HomeMy WebLinkAboutSNOW CREST VIEW LT 8Snow Crest
View
Lot 8
#016-141-10
Municipality of Anchorage
_ Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www d.anchorage.ak.us (907) 3417904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. D�"c)!501�6 • PIDNumber:
Na,V, Main AIr
❑ Wastewater System: New ® Upgrade
ane 11331 94J(, Lane
ABSORPTION FIELD
Phone 250-a3JC3 NunDar of 11" a $ 3
J
rWich W Mo Ottw
STppO
Wow Trach OMM+
LEGAL DESCRIPTION
SW Rswq
U
TNW DOW am arpmal paM
IO
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Bidet Let SIL z on
l
13 SfTOtJ cress View
Dep, b Ppe NAM amal praaa
pen
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Grav OW!, Danaalh pipe
Ft.
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31
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Well:x5rn0 New Upgrade
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MMWIer
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6 25 05
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Camp N""'0"Aoov. Grpap
TANK
GPM
FI.
Fl
SEPARATION DISTANCES
S Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
ldt
Holding
ubhUPrwate
ape""
`>p
ape�'r
From
Tank
Field
Station
Tank
Sewer Line
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wen
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Suiau,wWM
IDD'+
100'+
N A
N A
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LN Low
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BENCH MARK
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11
ZfS SQurC -Ar,� Dates: 1M (0 -m o5
Inspections by: L-
Eng
performed
D5
1)
Development Services Department App ov 125
;'49TH
Conditional Approval Date:
/E S-UR-CLA; '
As zReviewed
e
and approved by: Dater ��`
�1\� �SSiG=`—�
\\\��
(Rev OLoal
00- 0 0
0
1000 gal Sept/c tank
0
a,
CV
d
4
Standard Trench:
2' Wide
31' Long
10' Deep
7' Sewer rock .'�������
3 Cover •.�P�� CF 4��•••
�.•
f ; 49th
NO SCALE
Sit t
fM:= Baa' s
7 ft of Septic Rock
Effective
Monitor
Cleonouts _
- 3' Cover
lkV.= foo'
NO SCALE u
SPURKLAHD
1000 gal. septic tank
t2
Bonen Yant Bottom Door Jan
Gorwe Assi nod DOcBon 100'
TOB203 W1 th Ave AND P.E. LOT 8 SNO)WREST VIE)/ SEPTIC SYSTEM ASBUILT
203 WISth Ave
Anchorage Ak 99501 ADAM ALBORN DATES JUNE 28, 2005
jqjr,IWl DAM LAW SHEET, j j GRID, 2630
PERMIT SWO50185 PARCEL ID 1016-141-10 SCV0800JDWG
Environmental Consulting and Design
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Dragaw Street
Anchorage, Alaska 99519
Subject:
Ladies and Gentlemen:
Lot Line Wavier Request
Snow Crest View Lot 8
April 26, 2007
During the installation of the septic system serving Snow Crest View Lot 8 the a portion drain field was installed
within the 10 foot lot line set back. We are requesting that a lot line waiver be approved for this drain field. The
separation of 5 feet exists between the nearest edge of the drain field and the property line. Granting of this waiver
will not negatively affect any on the surrounding properties of the newly installed septic system.
If you have any questions or concerns, please contact me at 279-3916.
Sincerely, p
t�'2 S
Lars Spurkl d, P.E.
Civil Engineer
203 West 1516 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.nct
WAIVER FEE: IIS
PAYMENT DATE:151T/07RECEIPT Jt: qy 1 &&
Munici
,let
� pality of Anchorage
r+.t Municipality
�� 1:0. Mx I!NAN) • Awhom a. Alaska !MAiI! 4WIii) Y 47(X) lilmnre Rmd
y J
oni.v: (!X)7)343.f0)1 Y Fax: 0M Si& 0H) bup ffivim.numLnrg
Mayor Mark 13c11ic11 Development SLmices Department
15 November 07
Spurkland Engineering
203 W. 15'h Ave
Suite 203
Anchorage, AK 99501
Subject: Waiver Request for Snow Crest View Lot 8
Waiver Request # WR070062
Parcel ID #01614110
Dear Spurkland Engineering:
runt
oC Sri
�
64j Y _ui 1.
