No preview available
HomeMy WebLinkAboutTROLL KNOLL BLK 3 LT 5Troll Knoll Block 3 Lot 5 #051-521-01 e P1 /�1 MUNICIPALITY OF ANCHORAGE 1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONEr�EW KQOMA-C. %a�.6in OUPGRADE MAILING ADDRESS P0. ,Guys -q5/ F,e. LEGAL DESCRIPTION 2-5 83 T—ie-ou K"L.L_ LOCATION UY 6Q W i• N -i02 x?- J J 3 DISTANCE TO: ell Manufacturer Getct- Liq. capacity in gallons fnn c� IF HOMEMADE: DISTANCE TO: Well Manufacturer DISTANCE TO: Absorption area io/ Inside length Dwelling W I r • Foundation 33 1 DISTANCE TO: m«,r,�'Z� No. of lines ' Length of :a hrL'+/ Total length ofSe% Top of tile to finish grade 7 r Material beneath the Length Width Depth Dwelling Materiat5 / Sfz£L Width Material Nearest lot line /O �4 Trench width t? �. inches /a ipe" NO. OF BEDROOMS PERMIT NO. P 20 49,i No. of con, partLments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO.e 20'S�YB Distance between lines Total effective absorptiongj rea PERMIT N Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: ss Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer liner Septic tank Absorption area(s) DISTANCE TO: r.14"" -r.2ou +lac, �— OTHER PIPE MATERIALS D -3a34 SOILTEST RATING ��-00 INSTALLER fio� 4-c 40"IcS REMARKS l�nrP�.,tir Lt�a:QE� -r N u APPROV ED DATE LEGAL 72-013 IR 1' PC��k 6L 37 Cc — — 1A I Z' I t* �IL4 Flo` a\ r•7Ur4 I r- I,�RL I TY nF= F P4 Cl IRF=l GE O DEPARTMENT Ur HEALTH AND ENVIRONMENTAL PROTECTION �1a• l . 6"go 825 'L' STREET, ANCHORAGE, AK. 99501 0 `l 264-4720 �U �` \ Oro—'� I TE F E:Rrrt I T nilma8 _9a PERMIT 4:. C 820498 > APPLICANT RUSTIC HOMES AL LAR,SON PO BOX 544 E. R. 694-2309 9 LOCATION VV LEGAL L5 B3 TROLL KNOLL LOT SIZE 222222 SQUARE FEET TYPE OF SOIL ABSORPTION! SYSTEM IS: TRENCH MAXIMUM NUMBER, OF BEDROOMS = 3 SOIL RATING CSQ FT/BR)= 283 THE REQUIRED SIZE OF THE SOIL ABSORPTION` SNITEr IS: L E r4c3 T vi = >IT CaR F 41 EL_ E> E Fw TF -A = THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). RECALJ I RBC? S~EF=•T I C 7rF1t• V< •S I w"E= fLCACACD C3FAL_L_CFhI'c=. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION! IN'=PECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TlJC L: ^ a I rJS=F ECT I CDr-JS~ FARE REG'!LJ I RE00 BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY OM -SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR: 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER: INSTALLATION. F'EFRtl I T E}XF` I RES} &Er`EMEREF? _ nLp AL x+52 I CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MOP AN 3 BEDROOMS. SIGNED:_ '= &I'lQuos AP�CAd(T FUSTIC HOMES AL LARSON ISSUED BY t 's Z- V4.0 `'•' ' '.. k ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE \I DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2643720 /J SOULS LOG— PERCOLATION TEST � PERFORMED FOR :/1� ��tl �jI •'/ DATE PERFORMED:/XI�/A /v YZ 1 LEGAL DESCRIPTION: j eP x C( SLOPE SITE PLAN i 2 � 4-�0 C) r 5- Cej 5- . r l - 10-- 1 11 — r' WAS GROUND WATER /f,Lj S l` ENCOUNTERED? ,v 0 12- r P F IF YES, AT WHAT E DEPTH? 13- � � 14 Reading Date Gross Net Depth to Net O Time Time Water Drop 1 i15-� .. X15_ 7X`1 C7 17- rye a It t*It ,a- ........4 , #- 14a.1 -E zo/� 7 PERCOLATION RATE 0 (minutes/inch) 711v- COMMENTS j/ {�Q 0 LL( Q TEST RUN BETWEEN FT AND FT 1 COMMENTS '1 r! I Q k//z PERFORMED BY; S uCVOIi4FFRIIP:` CERTIFIED 4l / DATE://,�I�NO!