HomeMy WebLinkAboutTHE VILLAGES TIDE VIEW LT 10The Villages
Tide View
Lot 10
#020-091-54
iA+
f'~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchnrage, Alaska 99501 Telephon~ 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ADDRESS
LEGAL DESCRIPTION
Width
Well
DISTANCE TO;
Manufacturer
DISTANCE
TO:
Length of each
NO. of lines
Top of tile to finish grade
Total length Of 14~/-~
Depth
Material
Type of crib Crib diameter Crib depth
Well Building foundation
DISTANCE TO:
DISTANCE TO: Building foundation Sewer line
r-"l UPGRADE
NO. OF BEDROOMS
PERMIT NO ~,~"?~-',f'-~
No. of compartments
Liquid depth
PERMIT NO.
Trench wldth
Liquid capacity in gallons
PERMIT NO.~ :'~ ~''''¢'' zT'~
Total effective absorption area
Nearest lot line
Septic tank
OTHER
PIPE MATERIALS
I N STA L LF~::~j~t/'" ~,~ g~,~'~j. ~)~-~-~ ~¢'~
APPROVED
L
72~)13 IRev. 3178)
DATE LEGAL
PERMIT NO.
DEPFIRTMEHT ['HEFILTH FtHD ENvlROr. IMEr. ITFIL '. OTECTIOH
825 "L" STREET, t~NCHORFIGE, BK.
264-4?20
I.-IELL. FI I~'.ID OI'".I--S I TE SEI-IER PERI"I I T
( 820010 >
8PPLICFIf4T NELSOH GINGERRICH SRFI BX ~80-J 8HCH
LOCFIT I OH V.ILLBGES TIDEVIEH
LEGFIL LT. 50 VILLAGES TIDEYIEH S./D LOT SIZE
~45-~0~
45000 SQUFIRE FEET
TYPE OF SOIL 8BSORPTIOH SYSTEM IS: TRENCH
MFIXIMUM tqUMBER OF BEDROOMS
SOIL RFITING
THE REOUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= ? LEI'-IGTH= ~-- GRFI%-'EL DEPTH=
THE LENGTH DIHENSIOH IS THE LENGTH (IH FEET> OF THE TRENCH OR DRFIINFIELD.
THE DEPTH OF FI TRENCH OR PIT IS THE DISTRHOE BETHEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCR',,,'RTION <IH FEET>.
THERE IS HO SET I.IIDTH FOR TRENCHES.
THE GRFIVEL DEPTH IS THE MINIMUH DEPTH OF GRFtVEL BETHEEN THE OUTFFtLL PIFE
eND THE BOTTOM OF THE EXCRVFITION (IH FEET>.
REC-!LI I RED SEPT I C TI=It-Il-( S I .SE= ::I...C-~ _~'-'3 0 GRLLOI'-.IS
PERMIT RPPLICFIHT HFIS THE RESPONSIBILITY TO INFORM THIS DEPFIRTbIENT DURING THE
INSTRLLRTIOH IHSPECTIONS OF ANY HELLS RDJRCENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THFIT THE HELL HILL SERVE.
TI,~IO ( 2 ) I I'-ISPECT I 0 I'-.IS RF-:E REQU I RED
BRCKFILLING OF RHY S'*'STEM I.IITHOUT FINFIL INSPECTIOH RHO RPPROVFIL BY THIS
DEPFIRTMENT HILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETHEEH R HELL AHD 8NY OH-SITE SEHRGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIYFITE HELL OR 150 TO 200 FEET FROM 8 PUBLIC HELL DEPENDIHG
UPOH THE TYPE OF PUBLIC HELL.
HINIMUM DISTRNCE FROM R PRIVATE HELL TO R PRIVRTE SEHER LINE IS 25 FEET AND
TO R COMMUNITY SEHER LINE I$ 75 FEET.
HELL LOGS ARE REQUIRED RNO MUST 8E RETURNEO TO THE DEPARTMENT HITHIH ~8 DRYS
OF THE HELL COMPLETION.
OTHER REQUIREMENTS MRY APPLY. SPECIfiCATIONS 8ND CONSTRUCTION DIRGRBMS ORE
8VHILABLE TO INSURE PROPER INSTBLLBTION.
PERI'd I T EXP I RES DECEI'IE:ER ~--'! .. ~---q~82
I CERTIFY THFIT
i:'" 'I '~H' ~HILIBR HITH-T~E' REQUIREMENTS 'FOR ON-SITE' SEHERS-~f:iD-I.IE~LS '8S- ~'E-T
FORTH BY THE I'IUHICIPRLITY OF RNCHORRGE.
2~ I I,IILL INSTALL THE SYSTEM IN FICCORDFINCE I,IITH THE CODES.
5; I UHDERSTRND THFtT THE ON-SITE SEHER SYSTEM MFIY REQUIRE EIqLRRGEMENT IF THE
RESIDENCE IS REHODELED TO INCLUDE MORE THFIH ~ BEDROOMS.
