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Home My WebLink AboutDOAN LT 2Donn Lot 2 #018-191-03 MUNICIPALITY w Development Services Department + `. `=° Phone:907-343-7904 On -Site Water & Wastewater Section ` Fax: 947-343-1997 Well Drilling Permit Number: Parcel Identification Number: ON - 11 ( - b 3 Date of Issue• - - Legal Description BlockLot Pr�r ow - Name & Address: poa� 2 �yvus �s Pump Installation Date: '2� Pump Intake Depth Below Top of Well Casing: IL -30 feet Pump Manufacturer's Name: Pump _Model: Pump Size:( hp Pitless Adapter Burial Depth: /,,7 feet PitIess Adapter Manufacturer's Name: 6,(r,1t<r Pitiless Adapter Installer: Well Disinfected Upon Colet11 >ti a, n? Method of Disinfection; Comments: Pump Installer Name - ANCHORAGE WELL & PUMP SERVICE Company: 7640 King Street Anchorage, AK 99518 - Wailing Address: PH: (907) 243.0740 City: State•p_ .. . Z•i: attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage Development Services Department? jy Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Boz 196650 Anchorage, AK 99519.6650 Page Of ') www.d.anchorage.ek.us (907)343.7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW050273 PID Number. 018-191-03 Don Newton Wastewater System: [3 New l] Upgrade Addess: 14045 Lake Otis Pkwy, Anchorage ABSORPTION FIELD Pin: Nu bwd8adovn": 3 0Dow Trench 0shaamTm m 0 B ❑Ma.m ❑omN- LEGAL DESCRIPTION Sad Rating: 1.0 Taal Depth trent of" Pale: oPo,Ft' 11.5 Ft Back: Lot S16dMialon: — 2 Doan Depth n pipe eonan Inan ong" Pada: Gomel de W, wnaam pp.: 3.0 Ft. E.5 Ft Tvensnv: Range: Section: Fix added atone "incl ands: Gravel LNydi: 0.7 Ft. 40.0 Ft. Well: ❑ New ❑ Upgrade Gninel wan: 2.5 MNDNaYnea: PeWgeanvean Ines: Ft, 1 NA FL CiaaVhr (AMU. A B. Gk T" Depth. Caked n: ToW ae,arpten Nae. P" MaerW: FI. FL 660 Fir ASTM D3034 / F810 Orier Data Asea: Suoc WNN Letat, knob.. A+Home Services Date Ynoaed: 8/19/05 FL Yen. Puny set N. Carq heightAhova GrurnU: t:�05-olpc� TANK GPM FL FL SEPARATION DISTANCES [3 Septic ❑Holding I]S.T.E.P. ❑Other. To I Septic Absorption Uft Holding uixiUPrivate °`011e. r From Tank Field Station Tank Sewer Line Anchorage Tank & Welding 1250 GN. w.F 108 150 108 NA 50+ M.t.nr. steel Ha2.racaro«+n�� BaIN'w Water 100+ 100+ 100+ NA LIFT STATION Lot Law 30 15+ 30 NA 1250 STEP GM Anchorage Tank Fo ndetbo 60 110 60 NA •PYnp On 4vel N. 44 •PY Or OL --" fNpn Yeef NNm at n B ti 3877J7 51 n a.trt aNn NA NA NA NA Punp Make a Moaei Orenco 20 Erceta kapaYnm pernnnea ey. MOA Rwnwks Previous septic tank and crib decommisioned -,-BENCH MARK in place. Drainfield sized for 4 bedrooms. Da,agten: erid L." top of manhole cover Asuoned soon. 92.50 FL Engineer's Stamp Cindy W. Ellis, P.E. M 8/17/05 Inspections performed by: y Dates: 1 *� 49TH Zed 8/19/05 Developm nt Services Department Approval - Cl dy W Ellis Reviewed and approved by: Date: /T (Rn. 1712M)••. . CE -10577 tl Y l0 J T12N R3W Sec 33 Lot 16, West 1/3 \ A B Lot 1 Well 72.1 \�:--� DCO2 150' Radius _10' utility easement Well Doan S/D Lot 2 \� 0__---J00'Radius I\ I A / Previous Septic System - Existing 2 BR abandoned in place. House / /ST1 ST2 g / 1250 gal / STEP tank Doan Subdivision Lot 2 Record Dwg of septic upgrade. Don Newton Parcel ID: 018.191-03 Permit No. SWO50273 Cindy W. Ellis, P.E. Od 27, 2005 Scale 1 inch - 30 ft AS -BUILT This is not an asbuilt survey. Locations are approximate. Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 Doan S/D Lot 1 Doan S/D Lot 2 NOTE: Property Line is 68' to East `®Test Hole #1 A B DC01 72.1 67.3 DCO2 72.9 68.1 STI 74.5 69.10 ST2 79.8 75.9 MH 81.0 77.5 MTI 120.1 131.11 MT2 138.4 135.3 TH1 135.10 138.8 Doan Subdivision Lot 2 Record Dwg of septic upgrade. Don Newton Parcel ID: 018.191-03 Permit No. SWO50273 Cindy W. Ellis, P.E. Od 27, 2005 Scale 1 inch - 30 ft AS -BUILT This is not an asbuilt survey. Locations are approximate. Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 Doan S/D Lot 1 Doan S/D Lot 2 NOTE: Property Line is 68' to East `®Test Hole #1 FINAL GRADE ni as NOTE: E 40.0 . RELATIVE DEPTH OF TEST HOLE = 79.11 NO RATER TRENCH AS -BUILT Doan S/D, Lot 2 Record Drawing Septic �00000 of Upgrade 000 Don Newton Parcel ID: 018-191-03 Watkins Engineering, Inc Dy 49TH.9O D No. SW050273 ............�Permit ... .......... • •, CIN t W. ELLIS ppb : '•. cEEEEEE • 10577 o0 O�O�p0000000��'�o Cindy W. Ellis, P.E. P.O. Box 110443 October 2005Anchorage, N07) Not t Scale Phone: ( 349-1851, Fax: (07) 349-1934 AU; -22 -2000S 04:2EP FFn-1: 70:3491934 P:2'2 From .1907430i507 loon Ara 22 00:05.53 2005 Page 1 of 1 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE. BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION &HELP: 343-7962 INSPECTION. VOICE 343-3=0 INSPECTION. FAX (9071243..777i www nvnj.wg15SD1Inspec6ons.dm NAME NG PERMITS: 05-ayl6 COMPANY: ED'S FLtCI'141C INSPECTDATS: 812=006 PHONE I: 27P-•4591 PHONE v: PHONE *- ADDRESS: I40d5 LAKE OTIS PKWY LOT 2 W801vISION: DOAN — ' "—' ! GRID N: EW3034 COMMENTS or DIRECTIONS AM CALL 64 FOR ONSITE MTG TYPE OF INSPECTION: Retro Eloc*.rical COMMENTS: (FOR INSPECTOR USE ONLY$ f• I 1 PRINTED NAME ___... .. .__. DATE:.;_ 4Y -22-2A5 MUI 04.-17PM ID: PA -E:1 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 10, 2005 Expiration Date: Aug 10, 2006 Permit Number: SWO50273 Parcel ID: 018-191-03 Legal Description: DOAN LT 2 Design Engineer: 0844 Watkins Engineering, Inc Site Address: 014045 LAKE OTIS PKWY Owner Name: DON NEWTON Lot Size: 38198 SO. FT. Owner Address: 14045 LAKE OTIS PKWY Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99516-3808 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 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 DSD at least 2 hours prior to each inspection. Provide notification by catling (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. 5. The following special provisions. a.) This permit is for a wastewater disposal system upgrade to serve the existing dwelling. Construction of a four bedroom dwelling in the future shall require modification to the system components and removal of the existing two-bedroom dwelling. Received By: Issued By. Date: � . �P10-121, 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.muni.org/onsite (907)343-7904 ON-SITE SEWERNVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-191-03 Permit Number SW Property owner(s) Don Newton Day phone Mailing address (1) 14045 Lake Otis Parkway Mailing address (2) Anchorage. AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Doan SID, Lot 2 Legal description (Section, Township & Range) Lot Size 38,198 Acre Sq.Ft. Number of Bedrooms 3 (4 BR drainfield) THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade El 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 property Permit Fees: authorized agent) Waiver Fees: Date of Payment: H �`� Date of Payment: Receipt Number. 