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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 1 I) ♦ �'O . psi _ii �_,` -w :�•`. ��. ,N i , Va."' f f•' fr° 1 ' )• ;' �' s.1— �„ 1 1 ` ' . 1 , �t.>y‘akobYp1 � j V1�• r�, Y +vr" r, .�j J`• ,/ of „ � , . ' -'. . 1 . �'. 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