The URL can be used to link to this page

Home My WebLink AboutTURNAGAIN BLK 3 LT 14Turnagain Block 3 Lot 14 #016-122-28 Municipality of Anchorage On-Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 016-122-28 Expiration Date: 3 - ~ 4.~./..~ 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent TURNAGAIN; BLOCK 5, LOT 14 1210 RAMONA STREET *ANCHORAGE JOHN HITCHCOCK 1210 RAMONA STREET *ANCHORAGE Day phone 223-9591 Day phone 2. TYPE OF DWELLING: · Single Family (w/we ADU) [] Duplex [] Multiple Dwellings (Single Family end/or Duplex) 3. NUMBER OF BEDROOMS: · 4. TYpE OF WATER SUPPLY: Individual Well · Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer · Received COSA [o be released to ~he engineer, Date: COSA Fee $~__~_ Date of Payment Receipt Number COSA# ~ 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, t vedfy 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 Anchorege 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, LtD, attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and'MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the teat, 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 evaluafor of the syetem. Satisfactory test results do ndt guarantee future performance of the system, nor do they guarantee that there are no hidden detects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the aystem 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 w/lilt confer any legal right whatsoeve£ DSD SIGNATURE System #1 Approved for ~; System #2 Approved for Disapproved. Conditional approval for Phone 537-6179 Date bedrooms. bedrooms. Olq.~.~ .... ~-rF_~IP,~c~' ~p 'ty or Anchorage Develop, emt Services Division (DSD) issues Certificatea of On-Site Systems Approval (COSA) based only upon the repreaenatetiona given in paragraph 5 by an independent professional civil engineer registered in the State of Ateska. The Municipality of Anchorage is not responsible for errors or omissions in the profeasional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory 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: TURNAGAIN; BLOCK 5, LOT 1,~ Parcel ID: 016-122-28 A. WELL DATA Well type PRIVATE IfA, B, or C provide PWSID# N/A Date completed 2/26/00 Sanitary seal (Y/N) YES Total depth 151 ft. Cased to 151 ft. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. Date of test FROM WELL LOG 2/26/2000 ATINSPECTION 12/16/2014 Static water level 5,3 .ft 27 ft. Well production g.p.m. 6+ g.p.m. WATER SAMPLE RESULTS: Coliform ~ colonies/100 mi. Arsenic:~ "~' '~o./L. B, SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size __ gal. Foundation cleanout (Y/N) __ Date of pumping C, ABSORPTION FIELD DATA Date installed Length Total depth Nitrate ~J (~mg./L Date of sample: 12/16/2014 I PUBLIC SEWER] Date installed Number of Compartments __ Depression over tank (Y/N) __ Collected by: OEO. Ltd. ¸ft. ft. Eft. abso ft Monltonng tube Date of adequacy test ,~ Results (Pass/Fail) Fluid depth in a~efore test in. Elap~ nflr~ Final fluid depth ,,,,¢,Apy~ejuvenation treatment (past 12 mo.) (Y/N & type) Depression over field__ ¸ft. For bedrooms Water added __gal. New depth in. in. Absorption rate >= g.p.d. If yes, give date Cleanouts (Y/N) Pumper High water~ ~em type' 2 Soil rating (g.p.d./ft or ft Width ,,-"' ft. Gravel below pipe D. LIFT STATION ~ats in_st,_lied .Size in gallons ~--- Pumpon level~wateral_ ;~rm!evelat-- Datum Cycles tested Meets alarm & cimuit requirements~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot A~sorpfion field on lot Public sewer main 75'+ Sewer/septic service line . 25'+ Animal containment areas 50'+ On adjacent lots On adjacent lots Public sewer manhole/cleanout lQ0' + Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I PUBLIC SEWER Building foundation Property line Absorption field Water main Water service line Surface water ~ Wells on adjacent lots SEPARATION DISTANCE FROM ^SSOR~T~ TO~ Property line Bu?~undation Water main Water service line ~ SurPace water Driveway. parking/vehicle storage Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems ara in cenfoffnance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. CARNESS Date (Rev. 11/05) Municipality of Anchorage Community Development Department Development Services Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On-Site Systems Approval # 141654 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 3, Lot 14 of Turnagain Subdivision. This inspection revealed an arsenic concentration of 13.3 microgrm~s per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. Ramono S(reet Lot ] 4 N 89'57'00"W 80.00' Alley ~,~ 30' AS-BUiLT Lot 14, Biock 3, Turnogein S'ubdivis[on Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 F~ick Mys~rom ~ffp:/ANWW.Ci.a nchorage.a k.us Mayor Permit Number: #SW Date of lssue: Parcel Jd,~ntifioa*ion Number: Dote Started: ~2~ Dote Completed: 2-26-00 Is well located at approved permit location? [] Yes [] No Legal DescHptioqi Lot 14 Tumarlain Properly Owner Name & Address: Wilco Contractors 16701 Ran$on Ridge Borehole D~a: Depth (fi) Soil Type, Thickness & Water Strata From To slick-up 0 2 silt 2 3 gravelly silt 3 21 sandy gravel 21 35 silt 35 39 gravetly silt 39 106 water sand & gravel 108 110 sandy silt h20 110 151 Method of Drffiing [] air rotary [] cable tool Casing type: steel Wail Thickness: .025 inches Diameter: _~ inches Depth: 151 feet Liner Type: Diameter: __ inches Depth: __ Casing stiekup above ground: _2 feet feet Static water level (~rom ground level): 53 feet Pumping level: 113 feet a_tier _2 hours pump~g see attatched pump ~est gpm Recovery Rate: __ gpm Method of Testing: airlift sub t~umo Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start __ feet Stopped --. feet [] Perforations Start 108 feet Stopped 1lO feet Grout Type: bentonite # 8 Volume: 2 bgs Depth: Start__ feet Stopped __ feet Pump: Intake Depth feet Pump size__ hp Brand Name Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: cleric~ tablets Comments: Well Driller: Alpine Drilling& Enterprises P 0 Box t~0496 Anchorage AK gg511 ~ ~he m,~i drh'~r shall provide a welt log to the property owner within 30 days of completion and the property