HomeMy WebLinkAboutASPEN HIGHLANDS #1 BLK 1 LT 1Aspen
Highlands
Block 1
Lot 1
#017-013-25
Municipality of Anchorage
Development Services Department
Building Safety Division
i Onsite Water & Wastewater Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On-Site Wastewater Disposal System and/or Well Inspection Report
SW020162 PID Number. 017-013-25
Permit Number.
Name: Wastewater System: 1111New ❑ Upgrade
RON DOUGHTY
Address:
12800 TRACY WAY • ANCHORAGE, AK 99516
ABSORPTION FIELD
Phone, No. of Bedrooms:
3
O Deep Trench ■ Shadow Trench O Bed O Mound 00Ner
(907) 257-2809
LEGAL DESCRIPTION
rad Dept, hon, etynet tree•
0.8 Dpa/so- 10.39 MAX n
Block: Lot Subdivision:
D.qn to pa bottwn Sem enptn°l Wed`
°1eYd depth be"mth PIPC 4.16
1 1 ASPEN HIGHLANDS
6.23 MAX rt
n
Township: Range: Section:—
—
A added Dewe srgs,d Wada
Drwnel tett
np
60 n
—
SEE DWG In.
rwa wWc
Number aY.ae
owa. between i re:
WELL: ■ New El Upgrade
5 n
1
n
Ckwe r.tion P, . A.B.0 .
Tad VwN
Cased Ta
Tad 0""tien e.a
600
pipe w p 3034/ SCH 40 PVC.
PRIVATE
347 n
63 n
so. rs
oa. wmea:
Salo war te.t
este CAT'S EYE EXC.
Dats 6/27-7/12/2002
ALPINE DRILLING
9/14-16/02
61 n
iod:pump:'`
At
Cc"" "t Abaftaround
TANK
5 ow
UNKNOWN rt.
2 m
SEPARATION
DISTANCES
0Septic 0Holding ■S.T.EP. Oother
Saptie
Absorption
Uft
Holding
/Prhola
wp1Mdoc°eM'�'
ANCHORAGE TANK
1250
Tank
Fwld
station
Tank
sw.er tkn«
Numer a ow parenrde:
Welltoo'+
100'+
too'+
—
25'+
STEEL
2
rUne
100'+
1000+
100'+
—
—
LIFT STATION
5'+
10'+
10'+
—
—
sw In 911two
1250
aawrraanR.r.
ANCHORAGE TANK ORENCO SYSTEMS
M wa OL
O 61&7 OL
Kqh water eb nn et:
Foundation
5'+
10'+
10'+
—
—
41•
41"
45"
pump MOke a Moes
EMclrkd erpeauene pelor,nad er
Curtain Drain
NONE KNOW
j2o OSI o5 HHF
M.O.A.
MARK
Remarks:BENCH
uza"n and Deanpuan:
BETWEEN 6.5 — 10.39 DEPTH SOIL WAS
TOP OF MANHOLE
A CLEAN SP TO SP—SM SOIL
Aeenrd °wane` 95.98 n
ENGINEER'S SEAL
°
AKWWCr Dates: 1st XINC. 27/2002
Inspections performed by: 1
9 *..
2nd 6/28/2002
Q
3rd 7/12/2002
Je fry G mess:'••*
�0�0
Development S rvices Department Approval
t'• E— 3
........... • �� v
Reviewed and approved by: Date: /z )s TL
4s�e
4°° rofessiol,
°4�Oo��o
(R. ,vat)
RE
PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
SW020162 017-013-25
NEW
TRACEY WAY
WELL
1 � `
I I �
NEW 1250 GALLON
\ I S.T.E.P. TANK
� I �
\ I / NEW DRAINFIELD
-J
FCO
TN�3
I ♦TMJ2 �TH/1t
I �
ALTERNATE SITE
ST1 86.705 25.49
5T2 91.355 26.52
MH 92.835 26.435
MTt 01.90 49.985
MT2 133.28 30.475 yp�
10,7,02 0�
'�. DRAWN BY: v
.— f B.S.G. p
ALASKA «TATII:R7SN NV1ASTI:«'ATER SCALE:„ _ o° "':
10>I OFRA00 ROAD $IIITc jq' eac Q6E dbStST'44(�it�j0p111V-0�)0' FAX (00)11M -A16 1 40
IEPARED FOR: PHONE NUMBER: PACE NUMBER:
RON DOUGHTY 257-2809 2 OF 3 Q �'
GAL DESCRIPTION:
ASPEN HIGHLANDS SUBDIVISION: LOT 1, BLOCK 1,
PE OF WORK: 44�
AS—BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM
..\;a .......
A.ess:
—7953 •• `kG
..... •� GSQO
PERMIT NUMBER: AS -BUILT DRAW
P017 ID NUMBER:
SW020162 017-013-25
rFINAL GRADE -
95.95-95.90
CAST IRON PIPE TOP OF TANK AT 1
WAS USED FROM NIST- 90.90 TOP a< TANK AT
THE HOUSE TO THE OUTLET- 90'89
S.T.E.P. TANK.
