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HomeMy WebLinkAboutROGER BOYD LT 19A-2 Rick Mystrom, Mayor Municipality of Anchoeage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 7, 1997 Roger P Boyd Patricia DeB~sschere HC 2 Box 754 Soldotna, Alaska 99669 9706 Subjeot: Lot 19A-2 Roger Boyd Subdivision Permit #SW960234, PIP #075-092-67 The subject permit, issued August 7, 1996 by this office for a single family well and/or on-site wastewater system, has expired as of August 7~ 1997. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiratian date. If you have drilled the well,' a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer~has inspected the ihstallation of the on-site wastewater system, the origihal as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. lrely' ~ ss, P.E. Program Manage.r On-site Services enc: Copy of Permit Page: 1 Document Name: ENTERPRISE SERVER PARCEL: 075-092-67-000-98 CARD: 01 OF 01 RESIDENTIAL DUPLEX STATUS: RENI/MBERED TO/FROM: 075-092-08-000-1 BOYD ROGER P & ROGER BOYD DEBUSSCHERE PATRICIA LT 19A-2 HC 2 BOX 754 SOLDOTNA AK 99669 9706 SITE LOT SIZE: 11,363 ---DATE CHANGED--- ZONE : Rll OWNER : 07/17/96 TAX DIST: 004 ADDRESS: / / GRID : 4913 HRA ~ : NOTES : REF 075-092-08 .... DEED CHANGED BOOK : 2817 PAGE: DATE : 08/04/95 PLAT : 960046 .................................. ASSESSMENT HISTORY ........................ ---LAND .... BUILDING .... TOTAL--- FINAL VALUE 1995: 0 0 0 FINAL VALUE 1996: 0 0 0 --EXEMPTION-- FINAL VALUE 1997: 43,100 100,700 143,800 ..... TYPE .... EXEMPT VALUE 1997: 0 0 0 STATE EXEMPT 1997: 0 FINAL VALUE 1997: 143,800 -COMM COI/NCIL Date: 8/7/97 Time: 09:23:57 AM PAGE 1 OF 1 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:SW960234 DESIGN ENGINEER: OWNER NAME:BOYD ROGER P & OWNER ADDRESS:HC2-BOX 754 SOLDOTNA, AK 99669 PARCEL ID:07509208 LEGAL DESCRIPTION: US SURVEY 3043 LT 19A,-~ LOT SIZE: 11363 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 DATE ISSUED: 8/07/96 EXPIRATION DATE: 8/07/97 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST 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 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: SUBMIT WELL LOG WITHIN 30 DAYS OF WELL COMPLETION; AND SUBMIT ASBUILT SHOWING LO A IO . RECEIVED BY:~ ?X ~ ~ )_._. O'T LoT ALYE$~A HWY N o ,Se ua uhLW~ I ~ C~ ' 0 \ LAPd LOTS- I°~A-I 19A-2 LI ~ CL~R~E.Y NO. 3042, 5CRLIE_ - ImI: ,.~0' 6 '18970 • �5 �i 0 •Municipality of Anchor41:. On-Site Water and Wastewater Progra; JUN 12 2018 (907) 343-7904 s> F E T Y 't6 ti ^S. Certificate of On-Site Systems Appr•``:� 6 .g 9 5 Parcel I.D. 075-092-67 Expiration Date: g---1 S5 -12 1. GENERAL INFORMATION: Complete legal description ROGER BOYD; LOT 19A-2 Location (site address) 1179 Alyeska Highway*Gerdwood 99587 Current Property owner(s) Roger Boyd Day phone 907-398-7848 Mailing address 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: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: 6//g//A COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 602,6 Waiver Fee $ Date of Payment 6/i3Date of Payment Receipt Number 0514 i?-6 Receipt Number COSA# QSl / 4?' Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affiiied 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: L'/r/ ! b Qo0o0p O In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF A yap in accordance with the guidelines and regulations established by the Municipality of Anchorage and . .�s�o n industry practices. The reported results describe the condition of the system/s on the date/s of the O / 0 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ��` /,/A� arm 9TH/ 1 ••.-7 0 encroachments may exist that were not identified during the evaluation. The operational life of all wells © * • J—r * O and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 0......"'