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HomeMy WebLinkAboutSKYLINE VIEW BLK 1 LT 14Skyline View Block 1 Lot 14 #051- 192-41 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241218 Work Type: SepticTank Upgrade Tax Code Number: 05119241000 Site Legal Address: SKYLINE VIEW BILK 1 LT 14 GA 159 Site Mailing Address: 19312 IRIS ST, Chugiak Owner: WATT WESLEY E & SHAINA V Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 8/5/2024 8/5/2025 15750 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Rseetvetf-By: .,�55c�e c� �U Issued By:✓�' �(/ Date: Date: 3 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-192-41 Property owner(s) WESLEY & SHAINA WATT Mailing address 19312 IRIS STREET, CHUGIAK, AK 99567 Site address 19312 IRIS STREET, CHUGIAK, AK 99567 Day phone Legal description (Sub'd., Block & Lot) SKYLINE VIEW BLOCK 1, LOT 14 Legal description (Township, Range & Section) Lot Size 15,750 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E] all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal F] Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Sig nature :6f: property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: -Z-7 Permit No. (-)5 P Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTormsOient FormsTermit Application.doc Municipality of Anchorage P.O. Box 196650. 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite _Development Services Department Onsite Water and Wastewater Program * * * * VAMANCEIWAIVVER WR#: OSP111005 PiD#: 051-192-41 HAM OSC111011 Legal Description: Skyline View, Block 1. Lot 14 Engineer: ArcTerra Applicant: rn.e n t S, Y n Q epartinent y **** (()O,ive,( arl)e„deJ Tvy' lasF- C, �l k , 7h� nem P fGcnCe Your request for a waiver of the require 100 feet horizontal separation from the septic tank a the private well has been approved. The ap`pr v�_arati istance is 75 feet. This waiver approval applies to the existing septic tank to priv a well s only. Any future upgrade to the on-site wastewater disposal system will require ail separation distances be met or another approval from this department. rrrrrrrrrrrr a rrrrrrr a rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr� Waiver is Granted: X Waiver is not Granted: Date: 1/19/2011 Approved.: ame of Reviewer ■rrrrr a rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr• Rec#: 03568C Amount: $1,050.00 Date Paid: 1/13111 **** VARIANCEMAIVER REVIEW **** 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! July 20, 2024 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT WITH WELL WAIVER LEGAL: SKYLINE VIEW BLOCK 1, LOT 14 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3 -bedroom residence. We would recommend a 1500-gallon HDPE tank be installed for current functionality and future consideration or flexibility. No groundwater was noted in the MOA on-site file The existing well has a current 75’ MOA issued well radius waiver to the subject property’s well. With this upgrade, the well is proposed to be installed approximately 84’ from the well and to maintain 5’ to the existing septic field. We are therefore requesting an amendment to the existing waiver to 84’ between the referenced well and septic tank be granted at this time. Granting of this waiver is justified in the fact that the well is on the opposite side of the house with no chance of surface effluent reaching the well and the tank will be of a higher quality material (plastic). Although there have been no known issues over the past few decades from the existing steel tank, the site’s rising nitrate levels may be influenced by the tank location and the failed tank which will now be greatly improved with this plastic septic tank installation. The lot and area are served by private water and any encroaching wells & radii, easements, … must be staked prior to construction. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241218, Deb Wockenfuss, 08/05/24 FIRST WATER CONSULTING SKYLINE VIEW B1, L14 DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241218, Deb Wockenfuss, 08/05/24 Tom Fink, Mayor / unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 19, 1989 Robert A Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 13 Block 1 Skyline View S/D Waiver Request #WR890035, HA890258, PID#051-192-42 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is between private well on Lot 13 to the leaching field on Lot 14 Block 1 Skyline View Subdivision is 96 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Daniel J. Roth Civil Engineer On-site Services DJR/ljw#6 MUNICIPALITY