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HomeMy WebLinkAboutBROADMOOR HEIGHTS BLK 1 LT 4Broadmoor Heights Block 1 Lot 4 #010-083-14 Well was drilled, after permit expired, on Broadmoor Heights B-1 L-4 as a Class C well serving that lot and New McRae B-2 L-100 .3'gk01 j DEPARTMENT Drilling, Inc. NATURAL RESOURCES 9 • DIV. OF MINING, LAND & WATER *P.O. Box 110378. Anchorage, AK 995110 ♦907-345-4000 * 907-345-3287 Fax♦ APR 13 2006 Job No.: 06-110 Parcel No.: 010-08314-000-13 Permit No. N/A DIRECTOR'S OFFICE NORAGE Groundwater Well As -Built c& Lo * Well Owner: Mathias Construction ♦ Use of Well: Class C ♦Legal Description: Broadmoor Heights, Block 1, Lot 4 2815 West 36h Avenue; Anchorage, Alaska Construction *Hole Depth: 321' ♦Casing Size: 6" ♦Cased To: 320.35' *Material. A 53 Steel * Drill Method: Air Rotary Perf. * Well Completion- Open end X Screen Perforated Method. *Screen/Perforation description: None *Grout Notes. (1) Sack- No. 8 bentonite granules * Notes: * Well Development. Method. Air surge Notes: * Static water level (S WL) 25' (above) (below) top of casing (TOC). * Nell yield test at 50+ gallons per minute (GPM)l) for I hours with 100% of drawdown (DD) from static level (SWL). *Method: Air lift *Date of completion: 29 March 2006 *Pump install.• Well Log Depth in feet from top of casing. Details of formations penetrated, size of material, color and hardness. 0 TO 2.5 Casio stickup 2_.5 TO 5 Pit run fill - ~- 5 TO_ - 12 _ Organics: brown -black, some wood 12 TO 19 ----------------- 19 TO 53 Silty sand: wet 53 TO 102 _ Clay: gray, thick-----_-------_�-- 102 TO 22_6 _Silty sand: gray:, some clay layers, wet 226 TO 2_71 Sit muck: dark organics, wet and soupy with stiffer clay layers ^ V_ 271 TO As above: with interbedded coal seams ^305 __305 TO 312 Water gravel: very silty 312 TO 321 Water gravel: clean To ----.-_- TO TO.- -WANWS-E-,WEMERQ--- TO ) WA OwNed MasW-Gronlld� * Cantric#ar — -- ----.__-_TO ; Gorltract'ors ucer,se No. 1000 - _ ---- ------- - --- — TO —__ ---- -_ MUNICIPALnYOFANCHOR4GE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Oct 21, 2004 Expiration Date: Oct 21, 2005 Permit Numbe• SW04 446 Parcel ID: 010-083-14 Legal DescriptiomEIGHTS SUBDIVISION BLOCK 1 LOT 4 Design Engineer: 0019 Flattop Technical Services Owner Name: MATHIAS CONSTRUCTION Owner Address: NHN W 36TH AVENUE ANCHORAGE. AK 99517 - Site Address: NHN W 36TH AVENUE Lot Size: 12180 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑ 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. r_' "zt� Date: 161 / Zt,e-y Issued Byj/'Y�T " _ Date: /o I& A, 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.anchorage.ek.us L (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O r 0 — 063 — / i Permit Number SW Property owner(s) MQ Kn rcat Cc/Lr%YYtGIIG�7 Day phone 2Yo —81132 Mailing address (1) 1312o l j,4( 'eco Rd —Itg address (2) 1JHA/ X,019 t uu � _ ,1 % Zip Code 99 S/� Legal description (Lot, Block & Sub'd.) 1 of i'; 0/uck /� Ceiaacfenc f Htro�b Legal description (Section, Township 8 nge) Lot Size �� A es/Sq.Ft. 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. 71X� V_Z0 %n� (Signature of property owner or authorized agent) Date of Payment: Receipt Number: 5fin+ Receipt Number: (Rev. 12100) CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345.1355 October 18, 2004 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for permits to drill 3 private wells - on Lots 3 & 4, Block 1, Broadmoor Heights and on Lot l OD, Block 2, New McRae S/D. Site plans are enclosed for your review. While each of these lots will be served by AW WU public sewer, no public water main is available. The proposed well sites have been selected to achieve a separation distance of greater than 100 feet from any public sewer line or manhole, and to maintain a separation distance of greater than 25 feet from their private sewer service lines. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, T.�c Ted Moore, P.E. LOT IOC, BLOCK 2, NEW McRAE SID LOT 1, BLOCK 1 BROADMOOR HTS. SID HOUSE UNDER CONST. ------------- F - - - - - - - - - - - - - - I - - - - - - - - - - - - - - - - - - - - LOT IOD, BLOCK 2, NEW McRAE SID PROP. WELL LOT 4, BLOCK 1 BROADMOOR HTS. SID MCRAEAVENUE LOT2, BLOCK 1 BROADMOOR HTS. SID PROP. WELL I PROP. \ WELL X10' e , WEST 36th AVENUE ; -----------'----——————— — — — �-- -- LOT21--- ' ----- LOT 22---- �, r- ';,9F A ,i��1 LOT 4, BLOCK 1, BROADMOOR HEIGHTS �Q� PROPOSED WELL INSTALLATION 49 m SITE PLAN ....................... / } % / FLATTOP TECHNICAL SERVICES 1 1 INCH = 50 FEET P 0. THEODORE F. MOORE �: ,! / 14330 ECI10 STREET DRAWN BY TFM •� CE -3589 : �c j ANCt10RAGE, ALASKA 99516 OCTOBER, 2004 6s' :o%.0' "44' �- PUBLIC NOTE: THIS IS NOTA SURVEYED PLAT. �, ;`=� ' � SEWER ALL LOCATIONS SHOWN ARE APPROXIMATE. I HOUSE UNDER AWWU PUBLIC SEWER -------------- PROP. WELL I PROP. \ WELL X10' e , WEST 36th AVENUE ; -----------'----——————— — — — �-- -- LOT21--- ' ----- LOT 22---- �, r- ';,9F A ,i��1 LOT 4, BLOCK 1, BROADMOOR HEIGHTS �Q� PROPOSED WELL INSTALLATION 49 m SITE PLAN ....................... / } % / FLATTOP TECHNICAL SERVICES 1 1 INCH = 50 FEET P 0. THEODORE F. MOORE �: ,! / 14330 ECI10 STREET DRAWN BY TFM •� CE -3589 : �c j ANCt10RAGE, ALASKA 99516 OCTOBER, 2004 6s' :o%.0' "44' �- PUBLIC NOTE: THIS IS NOTA SURVEYED PLAT. �, ;`=� ' � SEWER ALL LOCATIONS SHOWN ARE APPROXIMATE. MUNICIPALITY OF ANCHORAGE 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. 010-083-14 Legal description BROADMOOR HEIGHTS B1 L4 Site address 2815 W 36th Ave Anchorage Current property owner(s) Timothy and Shelly Plum Expiration Date: 2 1 / 2 3 X The On-site system(s) is/are approved for 8 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: Vz -IZOZ 3 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory X Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE _ Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 010-083-14 Complete legal description Broadmoor Heights Block 1 Lot 4 Location (site address) 2815 W 36th Ave. Anchorage, AK Current property owner(S) Timothy & Shelly Plum Day phone 2. ON-SITE SYSTEMS SIZED FOR 8 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ® Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ® Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ $ g g 6 Waiver Fee $ Date of Payment P2 f I r o gJ COSA# Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: _ Broadmoor Heights Block 1 Lot 4 Parcel ID: 010-083-14 _ . If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ✓❑ Well log is filed with Onsite (or attached) Date drilled 3/29/2006 Total depth 321 ft Cased to 320.35 ft 0 Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 32 in. Date of flow test for COSA 2/9/23 Static water level at beginning of test 24 ft. Comments ATA Measured operating flui a is tank Date of pumping ❑ Required maintenance completed, if AWWTS Comments: ABSORPTION FIELD DATA Which s em tested (date installed) ❑ ALL stand�depth per record drawing Total measurgrade ft (max) Measured depth to pipe invert rade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 6.1 qpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes FV1 No © Coliform bacteria is Negative Nitrate mg/L g] Nitrate less than MRL (ND) Arsenic 16.9 ug/L ❑ Arsenic less than MRL (ND) Collected by Arcterra Consulting Date 2/7/23 C. LIFT STATION ❑ Required maintenance completed e of lift station years Lift station mate Comments: Adequacy test date Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in bsorption rate gpd FIEL TATUS —POST RECOVERY Effective de per record drawings) Effective depth use in Effective depth remaining in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No NA ft ❑✓ Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25'./❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NA ft Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓❑ Yes if No ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water olding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations _ U Yes if No ft Tank to Property Line > 5' ❑ Yes i ft Field to Property Line > 10' ❑ Yes if No ft Water Main > 10' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft F. ENGINEER'S COMMENTS Surface Water > 100' ❑ Yes if No Wells on Adjacent Lots - Wells > 100' ❑ Yes if No Community Wells > Yes if No If tank or field is under driveway comment be ft ft ft i0 G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date .1 Z17 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations.w 11111 The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The + L flow and absorption rates may change due to subsurface conditions that may not be observed from they surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year i and the water usage of the family being served by the system. The operational life of all well and septic s * �F systems are subject to these various and dynamic characteristics and are outside the control of the evaluator 'fig 111 10, of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will 0 j function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen j encroachments, deficiencies or discrepancies exist. KEINNETH D Fr 19 CE 771 �� If' /Ti COSA Checklist June 2022 Arsenic Advisory Certificate of On -Site Systems Approval # OSC231037 Subdivision: Broadmoor Heights, Block: 1, Lot: 4 A water sample revealed an arsenic concentration of 16.9 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mad�ng Address Px0 Box 196650 *Anchorage, Alaska 99519 6650 *www mum org ` t DocuSign Envelope ID: 6EB47525-0195-485E-8D6B-F2E7022150A0 Marcia Lee DocuSign Envelope ID: 6EB47525-0195-485E-8D6B-F2E7022150A0 DocuSign Envelope ID: 6EB47525-0195-485E-8D6B-F2E7022150A0 N90*00'00"E 87-50 10' UTILITY ESMT 8.2' X SHED CN CN 20.0' 8.4' > 0 0 LM 10.0, SHED DECK 0 0 4.0' 40.0' '�' U70 ht EXISTING HOUSE 00 < 0 Lo 0 < b P L.Li z 0 CD 5COVERED .0 ENTRY 24.0' d= '/ owl 24.1' WELL PAVED C14 D/W N90*00'00"E 87.1":-)u 0 WEST 36th AVE NNW"= Now,= 0 ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: AS—BUILT OF: THERE EXISTS A WELL ENCHROACHMENT PERMIT BROADMOOR HEIGHTS SUBDIVISION EN -19045 2019-0437—'2-2-0 LOT BLOCK PLAT P-638 '4�xxx 1004. It AW VS1J SURVEY CERTIFICATE: 1, John L. SchullerAW , Have conducted a OFl%. 41 ��D L A N. ,& AW . . . . , t4 physical survey of this property as shown on this drawing and that the <�' *Y - finprovements situated hereon are within the property lines and no #00V enchroachments exist other than noted. Under no circumstance should 0-,0 C-,-) 49UL a. any information on this drawing be used for construction of fiences, ....... ......... .....• ..... structures, improvements, or fo.,,,- establishing boundary lines. ?A % y PA .................... EXCLUSION NOTES: It is the owners responsibility to determine - -I. - - - f... A do 1-0 - * 0 ' . 