HomeMy WebLinkAboutLANDES LANDING LT 2ALandes Landing
Lot 2A
#015 - 273 - 74
On-Site Water & Wastewater System Permit
OSPl11079
01527374000
WellSeptic
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
Permit Number:
Tax Code Number:
Work Type: Initial
Permit Effective Dates: July 13, 2011 to
Design Engineer: ANDERSON ENGINEERING
Subdivision: LANDES LANDING
July 12,2012
Site Legal Address: LANDES LANDING LT 2A G:2635
Owner/Address: FARRAND CHRIS A & PEGGY M
3721 GARY COOPER CIRCLE ANCHORAGE AK 995073670
Site Mailing Address: 10915 CANGE ST, Anchorage
Lot Size in Sq Ft: 45590
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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.
Received By: '~-'~./<~?v,~t/~. }~.¢2 Date:
Issued By: ~ ~~ Date:
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
MUNICIPALITY OF ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. D~- Z_.),~ - '7'4-
Property owner(s) ~,~Z.,i,~ ,.~/~e,(.dl' i~za:LA-~Ji)
Mailing address ~'~Zi ~4i~'~ ~P~ ~~
Site address I'~i~-- ~ d~~ S~
Legal description (Sub'd., Block & Lot) ~'r Z~, ~-~'
Legal description (Township, Range & Section)
Lot Size ~, ~ O Sq. Ft. Number of Bedrooms
Day phone
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 []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No. "~'5~
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 )
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
May 24,2011
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject:
Lot 2A, Landes Landing Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 2A, Landes Landing Subdivision intends to construct a new four-
bedroom home on the lot. We are therefore requesting a permit be issued for the
construction of a new well and septic system to accommodate the home. The attached
Site Plan and backup documentation identify the location and configuration of the
proposed well and septic system along with the alternate site. Also identified on the
plans are the existing wells and septic systems on surrounding lots. No conflicts exist
between the proposed well and septic system and wells or septic systems on adjacent
lots. Drainage arrows are shown on the site plan showing the grade and direction of
flow on the lot. The drainage pattern will not be changed as a result of this project.
The test holes recently placed on the lot in the area of the absorption trench and
alternate site indicate silty sand (SM). The percolation rate of the soil was determined
to be 30 to 60 minutes per inch. No groundwater was found during the placement of
the test hole and none was noted during the monitoring period. An application rate of
.45 gallons per day per square foot was used in the design of the absorption system.
We are proposing to place a new 1,250~gallon septic tank and a new 84' long by 3'
wide by 8' effective depth absorption trench to treat and dispose of the effluent
generated in the house. The elevation of the distribution line in the absorption trench
will be 4' below the surface and the total depth will be 12'. A minimum of 3' of fill or 2"
of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic
tank.
The ground surface on the lot in the area of the septic system slopes to the west. The
new trench will be constructed parallel with the slope as much as possible in
conformance with Municipal requirements. The new septic system will be constructed a
minimum of 100' from all wells and any surface water and 10' the proposed and existing
water services in the area.
Lot 2A, Landes Landing Subdivision
May 24, 2011
Page Two
If the system is constructed in accordance with our design the following statements
apply:
o
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
LOT 9
LOT 9B
LOT 1
LOT 2
30'
~/X~. LOT 1 ~
Ne C~lfllctll llth Well
~' Septic 5'3totem
LOT 1
LOT 2B
.OT 7
LOT 2A
45.59O Sq.Ft.
Septic System
N1/2 N1/2 LOT 25,
SEC 21, T12N R3W
AREA
MAP
SCALE 1' = 100'
LOT ~ ~'
/
/
/
/
/
/
/
/
/
LOT 2B
, ---~ E[~[~ N89'59 21 W 199.00
LOT 9A ~ ~l '" ===========================================================================i~~iii~~~i!~i~i //
/ '"" 'r / /
~ ~ ~ FF=97.0 I /
~ 0 %~ II Bedroom I ~
e o ¢ ~ ~ Home ~ /
e E¢ ' "~-.. ~
/s Abso~tion ~rench ~1 /s / ~epuc
I
~ Alt t{ S t
~ emae ie , · / . ~ExJ~Jng
I~ *= /S /~ / ~ House
4 t.
