HomeMy WebLinkAboutSKYVIEW ESTATES LT 3c
#015==531
5
6
GRE, Z ANCHORAGE AREA BOR M
Department of Environment Quality
Itl 3500 Tudor Road
Anchorage, Alaska 99507
/
INSPECTION REPORT ON-SITE SEWAGE DISPOS,(A/"L SYSTEM _
NAM E_/ -L -FR' n /t/ C/Ul"' Al MAILING ADDRESS %R0, /:�t /'r""7r7 •=✓r�PHONE
LOCATION d TS 0 rMfl LL -E _ LEGAL DESCRIPTION T •3 Sk:�U/Elll ES j7j-7£S• _
L -/J mLC
SP—.r-.M-LANK: ORrLL /DILO �)q-z 7-N-Mrc. Go,✓AJecr-r_-n Iry -(11 AJ6 0AIE
DISTANCE/a_ NUMBER OF
FROM WELL S MANUFACTURER ` 1e -t -f - MATERIAL `�r-r t —COMPARTMENTS -
INSIDE LENGTH _ INSIDE WIDTH___ LIQUID DEPTH ---LIQUID CAPACITY`�UU GALLONS.
TILE DRAIN FIELD: �/ `j0��
TOTAL LENG
DISTANCE FROM WELL _�G(7GNDATION NEARE OT LINE _OF L_INg.
NUMBER OF LINES -G- — DISTANCE 13ETWEEN LINES TRENCH WIDTH G`IN. TOTAL EFFECTIVE
A!§,O,RPTION AREA T. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE _ MATERIAL BENEATH TILE
WELL: /
TYPE— �/�rJ _CONSTRUCTION—ALD Scn
T2n�Lt�
BUILDING _/ NEAREST rf NEAREST
FOUNDATION LLOT LINE zO , SEWER LINE—
CESSPOOL— OTHERSOURCES
APPROVED —. DISAPPROVED!`—REMARKS
_IN. ABOVE TILE_ IN.
DEPTH DISTANCE FROM:
l-1eu.-o,..1(j
SEiP•FIC _ L..A SEEPAGE
TANK SC1 , SY-ST-EM_
DISTANCES: DIAGRAM OF: SYSTEM
—• CLe/rr�uuT �7pir�i
INSTALLED BY:- 4 ' st;
N/Eli. unfE L,in2rry t�-If1r � TU
72n r,cn- i C �En�prc7
SEWER LINE DEPTH:
PIPE MATERIAL:_ 39-6-7- L,T 2 -
no
LOT SLOPE: SSHL++,e P 04t � _ ,
4 -c -w olo mn/L e/1 on/kwar
REMARKS: _ S/L)r C
DATE 6,X b17Z APPROVED oC
Emit- AIFX-D,Y SAS -5"-L-G.A.A.B.
Form PW,027
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
GRE'A'TER ANCHORAGE: AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPT TANII
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH ---
SOIL TEST RESULTS
14
COMPLETION DATE ANTICIPATED
-YyC1LTL 1✓S r 0 ✓� �/>Z/J�r✓rZ
PERMIT NO.
MAILING ADDRESS PHONE
SEEPAGE PIT
DRAIN FIELD OTHER
57e_
TO BE INSTALLED BY
NOTE: THIS PERMIT 15 NOT VALID WITHOUT SOIL TEST
r_1 L. /A R-'/7-//L//L/L/J/
FINAL INSPECTION: 2.4 HOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
5EPTTC TANKIZE —1 -6-1—AY TYPE —
/D-9
MINIMUM DISTANCES, REQ IREME:NTS
FOUNDATION TO SEPTIC -TANK
SEEPAGE AREA SIZE
FOUNDATION TORFEPA6E PIY
. DRAIN FIELD
DRAIN FIELD
_b
-St:P//TF6 TANK TO SEEPAGE
PIT WALL '—
. DRAIN FIELD
/ /
5C-t� tL' TANK -. -� —,
SEEPAGE PIT
-. DRAIN FIELD
TO NEARESI" LOT LINE.
(\CCAASST IRON�O AND OUT OF SEPTIC TANK IND INTO CRIB CROSSING GAP OF
EXCAVATION/N 5 FEET INTO UNDISTURBED SOIL.
