HomeMy WebLinkAboutBIRCH HILLS TERRACE BLK 1 LT 1
22.5'
13
'
10'
16'
12
'
16'
30.2'
47.2'
30.2'
47.2'
RE
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E
SH
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GREENHOUS
E
GA
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A
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30.1'
33.1'
30.1'
33.1'
SHED
OVERHANG
ROOF
OVERHANG
ROOF
7'
8'
SHED
LEGEND
FOUND 5/8" REBAR, NO CAP
EDGE OF GRAVEL DRIVEWAY
UTILITY PEDESTAL
DECK
CONCRETE
FENCE
BOULDER
PADMOUNTED TRANSFORMER
EDGE OF ASPHALT
FOUND CENTERLINE MONUMENT
RECORD DATA PER PLAT #69-74
SEPTIC PIPE
WELL
FOUND 5/8" REBAR, PLASTIC CAP
BRICK PAVERS
TIMBERLINE SURVEYING AND MAPPING
17035 BARONOFF AVE
EAGLE RIVER, AK 99577
907-242-5320
ryan@timberlinealaska.com
FILE NO.: 25.132
SCALE: 1" = 30 FEET
DATE: 6/4/2025
SHEET: 1 of 1
MOA GRID: NW0153
SCALE: 1" = 30 FEET(11"x17")
30'0' 60'
AS-BUILT OF:
ADDRESS: 11219 TERRACE HILLS DR, EAGLE RIVER, AK
LOCATED IN: ANCHORAGE RECORDING DISTRICT
LOT 1, BLOCK 1BIRCH HILLS TERRACE SUBD.PLAT #69-74
Name: B.O.S. Brandon’s On-Site Services LLC Lab ID#: M250567
24-99 Date Sampled: 05/22/2025
Mailing Address: 3924 N. Grey Wolf Drive Time Sampled: 11:50
Wasilla, AK 99654 Sampled By: BLJ/BOS
Legal Description: Birch Hills Terrace B1 L1 Date Received: 05/22/2025
Sample Site Location: Bathroom Sink Time Received: 12:37
Health Guard I
Parameter Method Result Unit MRL MCL Date
Total Coliforms Colilert
(SM 9223B) A --- --- --- 05/23/2025
E. coli Colilert
(SM 9223B) A --- --- --- 05/23/2025
Total Nitrate/Nitrite
– N
TNTplus 835/836
(Hach 10206) 3.47 mg/L 0.300 10.0 05/27/2025
Arsenic Arsenic by ASV
Metrohm AB 416/3 <MRL µg/L 1.000 10 05/22/2025
Method Reporting Limit (MRL): the lowest concentration that can be reported reliably
Maximum Contaminant Level (MCL): highest acceptable level in public water systems as set by EPA
mg/L: milligrams per liter; 1/1000th of a gram
µg/L: micrograms per liter; 1/1,000,000th of a gram Absent (A): none of this type of bacteria was detected
Present (P): one or more bacterial cells of this type were detected
.
Results Reported By:
_________________________________
Katie Good
Laboratory Manager
Reviewed By:
9131 E Frontage Rd, Ste 15
Palmer, AK 99645
(907)745-3005
matsutestlab.office@gmail.com
Lynne Hill (Jun 2, 2025 09:48 AKDT)
Lynne Hill
SGS
SGS Ref.#
1241701001
Client Name
Residential Testing - Cash Accowit
Project Name/4
Steve/Linda Kissee
Client Sample ID
Restroom Sink
Matrix
Drinking Water
Sample Remarks:
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
04/30/2024 14:39
04/25/2024 8:15
04/25/2024 9:42
Stephen C. Ede
Allowable Prep Analysis
Parameter
Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Arsenic NI) 5.00 ug/L EP200.8 B (<10) 04/26/24 04/29/24 IIG
Waters Department
Total Nitrate/Nitrite-N 4.31 0.200
Microbiology Laboratory
F. Coli Negative 1
Total Coliform Negative 1
mg(L SM21450ONO3-F C (<10) 04/29/24 AJ
100ml, SM219223B A 04/25/24 M..
