Loading...
HomeMy WebLinkAboutWEHR FOOTHILL ESTATES LT 1Onsite File L,,..states Trrtifirb Brining mug by DOC Co. tlba OWNER OF LAND SULLIVAN WATER WELLS P.O BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 6882759 C•'tr.'k /•--); ;_•Y"i':' DEPTH OF WELL / `k> % rf ADDRESS ?) .'%..x `1n..5 _/ .:-e' STATIC LEVEL OF WATER FT LEGAL DESCRIPTION 1-1"=:7" / '>[=c /: ; '„` DRAW DOWN FT DATE -Started ..f.77,;)f Ended ,tc GALS. PER HR /4) ✓''' PERMIT NUMBER , net O % KIND OF CASING ' 't d,_I KIND OF FORMATION: From -r Ft. to --_..1 Ft C --.e,; „`. `t /,.., 7_ t.aP'' From Ft to Ft From Ft to%_Ft. ':> -✓= ° <'...._ .�'r°�✓ From Ft to Ft. From Ft. to /1 Ft [tL?t V F; f/, Kts✓r 'e,- From Ft. to Ft. From 1-`+' Ft to '--:rd' Ft. ,,, r4„'Fi {•,% 41 .✓i.=.C- From Ft. to FI. From.__ —Ft. to -''� Ft. ,�'• "'rJ r'l%r.,: ,� ,&ioO lr. :<`', Frons Ft to Ft From �. `% Ft to Ai'' Ft ' 7 Ci :' ,< i From Ft. to Ft. CCAelt Ps From Ft. to Ft. - 1 ^: Y - u 1 < From Ft. to 0\24\0T -tot E ASO t+ •7✓ asp �:'. r. t# (' From Ft. to `IENt N --P0. From - Ft to { ��” Ft r O 19gZ From 0 ” Ft.to / 0 ' Ft -} % ,-,,Ik9 " ,N,9s, f_-.��n=i From Ft. to Fti\pa , From a V� Ft to iI`l Ft.-<,�.I 4 /..:.61)'.}, - •, From Ft to Ft. `oCp��\\I%.0 r/1-1).- h.. :,�,j +'r,rz-"_,-- From Ft to Ftw From / / Ft. to Ft. From Ft. to - Ft. t(LJ1/.(i t' /C-. From Ft to Ft From Ft. to Ft. From Ft to Ft From Ft. to Ft.From Ft to Ft From Ft. to Ft. FromFt. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: DRILLER'S NAME DEPARTMENT OF HEALTH AND ENVIRONMENTAL. I'RDTECT1DN fF.2 L... STREET, ANCHORAGE AK ni 501 ,�:: 264-4720 C� �5 r 'y r c::,, il"IfE... P,+kfl If.-:._ P. 9....._ P.. Fa- IF . M 1 m PERM1T NON 860086 DATE ISSUED 04/1.4106 APPLICANT'; jOHN A F'RANLCFOURTH ADDRE;:SN E'eO..TiOX 403 EAGLE. RIVER, AF: 99577 CONTACT RHONE 694-2248 LEGAL... :DESCRIPN SUSDIVISIONN NA - SECTIONN 12 TOWNSHIPN 14N L_..OT SIZE. 2.5A (SC,.FE. OR ACRES) E._OTN 13 RANGE.a 2W HLOCI:: N NA I certify that.,: L 1 aril familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (M0A) and the State of Alaska. .; I will install the system in accordance with all MOA codes and regulat.1ons, and in compliance with the design criteria of this permit. E will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal -system or public sewerage system on this or^ any adjacentnearby or r�c.arb l.mt.. APPLICANT .r' 10HN A FRANk:FyiJRTH DATE_; V -Ar DATE:: tA__CL C.> &tee o4erAefrc ea°j v • • Municipality of Anchorage a On-Site Water and Wastewater Program (907) 343-7904 �.il'1 S n r ¢r r CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-273-43 Expiration Date: 21 — l 1. GENERAL INFORMATION Complete legal description _WEHR FOOTHILL ESTATES LT 1 Location (site address) _16924 FOOTHILL AVE Current Property owner(s) _RODNEY WEHR Day phone Mailing address _16924 FOOTHILL AVE UNIT 2, EAGLE RIVER 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: ACC 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ® Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: `ia Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ciZ‘• Waiver Fee $ Date of Payment sl/$ki Date of Payment Receipt Number Receipt Number COSA# 456/7IA1/ 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 MIKE N ANDERSON,P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON, PE Date 5/14/18 i'� • .....12 `.1 ,, %eco uoo a .,o.,•,,,, ,, , u, .>,•�• 6. DSD SIGNATURE ',' vctiA_>_ I . ti;;:,:_...,.,, 1. `. System #1 Approved for Li bedrooms. ; 1r" )"" " `" ` • = System #2 Approved for bedrooms. ,•A ; _ Disapproved. o r,",•sx-," ',..-•,- Conditional approval for bedrooms, with the following stipulations: \�pF ANCy0, \ 'p-0kN Z P0o s SNP \NOR v `NPS nip— A < - ?'c U rfn°h,�Cr\Is c`°\\ By: � ,�� � - Original Certificate Date: 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 Advisor' ,': •Y Well Flow Advisory Other COSA blue sheet 10.10-12.doc 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: WEHR FOOTHILL ESTATES LT 1 Parcel ID:_050-273-43 A. WELL DATA Well type private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 5-86 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 140.6 ft. Cased to 140.6 ft. Casing height(above ground) 24" FROM WELL LOG AT INSPECTION Date of test 5-86 5.16.18 Static water level 112 ft. 110 ft. Well production 30 g.p.m. 4.5+ g.p.m. WATER SAMPLE RESULTS: Coliform ;N t5 colonies/100 mL Nitrate ,, ?