.*-WELL. I"O'51� F-tC-TANK
�
_� (J —.
SEEPAGE PIT -
DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
SEEPAGE PIT _
DRAIN FIELD
_b
�&I -TANK, -' . SEEPAGE PIT
. DRAIN FIELD
TO RIVER, LAKE, STREAM.
(\CCAASST IRON�O AND OUT OF SEPTIC TANK IND INTO CRIB CROSSING GAP OF
EXCAVATION/N 5 FEET INTO UNDISTURBED SOIL.
(INCH DIAMETER CAST IRON SIPHON PIPES
SEPTIC SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE: CAPS.
m
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING
INSTALLATION.
G.A.A.B.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE
FORM NO. EQ -016
February :3, 1973
I,no/\
Ar, Al
Lox I0 -i I
;iil':;NV rd QC_ ill it,. tip.
aub,ivW Lot 3, 14yviotr Estates Subdivision
Joar G i r:
An 7n PULtion on February 10, 1974 reyna vi d SUMP
sysLcw installed without a perwit on the subject lot.
As LAis $cover systuw is 'wiLhin Lne prot cut ivc rocius of
an indiviCull well on In adiuinlnU lot, we wusL ruquc;K
th-, We Outlet of your septic tank be pluggou an , Loe
s%ySLe" be kcp lL free from overflow startinq within 2i
;lours of this Yu:iee. Failure to comply sna11 result
in iL=;lal =W.
AL request Lodi; you obtain a pernit from Lois DeparbHent
to inslall a scwe'r system within thirty (A) days an6
that an approved system be constructad on the subject lot
on or Lefure July 1, 1913.
Sincerely,
0
John R. Lee
Wi rumpentel Services Supervisor
U
Certified do. 15159;3
AiPPLIC IVT FRLLl3 OUT UPPER HAI ONLY
Property Owner / 7 (J /j�
Phone
Mailing AddressZip Code
Buyer
AddressS /% J_ Zip Cade
,
Lending Institution Phone
GJ11Y L,
Address Zip Code
Realty Co. & Agent
Phone
Address Zip Code
Date
Legal Descriptioni S—�_C'-_�I �`-e!
Street Location M.
p..�� o M.-�—o
Type of Residence
F,,I,Single Family
❑ Multiple Family No. of Bedrooms o
❑ Other
_
Water Supply
/
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
-- k� RAGE ----
For drilled to that date, well depth (attach log If available).
lJWnclividual
Community �t
wells prior give
ElPublic Utility ;
/-/Y 0
Sewer Disposal
Q,AMdividual Year Individual Installed:
❑ Public Utility When Connected to Public Utility: _ _—
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOl1EST BEFORE PROCESSING CAN BE INITIATED.
(7)r t
72 C23 IBI&I
Time
Time
Time
Time
Date
Date
Date
Date ray
Inspector Inspector Inspector
Inspector
-- k� RAGE ----
--
1 Uf, IelPAtFTY�f H
Field Notes:
DEPT. OF HFALIH e,
/-/Y 0
ENVIRONMENTAL PROTECTION
Jill_. 2 6 199.3
,_
RECEIVED
p� iJli✓ e lfJnf - i�v- �1
(� ) APPROVED BEDROOMS CONDITIONS
OF APPROVAL
( ) DISAPPROVED
( ) CO DIT NAL APPROVAL'
DATE
BY:
Solis Rating
Date SewerInstalled JWell
J
To Absorption Area
Well Log Recelved
/
Well to Tank C�
_
Septic Tank Size g' d A e)
72 C23 IBI&I
August 1, 19013
Brooks Oi..lbertson
Gubject: Lot 3 Skyview Estate
Approval for: the individual sewer and dater facilities cannot
be granted until the following items, have been completed:
Expose the well for our inspection to determine proper
t�
construction, also to insure minimum distance requirements
are not between the well and sewer. system. Only one
cleanout was located.
_° doth tanks will need to he pumped with a receipt: submitted
to this department.
° `.C'he standpipe to the Gower: system need craps on them.