SIGHED'
APPLICANT N ELS/~G I N GERRICH
ISSUED __.,_ .............. ~ ................................
V4. 0
~-,'I~::[LLII. IQ ,e. HN',' ~'r'$rlzrt IllIIlOUr F[N;'II. [N-~..'cr[oII R.'t. ,.PF:.V,1L g'! .tHIS
hill I ~ $1.1.~..I1~1.~i' I'O PI;?7~-'T.~*.IJI JITJI'L
[ ~>J,'r[F',-' TII:~IT
L. [ ~, Ft'fl'i (L [H},: H[I'It
I-iTJRT!I .P,'? fill-. I'IIIH[C[I"I'IL[I"~~ I.IJ:
':.:4 ~.:
"L" STr{EET
A,NCliORAGE, ALASKA 99501
26.'1 4111
January 4, 1982
Nelson Gingerich
SRA Box 380 J
Anchorage, AK 99507
Permit ~ 810162
Subject: L 10 Villages Tideview
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Les N. Buchholz.F~R~g.
Program Manager~-''
Sewer and Water Program
Enclosure: Copy of Permit
PERMIT NO.
14ELL
( 810162 >
Mt~r4 I C I,^AL I TY OF
R r,ICI/"tRI~GE
DEPARTMENT ,_. HEALTH AND ENVIRONMENTAL . ,<OTECTION
825 'L~ STREET, ANCHORAGE, AK. 99501
264-4?20
014--S I TE SEL4ER PERr~ I T
RPPLICRNT NELSON OINGERICH SAR BOX ~80 J
LOCATION VILLAGES SCENIC TIDEVIEW
LEORL LiB VILLAGES TIDEVIEW LOT SI~E
~45-~0~
45000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MR.~IMUM NUMBER OF BEDROOMS = ~ SOIL RATIN(~(S~ F~?BR)= i25
THE REQUIRED SIZE OF THE SOIL .BSORPTION SYSTEM )
/
THE ~EPTH OF A TRENCH O~ PIT tIs~THE DISTANCE BETW~(N THE SURFAC~F THE
THE GRAVEL DEPTH I5 THE MINIMUM DEPTH OF GR~VEL BETWEEN T~ OUTFALL PIPE
INSTALLATION IN~ECTION~ OF ~NY WEL~ A~JAC~T TO T~I~ PROPERT~ 8N~ THE
NUMBER OF RESIDENCES THAT TH~WELL CtILL SERVE.
------TNO ~2) I N~PEC~IO[41/RRE' REOUIRED-----
BACKFILLING Of ANY, SYSTEM WIT~UT FINAL~CTION AND APPROVAL BY THIS
DEPARTMENT WILL BE~SUBJECT TO ~ROSECUTIO~;--,
/
MINIMUM DISTANCE BETWEEN R WELL'AND 8NV ON-SITE'"SEWRGE DISPOSAL SYSTEM IS
lee FEET FOR R PRIVATE NELL OR ~8 TO 2ce FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL ~ ~ '*x.
MINIMUM DISTANCE FROH~ PRIVATE ~ELL~O R-PRIgRTE SEWER LINE IS 25 FEET
TO 8 COMMUNITY SEWER LI(~E IS 75 ~EET/ ~ }
WELL LOGS ARE REQUIRED 8~D MUST ~E RETORN~D TO THE DEPARTMENT WITHIN ~e
OF THE WELL COMPLETION. %, ~ "'
OTHER REQUIREMENTS MR~ 8PP~. : ~ECIFIORTIOMS AND CONSTRUCTION BIRGRRM~ ARE
AVAILABLE TO INSURE PROPER I~ _LRTION.
PERbl ! T EXP · RE~ DECEMBER 2~_~ ~-~8:L
I CERTIFV THAT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IH ACCORDANCE WITH THE CODES.
i-~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THR~I ~ BEDROOMS.
S I GNED: ........................................
~ APPLICANT NELSON GINGERICH
V4. 0
~ RE'OOIEEO ~.[Z~ ~' ~ SOIL ~TION
F'L.~TH ~'! THE I'TI..q~ICIF"~_tT~ ~ ~
_~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION n PERCOLATION
TEST
825 L Street. Anchm'age, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
OEPT~ SLOPE SITE PLAN
JFEET).
,-.3:
8_O0~
10
ENCOUNTERED? O
P
12- ,~ · I IFYES. ATWHAT J/ I E
13- ~: ' ~ DEPTH?
Gross Net Depth to Net
14 -... · Reading Date Time Time Water Drop
15- .'
~ X:;~ PERCO~TION RATE (mlnut~/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS
72-008 (6/79)
~.. Vernf s Drillinc
Villages 10 / / /
~ido Viow
Nelson Gingerich .