1 1 qGl (] �'if�iU Receipt Number. (Rev. 12/00) Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net August 3, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Doan SID, Lot 2 Proposed Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation to upgrade the septic system for the referenced 2 bedroom house. The existing septic system is undocumented and has failed. It is proposed to abandon it in place. A 1250 gallon STEP tank is proposed, with a drainfield designed for 4 bedrooms to serve a future house on the east side of the lot. A new septic tank will be needed for the new house, but the drainfield will be suitable. Two test holes were dug on July 11, 2005. The proposed design is based upon Test Hole #1, which was dug to a total depth of 17.5 ft with no groundwater encountered. There was no groundwater after 7 days of monitoring. Test Hole #2 encountered groundwater at 8.5 ft. The location of Test Hole #2 was at the toe of a slope, while TH#1 was on the side of the slope. By keeping the drainfield on the slope, near TH#1, we should achieve adequate separation to the groundwater. Two percolation tests were performed in TH#1. The sand stratum from 1.5 ft to 5 ft took water as fast as it was poured in. The stratum from 5 ft to 17.5 ft had streaks of silt in it, but it also took water as fast as it was poured in. The application rate was reduced to 1.0 gpdtW due to the silt streaks. The soil logs are attached. Proposed Soil Absorption System: 4 Bedrooms x 150 GPD/BR = System Type: Application rate: 600 GPD / 1.0 gpd/ft' _ Maximum Depth: Effective Depth: 600 GPD Deep trench w/ STEP tank 1.0 gpd/ ft' 600 ft' required 11.5 ft 8.0 ft Sewer Upgrade Permit Application for Doan Lot 2 Watkins Engineering, Inc.; August 3, 2005; page 2 Proposed Soil Absorption System (cont'd): Length: 38 ft Absorption Area: 608 ft2 There are no surface waters or private wells within 100 ft of the proposed septic system. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, CindX. Ellis, P.E. President ' — DeArmoun Rd� / —� ----� —7 X =---- /AWWUsewer I I T12N 3WSec33 L t 1 / I-• ++� Lot 16, W/3 i I_ I 115A easement l I / �O(\a s.nK utuie 4 BR I \ House Test �� Hobe# Test I 15B Hale # Lot 2 � Existing Septic �� Lot 1 _ System - to be I — abandoned in plat d Proposed �. Septic I \ Q Systo¢ \O em / _�w«i Vii- i I � C I a 5 Lot 2 I 33' ROW Doan Subdivision Lot 2 OF A Proposed Septic Upgrade - Site Plan Watkins Engineering, Inc �", F 9s Don Newton a'? 49TH , Parcel ID: 018-191-03 �......••••;,••• •••• • : cI Y W. ELLIS Cindy W. Ellis, P.E.0,`, P.O. Box 110443 age, AK 99511-0443 '.• E - 10577 C��'• August 2,2005 Scale 1' - 100' phone: (907) 349-1851 Fax: (907) 349-1934 '' •••••• • / Doan Su ivision Lot 1 T12N R3W Sec 33 Lot 16, West 1/3 10' utility easement —� 10' utility easement/ — — — — - - - - `J9 - Doan SID Lot 2 well 100' / S Existing Septic System - I \ to be abandoned \ in place. \ Existing 2 BR \ 1s�•l• House Test Hole #2 I o� 0 I U'� Proposed 1250 gal STEP tank w/DCO before Test Hole #1 Proposed 7/11/2005 Trench Organic Don Newton 0.5 Parcel ID No- 018-191-03 ML15 CindyW. Ellis, RE P.O. Box 110443 August 2, 2005 Anchorage, Alaska 99511-0443 n24"OC 25•avcwi Phone: (907) 349-1851, Fax: (907) 349-1934 pr• .,••• �� LCC^vow 25' holes, SP 3.5 5.0 6.0 it sewer SP/ rock ML 115 No Water 95 SGP DESIGN DETAILS Drainfield 4 BR, 600 GPD 1.0 gpd/ft2 Requires 600 ft2 Deep Trench 8 ft effective 38 ft long Max 11.5 ft dee RO 5 BOH 17.5 N0,110 Future 4 Bedroom House Rene N Test Hole #1 n 38 ft long deep trench, 8 ft effective depth Max depth 11.5 ft Note: Drainfield is designed for 4 Bedrooms, for future house on the east side of the lot. Tank serving current house is for 3 Bedrooms. Doan Lot 2 Proposed Septic Upgrade Watkins En ineerin , Inc 9 9 OF A o� .