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HomeMy WebLinkAboutKASILOF HILLS BLK 7 LT 1KasI*Iof Hills Block 7 Lot 1 #015-161-10 111-)l, 6-650 A1',)(,;1-10HAGL, A[_A�f<A 9050 06',)0 (")Of) ,'04 :� 1 1 1 DEPARTMENT OF I-IFALTN ANO E N V IRU N tin E N TA L PROT ECTIOIJ Permit 4: 840113 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 1 Bloc], 7 Kasiloff I -fills Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Perrtiits are issued on a calendar year basis by authority of Municipal Or_di_nance. A new permit must be obtained from this Department for any well and/or_ on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. if a private engineer inspected the installation of the on-site sewer_ system, the original as -built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264--4720. Sincerely, E Bandt Supi.sor Keith pe�v Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 PERMIT NO� DRTE ISSUED RPI'M ICRNT HDDRESS� 1_EGH1, DCRIP LOT SIE� MHX BE�ROOMS ��������JC ��If I, .- q���������� DEPHRTHENT OF HEALTH HND ENVI�ONMENTHL P�OTECT�ON 825 L STREET/ H@CHORHGE. Rk: 99501 264~47�0 DHRRELL RO8INSON 1000 WKLHTT RD HIll CHORHGE/ RK 99515 ]44~1640 SUEW) IV1SION: KHSILOFF HILLS SECTION� i] TOWNSHIP: 12N 84H (SQFTOR HCR�S) 6 LOT: 1 E:L".:ICK: 7 RANGE: ]W LISTED BELOW HRE THE OPTIONS HVRILHBLE TO IT, O� IN DESIGNING YOUR SEPTIC SYSTEMCHOOSE THE OPTION THHT GEST FITS YOUR SITE. ~F P --,ii H - III LE;: 0 F'"O P-11 DEPTH TO PIPE 8OTTOM (FT. ) A0 40 40 GRHVEL DEPTH (FT ) 70 05 I5 TOTHL DEPTH (FT. ) 11,0 A5 5 EARHVEL 14 1 MH (FT! ) 2� 26.0 �0 GRHVE'L (FT. ) 65.0 0 GRHVEL VOLUM� (CUYDS) 45� 5@0 718 T�NK :�:3IZE (GRLS) 1/750 0 ** 1,750 0 ** i/750. 0 ** SOIL RHTING (An FT. /BR) 150 150 150 ** CiRRVEL LENGTH } 75 FT. REQUIRES MULMPLE RUNS (NOT EXCEEDING75 FT. EHCH) �* THNK MLST HHVE HT LEHST TWO COM9HRTMENT� � �ERTIFY THHT� 1 I HM FHMILIHe WITH THE REQUIREMENTS FOR ON-SITE SEWEI:;i!S HND WE1LS HS SET FORTl-I E:Y TM MUNICIPAL.rTY OF faCi-ORRGE HND STI:TTE OF Rl KH. 2 I WILL �N�THLL THE SYSTEM IN HCCORDHNCE WITH HLL MOH CODES HND RE�ULHTION�/ �OMPLIHNCE WITH THE D :1 GN CRITF IH OF THIS PERMIT. ] I WILL HDHERE TO HLL MOH HN� ST�TE OF Al.0SKH REQUIREMENTS FOR THE SET �HCK DIST8NCE� FROM HNY EXISTING WELL, WHSTEWHTER DISPOSHL SYSTEM OR PUBLIC SEW��RGE SYSTE� ON THIS OR HNY RDJHCENT OR NEHRBY LOT. ,--k I UNDERSTRND THHT VHLID FOR H MAXIMUM OF 6 BEDROO�S H�D HNY ENLARGEMENT WILL REQUIRE RN ADDITIONAL PERMIT. CODES.- THE", ODES/THE ink NGINEERS - PLANNERS /0RO 16:10 DIMOND DRIVE- ANCHORAGE:, OLA5::() 91�5ti7 L SOIL S WQ — PERCO�ATION TEST ts. )F I PERFORMEp FOR: a v W � ;t. rr-� /1 yd SOILS (.OG CI PERCOLATION TEST DATE PERFORMED: i.j iAA1 PSQRIPTION �o%4 i //- T '_i r r --- - — --- - -- - - stoPF 1 E1PrR -�^ - - _ _- -- - f A 1i R 1 [) 1 WAS GROUND WATER S ENCOUNTERED? /� L r 0 P IF YES, AT WHAT E -,� DEPTH? 1/f, Sire Ill AN Reading Dale Gross Net`�,'•�-�,, Net Time Time v �, b. Prop -Tj I1 r \i eM _, PERCOLATION RATE (minutes/inch) f — TEST RUN BETWEEN FT AND FT COMMENTS I f— T/JS S C CEHTIFIED BY ?�< J/ -- DAi t. Ivj 7?.!)99 fF.i191 _ r /Ylhl ' I_OCA.5l0i1 OF WELL (Please complete either to, Ib or Ic.) Iy] Horo ugh Subdivision Lot Bi7ck Flb.l/a qt rs. 0 24 G. E]Cable tool F. Notary Ej Driven E] Dug D Auger 0 Jetted Q Bored Q Other: I c.