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Home My WebLink AboutKRAMP BLK 3 LT 2Kr mp Block 3 Lot 2 #016-171-11 Development Services Department Building Safety Division *5_� On-Site Water & Wastewater Program4700 Elmore RoadP.O. Box 196650MarkBegich Anchorage, AK 99507 Mayor www.muni.ong/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 111192 Date of Issue• 8/18/11 Parcel Identification Number: 01517111000 Legal DescriptionProperty Owner Name & Address: Block 3, Lot 2 Wmp Subdivision Alexander Homes Construction P.O. Box 110344 11 Anchorage, AK 99511-0496 Pump Installation Date: 9/10/12 Pump Intake Depth Below Top of Well Casing: I� .feet Pump Manufacturer's Name: Grundfos Pump Model: 10 SQE 07 220 Pump Size 3/4 by Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: B10x Campbell Pitless Adapter Installer: Red Dog Excavating Well Disinfected Upon Completion? W1 Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aar= Pump & well Service, LLC P.O. Box 110496 Anchorage, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Wd OZ:ZI ZIOZ/ZI/I Alpine Drilling & Enterprises Well Log ZI3o Z Permit Number: #SW 111192 Date of Issue: 8-18-11 Parcel Identification Number: 01517111000 Date Started: 12-18-11 Date Completed: 12-19-11 Is well located at approved permit location? x Yes ❑ No Legal Description: Kramp Block 3 Lot 2 Property Owner Name & Address: Mt Roberts Development LLC 7945 Port Oxford Anchorage, Alaska 99507 Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To Stick-up 0 2 silt 2 7 silty gravel 7 35 gravelly silt 35 43 sandy silt 43 74 silt 74 78 sand 78 94 gravelly silt 94 107 sandy silt 107 128 silty water sand & gravel 128 133 Method of Drilling x air rotary ❑ cable tool Casing type.. steel Wall Thickness:.25 inches Diameter: 6 inches Depth: 133 feet Liner Type: _ Diameter: _ inches Depth: _ feet Casing stickup above ground: 2 feet Static water level (from ground level): 39 feet Pumping level: 130 feet after 2 hours pumping 15 gpm Recovery Rate: 15 gpm Method of Testing: air li Well Intake Opening Type: x Open End ❑ Open Hole ❑ Screened Start _ feet Stopped _ feet ❑ Perforations Start _ feet Stopped _ feet Grout Type: bentoniterraanules Volume: 2 bQs Pump: Intake Depth_ feet Pump size _ hp Brand Name IIWell Disinfected Upon Completion? x Yes ❑ No IMethod of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 "' mui.rd mc)[A/012uks/sionpoid/tuoo-uonmsu¢.qwodo glpazolunuue//sduy uoluf1sueaL On -Site Water System Permit 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: OSP111192 Tax Code Number: 01617111000 Work Type: Well Initial Permit Effective Dates: August 18, 2011 to August 17, 2012 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: KRAMP Site Legal Address: KRAMP BLK 3 LT 2 G2733 Owner/Address: MT ROBERTS DEVELOPMENT LLC 7945 PORT OXFORD ANCHORAGE AK 995070000 Site Mailing Address: This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: Total Bedrooms: Y Private Well N Water Storage 12013 4 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: Permit includes waiver OSP111193, allowing the well to be 90 feet minimum from a sanitary sewer manhole and 60 feet minimum from a sanitary sewer main. Special Provisions: Prior to construction, the sanitary sewer main shall be located by AWWU. Received By: Issued By: Date: '' Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program trent C0 SFi. r Department **** VARIANCE/WAIVER REVIEW **** WR#: OSP111193 HAM PID#: 016-171-11 Legal Description: Kramp, Block 3, Lot 2 Engineer: GEG Permit#: OSP111192 Applicant: MT Roberts Development. LLC well �P Your request for a waiver of the required 100 feet horizontal separation from the ebeerptiet field to the sanitary sewer manhole has been approved. The approved separation distance is 90 feet. Your request for a waiver of