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Home My WebLink AboutT13N R3W SEC 22 LT 14 PTNT13N '3W SEC. 22 Lot 14 #006-314-21 Municipality of Anchorage o~ Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak,us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: OSP101288 PID Number: 006--31 --421 Nome: ROSA NEWTON Wastewater System: [] New · Upgrade Address: 92.3 Wa 11TH AVE. #415 *ANCHORAGE, AK 99501 ABSORPTION FIELD Phone: No. of Bedrooms: (907) C/O AGENT .3 · Deep Trench [3 Shallow Trench r-i Bed DMound [3Other LEGAL DESCRIPTION sol, Ratlng: 1.2 GPD/S,. Ft. Total Depth fromB.OoriginaIMAXgrade: FL Block: Lob Subdivision: Depth to pipe bottom from orlglnol grade: Gravel depth beneath pipe: - 14 - 1.99 MAX Ft. 6.01 rt. Township: 1 5N Range: 5W Section: 22 ~, added above original grade: Gravel length: SEE DWG. Ft. 40 rt. / Grovel width: Number of lines: Distance between lines: WELL: [] New [] Upgrade 2.5 Ft. 1 -- FL Classific~tlon (Private, A,B,C): Total Dept.....J:~./ Cased TO:(BEDROCK) Total absorption area: Pipe moterlol: J 480+ D 5054/F-810 / Ft. Ft. SQ. Ft. Driller: ~.~ Dote Drilled: StoUc Water Level: Installer: Dote installed: 2,ii A+ HOME SERVICES 12/50/2010-1/6/2011 Ft. ~ GPM I FL Casing Height Above Ground:FL TAN K SEPARATION DISTANCES [] Septic [3 Ho,d~ng · S.T.E.P. [3 Other* T~.~--........~TM Septic Absorption Lift Holding ~ubllc/Prlvate Manufacturer:. Capacity in gallons: Tank Field Station Tank Sewer Lines GREER 1500 Material: Number of comportments: Welt 100'+ 100'+ 100'+ - 25'+ STEEL 2 Surface Water 100'+ 100'+ 100'+ -- -- LIFT STATION Lot Line 5'+ 1 O' + 5' + _ Size in gallons: Manufacturer: - 1500 GREER/QUANICS 'Pump on" level at: "Pump off" level at: High water alarm at: Foundation 5'+ 10'+ 5'+ -- -- 54" 54" 44" Curtain Drain - NONEi KNOWNi , PUmpp_sE_41TMake & Model: Electrical Inspections porformedM.o.A.bY: Rernorks: OLD TANK AND CRIB DISCOVERED DURING BENCH MARK Location and Description: CONSTRUCTION. TOP WAS REMOVED AND TANK WAS TOP OF WELL CASING FILLED WITH DRAINROCK. CRIB WAS ABANDONED PER Assumed EievoUon: CODE. 1 05.20 Ft. ENGINEER"S SEAL Inspections performed by: OEO, Ltd. Dates: 1st 12/30/2010 2nd 12/30/2010 3rd 1/6/2011 Development Services Department Approval )~!~"7": .... Conditional approval: Dot e: It0¢ :'i ' i '~'%,;i~'.~ - 7~t3 :~'i ~ ~i~'~'~ ." ~,_~ i-: ' ' ' ~ ~, '~ /~,~,~ ' ,~ ...' .,,~ Reviewed and approved by: ~[~'~ D~te: t/'~/! ~t~,:;~ Z~ ~,?:~ PERMIT NUMBER:AS BUILT DRAWINGPARCELID NUMBER: OSP101288 - 006-,51 -421 / \ / \ / \ / \ A B C ] / \ DEL1 15.67 49.53 1,3.89; / ~ \ DEL2 14.65 50.18 14.68 / \ ST1 6,3.29 94.85 63.65 / \ / MH 72.15 104.88 70.94 I MT1 121.47 149.91 122.8,3 I 100' WELL RADIUS MT2 100.0,3 122.06 106.02 I o- I WELL 59.66 33.66I 74.29 I ~ I X / , / B~M ~ ~CONNECTED TO EXI~IN~ / ~ / ~ / S~ER LINE AND / BLUE BOARD ~--~---~' ;~.;.~ H Il / ~'1~1W ' II II NEWCPVC~ I I ~ SEWER L,NE~ __ M~ _~ .t; ii'He'ii --- NEW 1500 GALLO~ / ~'; I J J J J DEEP BURIAL S.%BP. / ~]; MTII~ ~ THICK · 4' WIDE- / ~. BLUE BOARD ~ ~ L1.25" SCH 40 PVC PRESSURE LINE NOVELLI NOVELLI ~ PUBLIC WATER PUBLIC WATER PUBLIC WATER SCALE: ~ SEWER ~ SEWER & S~ER~'~:'"?' I 1" = 40' I GARNESS ENGINEERING GROUP, Ltd. ~ t "~0 PREPARED FOR: PAGE NUMBER: ROSA NEWTON C/O AGENT 2 Of 3 t Vj~ m~ff~y A. Oarness.: m m V,%~ DRAWN BY U ~ LEGAL DESCRIPTION' : ~ h - VCE-~955 ." ~PE OF WORK: DATE: -- PROFILE DRAWING 1/7/2011 a B C DEL1 15.67 49.53 1,3.89 DEL2 14.65 50.18 14.68 ST1 6,3.29 94.85 63.65 MH 72.15 104.88 70.94 MT1 21.47 149.91 122.85 MT2 100.0,3 122.06 106.02 WELL 59.66 33.66 74.29 (Rev. 01/05) PERMIT NUMBER: AS BUIL DRAWZ G PARCELID NUMBER: OSP101288 - 006-31 -421 TANK IS 10 GAUGE DEEP BURIAL TANK fFINAL GRADE = 96,72-97,72 ST1 ! ST2 MH t TOP OF TANK ~ ~ J::=J ~ /-- TOP OF TANK AT INLET = . = INVERT OF BUNG AT INLET = 90.60 MT ORIGINAL GRADE O --~ HIGHEST POINT ~ /-FINAL GRADE = 98..34+ R FABRIC ~-INVERT OF PIPE = 95.07 ,,-BO'FroM OF TRENCH = 89.06 RELATIVE ELEVATION OF Bo'FrOM OF TESTHOLE= 83,06(DRY) .. ~1 PROFILE ASBUILT DRAWING J 1/7/2011 ~,~..