RNM OFRUNO� I I NEW 1250 GALLON
AT 9AET- w.3,5_/
D.3a S.T.E.P. TANK
TH#1 TH#3
FINAL DRADE -
98.55-99.07
INSULATION
. 97.43
H
97.N. GR97.93 93 \ // �RTER fA9RlG
1.257 PVC W TH
1/4' HDLE O
3.0' ON CENTER
-INERT OF PIPE
- 91.70
iM OF
- 07.54
RELATIVE ELEVATION OF BOTTOM RELATIVE
81.43
H2O O 81.43 ON 8/27/02 ELEVATION OF BOTTOM OF
OF TE - 80.93 TESTHOLE - 80.93 (TESTHOLE DRY)
DATE:
10/7/02
DRAWN BY: I G
�,,._. B.S.G.
AIASKA & «'ASTEMTATI:R SCALE:
-CONSULTANTS. INC.N.T.S.
6901 (IFRARR ROM. SVITF 7R • AN[HORACF. AK 90504 • P NF (007)357-4179 • FAX (007)1317-1714
TEPARED FOR: PHONE NUMBER: PAGE NUMBER:
RON DOUGHTY (907) 257-2809 3 OF 3
:GAL DESCRIPTION:
ASPEN HIGHLANDS SUBDIVISION; LOT 1. BLOCK 1
fPE OF WORK:
PROFILE AS -BUILT OF NEW SEPTIC SYSTEM
OCT -e4-2002 14:35 3456934
P.02
i
Municipality of Anchorage
Department of Health and Human Services
825'C Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
Rick Ayshom hapllww xLenchoraP.M.w
Mayor
Permit Number. #SW 020162 Date of Issue: 6-11-0Z Parcel Identification Number: 017-013 25
Date Started: 9-14-02. Date Completed: 906-02 is well located at approved permit location? ® Yes ❑ No
Legal Description: aspen Hinhlands #1 Blk 1 Lt 1
1 Property Owner Name & Address: Ron Doughty - Colony Homes
2340 Loren Circle
Anchorage Alaska 99516 r
Borehole Data: Depth (1t)
Soil Type. Thickness & Water Strata From To
stick-up
Fitly
gravelly silt
bedrock
0 2
2 5
5 59
59 347
Method of Drilling air rotary ❑ cable toot
Casing type: steel
WallThickness:.250 inches
Diameter. ¢ inches Depth: 63 feet
Liner Type:
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): 61 feet
Pumping level: 34Tfect after
2 hours pumping 5 tern
Recovery Rate: ¢ gpm
Method ofTesting:j it
Well intake Opening Type:
❑ Open End ®lOpcn Hole
❑ Screened Stayt feet Stopped feet
i1 Perforations Start feet Stopped feet
Grout Type: bentonite!! 8 Volume: LbM
Depth: i Start 0 feet Stopped feet
Pump: Intake Depth feet
Pttm size hp� Brand Name
_. _ .. • Well Disinfected Upon Completion? ®Yes ❑ No
Method of Disinfect ion: chlorine tablets
Comments:
Well Driller. Alpine Drilling & Enterprises
PO x 110496
Anch, rage Alaska 99511
Attention: The well driller shall provide awell logo the property own within 30 days of completion an a property
i
1
il--bA-07 02
LOT f
COMM
ENTS oyr
r• il<•'. IONS:
C:OMIvlr:j;1?$: Yr.OR.
SHELTtlN ELECTRIC Co.. . :, -
Ific Sol f.,4,
INSPECTION 131.:(?Ofi)
:1f�A1.11•Y Of Ay(JjOfIA{;} �1J11.)Ci;;Af f:7Y OJL':S1011
3;0o Lgsq 'ru1]bFt ROAD
.GG5.3464 IN$PFC7lON: FAX(907J34y12]S .!•'
:)O .Pf;)iMl'1 {Lbw%
u
____�TI'Iro►at�l 33Z99
_DLOCHSUTiDivl� % n+srtaroro
7J01Jii$I. L ry ann $ 02
t1bNS: Pica z f�
•TJO; -
4Unit7L'fiEWSjzEC70,
33g'32�b
t0: rAezr,,e,4 - A V-
�, QOM:• ���� r CO(,p+`,,,� gwt-�KrS
TO'd
a
K6950E 92:80 Z00Z-TZ-r10N
50'
C
LU I '1, bLUUK 'I
40.531 S.F.
T RAOY W4
FINAL
STRUCTURE AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYE
THE
AS -BUILT
PROPERTY DEPICTED ABOVE AND THAT N
*sulk�tlk•
ED.
GASTALDI LAND SURVEYI
CNCROACHMENTS EXIST EXCEPT AS INDI
`�! OF •AI.ASk.
JEFF A. GASTALDI. R.L.
IT IS THE RESPONSIBILITY OF THE OWNER
TO 1 4
•••'•
E.NT*t.�P� #�
4726 WEST 88TH AVEN
DETERMINE THE EXISTENCE OF ANY EASE
DO
�AE�
*: a5L" �`� •
ANCHORAGE. ALASKA 99
20VENANTS OR RESTRICTIONS WHICH
APPEAR ON THE RECORDED SUBDMSION
�.y
LIR.........................
PHONE 248-5454
UNDER NO CIRCUMSTANCES SHOULD ANY
HEREON BE USED FOR CONSTRUCTION 0
D A••••�e11" A•Gostott••••
Nth'•.
9
"/ '• LS -6091 at
CNiD o.�[
ESTABLISHING BOUNDARY OR FENCE LINE
��S^''••.