OF ANCHORAGE 0 DEPARTMENT OF HEALTH &ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE EW / �3 UPGRADE MAILING DDR ESS r LEGAL DESCRIPTION SlS _ r p LOCATION NO. OF BEDROOMS Y DISTANCE TO: Well Absorption area Dwellin PE I NO. ©� H Z y� Manufacturer Mate �� ` (— No. chf compartments Liq. capagity r� g� ,ns ` C,CJ (] Inside length IF HOMEMADE: Width Liquid depth in z DISTANCE TO: Well Dwelling PERMIT N0. =E<OE< Manufacturer Material Liquid capacity in gallons D w = DISTANCE TO: Well r(�Q Foundatio Nearest I e PER ��� � LL z Z w No. of linesl Length Qf eaclvline (� l Total I gt oVines Trenc dt .. Distance pet een lines pl inches /U a Top of tile to finish grade Material beneath the Total effective —at)sQrption area O inches w Length Width Depth PERMIT NO. C7 a F_ wa Type of crib Crib diameter Crib depth Total effective absorption area W Cn DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W � [����Bui�ldlngfou�ndatio, Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS �0 � / Ll / r ` SOIL TEST RATIN 1 INSTALERT �jljliij/�\j� REMARKS \ APPROVED DATE LEG L AA mK_Vr-4][K-�][ ' - ; ." 1� NkF ----- ' oErAR/M�NT HEHLTH AND ENVIRONMENTAL TION . n�� ��'-'-- , . U25 �� STREET, ANCHORAGE.- HK 99501 ° 264-4720 I=- F-> PERMIT NO. ( 820886 ) ^ ~-'^-`^ "^` " ' APPLICANT JEROME HHLLIWILL 2715 W 82ND 99502 LOCATION LEGAL K-14 Bl'SKYLINE VIEW LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH //�[y) MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 85 J^_'. THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �1� F -r "= -1 ID ��" C -i _r "= 2! .2' ��Ke_ F-1 %-E: L_ L- E: F=" -r "= iS THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ����U I F;;?-* F= E -_)l E: F=' -V I I::-- _V n " F< '--- I = �El El C -E-1 �F::l L_ L_ Cl " fS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ___ -TW"- <:22 > I "!S". F -l' E-= (---- -IF I ID " '-S " FZ E: ���U I F;?- EF L'-- BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. | Fz' F= FR_ M I -r F=- I F:;-,:- U!E3 E -N U IZ-- U M E3 E: F;6-- ��-1 , ���:E?- �2 I CERTIFY THAT ' 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. �� 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH TH� CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BED S. SIGNED:_ __ MpPLICHNT JERO_M��HHLLIWILL ' -- - O & E EN44EERING & DEVELO%ENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for: Name: ��— '°�� Tel. No.`=' Mailing Address: �J �'� ✓`J +�JU ,r��� isc Legal Description: �-�% ✓[��� r-,c,yLaw 0 Depth (feet) Soil Characteristics I n, 2S 3 4 5 g 8 c.°ate .t ✓i f r 10 PLOT PLAN 11' lee 12 13 PERC. TEST 14 15 16 Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit_ Drain Field Comments: Performed by<�(- a AW � •.ia � ����aww.� • rt o 'i ay.r , ' �_ fo Ir 4 J>t•. Na. 4286-E 4W Date: ` 4 Parcel I.D. 051-192-41 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: 1. GENERAL INFORMATION Complete legal description Skyline View, Block 1, Lot 14 Location (site address) 19312 Iris Street Chugiak, AK 99567 0 Current Property owner(s) Steven & Rebecka Schuler Day phone Mailing address 19312 Iris Street Chugiak, AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: Fxcl Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) � ✓ 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well (] Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑, Public Water System ❑ Public Sewer ❑ WaiverNariance request for: V/ j '" COSA to be released to the engineer, unless requested by the engineer. O COSA Fee $ QU 1-I' 31560 = �l b— Waiver Fee $ Date of Payment 1011,1/16- Date of Payment Receipt Number og112G COSA# 0506)60 Receipt Number Waiver # 6. 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Phone 522-7773 Date 10/13/2015 OF A4 illlll� 0.EL E. At.-DERSON > CE -4381 .P,.rg-ty°����m s eec. e•„•\. 0 Conditional'appr�oval foi”- bedrooms, with the following stipullh, a - By. Original Certificate Date: U The unicipality 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. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet[ . a Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Skyline View, Block 1, Lot 14. Parcel ID: 051-192-41 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed Unknown Sanitary seal (Y/N) Y Total depth 200+* ft. Cased to 40+* ft. 'From Muni. Records. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: "t Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) >18 in. AT INSPECTION 10/9/15 194.2 ft 5.9 9 - p.m - Coliform colonies/100 mL Nitrate 6.80 mg/L Arsenic 5.38 ug/L Date of sample: 10/5/15 Collected by: And. Engineering B. SEPTICIHOLDING TANK DATA Tank'Type/Material Septic/Steel Date installed 10/13/82 Tank size 1,000 gal Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression ove r,14nk (Y!N) N High water alarm (YIN) N Date of pumping 1'J/8/201 pumper JRS Pumping J C. ABSORPTION FIELD DATA Date installed 10/13/82 Soil rating (g.p.d.1ft2 or fe/bdrm) 85 SF/BDRM System type Deep Trench Length 26 ft. Width ' 3 ft. Gravel below pipe 6 ft. Total depth 8.7 ft. Eff. absorption area 312 it2 Monitoring tube Y Depression over field N Date of adequacy test 10/91/15 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 461 gat. New depth 0 in. Elapsed Time: ,0 min. Final fluid depth 0 in. Absorption rate >= 527 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed _ "Pump on" level at Datum Size in gallons in. "Pump off' level at E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main >75' Sewer /septic service line >25' Animal containment areas >50' Cycles tested 75'** >100' Manhole/Access(Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots >100' >100' Public sewer manhole/cleanout >100' Holding tank >75' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >51 Water main >10, Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation ,,�>10' Water Service line >10' Surface water > 1 Vu i None Noted * � Curtain drain Wells on adjace lots >"' qR+ _Rwi,5— d -o QC' PtpA Absorption field >51 Surface water >100' Water main >10' F. COMMENTS **Waiver Granted 1/19/201 . *Waiver G. ENGINEER'S CERTIFICATION 1 certify that l 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. Engineer's Printed Name Michael E. Anderson, P.E. Date 10/13/2015 COSA brown sheet -1 0-10-1 2.doc storage >10' E ANDERSON : 1 -438 'i` in. 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 Nitrate Advisory Certificate of On -Site Systems Approval # OSC151569 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 14 of Skyline View subdivision. This inspection revealed a nitrate concentration of 6.80 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. Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and 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 DWELLINGO Parcel I.D. 051-192-41 COSA # 0 S C M ®A � _ Expiration Date: q 0 1. GENERAL INFORMATION Complete legal description SKYLINE VIEW BLOCK 1 LOT 14 Location (site address) 19312 IRIS STREET CHUGIAK AK 99567 Current Property owner(s) KATHLEEN EHRHART & BRETT CAPRICO Day phone Mailing address Lending agency PO BOX 671143, CHUGIAK, AK 99567 Day phone Mailing address Real Estate Agent LES BAILEY & ASSOC. Day phone 694-1234 Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 new water sample results. (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 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 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 01/13/2011 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. 5. DSD SIGNATURE / Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate. -Advisory Other IZj 12 #C�SI�I I I f�OS` 1 � i Bye Original Certificate Date: % (RqV- 11/05) 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: SKYLINE VIEW, BLOCK 1, LOT 14 Parcel ID: 051-192-41 A. WELL DATA Well type PXW1 ATE If -A, B, or C provide, PWSID # Well Log (Y/N) N Date completed Unknown Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 200+ ft. Date of test Static water level Well production Cased to 40+ ft. FROM WELL LOG ft. Casing height (above ground) 18+ in. AT INSPECTION 12/29/2010 194 ft. g.p.m. 6.4 g.p.m. Coliform NEG colonies/100mL Nitrate 6.08 mg/L Arsenic: ND mgA Date of sample: 12/29/2010 Collected by ArcTerra B. SEPTICIHOLDING TANK DATA Tank TypeMlaterial Septic/Steel Date installed 1013 982 Tank size 1000 gal Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 12 2910 Pumper IRs C. ABSORPTION FIELD DATA Date installed 10131982 Soil rating (g.p.d./ftz or if/bdrm) 85 System type Deep Trench Length 26 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 8.67 ft. (Measured 12/29/10) Eff. absorption area ,255 if Monitoring tube Y Depression over field N Date of adequacy test *12/30/2010 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 650 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 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 Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot **75' Absorption field on lot 1001+ Public sewer main 751+ Sewer /septic service fine 251+ Animal containment areas 501+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 51+ Absorption