HomeMy WebLinkAboutSTEWART #2 TR 2-DLOCATIOF
MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephona 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
DISTANCE TO:
Manufacturer ~_~
DISTANCE TO:
IF HOMEMADE:
Well Dwelling
Manufacturer
NO. of lines I Le.gtb o~c~li.e
Top of tile t~o finish grade
Length
Type of crib Crib diameter
Well
DISTANCE TO:
$lass Depth
/ '/
NO. OF BED,~_~MS
I nside length Width
PERMIT NO.
uid capacity in gallons
Foundation
Material
Nearest lot line~ /
TotalZ{~[ th of'lines I Trench ~J~
Material beneath tile ?~)
Depth
inches Distance b e t w~l~l~ s
inches Total effective a~area
PERMIT NO.
Crib depth
Building foundation
Totel effective absorption area
Nearest lot llne
Distance to lot llne
Septic tank
Driller
PERMIT NO.
DISTANCE TO: Building foundation Sewer line Absorption area(s)
OTHER
PiPE MATERb
SOIL TEST RATING
' NSTA r LW~ ~/~,J
REMARKS
DATE
LEG/~L
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CONSTRUCTION TEST LAB
"One Test is worth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
Performed for~. Date Performed
Legal Description: Lot~ -Block~_~___Subdivision
This Form reports: SOILS TEST PERCOLATION TEST
Depth
Feet
soil Characteristics
Was Ground Water Encountered
If YES, What depth?
Percolation Rate Minute
Proposed Installation: SEEPAGE PIT D~AIN FIELD
Bottom of
Depth of Inlet Depth to Pi~ or Trench
CO~4ENTS: ~ F~ I~'~ ' -
~') · l ~) ,~ ~ m ~ , ,.,I.
Test Performed by ///~,_///~.~ Data Certified By:_~_~.
Date : /~. 1~2
4040 "B" STREET,
ANCHORAGE, ALAS.KA ~'~,.03
PHONE: S'07-279-25b~
March 16, 1976
w.o. #17623
Eagle River
Mr. Jack Stewart
Star Route, Box 181
Eagle River, AK. 99577
Subject: Subsurface Investigation - Stewart Homestead
Located within SE 1/4, Section 8,
T14N, R1W, S.M., Alaska
Dear Mr. Stewart:
Transmitted herein in accordance with your instructions are
the results of the above referenced investigation as performed
by'us on March 11 and 15, 1976. The scope of this project
is investigation for suitability of an on-site sewerage
system. Included in this transmittal are:
Test Hole Log
Explanatory Information
Table A
Sheets 1-3
The exploration was conducted using a track mounted Mobile
Drill model B-50 drill rig with a continuous flight solid
stem auger. The rig is ow..ed and operated by Denali Drilling,
Inc. Drilling was supervzged, the test holes logged and the
percolation test run by Mr. Terry Barber.
The test hole was placed approximately 120 feet north of Eagle
River Roan and 150 feet west of Stewart Street.
The log of the test hole is included as Table A of this report.
In interpreting the log it would be helpful to utilize the
explanatory information contained in Sheets 1 to 3 of this
'report.
When drillin~ was completed a 3/4" slotted PVC pipe was in-
serted in the hole to aid in determining the free water level.
For the percolation test, the test hole was filled with water
and left overnight to saturate. On returning the hole was
refilled with water and the drop in the water level carefully
monitored over the next 60 minutes.
This procedure is not a standardized percolation test, how-
ever, we understand that the Anchorage Department of Environ-
mental Ouality prefers tests performed in this ~nanner to
evaluate a site for a' proposed on-site sewerage system.
Mr. Jack Stewart
March 16, 1976
Page 2
Using the ~bove test, the observed.minimum percolation rate was
5 mlnutes/lnch. No water table was observed during drilling, but
it shoul~ be noted that the free water level normally fluctuates
'seasonally and with precipitation.
We hope this report meets your present needs. If we can be of
further service, please do not hesitate to contact us.