7tiep tG/15/200?
1 "=30'
r MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water b Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW020162
Legal Description: ASPEN HIGHLANDS #1 BLK 1 LT 1
Design Engineer. 0041 AK Water & Wastewater Consultan•
Owner Name: Ron Doughty
Owner Address: 12800 Tracy Way
Anchorage , AK 99516 -
�/roG
/D. 349,4+01
6•zg-oz
12 ;eo
Date Issued: Jun 11, 2002
Expiration Date: Jun 11, 2003
Parcel ID: 017-013-25
Site Address: 012800 TRACY WAY
Lot Size: 40531 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of.
❑✓ Disposal Field 0 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 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:
D f.P rN 6WAN4t�
9�
Date: L. — t2 — O"L
Date: On oZ
Municipality of Anchorage
Development Services Department
Building Safety Division .. ...
Onsite Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. h .1 "1 - 0_5 -,a S Permit Number
Propertyowner(s) RON DOUGHTY
Day phone 351-3617_
Mailing address (1) 12800 TRACY WAY •ANCHORAGE
AK
Mailing address (2)
Zip Code 99516
Legal description (Lot, Block & Sub'd.) LOT 1
BLOCK ASPFN HIGHI ANDS Si ISOMSION
Legal description (Section, Township & Range)
N/A
Lot Size tit) 53 I Acres/Sq.Ft.
Number of Bedrooms 3
THIS APPLICATION IS FOR:
❑
Sewer Only ❑
Well Only
❑
Sewer and Well 0
Water Storage
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
El
H13Jacuzzi
Tub
❑
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.
ALASKA WATER do WASTEWATER CONSULTANTS INC.
Permit Fees: 3 7 5' 1- 1 S
Date of Payment: - 7 0 2 -
Receipt Number. O _ q q'q
Waiver Fees,
Date of Payment:
Receipt Number.
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
June 5, 2002
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragraw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed and Well Septic System Design for Lot 1, Block 1, Aspen Highlands Subdivision
To whom it may concern:
The proposed 3 bedroom house will be served by private well and septic system. Three test holes
were excavated on the property. The septic system will be designed around the 30 foot radii of
test holes #1 and #3. We are proposing that a 1000 gallon septic tank and a five foot wide
drainfield be installed. Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that an application rate of 0.8 gallons/day/ftZ
should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 3.33, & 14.1 minutes/inch
b. Allowable Application Rate: 0.8 gallons/day/ftz
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 563 ftZ
f. Total Depth: 9 feet (max.)
g. Effective Depth: 4 feet
It. Width: 5 feet
i. Reduction Factor: 0.50
j. Minimum Length: 60 feet long
k Effective absorption area = 600 flZ
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
6901 Debarr Road, Suite 2B • Anchorage, AK 99504
Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwe.com
system.
4. TOPOGRAPIiY: The area for the proposed septic system is a 5%-10% slope running
approximately northeast to southwest; in short, there are no slope concerns.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
P.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 7 page
construction specification letter which are all part of the design package for this septic system.
6901 Debar Road, Suite 2D • Anchorage, AK 99504
Ph: (907) 337-6179' Fax: (907) 338-3246 0 Website: akwwc.com
MOUNTAIN EST. S/D
!ARK
LOT 1, BLOCK 2
J
I I
L�
I
I
ASPEN HIGHLANDS 12 S/D 1
I
I
LOT 1, BLOCK 2 /
I
'
\
MOUNTAIN . S/D
TZ. BLOCK
NO CONCERN
1
I
��— ���
ASPEN HIGHLANDS 12 S/D
I
--�
LOT 2. BLOCK 2
I
1
MOV PARK EST. S/D
I
I
PROPOSED SEPTIC SYSTEM
(SEE DESIGN PAGE 2 OF 2)
LOT 3, BLOCK 2
LOT
1���
NO CONCERN
'
// PROPOSED \
J
1— 3 BEDROOM
HOUSE \\
L-1
I
11
1
MOUI PARK EST.
LOT 4, BLOCK 2S/D
NO CONCERN
ALTERNATE SITE \
MOUNTAIN PARK EST. S/D j I T112 TIij3 /ASppl HIGHLANDS /1 S/D \
LOT 3. BLOCK 2 I I I + �' / .c\
NO CONCERN I 1 TH11 1 LAT 2. BLACK 1 r
__—_—_J
_ _ _ I IPPO 1
---------------1
MOUNTAIN PARK EST. S/D I I 1 ����fi�v'/�/ \ \'<
LOT S. BLACK 2 1 I r'/�/
NO CONCERN i I ARP LOT 13. DDS 11 S/D
LLJ I \\ \\ \L ASPEN HIGHLANDS 11 S/D
I i I I \ \ 1 ,LOT 3, BLOCK 1
MOUNTAIN
7 RKpEK . S/D--
\ \ 1 1
NO CONCERN I LLJ
L1 J I I ASPEN HIGHLANDS 11 S/D—I ' \ ASPEN HIGHLANDS 11 S/
MOUNTAIN PARK LST. S/D I J I I LAT 12, BLACK 1 I I 1 LOT 4. BLACK I
LOT 8, BLACK 2
l {\ y
5/2002
ALASKA RATER & WAST EV"Wr RS C.J.G. <� ; ` 77
- CONSULTANT S. INC. 1" c 100' t
6001 DFPAPP POAD. SUITF ?4 • ANGNOPAGf. AN 00504 • FNONf (007)531-6170 • FA% /001)) AmL6
REPARED FOR PHONE NUMBER: PACE NUMBER: i1,......:...