100mL SN4219223B A 04/25/24 M.
2of5
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING, LAND & WATER
Alaska Hydrologic Survey
WATER WELL LOG Revised 08/18/2016
Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______
City/Borough Subdivision Block Lot Property Owner Name & Address
Well location: Latitude Longitude
Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4
BOREHOLE DATA: (from ground surface)
Suggest T.M. Hanna’s hydrogeologic classification system*
https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD
Depth
From To
Drilling method: Air rotary, Cable tool, Other
Well use: Public supply, Domestic, Reinjection, Hydrofracking
Commercial, Observation/Monitoring, Test/Exploratory, Cooling,
Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage,
Heating, Geothermal Exploration, Other
Fluids used:
Depth of hole: __________ ft Casing stickup: ___________ft
Casing type: __________ Casing thickness: _________ inches
Casing diameter: _________ inches Casing depth: __________ ft
Liner type: _________ Depth: _____ ft Diameter: _____inches
Note:
Well intake opening type: Open end, Open hole, Other
Screen type: _________, Screen mesh size: ____________
Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No
Perforation description: Perf from: ________ ft, Perf
to: _______ft, Perf from: ________ ft, Perf to: ________ ft
Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft
Note:
Static water (from top of casing): _______ ft on____/____/_____ Artesian well
Pumping level & yield: ______ feet after _____ hours at _____ gpm
Method of testing:__________________________________________
Development method:______________ Duration: ____________
Recovery rate: _________ gpm
Grout type: _________________ Volume __________________
Depth: From ___________________ft, To ___________________ft
Final pump intake depth: __________ ft Model: _______________
Pump size: _____________ hp Brand name: __________________
Include description or sketch of well location (include road names,
buildings, etc.):
Was well disinfected upon completion? Yes No
Method of disinfection:
Was water quality tested? Yes No
Water quality parameters tested:
Well driller name: ..................................................................................
Company name: ...................................................................................
Mailing address: ....................................................................................
City: __________________________ State: AK Zip: ___________
Phone number: (________) ________- ______
Driller’s signature:
Date: ______/______/_________
Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require
that a copy of this well log be submitted to the Development Services Department/City
within 30 days of well completion.
City Permit Number: _____________________________
Date of Issue: _____/____/_________
Parcel Identification Number: ______-_______-________
*Guide for Using the Hydrogeologic Classification System for Logging
Water Well Boreholes by Thomas M. Hanna NGWA Press
AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a
copy of the well log be submitted to the Department of Natural
Resources within 45 days of well completion. Well logs may
be submitted using the online well log reporting system
available at:
https://dnr.alaska.gov/welts/
OR email electronic well logs to
dnr.water.reports@alaska.gov
North
014N
n
STEVE KISSEE ,
NE
907 3287
B1
SW
Municipality of Anchorage
ANCHORAGE
NE
WAYNE WESTBERG
1973
S
n
n
SW002W
945
PO BOX 110378
10
4960
M-W DRILLING
602
11
n
BIRCH HILLS TERRACE
12
99511
n
Department of Environmental Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON -SITE SEWAGE DISPOSAL SYSTEM
* ' �/
SEPTIC TANK:�- r` y^ � '. o
DISTANCE ^-=^°t NUMBER OF
FROM WELL _______MANUFACTURER -» MATERIAL. COMPARTMENTS
|wS|OE LENGTH —INSIDE WIDTH —LIQUID DEpT*_____L|QU|O CAPACITY GALLONS.
/
��° /K
NUMBER OF PITS __�__� DIAMETER OR WIDTH if, LENGTH��.. DEPTH .
�t u" 4�������� / /
LINING MATERIAL CRIB SIZE:
DIAMETER
�" DEPTn ~7D|STANCE FROM: WELL ~~ .