'silty till boulder 0
s~lt~ c±ay 12
brown ~earock - red streak~ 16
brown rocm ory
blue gray roca
brov,~ s~rea~ ~n gray Heavy
seepage
black ro ca white streaks
5 gpm
19
19 80
~0 100
100 190
190 200
RECEIVED
200 ' ft. 2
5. t--lc.b,.t l Izi, o .,'y
6. USE: ~sCIc ~Publlc SuPPly ~l~ustry
~ Irrigation ~ Rec~g, ~C~rclal
DTest ~11 ~ O~her:
7. CASIN~: ~ Thr~ded ~elded
[--1Rec;~rocltlng
ft.
Water Temperature:
AA 3322
Anchorage, Alaska 99507
Municipality of Anchorage°
On -Site Water & Wastewater Program `- --
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel LD, 020-091-54 Expiration Date: �!
1. GENERAL INFORMATION
Complete legal description THE VILLAGES TIDE VIEW S/D; LOT 10
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
17005 TIDEVIEW DRIVE, ANCHORAGE, AK, 99516
NELSON & MARGARET GINGERICH Day phone
1757 HOLLYBROOK CIRCLE, ANCHORAGE, AK, 99507
MARIANNE HAMILTON W/ REMAX/DYNAMIC 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:
345-2549
317-5756
TYPE OF WASTEWATER DISPOSAL:
Individual Well
E
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
0
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
WaiverNanance request for
:I
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $
sato. A,
Date of Payment 4/7//q
Receipt Number_7 514z�24
COSA # dS C 1,`_/
( `T l a3/
Date:
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
Distance: —
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. /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
Address
GARNESS ENGINEERING GROUP, Ltd.
3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. allempted 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 contra/ 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 safe benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
if System #1 Approved for 3 bedrooms.
Phone 337-6179
Date 2,1A I �V-
ooboopp�4
I( GC�.E.,,—(!79,4 .
System #2 Approved for bedrooms. `a`\\�\�N iOF tNC� r`/
Disapproved. �QP O 141
�
Conditional approval for bedrooms, with the following stipulat`l ON-SITE
-%hfn-rPR AND
Original Certificate Date:
The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations 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. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
/Rea 111M
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:
A. WELL DATA
THE VILLAGES TIDE VIEW S/D; LOT 10
*BEDROCK AT 16".
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 11/1/1982 Sanitary seal (Y/N)-Y--
Total depth 200 ft.
Date of test
Static water level
Well production
Cased to *22.58 ft
FROM WELL LOG
11/1/1982
UNSPECIFIED ft,
5 nnm
WATER SAMPLE RESULTS:
Parcel ID: 020-091-54
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 12+ in.
AT INSPECTION
8/16/2013
30 ft.
4.55+ g,p,m,
Coliform 0 colonies/100 ml. Nitrate 2.60 mg./L. Collected by: GEG, Ltd.
Arsenic: *ND ug./L. Date of sample: 1/21/2014 *ARSENIC SAMPLE 8/16/2013.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 8/13/1982
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES
I / Depression over tank (Y/iN) NO High water alarm (Y/N) N/A
Date of pumping 17 Pumper i l 1 �✓r G '�e <U c r
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE
Date installed 8/13/1982 Soil rating (g.p.d./ft2or /bdrm 125 System type TRENCH
Length 47 ft. Width 2.5 ft. Gravel below pipe 4 ft.
Total depth *9.2 ft. Eff. absorption area 376 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test **8/16/2013 Results (Pass/Fail) PASS For E bedrooms
Fluid depth in absorption field before test **2 in. Water added 540 gal. New depth 2 in.
Elapsed Time: 5 min. Final fluid depth DRY in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
**NOTE: HOUSE WAS VACANT AT TIME OF TEST. DRAINFIELD WAS PRESOAKED WITH 2085 GALLONS OF
WATER IMMEDIATELY PRIOR TO TESTING. LIQUID LEVEL NEVER EXCEEDED 2" DURING PRE—SOAK OR TEST
D. LIFT STATION
Date installed_
"Pump on" level at in.
n ---
Size in gallons Manhole/Access (Y/N).
"Pump off' level at wa er alarm level
Cycles tested Meets alarm & circuit requirements?
If: SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main
75+
Public sewer manhole/cleanout
100'+
Sewer /septic service line
25'+
Holding tank N/A
Animal containment areas
50'+
Manure/animal excrete storage areas
100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING
TANK ON LOT TO:
Building foundation 5'+
Property line
5'+ Absorption field
5'+
Water main N/A
Water service line
10'+ Surface water
100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that l 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.
Engineer's Printed Name JEFFREY A. GARNESS
Date `Z ✓!cL
I'
(Rev. 11105)
PLAT NO. 77-208
THE VILLAGES TIDE VIEW
LOT 10
46,206 S.F.
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GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI, R.L.S.
2000 E. DOWLING RD., SUITE 8
ANCHORAGE, ALASKA 99507
PHONE 248-5454
GRID DATE
SW3336 2/4/2014
F.B. JOB NO.
14-01 TVTV10
Q
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE
BUILDING DETAIL
SCALE: 1 "=20'
OF
44
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