RON DOUGHTY 257-2809 1 OF 2 6y1 G mess: 1
EGAL DESCRIPTION: 44 ° . E 3 •• .• •<
!� F,
ASPEN HIGHLANDS SUBDIVISION; LOT 1, BLOCK 1 �Ytit0. •.........
YPE OF WORK: �V,�a%d ^sof eslLc�o
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION
i
/ TRACEY WAY
INSTALL FOUNDATION
�' ;r .'' • I CLEANOUT
�'•• •�' PROPOSED 1000
.+.•.• '�GALLON SEPTIC TANK
A/SrrETH13
EXCAVATE
TH/2 THJI A TRENCH THATNIS 9 FEET DEEP
BY 5 FEETDE BY
FEEETTMAXIMUM
LONG. ADD 4�FEET OFA
'CLEAN. WASHED SEWER
DRAINROCK. INSTALL TRENCH
PARALLEL TO SLOPE CONTOURS.
NOTOE4
THE CONTRACTORN AND THEE SOUTHPEAST �OTDLI EO
FLAGCE PRIOR TO CON UCTION OF THE SEPTIC SYSTEM \
5/31/2002
f" t
`a►
•. S 0�
DRAWN BY:
�� r' �.-^-.
ALASKA WATER & WASTEWATER
C.J.G.
. . .*
-SCALE:
CONSULTANT S. INC.
1 = 40'
'.
990 UFRGRR GR 99504 • FHMF (007)357- 179 • FAX (907)336JH.G I
PAGE NUMBER:
PREPARED FOR: PHONE NUMBER:
RON DOUGHTY 257-2809
2 OF 2
.... .... .. ........
e y A. ess: DO
QOOsDJ ., -7953 : ' `t►�Q�J
LEGAL DESCRIPTION:
ASPEN HIGHLANDS SUBDIVISION; LOT 19 BLOCK 1,
,
4pp0°d"Fereeeic^6o�
�O�oo�
TYPE OF WORK:
DESIGN DRAWING OF PROPOSED WELL AND SEPTIC SYSTEM
AT.ISKA NVATER & WASTEWATER
--- CONSULTANTS. INC.
LEGAL DESCRIPTION: ASPEN HIGHLANDS S/D• LOT 1 BLOCK 1
PERFORMED FOR: RON DOUGHTY DATE: 5/2/2002
Df et) � TEST HOLE 1
ORGANICS
GM & ML
SM w/ SOME
GRAVEL
DEPTH TO DATE
GROUNDWATER
DRY 5/2/2002
DRY 5/13/2002
1
.. • by
+W3 %
THHZ+ • T41 /
I �
I I
� , 1
I
I SITE PLAN
I 1--100'
DATE
READING
CATER LOCK
•-
W READING EL
NET DROP
(INCHES)
5/2/2002
nll�illn
4:00
n�lil!11
6-
%//%
0•
4:10
10
3-
3-
II1111111
4:10
RMY
_
/lu
/%
illlllsl
420
�.��
•
3-
5
DEPTH TO DATE
GROUNDWATER
DRY 5/2/2002
DRY 5/13/2002
1
.. • by
+W3 %
THHZ+ • T41 /
I �
I I
� , 1
I
I SITE PLAN
I 1--100'
DATE
READING
CATER LOCK
NET TIME(MINUTES)
W READING EL
NET DROP
(INCHES)
5/2/2002
1
4:00
—
6-
2
4:10
10
3-
3-
3
4:10
—
6-
—
4
420
10
3-
3-
5
4:20
—
60
—
6
4:30
10
3-
3-
7
4:30
—
60
—
8
4:40
10
3-
3-
9
4:40
—
6-
—
10 1
4:50
10
3-
3-
11
4:50
—
6-
—
12
5:00
10
3-
3 -
PERCOLATION RATE 3.33 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 6.0 FT. AND 6.5 T.
A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: JASON WOOD PERCOLATION TEST PERFORMED BY: JASON WOOD
COMMENTS:
PERFORMED BY AKWWC. INC. I. JEFFREY A. GARNESS. CERTIFY THAT THIS IMS P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
ALASKA WATERTC.TWASTI�WATI?R
LEGAL DESCRIPTION: ASPEN HIGHLANDS S/D• LOT 1 BLOCK 1
PERFORMED FOR: RON DOUGHTY DATE: S/2/2002
(fe't=_ ORGANICS TEST HOLE 2
SIFICA N
2-
3-
4-
5-
6-
7-
8•
9•
t0•
11.
12
13
14
15
16
17
18
GM&ML
1010
mm
6,do
liselIIIIUN
DEPTH TO DATE
GROUNDWATER
DRY 5/2/2002
DRY 5/13/2002
1
i e ti, 1
I
$443 /
i
TH1_$ $� /
I I
I I
, I
1
SITE PLAN
1'100'
DATE READING I CNET DROP LOCK
(MINUTES) WATER I NET TIME I READING EL (INCHES)
—00
4\!G9
tot l
PERCOLATION RATE 120+ (MIN./INCH) PERC. HOLE DIA. 5 (INLHtS)
19
TEST RUN BETWEEN 6.0 FT. AND 6.5 T.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: JASON WOOD PERCOLATION TEST PERFORMED BY: JASON WOOD
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W S P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: <11o L
_ooao4pp0
ALASKA
WATER &'NVASTENVATER
3
4:46
—
F4AD. SWt
CONSULTANTS, INC.