the required 75 feet horizontal separation from the eb we e'er to the sanitary sewer main has been approved. The approved separation distance is 60 feet. This waiver approval applies to the existing e t1" waivers 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: 8/18/11Approved . �I i Name of Reviewer Rec#: 027325 Amount: $1,050.00 Date Paid: 8/5/2011 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I. D. 0 � 6 � 17 1 " I l Property owner(s) MT ROBERTS DEVELOPMENT LLC Mailing address 7945 PORT OXFORD *ANCHORAGE, AK 99507 Site address 7945 PORT OXFORD *ANCHORAGE, AK 99507 Legal description (Sub'd, Block & Lot) KRAMP; LOT 2, BLOCK 3 Legal description (Township, Section & Range) Lot Size Day phone 273-7261 Sq. Ft. Number of Bedrooms 4 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: PRIVATE WELL TO SEWER MAINS & MANHOLES. 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 2 CIO Date of Payment: Receipt Number: 0 Z 7 3Z JC Permit No. DS l� 11 % f qZ Waiver Fees: 1050 Date of Payment: � S // Receipt Number: 0Z. %3 Z5_ Waiver No. 0 Sf l l// g 3 (Rev. 01/11) GAYNESS ENGINEERING GROUP, Ltd.. CONSULTANTS &+GENERAL CONTRACTORS r July 29, 2011 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref Kramp; Block 3, Lot 2. Waiver for Separation Distance Between the Proposed Well and Existing Public Sewer Mains. The referenced property is currently vacant. Plans are being made to develop the lot which will be served by a private well and AWWU sewer. Due to site constraints it necessary to request a waiver from the proposed well to the existing sewer mains located on the south and west lot lines. An AWWU water main was not placed on Northern Raven Drive, eliminating the option of connecting to AWWU water. Per the AWWU drawings and our site plan, the separation distance between the well and sewer mains appear to be approximately 65 feet. We are requesting a 60 foot waiver from the well to the sewer mains. There may be a potential that the well could be with in 100 feet of either the manhole to the east and/or the west of the property lines. The manholes shown on our site plan are approximate locations and there is a possibility that they may reside closer to the proposed well. In short, we also request that you grant a 90 foot waiver to both manholes in case the 100 foot separation distance can not be met. Justification for the waivers is summarized as follows: Recent water samples from Kramp; Block 3, Lot 1 indicate nitrate levels at 0.116 mg./L and no bacteria to be present. Attached are well logs for a number of adjacent properties. The wells range from 114 feet deep to 123 feet deep. All of the well logs indicate a soil strata consisting of thick layers of clay, and including some sand, gravel, and/or silt. See attached ADEC letter dated 1/19/84 granting AWWU multiple waivers from the sewer main to private wells. Based upon the aforementioned facts, it appears that there is minimal risk associated with granting the requested 60 foot waiver between the well and the sewer mains. If you have any quell` ions, please contact us at 337-6179. Thank you for your assistance. Sincere y, .E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com I - MATTEHWS; BLOCK 4, I I LOT 5 I I I MATTEHWS; BLOCK 4, I I I I LOT 12 I I I I --_ I C H I N O D K _ A e nL� j2- _'��,--------- T� KRAMP;�3 BROOKWOOD; BLOCK 1, LOT -2 OT P(LU�JBBLIC BLOCK'3, I KRAMP; KRAMP; KRAMP; I/ LOT 1 i I I S WER , BLOCK 1, BLOCK 1, BLOCK 1, PUBLIC SEWER W n 1 LOT 9 LOT 8 LOT 7 BROOKWOOD; BLOCK 1, LOT 19 I \ P; BLOCK 3, LOT 2 - - - - - - - - - PUBLIC SEWER G PROPOSED WELL- - - - - - - KRAMP; KRAMP; KRAMP; I �KRAMP; BLOCK 3, LOT 3 BLOCK 1, BLOCK 1, BLOCK 1, i LOT 10 LOT 11 LOT 12 PUBLIC -SEWER _ l3 I a BROOKWOOD; BLOCK 1, LOT 18 I I M KRAMP, BLOCK 3, LOT 4 Iz KRAMP; BLOCK 3, LOT 5 , T R I S H A A v e I� BROOKWOOD; BLOCK 1, LOT 17 I I KRAMP; KRAMP; KRAMP; I BLOCK 2, BLOCK 2, BLOCK 2, I IIT KRAMP; BLOCK 3, LOT 6 LOT 9 LOT 8 LOT 7 I I I BROOKWOOD; BLOCK 1, LOT 16 I I I I �— �L--------- --- --- --- FKRAMk;-BL=K-31�- L.QT--7 - - - - - - - KRAMP; KRAMP; KRAMP; N I I BLOCK 2, BL ? BLOCK 2, BLOC 2 2, LOT BROOKWOOD; BLOCK 1, LOT 15 I KRAMP; BLOCK 3, LOT 8 SCA : I = 00' moll 0F N 006�0�� GA.RNESS ENGINEERING GROUP, Ltd p * 149 Hf' .. ..:m. .O,� „E .. r .......... 