, 30' ~ 110.00 ~~ 10' TaE
S89"59'51"E . .
I NOTE: N1/2 N1/2 LOT 25,
No Slopes >25% Within 50' of SEC 21, T12N R3W ~/
the Sepbc System. No Su~ce _.....~ ........ , ...... ,....~..¢).....~4....~
LOT 1 ~ w,t,r Within 100' of Septic ~
System. ~ T T F P / A M
SC,LE Z = 40
LOT 2A, LANDES LANDING SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home Deep Trench System
Perc. Rate: 30-60 Min./Inch 1,250 Gallon Septic Tank
Application Rate: .45 GPD/SF 8' Drainfield Rock
4 Bedrooms X 150 GPD/.45 GPD/SF (Application Rate) = 1,333.3 SF Absorption Area
1,333.3 SF/16 SF/LF -- 83.3 LF Trench Length
THEREFORE: Construct an 84' Long x 3' Wide x 8' Effective Depth Absorption Trench at the Location
Shown. Flow Line Elevation in the Trench to be 4' Below Original Ground Surface. Total Depth to be
12' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption
Trench. Maintain 100' Separation from Wells in the Area.
Natural
Backfill
Geotextile
-- Fabric
4" Perforated
PVC (Holes Down)
Drainfield Rock
TYPICAL DEEP TRENCH SECTION
(NO SCALE) . ,.~.,...., ..............
NOTE:
.. ............... .....
Municipality of Anchorage
, ~ Development Services Department
Building Safety Division
. On-Site Water and Wastewater Pr0gmm
4700 Elmom Road
P.O. Box 196650 Anchorage, AK 99507
www. ci.anchoraae.ak, u.~ (907) 343-7904 ',
Soils Log - Percolation Test
Date Performed: May 18, 2011
Landes Landing Subdivision, Lot 2 Township, Rang®, Section:
8-
9-
Performed Fo~.
Legal Description:
16-
17-
20-
IF YES, AT WHAT DEPTH? 0
~ph~ t~ ~r J~t~r p
WAS GROUND WATER
ENCOUN~_RED? No
Date: 5/24/11
TEST RUN BETWEEN FT AND -5.5 FT
COMMENTS Perc Test Cavity was presoaked -
Reading Date Gross T~ne Net Time Depth to Water Net Drop
~'-¥~ · ~ 1'~ ,,
PERCOLATION RATE ' "'~/,,~ tminuteUinch) PERC HOLE DIAMETER 7'
PERFORMED BY: A~ Harala I RTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL~ ~'~ ~HIS DATE. DATE: ~ -/' ~ -~"/
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507
www. ci.anchomae.ak.us
(907) 343-7904 . ' '
Soils Log - Percolation Test
Performed For:.
Date Performed: May
Legal Description: Landes Landing Subdivision, Lot 2
Tm~,nsh
4-
5-
6-
7-
8-
9-
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED? NO
IF YES, AT WHAT DEPTH? ~ ~N ~
Monitoring?
Date: 5/24/11
Reading Date Gross Time Net Time I::)egl~ to Water Net Drop
P~CO~ON ~ - PERC HOLE D~R
~ST RUN B~N ~ ~D ~.5 ~
COMMENTS Perc Test Cavity was presoaked -
PERFORMED BY: ~ Harala I '~/~ ~--~-~-JLC~IFY THAT THiS TEST WAS
PERFORMED ~N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
ENCROACHMENT PERMIT
1203-21A
Grid 2635
EN11026
015-273-74
This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric
cooperative, (herein"Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and
Chris A. and Peggy M. Farrand, (herein "Permittee"), whose address is 3721 Gary Cooper Circle,
Anchorage, Alaska 99507.
1. Easement. Chugach is the grantee or user of an easement for the construction and
maintenance of electrical facilities, as follows:
Described by Plat Note 5 on the subdivision known as Landes Landing Subdivision,
according to Plat Number 2009-29, recorded on the 6th day of April 2009, on file in the
office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska,
(herein "Easement") which pertains to the following described real property:
A Ten Foot (10') wide easement centered on the existing underground electric line running
in an east-west direction across Lot 2A, Landes Landing Subdivision, according to Plat
Number 2009-29, recorded on the 6th day of April 2009, on file in the office of the District
Recorder, Anchorage Recording District, Seward Meridian, Alaska,
Permittee acknowledges the validity of the Easement. Permittee warrants and represents that
Permittee is the owner of the fee simple interest in the land subject to the Easement and the
following described real property to which the Easement is adjacent:
Lot Two-A (2A), Landes Landing Subdivision, according to Plat Number 2009-29,
recorded on the 6th day of April 2009, on file in the office of the District Recorder,
Anchorage Recording District, Seward Meridian, Alaska,
(herein "Parcel").