Very truly yours,
ALASKA TESTLA~.
Laboratory Supervisor
MRN:rb
Enclosures
Test H°le 1
Table A
Date: ~rch 11, ~976
Logged By: Terry Barber
W.O. 4'17623
Depth in'Feetl
From To
0.0' - 16.0'
Soil Description
F-l, brown silt~ sand~ ~ravel, GM, sub-
rounded particles to 3/4"-
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0'
2.5'
None Observed
GREATER ANCHORAGE AREA BOROUGH'
104 iVest Northern Lights Boulevard
A~chorage, Alaska 99503
2329
Plat Status: ~inal
Date:
May 19,' 1971
BOROUffH: M~gineer
Pub lic ~6~k~tment
Sand lmke Fire Department
School District
Street Names
Tax Assessor
Alaska Department of Highways
Alaska Railroad
Anchorage Natural Gas Co~,
Central Alaska Utilities
Chu~ach Electric Association
Re: Subdivision /
Description of Property:
Steward Sub.
Owner:
Bernard Stewart
CITY OF ~NCHORAGE: Fire Marshal
~unicipal Light ~ Power Department
Property Management Officer
Public IVorks Department
Telephone Utility
Traffic Engineer
i~ater Utility
GAB Telecommunications, Inc.
Matanuska Electric Association
Matm~uska T~lephone Association
Assistant Superintendent of Malls
Gentlemen:
Petition has been received by the Greater Anchorage Area Borough Planning
and Zoning Commission for the proposed.,S, ubdivision of subject property.
Atta~:~.ed i~ a copy of the proposed plat Will you please submit your comments
in wrxtn]~, specifying any easements or other requirements that your depart-
ment or agency may need.
If we do not hear from you by June 4~ 1971 , we will assume that you
do not wish to submit any comanents.
If you have no further usa for the ~ttached print, please return it with
your conments.
Eric losure
Planning Department
DTI001793
365.00
•
56`I y IQ / r„f e0.
Municipality of Anchora u ._ ,'� ° `°
•� = On-Site Water and Wastewater Progra `� •�l'V ' ^ ` • ■,1..1I a °
(907) 343-7904 a OEC ;;. ; _ E'”
Certificate of On-Site Systems App I l,`~
950-472-65 Expiration Date:i�-: _______,_1:y
-1 0
Parcel I.D. p
1. GENERAL INFORMATION
Complete legal description Stewart #2 Sub, Tract 2-D
Location (site address)• 1 0208 Stewart Dr
Current Property owner(s) Jack L. Stewart Day phone
Mailing address
PO Box 672266, Chugiak, Ak 99567
Real Estate Agent Barbara Crittenden Day phone 242-2227
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 2
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System 0 Public Sewer ❑
WaiverNariance request for: Distance:
•
Received by: (/_i/l UL 1( J Date: ///,')//�
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 5.9.1.0 Waiver Fee $
Date of Payment r of f 5I/i Date of Payment
Receipt Number 01 iLI O Receipt Number
COSA# 6609/557 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 all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Forge Engineering 577-7773
Address PO Box 240773, Anchorage, AK 99524 Phone
Engineer's Printed Name Benjamin Schiller, PEDate 11/28/2017
r '�` '
6. DSD SIGNATURE f*'•�TM *�f
/6 System #1 Approved for bedrooms O " • . I
6 *- Ben, in Schiller - 7
System #2 Approved for bedrooms iA�� • c" ozss2 ;��
Disapproved t ,.a:• ''�10)d ti•'.�
Conditional approval for r�N`t``."
pp . bedrooms, with the following stipulations:
.\\'‘kktillll,i.,
-`J`' ON-SITE v�5'
_ s
_ WATER AND rr' •
",0n WASTEWATER z
cc)m PROGRAM c;-..
)q
'14) AO.
Original Certificate Date: j L-I.3-('
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.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory•
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_f •- ., c
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:
Stewart #2, Tract 2-D Parcel ID:050-472-65
A. WELL DATA
Well type N/AIf A, B, or C provide PWSID# I I< <— Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly protected (YIN)
Total depth ft.
