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HomeMy WebLinkAboutALPINE WOODS BLK 2 LT 4Alpine Woods Block 2 Lot 4 #015-234-11 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME /� John A. /. 1:6�ence 15A19_6&61 PHONE JZNEW ❑UPGRADE MAILING ADDRESS I - 17 &An_ +rz- t LEGAL DESCRIPTION r LOCATION ` NO. OF BEDROOMS UY DISTANCE TO: Well � �/P / � Absorp ion a a � Dwell in •f � PERMIT N � ��� ~a Z W F Manufacturer ° Material � � i ` ! No. of compartmer }xs C3f N Liq. capacit i allons IF HOMEMADE: Inside length Width Liquid depth G Y JAZ DISTANCE TO: Well Dwelling PERMIT NO. 2 Z F Manufacturer Material Liquid capacity in gallons w = DISTANCE TO: Well 1 Il Foundatiq ./ f Nearest lot line PERMIT NO. Q 8 J W Z Z W No. of lines Length of eac i OD; Total length of li Trench width inches Distance between line,�s, ~ F 0 Top of tile to finish grade Material beneath tile inches Total effective absorption area W Length Width Depth PERMIT NO. a nQ H Wa Type of crib Crib diameter Crib depth Total effective absorption area W (n DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE T0.76uildmg foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS Vc SOI L TEST RATING INSTALLER FJ REMARKS use APPROVED DATE LEGAL 72-013 � Rev. 3/78)1/-' -1/, 6 7 ��� -d /JaI`u V e' {/elo' U43k1 /YJT/7x PERMIT NO. 830680 APDL I CANT � JOHN A DOLENCE 1-A BOL I N ST. At•au HC RAGE: Rte:: 349-6681 LOCAYI ON " LCAT 4 BLK 2 ALPINE WOODS SBDV. LUT SIZE i8007 SQUARE FEET LEGAI SECT .2N—F:!W TYPE OF SOIL ABS SRPTIS yid SYSTEM I: TRENCH MAXIMUM pdLiME;ER OF BEDROOMS = — SOIL RATING SQ FTS BR) = 150 THE REQUIRED SIZE CSF THE 50I L HES_ 0RPT I ON SYSTEM IS: L • 1= FO IF hi = :.1 10 i_ 1= 1--•1 Ci T FA == n � 1314:1—i1 "'.' E 1 _ C E: THE LENGTH DIMENSION I THE LENGTH Ito FEET) OF THE TRENCH OR DRA I NF I EL D. THE DEPTH CSF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCA'V'ATION IN FEET?. THERE IS NO SET WIDTH F OR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM [:DEPTH � �F GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION It'd FEET F-° 1= 1_ ! 1_I I IT_ I= 1* F• _T I d::: IF 1=-1 r-4 F:-- ! I E = -I a ft # C- 0 L_ L_ a 0 W PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. i'-.1 _. �" f= b= IF 1 CK r -.i 1"'11"x: IEr 14_ r_ ! 1_I I F;;? 1= C_° BACKFILLING OF ANY SYSTEM WITHOUT FINAL i N PEC:T I ON AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL {"'{ND ANY ON—SITE SEWAGE DISPOSAL SYSTEM I 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FE:i_ M A PR I'v iTE WELL TO i A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGF:AMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. 1=' E i*_ 1,el I IF 1= ;=-=o F' I f-_ Imo • Ip Ir i_= RE 1-1 E- 14_ 1 CERTIFY THAT 1: I AN FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS =ET FORTH BY THE MUNICIPALITY C rF ANCHORAGE. I WILL INSTALL THE SYSTEM I N ACCORDANCE WITH THE CODES. : I UNDERSTAND THAT THE i-N—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE I RZr'1C DELED TO INCLUDE DE MORE THAN 1 BEDROOMS. SIGNED: ----------- -------------- APPLICANT ------------ APPLICANT JOHN A Dyll-E •did E I S iEC� E:' _ 1 ,c C c- - �FHTE__� _ _ V4. 0 AppL tr_t3NT JOHN A DOLEW--e 33i -A SOL IN ST. "3RRW_ AK 34$1_660 LOCATI13N LOT 4 WC 2 ALPINE WOODS 513OV. LOT SIZE 3laGg? SOUARE l= LF-cifit-sec 23-TUN-p3m I TYPE C -W SOIL #3E waRPT I OSI SYSTEM I a : TREW14 ►,IAX I iitJl1 NUMBER OF SECOROOP6 = 's SOIL RATING � 5Q F TrBR> = 150 i THE REQU I RElD SIZE OF THE SOIL ASS13RP T I l3N SYSTEM IS: I mo' f -i :E 3 � F�i'M�''�* # _ L f TI -'I THC LENGTH pIPICtnION 15 THE L..EMTH .t IN FEET) OF tHE TRt'W" OR DRRlNFt£LU. THE DEPTH OF A TAENC H OR P t T I5 THE Q tS TANCE BETWENI THE 'SURFACE OF THE s3RaUND AND THe GOT T13H OF THE EWRVAT ION < IN FEET'- THERE IS NO SET W I G TH FOR TREt+_ HES. THE +3RAVEL Dl TH L'a TW M I N I Pat. M DEPTH OF GkRA'v*!L BETWEEN THE OU MW -L PIPE Aid) THE 90TTOi# OF THE-EXCHWITION {IN F££o_ I;Zt- P'r_Rii I T APPi.. I CAN T HHS THE REc PLU4519tLITY TO It4FORN THIS 0F.PARTM&IT WRING THE INSTFILLATION INSPECTIONS 13F ANY LJELLS Afa1fl�''ENI TO THIS PROPERTY A� THE t4ij�jgj:R CiF Re5IOEt�.