field 51+ Water main 101+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 101+ Water main 1o'+ Water Service line 101+ Surface water 100'+ Driveway, parking/vehicle storage 101+ Curtain drain 5o'+ (None Known) Wells on adjacent lots **96' (95' &'04) F. COMMENTS *Vacant system 2000-OHon surcharge prior to testing. **Previously issued waiver & current waiver request. G. ENGINEER'S CERTIFICATION I certify that / 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. Engineer's Printed Name KENNETH M. DUFFUS Date 1/13/2011 COSA Fee $490.00 2 Waiver Fee $1050.00 Date of Payment J ti Date of Payment j t3 I Receipt Number ©�� �g_C' Receipt Number. C7 '�>S-Jo o C (Rev. 11/05) Municipality of Anchorage A�ti e • Community Development Department °x Development Services Division ,�.A E.T.Y• 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 # OSC111011 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 14 of Skyline View subdivision. This inspection revealed a nitrate concentration of 6.08 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. 13 Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.or-ci/Onsite _Development Services Department On -Site Water and Wastewater Program Q IQ went S p 4 n epartment **** VARIANCEIWAIVER REVIEW **** WR#: OSP111005 PID#: 051-192-41 HAM OSC111011 Permit#: Legal Description: Skyline View. Block 1. Lot 14 Engineer: ArcTerra Applicant: Kathleen Ehrhart & Brett Caprico Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 75 feet. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 1/19/2011 Approved/"t ame of Reviewer Rec#: 03568C Amount: $1,050.00 Date Paid: 1/13/11 **** VARIAN C E/WAIVER REVIEW **** January 13, 2011 ARC 1 ERRA CONSULTING, INC 212 E. 51St Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: SKYLINE VIEW BLOCK 1, LOT 14 — WELL/SEPTIC TANK WAIVER We are submitting a waiver request for the separation distance between the septic tank to the well located on the referenced lot. Per the attached redlined Shane Holt, LS as -built survey dated January 12, 2011 and available Municipality of Anchorage (MOA) record documents the septic tank is approximately 75 feet to the subject property's well. We are therefore requesting that a waiver to 75 feet between the referenced well and septic tank be granted at this time. This well is up gradient from the septic system and is located on the opposite side of the house. These on-site systems have been in operation for 28+ years. Per ADEC Separation Distance Waiver Guidelines for SCRO: • Water Table (194' static water level on 12/29/10) • Soil Sorption (Per area well logs) • Permeability (Per area well logs) • Water Table Gradient (5+%) • Horizontal Separation (75 ) 7.50 points 2.50 points 2.00 points 4.50 points 2.00 points TOTAL: 18.5 POINTS The point total indicates that the well would almost sure to be free or no contamination possible from any form of household sewage contamination. It appears that the elevated nitrate levels (6.08 mg/L) of the recent water analysis of December 29, 2010 are not just isolated to the referenced well, but to the local area in general. This encroachment was overlooked by Jeffery A. Garness, PE on the last HAA / COSA approved by the MOA in 2004. The area and subdivision consists of many small lots and waivers of this kind have been periodically granted over the years. SKYLINE VIEW, BLOCK 1, LOT 14 January 13, 2011 Page 2 of 2 We respectfully request that the waiver and the Certificate of On -Site Systems Approval be granted. If you have any questions or require additional information, please contact me at 868-3792 / FAX 868-3793. Respectfully, ArcTerra Engineering & Surveying, Inc. Kenneth M. Du fus, P. . Attachments: COSA SGS Water Analysis As -Built Survey Red -Lined Encroachments As -Built Survey 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 D m D Z� w 7 N r Z rn O rn N ❑ 01' ❑❑" W 1 04.61 ( MEAS.) 1 ❑5.0❑ ( REC.) Z Z a m 4 t 1� VS Y LO 1' E 0 M N n= mm ❑ s3 y % O S1N G oc ooyCJV,E a o N / De �. s•�c Z o OIf I 0G Y a I O I N r I i g Im Z 5 0`01'00"E 105.00' N .11- ymm-o OA50 -nom mem$ ,lam O ONO mom OOZ 804 !r4. r 4. 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Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-192-41 HAA#yC)'3 1. GENERAL INFORMATION Expiration Date: �- T Complete legal description SKYLINE VIEW SUBDIVISION; -LOT 14 BLOCK 1 Location (site address or directions) 19312 IRIS STREET * EAGLE RIVER, AK 99577 Current Property owner(s) JEFF HALLIWILL Day phone 248-0634 Mailing address Lending agency Mailing address Real Estate Agent Mailing address P.O. BOX 11057 * ANCHORAGE, AK 99511 Day phone PAT WILLHOIT W/ PRUDENTIAL VISTA Day phone 689-6464 16635 CENTERFIELD DRIVE * EAGLE RIVER, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ 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. 