701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)336-3246 • WEBSRE: www gameaeengineering.mm I PREPARED FOR:PHONE NUMBER: PAGE NUMBER: - .............. BRIAN BRODERICK 273-7261 1 OF 1 �O .le fr A.,Garne S. O LEGAL DESCRIPTION: DRAWN BY: Op9. dE-79 �O KRAMP; BLOCK 3, LOT 2 PNB est TYPE OF WORK: DATE: 4�Qdprofessiof\o\ o SITE PLAN 7/29/11 � APPROXIMATE WELL DRILL LOCATION ER MUST FIELD CHINOOK Avenue OF MH VERIFY SEPARATION DISTANCE TO MANHOLES PRIOR TO DRILLING WELL. ! 0 / J KRAMP; BLOCK 3, LOT 1 PUBLIC SEWER APPROXIMATE LOCATION OF SEWER HOUSE. SERVICE to Qs I LINE 3 CO \ 0 I NO FCO. WELL DRILLER IS o I RESPONSIBLE TO LOCATE SEWER Vw) I / LINE AND TO FIELD VERIFY 25' 0 \ o SEPARATION TO NEW WELL. 0 '4 D_ CIL I60,Lii I z I Wq/�eR i � I I \ KRAMP; BLOCK 3, LOT 2 J � � I APPROXIMATE LOCATION o OF SEWER MAINSl0 L _ 00? I pR ri 1t o' APPR XIMAT LO TION APPROXIMATE 0 MH LOCATION —C OF MH K P; BLOCK 3, LOT 3 I PUBLIC ER �0 FUTURE HOUSE WILL BE SERVED BY AWWU SEWER. PER GEORGE N AT AWWU THE PRIVATE SEWER LINE MAY BE CONNECTED TO EITHER MAIN, IT IS OUR RECOMMENDATION TO RUN THE SEWER LINE FROM THE SOUTHERN PORTION OF HOUSE TO THE SOUTH MAIN TO MAXIMIZE SEPARATION DISTANCE FROM THE PROPOSED SCALE: WELL. 6iiiien 1" = 30' 000boOp�� OF.A��o� GARNESS ENGINEERING GROUP, Ltd. + 4 TH _ c CONSULTANTS & GENERAL CONTRACTORS .:•.:.... • •b.... ,,..... ........ 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 PHONE (907)337-8179 • FAX (907)338-3248 WEBSITE: M .g.m ngin ringx— PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN BRODERICK 273-7261 2 OF 2 �O-Y..'e�fy A.^Gayness. LEGAL DESCRIPTION: DRAWN BY: Q CE-�95 op KRAM; BLOCK 3, LOT 2 PNB �40��.• •";;.��' ��A��oo 0 TYPE OF WORK: DATE: �DQdprofessl 0\ WAIVER REQUEST 7/29/11 J. Crewdson Planning and Development Services Dept. 4700 Elmore Road Anchorage, AK 99508 RE: OSP111192 Well Kramp Block 3, Lot 2 August 16, 2011 Dear Mr. Crewdson; I am hoping to purchase a lot on Northern Raven Drive (Kramp Sub., Block 3, Lot 2) and build a single family residence. The home will be around 2300 square feet, have four bedrooms, 2.5 baths and a triple garage. I entered into an agreement to purchase the lot on July 191h, 2011. During my due diligence period, it came to my attention that I could hook into the AWWU sewer lines that run behind the lot for sewer service. Since there is not public water available to the lot, I hired Garness Engineering to look into the feasibility of a private well. After completing their initial purview of the lot, I was informed by Garness that a variance would have to be issued by the MOA, due to a number of factors including setbacks from the AWWU sewer lines, neighboring wells, the size of the lot and so on. Garness also noted that many of the neighboring lots have the same setback issues, and are using the same combination of public sewer and private well. I then advised the seller that it would not be prudent for me to proceed with this purchase until the variance was granted. The seller agreed and hired Garness Engineering to make the formal application with you. I am hoping to build the home this fall. So, I am planning on converting to a private well status this autumn and will use Garness Engineering to ensure the well is constructed in accordance with AMC 15.55.060. Thank you for your review of this issue. The seller