- 90 ai..aaan
SOIL LOG — PERCOLATION TEST
�.. :....
6001 DWO
LEGAL DESCRIPTION:
5:16
: , ,
ASPEN HIGHLANDS SUBDIVISION: LOT 1BLOCK 1
O•.Je r Gamess:
OQ —7953
PERFORMED
FOR: RON DOUGHTYDATE: 5/3/2002
•: F`vp0
Q� q�G
44��04poSSW
DEPTH_
_
6"
—
(feet)_—'—
6
rFEST HOLE #31
30
3 7 8"
ORGANICS
SOIL Cl ASSIFICATIONS-_------
2
GWORG
:h c GP r ML
3
GM CL
GC OL
4
°. •°• SW MH /
'. •'•'• SP CH
5
SM : OH
SC
6
7
GM
& ML /
DEPTH TO "2 nye /
DATE 4
GROUNDWATER I
6
DRY 5/3/2002
DRY 5/13/2002
.l
g
;
SITE PLAN
,
I
� 1"i100'
10
CLOCK NET TIME
WATER LEVEL NET DROP
11
DATE READING TIME (MINUTES)
READING (INCHES)
5/3/2002 1 4:15 —
6"
12
2 30
3 3/4- 2 1/4
13
14
GP—GM
15
"c;
16
iso,•
>..,
17
B.O.11.
FEE
18—
PERCOLATION RATE 14.1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 6.0 FT. AND 6.5
FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED: N
YES ❑ NO
SOILS
LOGGED BY:
JASON WOOD PERCOLATION TEST PERFORMED BY:
JASON WOOD
COMMENTS:
PERFORMED
BY AKWWC. INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W
PERFORMED IN ACCORDANCE
WITH
ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
—
3
4:46
—
6"
—
4
5:16
30
3 7 B"
2 1 B"
5
5:17
—
6"
—
6
5:47
30
3 7 8"
2 1 6
-or I Co L4
1 I 1 I I I 1 1 \ \ \ \\ \ 1 \
MOUNTAIN AR EST. S/D
LOT 1 BL CK 2
ASP HI DS 02 S/D
OT i OCK 2
MOUNT N P K EST. /D
T 2, LOCK 2
0 CO ERN AS Ed LAND K 2 D
lA
MOU AIN PARK EST. S/
OT 3, BLOCK 2
NO CONCERN
MO AIN P EST S/D
LOT 4, OC
NO CON N
MOUNTAIN
3 B K 25 PEN HIGHLANDS 1 S/ !�
NO CONGER LOT 2,K
0 pCAT10N
MOUNTAIN PARK EST. S S{, tJ•
LOT 8, BLOCK 2
CONCERN ASPEN HIC DS 1 S/D
LOT 1 BLOC 1
ASPEN HIGHLANDS %1 D
VLOT 3, BLOCK 1
MOUNTAIN K EST. S 0
LOT 7 BLOCK 2
NO ONCERN Ld
0
co
JAS HIGH DS / S/D ASPEN HHIC4, ALOCKHLNDS,1 ls6�-`
MOUNTAIN PARK S/D LOT 1 BLOCK
LOT 8, BLOCK = \
DAE. OF 4p
DRA/25/ 2
O
SGAI c. o v .
1 ^ oo. p.....
6901 DFRARR ROAD SUITF 9 ' ANf NDR6G. AK OOSOL VNONF ( D !33)-6A0 FAX • ( 17)359-3746O
PN NUMBER: BER: O
PR PAG NU RON DOUGHTY 2 809 F 1
LEGAL DESCRIPTION: 0 9 C eQ
ASPEN HIGHLAND S/D; L T 1,
TYPE OF WORK: ��Q�P�ofassl° °o`er
SITE PLAN DOppp�O
n
•
• C LjG
•lic.A`. Municipality of Anchorage
On-Site Water and Wastewater Program 2
$
(907) 343-7904 ,
$A C T'/
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-013-25 Expiration Date: 1 Q a S _r 7
1. GENERAL INFORMATION
Complete legal description ASPEN HIGHLANDS#1 BLOCK 1, LOT 1
Location (site address) 12800 TRACY WAY,ANCHORAGE,AK 99516
Current Property owner(s) ROLAND &CHARLOTTE'S FAMILY TRUST Day phone
Mailing address 12800 TRACY WAY,ANCHORAGE,AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (wfwo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual
Individual Well ® Holding Tank ❑
Individual Water Storage ❑ Community ❑
Community Class_Well ❑ Public Sewer ❑
Public Water System ❑
WaiverNariance request for: Distance:
Received by: / (' l Date: 7—o.-2(.5--- /
J
COSA to be released to the engineer, unless oth ryfi a requested by the engineer.