./../ , ... VA groundwater levels (that may fluctuate during the year), quality of construction (materials and s.______." ; VA /. workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and D are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q ••J if • •. Gor ess;• system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of Qo �/CE-7' ��0• : the well or septic system. GEG makes no representation whether an alternative well or septic system 0'9% f ,(p • •mac O can be installed on the property in the event either of the current systems fail to perform adequately in N�fe, ''�• i•i •/.v• �o°jd the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4�4aPrC f ess‘ol°oma perform the evaluation. Reliance upon the information provided in this report by any other person or � 40' • party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE (� l6System #1 Approved for 1 bedrooms System #2 Approved for bedrooms `l 0V AI\Ch0 Disapproved V� s\- - N� ri, 0 Conditional approval for bedrooms, with the fglowl -` ti : 2 •.0 NNPSROC.,'R G '/d)jnrT 0.5-''' By: By: "''' SrT., ` / Original Certificate Date: C. �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 Nitrate Advisory Septic System Advisory Arsenic Advisory 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: ROGER BOYD; L19A-2 Parcel ID: 075-092-67 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 11/8/96 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 100 ft. Cased to UNK ft. Casing height(above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 11/8/96 5/25/18 Static water level 70 ft. 69.1 ft. Well production 30 g.p.m. 6.2+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 0.359 mg./L. Collected by: GEG, Ltd. Arsenic: <5.0 ug./L. Date of sample: 5/25/18&6/7/18 B. SEPTIC/HOLDING TANK DATA PUBLIC SEWER 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 Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2or ft2/bdr • System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorptio - ea ft2 Monitoring tube Depression over field Date of adequacy test Results(Pass/Fail) For bedrooms Fluid depth in absor• ..n field before test in. Water added gal. New depth in. Elapsed •- e: min. Final fluid depth in. Absorption rate>= g.p.d. y 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 •• wa er alarm level at in. a - • 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'+ (ASSUMED) Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ (ASSUMED) 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 lots SEPARATION DISTANCE FROM ABSORPTION FIE • a 1 LOT TO: Property line B ' tt. • oundation Water main Water service lin- Surface water Driveway, parking/vehicle storage • -in drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION :\P...... ♦♦ if ,..... _ • .1 /t 7 I /\ •• *•. o. 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 • ■ ey A. • ness.c 4 f date. �j�i CE 7 3 ,: � Engineer's Printed Na a JEFFREY A.GARNESS •• ...F• :C� ♦♦'�F•••'� 00. .0.'��* k / fif) ♦♦O PR w\per♦♦ Date 6 /r LICENSE ,,�\�"s,�♦V♦�♦♦ #AECC884 (Rev.10/12/12) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either 10, lb or IC ) A.D.L. N0. 17 Borough Subdivision Lot Blockbj '/a Ors Section No. Township No Range E❑ Meridian I9A— Z _of_of_ot_j S❑ W❑ Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 111 3. OWNER OF WELL,n„()Vyte_' El.'L-AC Address: Street Address and A,,a of Well Locolion GI al iky-Y)c\, 2 WELL LOG Feel Below 4 WELL DEPTH: (final) S. DATE OF COMPLETION Surface (/�� } /7 MOteriol (Type Top l Bottom I� ft. IG - �5 - q� ''`� It *G-� raAt A_. ----_-_- (�_� 3'3 6. L I Coble tool �otary ❑Driven ❑Dug Da-)}\ � /s ctCAy r G�_s_i��.I ",.3 ❑ Auger ❑Jetted ❑Bored ❑Other- c Y be ‘ ,-.)-3 \ S> P1�! . 