Department
Your request for a waiver of the required 10 feet from the Absorption Field to the
Property Line is approved. The approved separation distance is 5 feet.
This waiver approval applies to the existing Absorption Field to Property Line
separations only. Any future upgrade to the on-site wastewater disposal system will
require all separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
a' rely
-via Y2,o--�
Daniel J. Roth
Program Manager
On -Site Water & Wastewater Program
Conzmzinity, Security, Prosperity
Municipality of Anchorage
Development Services Department
+.e Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.orgtonsite
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Spurkland Engineering
Legal description: Snow Crest View. Lot 8
ZD
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in design. _
❑ Additional soils information needed. _
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
® Incomplete; missing well to private sewer line se
® Incomplete; missing lot line waiver request letter
❑ Additional adequacy test information needed.
❑ Water sample unacceptable. _
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown.
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
❑ Omission in narrative.
❑ Insufficient fill over tank or field.
Name of reviewer: Julie Makela, P.E.
Date: 7/1/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SWO50185
Legal Description: SNOW CREST VIEW LT 8
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: ADAM ALBORN
Owner Address: 11331 DAVE LANE
ANCHORAGE. AK 99501 -
IA
Date Issued: Jun 20, 2005
Expiration Date: Jun 20, 2006
Parcel ID: 016-141-10
Site Address: 011331 DAVID LN
Lot Size: 8910 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of.
Q Disposal Field ❑✓ Septic Tank Holding Tank ❑ Privy Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked 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 DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: u
�. >. _-0�
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.enchorage.ek.us
(907)343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. /)/&- / Ll I- to Permit Number SW
Property owners) AJ*.. AI bor— Day phone TSO- Z3 S3
Mailing address (1) 11331 Noe In
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size A+q %a A c r /Sq.F
THIS APPLICATION IS FOR:
Number of Bedrooms
3
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above Information Is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of prdperty owner or authorized agent)
Permit Fees: 4 C40 pp /� Waiver Fees:
. n,• .,i I UIIII"I'!
1 •�r!n;,l llin �l,n� C9 % 0 ���_ Rncnipl Numhnr,
(Rev. 1200)
SPUMand EfluNmeefiflg
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
LOT 8 SNOW CREST VIEW
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
June 1, 2005
We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of
three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed
improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a
schematic of the septic system, (sheet 313). Soil logs and percolation tests of applicable testholes are also enclosed. The
septic system design is based on the following :
Testholc 16 It. deep
No Groundwater
Standard Trench
Soil Rating. From Testhole 5/10/05.
<I min/in = 1.2 gal per sq.ft/day
No. of Bedrooms 3
Required Area per Bedroom: ISO/ 1.2 =125 sq.ft.
Total area required: 125 x 3 = 375 sgft
Bottom Rock At 10 feet
Top Rock At 3 feet
Rock Depth 7 feet
Total Bed Length 375 /14 = 27 feet
USE 30 FT
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH
30 FT
TOTAL WIDTH
2 FT
TOTAL DEPTH
10 FT
ROCK DEPTH
7 FT
COVER
3 FT
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.net
Municipality of Anchorage
Development Services Department
Building Safely Division
0 y1 on -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519.6650
w+ ci anchorane 0 u5
(907) 343-7904
/1 `` Soils Log - Percolation Test
Pe -formed Fcr: AUgm Alborn
Ls;al DescripLcn: Srtow Cr#SV Vito/ l.o� $ Township, Range, Section:
2
3
e
YlAS GROUND WATER
E`:000aTSRED? No 6
IF YES, AT MAT DEPTH? L
0
Depth to wait, Aher P
Monitoring? E
Daw S I
FERCCLAiICH PATE
TEST RUN 9STWE2"
CC'.:.•:EXTS
F -RC r:C:=_ DIAMETER
er
PEnFOR%IED BY: I IM SN('V`MCA I CERTIFY TY.AT THS TEST
PE?=ORk,IEO IN ACCORDANCE W(71-1ALL STATE AND A:U,IICIPAL GUIDELINES IN EFFECT Ott THS DATE. DATE: S 10 Zop
u
Standard Trenchr
2'
Vide
30'
Long
10'
Deep
7' Sewer rock
3'
Cover
NO SCALE
Sit t
7 ft of Septic Rock
Effective
0 0
o
� 1000 gal Septic tank
C
tl
d
V
!
