HomeMy WebLinkAboutVALLEY VIEW TERRACE BLK 2 LT 12
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588
OWNER OF LAND
ADDRESS /jf ~.Z~.~ [:7
LEGAL DESCRIPTIOn_.
DATE-Started
PE~IT NUMBER
DEPTH OF WELL (~ O /
STATIC LEVEL OF WATER FT.
DRAW DOWN FT. ~ /
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From L) Ft. to [.2
From /~" Ft. to 5~3
From ,~, D Ft. to ,~- ~
From ,5'~ Ft. to ~7
From ~O Ft. to ~F> Ft.
From __ Ft. to, Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. ro Ft.
From Ft. ro Ft
From __ Ft. to__.Fr.
From Ft. to Ft.
From Ft. ro__.Fr
From Ft. to Ft.
From __ Ft. to .Ft.
From Ft. to Ft
Ft. ,~toO ~/' ~'~C~ta:~ From. Ft. to
Ft. ~&t~ ~ * ~ ~ From Ft. to~
. Ft.~~.ff< From Ft. to
. Ft. F~C ~O~O ~/~om Ft. to
Ft.
Ft.
Ft.
Ft,
From. Ft. to__Ft.
From__ Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From__Ft. to__.Ft.
From Ft. to Ft
From Ft. to__.Ft
From Ft. to Ft
From __ Ft. to__.Ft
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft
MISCL. INFORMATION:
,S' zT?"
DRILLER'S NAME /,.)" ''~ ~/~' ....
PERMIT NO.
[ql_t~ I r~;I:'~'~L.~ ~'Y ~3F~ A~;~ .... ~¢-it3E
DEPGRTMENT b,~ HEGLTH ~ND ENVIRONMENTGL .,~JTECTION
~5~0 E. TUDOR RD., 8NCHORGGE~ ~K. ~950~
276-222~
( ?~DD )
8PPL I CHNT
I~OCRT ! ON
LEGRL
THOMR$ O' LORD BOX 8882 9.95¢8
MI 5 E.R. RD
L&2 B2 VRLLE~' VIEN TERRRCE LOT SIZE
62~4D278
4~560 SQURRE FEE]'
MINIMUM DISTBNCE BETWEEN ~ WELL 8ND ~N9 ON-SITE SE~RGE DISPOSBL SgSTEM IS
i00 FEET FOR 8 PRIVGTE WELL OR 200 FEET FOR 8 PUBLIC WELL.
WELL LOGS BRE REQUIRED 8ND MUST BE RETURNED TO THE DEPGRTMENT WITHIN ~0
OF THE WELL COMPLETION.
SPECIFIC~]"IONS ~ND CONSTRUCTION DIGGRGMS 8RE ~V~ILBBLE TO INSURE PROPER
INSTRLLRTION,
PERM I '1- '-~"f'tL I D FOI¢'~ I2'II"'.IE "'CE:AR F'I~CII"I ! SSUE
I CERTIF~~ ]'H~T
i: I BM FRMILiBR WITH THE REQUIREMENTS FOR ON-SITE _~;EWER.~ 8ND WELLS 8S SET
FORTH B'¢ THE MUNICIPRLIT9 OF RNCHORRGE.
2: I ~ILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES.
~ I GNED: __~ ......................................
R~PLICRNT THOMRS J LORD
GREA',-,,'ANCHORAGE AREA BORL
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INS~PECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME I 1~,~.~.~,,.,....., MAILING ADDRESS '~('~X
LOCATION LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER ~/~..~Jb~.-
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID C ApAc ITy_/OOCd GALLONS.
TILE DRAIN IELD:'
DISTANCE FROM WELL
NUMBER OF LINES /
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION _NEAREST LOT LINE
DISTANCE BETWEEN LINES TRENCH WIDTH
~ SQ. FT. LENGTH OFCEACH LINE
DEPTH OF FILTER /
MATERIAL BENEATH TILE ~ IN, ABOVE TILE
TOTAL LENGTH~/,~ ,
__OF LINES *
IN, TOTAL EFFECTIVE
IN.