+"'E*S THAT rH£ WELL WILL SERVE- -N----- Tf-ice a:�' � _I I<����� T I ��� �1�� �I✓:�� I I�I�G� 8R,;rl iLL INN ap Amy SYSTErj W t TF}=7U T F I#t-. RE�I�iNI1 Flp#'RQVAt- 8Y THIS DEPARTMENT WILL BE SUBJECT TO P'RCOSV,WIM j M i N I i'll_ M D I S TWOX BE T'weN s pla-L PNO ANY ON S t TE SO4AaE O L SPOSPIL SYSTEM LS jBR FEET P)R A -PR IVATaE Ii£LL OR -L50 TO 2@9 Fier FRom R Pum tO WELL mPeiv ILS UPON Tim TYM OF PU13L I G WELL - l'# I Pf r NlJi4 t� i S T f*JCE FROI# A `PRIVATE WELL TO A PRIVATE SEWER L t Ne 1!; 25 FEET F040 TO A COMMUN I TY O" LIPS 15 75 FtEPET. OTHER REQU IPENENTS NR`�r` APPLY_ SPEC Iti ICAT IONS AND-C+3t4`s moor ION DIMRAW-5 IRE t' VR ILfl8L£ TO INSURE PF40PER It#STib! -AT till i. F=- *=- #"! I -r i=- >-,1;r- I F;e.,i~-s t-> t::! e:'mE3Em 3:-_- A -S013, - 1 CERTIFY THAT it i Ai � FAir} if IRR W i TH TOC REQ U I REP EN i S FOR t3N -4SF TE SEWERS SNO WELLS AS SET FORTH Ily THE MUN I C I PAL i TY OF r3t_+MAOF_ L : I WILL I NS fi THE S`r'S TEi4 IN W ; OR&AW E WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE 5E,lR#£R 9YSTEN MAY REQUIRE IIENLFROCHENT IF THE RE'S I(>EPr:.E IS RV` 0DELED TO lW-L1JM MG THAN 3 ORO -Is. s APPLICANT JOHN A DL'dX!lk-E t S5(jeco R{' r .':d f l%"_ '`f-� --�- =�rl�Si. r ��t' i- -r - N4.. SOILS LOG r MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION �� II DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST e7 PERFORMED FOR: my &Vry) DATE PERFORMED: LEGAL DESCRIPTION: A, �, Vy�lJl]J 1�/�k LcN y I— F� —� SLOP SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13- 14 15 16 17 18 19 20 1 WAS GROUND WATER I� 1 n — Lp ENCOUNTERED? V O P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 10; p 3m0r� 0 ' 10-T PERCOLATION RATE (minutes/inch) } TEST RUN BETWEEN FT AND FT COMMENTS �� 1f 15 b � G L -S F'R QM . S 1— Jul, Iv PERFORMED BY: T©d SVIleYWa CERTIFIED BY: DATE: 72-008 (6/79) Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-234-11 Expiration Date: 1. GENERAL INFORMATION Complete legal description ALPINE WOODS S/D• BLOCK 2 LOT 4 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 6301 DOWNEY FINCH DRIVE ANCHORAGE, AK, 99516 JOHN DOLENCE Day phone 345-1041 6301 DOWNEY FINCH DRIVE, ANCHORAGE, AK, 99516 0 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 Water Storage ❑ Community Class A Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ Received by: ' Date: fi T COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ q90 Date of Payment 1 Receipt Number b 3 COSA# 01sc131��10� Waiver Fee $ Date of Paymen 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 at/ 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 Engineers Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, U0. 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. Safisfadory 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 night whatsoever. 6. DSD SIGNATURE By. V System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date y rness- Cr'-795/I3 j•.�y.lt�•rcc�oiO dAro(essio��a OFt(4IV6 y*;Y y0 ON-SITE �m WATER AND WASTEWATER Original Certificate Date: fJ " :�2_ — / 3 The AidflicipailiyIr Aagl�brage 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 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: ALPINE WOODS S/D; BLOCK 2, LOT 4 Parcel ID: 015-234-11 A. WELL DATA Well type COMMUNITY Date completed Total depth ft. Date of test IQ B, or C provide PWSID# 213598 Well Log (Y/N)_ Sanitary seal (Y/N) Wires properly protected Cased to ft. Casing height (aboye-6r( FROM WELL LOG AT Static water level ft. Well production g.p.m. WATER SAMPLE RES Coliform colonies/100 ml. Nitrate mg./L. Collected by: Vinic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/22/1983 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tanky(Y/N) NO High water alarm (Y/N) N/A 7 Date of pumping Z -q 43 Pumper 14+ 400'-tE SGcV( e� C. ABSORPTION FIELD DATA *BELOW EXISTING GRAD Date installed 8/22/1983 Soil rating (g.p.d./ftor /bdrm 150 System type Length 38 ft. Width 2.5 ft. Gravel below pipe ft. Total depth *11.2 ft. Eff. absorption area 532 ft' Monitoring tube YES Depression over field NO Date of adequacy test 7/19/2013 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 475 gal. New depth 21 in. Elapsed Time: = min. Final fluid depth*31 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date *INITIAL 75 GALLONS CAUSED LIQUID LEVEL TO REACH 21". DRAINFIELD ABSORBED REMAINING 400 GALLONS OVER 80 MINUTES WITH NO RISE IN LIQUID LEVEL. TRENCH n. D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "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 On adjacent Absorption field on lot On adjacent lots Public sewer main Sewer /septic service manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *5'1 11 Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200+ F. COMMENTS *FROM FOUNDATION TO ST1. 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 Date :� 11 z q)'-4, (Rev. 11105) X20. e ®® o � .01. . (Y ®a r" \ / 7 Yd 15 i � E � Yeernehi'f"Q �/r�avro�e 8JL"' 007 �j ' O D RecerY ,, 7-IS-l3P" OI' A`-y��pm pp .•.•• .......4^% �1 TH t ®, a Fred W-6tka s� ^.• NO. 3355-S ��9FOP�4.. as ®a••°•�O �' R�FFS510NAL � s EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON, 53.5 P �Z �6v AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortagee's in- spection of the following described property: Biaek Z, Atrine A1400y 5abd• Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this �L th day of FRED WALATKA & ASSOCIATES Engineers and Surveyors APPLIC ",NT FILLS OUT UPPER HAI -' ONLY Phone Proper±y Owne. i i C c; CL / Mailing Address jJ. / ULI'U `�!� tri,/I l l j' Zip Code Buyer �1 Address Zip Code Lending Institutionf1 L ', / / i :: J71 i\ Phone Address Zip Code Time Realty Co. & Agent AIM Phone Address Zip Code Date Legal Description 0 / k/ L.'-jG0S Street Location �p W 0 � � - w C. Type of Residence ID,,Smgle Family Z" LJ Multiple Family No. of Bedrooms ❑ Other Water Supply A -j ❑ Individual ATTACH WELL LOG. A well log s required for all wells drilled since June 1975. C1LCommunity For wells drilled pr' r to that te, give wel dep (attach log if available). 2, El Public Utility c Sewer Disposal ❑ Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: Holding Tank ( ) CONDITIONAL APPROVAL' NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72023 (3182) Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: i3 ) APPROVED BEDROOMS �p Q CONDITIONS OF APPROVAL ( ) DISAPPROVED 1 ( ) CONDITIONAL APPROVAL' DATE BY:� Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank — 72023 (3182) _ ALASKA Lt01ROWnTAL COUROL %iUICCS, InC. Engineerinq & Enuironmental Studies February 16, 1984 Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street Anchorage, Alaska 99501 Re: Health Authority On February 15, 1984 I inspected the sewer system located on Alpine Woods Block 2, Lot 4. All the standpipes are capped and protrude above ground level. The finished grade looks good and surface drainage is away from the septic system. The we unity well and did not require our inspection. According to Bruce Erickson f Alaska Department of Environmental Conservation, the community well is up o standards at this date and no water sample is required. Sincerely, Jim Green Geotechnical Engineer JG/caj Approved By: 01F At � ,�,.,••,N.•s•.�40 1 f a•e ° • ••+•n m• .•i a•. • ••.• F, Ler ia Reid, Jr. ; w •••° N 2251.E •.� F9F °�O•••s•e•••••"190FEW 4W •��(�w 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 •(907) 561-5040