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Home My WebLink AboutT10N R2E SEC 18/19 LT 26 PART 1 tV']-W DRILLING, Inc. ~ P. _,Box4-1224 · 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Rae Mannes _Use of Well Dom. Location (address of: Township, Range, Section, if known; or distance main road Part 1 of Lot 26 Sec. 18 & 19, T10N R2W, S.M. 6" 101 feet Cased to 100.8 feet Size of casing_ Depth of Hole Static water Ieve] Describe screen or perforation Well pumping test at--gallons per (~ of drawdown from static level. 63 ft. ~ (below) land surface. Finish of well (check one) ); Perforated ( ). N/A open end ( XX ); (minute) for. 1 hours with 100% Date of completion 4/5/80 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO_ 2 Casing s tickup 2 TO_ Organics 4 TO_ 39 TO_ 41 TO 73 TO_ 94 TO 101 TO TO TO _TO _TO .TO .TO 4 39 41 73 94 Silty gravel Damp gravel Sandy gravel Silty gravel Sandy water gravel i' ~ WA C:cr~5!ied Cont':ac[or Certificate No':,. 814 & ~3 1- CUSTOMER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4.720 Application Date_0etober 16. 1985 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Part i o~: Lot 26= Sect±on 18/19 T10H R2W Location (address or directions) NHN Alyeska Highway (b) Applicant Name Rae Mannes Telephone: Home 248-5203 Business 248-4000 % M-W Drilling, PO Box 110378, Anchorage, Alaska 99511 Applicant Address (c) Applicant is (check one): Lending institution ~ Owner/builder []; Buyer []; Other [] (explain); (d) Lending institution Home Savings Telephone Address 1001 East Benson~ Anchorage, Alaska (e) Real Estate Company and Agent Address 272-1451 Telephone (f) Mailthe HAAtothefollowingaddress: Call: Rae Mannes. 248-4000 TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms 2(two) Other WATER SUPPLY Individual Well [~ Community [] Public [] Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] Public [~x Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regul',.a, tiDes in effect (;tn the date of this inspection. Name of Firm Telephone Address Date Engineer's Seal DHEP APPROVAL Approved for two(2) bedrooms by Approved xxx Disapproved Terms of Conditional Approval ~'"~-- Date October 28, 1985 Conditional Waiver letter attached. CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page'2 of 2 72-025 (1 ~/84) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~ ~ ~ ~ ~ Telephone: Home~~ ~'~ Business ~ Applicant Address (c) Applicant is (check one): Lending Institution ~'; Owner/builder ~; Buyer D; Other D (explain); (d) Lending Institution ~t~n Address / ~J (e) Real Estate Company and Agent Address Telephone ':~ 7 ~) J ~,- ~ ( Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-Family'~ Multi,Family i-I/~qther Number of Bedrooms '~'71¢U t) WATER SUPPLY Individual Wellx Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] Publicx Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72~)25 (11/841 ENGrNEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address '.~-~,0 Telephone Engineer's Seal DHEP APPROVAL Approved for bedrooms by Date Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALDDF OF ANCHORAG~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) ( '~ ~' ~. r/' , ,, 1985' CHECKLIST - FEBRUARY 1984 RECEIVED Legal Description: ~J~"' 7L J o '1~'4 /c~7~ & ~' ,~ WELL DATA Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: · To Septic/Holding Tank on Lot Well Classification ~'""¢'-~/'~ ] V~ / DO ~ .L_ if A, B, C, D.E.C. ,Approved (Y/N) Well Log Present (Y/N)Date Completed ~/~/~ Yield Total Depth / O~, ~ /Cased to JO0, Static Water Level '~ 7 ~ Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption~e~g Lot ~o~ ~ On Adjoining Lots To Nearest Public Sewer Li~ ~ To Nearest Public Sewer CleanouVManhole ~"' ~ To Nearest Sewer Se~ice Line on Water Sample Collected by ~-~ ~ ; Date ~ ,...