WELL:
TYPE_
DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC- SEEPAGE
FOUNDATION __ LOT LINE SEWER LINE --, TANK SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:__
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ-O32
DIAGRAM OF SYSTEM
G.A.A.B.
DEPFIRTMENT OF HERLTH RND ENVIRONMEr.~'T. RL F'RO'T'EE:TION
25±0 E. TUDOR RD.., RNC:HORRGE, RK. 9S~507
276-2221
1Hl_fflR_, S LOR,[,:;
LC [,.lEE' ~[ERRRCE ST
hi- FL.[ ... tN F
LOCRT l ON
LEGRL
L 2.2: B~'-' 'v'RLLE'¢ VIEW FERRR_.E
LOT =,I~E
T'¢PE GF %0IL [tB=,UR. BTION _,¢_,FE. fl I--,: ]REN_.H
MR;4IMLIM NIJMBER OF E,E[~F..OUH~ = 5~ ':;OIL RHTING
I'HE REQUIRED SIZE GF THE .-:,uIL HE_OF~.FTIuN _.:,-r_lErl
,'S'9 FT,. E.R.,- t40
E:, IE F"T H = ,b_--.' L E: i'-.~ 13 ]- H =-':- 4 ]~: i.3 R R "..-" E L E:" EZ F"-'F H--' 5
THE LENGTH DIMEN'=;ION IS 'THE LENGTH (IN FEET.'.', OF THE TRENCH OR DRRINFIELD.
]"HE DEPTH OF R TRENCH OR PIT IS ]-HE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RN[:, THE BOTTOM OF THE E~';E:R'v'RTION (IN FEET).
THER. E IS NO SET WIDTH FOR TRENCHES.
THE GRR'¢EL DEPTH IS ]'HE MINIMUM DEPTH OF GRR'v'EL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE E~<CFt'v'F~TION (IN FEET).
F: ~:] LT). L.i ][ F-". E [:, _. E F I I E: 'l' R ~-~ P-:: __. I Z E = :1. ~7ji ¢_~1 £1 FJ R L_ L.. (l_ ~-~ ._al
E,H_.K. FILLING OF RN'¢ _,.r_,TErl WITHOLIT F'INRL IN_-FEI...FION RNI) APFRO,/P]L 6'r ]HI=,
DEPRRTMENT WILL E,E :,UB..IEL. T TQ FRO_,EL. UTIuN.
MINIMUM DISTRNCE BETWEEN R WELL RND RN'¢ ON-SITE SEWRGE DISF'OSRL S'YSTEM IS
tEJO FEET FOR R F'RI'¢RTE WELL OR 200 FEET FOR R PUBLIC [,JELL.
SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER
I NSTRLLRT I ON.
I CERTIF'?' THRT
t: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FOR]'H B"r' THE MUNICIPRLIT"r' OF FtNCHORRGE.
2: ! WILL INSTRLL ]'HE SYSTEM IN RCCORDRNCE WITH THE CODES.
]~: I UNDERSTRND THRT THE ON-SITE SEWER S'¢'STEM MR9 REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN Z-': BEDROOMS.
"One ~t i~ ~,orth a thousand
2204 CleVeland Anchorage, Alaska 99503
Performed For ~hO~S D--, aO,~J Date Performed
Le,al qescrintion: Lot ~Block ~ Subdivision
This ~orm Renorts Soils Lo~ ~ Percolation Test.
4
6--
~e~th
Feet Soil Characteristics
14~--. ~'
16--
18--
20--
Was Ground Water Encountered?
I~ Yes, At what Denth? --
Readinq Date Gross Time Net Time Depth to H20 Net Dron
I .