•......'cqs°�> �? J' JI - Don Newton Parcel ID No- 018-191-03 .W �*?..... C: c. Y W. 77 fin: ''•. +�» CindyW. Ellis, RE P.O. Box 110443 August 2, 2005 Anchorage, Alaska 99511-0443 ��p;.,'' •........• ' Scale 1 inch = 30 It Phone: (907) 349-1851, Fax: (907) 349-1934 pr• .,••• �� LCC^vow Municipality of Anchorage Development Services Department Building Safety Division a„r On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 3417904 Soils Log - Percolation Test I � „,;0 Performed For. Don Newton Date Performed: July 11, 2005 Legal Description: Doan SID, Lot 2 Township, Range, Section: 1 5,0 SPS SfreaLs of /V IS,If in Sa vLd 1-7,5 WAS GROUND WATER THA1 Depth ENCOUNTERED? (Feet) 01` QUiCS 1- PnL �'S 0 L.WO __j"5 IF YES, AT WHAT DEPTH? 2 L s- S P slacL• 0 Sams 1 5,0 SPS SfreaLs of /V IS,If in Sa vLd 1-7,5 WAS GROUND WATER Date Gross Time ENCOUNTERED? NO Net Drop JODL ()a tjr AS 5 IF YES, AT WHAT DEPTH? — L Depth to Water After 0 Monitoring? Nune E Date: 7/18/05 2 Reading Date Gross Time Net Time Depth to Water Net Drop JODL ()a tjr AS 10441st as it Waa e -u u ;n , PERCOLATION RATE 91 (mnWw-ch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 2.5 Fr AND 3.0 FT COMMENTS Native sand qualify suRcienf to preclude use of sand fiber. PERFORMED BY: Cindy EllisfRocky Trainor I PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL CERTIFY THAT THIS TEST WAS IN EFFECT ON THIS DATE. DATE: 17'/'05 Municipality of Anchoragevj(EffG�(� ' 6� •% Development Services Department ;* Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St.'s. P.O. Box 196650 Anchorage, AK 99519-6650 cfn, Cind W. Ellis www.munl.orgtonsite i�,'•., CE -10577 (907) 343-7904 F� y„SSIOw^` GA" Soils Log - Percolation Test C Performed For: Don Newton Date Performed: July 11, 2005 Legal Description: Doan SID, Lot 2 Township, Range, Section: 1- Depth (Feet) Of 5iO ML NO 2- 7�cf. 6 a44r 3- S19 — 4- Depth to Water After 5- Monttoring7 5, v E E Date: 7/18/05 /h L St rraks dF Silt s irl sa�t:t• 1 13- 14- 15- 16- 17- 18-1 3- 14- 15- 16- 17 18- 60N 13 WAS GROUND WATER Dale Gross Time ENCOUNTERED? NO Net Drop 7�cf. 6 a44r a IF YES, AT WHAT DEPTH? — L Depth to Water After O Monttoring7 None E E Date: 7/18/05 Reading Dale Gross Time Net Time Depth to Water Net Drop 7�cf. 6 a44r i w )n. PERCOLATION RATE 41 (n.d&%& co) PERC HOLE DIAMETER 6 TESTRUNBETWEEN 7.5 FT AND 8.0 FT COMMENTS Native sand quality s trident to prelude use of sand fiber. PERFORMED BY: Cindy EllislRocky Trainor I %1, ��l CERTIFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WTH ALLSTATE AND MUNICIPAL GUID LINES IN EFFECT ON THIS DATE. DATE: fY'I'os Municipality of Anchorage Development Services Department Building Safety Division y,r On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 995196650 www.muni.orWonsite (907) 343.7904 10y W. Ellis CE . 10577 Soils Log - Percolation Test Performed For. Don Newton Date Performed: July 11, 2005 Legal Description: Doan S/D. Lot 2 Township, Range, Section: Slope Site Plan i= Depth (Feet) Ot^9Q7145 1--- 0.5 2 111L- 3- 4. 