HomeMy WebLinkAboutGRANDVIEW HEIGHTS BLK 4 LT 11A Onsite File
Grandview
Heights
Block 4
Lot 11 A
#009 - 153 - 06
Development Services Department
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_ a Building Safety Division ,t gL,
On-Site Water & Wastewater Program
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P.O. Box 196650 Anchorage,AK 99507 •
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Mark Begich wvnw.mura.p Jrxisrte
Mayor ' — —
fl (9 07)343-7904
Well Log
Permit Number:OSP181273 Date of Issue:8/17/2018
Date Started:9-6-18 Date Completed: 9-7-18 Is well located at approved permit location?L Yes Li No
Legal Description:Grandview Heights blk4 Iot11A G:1830
{ Property Owner Name&Address: TCB, Inc.
200 W.34th Ave#1054
Anchorage,AK 99503
Borehole Data: Depth(ft) Method of Drilling DJ( air rotary L cable tool
Soil Type,Thickness&Water Strata From To -
_ Casing type:steel
stickup 0 2 Wall Thickness: .250 inches
silty sand&gravel 2 15 Diameter:_ 6 inches Depth: 171 feet
_____ Liner Type:_- _
silty
silty sand 15 30 Diameter; inches Depth: - feet
moist silty sand grey 30 42 Casing stickup above ground:_?__feet
^ wet sandy clay grey 42 90 Static water level(from ground level): 35 feet
I silt&gravel 90 I 105 Pumping level: _feet after
hours pumping gpm
wet gravel I 105 110 Recovery Rate: 15 m
dry silt&gravel l 110 158 Method of Testing: airlift
wet gravel w/clay 1 158 162 Well Intake Opening Type: .
gravel&clay w/H2O 162 165 Fl Open End (]Open Hole
•
coarse gravel w/H2O 165 171 [IScreened Start feet Stopped feet
, n Perforations Start. __feet Stopped....._,. feet
- - - 1 Grout Type: Bentonite Volume:granules
— ...__. __—_... _ . Depth: 20' Start_ 0 feet Stopped_20 feet
--
__ _ _____ Pump:Intake Depth feet
WATER r . ITIS TESTING _ Pump size hp Brand Name
r Well Disinfected Upon Completion?n Yes n No
Nitrates----
Method of Disinfection-chlorine tablets
Arsenic . • • S
Ug/L-------- Comments:
_._ I Well Driller: Hefty Drilling, Inc.
---- -- - -- 3540 Akula Dr.
Water Sample Results: -- ---
I Anchorage,AK 99516
! Arsenic: ___ug/I.,
Nitrates: - —mg/L
Total Coliform Bacteria: _colonies/100mL
Other Bacteria: coU100mI,
Attention: The well driller shall provide a well log to DSD within 30 days of completion.
Development Services Department
Building Safety Division •
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Mark Begich Anchorage, AK 99507 SAFTTY
Mayor www.mum.org/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number.,. .05e /80 Date of Issue: 8-17- 18
Parcel Identification Number:
Legal Description Property Owner Name&Address:
G(Orild vet., }tO-s bU(' Lk ll A 7C ,7�,
G' I83v aot7 w, ) Are.
Aic.kec(2 c kc 1 SO)
Pump Installation Date: 3 /' — 11 J /
Pump Intake Depth Below Top of Well Casing: 150 feet
Pump Manufacturer's Name: ((c,v.J cfso S
Pump Model: /0 (.'?1:Ti G7 - ) yU
Pump Sizel)c/ hp
Pitless Adapter Burial Depth: /0 feet
Pitless Adapter Manufacturer's Name: 811)
Pitless Adapter Installer: M Or,/11+5
Well Disinfected Upon Completion? Yes ( No
Method of Disinfection: CA! ' c 'Ta b S
Comments:
Pump Installer Name: Sefty Drilling'ine.
3TiwtiSPO.B 99511
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
PLAT NO. 78-166
GRANDVIEW HEIGHTS SUBDIVISION
LOT 1 1 A, BLOCK 4
11,738 S.F.
20' ALLEY
SANITARY SEWER LINE
i—PER AVM AS-BUILTS
S S
'" N 89.56'00"E 93.80'
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18.9' 29.0' 29.0' 17.0'
W I IJ0
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SI'0
Z h EXISTING BUILDING n Z
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5.0' 6.0' '
PORCH o oPORCH 1 ,I=20'
/CANT . 21.0' 21.0' 4 /CANT 17.0'
I DECK I DECK
8
WELL AC. DRIVE o`
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N 89°56'00"E 94.00'
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M
WEST 46TH AVENUE
AS -BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO **Witt
GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. .... OF 44**.
SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO 1•P'S. ..••••••• 4S+.
JEFF A. GASTALDI, R.L.S. • F
DETERMINE THE EXISTENCE OF ANY EASEMENTS. y•
• 0): •••';
2000 E. OOWUNG RD.,SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT • *: 49111
ANCHORAGE,ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT.
