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HomeMy WebLinkAboutSKYLINE VIEW #1 BLK 4 LT 3LoT locK Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231416 PID Number: 051-191-28 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade Name Deborah Bontems ABSORPTION FIELD ❑ Deep Trench 9Wide Trench ❑ Bed ❑ Mound Site Address 23138 Elder Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1 •2 GPD/SF 8•0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Skyline View #1 Block Lot 4 3 Fill added above original grade 0.9 Ft, Gravel length 40 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Tank Absorption Field Lift Station Holding Sewer Total absorption area Number of trenches 1 Dist. between trenches From Tank Line 400 Ft2 N/A Ft. Well >100' >100' N/A N/A >25 TANK ❑� Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface Water > 100' > 1 00' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation > 1 0' > 1 0' N/A N/A LIFT STATION Ma rer Capacity Gal. Remarks Alarm location 74� I installed Installer PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Territory North Drainfield D3034 CO/MTD3034 Inspector J. Opheim BENCH MARK (Assumed elevation) 100 ft Inspection 15t 2/2624 2/28/2'4 Location and description 2nd Sidewalk @ FCO 3rd 41h ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ®*:49TH •*/ / • ', Septic System Approved Date ? '�D2 % , r Benjam(r+3chiller ����Fci�lF C3/26/242 . •�������® , t��F� pROFESSIONP�'�'� Note: this approval does not include well permit requirements. krcGv vaiuu iof SKYLINE VIEW #1, BLOCK 4 LOT 3 I PERMIT # OSP231416 "BLOCK 3 LOT 3 ------------------ -------------------------- - ---------------- ELDER DRIVE --------------------------------- NEW 1000'GAL SEPTIC, ANK APPROX LOCATION OF ABANDONED TRENCHES NOTE: CO'S COULD NOT BE .0 A 3-BDRM HOME FOUND, AND TRENCHES DID NOT 2C0 F CQ HAVE oTHER'PIPES, SO DECISION WAS MADE NOT TO TIE THEM IN B LOT 3 MT2 CO2 N4 ' 40'LONG x 5'WIDE, 4'EFFECTIVE v _j DEPTH ABSORPTION TRENCH w 5 w < Lu EXISTING WELL _j 1=3 Ir — -- — — — — — — — — — — — — - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- 10'UTILITY EASEMENT 4 - — — — — — — — — — — — — — — — — — — — — — — — — — — — — - — - — — — — — — — — — — — — — — — — — — — — LOT 4 ENGINEERING ommao* Benja i Schiller CEh2592 3126124 PROF PLAN AS - BUILT 0 510 100 �m 7 FEET 1 11=50' A B FCO 3.5 21.8 MH 12.5 30.3 SV 17.1 32.9 2CO 19.6 33.6_ COI 56.4 1 49.7 MT1 58.6 51,6 CO2 871 87. MT2 86.0 9-6-.5- LEGEND CO-CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPUTTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE SKYLINE VIEW #1 BLOCK 4 LOT 3 PERMIT # OSP231416 PID # 051-191-28 N N OFes- 0 v75 98.6 FINISH GRADE 97.7 ORIGINAL GRADE U tl II<- n n fill 93.7 93.7 T [ DRAINFIELD ROCK 11 89.7 89.7 — 40' NO GROUNDWATER 12/26/23 �— 83.7 *jO,� E .1 PROFILE AS -BUILT (NO SCALE) 4� 7H •. . ��-.. . ..... .• Benja. 'n Schiller • .' S10Np�.�� LOT 2 SUETAWN ESTATE (#64-09) LOT 3 SUETAWN ESTATE (#64-09) LOT 2 SKYLINE VIEW SUBD. #1 (#69-41) OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U ℄ ELDER DRIVE 33' 33' 30 ' 30 ' T T T 10' UTIL. ESMT. 10 ' U T I L . E S M T . EDGE PAVEMENT GRAVEL D R I V E W A Y SHED SSS W N89° 59' 00"E 337.31 N0 0 ° 0 0 ' 0 0 " E 2 7 5 . 0 0 S89° 59' 00"W 337.41 S0 0 ° 0 1 ' 0 0 " E 2 7 5 . 0 0 ℄ J A S M I N E R O A D G E S 2 4 . 3 56.3 2 4 . 3 56.3 12.2 8 . 2 CONC. WALK 33 . 9 68.3 19 7 . 1 42.6 15 1 . 