Cased to ft. Casing height(above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level
ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L PUBLIC WATER
Arsenic ug/L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA 7/28/05
Tank Type/Material Septic / Steel Date installed
Tank size 1 000 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 2 -( ( Pumper—Ars.
C. ABSORPTION FIELD DATA 5-Wide
7/27/05 Soil ratingd./ft2 or ft2/bdrm) 1 .2 System type
Date installed (g.p.d./ft2
Length
56 (total) ftWidth 5 ft. Gravel below pipe 2 ft.
Total depth 7.515.5 ft. Eff. absorption area 400 ft2 Monitoring tube Y Depression over field N
7/28/17Pass For 2 bedrooms
Date of adequacy test Results(Pass/Fail)
16/17.5
Fluid depth in absorption field before test [713.5 i
in. Water added 644 gal. New depth n.
1290
3.5/17.5
Elapsed Time: min. Final fluid depth in. Absorption rate >= 300g P d
Any rejuvenation treatment(past 12 mo.) (Y/N & type)
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
in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5' 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 >10Building foundation >10' Water main >10'
Water Service line >10' Surface water >100' >10'
Driveway, parking/vehicle storage
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION 4,����\\\,
I certify that I have determined through field inspections and •.,f j+
review of Municipal records that the above systems are in j *+
conformance with MOA COSA guidelines in effect on this date. *' '`� TH �/
Engineer's Printed Name Benjamin Schiller, PE I % r
12/7/2017 00 "� ','"" '•"
Date f •. Bersja < Schiller :
k 'a�'r•. CE 12 92 w '
�`ti1 PRC E55': -1"-
COSA brown sheet_10-10-12.doc
ARCTIC PUMP & WELL INC.
ri Jim Sullivan, CPI `Q-ersoi,Jo.,
PO l3ox 770197li
�'`
aril ) Eagle River,AK 99577
Q
`.. (907)688-2510
(907)243-2282
iirmaarcticrump ami
Well Decommissioning Log
Legal Address:
Subdivision:Stewart#2 Block: Lot:
T 2D
T: R Section Lot:
On-site Water& Wastewater Program certified contractor performing the well decommissioning:
Name: Signature:
Jim Sullivan
Company:
Arctic Pump& Well, Inc
Well Decommissioning Date 1 1-29-17 Method of Decommissioning: AMC 15.55.060L1 a.1 1 b.f c.11
Location: Use the space below to provide a drawing of the property showing the following items:
• North Arrow
• Decommissioned well
• Other water wells on the property
• Two separate swing tie distances for each well shown on the drawing
Note: the swing tie distances shall be measured from either permanent structures or the property corners.
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SEWARD & ASSOCIATES LAND SURVEYING 694-0829
ERTIFY THAT I HAVE SURVEYED THE SCALE/%�d "s t11)L)
DESCRIBED PROP
ERTY: _
f ���i�,7"" .,T-r r -e: - DATE- k.'
10 ENCROACHMENTS EXIST EXCEPT AS /A�o �''�` '�
IT IS THE RESPONSIBILITY OF THE . /� 094 - 4''✓ H A'v ."-: * ¢
)ETERMINE THE EXISTENCE OF ANY GRID: W "' °° '� ••
ir COVENANTS. OR RESTRICTIONS ��w�' / -'2*.,� �ll
v <• '!�GSE< � d
OT APPEAR ON THE RECORDS SUBDI- ----- 0s A (u nn Mr:k sn.�°:a ::3
T. UNDER NO CIRCUMSTANCES SHOULD FS' ti► . LS-5%1 B •. Jv:�
47
IEREON BE USED FOR CONSTRUCTION �y2�� Vit•``4,. •��'•�v�l">�.„,4.
.INES, OR FOR ESTABLISHING BOUND- ' DRAWN: 1'h ; �si;x^`A.ao"