1+L3- 4- 5►>1 5n- - 677.0 13- 14- 15- 16- 19 - PERCOLATION RATE (nits nce) rent: n C TEST RUN BETWEEN FT AND FT COMMENTS No MTaet. Noperctestdom. PERFORMED BY: b Yy,+.t( G711S I 11fft4 t/ � CERTIFY THAT THIS TEST WAS 1.p ! PERFORMED IN ACCORDAN E WTH ALL STATE AND MUNICIPAL GUIDE ES IN EFFECT ON THIS DATE. DATE: O'I —0-S sp -W Q7 t r- WAS GROUND WATER 9- ENCOUNTERED? Yes 6 1 IF YES. 6.5 L /O.O O Depth to Water After P it- MonNoring? — E 12- Date: — 13- 14- 15- 16- 19 - PERCOLATION RATE (nits nce) rent: n C TEST RUN BETWEEN FT AND FT COMMENTS No MTaet. Noperctestdom. PERFORMED BY: b Yy,+.t( G711S I 11fft4 t/ � CERTIFY THAT THIS TEST WAS 1.p ! PERFORMED IN ACCORDAN E WTH ALL STATE AND MUNICIPAL GUIDE ES IN EFFECT ON THIS DATE. DATE: O'I —0-S Municipality of 4 ' ora ' On -Site Water & Was Ca teF (907) 34 7 2015 MAY 19 CERTIFICATE OF ON—SI Parcel I. D. 018-191-03 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: DOAN: LOT 2 i WF)KVAL Expiration Date: J 2 O o ! `Sk ak UM 0,461 MAY 19 2015 Gretchen Stullillif 14045 LAKE OTIS PKWY *ANCHORAGE, AK 99516 MARY LILO Day phone 14045 LAKE OTIS PKWY *ANCHORAGE, AK 99516 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverNanance request for. 3 Day phone 315-2536 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer Received by: 1� Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ N LUL) Date of Payment JT! I O!, 1150 Receipt Number ��/n� 6(9 j2� W_) COSA # bc,1,57 P Waiver Fee $ _4l Date of Payment — Receipt Number= Distance: -5-0 Waiver#Sl��y/ 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. t further verify that based on the information obtained from the Municipalityof 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily idenffiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on 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 systemrs. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding th future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the persomparty who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SI ATURE System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Date s I b l S �• Ga ess,� �n s. � _ n I � • • �c°G_ ON-SITE y WATER AND WASTEWATER o pROGRAM Original Certificate Date: �' oZ r� y✓� The eKniciollyor}[n$horage Develop,emt Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the represenai� lions 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory lRnv MMM Nitrate Advisory Arsenic Advisory Other 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: DOAN; LOT 2 ParcellD: 018-191-03 *ARROW PUMP AND WELL SERVICE INSPECTION (SEE ATTACHED RECEIPT) A. WELLDATA**WELL IS LOCATED IN A PIT; SEE COMMENT ON ARROW PUMP AND WELL SERVICE RECEIPT Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed —1961 Sanitary seal (YIN) YES of Total depth *131 ft. Cased to *+ ft. FROM WELL LOG Date of test NO WELL LOG Static water level ft. Well production -9 -P.M. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: <5 ug./L. Nitrate 0.492 mg./L. Well Log (YIN) NO Wires properly protected (YIN) YES Casing height (above ground) **PIT in. AT INSPECTION 5/4/2015 *66 ft. 2.0+ g.p.m. Date of sample: 5/4/15 / 15 B. SEPTICIHOLDING TANK DATA *DOUBLE C/O'S BEFORE THE TANK TankType/Material STEP/STEEL Date installed 8/17-19/05 Tank size 1250 gal. Number of Compartments 3 Cleanouts (Y/N) YES Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 5/11/15 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 8/17-19/05 Soil rating .p.d./ r ftlbdrm) 1_0 System type DEEP TRENCH Length 40 ft. Width 2.5 ft. Gravel below pipe 