± 7 mg/L Arsenic: y ug/L Date of sample: - /0 / Collected by: a A yt p(p,t_c B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Y Foundation cleanout(Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA–1985 SYSTEM TESTED Date installed Soil rating (SF/BED) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy test_ Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test— in. Water added gal. new depth in. Elapsed Time: min. Final fluid depth— in. Absorption rate >= d. 9•p• Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES_COMM.WATER WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots 100'+ Absorption field on lot On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots COMMENTS OF G. ENGINEER'S CERTIFICATION 0 .s 9TH I certify that I have determined through field inspections and • review of Municipal records that the above systems are in rr v`..MICHAEL N. ANDERSON .727' conformance with MOA COSA guidelines in effect on this date. J,•. CE-9409 , Engineer's Printed Name MIKE N. ANDERSON,PE lte Date 5/17/2018 COSA canary sheet_2-6-15.doc Parcel I.D. 050-273-06 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval yy// Expiration Date: 3 - 17 1. GENERAL INFORMATION Complete legal description T14N, R2W, Sec12, Lot 13 Location (site address) 16924 Foothill Ave. Current Property owner(s) John & RUb}/ Frankforth Day phone Mailing address PO Box 770403 Real Estate Agent Day phone 2. TYPE OF DWELLING: i] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well n Individual 0 Individual Water Storage 0 Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer LJ WaiverNariance request for: Distance: Received by: =:9.`'` r Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Date 12/23/13 `pF A *0,4 . TM . '. tt •Seven k 5annone .. % CE -8149 bedrooms, with the following stipulations: ll(((((((UII!/(/ Y OF4Ne:c7 o ()N -SITE n. r .z WATER AND m VVH5 I LVVAI trc p`= G nrnnn AAA ref 1 By: 1 7 / pi. 74— Original Certificate Date: 102 - aq 3 " / 7 The Drage 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 Septic System Advisory Well Flow Advisory COSA blue sheet r c Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: T14N, R2W, Sec12, Lot 13 A. WELL DATA Well type Private Date completed 5/86 Total depth 140'7" ft Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 140'7" ft. FROM WELL LOG 5/86 112 30 WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate Arsenic ft. g.p.m. mg/L ug/L Date of sample: Parcel ID: 050-273-06 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24 in. AT INSPECTION 12/4/13 108 ft. 4.1+ g.p.m. Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Length Total depth ft. Date of adequacy test Fluid depth in absorption field before test Soil rating (g.p.d./ft2 or ft2/bdrm) System type ft. Width ft. Gravel below pipe ft. Eff. absorption area ft2 Monitoring tube _ Depression over field Elapsed Time: Results (Pass/Fail) in. Water added min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type) For bedrooms gal. New depth in. in. Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum Size in gallons Manhole/Access (Y/N) "Pump off' level at in. High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Jov+ 75+ Public sewer main Sewer /septic service line 25+ Animal containment areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Water Service line Curtain drain F. COMMENTS Property line Water service line in. On adjacent lots 100+ On adjacent lots 100+ 100+ Public sewer manhole/cleanout Holding tank 100+ Manure/animal excrete storage areas 100+ Absorption field Surface water Building foundation Water main Surface water Driveway, parking/vehicle storage Wells on adjacent lots G. ENGINEER'S CERTIFICATION I certify that t 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 Steven R. Pannone Date 12/5/13 COSA brown sheet 10.10-12.doc a �A kk at.