HomeMy WebLinkAboutHIDDEN ACRES LT 3 011 2m z
GRE:A~-F.R ANCHORAGg ARgA BO[~,LIGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3390 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
N*~ME OF APPLICANT
INSTALLATION LOCATION
APPLICATION AND PERMIT
LEGAL DESCRIPTION
INSTALLATION OF:
SEPTIC TANK
SEEPAGE PIT.
DRAIN FIELD
OTHER . '
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
TO BE INSTALLED BY
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEEPAGE AREA SIZE TYPE
DIAGRAM OF SYSTEM
SEPTIC TANK SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALl
SEPTIC TANK SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK f/
DRAIN FIELD / OO
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK. SEEPAGE PIT
TO RIVER. LAKE. STREAM.
. DRAIN FIELD
. DRAIN Fl'ELD.
j SEEPAGE Pit ~/OC_~
ALSO CONSIDER AREA WELLS.
, SEEPAGE PIt
DRAIN FIELD
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 BACKFILL
CONFORM TO BOROUGH REGULATIONS RE,NC iNSTALLATION.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WiTH THE REQUIREMENTS OF GREATER. ANCHOraGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. JJ /~ ~
DATE '~ '//'~/~ APPLICANT'S BIGNATURE~%~~' ~~ , ,
MUNICIPALITY
DEPT. OF
I!N¥IRONMI!NTAL
~tlL
/gq ~
/~?'~
2_7 5-- ::z7¢
/t
7.' Sewage. Dts. bosal System:
A, ~stalled
D. ~eepage Pft~ '1.
E. Disposal Field:
'B. Installer
~zze 2. Manufacturer~
Size · 2. Material
Total. Length of Lines
Distances:
A. Well To:
Septic Tank
, Nearest Lot Line
Foundation to Septic Tenk
, Absorption Area
Absorption Area to Nearest Lot Line
Other Contamination
Ab§orption Area
Sewer Lines
Request for Approval of ~5~ividual Sawer & Water Faciliti6~'
Page Two %
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTE[~
I certify that the information contained in this request for approval to be a true
and accurate representation of the sub.iect sewer and water facilities located at:
· to:
GREATER A;~CHORAGE
Departr~ent of Environnental ~aliLy
ApFil 'i7~ 1573
Roll Str'ickland
Ci~ief Sanitarian
Robert C. Pratt
Envlrom~ental Control Officer III
~t~:qucst fc, r Public Sewer a~ ilidden Acres S/i) au
Js
GREATER ANCIIORAGE AREA BOROUGtt
Depart~aent of Environmental Quality
HEMO RAN DUM
· May 1, 1 973
TO:
Jim Swing
Water Pollution Control, Engineer
FROM:.
Robert C. Pratt
Environmental Control Officer III
SUBJECT:
Request for Public Sewer at l[tdden Acres S/D at
78 Street between liuckleberry and Loganberry Streets
A petition has been submitted to Public ~;o~ks for public
sewer at subject subdivision. The f, ajority of tire people
involved are in favor of public sewer. }!ost of the individual
sewer systems are being pumped on an average of once a mo.qth.
Ti~e lots 'i~lvolved are not large enough for additional systems.
The people I 'talked to were Mr. and ~:';rs. Snipe and ~rs. Gates,
and for tae reasons mentioned, -they reques: that they be pu~
on top priority for public sewer.
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•
•° �-rt Municipality of Anchorage Q� E Li,`p
On-Site Water and Wastewater Program
(907) 343-7904 SAFE.Y
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 012-242-20 Expiration Date: C(-21-
1.
(-2 1. GENERAL INFORMATION
Complete legal description _HIDDEN ACRES LT 3
Location (site address) _3610 W 78TH AVE ANCHORAGE,AK
Current Property owner(s) BILL LONG Day phone
Mailing address 5861 CHISNA WAY, ANCH 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: 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
Waiver/Variance request for: Distance:
Received by: Date: ./(72/(./
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ - Waiver Fee $
Date of Payment (o-a -q Ck 105 1.01 Date of Payment
Receipt Number aaVo00 Receipt Number
COSA# �'jSC1g 2-R1 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 6/22/18
r.CT. \ti :,•a oc•m 0 s_t ,_
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r , 7•: -1.'1,.:!•- '
c.o t•0 O . o L 0 0 0 ')0 0 0 0 9 0 0 Y;
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6. DSD SIGNATURE c�; iCHAEL rND;:eSC>t ,d
C %. -c:.i q A
System #1 Approved for L bedrooms. `s %'�T p.r/i ..
L 4.),'J Dom. •: v sa
System #2 Approved for bedrooms. ��;,),':tttr.Sn,,.%!