~~ (Rev. 01/05) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS January7,2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road, P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: T13N, R3W, Section 22, Lot 14, To whom it may concern: The original septic system was undocumented. Upon our initial inspection (11/5/2010) it was conveyed to us that the septic system was under the driveway and no further information was known. We located a steel plate with a vent that we believed to be the septic system but could not confirm due to the excessive rainfall and runoff at the time. Locating work was performed that led us to believe that was the location of the septic system. During construction, a septic tank and log crib were discovered in a location different than anticipated. Both the septic tank and crib were inside the 100' well radius and the majority of the log crib was underneath the driveway. These were both abandoned per code during construction. Upon further inspection, the manhole lid (earlier believed to be part of the septic system) was determined to be a drywell for runoff constructed out of a culvert. We believe this drywell will have no adverse impacts on the well or septic system. If you have any questions, please contact us at 337-6179. Sincerely, Presi~qlt{ ~-~ Thank you for your assistance. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage Community Development Department - Development Services Division P.O. Box 196650 - Anchorage, Alaska 99519-6650 - 4700 Elmore Road Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343-8300 Fax (907) 249-7777 INSPECTION REPORT APPLICATION NO. El11008 Final Electrical Schedule Date: 01/10/2011 Notes: PM: CDMKC Preference: PM Inspection: 114317 Address of Project: Parcel: 5237 E 22ND AVE, Anchorage 00631421000 Legal: T13N R3W SEC 22 LT 14 PTN G:1537 Permit Type: Electrical Description of Work: Electrical for lift station. 1 inspection Permittee: Phone: ED'S ELECTRIC INC (907)272-4591 Owner: Address: NEWTON ROSA D 923 W 11TH AVENUE ¢4~15 ANCHORAGE. AK 995014390 Ins pector Comments: ear;y pm. call 317-9433 rob at garness engerining for access, or call me kenny at 272-4591 Requested by: kenny 272-4591 eei1954@gmail.com Inspector: Date: Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit 0SP101288 00631421000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: December 23, 2010 to December 23, 2011 Design Engineer: GAF{NESS ENGINEERING GROUP LTD Subdivision: T13N F{3W SEC 22 · ~! artment Site Legal Address: T13N R3W SEC 22 LT 14 PTN G:1537 Owner/Address: NEWTON ROSA D 923 W 11TH AVENUE ¢f415 ANCHORAGE AK 995014390 Site Mailing Address: 5237 E 22ND AVE, Anchorage Lot Size in Sq Ft: 67575 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: ~ final inspection report will not be approved until the well is documented. Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 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 FAHILY DWELLING 006-314-21 Property owner(s) ROSA NEWTON Day phone C/O AGENT Mailing address 6885 TOWN & COUNTRY PLACE * ANCHORAGE, AK * 99502 Site address 5257 E. 22ND AVE * ANCHORAGE, AK Zip Code 99508 Legal description (Sub'd, Block& Lot) T15N, RSW, SECTION 22; LOT 14 Legal description (Township, Section & Range) Lot Size ~'~'~-~7~ Sq. Ft. N/A Number of Bedrooms 3 THIS APPLICATION IS FOR ( [] all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] 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. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, CONSULTANTS & GENERAL CONTRACTORS Ltd. December 13, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road, P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for T13N, R3W, Section 22; Lot 14, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is undocumented and needs to be upgraded. We are proposing to install a new 1500 gallon S.T.E.P. tank and a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. 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. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography in the area surrounding the proposed drainfield is relatively flat. 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. ~e~~ Jeffre E., M.S. Presi, NOTIE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com .. b, OE.N '"I'~LoT~ FIELD VERIFY NO CONCERNS I !: b, CE. \ I T13N R3W SEC 22 T13N R3W SEC 22 LOT 4 E 1/2 LOT 3 I I I ~ ~ I BI CEN I / ~ LOT 1 I / ~ i i / X T~'--:~-~: i_i-- / ~ FAR~ER I ~ / ~ ~ S/D i ~ 100' WELL ~DIUS. I ~ LOT 12 I SOIL ~ ~ I NO CONCERNS ~ m ~ ~~~/////~~ ~ i ~ ~ ~ FARMER x ~ S/D ~ LOT 11 ~ ~ ~ FARMER I ~ ~ 10t 10 LOT 13 FARMER FARMER FARMER / I NOVELLI S/D S/D S/D / I barber LOT1 ~t~e L~llI ~:~ LOT9 LOT8 LOT7 I PUBLIC WA] ~R · S~'ER ~ PUBLI' WATER SEWER ~ I E. 22ND AVENUE ' I i .... ---' I " ,,'' ,I ~ ~ ', I II a-= ~oo,, I I ~os~ ~w~o~ cio A~ ~ ~ or ~ i v~ ~ "-' ' ' ~, s 1'._ c:~5 _." ~/ ~**, ~:.,,..M~ · ~ .... ~ ~ I,~.~-", '?~/ LEGAL DESCRIPTION: SITE P~N 12/1/2010 (Rev. 01/05) / \ DESIGN CRITERIA: GEG, Ltd. HAS A 7 PAGE SPECIFICATION LEq~ER THAT PERTAINS TO THIS DESIGN, NUMBER OF BEDROOMS: 3 TO OBTAIN A COPY OF THE LEq~ER GALLONS PER DAY (GPD): 450 CONTACT GEG. BY PROCEEDING FORWARD PERCOLATION RATE/S: 2.8 NIH/IN WITH THIS INSTALLATION, THE ENGINEER, PROPOSED APPLICATION RATE: 1.2 GPD/FT: WELL DRILLER, CONTRACTOR AND MINIMUM DRAINFIELD SQ.~.: 375 ~ PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND \ DRAINFIELD DESIGN: AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. MAXIMUM DEPTH: 8' WIDTH: 2.5' 100' WELL RADIUS LENGTH: 40' o M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 6' ,,0 REDUCTION FACTOR: N/A '~_-%. 'o ACTUAL SQ.FT.: 480 ~ ~,~ ~ / x/ ~?~"" /_ / of UNDOCUMENTED / 'X / ...... ~7 / CESSPOOL ~ ~ ~ ~ / /--SEWER LINE WAS I ~ 0 ~ ~ / I:~."',::'.'.'n~ / PROFESSIONALLY / / ~. ~,~.;~ /~.~ ~,NSULATE SEWER L,NE I I INSTALL DOUBL~ CLEANOUTS~ i~~-;;"'~ ~"/' ///UNDER DRIVEWAY WITH L~ I ~ / % ~ ': . .' ..; }X ~" 4" INSULATION, 4' WIDE ~ eXPOSE AND CON~IECT _ / ~ '~'~";'~,~/// ~ 1 1/4" PVC 0-5% SLOPE, TO EXISTING SEWER LINE--~ ----~ ~ ~ ~:~ / / PRESS'URN LINE ......... NOTE' UNDQ~HMFNTFD NOTE: 1 1/~ PROPOSED 1500~ ~ ~'~ ~ ~t ,~ ~= - ~'-~-- PRESSURIZED ~~O~EE~~.'~ ~ ~ ~W' ~Lbb~UUL iU ~L LINE WILL CONNECT BURIAL SJ.E.P. Ta~~: ;.'~ t.¥, ~ COMPL~ELY ABANDONED TO 4" D~INFIELD /~...;~ / NOTE: EXACT DEPTH OF D~INS COMPL~ELY ~.';~ ~' / EXISTING SEWER LINE A~ER ~CH PUMP CYCLE UNKNOWN. PROFESSIONAL ~v 3,~ LOCATER ESTIMATED ITS DEPTH ~;,. :'~ TO BE B~EEU 6-8'. DUE ~,- TO THE POTENTIAL DEPTH OF ~.? ~ THE SEWER LINE, A S.T.E.P. ~ ,_;' :~ TANK WILL LIKELY BE ~.-".-~ ,ECESS,,~. ~;:.:':~ ~ ~ - , PUBLIC WATER PUBLIC WATER PUBLIC WATER ~ :~;~A 1" = 40' GA~R NESS ..: 3701 [ ~R ~, SU~ 101 * ~H PREPARED FOR: ....... ROSA NEWTON , C/O AGENT ,~ 2 OF 2 ~t ~-~ ~ '-.~ fey A. G~rness:' T;~N, ,~w, SECTION 2~; LOT 14 A.J.O. ~ '"~.~i;.~fi~/ DESIGN OF NEW SEPTIC SYSTEM 12/13/2010 (Rev. 01/05) ~ /~-~-OF GARNESS EN'GINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS ___ ~ ,,,, .,.;~,~,~ ,~ .... ~.:...; LEGAL DESCRIPTION: T13N, R3W, SECTION 22; LOT 14 PERFORMED FOR: ROSA NE~ON __ DATE'. ~/~/~0~0 ~[~"~..~/,~1.