and I are hoping you will grant this variance so that I can proceed with the lot purchase and then build the home. Should you have any questions, please contact me at the number below. Sincerely, C— C6 Alex Snegirev 907-830-6211 POB 111512, ANCHORAGE, AK 99511 ErE ' Pt, ,.; f jj BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION 7"elephone: (907)274-2533 address: 437 E. Street Suite 200 Anchorage, AK 99501 January 19, 1984 Mr. Alfred E. Sunquist, P.E. RECEIVED Anchorage, Water & Wastewater Utility 3000 Arctic Boulevard JAN 2 3 19$4 Anchorage, Alaska 99503 AnCh. Watar & Wastewater Dear Mr. Sunquist: Enalneerinq Div. Subject: Kramp LID #146 Waiver Request The following waivers are granted for the horizontal separation distances between private wells and public sewer lines and manholes. The waivers are conditional on the fact that the sewer line and manholes be constructed as dictated in your waiver request letter, same subject, dated December 8, 1983. Lot 6, Block 3: Waive horizontal well to sewer line separation from 75 ft 50 £t. Waive the horizontal well to manhole separation from 100 ft to 95 ft. Lot 5, Block 3: Waive horizontal well sewer separation from 75 ft to 60 ft. Waive the horizontal well to manhole separation from 100 ft to 75 ft. Lot 4, Block 3: Waive the horizontal well to manhole separation from 100 ft - - i - 1 to 95 ft. Lot 5, Block 2: Waive the horizontal well to sewer line separation from 75 ft to 70 ft. Lot 9, Block 2: Waive horizontal separation between well and sewer line from -� 75 ft to 34 ft. Waive horizontal separation between well and manhole from 100 ft to 75 ft. Sincerely, Bruce E. Erickson Environmental Engineer BEE/msm MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 016-171-11 t. Certificate of On -Site Systems Approval Expiration Date: V V 1. GENERAL INFORMATION Complete legal description KRAMP BLOCK 3 LOT 2 Location (site address) 11814 NORTHERN RAVEN DRIVE, ANCHORAGE AK 99516 Current property owner(s) VALERIE & DONALD PETTIT Day phone Mailing address 11814 NORTHERN RAVEN DRIVE, ANCHORAGE W99516 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. TYPE OF WATER SUPPLY: Private Well Water Storage Community Well Public Water System 4 TYPE OF WASTEWATER DISPOSAL: ® Private Septib ❑ ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer,: Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ .110 Waiver Fee $ Date of Payment 3131190 Date of Payment Receipt Number t2111305- Receipt Number COSA # 0 s e as l 1'�?9 Waiver # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Date 3/30/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & F�tf5 6. DSD SIGNATURE V System #1 Approved for `7 bedrooms System #2 Approved for bedrooms Disapproved kk An 7H '. Curtis Huffman ■� % CE 128991 d'l��! • 3/30/2020• �kkF, PROFiivA��. vv��►�. Conditional approval for bedrooms, with the following stipulations: v YYl"51 LI\ (ll®V r� VVAs I LVVA 1 t:K 1 r ''iJJJQ ,�+,r- JJJJ�1 .. SERV `.��\�\\\ By: ld& 3 �,dluvze# Original Certificate Date: 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 Checklist Legal Description: KRAMP BLOCK 3, LOT 2 Parcel ID: 016-171-11 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 12/19/2011 Total depth 133 ft Cased to 133 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 3/27/2020 Static water level at beginning of test 48 ft. Well production at time of test 5.7 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic 25.2 ug/L Arsenic less than MRL (ND) Collected by Date of Sample 3/27/2020 Comments B. TANK DATA - NA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA - NA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No *60+ ft Community Sewer Manhole/Cleanout > 100’ Yes if No *90+ ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *WR# OSP111193 G. ENGINEER’S CERTIFICATION I certify that I 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. 