Percolation Rate Hinute
Proposed Installation: Seenaoe Pit Drain Field
Deoth of Inlet Depth To Bottom Of Pit Or Trench
CASemENTS: /~'~9 ~ G, /~.~-, o3 {~.~ /,4jlp-~ ~G- ~Ir~ IGuc-_~)./ [~)/~Oo/d'q
Test Performed By
Data Certified BP:
Date:
(~ 6r E
Russe# Oyster
694-2774
SoilsE~ Foundations
Performed for:
Legal Description:
Depth (feet)
0
1
3
5
6
7
8
g
lO
ll
12
GEOTECHNICAL 8' DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Earl Ellis
688-2280
Land Development
Name:
Hai~tng Address:
Ground Water Encountered: Yes ~ No~ If yes, what depth Ob'
Proposed Installation: Seepage Pit___.__ Drain Fte~d
Performed by: '~.. Date: ~ ~ \o,~,~
O ~- E GEOTECHNICAL ~ DEVELOPMENT CO.
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils ~- Foundations
Earl Ellis,
688-2280
Land Development
SOIL LOG
Perfomed for: Name: ',~%~--~' ~'~'~',~-~ ~,~.~ Tel, No. '7'--7cl
Hailing Address: ..~% ~t~ ~-~-~,~,~ ~x,~.~c.~ ~ ~-~
Legal Description: ~--z~ \~-~ ~z~..~< ~_. V~,~,./ ~/~_~ ~,.~.~-~.~
Depth (feet) Soil Charactertsttc~
0
1 %~x~.- -.
2
3
5
6
7
8
g
lO
ll
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments: ~-~. < ~<x~ ~
No If yes, whet depth
~/ Drain Fie~d
MUNICIPALITY OF ANCHORAGE
Development Services Department £ Phone: 907-343-7904
On -Site Water & Wastewater Section �'-'/ Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 050-352-17
1. GENERAL INFORMATION
Expiration Date: 8f -pt lo '� C);')o
Complete legal description VALLEY VIEW TERRACE BLOCK 2, LOT 12
Location (site address) 23553 LOWER TERRACE STREET, EAGLE RIVER, AK 99577
Current property owner(s) ROBERT & JOYCE WAINSCOTT Day phone
Mailing address 23553 LOWER TERRACE STREET, EAGLE RIVER, AK 99577
Real estate agent
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
®
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 53D ! 1I ! 2 •S -b
Date of Payment 415-196.;26
Receipt Number _(Q0Si)0a,2,;
COSA # 056,161A;Z?
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
i
COVID-19
25% DISCOUNT APPLIED
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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY ANCHORAGE AK 99516
Engineer's Printed Name CURTIS HUFFMAN PE Date 6/4/2020
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to .de `~t•,q F
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any estimate of how long a system will function satisfactory ,�,,,.C,�Q�. • . •����
for current or future occupants or guarantee that no unseen encroachments, deficiencies or; TH •,�$
discrepancies exist can be given by First Water Consulting & FW%S .... " • "' '
1;..;;
6. DSDSIGNATURE�� Curtis Huffman
V System #1 Approved for bedrooms �¢¢is,,.••CE 128991 •,IRS
�� F,?j� 8/412020 ��
System #2 Approved for bedrooms kllll�, ROFESSION
Disapproved
Conditional approval for bedrooms, with the following stipulations:
4
ON-SITE
WATER AND
TEVATER z
VV
PROp
GRAM
B �� `U����
Original Certificate Date: c;�-� 1 0 62 0� 0
Y g �_
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 Checklist
Legal Description: VALLEY VIEW TERRACE BLOCK 2, LOT 12 Parcel ID: 050-352-17
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 6/7/1976 & 9/1996*
Total depth 240 ft
Cased to 23 ft (INTO BEDROCK)
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 5/27/2020
Static water level at beginning of test 51 ft.
Well production at time of test 2.6+ gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 0.2 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample 5/27/2020
Comments *Well extended deeper in 1996 – see attached well log.