�l �nch��ar---af DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Kasilof Hills Shoot Address and Area of Well Location 2. WELL LOG M oteriel Type gravely _b.e-c rack.--gr.ay------i-- streaks of white rock ----90! --1320 _5__g?m--- -- Pei 16. WATER WELT_ CONTRACTORS CERTIFICATION: WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 81 Geophysical Surveys Drilling Permit No, A.D.L. No. Section No. Township NE) Range s� 3. OWNER OF WELL: Address: E❑ Meridian Wo Darrell Robinson Feet Below Surface LPTH: (final) 4. WELLD� � ft 5. DATE OF COMPLETIRN Ll. 3 Top Bottom 0 24 G. E]Cable tool F. Notary Ej Driven E] Dug D Auger 0 Jetted Q Bored Q Other: 24 6 65 90 7. USE: © Domestic 0 Public Supply Industry 0 Irrigation ❑ Recharge Commerical Test Well Other: _ 13. PUMP: (if available) HP vCi Length of Drop Pipe it. capacity g.p.m. 8. CASING: F] Threaded rJ Welded diem. 6 in. to 44. Depth Weight Ibs./ft. diem. in. to ft. Depth Stickup ft. r Cj Subm. Jet ❑ Centrifical Other r°, 0 9. FINISH OF WELL: Type: Diameter: Slol/Mesh Size:_ Length: Set between fl. and ft. Backfllling _ Gravel pack Z 0 10. STATIC WATER LEVEL! ft. ? Above or [] Below land surface Date Equipment used: II. PUMPING LEVEL below lend surface and YIELD it. after hrs. pumping g. p. m. ft. offer hrs. pumping g. P. an. 12. GROUTING Wall Grouted: Yes [] No Material: ❑ Neat Cement Other: 13. PUMP: (if available) HP vCi Length of Drop Pipe it. capacity g.p.m. m ti r Cj Subm. Jet ❑ Centrifical Other r°, 0 14. REMARKS: Z 0 15. Wo ter To m pe rature .— T ',is _This well was dr: l l ed under my ju risdiclion and this report is tr us to the best of my knowledge and be Ilei) Alaaka_Now--Well__/Vern Is Drilling & `fit AA 3327 No.;, si u!ed Business Name Contract License Number 122LF1 Avion St. Anchorage, AK 99516 Data:—� Authori>ed Represent ive I!=arm 02-V141R (I:/81) Copy Distribution: WHII-E-Stale DOGS, PINK -Driller, CANARY -Customer -- ° ❑ F ❑ C U-1 U P -d .1 p- I a "A R-'- Vii_ 7" r..0 ° p'.A F::— FN R°..4 P- -" VA @.......• n'T:: p,::0 IC;p F:_. DEF'Hf?TME'h'il- CIF" HEALTH Fih'dl: E'I''d'v'If:i1h'.Ihll::r'd7F!l.. PROTECTION :25 STREET, 1=NC":Hr_IRAGE:, FIF::.-�9`.'0J.. F'EF:IT(T NO.C-QR 5 A P P L I C':ANT Df'IRRELI._ ROBINSON L_I'D C:ATIClN I...EGAL.. L 1 E. r I-l.'A ; I I_OF" HILLS S, --'G 74-1--1640 LOT _= 1':".E e.d., ,4414 Si;!LJFIF?E FEE 1'11l''dIMUM DISTAk11:'E E:,E"ih.IEEI%,l I1 WELL AhIC:, I-Ih'dY ON--'::ITf EN IGE:: I :I -H:10 FEET FOR FI PRIVATE I. -JELL CIF? :1.51D TO 200 FEET FROM A PUBLIC WELL DE PE= NC:111'• G UPON THE TYPE OF F'I BLIC WELL. Hlh••IIMUlel DISTAPA-Z F."R ll FI F'F":I%.-TATE WELL TO R PRIVATE E4-.lER LINE IS 5 FEET Al' -11) 10 fl CCIh'IF'il. N I I''r' SE:I..IEF: LINE I i' ` FEET. WELL f_C11.S ARE: REQUIF,,ED ANC:, h'D.JiT' BE RETURNED TCI THE DEPARTMENT LIII"F'IIh'd i:0 I11,91.1'-; OF THE: kTELL. 0-11IF'L.ETICQ.-I. I:iTf IEa: F:Ei>!LJTf E '1EhdT: I1F1'r' FIF'F'L'r'. SPECIFICATIONS IFICATICII' S I=IND I CIpa l"f l-ICl I01',I DIf'ILaF:'AMS ARE r"%,-1 !:F.LABL_E TO : 1,T,::.l.JRE PROPER INSTALLATION. lf.' "lE o= F==° ]L X-=". C-. I--- Ir -1 E*4 E: R-wc A.