2. Encroachment. Permittee has proposed to construct the following
improvements on or within the real property subject to said Easement:
Encroachment Permit - Page 1 of 4
An underground septic pipe that encroaches across the entire width of said Easement for
a distance of approximately One Foot (1'); a minimum vertical separation of One
Foot (1') must be maintained from the existing Chugach underground electric
facilities. No part of the sewer installation is permitted within Ten Feet (10')
(horizontal) of any Chugaeh poles or surface mounted equipment,
(herein "Encroachment").
3. Permit. Chugach hereby authorizes Permittee to constmct and continue the existence
of the Encroachment in its existing location subject to the covenants set forth in this permit.
4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any
claims for personal injury, property damage or other loss arising in any way from the continuation of
the Encroachment.
5. No Expansion or Increase. Permittee shall not in any way expand or increase the
extent to which the Encroachment occupies any of the real property encumbered by the Easement
without the prior written consent of Chugach. Chugach has no obligation to provide such consent.
6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the
Encroachment and any additions thereto, even if in violation °fthis permit, has not and shall not in
the future give rise to any interest or estate in the real property subject to the Easement or any other
real property. Without in any way limiting the foregoing, Permittee acknowledges that the
Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the
permission of Chugach for purposes of the common law doctrine of adverse possession. This permit
creates no interest in the real property subject to the easement.
7. Modification of Utility Facilities. If the electric utility facilities located within the
Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of
Chugach's total costs for such modification which is reasonably attributable to accommodating or
preserving the Encroachment. If such payment is not made within thirty (30) days of written demand
for same, Chugach may terminate this permit in accordance with paragraph 9, below.
8. Covenants Running with the Land. The obligations of the Permittee arising from this
permit shall be covenants running with the land which shall burden the Parcel and the Permittee's
interest in the land subject to the Easement and shall benefit the Easement.
9. Termination. Chugach may terminate this permit after the giving of thirty (30) days
written notice of such termination if:
a. The Encroachment is enlarged, increased or extended within the real property
affected by the Easement.
Encroachment Permit - Page 2 of 4
b. The Encroachment is damaged by any means to an extent of more than thirty percent
(30%) of its replacement cost at the time of destruction.
c. Permittee fails to make the payment described in paragraph 7, above.
10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years
from the date hereof.
11. Entire Agreement. This written permit constitutes the entire agreement between the
parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous
agreements, oral or written, between the parties. No modifications, amendments, deletions, additions
or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto.
CHUGACH ELECTRIC ASSOCIATION, INC. PERMITTEE
,l~-~e D. Steeby, Acti~r~ Director
Distribution Engineering
Chris A. Farrand
Date: 7-~-te Date: ~/~/
By:
Date:
Encroachment Permit - Page 3 of 4
STATE OF ALASKA )
) SS:
THIRD JUDICIAL DISTRICT )
The foregoing instmmem was acknowledged before me this J'~ day of
2011, by ~]ew~'~ /[-, f~/'r~,/ a.~t,:f 4,~.29, M,f:::av-~a~,,,,/
(PRINT NAME(S) OF PERSON(S) SIGNING DOCUMENT)
~bl~'c in and for the State
My commission expires: /2.~/- zc/3
STATE OF ALASKA )
) SS:
THIRD JUDICIAL DISTRICT )
The foy~going instrument was acknowledged, before me this ~ day of
. , .C~g~z. ,2011,by ~.Ja-'t'rw-~L ,~a'2~'-~._~ -- ,
~:~J-, ~ l~ector, Distribution Engineering of Chugach Electric Association, Inc., an
Alaska corporation, on behalf of the corporation. ~ . ..~.
~.~.~'~.~.:.""'"."..,'-~ ~ Publicl~and for the State of Alaska
NOTAR'/ =-- My commission expires:
AFTER RECORDING RETURN TO:
Chugach Electric Association, Inc.