COSA Fee $ 594e Waiver Fee $
Date of Payment 7 la kilt 9 Date of Payment
Receipt Number OC)//W Receipt Number
COSA# 05a1W303 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 ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 711/2017
THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC_..ASSOCIATED
WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with
ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use,
local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the
system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the
control of the evaluator of the well and septic system. Therefore,ArcTerra can not give any estimate of how long a system will function
satisfactory for current or future occupants or can ArcTerra guarantee that no unseen
encroachments,deficiencies or discrepancies exist. r OF AL
4• TI1 �* }
6. DSD SIGNATURE /-iso I�
System #1 Approved for bedrooms. + /
l;E\r`ti1H }1.
System #2 Approved for bedrooms. ^ 7 -tis
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
��\1i1' OF Al
ON Y�
WATER SITE AND n
WASTEWATER z
PROGRAt
By: ( vim Original Certificate Date: ��.-Z 5 17
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 10.1C.12.doe
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: ASPEN HIGHLANDS#1 BLOCK 1, LOT 1 Parcel ID: 017-013-25
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID # Well Log (Y/N) Y
Date completed 9/14-1612002 Sanitary seal (YIN) Y Wires properly protected (YIN) Y
Total depth 347 ft. Cased to 63 ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 9/14-1612002 6121/2016
Static water level 61 ft. 55 ft.
Well production 5 g.p.m. 3 g.p.m.
WATER SAMPLE RESULTS:
Coliform el colonies/100 mL Nitrate Iv. mg/L
Arsenic: Al!) ugIL Date of sample: 6/30/17 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 6/27-7/12/2002
Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) Y
Date of pumping 7'07117 Pumper S4-4y)
C. ABSORPTION FIELD DATA
Date installed 6/27-7/12/2002 Soil rating (g p.d./ft2 or ft2/bdrm) 0.8 System type SHALLOW TRENCH
Length 60 ft. Width 5 ft. Gravel below pipe 4.16 _ ft.
Total depth 10.9 ft. (Measured 6121/16) Eff. absorption area 600 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 10-19-16 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 18 in. Water added 450 gal. New depth 22 in.
Elapsed Time: 1440 min. Final fluid depth 18 in. Absorption rate >= 450 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed 7/12/2002 Size in gallons 1250 Manhole/Access (YIN) _Y
"Pump on" level at 41 in. "Pump off' level at_41 in. High water alarm level at 45 in.
Datum BOTTOM OF TANK Cycles tested 2 Meets alarm&circuit requirements? Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 1001+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ _ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+ _
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+
F. 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. i
�� OFAI� 1
Engineer's Printed Name KENNETH M.DUFFUS fi ' "f-
dif '7
Date 7/112017 - *A, 9 TH�/� 1�
COSA canary sheet_2-6-15.doc
+ ms71
s; KENNET girl'E� y
\NIC_111 +
• Municipality of Anchorage
• r
Development Services Department
Building Safety Division 5, E,
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On-Site Systems Approval # OSC 171303
A Certificate of On-Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 1, Lot 1 of
Aspen Highlands #1 subdivision. This inspection revealed a nitrate
concentration of 6.21 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/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.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble
in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass
rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is
in the form of ammonia or protein first, which through contact with oxygen and certain
bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from
wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also
result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or
three years, but is associated with a potentially fatal infant disease caned
methemoglobinemia. In the digestive system of young children, nitrate converts to
nitrite, which can pass through the intestinal wall into the blood stream. There it
combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The
EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The
standard has been lowered from a previous level of 45 mg/L set by the US Public Health
Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and
other common home water treatment systems such as softening or iron filtration does not
readily remove nitrate. The best method for limiting nitrate in well water is source
control. This can include avoiding overdosing of fertilizer near the well and maintaining
good separation distances between septic tank leach fields and the well. A special anion
exchange filter that contains a media with a strong affinity for negatively charged ions in
water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical"
methods using a spectrophotometer to read the final color endpoint. Specific ion
electrodes also can be used to detect the activity of nitrate in water. This laboratory uses
several different wet chemical methods approved under the public water supply
laboratory certification program. They also have test kits available, which the laboratory
uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test
kit results against a certified analysis from the lab occasionally to verify the accuracy of
the kit. We recommend using a specially prepared bottle that has been rinsed in
hydrochloric acid for collecting samples.
Municipality of Anchorage
• Development Services Department
Building Safety Division 2,
— Onsite Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. �'Ol3'ots COSA# ��o0a31
1. GENERAL INFORMATION Expiration Date: - l ' ' L+ " 0 IG
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
ASPEN HIGHLANDS #11: LOT 1, BLOCK 1,
12800 TRACY WAY • ANCHORAGE. AK 99516
RONALD DOUGHTY Day phone 257-2809
12800 TRACY WAY • ANCHORAGE. AK 99516
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
0
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems
Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work.
4. 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 riles 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 CARNESS 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. Date /S v'6
Engineer's Comments:
In conducting this evaluation, GEG, LID. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines B Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily idonliflablo features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater 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 the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
✓ Approved for 3 bedrooms.
Disapproved.
Conditional approval for
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
bedrooms, with the fllowing stipulations:
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Other
•
WATERtc,1?
WASTEWATER
PRl7RRAM
By: ne�� - � U/ Original Certificate Date: — / L4— 0 G
x/21- - 4or
,A- 11I %
Municipality of Anchorage ..