Li:� �q ,�j,44�
PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA 0 #" ...47"
HEREON BE USED FOR CONSTRUCTION OR FOR . • k1 eryLS-6091 Oslola ii
GRID DATE 0 -,...••• 529 ;•J`A •
ESTABLISHING BOUNDARY OR FENCE LINES. •
SW1830 4/5/2019 ANCHORAGE RECORDING DISTRICT,ALASKA �• '''O43:,ona1`o0.•lip ••
F.B. JOB N0. NOTE: NO CORNERS SET THIS DATE �1111�•��
18-04 GVH11A4
•
J"CPAL'Tr OR. MUNICIPALITY OF ANCHORAGE rnenc ,
On-Site Water&Wastewater Program : No 5
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� ,PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r.
http://www.muni.org/onsite --' ,
1116111A, '
I)cpartnt�•nt
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On-Site Water System Permit
Permit Number: OSP181273 Effective Date: 8/17/2018
Work Type: Well Initial Expiration Date: 8/17/2019
Tax Code Number: 00915306000
Site Legal Address: GRANDVIEW HEIGHTS BLK 4 LT 11A G:1830
Site Mailing Address: 713 W 46th AVE, Anchorage
Owner: TCB INC Lot Size in Sq Ft: 11738
Design Engineer: Total Bedrooms: 6
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
To close this permit please submit:
1. Well Log
2. Pump Install Log '
3. Water sample results
�
/ 2-17-1:i
Received By: ` `s`n c -i , Date: [
Issued By: /2/' /ascfri.or---,I / Date: 56/7A3
01 04 223695 08/16/18 02:04P11
ANCHORAGE Well/Septic Systems $215.00
UNICHP,`t��' L9TY OF ANCHORAGE
(• i
Development Services Department
\N Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
•
Parcel I.D. 009 - )53 •- OI
Property owner(s) 7lj /AK-, Day phone g07-Z.:5 5!6
Mailing address ' to 3 L A i(t /t5 c 4 4NC XonLAc>�- S7jT63
Site address `7/I W /4 Vf_
Legal description (Sub'd., Block & Lot) (RA NPV/pot N&`ff SV t3 L07 1) A EC.‹,4:
Legal description (Township, Range & Section)
Lot Size //5527 Sq. Ft. Number of Bedrooms 6
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) ❑
(w/wo ADU)
Septic Tank ❑ Upgrade ❑
Duplex (D)
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
.
(Signature of property owner or :utr%prized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: g// // Date of Payment:
Receipt Number: 0'0S727 Receipt Number:
Permit No. C6 P131,973 Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
PLAT NO. 78-166
GRANDVIEW HEIGHTS SUBDIVISION
LOT 1 1A, BLOCK 4
11,738 S.F.
Y � L�. �P121-4C-
All Od
20' ALLEY
1138'
1 1128'N 89°56'00"E 93.80'
774E RE A Rc A o KNaw>J
I Sk-191;c 5 (/5i ,,fri!S 0A/
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W 18.9' , 28.0• 28.0' 19.0' I • o
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°O II z, PROPOSED BUILDING . i 1 0
0
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G. SLAB � I
' 8.0' EL. = 131' I
I e.o � ��/'�i
i 'l AJH 6 20.0' 20.0' 61POR .H j 19.0' I 1 „ = 20t
I
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oat, 1
A.C. DRIVE A.C. DRIVE I M
W f.'1/4,L I
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N 89°56'00"E 94.00'
',
133' 127.5
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WEST 46TH AVENUE
ELEVATIONS BASED ON MOA AERIAL TOPO.
PLOT PLAN I HEREBY CERTIFY THAT I HAVE SURVEYED ..`*t m 1.
THE PROPERTY DEPICTED ABOVE AND THAT
OF
GASTALDI LAND THE PROPOSED IMPROVEMENTS AND DRAINAGE • c .-........• q :a
SURVEYING. LLC PATTERNS ARE AS SHOWN HEREON. IT IS THE 1�P' • •'• •�
JEFF A. GASTALOI, R.L.S. F THE OWNER, PRIOR TO L cc)/ 49TH •* •
RESPONSIBILITY O
2000 E. DOWUNG RD., SUITE 8 •
ANCHORAGE. ALASKA 99507 CONSTRUCTION. TO VERIFY THE PROPOSED •• 1
PHONE 248-5454 BUILDING LOCATION ON LOT, BUILDING Jeffery A. Gostotdi
ali
GR ID DATE DIMENSIONS GRADE AND UTILITY CONNECTIONS �.9�•% L5--,6091 . 1,,
SW 1830 8/2/2018
AND TO DETERMINE THE EXISTENCE OF ANY .r°^ ..•.;1p ••.;i/••••aS �Z
EASEMENTS, COVENANTS, OR RESTRICTIONS • r�fP55i0n4� 0�
F. B. JOB NO. 41.4
WHICH DO NOT APPEAR ON THE RECORDED •�11ts**
GVH 1 1 A4 SUBDMSION PLAT.
, VAS# 76g 61U5
*)
80
•; Municipality of Anchor. .- •
On-Site Water and Wastewater Progra RR ,r 5 244
(907) 343-7904 / �
C T r
CERTIFICATE OF ON-SITE SYSTEMS A '•e ^ n�
• L
Parcel I.D. 009-153-06 Expiration Date: 7 -2c --1, ?