8.5 ft. Total depth *11.91 ft. Eff. absorption area680 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 5/4/15 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 3 in. Water added 636 gal. New depth 0 in. Elapsed Time: 3 min. Final fluid depth 3 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date — *PER INSPECTION REPORT D. LIFT STATION **PER 2005 MOA ELECTRICAL INSPECTION Date installed 8/17-19/05 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at *44 in. "Pump oft" level at *38 in. High water alarm level at *51 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? **YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/Itft station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main ***50' (APPROXIMATE) Sewer /septic service line 25'+ Public sewer manhole/cleanout 100'+ Holding tank Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water. 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS ***AWWU INSTALLED FORCEMAIN APPROXIMATELY 50' FROM THE WELL IN 1986. APPEARS TO BE NO P G. ENGINEER'S 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. Engineers Printed Name JEFFREY A. GARNESS Data 01 a i t (Rev. 11/05) Municipality of Anchoral Development Services Division On -Site Water and Wastewater Program ,pent S 10 P S� L fi e-artment. **** VARIANCE/WAIVER REVIEW **** Waiver*OSV151041 COSA#:OSCIS1227 Permit#: PID#: 018-191-03 Legal Description: Doan, Lot 2 -.Engineer: GarneSs Engineering. Group' Applicant: Mary Lib Your request for a waiver of the required 100 feet" horizontal separation from the public sewer trunk to the private well has been approved. The approved' separation distance is 50.0 feet. This waiver approval applies to the existing public sewer only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. F1 The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. .............................................................................� Waiver is Granted: X Waiver is not Grante Date: Approved by: ame of Reviewer ............. ............ LN ............................................ - a w p **** VARIANCE/WAIVER REVIEW **** Waiver*OSV151041 COSA#:OSCIS1227 Permit#: PID#: 018-191-03 Legal Description: Doan, Lot 2 -.Engineer: GarneSs Engineering. Group' Applicant: Mary Lib Your request for a waiver of the required 100 feet" horizontal separation from the public sewer trunk to the private well has been approved. The approved' separation distance is 50.0 feet. This waiver approval applies to the existing public sewer only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. F1 The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. .............................................................................� Waiver is Granted: X Waiver is not Grante Date: Approved by: ame of Reviewer ............. ............ LN ............................................ GARNESS ENGINEERING GROUP. Ltd CIVIL & ENVIRONMENTAL ENGINEERS May 18, 2015 Municipality of Anchorage PO Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Planning and Development Services Department On -Site Water and Wastewater Program Attn: Jeff Poet Ref: Doan, Lot 2 — Separation Distance from Well to AW WU Force Main Mr. Poet, In the process of performing engineering services to obtain a Certificate of Onsite Systems Approval (COSA) for the subject property it became apparent that AW WU constructed a sewer force- main too close to the private well on the subject