7 F A0 -ich the existence of any easements,, covenants, or restrictions vvh co OHN L. SCHULLER 0 do not appear on the recorded subdivision plat. L9-10408 1831 Talkeetna Street WORK ORDER NUMBER- DATE- SCALE:„ E- $1 W FEB 13, 2023 1 =301 schullerOok.net Anchorage, Alaska 99508 DRAWN BY; CHECKED BY, GRID NUMBER: BOOK AGE: (907) 227-1455 office 4-3-005 Ofessjon& L I JLS I SW1 627 1 230107 1 lk`�, (907) 274-491192 fax Parcel I.D. 010-083-14 Municipality of Anchorage s�P On -Site Water and Wastewater Program a' (907) 343-7904 s .a FET Y Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date: re- U � 5, 9 02 0 Complete legal description BROADMOOR HEIGHTS: BLOCK 1, LOT 4 Location (site address) 2815 West 361h Avenue *Anchorage 99517 Current Property owner(s) Todd Laporte Day phone 907-230-0703 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ❑ Duplex ® Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 8 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: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 O Date of Payment L t 42 1 //.q Receipt Number 03?,6U63 COSA # 05CI49/6-&6- ►i�a51� c_ S6 filum Date: 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: 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: ) Z� C41 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o Q F in accordance with the guidelines and regulations established by the Municipality of Anchorage and o ��•.• industry practices. The reported results describe the condition of the system/s on the date/s of the p 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 depend upon 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 system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the A system/s; therefore GEG makes no warranty (express or implied) regarding the future performance of Q h Gar ess the well or septic system. GEG makes no representation whether an alternative well or septic system p4 'P• /� { can be installed on the property in the event either of the current systems fail to perform adequately in 4 �, i. •� the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4�Qa�'rofess'10 cam -A perform the evaluation. Reliance upon the Information provided In this report by any other person or D�OO0000 party (including subsequent property purchasers) is not authorized, nor will it confer any lega\Il`r�t4it�(((((((((��� whatsoever. #AECC884 �i0 6. DSD SIGNATURE ON-SITE J System #1 Approved for bedrooms WATER AND m WASTEWATER z^ System #2 Approved for bedrooms O PROGRAM Disapproved JPO��� Conditional approval for bedrooms, with I fflowo S: By:C�X�`�;CC,�, \ A-'U� Original Certificate Date: j I � 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 .Advisorv:. , Well Flow Advisory Other COSA blue sheet 10-10-12.doc 9 Legal Description: BROADMOOR HEIGHTS; BLOCK 1, LOT Parcel ID: 010-083-14 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system I A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 7.3+ gpm Date drilled 3/29/06 Water storage tank volume N/A gallons Total depth 321 ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 320.35 ft ❑ Coliform bacteria is Negative no Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic 17.1 ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by GEG, LTD. Date of flow test for COSA 10/29/19 Date of Sample 10/28/19 Static water level at beginning of test 28.0 ft. Comments WELL ALSO SERVES NEW MCRAE; BLOCK 2, LOT 1 O WHICH HAS 3 BEDROOMS B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level�inseptic toStandpipes/founda ' er record drawing D. ABSORPTION'FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for ater than 30 days prior to date of test) C. LIFT STATION �„ ❑ Required mai CL completed ift station years Lift station material Comments: Adequacy test date Results ❑Pass For Fluid depth prior t in Water a gal Ww depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) Gallo ' roduced gallons If yes, enter date C ents/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' NSA Community Sewer Manhole/Cleanout > 100' [7Yes 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 NSA ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' es Animal Containment > 50' ❑✓ Yes if No ft ✓❑ Yes if No ft ❑ Yes if No ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' —❑✓ Community Sewer Main > 75' ❑✓ Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' iMN 0 Property Line > 5' El Yes if No ft o: Wells on ts Absorption Field > 5' Yes if No Private Wells > 100' ❑Yes if No _ Water Main > 10' es if No ft Community Wells > 200' ❑ Yes if No Wa ce Line > 10' ❑ 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' ❑ Yes if No ft If absorption field is under driv mment below Property Line > 10' ❑ Yes if No ft Wells o nt Lots: Water Main > 10' ❑ Yes if No Private Wells > 100' ❑ Yes if No Water Service Line > 10' es if No ft Community Wells > 200' ❑ Yes if No S a er > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 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 date. COSA Checklist yellow sheet o� OF. A 49TH ........ ....... .-:. . ......... i ,Je Garn Q FE -79 ....... ss,- ,•' 8- -rofessio r o f e s S 0 #AECC884 ft ft ft ft ft Arsenic Advisory Certificate of On -Site Systems Approval # OSC191565 Subdivision: Broadmoor Heights, Block: 1, Lot: 4 A water sample revealed an arsenic concentration of 17.1 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ^"" ��k x �` AR's-: ��n atri�g�ttldressD Boxy 9655C? Aiehorage,A a �995965t �n►�mGn� �wae'�a,..?an.e.-��'.:s�.:.,s._.,k..�x.,a<.s'�t-,w`��5*tz:F.�`:. 8271Y Lot 1 OC 11 e location of the StrtlCttire(5}aS I Lot 1 EAST 87.50 1 Lot 2 10' CEA Aerial Easement 31 own on this record drawing r— — — — — —. — — — — -- -- -- fm comp) s ' h le 21, AMC. wF 3 . I LOT 4 I 12,250SF± Vit•) WI 0 Lot 1 OD 24.40.0 Lot 3 H Q_ I 2 Story Frame 0 2 z I House I d O CV I(V I o 1i.0 CaldecK 2$.4� 5 I �� n N-11 SCALE: 1"= 30` well"'•`'° '' T� a a1 ''• Cvivert.•St EAST 87.50 0 co c+� W. 36th Avenue —— — — — A5 -BUILT No CORNERS SET THIS DATE t hereby owrttfy that I neve perrorrnad a Mortgagees insperWn a � of the follovAng described Wol Lot 4 Block 1. Bmadru AnchoruQe Recotrgng r'recinct, Alaska, and that the mVrovements skated thermos are wttttitt the property rv" am do not overw or encroach on the property W9 d • "+°• ache wd tlrelo, that no trrgxaverrherrts on the property Wg a4al ttaeteto or" on file prerttises in qsresiion and • that there are no roadways, truumtssion tines or cher –O� e.x-y ��easanAn s on said property except as kxlioated `? Dated at Anchorage, Masks EASEMENTS OF RECORD, OTHER THAN � - �� f figs 1st day of Set?k9 Ibff-2 8 THOSE SHOWN ON THE RECORDED FRED wALATKA & ASSOCIATES PLAT ARE NOT SHOWN HEREON. Fb 06-7, Pg 18 BE Engin"m aril 0& . R07-20-16%) David Garness From: AWWU Field Services <AWWUFieldServices@awwu.biz> Sent: Wednesday, November 20, 2019 8:12 AM To: David Garness Subject: RE: 2815 West 36th Avenue Connect Card Attachments: 560814_SOP_2006.pdf See below: Sandra Parr Field Service Manager Anchorage Water & Wastewater Utility Direct: 907-564-2766 sandy.Parr(d)awwu.biz Excellence Through Innovation www.awwu.biz ®n From: David Garness [mailto:David@garnessengineering.com] Sent: Tuesday, November 19, 2019 11:01 AM To: AWWU Field Services <AWWUFie ldServices@awwu.biz> Subject: 2815 West 36th Avenue Connect Card Hello, I was hoping to get a sewer connect card for the subject property. also need to verify that the following properties are served by city sewer: 2895 W 36TH AVE — City Sewer X2801 W 36TH AVE — City Sewer .x/2804 W 35TH AVE — City Sewer •�s2806 W 35TH AVE — City Sewer �L808 W 35TH AVE — City Sewer (-2829 W 36TH AVE — City Sewer ,2815 WILEY POST AVE — City Sewer ./819 WILEY POST AVE — City Sewer Thank you very much for your help. 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