-: -j- °zu I CERTIFY TI A -r J_: 1 AN FH1,111-IFIF: WITH THE REQUIREMENTS FOR CII'I-aI'1€c: 'SEkIEF:=; FIP••IC: FC:IM:T'L I E,',' 'T'HE I'ILlhl I I: I PAL I T'r' OF NINC:HORACiE. I b•11L_I.... INd::;TFILL. THE:--YSTEN Il' --1 F11:I:::i1F::DtiNCE WITH THE CODE'S. FIPF'L:f.l__ IhlT I..)ARRE:LL_. ROBINSON �L Municipality of Anchorage Development Services Department Building Safety Division On -Site Water ti Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-1 101- Ib COSA# db044�{ 1. GENERAL INFORMATION Expiration Date: / -I — / — O �o Complete legal description KASILOF HILLS S/D: LOT 1, BLOCK 7 Location (site address) NHN STROGANOF DRIVE • ANCHORAGE, AK Current Property owner(s) JON SIMMONDS Day phone 333-2948 (BUYER) Mailing address 312 FEDERAL AVE. E • SEATTLE, WA 98102-0000 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Untess otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: +6 *NO HOUSE OR SEPTIC SYSTEM ON PROPERTY AT THIS TIME. 3: 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 ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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 CARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. CARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. 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. 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 solo benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authodzed, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 337-6179 Date,a6 Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory _lam Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other t� OFf,/iy�� k ER PROGRAM By: ✓ Original Certificate Date: lBnr HMS Municipality of Anchorage ' Development Services Department Building Safety Division OnStte Water & Wastewater Program 4700 Bregew Street P.O. Box 196650 Anchorage, AK 99519MW www.muni.org/onsite (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: KASILOF HILLS S/D: LOT 1, BLOCK 7 Parcel ID: A. WELL DATA 'WELL NOT IN 115E AT THIS TIME. NO PUMP INSTALLED. Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/24/1985 Sanitary seal (Y/N) YES Total depth 90 ft. Cased to **31.5 ft. Date of test Static water level Well production FROM WELL LOG 10/24/1985 WATER SAMPLE RESULTS: UNKNOWN ft, Coliform 0 colonies/100 rml. Arsenic: ND ugJL. B. SEPTIC/HOLDING TANK DATA Tank Type/Material "CASED TO BEDROCK Well Log (Y/N) YES Wires properly protected (YM) *NONE Casing height (above ground) 12+ in. AT INSPECTION ***8/22/2006 43 ft, g.p.m. 4.25 g.p.m. ***WELL TEST PERFORMED BY ARROW PUMP & WELL SERIACE Nitrate 3.13 mgA. Other bacteria 0 colonies/100 ml. Date of sample: 8/9/2006 Collected by: AAROW PUMP dr WELL *NO SEPTIC ON LOT AT THIS TIME Date installed Tank size gal. Number of Compartments _ nts0 s1-(Y/N) Foundation deanout (YM) _ er tank (YM) _High Water alarm (Y/N) DMS C. ABSORPTION FIELD DATA Date installed Length ft. Pumper Soll rating (g.p.d./ft'orft2AWrm)_ Width Total depth ft. Efl. absorption area_ ft' Monitoring Date of adequacy test System type Gravel bel ft. Depression over field For bedrooms Fluid depth In absorption field before _ In. Water added — gal. New