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
�..\`\ �[ %1iirl;h(
ON NO
WP Njp
IER
c. W PS OGRN,Df' S.
i OR c
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.,,,t�,,I�" raw'`
By: .. ' \ —eP;- Original Certificate Date: G -2.7 -( F
v
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
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: HIDDEN ACRES LT 3 Parcel ID: 012-242-20
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N)Y
Date completed 11.11-75 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y
Total depth 276*ft. Cased to 276 ft. Casing height(above ground) 12"+
FROM WELL LOG AT INSPECTION
Date of test 11-11-75* 6-7.18
Static water level 200* ft. 68.8 ft.
Well production 4+ g.p.m. 6+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 0.100 mg/L
Arsenic: ND ug/L Date of sample: 6.7.18 Collected by: Mike Anderson
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/bedroom) 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
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"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
WELL ON LOT TO: LOT HAS AWWU SEWER SERVICE
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 NA
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
F. COMMENTS
WELL WAS DEEPENED IN 1999 BY M&W DRILLING FROM 276 TO 321,STATIC WATER AT 70',FLOW RATE IS NOW 25GPM.
G. ENGINEER'S CERTIFICATION ®FAz
a�',��
I certify that i have determined through field inspections and �� •• • . ',s,
review of Municipal records that the above systems are in p' y•' •'.
conformance with MOA COSA guidelines in effect on this date. if*149TH ; ' '¢,
Engineer's Printed Name MIKE N. ANDERSON, PE
vi• MICHAEL N. ANDERSCN ;�'-
Date 6122/2018 1�• CE- 469 Ga,
416•••• ..
COSA canary sheet_2-6-15.doc
8473X
q_ _ _
0 West 78th Avenue
co o
co
N 89°55'44" E 132.00
�.•;. :;.' : well ------.°asphlfi . CI).
11:0: — CO
IV:
25.0 cec 16.0LO
t
f r") 20.3 o L.'�`N u7
o 1 2 StoryTi M
o M Frame CO W
House �i ' w
59.5
Mi., 1.3
a Lot 2
6.1----. deck retain ngr N
wall (yp) wood--------- O
fence O
Lot 4 LU (typ) 0
greenhouse F , z
O 1
O0)0 co LOTS
o '
0
z -
10' Utili y Easement ~
- - - v y q r d ✓ _
N 89°55'44" E � 132.00 _
Lot 10A I Lot 11 I Lot 12
I I
' AS-BUILT NO CORNERS SET THIS DATE
• � •.'T- / I hereby certify that I have performed a Mortgagee's inspection
49th )5- • y of the following described property: Lot 3.
. / Hidden Acres Subdivision
// Anchorage Recording Precinct,Alaska,and that the
// ,' . lizabeth L. Wolatko..I / improvements situated thereon are within the property lines
s:F•• 8036 – LS ••J... and do not overlap or encroach on the property lying
�Fo • • • • o y adjacent thereto,that no improvements on the property lying
1 °ROF •Ja ~ adjacent thereto encroach on the premises in question and
1 EssioNo. �� that there are no roadways,transmission lines or other
+X%\\S-% visible easements on said property except as indicated
SCALE: 1"= 30' 4-lb-lb hereon. '
Dated at Anchorage,Alaska
EASEMENTS OF RECORD, OTHER THAN this 8th day of June 2018
THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C.
PLAT ARE NOT SHOWN HEREON FB 18-6, pg 6 MB Engineers and Surveyors
UNLESS OTHERWISE NOTED. 907-248 t666
•
M-W DRILLING, Inc.
P.O.Box 110378• 10330 Old Seward Highway
(907) 349.8535
ANCHORAGE,ALASKA 99511
DRILLING LOG
Well Owner MIKE BATEMAN Use of Well DOMESTIC
Location (address of: Township, Range, Section, if known; or distance main road
3610 W 78TH AVE
ANCHORAGE, AK
Size of casing 6" Depth of Hole 321 feet Cased to 320 .50 feet
Static water level 70 ft. ¢ (below) land surface. Finish of well (check one) open end ( x );
Screen ( ); Perforated ( ).
Describe screen or perforation N/A
Well pumping test at 2 5 gallons per ( t1t9 (minute) for 1 hours with 100% ft.
of drawdown from static level.
Date of completion 14 MAY 1999
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
0 TO 275 EXISTING WELL
275 TO 290 GRAVEL: SILTY, CLAYEY, WET
290 TO 310 CLAY SILTY, GRAVELLY, LENSES
310 TO 321 WATERBEARING GRAVEL: SANDY
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