HomeMy WebLinkAboutCROSS VIEW ESTATES BLK 1 LT 19Cross View
Estates
Block 1
Lot 19
#015-221-50
•
e ,
• Municipality of Anchorage bhs,
On-Site Water and Wastewater Program
(907) 343-7904
AUG 3 1 2.01i T
Certificate of On-Site Systems Approval
C.
Parcel
Parcel I.D. 015-221-50 Expiration Date: << 0t , c3: 11b C 11120.
1. GENERAL INFORMATION:
Complete legal description CROSSVIEW ESTATES; BLOCK 1, LOT 19
Location (site address) 5601 Herritage Heights*Anchorage,AK 99516
Current Property owner(s) Mike McGovney Day phone 240-1500
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage El Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System El Public Sewer ❑
WaiverNariance request for: Distance:
sinimminwomoim
Received .y: - Date: //
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ '5�(4' - Waiver Fee $
Date of Payment g/31)1 Date of Payment
Receipt Numbers 7({ G Receipt Number
COSA# 06CAS. l gq"I Waiver#
J
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: /?0//fr3
_
00000p0
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oQ OF 4 4.
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the ' �1
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or QQ ' T'H0)-1
encroachments may exist that were not identified during the evaluation. The operational life of all wells * Y/ qtr v0
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, ' / Q
groundwater levels (that may fluctuate during the year), quality of construction (materials and ` Q
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 •� e/ff Game s:
system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of P •
Q 91..(/ CE-795 '
the well or septic system. GEG makes no representation whether an alternative well or septic system Q s
can be installed on the property in the event either of the current systems fail to perform adequately in �Q •�,'/j >.
the future. The content of this report is for the sole benefit of the person/party that retained GEG to r.ecip ofess\ocO
perform the evaluation. Reliance upon the information provided in this report by any other person or,, ��pOoop��
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
O*S\- - #AECC884
6. DSD SIGNATURE �P�EFZ P�E�
System #1 Approved for `/ bedrooms .., N1\SING PM
System #2 Approved for bedrooms PR
Disapproved
Conditional approval for bedrooms, with the following stipulations:
By: -PSI-fie/CA e cotitS,C Original Certificate Date: c//1 1 1 a
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 10-1O.12.doc
•
If more than 1 septic system is on the lot:
COSA Checklist# of_
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: CROSSVIEW ESTATES; BLOCK 1, LOT 19 Parcel ID: 015-221-50
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 6/3/08 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 241 ft. Cased to 241 ft. Casing height(above ground) I in.
FROM WELL LOG AT INSPECTION Z �
Date of test 6/3/08 8/16/18 ''^
Static water level 180 ft. 180.4 ft.
Well production 50 g.p.m. 4.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform Ne(-1-colonies/100 ml. Nitrate 2'9mg./L. Collected by: GEG, Ltd.
Arsenic: 5ug./L. Date of sample: 8/17/18
B. SEPTIC/HOLDING TANK DATA 48"OF LIQUID IN TANK ON 8/16/18
Tank Type/Material SEPTIC/STEEL Date installed 5/20/07
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) Y Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping 9/29/17 Pumper A+HOME SERVICES
C. ABSORPTION FIELD DATA 'BELOW EXIST NG GRADE AT MONITORING TUBE EAST/WEST
Date installed 5/20/07 Soil rating .p.c9eo ® cti 0.6 System type DUAL DEEP TRENCH
Length 30+30=60 ft. Width 3/3 ft. Gravel below pipe 9/9 ft.
Total depth *12.9+ ft. Eff. absorption area 1080 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 8/16/18 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 26 in. Water added 1,175 gal. New depth 82 in.
Elapsed Time: 120 min. Final fluid depth 66 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date -
-TESTED WEST TRENCH ONLY
-MONITORING TUBE IN WEST TRENCH EXTENDS 100 INCHES BELOW INVERT
-MONITORING TUBE ON EAST TRENCH WAS DRY ON 8/25/18
-FLOW SPLITTER WAS NOT LOCATED DURING GEG INSPECTION-ASSUMED TO BE BURRIED DURING INSTALLATION
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at .• wa er alarm level at in.
• - _-- Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
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 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 5'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*MET CODE AT THE TIME OF INSTALLATION
•••-c� � 111
G. ENGINEER'S CERTIFICATION :,P•.•••'•" ' .....:(J.S ♦
• I
I certify that I have determined through field inspections and • 4' 6 ILO \* .0
review of Municipal records that the above systems are in • .4416 •
conformance with MOA COSA guidelines in effect on this ♦ , ; •
date. ♦ : Je fr-y -. ess :
Engineer's Printed Name JEFFREY A. GARNESS ♦♦♦ �:•••••.CE-795 t* �, :
Date 1X01/v 444 ROFESS\ .44
LICENSE 4lili"`el
#AECC884
(Rev. 10/12/12)
Jeff Garness
From: David Harper <dlharper2@gmail.com>
Sent: Tuesday, September 11, 2018 9:38 AM
To: Jeff Garness
Subject: 5106 Heritage Heights Drive
Jeff, the well located at the above address has been extended to the required MOA height and the depression around
the casing has been filled.
David Harper
Aarow Pump&Well Sys, LLC
Sent from my iPhone
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