• r! • : Seven k Pannone • X04%..8-8149. 4 gs lit 'k \ ,4 Parcel I.D. 050-273-06 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: 3-17-Pq 1. GENERAL INFORMATION Complete legal description T14N, R2W, Sec12, Lot 13 Location (site address) 16924 Foothill Ave. Current Property owner(s) John &Ruby Frankforth Day phone PO Box 770403 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well 0 Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 3 uti-L S J Ula TYPE OF WASTEWATER DISPOSAL: WaiverNariance request for: Distance: Received by: /t COSA to be released to the engineer, unless otherwise requested by the engineer. Date: - COSA Fee $ (-{kb — Date of Payment 12-t t 3 i l ch d5`g Receipt Number COSA# cb5c.131L- Waiver Fee $ Date of Payment Receipt Number 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for By: 3 bedrooms bedrooms bedrooms, with the Date 12/5/13 AlTlItk• I4 , •ttevenn •(Sannone.•' IL✓T CE -8149 /' tk l aFEs , following stipulations: �0<llattuatfro. QP -0 OFAUt' 0/r'Pot? ON -Si i E 't' W'ATEP AND :era WASTEWATER o= fi PROt3KAivi -'11-9-/ie'V% SGOwC;', Original Certificate Date: 1.2 - / 3 Thd.Munici lty j Ay'.rage 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 Septic System Advisory Well Flow Advisory COSA blue sheet_C Nitrate Advisory Arsenic Advisory Other D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Water main Water service line Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water Service line Surface water Curtain drain Wells on adjacent lots F. COMMENTS Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? in. On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ Absorption field Surface water Water main Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION 1 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. Steven R. Pannone Engineer's Printed Name Date 12/5/13 COSA brown sheet 10-10-12.doc ti 1k4 oft0#*: If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: T14N, R2W, Sec12, Lot 13 A. WELL DATA Well type Private Date completed 5/86 Total depth 140'7" ft Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Cased to 140'7" ft FROM WELL LOG 5/86 112 30 g.p.m. ft. WATER SAMPLE,1RESULTS: Coliform /wed, colonies/100 mL Nitrate Ow ((9 mg/L Arsenic r-ug/L Date of sample: b-/ y/ 13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) Parcel ID: 050-273-06 Well Log (Y/N) Y Wres properly protected (YIN) Casing height (above ground) 24 AT INSPECTION 12/4/13 108 4.1+ g.p.m. ft. Collected by: 0 in. Date installed Cleanouts (YIN) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 orft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube _ Depression over field Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date -PATE 330' aLM :boneQCRywEtL • PAK nit aJMpec 4ACY Zh 04404\48Loavia) prao CO. X. LOCATIONS' PER OWNER CAT/ON) 0 co LOT Lot13 , Block Scfr©n 12, Township l4No Anchorage Recording District, Alaska LOT SURVEY CERTIFICATION 1 bweer eerily Incl those 'unrested the property Mown and daorlbed berme, and that the lapronasote situated Meson ars within the prop- erty lines and do not overtop ornmoaoh on adjacent property and that no Irrprwamnds on adloesat property overlap or encroach on the premises In question and that limn are no roadways, atlllty Lace, or other visible son Bent, an sold property unwept as Indicated Mnaa. Scale 50' a Dote O /1-04-13 WEST GOT /6 AS -BUILT` JO -25'13 12 - q >g�l3 tr� R4n9erz':llVesf Seward Mendt �Q�o. Mi OF ECMIMRIs of mord *Mer Hum Heeshown on a �`•.. •e..••. qs ', oteenleo noted, 0, CO •t ., If LEGEND r tit y T• Q� Bross or Aluminum capped morwme O Iron pips and/or sober recovered. O 2s 2 hub & took Hoovered 111 6/B" x 3O" rebor set this survey —s Fence Line (Approx. Location) the HI of record are eat Mown hereon mien; r,` • Prepared by: (9OT2E79-6200 R. L. Button .'c • I5-1192 a, R.L. BU' 4 /ESswMAL�j Registered Land "ast- nd 5/9 W Eighth Ave. Anchorage A/dwto93t50/ Raf rD kl..