P.O. Box 196300
Anchorage, Alaska 99519-6300
Encroachmem Permit - Page 4 of 4
ENSTAR Natural Gas Company
A DIVISION OF SEMCO ENERGY
Engineering Department
Right of Way Section
401 E. International Airport Road
P. O. Box 190288
Anchorage, Alaska 99519-0288
(907) 334-7753
FAX (907) 334-7798
June 21,2011
Chris Farland
3721 Gary Cooper Circle
Anchorage, AK 99507
Grid: A2635
Re: Letter of Non-Objection
To whom it may concern:
ENSTAR Natural Gas Company has no objection to the existing four inch (4 in) PVC septic pipe
encroachment into the Ten Feet (10 FT)wide gas easement situated on Lot 2A, Landes Landing
Subdivision, Records of the Anchorage Recording District, Third Judicial District, State of
Alaska.
ENSTAR operates and maintains a natural gas service pipeline within the gas easement
encroachment area. Any costs incurred by ENSTAR for special construction necessitated by
this encroachment will be borne by the land owner.
Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your
successors, will constitute agreement to the following stipulations:
· Landowner/Contractor SHALL hand dig ali excavation within Five Feet (5 FT) of ENSTAR
natural gas facilities.
Landowner/Contractor is working near ENSTAR gas facilities will contact the Alaska
Digline, Inc., (907) 278-3121, for line locating two {2) business days prior to any related
excavation.
· ENSTAR will be held harmless, ilOW and forever for any damages or injury to any person or
property as a result of this encroachment.
· Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at
no cost to ENSTAR.
· Any costs incurred by ENSTAR for special construction necessitated by this encroachment will
be borne by the land owner.
· All applicable safety code regulations will be observed and maintained.
This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its
rights within any portion of its right-of-way.
Sincerely,
Andrew Fraiser
Right-of-Way Agent
ENSTAR Natural Gas Company
File
Mike Anderson, P.E., Anderson Engineering
Landes Landing
Lot 2
511631
j ' ~- ........... - LOT 1, LANDES LANDING '
I . - ', - . (NO WELLS OR SEPTIC WITHIN 100') ',
, ,. ', R
, , ' /POTENTIAL ,
~ ~ ~ WELL SITE
, I ,, , / ,
~~',, ~ ~,, ,," / N
8 ", I ~', ,' / LOT2B
~ ~, jlOO' ~ ~, LOT2A .,'
FROMJWELL ~ ..'
,, ~.. : / ,;
' I ' TH
~ .
, ~! ,,
~ t , ~ ::~W.~::~::~? ~-~
, ~j : ~ / ~;-~ ~~ ~--~
I
I ~ ~12, ~ ~12, kOT 25, SEG. 2~, T~2~, ~3~, S.M.
~ ~' t~O~j~ LOT 2B. ~NDES ~NDING SID
I
~ ~- .~.~ ~,~,~ '~. PROPOSED WELL AND SEPTIC SYSTEMS
~ ~ ......................... ~ j ·
~F~.~ FLATTOP TEC~ICAL SERV]CES ] 1 InCH = 50 FEET
~ e THEODOREF. MOORE ~ 14530 ECHO CANYON ROAD ~ DRAWNBYTFM
I
~. e CE- 3589 e .~ ~CHO~GE, ALASKA 99516 REV. JUNE, 2008
~ -~ ~,,,~ ~ .O~E: ~.~S ~S .OT ~ SU.VEYE~ ~W.
~ ~~ ALL LOCATIONS SHOWN ARE APPROXIMATE.
TEST HOLE # !
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: _.. Lot 2. Landes L~diQg S/D
DATE PERFORMED: ~uly 20. 2007
PERFORMED FOR: _._Wes Landes .....
DEPTH Pt.