~~ ~'~ ~11~' '"~ ~/'~ OR~ANICS TESTHOLE ~1 ~'~E'°r~°'-~?M~ SOIL CLASSIFICATIONS GW ~ ORG GP ML GM CL GC OL SW MH SP CH SM OH SC / \ _!__ / \ -F- / \ ~ J I 100' WELL RADIUS I t ~ sd)IL ° ' I ~ N) SAMPLE I #\1 F'~ / ~'/ f \\/ L, SOIL // ,._~'_' ~ \ L~ ~ SAMPLE / .... --- N OVELLI N O~%LLI. PUBUC WA'Ea a Sn,Ea ~;~I" = ~00' DEPTH TO GROUNDWATER DATE DRY 12/7/10 DRY 12/14/10 GW-GM DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12/8/2010 1 2:40 - 6- _ 2 2:50 10 1 1/4" 4 5/4" ,3 2:50 - 6- _ 4 3:00 10 2 1/2" 5 1/2" 5 5:00 - 6- _ 6 3:10 10 2 1/2" 5 1/2" 7 .3:10 - 6- _ 8 5:20 10 2 1/2" 5 1/2" 9 5:20 - 6,, _ 10 5:30 10 2 1/2" 3 1/2" 11 3:30 - 6,, _ 12 3:40 10 2 1/2" 5 1/2" PERCOLATION RATE 2.8 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 5.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS/PEI~FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: CERT Municipality of Anchorage Development 'Services .Department Building Safety Division On-Site Water & Wastewater Program 4700... B[aga.~. Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 FICATE OF ON-SITE SYSTEHS APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 006-51-421 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T15N~ RSW, SEC 22~ LOT 14 5257 E. ROSA 6885 22ND AVENUE *ANCHORAGE~ AK99501 NEWTON Day phone C/O AGENT TOWN AND COUNTRY PLACE *ANCHORAGE, ALASKA 99502 Day phone DONNA ORR W/ REMAX Day phone 240-7493 110 W. 58TH. AVENUE SUITE 100 *ANCHORAGE, AK 99505 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 TyPE OF WATEI~'SUpPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site · 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 On-Site 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 neWwater 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 amxea heFe~u and as o~ u~ vo. uouo. date ~' .... ~'~ ....... ;~" *~-'* '~,. AS ce~ified by my seal investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this appfication, 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 Municipafity 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 appficable Municipal and State codes, ordinances, and regulations in effect at the time of installation. .Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 537-6179 Address .3701 E. TUDOR ROAD, SUITE 101 .* ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. .Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 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 test results do not guarantee future performance of the system, nor do they guarantee that thero 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 dght whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Attachments: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) bedrooms, with the Arsenic Advisow Maintenance Agreements Supplemental Engineer's Repo~ umer Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site 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 CHECKLIST Legal Description: T13N, R3W, SEC 22, LOT 14 Parcel ID: 006-51-421 Ac WELL DATA *PER ARROW PUMP & Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed PRE- 1955 Sanitary seal (Y/N) YES Total depth *49+ .ff. Cased to *49+ ft. WELL SERVICES Well Log (Y/N) NO Wires properly protected (Y/N) Casing height (above ground) 12+ YES in. Date of test Static water level Well production FROM WELL LOG NO WELL LO(; Jrt.m ATINSPECTION 11/5/2010 45 ,3.5 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: 14.2 ug./L. Nitrate ND mg./L. Other bacteria 0 colonies/100 mi. Date of sample: 11/4/2010 Collected by: GEG. Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Tank size. 1500 gal. Number of Compartments Foundation cleanOui'(Y/N) *YES Date of pumping NEW C. ABSORPTION FIELD DATA Date installed 12/30/2010 Length 40 ft. Width 2.5 Total depth **9.29+ ft. Date of adequacy test *DOUBLE CLEANOUTS INSTALLED PRIOR TO TANK. Date installed 1/6/2011 2 Cleanouts (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Pumper. - I**BELOW FINAL (~RADEI Soil rating ~or ft2/bdrm) 1.2 System type DEEP TRENCH .ft. Gravel below pipe 6.01 .ft. Eft. absorption area 480 ft2 Monitoring tube YES Depression over field NO NEW Results(Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test - in. Elapsed Time: - min. Final fluid depth - Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water added - gal. New depth - in. in. AbsorptiOn rate >= 450+ g.p.d. NONE KNOWN If yes, give date - LIFT STATION Date installed 1/'6/'2011 Size in gallons 1500 "Pump on" level at 54" in. "Pump off" level at~34'' in. Datum BOTTOM OF TANK Cycles tested NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot. 100'+ Public sewer main 75'+ Sewer/septic service line 25'+ Animal containment areas 50'+ Building foundation Water main Wells on adjacent lots 100'+ Manhole/Access (Y/N) YES High water alarm level at 44" Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/'A Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line 5'+ N/'A Water service line. 10'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots. 100'+ Absorption field 5'+ Surface water. 100'+ YES ,in. F. COMMENTS Water main N/'A Driveway, parking/vehicle storage 100'+ 100'+ 10'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Mu, nicipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date I/i..~/~1, COSA Fee $ ~ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number. Municipality of Anchorage Community Development Department Development Services Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On-Site Systems Approval # OSC 111007 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on T13N R3W Sec 22 Lot 14. This inspection revealed an arsenic concentration of 14.2 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. Aarow Pump & Well Service LLC (907)346-9355 Inspection Report 5237 E. 22na Casing on well extended 8' and pitless adapter installed 9' below top of casing and insulated. Well camera sent down to 49' with no perforations found in casing. MOA approved well seal and conduit installed. Brian R. Wille Aarow Pump & Well Service 1/4/2011 3ol o 24..1 i GOV. LOT 3 S 89'59'00" E 330.66' '~. SHED GOV. LOT 1 4 Well LO-F 1 2 LOT 1 ! 36.3 GARAGE N 89'59'03" W LOT 1 BARBER SUBDIVISION 15.4 224-.81' Cleam 35.7 LOT 1 LOT 2 NOVELLI SUBDIVISION EAST TWENTY SECOND LOT 10 cq ® Lift O Statio Z GRAVEL DRIVEWAY N89'59'OO"W 105.68 AVENUE NOTES: 1) THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. 2) SNOW AND ICE MAY CONCEAL MINOR SURFACE FEATURES. Legal Description: AS-BUILT A portion of Government Lot 14, Section 22, T. 13N. R.SW., S.M. Per Deed Book 550 Page 558 LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEERS ~4-0 West Benson Boulevard, Suite 200 Phone: 562-5291 Anchorage, Alaske 9950.3 Fax: 561-6626 Plat: Deed BI< 350 Page 558 Grld: 1557 wo,~., Order. 2011L02 ~e~: 10L81 ~/Pg: 768/35 O.d,r,a ~. Donna Orr with REMAX Legend: Septic Standpipe Water Well Fence SURVEY CERTIFiCATiON: LANTECH has conducted a ph~ic~l sur','sy of the property os shown on this drawing and certifies that the improvements situated thereon (aa withi~ the property lines and no encroachments exist other than noted. EXCLUSIONARY NOTE: It ts the owners' responsibility to deter~r~i~te the existence of any easements, covenants, restrictions or right-of-way takings which do not appear on the recorded subdlvisinn plot. Under no circumstances should any data hereon be used far consi:ruc~ion. for establishing property lines, or for plot-plan purpose~. Date: 01/11/2011 ~rJ_~__~y~ PI. Scale: 1"=50' IChecked By: JMZ