4/2/2020 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Arsenic Advisory Certificate of On-Site Systems Approval # OSC201128 Subdivision: Kramp, Block: 3, Lot: 2 A water sample revealed an arsenic concentration of 25.2 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. Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 016-171-11 Expiration Date: — 1. GENERAL INFORMATION Complete legal description KRAMP; BLOCK 3, LOT 2 Location (site address) 11814 NORTHERN RAVEN DRIVE *ANCHORAGE AK 99516 Current Property owner(s) ALEXANDER HOME CONSTRUCTION, LLC. Day phone 830-6211 Mailing address PO BOX 110344 *ANCHORAGE AK 99511 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 E Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer 0 Received by: 'r Y Date: %7�'./='.F`/z f r COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ (')5 W Date of Payment a Receipt Number COSA # 00/ a 06-W Waiver Fee $ Date of Payment Receipt Number Waiver # 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. 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 GARNESS ENGINEERING GROUP, Ltd. 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, GEG, &D. 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. 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 right whatsoever. 6. DSD SIGNATURE V`IGSystem #1 Approved for 4— bedrooms, System #2 Approved for bedrooms. Disapproved. Phone 337-6179 Date f ZI A2 Conditional approval for bedrooms, with the following stipulations: �A�ness� CE -7995 '•ta•1%.�� ooO Pro f essior`°o ON-SITE Wpl'ER AND WASTEWATER PROGRAM The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSI) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist y Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other By: Original Certificate Date: (Rev. 11/05) D. LIFT STATION Date installed Size in gallons Manhole/Access (YM "Pump on" level at in. "Pump off' level at High water alarm level Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent Absorption field on lot N/A Public sewer main *60'+ Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots N/A Public sewer manhole/cleanout *90,+ Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption Water main Water service line Surface w Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD O T TO: Property line Build' ndation Water main_ Water service line F. COMMENTS *WR# OSP111193 G. ENGINEER'S CERTIFICATION Surface water Driveway, parking/vehicle storage Wells on adjacent lots I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date d 213 /12 (Rev. 11105) 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: KRAMP; BLOCK 3 LOT 2 Parcel ID: 016-171-11 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) YES Date completed 12/19/11 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth 133 ft. Cased to 133 ft. Casing height (above ground) 24+ in. Date of test Static water level FROM WELL LOG 12/19/11 39 ft. Well production 1 WATER SAMPLE RESULTS: Coliformy colonies/100 ml. Arsenic: 41—oug./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments 9— p.m- Nitrate 0 mg./L. Date of sample: 111/7/12 Foundation cleanout (Y/N) _ Depression over tank (Y/N) Date of pumping C. ABSORPTION FIELD DATA Pumper, AT INSPECTION NEW WELL ft. —9 -P.M. Collected by: GEG I td. PUBLIC SEWER Date installed Cleanouts (Y/N) High water alarm Date installed Soil rating (g.p.d./ft2or ft2/bdrm System type Length -ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption a _ ft2 Monitoring tube_ Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorpti field before test _ in. Water added _gal. New depth _in. Elapsed Tim _min. Final fluid depth _ in. Absorption rate >= g.p.d. treatment (past 12 mo.) 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