Loading...
HomeMy WebLinkAboutFAIRFIELD LT DFairfield Lot D #075-093-35 — M -W DRILLING, Inc. P.O. Box 110378 • 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner BRIAN PETERSON Use of wen DOMESTIC Location (address of: Township, Range, Section, if known; or distance main road LOT D FAIRFIELD SUBDIVISION GIRDWOOD, ALASKA Size of casing 6" Depth of Hole 160 feet cased to 160.66 feet Static water level 75 ft. (abiaii) (below) land surface. Finish of well (check one) open end ( X Screen ( ); Perforated ,( )-.. Describe screen or perforation_, ` N/A Well pumping test at 35+ gallons pei ) (minute) for 1 hours with 100% it of drawdown from static Level, , NOTE: 1) WELL DRY GROUTED WITH 1 SACK OF BENTONITE Date of completion 16 JANUARYGRANULES. ); WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 2 2 TO 26 26TO 38 38 TO 72 TO 72' TO 85 CA$;,iN STICK. UP AyEL;GREY SILTY iR COBB-EY GR Y Lz GREY', SILTY' LY, .$TLTY 85 TO 115 GRAVEL: CLAYEY,SILTY - 115 TO 119 GRAVEL: WATERBEARING: 3GPM 119 TO 123 CLAY: GREY CLAY: SILTY' ,- 123TO 138 138TO 160 TO TO TO TO RECEIVED GRAVEL: WATERBEARING, SANDY TO rEB 5 1997 WACer'`oe'� d. t&9 r 913 � Cettificate � Municipality of Anchorage Dept. Health & Human Services 1 — CUSTOMER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW950404 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:PETERSON BRIAN L OWNER ADDRESS:P.O. BOX 485 GIRDWOOD, ALASKA 99587 PARCEL ID:07509335 LEGAL DESCRIPTION: FAIRFIELD LT D LOT SIZE: 10000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED:12/27/95 EXPIRATION DATE:12/27/96 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: /25F -K-44/1 DATE : / .2/o1 DATE: /2 --27-9's Lot C 2• RECEIVED DCC 1 1995 ictpality of Anchorage Dept, Kealth &Human Services Fairfield Subd. o' �nl1 4 0 1 Proposed Well Lot D LA0 O wry• Electical 538, Meter Pole / h°D o ,t� // QoQ / Proposed House Lot A SURVEYOR'S CERTIFICATEarat I hereby certify that I am properly registered and licensed to practice lond surveying in the State of Alaska and that this plat presents a survey mode by me or under my direct supervision and that all dimensions and other details are correct as of Dec. 9, 1995. THIS DRAWING IS NOT TO BE USED FOR THE ESTABLISHING OF BOUNDARIES OR THE CONSTRUCTION OF FENCES. OF A4 1 • &MAP 11111, ALLEN MINISH • 11), LS 8205 ••� OA,• • • • 0 NOTES b N 700, 27.049 LEGEND sewer Svc O Tony Schaff Subd. Boundary Line Other Boundary Lines �}(1N,flf@'IijWtwiN'f Buildings — — — — — — Driveways Easements Found Iron Pipe 1. Dote of Survey. Dec. 9, 1995. 2. Reference Field Book: 95-02 Pg. 2. 3. Reference Plat: 68-38. 4. Vertical Control is based on on assumed 100.00' at the N.E. Corner Lot D. Plot Plan LAO Ofoscriptlorn SVNI Meow Pr.vor.d for: Lot D Fairfield Subdivision Girdwood, Alaska ADM Land Surveys P.O.Box 190768, Anchorage, Alaska 99519 (907) 243-4789 NHN Agostino Mine Rood Brian Peterson UTE 12/10/95 JOU 95034 CRAW Minish ter. CHECK: Minish 95034 SCALE: 1"=30. ? - REv►. 1 OF 0 'mak Parcel I.D. 075-093-35 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: 7/ 1. GENERAL INFORMATION Complete legal description FAIRFIELD; LOT D Location (site address) 157 AGOSTINO MINE ROAD *GIRDWOOD, AK Current Property owner(s) CATHERINE PETERSON Day phone 350-7626 Mailing address 157 AGOSTINO MINE ROAD *GIRDWOOD, 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. 2. 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual ❑ Individual Water Storage E Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer al WaiverNariance request for: Distance: Received by:y y/ Date: /7 S COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5alo Waiver Fee $ Date of Payment Liking- Date of Payment Receipt Number 0(o ar34 Receipt Number COSA# 0 gC/&//3a 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 Garness Engineering Group, Ltd. Address 3701 E. Tudor Rd., Suite 101, Anchorage AK, 99507-3246 Engineer's Printed Name Jeffrey A. Garness In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municioality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems deoend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or /moiled) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report 6. DSD SIGNATURE System #1 Approved for a bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907) 337-6179 Date 5 5 ssssssssss �� tom\•`.•• 4/ - OF ANCyQ»r C 7 i r ..