/ IrACLEPIVER At ASK& £9577 PH. 694-2970 72-008 (4/79) - APPLIC'04*1T FILLS OUT UPPER HAL"`ONLY Prbperty Owner 4W,41 S �, d //,✓N /_' K/a i IV I Phone Mailing Address r7 /�-Y "// %- h r It'.) _i% /" r. r? r /1 �' �% iC Zip Code 9 CJ' S'6 '7 Buyer / / Address Zip Code Lending Institution /r w : T /✓i/ /, urs e / /3 '?IV IC of /%Nuo.0 /j�C - n Phone C ,9, )e 1�1 i /r /Z % e, /4 /V Cll- Address r n /� ` yr R' el l/1' "/a/%T7A'-/?,kyCnp/W,rZIPCode 99.-77 Realty Co. & Agent Phone Address Zip Code Legal Description L o % = `'/.•c %" 3 7EZo L O ,C/VO LL Street Location (. .r.r�r Ski f'oA •) / /�i �� Tp /�C'r dG Type 01 Residence JO Single Family ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply ❑ Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. Q Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility Sewer Disposal - nn Q Individual u Year Individual Installed: /yfi.Z (o-- ❑ Public Utility /• ' , When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Date Inspector Field Notes: �a1� APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE ~ BY: — Time Date Inspector Time Date Inspector 'CONDITIONS OF APPROVAL Time n t 1L -V rf, o Date 5 / q-CU-nna 1� USS Inspector pd�r,ds MUNICIPALITY OF ANCHORAGE r -=T C" r' -m ENVIn .,I!. 3f ,:A. 1,0 S I i £s 1962 RECEIVED Solis RatitlnQ Dale Sewer Installed Well To Absorption Area Well Log Received o S 6 ' r V- Well to Tank Septic Tank Slze 72o wan Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-521-01 1. GENERAL INFORMATION Expiration Date: Complete legal description TROLL KNOLL; BLOCK 3 LOT 5 Location (site address) 23877 HILLTOP DRIVE *CHUGIAK. AK 99567 Current Property owner(s) MATT & VANESSA LARAMIE Day phone Mailing address 23877 HILLTOP DRIVE *CHUGIAK AK 99567 382-9183 Real Estate Agent DUSTIN RENNER Day phone 841-0128 2. TYPE OF DWELLING: 0 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 On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well Community On-site ❑ Public Water System ❑ Public Sewer ❑ t; 9" z Received by: % a 4, /,_ /;�'; Z Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ t�10' Waiver Fee $ Date of Payment �[ 1�1 l 3 C& _ Date of Payment Receipt Number 05�)D4 C, Receipt Number COSA# 05Li;ILAh 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. 1 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date c t7 t' 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 alf 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 evaluatorof 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 sole 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. 6. DSD SIGNATURE 1,/System #1 Approved for bedrooms. System #2 Approved for Disapproved. d:.:...,..i al for Vol WILlo ial apprD... bedrooms. bedrooms, with the following stipulations: OF i i ��� ON-SiTE WATER AND r r NnrflCTEWATER o J ✓ VV,"" `Z PROGR, . QAx Original Certificate Date: E - 2 -s 1 -3 �� The unicipality r Anchorage Develop,em[ 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 'p— isms 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: TROLL KNOLL; BLOCK 3, LOT 5 Parcel ID: 051-521-01 A. WELL DATA Well type A Date completed Total depth ft. Date of test Static water level If A, B, or C provide PWSID# 210778 Well Log (Y/N)_ Sanitary seal (Y/N) Wires properly protected Cased to ft. Casing height (abs FROM WELL LOG Well production / g.p.m. WATER SAMPLE Coliform _colonies/100 ml. Nitrate AT mg./L. Collected by: ft. in. A IG : ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA *LOCATED IN