B. TANK DATA
Age of tank(s) 12 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank 49”
Standpipes/foundation cleanout per record drawing
Date of pumping 5/27/20
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 10/14/1976
ALL standpipes present per record drawing
Total measured depth from grade 6.5 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective 3’
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 5/27/2020
Results Pass For 3 bedrooms
Fluid depth prior to test 3 in
Water added 450 gal
New depth 13 in
Elapsed time 1330 min
Final fluid depth 3 in
Absorption rate 450 gpd
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies:
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
Yes if No
ft
Neighboring Tank > 100’ Yes if No
ft
Absorption Field on Lot > 100’ Yes if No
ft
Neighboring Absorption Fields > 100’
Yes if No
ft
Community Sewer Main > 75’ Yes if No
ft
Community Sewer Manhole/Cleanout > 100’
Yes if No
ft
Private Sewer/Septic Line > 25’ Yes if No
ft
Holding Tank > 100’ Yes if No
ft
Animal Containment > 50’ Yes if No
ft
Manure/Animal Excreta Storage > 100’
Yes if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Property Line > 5’ Yes if No
ft
Absorption Field > 5’ Yes if No
ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No
ft
Community Wells > 200’ Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No
ft
Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No
F. ENGINEER’S COMMENTS
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.
6/5/2020
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THESURVEYDA TA AND MEASUREMENTS HEREONAREPREPARED FOR THE
OWNER OF RECORD As OF THE DATE OF THIS SURVEY.
ANYUSE OF THIS DRAWING BY THIRD PARTES IS PROHIBITED UNLESS
WRITTEN PERMISSION IS PROVIDED.
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT
ARE NOT SHOWN HEREON, UNLESS NOTED.
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
SURVEY ORDERED BY:
DAR WALDEN
KEGLER WCLIAMS
AS-BU/L T SURVEY I" =301
NO CORNERS SET THIS DATE
K1 HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 72, &00(2, VALLEY VIEW TERRACESUR (PLA TP -574)
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE,ALASKA THIS IST DAY OF
IUNIF , 2020
HOLT LAND SURVEYING
9309 GROVER DRIVE
14635, F9204-53 ANCHORAGE, AK 99507
~~/~ 279-2511, ext.
~1: Time 9:30 a.m. #2: Time
Date 7-22-77 Friday Date
Insp Pratt Insp
~---~UNICIPALITY OF ANCHORAG~.~..--X
DEPARTME'~ ~F HEALTH AND ENVIRONMEN' ~ROTECTION
825 -L Street, Anchorage, Alaska 99501
224 or 225
Received:
July 21, 1977
#3: Time
Date
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: National Bank of Alaska
Mailing Address: Post Office Box 3-3859 99509 Phone:
2. Property Owner: Thomas J/Julia A. Lord
Mailing Address: Post Office Box 8882 99508
279-2506
Phone:' 69.4-92'78
Legal Description: Lot 12 Block 2 Valley View Subdivision
Single Family Residence: (x) N~ber of Bedrooms: Three
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit #
Construction
Individual well (x) Community/Public ~ystem ( )
Depth of Well Well Log on File
Bacterial Analysis
( )
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site
Installed
System ~ Public Utility
Installer
Manufacturer
Soils Rate Material
( )
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
Department of HealLh and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 12 Block 2 V~ Subdivision
Comments:
Disapproved: Date:
( )
Department Worksheet:
- ~L' ..JN]C]PALITY OF ANCHORAGE :~J:i,~.:!~',..t.!~, ~;:
'~O~ Department of Health and Environmental Prot~'i~o.n
//~.~ 825 L Street, Anchorage, Alaska 99501'
~~ 279-2511, ext. 224, 225 .;~, o
ues~ for Approval of Individual Sewer and Wat~ ~j~+~
1. Property Owner: ~3 ~ ~ ~ /~ ~0~ /~'~'~''~''''''
Mailing Address: ~' ~ ~/~,j~/C ~ Phone:
2. Name of Buyer:
Mailing Address:
Phone:
3. Lending Institution: /~ .'0n~/ Y~ ~.~ ~/~J~U
Mailing Address:
Phone:
4. Realtor/Agent: _
Mailing Address:
5. Legal Description:
Street Location: /_~- .~o~
Phone:
Single Family Residence: (~/ Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
Water Supply: *Individual Well ~.)~Public/Community System
If Individual Well, well depth
If Community System, name of system
Sewage Disposal System: On-site System (~ --Public System
If On-site System, date of installation:
( )
*NOTE: A well log is required on ALL wells drilled ,since 6/75.
3/77