�.r V-S,�� WNco ;-- J5PlW��R M- .9\NNRP' bedrooms, with the following s± 4 ns: v , r ifiENTS�•\_' Original Certificate Date: 4 unicipality 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 1/ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12 dot 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: FAIRLIELD; LOT D A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 1/16/96 Total depth 160 ft. Sanitary seal (Y/N) YES Cased to 160.66 ft. FROM WELL LOG Date of test 1/16/96 Static water level 75 ft. Well production 35+ g.p m. WATER SAMPLE RESULTS: Coliform n colonies/100 ml. Nitrate ItiQ mg./L. Arsenic:. ng /L Date of sample' 3/27/15 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depressio Date of pu Parcel ID: 075-093-35 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 3/27/15 76 ft, 7.0+ g.p.m. Collected by: GEG. Ltd. PUBLIC SEWER Date installed Cleano N) High water alarm (Y/N) Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2or ft2/bdrm)_ System type Length ft. Width ft. Gravel below pi Total depth ft. Eff. absorption area ft2 Monitoring tube Date of adequacy test Fluid depth in absorption field before to Results (P in. Water added _gal. ft. Depression over field For bedrooms New depth _in. gpd Elapsed Time: �' Final fluid depth _ in. Absorption rate >= An . enation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (WN "Pump on" level at in. "Pump off' level : High water alarm level at in Datu 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 75'+ Public sewer manhole/deanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ _ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent Tots SEPARATION DISTANCE FROM ABSORPTION FIEL ■ e OT TO: Property line Bui ndation Water main Water service line Surface water Driveway, parking/vehide storage rain Wells on adjacent lots F. COMMENTS SEPERATION BETWEEN H2O SERVICE LINE Sc SEWER SERVICE LINE IS UNKNOWN G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and y . g r( 7.7* O review of Municipal records that the above systems are in 0 conformance with MOA COSA guidelines In effect on this 0vA date. J= - �essi r Engineer's Printed Name JEFFREY A. GARNESS �l e/i �Vp eal B t��oo R�` rofessio� o� DOopoo�o' Date (Rev. 11/05) 30 sc�� Lot C ^o® O h a co 97.14f0 4//4,6. N6);48 ,00,41 100.86 Well 8411H eck Lot D eck encroaches 0.1± ogs encroach 0.5* SCALE: 11= 3O 4167° 48''o,'Y 109 LOX iectric meter pole ' .st. 4 . , AL I i G). t 4gh a.P i . Fred Wcictica. S 1 , • 33255 ...It: I 5 •. 5� ► I q,• .... •'3'�o i 1 I ° ssronn� ♦� EASEMENTS OF RECORD, O riER TH1AN Ti -]OSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Fb 15-1, pg 75, ADM 0.1 0 a evtL Tony Schaff Subd. 2 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagees inspection of the following described property: LOT D. FAIRFIELD SUBDMSION Anchorage Recording Precinct, Alaska, and that the Improvements situated thereon are within the property lines and do not overlap or encroach on the property Iying adjacent thereto. that no improvements on the properly tying a4acent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements cn said property except as Indicated hereon. Dated at Anchcrage, Alaska t`s 2Ctt: clay of March ,2015. FRED WALATKA & ASSOCIATES Engineers and Surveyors 1907-248-1sesj MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. f PHONE: (907) 564-2762 j BLOCK/LOT/TRACT LT n WASTEWATER CONNECT PERMIT 96 - 7319 DATE OF APPLICATION 09/03/96 SCHEDULED COMPLETION DATE 12/31/96 SUBDIVISION FAIRFIELD EXTENDED SEWER SERVICE 95-32 TAX CODE 7509335 GRID STREET ADDRESS AGOSTINO MINE RD AS -BUILT ® SINGLE FAMILY MUTI-DWELLING No. APTS • COMMERCIAL OWNER PETERSON BRIAN L MAIL ADDRESS GIRDWOOD,AK 99587-0485 PHONE CONTRACTOROrentD El ASSESSMENTS Main Line Extension Have Been Levied - o o Repair Existing Service On Property Only City Tap Hydrant Only ❑ 50' or Longer Main Tap - To Property Line Only Main Tap & On Property Connect Disconnect Ko{, . 1 it, P7 4i To Be Levied Cgmments : ' 4, fit 4%2 t Owner Staff 434 R&R - Main Tap Only ISSUED BY cDF �ONNECTSIZE REIMBURSIBLE NUMBER 4 .