1. GENERAL INFORMATION
Complete legal description Grandview Rights Block 4 Lot 11A
Location (site address) 711 W 46th Ave. Anchorage c
Current Property owner(s) TBC INC Day phone 22-3 `5?/O
Mailing address 771 W 46Th Ave. Anchorage AK.
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: 6
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual ❑
Individual Well ® Holding Tank ❑
Individual Water Storage ❑ Community ❑
Community Class Well ❑ Public Sewer
Public Water System ❑
WaiverNariance request for: Distance:
Received by: C'� 1 Date: "9.4
COSA to be released to the engineer,unless otherwise re• e ;; '.y the engineer.
COSA Fee $ ?J,' 1115 Waiver Fee $
Date of Payment LI/257i9Date of Payment
' '
Receipt Number aS / '23Receipt Number
COSA# 0 (I Q t ha3 \v cs Waiver#
6j?). O
ev1/4 r) 4k-A-
Afilies4OFf
a 5: •STATEMENT OF INSPECTION BY ENGINEER- - •-•xis
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 ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 4/22/19
Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics,groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future ��\
occupants or can ArcTerra guarantee that no unseen i- OF AL\
encroachments,deficiencies or discrepancies exist. / RS
�
.
41117( f
6. DSD SIGNATURE NW
System #1 Approved for bedrooms. r ,C 4A a`Er• 71 •° 1 /
�c
System #2 Approved for bedrooms. k Fb Z`/
Disapproved. \Nk."•-.41P-
Conditional approval for bedrooms, with the following sti kkll.Mid4 4l(Wo
ON-S/TE
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WASTER AND m
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By: Original Certificate Date: 1's
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 blue sheet 10-10-12.doc J
U .; ^ c ..
COSA Checklist
Legal Description: Grandview Hights Block 4 Lot 11A Parcel ID: 009-153-06
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1
A. WELL DATA
Well log is filed with Onsite (or attached) Well production at time of test 15* gpm
Date drilled 9/7/18 Water storage tank volume NA gallons
Total depth 171 ft Well disinfected for coliform test? • Yes ❑ No
Cased to 171 ft U Coliform bacteria is Negative
▪ Sanitary seal is functioning correctly Nitrate mg/L II Nitrate less than MRL (ND)
•Wires are properly protected Arsenic 6.95 ug/L ❑ Arsenic less than MRL(ND)
Casing height(above ground)24 in. Collected by Arcterra Consulting
Date of flow test for COSA NA Date of Sample 4/8/19
Static water level at beginning of test 35* ft.
Comments *: Per new well log
B. TANK DATA C. LIFT STATION
Age of tank(s) years ❑ Required maintenance completed
Tank type/material Septic/Steel Age of lift station years
Measured operating fluid level in septic tank Lift station material
❑ Standpipes/foundation cleanout per record drawing Comments:
Date of pumping
D. ABSORPTION FIELD DATA
Which system tested (date installed) Adequacy test date
0 ALL standpipes present per record drawing Results El Pass For bedrooms
Total measured depth from grade ft(max) Fluid depth prior to test in
Measured depth to pipe invert from grade ft(min) Water added gal
0 N/A—pressurized field
New depth in
❑ Monitor tubes go to bottom of effective. If not, state Elapsed time min
depth into effective
❑Code-required soil cover over field Final fluid depth in
0 System presoaked Absorption rate gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months)
date of test) If yes,enter date
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
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' Community Sewer Manhole/Cleanout> 100'
®Yes if No ft m Yes if No ft
Neighboring Tank> 100' ®Yes if No ft Private Sewer/Septic Line>25'm Yes if No ft
Absorption Field on Lot> 100' ®Yes if No ft Holding Tank> 100' ®Yes if No ft
Neighboring Absorption Fields> 100' Animal Containment>50' ® Yes if No ft
j Yes if No ft
Manure/Animal Excreta Storage> 100'
Community Sewer Main > 75' ®Yes if No ft ®Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations> 10' 0 Yes if No ft Surface Water> 100' ❑Yes if No ft
Property Line>5' 0 Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' ❑Yes if No ft Private Wells > 100' 0 Yes if No ft
Water Main > 10' ❑ Yes if No ft Community Wells>200' ❑ Yes if No ft
Water Service Line > 10' 0 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 If absorption field is under driveway comment below
Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots:
Water Main > 10' 0 Yes if No ft Private Wells> 100' ❑ Yes if No ft
Water Service Line> 10' ❑Yes if No ft Community Wells>200' ❑ Yes if No ft
Surface Water> 100' ❑ Yes if No ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION ♦♦t�E�,���M, 4
I certify that I have determined through field inspections and review irc91
of Municipal records that the above systems are in conformance with ,a 4*IH *�s
•MOA COSA guidelines in effect on this date. ltfr`_�
• .+I�i�if �i.�i�...,
t KENN' WIts' 4r=
♦41), CE 1 l. .z.
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♦hi,.ta SS't4'
COSA Checklist yellow sheet