property. Per MOA tax records the home has existed since 1961, so it is reasonable to believe that the private well on the property has existed since that time. hi (or around) 1986 AW WU constructed a sewer force main in Lake Otis Parkway. According to the AW WU record drawings (copy attached), they did not identify the subject well. It is reasonable to believe that failure to identify the well was an engineering oversight during the design of the force -main. The exact separation distance is unknown, but believed to be about 50 feet. We are requesting that the MOA grant a waiver that would allow for a separation distance between the AW WU force -main and the private well of 50 feet. Justification for the waiver is summarized as follows: 1. The force -main is constructed to have watertight joints, so as to allow the system to operate under pressure. It is reasonable to assume that AW WU monitors the integrity of this line. 2. A camera inspection of the well was performed by Aarow Pump and Well Service (Dave Harper). The well is 131 feet deep. The casing was inspected to a depth of 60 feet and no cracks or perforations were observed. See that attached documentation from Aarow Pump and Well Service. 3. There are no manholes or cleanouts within 100 feet of the well that could overflow and allow sewage to migrate towards the well. 4. Recent water samples indicate no bacteria and a nitrate concentration of 0.492 mg/L 5. The existing encroachment has existing for almost 30 years, with no apparent adverse impact. Based upon the aforementioned facts, we are requesting that the subject waiver be granted. If you have any questions, please calypr email. AN 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com 01/28/2015 01:06 907-345-0202 ALPINE DRILLING PAGE 01/01 afT I ROW PUMP & WELD SERVICE, LLC UHU p E ' I IVI F P.O. Box 110496 is A M Anchorage, AK 99511 NO. 10409 Office: (907) 346-9355 - Fax (907) 345-0202 Eagle River: (907) 622-9335 JOB SITE %��...� MIN nt r ® SEE ■ __■ NEES�) i i. lm� _FINE FINE 0100111000 EEEg 010011000 ■��■■■ Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow Pump & Well Servioe, L.L.C. the rlght to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. 01/28/2015 07:34 907-345-0202 ALPINE DRILLING PAGE 01/01 AAROW PUMP & WEU SERVICE, LLC p UCE P.O. Box 110496 Anchorage, AK 99511 N0. 10420 Office: (907) 346-9355 Fax (907) 345-0202 Eagle River: (907) 622-9335 F- Mot Ll l lam_ ,fir JOB SITE. Ido 5 l✓RtE�'Io: (far L55 I ee ifu J L 11451 jDgE to WELL D IH�I 3W1- CHLORINATED PUMPOEPTH SALESPERSON `,''.'.QUAN f ...:= <; , , '':' :'^OESCRIPTfON ":.,L. "•. ":F77777 ... ." ".PRICE . .': AMOUNT. �aIbcis �Cowi► �Ja �.( ; 5 ��, LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR WOR 1:11 �, �� Post -It. an T" I. fax transmittal memo7671 sof pages roEr +,1 H- PAY THIS AMOUNT V Thi Dept' +1R Phone# Fax # Fax # E (IH ® d agree that if above work is not paid for in 90 days I agree to allow Aarow PUmp•& Welt SeMI Ce, �L.U, nro iyrn v�-..,..._ _..,._,.. -. -_ „ . , e for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 1 OTH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.6% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS, \\}§m \\` Q .. \ / § � . / ) / \. 2( \ \ }(0 }5 (N wl 2&0 ZOEul 0 lb /. F > w«« R vl� :EES I I... .... .... I .. ....... ... ........... .... . . M• Aq .. . . ...... . ..... ......... 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