of Payment q / f 1/6 Date of Payment Receipt Number O$akocli Receipt Number COSA# b5C4S141 P Waiver# 5. STATEMENT TION 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 ARCTERRA CONSULTING, INC. Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Phone 868-3791 Date 7/4/15 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 6. DSD SIGNATURE r/ System #1 Approved for 3 bedrooms. System #2 Approved for bedrooms. ,, ` O --/> SIO?'''�V .r Disapproved. \��� Conditional approval for bedrooms, with the following stipulations: By: AY tor/ Original Certificate Date: 7Z.c17%-., The Municipality of 'nchorage 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 blue sheet 10-1012.dac 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: CHARLICE TRACT B A. WELL DATA Well type PRVT Date completed 1977 Total depth 340 ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 115.6 ft. FROM WELL LOG 1977 84 ft. 10 g.p.m. WATER SAMPLE RESULTS: , r Coliform d!{/ colonies/100 mL Nitrate /v g/L 8 /8,20/5 Date of sample: Arsenic: /tiff ug/L B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC 1 STEEL Parcel ID: 067.01115 Well Log (Y/N) Y Wires properly protected (WN) Y Casing height (above ground) 12+ in. AT INSPECTION 612312015 100 ft. 1.89 g.p.m. Collected by: ARCTERRA Date installed 911411977 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 7123/15 Pumper JRs C. ABSORPTION FIELD DATA Date installed 9/1411977 Soil rating (g.p.d./ft2 or ft2/bdrm)100 System type DEEP TRENCH Length 25 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 9.3 ft. (Measured 7(1115) Eff. absorption area 300 112 Monitoring tube Y Depression over field N Date of adequacy test 6123/15 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 450 gal. New depths in. Elapsed Time: 255 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at _ in. "Pump off level at _ in. High water alarm level at Datum Cycles tested Meets alarm & circuit requirements? in. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 54 Property line 54 Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation 10'+ Water main 10'+ Water Service line 104 Surface water 100'+ Driveway, parking/vehicle storage 101+ Curtain drain 504 (NONE KNOWN) Wells on adjacent lots 1004 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 KENNETH M. DUFFUS Date 7/4/15 COSA canary sheet 2-6-15.doc 0 Ca ASBUILT r kA SEWARD & ASSOCIATES LAND SURVEYING 694-0829 I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: CvfralVer.-Cej T/e.9 7 c5 / AND THAT NO ENCROACHMENTS EXIST EXCEPT 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 BOUND- ARY LINES. SCALE; DATE- 9 GRID: FB: //9- f"3 DRAWN; � �,1� 1/14 -ext -lobes sot Y ©S 1 CAk* CUDtov► 0- v14 0.Nct 11 Caf cc! o r G` 2-4 /z o i S Vim ,ic4/ver,�/e�''i& Qui° /// rele✓e�r� °- .ies e �e /np- k r- v�.' a. Ors iZOT� a.4ote, nine -t! Ael ,4 -re Petra avail M �`• ' ‘2%� • y f i y