/ ^ TOTAL EFFECTIVE
BUILDING FOUNDATION _�c_. NEAREST LOT LINE_ . *85OnPT|Ow AREA (WALL «REx)__3-7,2=__-SQ. FT.
�
WELL
TYPE °�— CONSTRUCTION DEPTH DISTANCE FROM:
auiLD|wB NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION _____. LOT LINE ______. SEWER LINE—, TANK—, SYSTEM
CESGPO0L_______-. OTHER SOURCES
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
Form No. EQ-031
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OFENV IRONMENTAL QUALITY PERMIT NO.
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT rayMAILING ADDRESS PHONE
INSTALLATION LOCATION CAAAI_-� 141-W
LEGAL DESCRIPTION
ec
INSTALLATION OF: SEPTIC TANK - I - SEEPAGE PIT---, DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS NOTE- THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKF9LLING OF ANY SYSTEM WtTFIOUT FINAL INSPECT90N BY THE
DEPARTMENT 0'.'-- ENVIRONMENTAL QUALITY AUTHORITY WIL'L., BE SUBJECT TO PROSECUTION
SEPTIC TANK TYPE SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT DRAIN FIELD (o
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK. SEEPAGE PIT
DRAIN FIELD %ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT __ DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL SACKFILL
CONFORM To BOROUGi-i REGULATIONS REGARDING INSTALLATION.
G.A.A,8
OR
LICENSED DESIGNER
.DIAGRAM OF SYSTEM,
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROIJGI-i ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE__Z - -11- 7-7 APPLICANT'S SIGNATURE
C .—kLin Cn_n I A
C0)25.tTUr-'¢G0i2 ._..JCIt -fag
"One test is worth a thousand opinions"
5629 TUDOR ROAD. ANCF.ORAOE. ALA5KA 99507 • TELEPHONE 333-6472
Performed For /-S S-fl-eve KI5S'E':!5" Date Performed 8-,3-73
Legal Oescri nti on : Lot_B i o c k —Subdi vi si on 31re,4 1111S
This Form Reports Soils Loq _Percolation Test__
Oenth
Feet
Soil
Characteristics
2
3 — —
5 —
4�
E—
7 —
�I
G — I
Was Ground Water Encountered? p J'j
op
If Yes, At what Depth?
Reading
Date
Gross Time
Net Time
Depth to H2O
I Net Drop'
verco I a-ci on Kate Minute
Proposed Installation: Seenaae Pit Drain Field
Der.th of Inlet Depth To Bottom Of Pit Or Tree h
ri,
�--A 6/&, 4 h e Xo w 5 e e b jq &e
Test Performed By R}- Data Certified QJ f
LA-(� 1'V1AWA-C4P1- Date: <1-.?-73
APPLI XNT
FILLS OUT UPPER Ht - ONLY
Property Owner
/—
Phone
Mailing Address
n
_- __, Zip Code
Buyer
Address
Zip Code
Lending Institution
Phone
Address
Zip Code
Realty Co. & Agent
Phone
Address
Zip Code
Legal Description
r
Street Location
Type of Residence
[),:,Single Family
❑ Multiple Family
No. of Bedrooms
[I Other
Water Supply
a,
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
-Individual
❑ Community
For wells drilled prior to that date, give well depth (attach log if available).
❑ Public Utility
Sewer Disposal
Eq./Individual
Year Individual Installed:
E] Public Utility
When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time / •C_i"�
Date
Date
Date
Date
r
Inspector
Inspector
Inspector
Inspector
Field Notes:
C0114 jej�
0 0� (
p,QA.Q �4-w
r MAY 2 0 1983
V
"'Dept. Of Hea'i' �
( ) APPROVED BEDROOMS
"CONDITIONS OF WA1Vial fb �,
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Septic Tank Size
Well to Tank
72.023 (3/02)