Please notify this Department: for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Jim Roberts_,;
Associate Environmental Specialist:
JRGti/p/E
CHEMICAL & GE .:OGICAL LABORATORIES,, 'ALASKA, INC,
TELEPHONE (907) 5622343 ANCHORAGE INDUSTRIAL CENTER
5633 B Street
A.M.
as
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER TO 13E COMPLETED BY LABORATORY
WATER SYSTEM
_� I.D. NO.
61t
i S C._ 5
Water System N.M. ! Phone No.
Meiling Address
City State zip Cale
��jj''��
SAMPLE DATE: 1 1 ! I 17TT U., )
Mo. Day Year -
SAMPLE TYPE:
i
Routine
Check Sample (for routine Sample Treated Water
with lab ref. no._---) EI Untreated Water
❑ Special Purpose
SAMPLE Time Collected
NO. LOCATION I Collected By.
d T—
3
4
—J --
r/
IL—
�
W
5
L --J
m
L J
Analysis shows this Water SAMPLE to be:
i
Q Satisfactory
❑ Unsatisfactory
❑ Sample too long in transit: sample should
not be over 40 hours old at examination
,,to indicate reliable results. Please send
inew sample. -
r
Date Received
Time Received Z
Analytical Method:
❑ Fermentation Tube
P�Membrane Filter
Lab/Ref. No.
Result' Analyst
r/
II
�
W
L --J
m
L J
♦Np felon, s/100
-m1 ar No. al P lba pm:ions.
06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS REECORD--
Rev. 1978
Dale Collected — Source
READ INSTRUCTIONS a.m.
oats Recelved Time Received o.m. Lab. No. _
presumptive
24 Hours
BEFORE 48 Hours
Confirmatory
24 Hour$
48 Hours
lOml 10mi 10.1 1 20.1 20.1 1 1.0m1 I 0.1ml
_
EMB Broth 24 hours:—_Broth 40 hours:
COLLECTING SAMPLE Multiple Tube Report: 10m1 Tubas Poslllye/Tptel 10m1 portions
Membrane Filter: Direct Count collform/loom)
Verification: LTB_ BOB
Final Membrane Filter Results /' / Collform/IOOmI
Reported By -t 4v 1��� Data
Timm '•�,,•. ,1 a.m.
p.m.
nytar
A
Colleen Har_ger
SRA Box 1763H
Anchorage, Alaska
Dear Ms. Harger,
EXCAVATION
WORK
September 5, 7.9£33
9950 IV
SK
ROBERT A. SRAFER
CIVIL ENGINEER
694-2979
MUNICIPALITY Cly/nnl�.
ENVIR0,r 7. pf IMA
�I"'�'IcJQ`,.
'PMA�/�i'TP
t�F�cT P4�1(c �AITH pORAG�
S P " Iti At PRpTECTIp�
RE
CEI
EI DEQ
Reference: Lot 3; Su view Estates Subdivision
At your request, we attempted to perform a sewer system adequacy test
on the system located on the referenced property. In examining the
system installed on the property it was determined that there are
two holding tanks in existence, one approximately 1000 gallons and
the second approximately 2000 gallons, These tanks combined provide
storage capacity of approximately 3000 gallons. A gest was run on
each tank to determine if there was any leakage. The tanks were filled
with water and after 94 flours measurements indicated that no water
had leaked from the tanks.
it is determined that this holding tank arrangement is adequate for
the current configuration, the trailer, well and tanks located on
this property. However., in the event in the future any upgrading
work is necessary, a relocation of the well at. the front of the
lot and the installation of an on-site waste water disposal system
on the rear of the lot should be considered.
If we may be of further service, please do not: hesitate to contact
US.
P.F.
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
CHEMICAL & GEULOGICAL LABORATORIES OF ALASKA, INC.
—
TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER ---
@. 274-3364 5633 B Street
A.,
°° ^^OP1= Drinking Water Analysis Report for Total Coliform Bacteria
—aTO BE COMPLETED BY WATER SUPPLIER —! I) TO BE COMPLETED BY LABORATORY
SAMPLE TYPE:
❑ Routine
❑ Check Sample (for routine sample Ll Treated Water
with lab ref. no. —!
❑ Special Purpose ❑ Untreated Water
SAMPLE 'rime Collected
NO. LOCATION Collected By
2 L--- —� —
3 L --J —
4 1 ---J -- ---
5
Analysis shows this Water SAMPLE to be:
❑ Satisfactory
❑ Unsatisfactory
❑ Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received _--_
Analytical Method:
❑ Fermentation Tube
El Membrane Filter
Lab Rolf. No.
===_1
WATER SYSTEM:
L --J
I.D. NO. .,I -
L --J
r )
Water System Name
i - Phone No.
Mailing Address
ml. or N. of Positive lwl.,s
City
State Zip Code
=
�-
'' I ' I
SAMPLE DATE: I I
L- J
Mo.
Day Year
SAMPLE TYPE:
❑ Routine
❑ Check Sample (for routine sample Ll Treated Water
with lab ref. no. —!
❑ Special Purpose ❑ Untreated Water
SAMPLE 'rime Collected
NO. LOCATION Collected By
2 L--- —� —
3 L --J —
4 1 ---J -- ---
5
Analysis shows this Water SAMPLE to be:
❑ Satisfactory
❑ Unsatisfactory
❑ Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received _--_
Analytical Method:
❑ Fermentation Tube
El Membrane Filter
Lab Rolf. No.
Result" Analyst
L --J
fZl
L --J
�J
�l
t No. of c.I.n,es/100
ml. or N. of Positive lwl.,s
0e-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date
READ INSTRUCTIONS
— oats
Pret
2
BEFORE41
Coni
COLLECTING SAMPLE_ Multiple Tube Report.
Membrane Filter: Dlrett Count
Verification: LTB
Final Membrane Filter Results.
Reported By
a.m.
—Time Rr'a'talvotl p.m. Lab'.. Noo'.
lOml I tom, 10.1 10m1 1
Broth 24 hours:__—_Broth 48 hour:
10ml Tubas Positive/Total leml Portions
Colltorm/loDml
Date
Time: a.m.
p.m.
iJ) 825 WSTREET
� ANCI IORAGf-, AL.ASI</a 99.101 Jb'�7_ SO
R
(907) 764 4111
Q
M.';UU.IVAN,
MAYOR
i
DFP4RTMEN1 OF HEAI_TI-I AND I NVIRONMENTN_ PROTECDON "D
Jt
October 23, 19£30 D ijiii&M
n�
Kathl.yne A. Olivarson
Post Office Box 10-1085
Anchorage, Alaska 99511
Subject: Lot- 3 Skyview Estates subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
co iiplet.ed :
np; (1) 7.'he water analysis report be delivered to this
department from Chem Tab, 5633 l3 Street, for
our review.
(2) Locate and expose the well for our inspection
to determine proper_ construction, also to insure
the minimum distance requirements are met: between
your well and sewer system.
If: there are any further questions, please call this
department at: 264-472.0.
Sincerely,
Robert' C. Pratt, R.S.
Associate Specialist
RCP/lw
)SA
--
INSPECTION APPOINTMENTS
DATE RECEIVED
_T �`Ca
P1
TIM- TIME
TIME
t!`VoO t c✓�
STREET LOCATION
DATE
DATE
6. TYPE OF RESIDENCE
DATE
INSPECTOR
INSPECTO
INSPECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONPEPT' OF HEALTH &
ENVIRONMENTAL F'F.UTECTION
825 L Street - Anchorage, Alaska 99501
•
ENVIRONMENTAL SANITATIONDIVISIONOCT 1 1 1980
Telephone 264.4720 p
REQUEST FOR APPROVAL OF INDIVIDUAL �iT1
WATER AND SEWC'R'F7� S
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER \
�\U�Y�1�, V�-e.. �• �, \�-E'-J(-SCS !1
PH NE
�,' ���o
�
MAILING ADDRESS qc^
`C) �_ \ - J
PROPERTY RESIDENT (If different from above)1� PH NE
2. BUYER C C--, PHONE
—�U��r Jecs�fre_ryi ��'e_
MAILING ADDRESS
3. LENDING INSTITUTION -- ----HONE
MAILING ADDRESS
4. REALTOR/AGENT-
0�o�s
PHONE^
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE
NUMBER OF,BEDFOOMS
SINGLE FAMILY
EJ One ❑ Four El Other_
❑
Two Five
❑ MULTIPLE FAMILY
---
❑ Three ❑ Six
7. WATER SUPPLY
--
*
INDIVIDUAL*
ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY -
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTI LITY
depth (attach log if available.) a oer0 X w0 '