(feet)
1
2
SM Gravelly silty sand
4 Dry, "fluffy"
13
14
15~
16 !
t7
20 '-I
ML Gravelly sandy silt
Dense, damp
SLOPE
Depth to Groundwater
SITE PLAN
LOT 2A
114
70
#2
No groundwater
Water ¢,, 12.0'
Water ¢, 6.9
Date
i 25% : 0 '
7/20/07
J Date Reading
18/1/07 12" Presoak
12" resoak
12" resoak
Add water & start
#1
Add water
#2
Add water
Clock
Time
Net Time Percometer Net Drop
(minutes) Reading (_inche~
27 1/2
6:08:20 I
6:23:20 -.-I 15
6:24:30 I
6:39:30 ! 15
6:40:15
6:55:15
15
T 27 1/2
23 3/8
23 3/8
23 3/8
PERCOLATION RATE 4 (minutes/inch) PERC HOLE DIAMETER __ 6"
TEST RUN BETWEEN 3.25 FTAND 3.75 FT
COMMENTS:_~Recomm_e_nd that s_epti_c design be~base~d o_n.__6-_ 15 mJnut_e_s per inc_h_.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I '~--~ ~ _ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: .._.O'~'/I,.,¢_._/_ ~;~ ~ .....
ITEST HOLE
LEGAL DESCRIPTION:
DATE PERFORMED:
PERFORMED FOR:
DEPTH Pt.
(feet)
1-
2
11
12
17~
184
19
207
COMMENTS:
Lot 2. L~udes Landing S/D
July 20. 20_Q7
Wes Landes
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
SM Gray gravelly silty sand
Fill that has been in place for many years
Pt. Original Peat
SM Reddish sandy loam
SM Gray gravelly silty sand
Similar to above
MI/GM Gravelly sandy silt
Dense
SLOPE
5% i
SITE PLAN
LOT 2A
114
70
'
Depth to Groundwater Date
No groundwater i 7~20~07
Monitor tube dry ; ~.~SLOPE
Water ¢,, 10.7' i 5/13/08
i Clock
Reading ] Time
12" Presoak I
12" resoak '
Net Time
(minutes)
Add water and start 6:32:20
#1 7:02:20 30
~ Add__water ...... F__ 7:J3~_
! #2 7:33
30
Add water 7:33:40
#3 8:03:40 30
Percometer J Net Drop
Reading ~(inches)
3~
27
PERCOLATION RATE 10_ ....... (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN _2=_5___.FTAND 3.0 FT
6
PERFORMED BY FLATTOPTECHNICALSERVICES. I f.=,~ ~'7.¢~.~.
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 015-273-74-000
Expiration Date:
Legal description LANDES LANDING LT 2A
Site address 10915 CANGE ST Anchorage AK 99516
Current property owner(s) FARRAND CHRIS A & PEGGY M
11/11/2023
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 8/11/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory X
Other
COSA Approva"une 2022
MUNICIPALITY OF
Development Services Department
On -Site Water & Wastewater Section
E(P
RW$4
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I . D. 015-273-74
Complete legal description Landes Landing Lot 2A
Location (site address) 10915 Cange Street, Anchorage, AK 99516
Current property owner(s) Chris & Peggy Farrand Day phone (907) 229-6739
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑E Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 12 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ -6 Sri
Date of Payment ��23
COSH# �5G2312Sy
Waiver Fee $
Date of Payment
Waiver #
COSA Application_ June 2022
Landes Landing Lot 2A 015-273-74
4.1
8/4/11 257 N/A
257
24+ 13.0
7/3/23 Forge Engineering
137 7/5/23
48"
6/16/23*
*Around the Clock Pumping
11/7/11
15.5
N/A N/A
N/A
7/26/23
55
1434
76
1440
64
> 600
96
64
32
Benjamin Schiller, P.E.8/4/23
(907) 522-7773
907 Water Well Services
22570 Needels Loop
Chugiak, AK 99567
(907)230-1868
907waterwells@gmail.com
INVOICE
BILL TO
Forge Engineering, Inc.
1399 W 34th Ave #101,
Anchorage, AK 99503
INVOICE #2116
DATE 08/08/2023
DUE DATE 08/08/2023
TERMS Due on receipt
DESCRIPTION QTY RATE AMOUNT
ServicesWell casing extension, cap conduit, Dow hole wire extension/ exterior and pump rig shop out shop in Work site location 10915 Cange St Anchorage Alaska 99516
1 775.00 775.00
PAYMENT 775.00
BALANCE DUE $0.00
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC231284
Subdivision: Landes Landing, Block: , Lot: 2A
A water sample revealed an arsenic concentration of 13 micrograms per liter (ug/L).
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.
Madmg Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org