3' 7 USE. �ome I tic ❑ Public Supply ❑ Indutrry �-- �1 t` OU �- ❑ Irrig onen ❑ Recharge ❑ Commerical {`�/ J ``_A� �-- J� -- -... It--)(Th ❑ Tett Well ❑ Other: _ ------ _ E. CASING, O Threaded- Welded �) __-___ diem. OZ--6115)s./in to ft. Depth WeigOZ--6115)s./ft. -- - _ ___ d,om. in to It. Depth Stickup Z ft. ----- --- - - 9. FINISH OF WELL: --- --- -- Type: � Diameter, ---_--___ Slot/Mesh Size: Length: ------ ---- Set between ft and ft — __._._-.-. _ __ - Bdckfillinq Grovel pock — --� — — — 10. STATIC WATER LEVEL' -10 ft, 10'i1(Z: _ -- ------ — ❑Above or ❑ Below land surface —T'7� Dote ---- --- — — ur Equipment used: AkC 1l I 1l'� ----- --- . ._._-__ It. PUMPING LEVEL below land surface and YIELD ft. after hrs. pumping g.p.m. r_______ ---- ------ ft. otter nrs. pumping g.p.m. ---- -- — Yes ❑ No it, v --- --- - 12.GROUTING Well Grouted: tir—z}�r I _—__-_- ---- __ _- -^---_-- � Mole riol� ❑Neat Cement ❑ Other. . 13. PUMP (if ovo(foble) HP -_-__—_ - Length of Drop Pipe ft. capacity 9 P.m c __ —” Subm r ___ ❑ ❑ Jet ❑ Centrifical ❑ Other �'----__.-_'--_--_— -- --- -'--- ---- - 14 REMARKS: 2 c 16. 'NATER WELL CONTRACTORS CER!iFICA710N: 30 6PM `15. Water Temperature ,° ❑ F ❑ C __This w._ll was dnr:ed under my tutr,.dlctlun and 111,...111,... report r, true t., Inc best of ny knowledge and belief; Rt' •�tsred Busne s Nome Contract License Number • _,, .))3 .64,D .lck- . _ • ..•ye,rd u�Jlr�s - - • - -- — __ Dole: ICI 7 Aathoriz JRe-resentotiv I Form 02-WWR (11/SI) -- Copy Distribution: WHITE-State DGGS, PINK_Driller, CANARY-Customer I I Ai, ,.1 ,, , -I N e( l'G ° z 14/ N SI -� ,.., ,-..„ .._ ti1.4 -4 �. -,\ .. 11 - 5 Q/1.6 �� jil �4x''1 \�o N -1-\ ,.%. IS 1'.0•. o0. `o 9' o 0. R a \I N '- ' / lq x �et / 1� iGb b' 'b '/ � '1 , / / tiA `%,, ,./ / 4105 ,s--,, _ / �3 �j k ��/ • 01 / i kdff bo b. e4,e I0 -iv-iv p ASBUILT SEWARD & A_SSOCIATES LAND SURVEYING 694-082' I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY: / . 't ♦'b'lb'wi"%*F Ato ,Pod-�P.6'. ..r�� �aT/9�z DATE: 'S� � •. 4 AND THAT NO ENCROACHMENTS EXIST EXCEPT AS ii �� ,r PP. '•, • �, INDICATED. IT IS THE RESPONSIBILITY OF THE /91.-Li'= • dOWNER TO DETERMINE THE EXISTENCE OF ANY GRID ••• fEASEMENTS, COVENANTS, OR RESTRICTIONS y9/� ,WHICH DO NOT APPEAR ON THE RECORDED SUBDI- P VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' I#e�..•�u� -MB a t�,r IS-S918 �' ANY DATA HEREON BE USED FOR CONSTRUCTION �f�a7 4! • ( ` .� OF FENCE LI NES, OR FOR ESTABLISHING BOUND- �r -'' ''$::04-"."- ARY LINES. DRAWN '�a� DATE SCHEDULED / / TIME INSPECTOR SUBDIVISION US Survey 3043 BLK/LTITRACT Lot 19A-2 INDICATE NORTH a Gio 2D o, qtu facJtC Alyestq //IA / SIZE MAIN: f, A TYPE MAIN: yp DEPT AT MAIN: /-2 AT PROP.LINE: /0 CONNECT LOCATION: /3 `u N,,r- 0 ATK COMMENTS N0 Bide) 0.7 ,prG, Pit/ell-O. c J 41'3 ' SW Of ft vies /42e INSPECTED BY:a DATE: D_ 9G Aga I 6 r _ j '.1W At rilIP:&. v a p • • kt / .‘..... i /....::. I (0 I i 4P1 1 */1/9te'el,go 0_4.,.. \ %%%. .):4 . ".'.. 11111111kir.T' 111 4 '9 . ii. t t' — k 1 744 ® T1 a ie. it ? �� : -•.,P tv.,+f1 M 4114at., I II�p � . 1 ii . • lti3 . . . . a .. . . . . . . 01 i N- h ir. ,.., i 4 . . ILL u. .), . . r� ' ash .01,0411./k1 'NIL=Z4 ,,%1P y,4 s m N + ...i r 1 -rici e•apu..,Le.,•,..9,1„, • 111 . rii Lok 1:11- II'1151r,....-----‘j is ..----- / v 1 ... :. ........ , 1 t 4.•10 ;1 ji ?: !.. 1 1.-... *:. �''0p 3 ..i n i , ��� Ate. I ' O A •AlipP it , DEA> l� flW" _ ___L . . �. J r.. 4:0- --,maisiSOCcg"- 41i9r p ,,,iiit.. - ,:411.Tz•.b ., : , ... . • I:.-:::- • . r "'��'� .._ j_-,t 1' /�•'/may. Vr.�i .tet • . DATE SCHEDULED / / TIME INSPECTOR SUBDIVISION US Survey 3043 BLK/LTR CT Lot 19A-1 INDICATE NORTH 7 5 A 9° se 6 . 0 •hi P dt�Lt 4' eska 4/7 SIZE MAIN: " TYPE MAIN: iP DEPT AT MAIN: /d AT PROP.LINE:/p CONNECT LOCATION: S7L6 oq /3,4„'Ncl� 97,14 COMMENTS, , 7.3y, it ,47.y.,./74,c.. O/ t'i rat f' Y3--0.1 o/ _ ow[i ,-•LG. 91'SA/ of /bWtL t,4c INSPECTED BY:_pep DATE: cr,S-_�`