• ^' Development Services Department
Building Safety Division
On -SRO Water 6 Wastewater Program
47W Bregaw Stroet
P.O. Box 198850
Anchorage, AK 99519 M
www.muni.orglonsite
(907)343-1904
CERTIFICATE OF ON—SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: ASPEN HIGHLANDS S/D• LOT 1, BLOCK 1, Parcel ID: 017-013-25
A. WELL DATA
Wen type PRIVATE If A, 8, or C provide PWSID# N A Well Log (YM) YES
Date completed 9/14-16/02 Sanitary seal (YIN) YES Wims party Protected (Y/N) YES
Total depth 347 ft. Cased 10 63 It. Casing height (above ground) 18+ In.
FROM WELL LOG AT INSPECTION
Date of test 9/14-16/2002 5/3/2006
Static water level 61 ft. 55 ft.
Well production 5 g.p.m. 2.9 g.p.m.
WATERE RESULTS: ,I/1
Coliform coloniesl100 ml. Nitrate 6' ---g ll. Other bacteria �colonies/100 ml.
Arsenic: NO ugA. Date of sample: 5/3/2006 Collected by: GEG Ltd.
e. SEPTICIHOL.DING TANK DATA
Tank TypelMateriai S.T.E.P./STEEL Date Installed 6/27-7/12/02
Tank sits 1250 0. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES
Date of pumping
5/.6/2006 Pumper ISAAC'S PUMPING
c. ABSORPTION FIELD DATA
Date installed 6/27-7/1zltoos7/1x12002 Soil rating .P r ftlbbdrm) 0_8 System type TRENCH
Length 60 ft. Width 5 ft. Gravel below pipe 4.16 ft.
Total depth 011.0-r 1.5 t. EQ. absorption area 600 ft' Monitoring tubeYES Depression over field NO
Date of adequacy test 5/3/2006 Results (Pass/Fall) PASS For 3 bedrooms
Fluid depth in absorption field before test 4 in. Water added 531 gal. New depth 8_5 in.
Elapsed Tye; 145 min. Final fluid depth 4_5 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN 6 type) NONE KNOWN If yes, give date
D. LIFT STATION
Date installed 7/12/2002 Size in gallons 1250 Manhole/Access (Y/N) YES
"Pump on" level at 41 in. "Pump oIP level a1 41 in. High water alarm level at 45 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/lift station on lot t 00'+ On adjacent lots 100'+
Absorption field on lot t 00'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/deanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal 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 lure 10'+ Surface water 100'+
Wells on adjacent lots t 00'+
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, parldnglvehide storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
..93i
I certify that I have determined through field inspectlons and
review of Municipal records that the above systems are in """""' ' • • • • • • • • • • • • • • • •
conformance w9h MOA COSA gutdellnes in effect on this
date. .. ....... ...............
f e Game a,:
Engineers Printed Name JEFFREY A GARNESS
Date ASAob �•f•.; 'vfl�.R .�4`�
COSA Fee0d?'�
Date of Payment � �-7/
Receipt Number 9g1d
(Rev. 1 V05)
Waiver Fee $
Date of Payment
Receipt Number
SGS ReLM
1062200001
Client Name
Garncss Engineering Group, Ltd.
Project Nsme/M
Aspen Ilighlands Lot 1 Block 1
Client Sample ID
Aspen Ilighlands Lot 1 Block 1
Slatri:
Drinking Water
PWSID
0
All Dates/rimes arc Alaska Standard Time
Printed Date/rime 05/12/2006 16:52
Collected Date/time 05/03/2006 13:30
Received Date/time 05/032006 14:00
Technical Director Stephen C. Ede
Sample Remarks:
Allowable
Prep Analysis
Parameter
Results
PQL Units
Medved
Container ID
Limits
Date Date
Init
Metals by SCP/M3
Arsenic
ND
5.00 u8/L
EP200.8
C
(<=10)
05/04/06 05/11/06
SCL
Waters Department
Nitrate -N
6.14
0.100 mg/L
EPA 353.2
D
(«10)
05/03/06
ALR
Microbiology Laboratory
Total Coliform
0
coUl00mL
SM209222D
A
(<-I)
05/03/06
TLF
Municipality of Anchorage
• ''` Development Services Department ;vim < • 4 ;
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.orglonsite
(907) 343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # 060231
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 1, Lot 1 of
Aspen Highlands subdivision. This inspection revealed a nitrate
concentration of 6.14 milligrams per liter (mg/L) was reported for the
property's wellwater sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/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.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble
in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass
rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is
in the form of ammonia or protein first, which through contact with oxygen and certain
bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from
wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also
result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or
three years, but is associated with a potentially fatal infant disease called
methemoglobinemia. In the digestive system of young children, nitrate converts to
nitrite, which can pass through the intestinal wall into the blood stream. There it
combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The
EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The
standard has been lowered from a previous level of 45 mg/L, set by the US Public Health
Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and
other common home water treatment systems such as softening or iron filtration does not
readily remove nitrate. The best method for limiting nitrate in well water is source
control. This can include avoiding overdosing of fertilizer near the well and maintaining
good separation distances between septic tank leach fields and the well. A special anion
exchange filter that contains a media with a strong affinity for negatively charged ions in
water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical"
methods using a spectrophotometer to read the final color endpoint. Specific ion
electrodes also can be used to detect the activity of nitrate in water. This laboratory uses
several different wet chemical methods approved under the public water supply
laboratory certification program. They also have test kits available, which the laboratory
uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test
kit results against a certified analysis from the lab occasionally to verify the accuracy of
the kit. We recommend using a specially prepared bottle that has been rinsed in
hydrochloric acid for collecting samples.