LAUNDRY ROOM Tank Type/Material SEPTIC/STEEL Date installed 6/28/82 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) *YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A I Date of pumping 0 Pumper Un G S 'Tu 47 S iZ c C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 6/28/82 Soil rating (g.p.d./ft or � 283 System type TRENCH Length 45 ft. Width 3 ft. Gravel below pipe 12 ft. Total depth *17.66 ft. Eff. absorption area 1080 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9/10/13 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 116 in. Water added 630 gal. New depth 134 in. Elapsed Time: 965 min. Final fluid depth 118.5 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access "Pump off" levelHigh water alarm level at in. Cycles tested Meets alar &circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent Absorption field on lot On adjacent lots Public sewer main Sewer /septic service line areas manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ i Absorption field 5'+ Water main 10'+ Water service line— to fi Surface water 100'+ Wells on adjacent lots 200'+ PUBLIC/100'+ PRIVATE SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line tI Drr Surfacewater 1003+ Driveway, parking/vehicle storege 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ PUBLIC/100'+ PRIVATE F. COMMENTS P o�� SSP Sr Vm� ��cU ;-G . S �► o sw�. 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. Engineers Printed Name JEFFREY A. GARNESS Date 9'l17 b3 09/13/2013 12:28 9076880204 PAGE 01101 One Stop Services Phone: (907) 338-5563 • Fax: (907) 338-5564 7654 ©Id Harbor Avenue • Anchorage, Alaska 99504 NOTES: I. SEE PLAT NOTES IF APPLICABLE. ,hp L THIS LOT L9 SERVED BY COY/COMMUNITY WATER LOT 5 \�\ 3 L 0 C K EARL RAY i ,-v60 s\� SUBD. X'Two 01 6 2 X FRAMES14OUSE O F (SEE DETAIL) J \\� 3��5\� � � �'R = 20.00' L = Z 1.98' PARKING `"� UTILITY �.�` PAD/DRIVE �� EASEMENT 8.0' X 6.0' 03 SHED DR WOOD 7—i MT _--- �`�' i PLATFORM �,�T 5 i} rE, t 1.2' OFF o + O �/p 3 4b aST "E— LOTLINE BLOCK 3 S 04 58'47 ' E I ti Q s N[,�j UPPER 3 S B3°/027'• I WINDOW £ Z56 70, N 11 II CANT LOT 4 ± 7. P TO SHED O' ` D E T A I L I ±3.8' TO DECK Q�UPPER (I •, = 30') I (� t S I ,4'4 of DSTEPS / W� E DAYLIGHT GARAGE O LOT Z �S 11 / y SHED W/ D� 21 .6' TO SHED RAMP, d EAVES LEGEND +7 -5.3' TO DECK 0 .Cj POWER POLE WITH �OVERHEAD LINE DIR �, o AND ANCHOR ra n • FOUND 1/2" RESAR x'22 •'< ,�, UPPER DECK ® WATER VALVE W/ STEPS ENTRY W/ (CHAIN LINK ® FOUND 3/4" RESAR CO NEXT STEPS KENNEL TO 18" UNDERNEATH) BLOCK ��j GMP WALK L`JI&W iAljrYrnl �jajCfr' .yat601�\Q►��6 ��%�V/�jJs(S71 �hte�,QF .y 647 W. Evergreen Ave., Palmer, Alaska 99645, Phare (907) 745-1110._6Q'' I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY. LOT S. BLOCK 30' *_".671 TROLL. KNOLL SUBDIW5101 PLAT NO. 73-178 tr ANCHORAGE RECORDING DISTRICT, AND THERE ARE NO ENCROAUIMENTS VISIBLE AT THE TIME OF THIS SURVEY, 'ii i Wh T : ailw EXCEPT AS INDICATED. 7 : •" DATED THIS 17TH DAY OF JULY E0_0 AT PAINTER, ALASKA. R LS THE RESPONSIBl..I1Y OF �� THE OWNERS OR BUILDER TO DETERMNE THE E1USTENCE OF ANY EASEAIFMS, COVENANTS OR RFSTRICDONS tit p�,,_� A\ +k WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. RIDER NO CIRCUMSTANCES SHOULD ANY DATA ,04 8E10NPt�'y1� w HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THIS IS NOT A 0�\l\C\Or D LOT CORNER LOCATION SURVEY. .�..... ..e n m.n _. nn n Mm t°r_tel o... ,m QO