12A
Monitor
NO SCALE
49th
SPURKLAND
CE -2225 .
1000 gat. septic tank
a
3
1W1Sth thAve URRLHIVL r.L.
03 LOT B SWOMEST VIEF SEPTIC SYSTEM DESIGN
203 WI
Anchorage Ak 9950111 ADAM ALBORN DATE MAY 31, 2005
11371 DAM LAW SHEETi 3 j GRID, 2630
PERMIT j SW0400XX PARCEL ID 1015 -081 -XX SCV08003.DWG
0
n
4 Cn I 25 I I
21A
24
5/
– R100.00_ I 22A-4 1
22 1
hOLV
STREET �– I 22A-5 J�
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9 1 I 11 22A vl
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3A-1 Q
18
I I I I II I I c,323A-2
T — R20000
12I I — —
JOAN COURT
�\I III 1613
1
.' 49th
50 0 50 1A9 150 200 250 300
SCALE, I' = 100 FT.
PEN SPNRKLAND
No. CE -2225 ,
I /UtltltN JYUNKUNU r I I LOT 8 SNOW CREST VIEW I I SEPT/C SYSTEM DESIGN I
203 W 15TH. AVENUE ADAM ALBORN DATE. • MAY 31, 1005
A07) AX. 99501 11331 DAVE LANE SHEET. 1 3 CR/D: 2630
/907) 779-3916
PERMIT #SV020XXX PID # 016 -141 -XX SCV08001.BVG
6 / 23 \
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1 I el!
I I r r�¢Qeo- 7 Mm
ANtuRo rNCH
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/{---------- 10'UMEW
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I (—Area I I
I I y 10 19
I I I
I I f
•
11 I `Fell' "i. 49th
3 3 • 1 Q.,.. .,
25 0 25 50 75 100 125 150
SCALD P = 50 FT.
203 W 15TH. AVENUE ADAM ACBORN
IOA71 970 9030II 1 1133/ DAVE UNE
3BEN SPURKLAND
No. CE -2223
DA Tr. MAY 31, 2005
SHEET.• 2/3 GRID. 2630
PERMIT # PID # SCV08002.DVG
Municipality of Anchorage
Development Services Department
• � Building Safety Division : - -
On -Site Water and Wastewater Program e
4700 South Bragaw St. `
S " `
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Spurkland Engineering
Legal description: Snow Crest View Subdivision, Lot 8
The attached paperwork has been reviewed and is being returned for the following reasons:
® Original signature or stamp missing on permit application and cross-section site plan
❑ Calculation error in design. _
❑ Additional soils information needed. _
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
® Incomplete; missing location of driveway and parking areas, location of existing septic tank
® Incomplete; missing reserve drainfield location
❑ Additional adequacy test information needed.
❑ Water sample unacceptable. _
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown. _
❑ Proposed system too deep for soils information submitted. _
❑ Well log required.
❑ Omission in narrative. _
❑ Insufficient fill over tank or field._
® Other. Will existing septic crib and tank be decommissioned?
Name of reviewer: Julie Makela. P.E.
Date: 6/14/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
GRATER ANCHORAGE AREA BOROUG�ir
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686 `_ 7
DATE RECEIVED:_'
INSPECT: l/ - /L 71
TIME:
REQUEST FOR APPROVAL OF '
INDIVIDUAL SEWER AND WATER FACILITIES rt IGJi ` G(
FOR �L���
1 . APPROVAL REQUESTED BY:el-_
annaFss: � z'� 24/7,
2.
3.
4.
5.
w
PHONE:9 Lf Lf 7
PROPERTY OWNER:���� G�7;7S%r)�rl1(�1r1 PHONE:
se -5 c ;✓Co�� �L� .