9 100 ' WELL RADIUS Lot 3, Block 4 Skyline View Subd. #1 92,774 Sq. Ft. +/- 23138 Elder Drive 2 Story Wood Frame House With Attached 1 Car Garage ED G E P A V E M E N T SS SS SC PREPARED BY: FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 DRAWN BY: CHECKED BY: DATE: SCALE: DRAWING ID: SHEET 1 of 1 1.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2.This document is created by Frontier Surveys for the purpose of an as-built survey for Matt Amsden, only. 3.This document is based on Plat No. 69-41, Anchorage Recording District. 4.Some features of this survey may not be shown due to ice/snow conditions. General Notes DisclaimerLegend 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. RS 1" = 40ft 04/08/2024 23-478KC Scale 1" = 40' AN AS-BUILT SURVEY OF LOT 3 BLOCK 4 SKYLINE VIEW SUBDIVISION #1 23138 ELDER DRIVE CONTAINING: 92,774 Sq. Ft. +/- (RECORD) RECORD PLAT: 69-41 Gas Meter Electric Meter/Outside Power Deck Septic Telephone Pole Overhead Utility Water Well Tel. Pedestal Concrete G E S TW SC Septic Cover R E GISTEREDPROFESSIO N A L L A N D S U R VEYORRachel N. Shoemake No. L.S. - 14646 Apr 09, 2024 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231416 Work Type: Septic Upgrade Tax Code Number: 05119128000 Site Legal Address: SKYLINE VIEW #1 BLK 4 LT 3 G:1159 Site Mailing Address: 23138 ELDER DR, Chugiak Owner: BONTEMS DEBORAH J Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date c o� :J n� De partinent Lot Size in Sq Ft Total Bedrooms: 1 /2/2024 1/1/2025 89100 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: J 0 C-� Issued By: Date: 3 Date: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-191-28 Property owner(s) Deborah Bontems Mailing address 18126 Tedrow Drive, Eagle River, AK 99577 Site address 23138 Elder Drive, Chugiak, AK 99567 Day phone Legal description (Sub'd., Block & Lot) Skyline View #1 Block 4 Lot 3 Legal description (Township, Range & Section) Lot Size 89100 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Duplex (D) El Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: l Date of Payment: Z Z -/20 2 3 Receipt Number: Permit No. V SD Z 3/ `1 i Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_::-: ,_.,:c; January 2, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Skyline View #1 Block 4 Lot 3 – Elder Drive Septic system design Dear On-Site Services Engineer: The septic system on this lot has failed, so we are submitting this permit application for the construction of a septic system. The attached site plan identifies the location of the home and well, as well as the proposed septic location. The ground surface on the lot slopes fairly uniformly toward the road, at between 10-15%. There are no slopes greater than 25% within 50 feet downslope of new trench. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231416, Curtis Townsend, 01/02/24 Benjamin Schiller CE 12592REGISTEREDPROFE S S I O N A L E N GINEER 1"=50' 40' LONG x 5' WIDE, 4' EFFECTIVE DEPTH ABSORPTION TRENCH CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 2CO TH#1 SKYLINE VIEW #1, BLOCK 4 LOT 3 FEET 0 50 100 FCO NOTE: ALL WELLS ON SURROUNDING LOTS ARE >100' AWAY FROM LOT LINE. ELDER DRIVE 3-BDRM HOME SEPTIC PLAN 12/22/23 10' UTILITY EASEMENT 10 ' U T I L I T Y E A S E M E N T JA S M I N E R O A D APPROX. LOCATION OF EXISTING 32' TRENCHES DECOMMISSION AND REMOVE EXISTING 1000 GAL SEPTIC TANK NEW 1000' GAL SEPTIC TANK. MAINTAIN 100' SEPARATION FROM EXISTING