8. SEWAGE DISPOSAL SYSTEM.
-
X INDIVIDUAL/ON-SITE**
\�O_YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLICUTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
'tn
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904
CERTIFICATE 1'�rl� YSTEMS APPROVAL
S' RUSH? A3
Parcel I.D. 015-531,4-5 5� a MM 10 2016 3 Expiration Date:
�d
Of ew
1. GENERAL INFORMATION ��t1 G 9 95" i—
Complete legal description SKYVIEW ES RTES S/D, L ZD 3
Location (site address) East 112th -x-yo <,o -s -r
Current Property owner(s) Joe Tweit Day phone
Mailing address 2801 Seafarer Loop ANCH AK 99516
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:
7
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
❑
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
Waiver/Variance request for:
Received by: " Date:
COSA to be releas to the engineer, unless oth nvi�e reaupsted_b_�the engineer.
COSA Fee $ 6X±1 l j2 } Li`� ��4� "Waiver Fee $
Date of Payment r' '`Date of Payment
Receipt Number %� � � Receipt Number 0(Off�
COSA# (P Waiver Waiver # y I
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 MIKE N ANDERSON, P.E. Phone 727-8864
Address 4661 NATRONA AVE.
Engineer's Printed Name MIKE N ANDERSON, PE Date 03/10/16
6. DSD SIGNATURE
4 System #1 Approved for bedrooms.
System #2 Approved for
M
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Original Certificate Date: l — % f _1
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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAbluesheet 10-10-12.boc
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: SKYVIEW ESTATES S/D..1 ZY Parcel ID: 015-531-Ar�Y&
A. WELL DATA
Well type Private If A, B. or C provide PWS ID #_ Well Log (Y/N) NO
Date completed UNKNOWN Sanitary seal (YIN) Y Wires properly protected (Y/N) Y
Total depth 178 ft. Cased to –UNKNOWN—ft. Casing height (above ground) 24"
FROM WELL LOG AT INSPECTION
Date of test
UNKNOWN
Static water level
UNKNOWN ft.
Well production
UNKNOWN g.p.m.
WATER SAMPLE RESULTS:
3/9/2016
158 ft.
g.p.m.
Coliform
NEG
colonies/100 mL Nitrate ND
mg/L
Arsenic:
ND
ug/L Date of sample:
2129/2016 Collected by: Dave Harper, AArow Pump
- B. SEPTICIHOLDING TANK DATA
Tank Type/Material
Tank size _ gal. Number of Compartments 2
Foundation cleanout (YIN) Y Depression over tank (Y/N)
Date of pumping Pumper
C. ABSORPTION FIELD'DATA
–
Date installed
Cleanouts (Y/N)
High water alarm (Y/N)
Date installed Soil rating (g.p.d.ift2 or fe/bdrm) _ System type
Length _ft. Width _ ft. Gravel below pipe ft.
Total depth ft. Eff. absorption area _ e 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
D. LIFT STATION
Date installed
"Pump on" level at
Datum
in.
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot _
Absorption field on lot NA
Public sewer main 65'
Size in gallons Manhole/Access (YIN)
"Pump off" level at in.High water alarm level at— in.
Cycles tested Meets alarm & circuit requirements?
Sewer /septic service line 25'+
Animal containment areas 1004
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
Wells on adjacent lots
ABSORPTION FIELD ON LOT TO:
Property line _
Water Service line
Curtain drain
F. COMMENTS
G. ENGINEER'S CERTIFICATION
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 70'
Holding tank NA
Manure/animal excrete storage areas 100'+
Property line Absorption fie'
Water service line Surface water
- Building foundation Water main
Surface water Driveway, parking/vehicle storage
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 MIKE N. ANDERSON, PE
Date 03110/2016
COSA canary sheet_2-6-15.doc
_OF alk
`s
. y: •;f9�r
70 MICHAEL N. ANDERSON ; 14� /
i•' C.�EE]]9 9
PLAT NO. 71-105
SKYVIEW ESTATES SUBDIVISION
LOT 3
15,940 S.F.
EAST 112TH AVENUE
0
M
N 59059'54"E 99.76'
N 89°53'15"F 1001a
AS -BU I LT
.t
GASTALDI LAND
PROPERTY DEPICTED ABOVE AND THAT NO
SURVEYING,
NG
SURVEYING, LLC
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
JEFF A. DI, R L S
�
2000 E. DOWUNG RD., SUITE 8
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
I
COVENANTS OR RESTRICTIONS WHICH DO NOT
PHONE 248-5454
�o
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
I
I
I
I
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
SW2634
WELL
I
I
I
i
14.1'
32.0•
F.B.
JOB N0.
SVE3
NOTE: NO CORNERS SET THIS DATE
o;
�,
o"OOw�
z.o
co
8.0'
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- - -
-
10' UTILITY ESMT.
N 89°53'15"F 1001a
AS -BU I LT
I HEREBY CERnFY THAT I HAVE SURVEYED THE
GASTALDI LAND
PROPERTY DEPICTED ABOVE AND THAT NO
SURVEYING,
NG
SURVEYING, LLC
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
JEFF A. DI, R L S
IT IS THE RESPONSIBILITY OF THE OWNER TO
2000 E. DOWUNG RD., SUITE 8
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
ANCHORAGE, ALASKA 99507
COVENANTS OR RESTRICTIONS WHICH DO NOT
PHONE 248-5454
APPEAR ON THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID
DATE
HEREON BE USED FOR CONSTRUCTION OR FOR
SW2634
3/7/2016
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
F.B.
JOB N0.
SVE3
NOTE: NO CORNERS SET THIS DATE
111=20'
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Municipality of Anchorage..
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*** VARIANCE/WAIVER REVIEW ***
March 10, 2015
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Well waiver (70' to AWWU Manhole)
Legal: Skyview Estates Subd.
To Whom it may concern:
This is a request for a waiver of 70 feet from the existing well to the existing Anchorage Water and Waste
Water Utility (AWWU) manhole and 65 feet from the main, see attached site plan. This issue has been
existing since 1985 when the AWWU sewer line was installed. The original engineering should have
applied for this waiver in 1985 but it appears to have been missed by all. The well was tested and camemed
by Apline Drilling, see attached submittal. The water was also tested for the typical contaminates, see
attached from SGS.
The new owner, Joe Tweit, is building a new house and discovered this issue during the review process.
Our main justification for the granting of the waiver is the number of years it has been operating without
any issues and the slope between the well and the manhole/main is positive and all of the testing and camera
were good also.
Please call me if you have any questions.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 727-8864
SKYVIEW ESTATES
LOT 1
IL'ioWtall
SKYVIEW ESTATES
LOT 2
EXISTING
NEW HOUSE
ALL
LOTS il
I SKYVIEW ESTATES
SKYVIEW ESTATES LOT 5
LOT 4
Well Waiver Design Prepared for
JOE TWEIT
SKYVIEW ESTATES S/D LOT 3
Anchorage, Alaska
Michael N. Anderson, P.E. DATE: 3/10/2016
4601 NATRONA AVE DRAWN: DJR
ANCHORAGE, ALASKA 99516
ran71 zd9_z177 / PAY- rami ads_l 101 SCALE: 1"=50'
T12N R3W SEC 5
SW4NE4SE4SE4
EXISTING AWWU SEWER
MANHOLE
,,,—EXISTING WELL
75' RADIUS
t
� 1
1 i
EXISTING WELL
r 100' RADIUS
r ,
r r
r r
r r
r
BY AWWU
49TH
Michael N. Anderson
CE -9469
11/19/2015 22:58
9-9-16
Mike Anderson
907-345-0202
Anderson Engineering & Construction
Andwalie, Alaska
Mike, this is in reference to Skyview Estates, Lot 3.