-- Water Sample Test Results ~' ~ '" -'~ '~ Date Installed Size ~, No, of Compa~ments Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) Standpipes (Y/N) Air-~j,ght Caps (Y/N) Depression over Tank (Y/N) ' Pumping/Maintenance Contract on File!fY/N) Holding Tank High-Water Alarm (Y/N) ! I Separation Distances from Septic/Holdin~g Tank: To Water-Supply Well To Pr~operty Line To Water Main/Service Line Course Comments Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments MUNICIPALITY OP ANCHORAGE DEPT. OF HEALTH & ENViRONmENTAL P. OTECr o, Type of System Design i; i- il '/' lg85 Length of Field ~ Depth of Field ECEIVED Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I h avc-c..~ked, yerifj¢ d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Company ~~ ~- MOA No. Receipt No. %~~ A Amount: $ &~ ff / ~: 'neer's Seal P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. ~ MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES October 28, 1985 Wayne Henderson Peninsula Engineering 440 West Benson Boulevard Anchorage, Alaska 99503 Subject: WR85-043 Lot 26-1, Section 18/19 T10N R2W Dear Mr. Henderson, This Department hereby waives the separation distance between the private well and main sewer line, and between the well and service line to 39 feet and 11 feet respectively. This approval is valid for a two bedroom single family dwelling. Sincerely, Susan E. Oswalt Acting Program Manager On-site Services SEO/ljw U.S. SURVEY ~045 26-1 26-5 ML ROAD, SOUTH END Arctic [nvironmental I:ngineers, Anchorage, Alaska. GIRDWOOD - ALYESKA SEWER COLLECTION SYSTEM PLAN AND PROFILE 41361 8 9 10 77 Municipality of Anchor:by• MAY 0 7 2018 -- On-Site Water and Wastewater Progra, (907) 343-7904 SA ETY \C Certificate of On-Site Systems Approv- s 8 I- 9 Parcel I.D. 075-061-32 Expiration Date: � 5?" I 1. GENERAL INFORMATION: Complete legal description T1 ON, R2E, Section 18/19, Lot 26, Part 1 Location (site address) 133 My Road*Girdwood,AK 99587 Current Property owner(s) James Murphy Day phone 444-6224 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for: Distance: Received by: (12 Date: -V1/l $ l COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ SLS'/ Waiver Fee $ Date of Payment `r'1 / a 16 Date of Payment Receipt Number 3LiL S.S Receipt Number COSA# J CAC-6k 2, 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: Gayness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: s�� 00000�� In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o O F 41 in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the p' •:</A. . � evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �J�- •.� encroachments may exist that were not identified during the evaluation. The operational life of all wells . 4�� 1 HH►. * D QO and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 0 I groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 p workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the AA J fir- A. Go ss.• system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of Vr Q the well or septic system. GEG makes no representation whether an alternative well or septic system V�9s • CE—793 c�Op can be installed on the property in the event either of the current systems fail to perform adequately in , the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4dpeaP F(3\ o0 perform the evaluation. Reliance upon the information provided in this report by any other person or �� rOfess+000� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right OOO000 whatsoever. #AECC884 6. DSD SIGNATURE Ys System #1 Approved for z bedrooms System #2 Approved for bedrooms CX- Disapproved Off_ • wAT SITE Conditional approval for bedrooms, with the followin@tii�.r AND r ATER -0 PROGRAM G4, t"- Original Certificate Date: 5-1-2 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc 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: T10N, R2E, Section 18/19, Lot 26, Part 1 Parcel ID: 075-061-32 A. WELL DATA Well type Private If A, B, or C provide PWSID# N/A Well Log (Y/N) Yes Date completed 4/5/1980 Sanitary seal (YIN) Yes Wires properly protected (Y/N) Yes Total depth 101 ft. Cased to 100.8 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 4/5/1980 4/25/2018 Static water level 63 ft. 68.1 ft. Well production 15 g.p.m. 8.2+ g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 ml. Nitrate 0.394 mg./L. Collected by: GEG. Ltd. Arsenic: <5 ug./L. Date of sample: 4/25/2018 AWWU B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression over tank (Y/N) High water alarm Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2or ft2/bdr System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption - -a ft? Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absor• ..n field before test in. Water added gal. New depth in. Elapsed T . -: min. Final fluid depth in. Absorption rate >= g.p.d. • • 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 .• wa er alarm level at in. e- " Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main *39 + Public sewer manhole/cleanout **50'+ Sewer/septic service line *11'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: AWWU Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIE R 0 1 OT TO: Property line Bu. •.- • oundation Water main Water service line Surface water Driveway, parking/vehicle storage .. drain Wells on adjacent lots F. COMMENTS *WR85-043 **Per code at time of installation (1980) ,z,.o��OO� G. ENGINEER'S CERTIFICATION v=' OF 4 4 N I certify that/have determined through field inspections and :ACP:: 4' T it '•.3*0 review of Municipal records that the above systems are in i ""' conformance with MOA COSH guidelines in effect on Phis VA date. tp ••.i= -y Illness.:- Engineer's Printed Name JEFFREY A. GARNESS VQ CE 79 3 mph 9 m Date Jrl?� �04�� l•7• x.S• X4\4 �4ea pro f essionGaao #AECC884 (Rev. 11/05) 8472M LEGAL DESCRIPTION Starting at the most Westerly corner of said Lot 26, proceed / S52°36'E exactly along the Southwest boundary of said Lot \ 26 a distance of 166'to the point of beginning. From the / point of beginning; thence S52°36'E exactly along the Southwest boundary said of Lot 26 a distance of 83'thence / N37°07'E parallel to the Northwest boundary of said Lot 26 Part 5 a distance of 99';thence N52°36'W to a point,which when / \ extended S37°07'W to the Southwest boundary line of said / Lot 26 makes a line exactly parallel to the Northwest boundary line of said Lot 26; thence 37°07'W as \ / N immediately above set forth,to the point of beginning, in the �\ \ Anchorage Recording District Third Judicial District, State of C\\\ \\\N\ / Alaska. \\ / N. \\ \N.N \ \ N �\\\\\N / Part 6 / N LOT 27 / `\\ \\\ / N / NI°\\F, \ LOT / 26 N Part 7 (s 7s�\ 2,\ / e�\c / Part 3 �O\ccds\ ��` \ ,',V%-i •d, ��` '/ / \ / N o��\ \� \ Seo 6' / \ s / Part 8 �b�o0 ,�,o \ `�' OO,' N \ s `� \�°\N\s, \\ kk / �e°`5 Part 4 /N n ye yes / \ \O� N., .,,<!, �asS N `�00/ �Fa 4io Ng\ \ r� Part 1 N ' ,ce yao A S N os-,j • Je\\ \ N ,2C‘ (sq / 0 f>j1 Wood ret.wall '� d��ey�� ` e°`\c s� / \ 7 ?3 .Q\\\ \6o° rnuuu°u °Well O \ LOT 25C \ N 2Story a . 0) X \N\ / .e Frame /� / V \\0 32 2e v 4, N\ /\ -� Seo 7 9 �O N \ �Q- / `'6'p�,, N N Op^ Part 2 0`Z' / `b00 N � / 'z\ o LOT 25D o 10'CEA Easement / � (Book 280,pg 703) o Q CO V Note: This parcel is also described in \ / v� �1 Municipality of Anchorage tax records N N-- as follows: T10N, R2E, SEC 18/19, N/ LT 26 PART 1 Sp / 16, ♦ O� N.1,% 1 / AS-BUILT AND CORNERS SET THIS DATE A( / , .: • qs �, I hereby certify that I have performed a Mortgagee's inspection `ANF4trP•• , of the following described property: A portion of Lot 26 j 49th �, •• • / U.S. Survey 3043. (See legal description above) per Statutory Warranty Deed (Book 2509, page 175) • •• Anchorage Recording District.Alaska,and that the improvements situated thereon are within the property lines A Elizabeth L. Walotka :,? / and do not overlap or encroach on the property lying i4'' • • SA' 40 adjacent thereto,that no improvements on the property lying i ',sF•. 8036 - LS ' adjacent thereto encroach on the premises in question and �1�Fo • • • , . • •�,o+ that there are no roadways,transmission lines or other �oF. • • •A� `� visible easements on said property except as indicated SCALE: 1"= 50' 1�‘`"�• hereon. 2 -!B Dated at Anchorage.Alaska EASEMENTS OF RECORD, OTHER THAN this 16th day of MAY ,2015. THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON FRED WALATKA&ASSOCIATES,L.L.C. pg BE FB 18-2, 49 Engineers and Surveyors UNLESS OTHERWISE NOTED. 907-248-1666