depth _in. Elapsed Time: Final fluid depth _ in. Absorption rate >= g.p.d. An enation treatment (past 12 mo.) (YM & type) If yes, give date D. LIFT STATION Date installed S¢e in gatlOns ManhOle/Access (Y/N) "Pump on" level at _in. "Pump ofl" igh water alarm level at in - Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: NO SEPTIC SYSTEM ON PROPERTY AT THIS TIME. Septic tank/IQt station on lot *N/A On adjacent lots 100'+ Absorption field on lot *N/A On adjacent Iota 100'+ Public sewer main N/A Public sewer manholeldeanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIGHOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water servi Surface water Wells on a SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Surface Water rivaway, parking/vehida storage Curtain in Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION 14TRI.X 161". I certify that 1 have determined through Held inspectlons and + 4 . Y* ......... review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this • • • • , , • • • • • ..... date. p ry moss,, Engineer's Printed Name JEFFREY A. GARNESS, P.E. _ •� CE -79 3 \ Date °I �S�'L Pr fogs 44% i COSA Fee t (4w Date of Payment qh;r /D 6 L(P Receipt Number %10 (P�. 11105) Waiver Fee $ Date of Payment Receipt Number o C . �F..... �4 49 TH t ............................... 15,/- C SHANE A. HOLT: LS -6914 • a A AS-BUtLT SURVEY NO CORNERS SET THIS DATE \7 o C . �F..... �4 49 TH t ............................... 15,/- C SHANE A. HOLT: LS -6914 • a A AS-BUtLT SURVEY NO CORNERS SET THIS DATE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS LEGAL DESCRIPTION: _- KASILOF HILLS SUBDIVISION: LOT 1, BLOCK PERFORMED FOR: CHARLES MERRINER DEP_ (1°e4 ' ORGANICS = TEST HOLE 1 1 sena SM SP/GP SP/GP 8 ML E *8111K$173-4-9219M•� DATE DRY 7/24/2006 DRY 7/25/2006 DRY 7/31/2006 6- 31191 2 90M.44 30 /_% 5- RUN • - 6- - 4 3:36 30 1' 5- 1�71t1i 3:36 Y/ViB. • - 6 4:06 DEPTH TO GROUNDWATER DATE DRY 7/24/2006 DRY 7/25/2006 DRY 7/31/2006 6- - + 1 TEST HOLE TM02 \\ LOCATIONS AF THi1 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/25/2006 1 2:36 - 6- - 2 3:06 30 1' 5- 3 3:06 - 6- - 4 3:36 30 1' 5- 5 3:36 - 6- - 6 4:06 30 1' 5- 19PERCOLATION RATE 6 (MIN.ANCH) PERC. HOLE DIA. 6 (INCHES) I�fI TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JORDAN TROISI COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFIORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: -21121/09 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: _ KASILOF HILLS SUBDIVISION: LOT 1. BLOCK 7 PERFORMED FOR: CHARLES MERRINER DE (feetORGANICS EST HOLE 2 1 zae SOIL CLAS •� •- SP—SM GP 111111111 7/24/2006 IIh111!II GM%//% 7/25/2006 /.%GC • 000.0 SW IIIIIIIII — ' C SMD'.6.� • SC 3 SP/GP DEPTH TO GROUNDWATER DATE DRY 7/24/2006 DRY 7/25/2006 DRY 7/31/2006 6- — �\1TH1,2\t� TINS tLOCATIONAPPROXIMAT % TH11 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/25/2006 1 9:53 — 6- — 2 9:54 1 0' 6' 3 9:55 — 6- — 4 9:56 1 0- 6- 5 9:57 — 6- — 6 9:58 1 0' 6- 19� PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JORDAN TROISI COMMENTS: PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER 0RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ;� CG