LEGAL DESCRIPTION:
Z 6 J
TYPE FACILITY TO BE INSPECTED: iic !7 n�/ STREET:
NUMBER OF BEDROOMS: /
WELL DATA:
A. TYPE
B. DEPTH
C. SIZE ,�C�/%�rl/ G✓/ rtc�lL�-
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
SEWAGE DISPOSAL SYSTEM:
A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK)
1. SIZE `7��
2. AGE `' ' ✓��
3. M4N-H-F-1 t7i f�E-R-
4. INSTALLER
APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
B. SEEPAGE PIT
1. SIZE
2. LINING
C. DISPOSAL FIELD
APPROVED: DISAPPROVED:
DATE: DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
1. NUMBER OF LINES
2. TOTAL LENGTH
7. REQUIRED
MEASUREMENTS
A.
WELL TO SEPTIC TANK
B.
WELL TO SEEPAGE PIT
C.
WELL TO SEWER LINE
D.
WELL TO PROPERTY LINE
E.
WELL TO OTHER POSSIBLE CONTAMINATION
F.
FOUNDATION TO SEPTIC TANK
G.
FOUNDATION TO SEEPAGE PIT
H.
SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:_
APPROVED: DISAPPROVED:
DATE: DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
movember 17, 1971
sponne P4ortqane
1j. *3th AvP'DIIf'-
99601
mro
S U bj Lot �Gw 'st Vitaeivir no
i,ear Sirs,.
n I , 7
;ie watqr swinly to thP S"L�JtNe�t lot is cc 'c"'e "
it cannot be �Pprovpd
not an Dortrovf"I supply* T�wrrflire,
tiy ois 'Pv�Partwopt'4
If you fItIvp ?qly itl(,stinrs repardincl the a0lnVe,
Vlot hesitAt�� tr-. contact this Offir�
Si nrerel v ,
Lynn S. CO�Id
Unvirvnri�..,ntal S-!(�O$AiSt
st
cc, Mrs. Adella Wel$ingh8m
VA Aftinistration
MUNMIPALITY OF ANCHORAGE
tiev J
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section - - Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 016-141-10
1. GENERAL INFORMATION
Complete legal description Snow Crest View Lot 8
Location (site address) 11331 Dave Lane
Current property owner(s) Adam Alborn
Mailing address
Real estate agent
2. TYPE OF DWELLING:
Fx_1 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Expiration Date: 0 .5- `17 "2-02- Cr
Day phone
Day phone
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
❑
Private Septic
Q
Water Storage
❑
Holding Tank
❑
Community Well
®
Community
❑
Public Water System]
Public Sewer
❑
Waiver request for:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 5U Waiver Fee $
Date of Payment Jr , 6 b U Date of Payment
Receipt Number oo 7 $ F6 Receipt Number
COSA # 05C .2 .2 L) 3 6 Waiver #
Distance:
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 (an -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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA
COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time
of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on
the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not
guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot
provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole
benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly
recommends buyers hire their own engineer to evaluate this report.
Name of Firm Pannone Engineering Services Phone (907) 745-8200
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R. Pannone P.E.
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms
Z
System #2 Approved for bedrooms
Disapproved
Date
4 TH
St veri i . f'onnor e
8149
Conditional approval for bedrooms, with the following stipulations:
L-03.� -�-1 a S Lc CVs �s ,��—{-�,t� e cd.��� � 1� �� �'(y F
��w
w,TER
AN �.
�o WAST`,-T1,o
PK r, rVj
JJ,ENT SERV
�� Original Certificate Date: &-q-2 �Z Z
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 Stale 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 Checklist blue sheet
Legal Description: Snow Crest View Lot 8
If more than 1 septic system on lot: COSA Checklist # 1 of 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Parcel ID: 016-141-10
Structure served by this system 1
Well production at time of test N/A gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ No
Cased to ft ❑ Coliform bacteria is Negative
❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND)
❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND)
Casing height (above ground) in. Collected by
Date of flow test for COSA Date of Sample
Static water level at beginning of test ft.