ALPINE DRILLING
PAGE 01/02
The well was looked at with a downhole camera and no defects or incoming water was encountered to a
depth of 60 feet The well depth was 178 feet. Static level was 147 feet. A flow test was performed on
the well with results after 3 hours of a drawdown to 158 feet at a rate of S gallons per minute.
Casing height is above 18 inches and well cap and conduit meets MOA requirements. Water sample
results from SGS are included with this report.
David L Harper
Aarow Pump & Well Service, LLL
,� s>1Wro
DEPT Ot FNViRONNENTALCONSFRVATION 437 E274-2533
SStreet
MMMR_ Suite 200
.3 IS i<iN (P S S Gw%Cd nchorage. AK
1n -dee
- t
May 13. 19. '"*'•"x�".,
Ms Sartdrj.Bryan, Assistant Administrator QwWU
:,leclinical 1drvices
i; 'x?AnChorage Waterfand Wastewater Utility S MAY 14 1987
3000 Aretic.Boulevard Technical S9rvi_s:
_tAnchoraye..AK-;y9503-3898
r' al'Plans'and Specifications
Regulation Waivers
7a:ADEC Project No. 12818
'Dear Xs .Bryan "
a' aThe rfinal plans and apeeificatfons and requested well/sewer distance
inivers for the :referenced project have been reviewed and are approved for
rerbaisap0ro4al
Concern
gfven tothis
you nethis same dates nt written apThiproval confirms. my
} r
Te
LID LIO project will consist of furnishing and insLalllag
,j +Pprn1. xlagtelyiU4'ifnear feet of I2 -inch ductile iron sewer 1 e
panfgleieal8fianita 8 -inch ductile iron sewer Pipe, 7 t P P 's approximately ;.
ry sewer service connections to property type A anitary:sewer.
- +PPurtenances s All of this construction is grant o pr per y li ander the ADEC
ated „
grant award for reimbursement Purposes.
P blew work
under
the
)+ s Ms Lynda Barber's engineering report that requested waiver ppprovals•Lo
maintain and operate the Skyvfew Estates LID NO, 175 sanitary
f':to ontr (1) Private drinking water source and two
'sources'than=alt ry sewer closer
c*ed by the State Wastewater Disposal2 Regulati nsss C pu16 bliAACater
":1s;cogsfderedscomplete. •The report, along with the final contract document72
s +
provided the physicai factors and proposed mitigation measures needed to•
T Sect these drinking water sources, We find the Project design and its required
.2 pro: ' y
�-
iCGs �k u
n 1 1
t
A
'.�&—P7
/
• _ .i•... ,.
Ms..Sandra;B6an-A8O
;..May`13, .1987,
Page Two
Smcial provisions in the contract documents to apply heat shrink tubingto
the'pipeline. yoints and cementitious manhole waterproofing to the manhles
within the, protective well
radii will allow or justify the lesser separation
4istances:.'sTherefare, in accordance with IS AAC 72 021(c) h
regulation waivers ar
a granted. t e following
lot'27, Block 5, Bruin Park Subdivision;
-Approximateiy 57 feet between private well and Manhole i5;
radiusiOftPrivatefwellowith thepciosesthedgehofpprotectiv
.approximately 53 feet from well. ipelineebeing
- Cotd'S and 6 Sk yview Estates Subdivision:
Approximately 50 feet between Class C public well on lot S
Manhole 17 (terminal)
and approximate,y and
C public well on lot 6 and Manhole s
t
z
!7 {terminal)100
Approximately
BS feet of sewer pipe within the protective
:Class C
well radius 'o
public well on lot 5 with the closest edge of pipeline
:being approximately 52 feet from well.
The sewePline crosses over an existing 24 -inch waterline at two locations,
iS' ac the :entrance of Jeff Circle
One
and the other is at the intersection of :112th
Avenue and lake Otis Road. The designed plans shox
both to have greater separe athd'minimum 18 inches. Nowever, during both to.
S
9•the)^owner s inspectors tion r these
-pr03-
must verify construction compliance.
Please
-
forward copies of the bid tabulations; executed (signed) construetfon
Yontract,{nd hotice-to-proceed with construction
when available.
- 1 Sincerely,
E.
L
Greg Ma ee /
GM.bk, Construction Grants Engineer
••
+ 4
vl
.1
i;. S