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 Health Authority 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. 1 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. 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 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 t/ Approved for bedrooms. Disapproved. Conditional approval for Phone 337-6179 Date /17,/03 bedrooms, with the fllowing stipulations: Ni ACf fAf._/, ON-SITEWATERAND • WASTEWATER PROGRAM Attachments: %F •.. • • • • •' N HAA Checklist V Manitenance Agreements JJJi�cc`O CS���� Septic System Advisory Supplemental Engineer's Reort /�77jJ1111►►►��� Well Flow Advisory Other G�-�:.� By: � Original Certificate Date: (Rev. 12/01) Municipality of Anchorage ' Development Services Department° x Building Safety Division • On -Site Water & Wastewater Program s 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SKYLINE VIEW SUBDIVISION; LOT 14, BLOCK 1 Parcel ID: 051-192-41 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Date completed UNKNOWN Sanitary seal (Y/N) YES Total depth 200+ ft. Cased to 40+ ft, FROM WELL LOG Date of test Static water level ft. Wdproduction g.p.m. WATER SAMPLE RESULTS: in Coliform 0 colonies/100 ml Arsenic: _N/A mg./L. B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) NO Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 9/5/2003 195 ft, 14, $I Nitrate 5.25 mg./L. Date of sample: 9/4/2003 6.3 g.p.m. Other bacteria 0 colonies/100 ml. Collected by: AKWWC, INC. Tank Type/Material STEEL Date installed 10/13/1982 Tank size 1000 gal Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9/19/2003 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date installed 10/13/1982 Soil rating ED)6r ftlbdrm) 85 System type DEEP TRENCH Length 26 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth *8.4 ft. Eff. absorption area 255 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 9/5/2003 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test DRY in. Water added 733 gal. New depth 13 in. Elapsed Time: 65 min. Final fluid depth 8 in. Absorption rate >= 450+ g•p•d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons "Pump offHigh water alarm level at - in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A 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 Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ 100'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE' KNOWN Wells on adjacent lots *95' F. COMMENTS * WE REQUEST WAIVER #WR890035 BE AMENDED TO 95 FEET G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through held inspections and review of Municipal records that the above systems are in ' ' .. ' ' • conformance with MOA HAA guidelines in effect on this date. �O e. Engineer's Printed Name JEFFREY A. GARNESS Date HAA Fee $J Waiver Fee $ Date of Payment ) Date of Payment Receipt Number `-t C Receipt Number (Rev. 12/01) r MA. �vPness.� • • E-7953 4) F'rn f easinra� F FIND. NO. 5 REBAR S 89°5414111E 1 50.91 ( MEAS.) S S OF.A� 0' 49 TH /)................................ SHANE A. HOLT LS -6914 mP� P Am 5J� a o FND. NO. 4 REBAR FND. NO. 5 REBAR S 89 591 E. 1 50.00 ( RE❑.) 0 N 10.3 CONCRETE J W s J Q 4U r �� J 4/ o Z� 0. H. DECK S 89 59' E 1 50.00 SKYLINE DRIVE GRAVEL DRIVEWAY 34.5 WELL Olk AS -BUILT SURVEY NO CORNERS SET THIS DATE SCALE: 1" = 21-l' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 14, BLOCK 1, SKYLINE VIEW SUB. I Ht INFUKMAI JUN HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT ❑ ;o 1i U] ❑ EXIST OTHER THAN NOTED. 11) rn NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES DATED AT ANCHORAGE, ALASKA THIS _2ND O I� PAVING MAY BE SHOWN APPROXIMATELY DL1E TO SNOW CONnITIONS m o r❑ uJ I AS -BUILT SURVEY NO CORNERS SET THIS DATE SCALE: 1" = 21-l' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 14, BLOCK 1, SKYLINE VIEW SUB. I Ht INFUKMAI JUN HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN STRUCTURES OR FENCELINES, THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.(UNLESS INDICATED) NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES DATED AT ANCHORAGE, ALASKA THIS _2ND OR LOCATE STRUCTURES. DAY OF DECEMBER 2003. PAVING MAY BE SHOWN APPROXIMATELY DL1E TO SNOW CONnITIONS HOLT LAND SURVEYING 100040, FB109-26 zaF-�a z