(;(j PAID J CASH �� CHECK# INSPECTION FEE $ 104.00 PERMIT FEE $ 35.00 INSPECTED BY loin UV iit $ DEPOSIT $ 0.00 DATE 9 423/94 TOTAL$ 139.00 MAIL ADDRESS * SIGNATURE 445 Gtr Di AK PHONE 74-5 2395" POSTIN A CONSPICUOUS PLACE AT THE JOB SITE AWWU INSPECTOR Orig MUNICIPALITY OF ANCHORAGE COAMefr 3500 East Tudor Road, Anchorage, AK 99507 (907) 343-8240 fax (907) 343-8250 Laid Right of Way: X Road Closure: X Grid:4912 Pavement Break: N Issue Date: 09/04/1996 Start Date: 09/06/1996 Subdivision: Fairfield Permittee: Conrad Contracting P.O. Box 829 Girdwood, AK 99587— Contractor: Phone: Field Contact: Location of Work: Agostina Mine Road off Sproat Road Address of Work: Agostina Mine Rd Desc of Work: Sewer Service Installation Utility Account No: Project No: As Buiits Required: Approved Drawings Required: Y File No: CC No: Permit No: 19961735 Lot: D Tract/Block: Conrad Contracting P.O. Box 829 Girdwood, AK 99587— (907) 783-2936 Winter Requirements in Effect: Request for field inspection required 24 hours in advance of start work and 48 hours in advance for final inspection See reverse for requirements/remarks/construction notes Road Closure Information Type of Road Closure: Partial Notices: Fre/Police❑ School Bus 0 People MoverD State of Alaska❑ USDOT UniformTraffic Control Devices Required: ri By:Conrad Contracting F rst Road Closure Date 1 Time: From: September 06, 1996 8:00 To: September 06, 1996 5:00 Tvee of Fee Fee Amount Payments PERMIT FEE: § 100.00 $ 100.00 PAVEMENT BREAK FEE: $ 000 $ 0.00 ROAD CLOSURE FEE: S 100.00 $ 100.00 RENTAL FEE: $ 0.00 $ 0.00 INSPECTION DEPOSIT: § 480.00 TOTAL FEES, DEPOSITS, & PAYMENTS: § 200.00 $ 680.00 P •yment Method flash Rec By: CLL Payment Id Total Amount Payment Amount 680.00 0.00 680.00 1 have read and understand both sides of this application. l agree with its contents; and 1 certify that all work will comply with federal, state, and local regulations. Signature: Date: U ui 'U lit a S;.;uiluu DATE SCHEDULED 1A23/9G TIME 400 hr, INSPECTOR K//r11JQ4 SUBDIVISION FAIRFIELD ELK/LT/TRACT LT D El 1.0 tr �- s ell i I ' I, r INDICATE NORTH 1 Z 4 J a Is tem SIZE MAIN: TYPE MAIN: Q / p DEPT AT MAIN: COMMENTS a npd.-AT PROP. UNE: 6- r2 I pd.- .L CONNECT LOCATION: and , n III p' 15 4 Kr Axe. N. ca= Manhole, 3-h :F 10 .P4- 1-zlcphont polo x31/2 P i Chutlrir-h fi CG Sax r+r. u"vier INSPECTED BY: 7.7 (r DATE: 943/9.6 ground lir r_, They _ iird' w/7i :vet A i /t�. h ,, ' an4-op of rr,M;n d an! rt4 s5,1.6.1. . '1'0 ti 7' I�i 'he- TIS 3/l -h dno+her 14n he. 5nd *hell 7OP- k fhe hausc e1O2866pc550 ,:ration, and a copy of this agreement shall be filed with the Anchorage Recording District, Act Recorder's Office, 3601 "C" Street, Suite 1134, Anchorage, Alaska 99503; and, (he clauses contained herein shall constitute the entire Agreement between the parties. DATED at Anchorage, Alaska, this 1,2.. day of ,Q e c s..rt &az , 1995. REQUESTED BY: PROPERTY OWNER: MAILING ADDRESS: Fairfield SUBDIVISION APPROVED BY: Brian Peterson P.O. Box 485 Girdwood, Alaska 99587 NA D BLOCK LOT GRID TAX CODE 4912 075-093-35 MAR PREMO, P.E. Gen ral Manager Anc forage Water & Wastewater Utility STATE OF ALASKA ) ss. TI-IIRD JUDICIAL DISTRICT /.2 THIS 15 TO CERTIFY that on this.- day of LJeccml-wr , 1995, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally anpeared Brian Peterson, known to me to be the individual named herein who executed the foregoing Instrument, and he acknowledged to me that he did so freely and voluntarily for the uses and purposes therein mentioned, and on oath stated that he is authorized to execute said instrument. t ttu'kn kh,,, . WITNESS my hand and official seal on ill 9,Iiiidte,�r ftrfst above written. t'; N07Agy . , Q4& LCUl'L t7 PUH OTARY PUBLIC in and for Alaska y� �IC mac;" My Commission Expires:-My-Bemmieeton „Arm 'F, OF Pt.' April2T,7090 STATE OF ALASKA 55. THIRD JUDICIAL DISTRICT TI -IIS 15 TO CERTIFY that on this 1st day of O. cembpx 1995, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared MARK PREMO, P.E., known to me to be the General Manager for the Anchorage Water and Wastewater Utility of the Municipality of Anchorage, Alaska, the corporation for which he executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. �.t"1/4q rMORr .` ti. R 1.Z• . NOTAR)- z'Et In USLIO : RETURN TO: --,--- Anchorage Water & Wastewater UtllIty Private Development ,•- 3000 Arctic Boulevard (907) 584 Anchorage, Ji 8 99503-3898'' 2 of 2 wps515:nt:tx-conlecs9532.doc JOa I Iii .`111244 in TARY PUBLIC in and for Alaska My Commission Expires: If aShl7 ps 059 326 !! /U_Qe ANCHORAGE IU'C. DISTRICT REQUESTED BY b on--, '95DEC 12 PP1219