WELL EXISTING WELL 600 595 590 585 580 DV COCO MT MT FS Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231416, Curtis Townsend, 01/02/24 SKYLINE VIEW #1, BLOCK 4 LOT 3 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 6" 3'-6" 4' DESIGN FACTORS:SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: 2.2 MIN/IN APPLICATION RATE: 1.2 GPD/SF 5' WIDE TRENCH SYSTEM 1000-GAL SEPTIC TANK BOTTOM OF TRENCH: 8' BELOW GRADE FLOW LINE ELEVATION: 4' BELOW GRADE 450 GPD / 1.2 GPD/SF / 5' WIDE * 0.5 RED FACTOR [4' DEEP] = 37.5 LF TRENCH REQUIRED (40 LF SPECIFIED) GEOTEXTILE FABRIC 6" 12/22/23 PROVIDE ADDITIONAL FILL TO ACCOUNT FOR SETTLEMENT 5' Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231416, Curtis Townsend, 01/02/24 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 2.2 12/19/23 1 2 3 4 5 6GP (SANDY GRAVEL) Professional Engineers Stamp: NO SKYLINE VIEW #1 BLOCK 4 LOT 3 12/19/2023 051-191-28 MATT AMSDEN 3:30 3 016 4:00 4:10 4:20 4:30 4:40 2' OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: m. JAKUBISIN / J. OPHEIM 9 016 - None 12/26/23 COMMENTS: SITE PLAN 6< USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 12/20/23 10 10 10 10 10 3 016 3 016 3 016 3 016 3 016 8 016 8 016 7 12 16 7 8 16 7 9 16 5 016 5 016 4 12 16 4 8 16 4 9 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231416, Curtis Townsend, 01/02/24 LOT 2 SUETAWN ESTATE (#64-09) LOT 3 SUETAWN ESTATE (#64-09) LOT 2 SKYLINE VIEW SUBD. #1 (#69-41) OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OHU OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U ℄ ELDER DRIVE 33.0' 33.0' 30 . 0 ' 30 . 0 ' T T T 10' UTIL. ESMT. 10 ' U T I L . E S M T . EDGE PAVEMENT GRAVEL D R I V E W A Y SHED SSS W N89° 59' 00"E 337.31 N0 0 ° 0 0 ' 0 0 " E 2 7 5 . 0 0 S89° 59' 00"W 337.41 S0 0 ° 0 1 ' 0 0 " E 2 7 5 . 0 0 ℄ J A S M I N E R O A D G E S 2 4 . 3 56.3 2 4 . 3 56.3 12.2 8 . 2 CONC. WALK 33 . 9 68.3 19 7 . 1 42.6 15 1 . 9 100 ' WELL RADIUS Lot 3, Block 4 Skyline View Subd. #1 92,774 Sq. Ft. +/- 23138 Elder Drive 2 Story Wood Frame House With Attached 1 Car Garage ED G E P A V E M E N T PREPARED BY: FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 DRAWN BY: CHECKED BY: DATE: SCALE: DRAWING ID: SHEET 1 of 1 1.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2.This document is created by Frontier Surveys for the purpose of an as-built survey for Matt Amsden, only. 3.This document is based on Plat No. 69-41, Anchorage Recording District. 4.Some features of this survey may not be shown due to ice/snow conditions. General Notes DisclaimerLegend 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. PS 1" = 40ft 11/28/2023 23-478KC Scale 1" = 40' AN AS-BUILT SURVEY OF LOT 3 BLOCK 4 SKYLINE VIEW SUBDIVISION #1 23138 ELDER DRIVE CONTAINING: 92,774 Sq. Ft. +/- (RECORD) RECORD PLAT: 69-41 Gas Meter Electric Meter/Outside Power Deck Septic Telephone Pole Overhead Utility Water Well Tel. Pedestal Concrete G E S TW Nov 28, 2023 R E GISTEREDPROFESSIO N A L L A N D S U RVEYORPierre M. Stragier No. L.S. - 9812 GREI- .R ANCHORAGE AREA BOR"'IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE / FROM WELL ?~> INSIDE LENGTH MANUFACTURER .