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
j;%)(907) 343-7904
CERTIFICATE
'11&
S;44r
OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 017-013-25 HAA# /'1t'OZO1�19
1. GENERAL INFORMATION
Expiration Date: 3I 1z 103,=
Complete legal description ASPEN HIGHLANDS SUBDIVISION: LOT 1, BLOCK 1,
Location (site address or directions) 12800 TRACY WAY ' ANCHORAGE AK 99516
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
COLONY BUILDERS Day phone 345-0371
2340 LOREN STREET ANCHORAGE AK 99516
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
E
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
E
Individual Holding tank
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Community On-site
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Public Sewer
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The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
4.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior
to closing for the engineering services provided.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat affixed hereto and as of the validation date shown below, I verify that my
investigation,'based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the bn-site water supply and/or wastewater disposal system is(are) safe,functional and adequate
for the•ndmber of bedrooms andtype 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 Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone
Address 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineers Comments:
In conducting this evaluation, AKW WG Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the fest, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater 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 the system. Satisfactory fest
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the Fllowing
337-6179
Date IQ 0?
IF
Vqr-.••• -cti
ON-SITE
Attachments:
HAA Checklist Manitenance Agreements
Septic System Advisory
Well Flow Advisory
Supplemental Engineer's Reort
Other
By: Original Certificate Date: i ILIz /c_i_
(Rev. I=')
Municipality of Anchorage
Development Services Department
Building Safety Division
On.Ske Water & Wastewater Program•
470D South Bmgaw St
P.O. Box 196850 Anchorage, AK 99519-M
www.djuchcrage.ak.us
(907) 343.7904
HEALTH AUTHORITY 'APPROVAL CHECKLIST
Legal Description: ASPEN HIGHLANDS S/D• LOT 1. BLOCK 1. Parcel ID: 017-013-25
A. WELL DATA
Wel type PRIVATE If A. 8, or C provide PWSID# N A Wen Log (YIN)
Date completed 9/14-16/0 SaNtary seat (Y" YES
Total depth 347 ft. Cased to 63 ft.
FROM WELL LOG
Date of test 9/14-16/2002
Static water level _ 61 ft.
Wen production _5 g.p.m.
WATER SAMPLE RESULTS:
n
Conlo_.3 coloniestl00 ml. Nitrate 3117 mgA.
Wires properly protected (YIN) YES
Casing height (above ground) 24+ In.
AT INSPECTION
R.
g.p.m.
Other bacteria .,O_,_colonlesl100 ml.
Arsenic: N/A mglL, Data of sample: 11/21/200 Collected by: AKWWC• INC._
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEEL Date Installed 6/27-7/12/02
Tank size 1250 gal, Number of Compartments 3 Cleanouts (YIN) YES
Foundation deanout (YM) YES Depression over tank {YIN) NO High water alar (YIN) YES
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA
Date installed s V-J.p.d1s/2ao2Sonrating rftibdr) 0_8 System type TRENCH
Length 601 fL Wkfth 5 ft. Gravel below pipe 4.16 ft.
Total depth *11.4-11-91L Eff. absorption area630 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fan) - For 3 bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
Elapsed Time: = min. Final fluid depth = In. Absorptlan rete " - g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) - If yes, give date -
D. LIFT STATION
Date instanede/27-7/12/02 Size in gallons 1250 Manhole/Access (Y/N) YES
"Pump on" level at 41 in. "Pump or level at41jn. High water alarm levet at 45 in.
Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit
requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAtft station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
On adjacent lots 100'+
On adjacent lots t o0'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
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 1 oo'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 1001+ Driveway, parkkrghrehide storage 10'+
Curtain drain NONE --KNOWN Wells on adjacent kfs 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certily that I have determined through Beld inspections and
review of Municipal records that the above systems are /n "' • •
conformance with MOA HAA guidednes in effect on this date.
. .. .... ..........
'• A. a:
Engineer's Printed Name JEFFREY A GARNESS pay 7953
Date
P�Ora's
HAA Fee $ c7/0 -F -10U -T36;2
i
Date of Payment U --M-02
Receipt Number -21023
(wv. lamb
Waiver Fee $
Date of Payment
Receipt Number
12- 2-02; 3962PM;
ALCUE Environmental Services Inc.
CT&E RcLg
1028108001
Client Name
AK Water & Wastewater Consultants Inc.
Project Name/#
Aspen Hizhlands Ll. BI
Client Sample ID
Aspen Ilighlands Ll, Bl
111atris
Drinking Water
PWSID
0
Sample Remarks:
:907 6616301 • 2/ 3
All Datesfrimes are Alaska Standard Time
Printed Date/time 12/02/2002 13:40
Collected Date/time 11/27/2002 14:44
Received Date?ime 11/27/2002 15:15
Technical Director S� h�Ede�
Released By s..ai Ai iA w.
Allowable Prep Analysis
Panmctlr Results PQL Units Method Limits Date Date Init
Waters Department
Nitrate -N 3.17 0.200 mg/L EPA 300.0
Microbiology Laboratory
Total Coliform TNTC OB col/100ml. SM19 9222B
fl
4
11/27/02 1S
11/27/02 KAP