Comments Lot Supplied By Community Well PWS 2210891
B.' TANK DATA
Age of tank(s) 17 years
Tank type/material 5 -SZ -1
Measured operating fluid level in septic tank 51"
❑ Standpipes/foundation cleanout per record drawing
Date of pumping
D. ABSORPTION FIELD DATA Deep Trench
Which system tested (date installed) 2005
W ALL standpipes present per record drawing
Total measured depth from grade 10.9 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date °"17,1202=
Results ❑✓ Pass For 3 bedrooms
Fluid depth prior to test 33.5 in
Water added 450 gal
New depth 44.5 in
Elapsed time 100 min
111111Code-requiredsoil cover over field
Final fluid depth 33.5 in
❑ System presoaked Absorption rate 450+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months)
date of test)
Gallons introduced gallons If yes, enter date
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'
L�J
Yes
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' ❑ Yes
if No ft
❑ Yes
if No
ft
Community Sewer Main > 75' 171 Yes
if No
ft
Manure/Animal Excreta Storage > 100'
❑ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' E✓ Yes if No ft Surface Water > 100' ® Yes if No ft
Property Line > 5
L�J
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓
Yes
if No
ft
Private Wells > 100' ❑✓ Yes if No ft
Water Main > 10'
Q
Yes
if No
ft
Community Wells > 200' RI Yes if No ft
Water Service Line > 10"
Z
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'
0
Yes
if No
ft If absorption field is under driveway comment below
Property Line > 10'
❑
Yes
if No 5.0*
ft Wells on Adjacent Lots:
Water Main > 10'
❑✓
Yes
if No
ft Private Wells > 100' [✓ Yes if No ft
Water Service Line > 10'
F/
Yes
if No
ft Community Wells > 200' Q✓ Yes if No ft
Surface Water > 100'✓CI
Yes
if No
ft
F. ENGINEER'S COMMENTS
TANK SETTLED SLIGHTLY (1/2" DROP). SYSTEM STILL OPERATING W/I TOLERANCES
LOT SUPPLIED BY COMMUNITY WELL. PWS 2210891
*SEE FILE FOR EXISTING WAIVERS.
G. ENGINEER'S CERTIFICATION OF At -,4h
1 certify that l have determined through field inspections and review
of Municipal records that the above systems are in confonnance with 49 —
MOA COSA guidelines in effect on this date.
v Pannone
LE R 149 �L
FBF„
�urESSO
COSA Checklist yellow sheet
THE STATE
May 13, 2022
GOVERNOR MIKE DUNLEAVY
Department of Environmental
Conservation
DIVISION OF ENVIRONMENTAL HEALTH
Drinking Water Program
Subject: Compliance Status for Snowcrest View South Public Water
System, PWSID# 210891, Groundwater Source
Dear Sarah Alborn,
555 Cordova Street
Anchorage, Alaska, 99501
Main: 907.269.7517
Fax: 907.269.7650
elizabeth.nakanishi@alaska.gov
I have reviewed the compliance History for the Snowcrest View South Public Water System,
PWSID 210891. The system is current with all their monitoring requirements and is meeting all
regulatory levels for regulated contaminants. The system does not have any, open violations.
If you have questions, please contact me at 907-269- 7517 or b}, email at
elizabeth.nakanishiaalaska.gov.
Sincerely,
Elizabeth Nakanishi
Environmental Program Specialist II
CRETE STREET
0
N 89*52'30"E 135.00'
30.00, COVERED ENTRY
114�SEPTIC WPS- -. � 0
z CLEANOUTS DR 64
64.5'
LOT 8
M
TWO STORY WOOD P 8,9 C! LOT 21
10 s.f.
FRAME RESIDENCE
Ci
Ci 4�
25.6' 64.5' 44.9'
S 89*52'30'W 135.00
6 LOT 9 Ui
LOT 20
10' UTILITY EASEMENTS
PLOT PLAN — AS BUILT X SCALE 1" = 30' GRID SW 2630 Project No. 08-144 _
Lang & Assoclafes, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
(907) 522-6476 Phone
Registered Land Surveyors (907) 522-4625 Fax oa •
kglangIsOolasko.not / jc long Is0a laska. net O.F.A.
I hereby certify that I have surveyed the following described property:
LOT 8, SNOW CREST VIEW SUBDIVISION (1)
49TH
Anchorage Recording District, Alaska, and that the Improvements situated thereon are ....... . ... .........
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as Indicated hereon. ) KENNETH LANV. C"'v
LS -5202
Dated this the 'I, Day of Log� of Anchorage, Alaska
fror—
It is the responsibility of 'the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plot.