~(- ~A-~,C "~1L MATERIAL INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY NUMBER OF COMPARTMENTS GALLONS. SEEPAGE NUMBER OF PITS __ DIAMETER OR WIDTH__ LENGTH DEPTH LINING MATERIAL CRIB SIZE: DIAMETER DEPTH__ DISTANCE FROM: WELL TOTAL EFFECTIVE BUlL. DING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (V~) SQ. FT. WELL: TYPE \--v~-, CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK ____ SYSTEM OTHER SOURCES CESSPOOL APPROVED DISAPPROVED REMARKS INSTALLED BY: PIPE MATERIAL: Form No, FO-031 DIAGRAM OF SYSTEM DATE G.A.A.B. GREATER ANCHORAGE AREA DEPARTMENT OF ENVIRONMENTAL 9UALITY 3330 "C" $T~T ANCHOrAGe, ALASKA 99503 TELEPHONE LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK //~ SEEPAge PIT. TYPE AND SIZE OF FACIL[TY TO DESERVED. ~ ~/~/~fY/ "~'/~ FINANCED THROUGH TO BE INSTALLED BY DRAIN FIELD J~7' ~>'~, OTHER,. SOIL TEST RESULTS I~"or4 / 7b ~_ ~ z NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST BOMPLETION DATE ANTiCiPATED f~.- 7J/ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /' ~')~--~) ~'~/'~('- TYPE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 6~'~ / FOUNDATION TO SEEPAGE-P~i~T~_ DRAIN FIELD /©/ SEPTIC TANK TO SEEPAGE PIT WALL SEEPAGE PIT . TO NEAREST LOT LINE. / DRAIN FIELD / ~)~ / DRAIN FIELD / o~2 SEPTIC TANK. / , SEEPAGE PIT. TO RIVER, LAKE, STREAM. DRAIN FIELD , SEEPAGE Pit .. · ALSO CONSIDER AREA WELLS, · SEEPAGE PIT /¢'0 / . DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRiB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC 'rANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE -.._• •• • •emu I r Vr Arvc:NORAGE `DEPT. OF HEALTH p ENVIRONMENTAL PROTECTION, M -w DRILLING, Inc. P. O. Box 4-1224 • 1310C International Airport Road MAY 20 ' (907) 274-4611 ANCHORAGE, ALASi4A 99509 RECEIVED DRILLING LOG Well Owner Use of Well Location (address of: Township, Range, Section, if known; or distance main road Size of casing Depth of Hole 9 feet Cased to - feet Static water level ft. (abbve) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated yy Describe screen or perforation Well pumping test at gallons per (Your)- (minute) for hours with ft. of drawdown from static level. Date of completion =' WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO -' TO TO — TO TO TO TO TO : TO TO TO TO _TO TO TO 2 — STATE Well Owner Jol.znsoln M - W DRILLING INC. ' '''''N'C'' ``ZQ' ,' Or -ANC; �•�� aC" �` DRILLING LOG C Use of Well - : - Location (address of: Township, Range, Section, if known; or distance main road ?moo Stock 4 SI-ayIine View Sub6j V4 S`; 02 Size of casing L'` Depth of Hole 26 feet Cased to 2eet Static water level T ~ ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ) ; Perforated ( ) . Describe screen or perforation Well pumping test at 5 gallons per :(fiZ (minute) for-1--hours with 2_CGF_" ft. of drawdown from static level. Date of completion 3 /11 177 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 9 , i=-XIST:[NG WERLL, SEE 76-147 TO '-' G Bedrock `'O TO 260 Greens Lone sm. wa-ter soars 4 n snora.'c4 o TO TO TO TO TO TO TO TO TO TO TO TO 2 — STATE INC. J t ,N I.;..% U ~g £A~T ~S$T AVENUE P,O, ~OX 0087 ANCHORAGE, ALASKA 99503 TELEPHON~ 907-279-0dB3 T~L~X 090-3~41~ November 5, 1975 R & M No. 562152 C. B. Duke 3701 Eureka Space 4lA Anchorage, Alaska 99503 RE: Test H31e and Soil Log Report for Sanitary System Lot 3,Block 4, Skyline Subdivision Dear Mr. Duke: We are submitting herewith the test boring results and our comments regarding Soil conditions encountered at the subject site. This initial investigation was performed in accordance with your request of-November 4, 1975 and those procedures outlined in a letter dated July 15, 1975 by Mr. Roll Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test;DDle was put down within ~e Lot 3 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 12.0 feet below ground sur- face. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. During excavation and the logging of the test hole,.there was no indication of ground water below the irm~ediate base of the test hole which was terminated at the depth of 12.0 feet. Since the soil was relatively dry, we do not feel that the water table is located within the upper few feet below the test hole base or to a depth of 16.0 feet. We appreciate being given this opportunity to be of service to you. Should you have any questions in regard to the above, please do not hesitate to contact us. Very truly yours R & M CONSULTANTS, INC. Vice President JWR/WED/ja xc: Gaks TH-1 11-4-75 ORGANIC SILT SANDY GP~VEL TRACE SILT 2.0~ SANDY GRAVEL TRACE TO SOME SILT w/M_ANY COBBLES AND BOULDERS NO WATER TABLE 12.0' T.D. Log represents location of test hole Lot 3, Block 4 Skyline Subdivision R Consultants Inc. ALASKA ,~u~ C. B. Duke Log of Test Hole Anchorage, Alaska 11-5-75 [SCAL~ 1"=2' I°~~ ~Y. ~/-'/V~ ,ICHKO 6¥ ~ED ]PROa. NO. 562152 DW~ NO. A-01 APPLIC ;,IT FILLS OUT UPPER HAl. ONLY Buyer Address ~,l/l/Vd ~. z~. co~ Address .~.~ Realty Co. & Agent Address Street Location d.~'/'_..¢..)¢~;?// ~.J¢4 Type of Residence  Single Family Multiple Family No. of Bedrooms [] Other Phone ;7- ~? , Phone d ¢/~-/d xxz/d Water Supply  . individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available)t, [] Public Utility Sewer Disposal ~ ¢ ~t,~/ [~ .Individual Year Individual Installed: ./ E] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Date Date Date Inspector Inspector Inspeclor Field : L~~- ) DISAPPROVED ) CONDITIONAL APPROV~AL' *CONDITIONS OF APPROVAL Time Insp6ctor Soils/. Raling - Date Sewer Installed 72.023 (3/82) Well To Absorption Area Septic Tank Size Fo. brua ry 10, Ch~rlor; L. I::ast.lake Box 526lt block 4, Skyli.o View ~;ul)~ivision /%.pproval for the individual sewer ;~nd water f]aeJ, iitie~; cannot .[)e granted until the ~ollowing items havo been comp.l, eted~ ~/~/,T~o Septic tank pumped wittl a r~.:eeipt ~u!)mittod to thir.~ noted discrepancies have beon Corrected. Il:_ thoro art'] any r3 37. 31------------ oil i ai a � c 1 y I r (l; --LEC7, PGl F r L I, 1? i —E i e v- � i i f Certificate of On -Site Systems Approval Parcel I.D. 051-191-28 Legal description SKYLINE VIEW #1 BLK 4 LT 3 Site address 23138 ELDER DR Chugiak AK 99567 Current property owner(s) BONTEMS Expiration Date: 1 -zv Z'. X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: /� 2 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 MUNICIPALITY OF ANCHORAGE Development Services Departments _° Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 n Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05119128000 Complete legal description Skyline View #1 B4 L3 Location (site address) 23138 Elder Dr. Current property owner(s) Deborah Bontems 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 907-242-1637 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: [W Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: Steel Plastic ❑ Concrete ❑ Fiberglass Age new - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ 2 W Date of Payment COSA # QGC ;;—' y 10 00 Waiver Fee $ Date of Payment Waiver # COSA Application —June 2022 COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: