HomeMy WebLinkAboutVALLISKA LT 3AValliska
Lot 3A
#051-302-73
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. cLanchorage.ak.us (907) 343-7904
Page 1 of
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW010364 PID Number:. 051--302--4-8
Name:
JOSEPH VALLIERES WastewaterSystem: · New [] Upgrade
Address:
P.O. BOX 671924 * CHUGIAK, AK 99567 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 688-2949 5 r'lDeep Trench [] Shallow Trench · Bed •Mound •Other
LEGAL DESCRIPTION ~" "~"°: '~' ""~ '~'= °~"'"~
0.5 ~.D/S.. FL 5.0-6.0
5 VALUSKA 4.42-5.42 ~ 0.58
- - - SEE DWG. ~ 60
WELL: · New [] Upgrade 15 ~ 3
PRIVATE 62 r~ 61 rc 900 s~.~ D 5034/ F-810
SULLIVAN WATER WELLS 9/17/2001 27 F~ WALKER CONSTRUCTION 9/18-20/01
20 GPMJ UNKNOWN FLJ 2.0 FL TANK
SEPARATION DISTANCES = s,pticD Holding D S.T.E.P. mOther
To Septic Absor tlon Lift Holding =ublio/Pflvaf, e Manufacturer: Capaoit), in
From Tonk Re~J Tank S~wo, Un** ANCHORAGE TANK
Stotion 1000
Well 100'+ 100'+ -- -- 25'+ STEEL 2
Su,o:e Woter 400'+~00'+ - - - LIFT STATION
Curtain Drain NONE KNOWN P.~p ~.~: Je.~al I.~,~ p~r'r~ ~
~emarks: *5' LOT LINE WAIVER VERBALLY GRANTED BENCH MARK
BY DAN ROTH ON 9/20/2001 TOP OF WELL HEAD
J~""~ ~"~°"= 100.84
J~,,~.:..~ ~ ..........
2nd 9/19/2001 ~t J;~' /J:'~
Reviewed and approved by:~ Date:~o~ ~ ~,~:'"~
PERMIT NuMBeR:
swo,o364 AS-BUILT DRAWING
I /
/~
~ /~/~
/~/
X WIL REQUIRE ~e
USE Of A
~ ~/ /~/
se~,o T~K
D~L~ ~.~0 82.S~
DBL2 ~0.~ ~*.7. // / I
MT1 45.19 39,86
cm ~3.~7 35,05
/// //
co2 j4s.g3 33.7~ / // /./
co3 4~.~ 33.~
MT2 ~53.19 36.38 / ///
co4 ~s.s~ so.~, ~ ~/ /, / ~ ~,o~ ~ * ~oo~
C05 94.21 90.03 //
co~ ~2.4~ ~o.~ / //
MT3 97.48 91.29
/ / / / t
,
/ A B
ST1 51.87 55.04
ST2 57.84 60.71
DBL1 59.80 62.59
DBL2 60.99 63.75
MT1 45.19 39.86
C01 43.47 35,05
C02 46.93 33.76
CO5 49.98 33.41
MT2 ~ 53.19 56.,:38
C04 95.81 89.69
C05 94.21 90.0.:3
C06 92.48 90.61
MT,:] 97.48 91.29
MT4 95.11 91.58
~ .::: 10/9/2002 ~="'x,~., /'/'::
DRAWN BY: .''" '
c.J.o. ~'" ~ ~ ".~0~
AI,AS~ ~TER & WASTEWATER ~: ~....
....... CONSULTANTS, INC,
6901 D~BARR ROAD, SUITE 2B * ANCHORAGE, AK 995~ * PHONE (907)3~7-6179 * FAX (907)358-5~6 1" =40' ........................
JOSEPH VALLIERES (907) 688-2949 2 OF 5
VALLtSKA SUBDIVISION; LOT 5,
~E OF WORK:
AS-BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM LOCATION
PERMIT NUMBER:
swo., o.....,6,.. AS- BUILT DRAWlNG ,~,~E,.,,,
051-502-48
INSULATION PER EXCAVATOR
.~ OUTLE'r = 95.82
_/ N 'W ',ooo
reVERT 0~- nONe SEPTIC TANK INVERT or BONO AT
AT INLET = 95.25 OLffLEr -- 95.09
-- INSULATION PER FINAL 6RADE -
ORIGINAL ORADE tILlER FABRIC.~ EXCAVATOR (JIMMY /'~ BB.82-100.7~-
='9'"'*-'~°°"~4-X / WALKER) /
MT CO CO , -,
INVERT OF DISTRIBUTION ,
BOTTOM OF IRENCH
RFLAT1VE ELEVA'IION OF no'FrOM OF
~ESlHOLE = 80.8,6 (TESTNOLE nRY).~{i]~...-
DAT~:
'~o/~/2oo2 ~'~
DRAWN BY: "" '" ~" h
AIx~r~.SKA WATER & WASTEWATER C.J.G.
~CONSULTANTS, iNC. - n~L£: "'__]
6901 DEBA~R RO~D, SUITE 2B ~ ANCHORAGE, AK 9950& ~ PHONE (~07)357-6179 ~ F~'~ {907)5~8-52&6
JOSEPH VALLIERES (907) 688-2949
· ~.o~c.,~,o.: *O&,"- c -~,,'-~,~ ..'t;~
VALLISKA SUBDIVISION; LOT 5,
e."
PROFILE AS-BUILT DRAWING OF NEW SEPTIC SYSTEM
DOC CO~ dba
P.O. BOX 670272, CHUGIAK.~S~ 99567 · TELEPHONE 688-27~
LEGAL DESCRI~TION:d~Zq~ ~ 4~ ~
DATE:
PERMIT NUMBER- O/~"~ ~.,~ Dateoflssue~_O
TAX IDENTIFICATION NUMBER: _4~5"1 _
Is well located at approved perm t ocation? ~Yl~s ~:.1 No
Method of Drilling: ~ rotary ~ cable tool
Depth of well: ~-~' /
CasingType-~--,~Wall Thickness_ ~ ~;~'~"""~,.~ inches
Diameter_. ~ !1
_ inches, oepth ~ / _ feet
UnerType:, ,¢~ ~,,~
Casing Stickup Above Ground:
feet
Static Water Level: ,¢~ ~'/ feet
Recover Rate: ~ gpm
Method of Testing:.
Well Intake Opening Type: ~en end FJ open hole
-' Screened; Sta.¢~ · f '
. · eet Stopped feet
~ perforations Start feet ,.~t¢pped feet
· : ' · Volume
)eoth: from . ~ feet. to' '¢{ ~ ~ feet
Nell Disinfect,e? Upon Completion? ~ ,Q No
,4ethOd of Disinfection: ~ ~/4m~;¢,~.
Comments:
Driller's Name. /~,~..~ r~,.,~' -
TTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority. Municipality
Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
epartment of Environmental Oonservation.
/
/
AS-BUILT
I hereby certify that I have surveyed the'followm~ described
property: ~..o T- ~ ,
V,'4LLI~KA ~r~ ,
Anchorage Recording- Pt~cmc~, Alaska, and that the iml~rove-
ments situated thereon are within the propeyty lines and no not
~oe.tta? or encroach on the property lying adjacent theret0,_that
lmprovementh on property lyihg adjacent thereto enci~ach
on thepremises in questton and that there are no roadways,
h'ansmission h'nes or other visible easements on said property
except as indicated hereon.
Dated at Eajgle River, Alaska
th~s. ~ -'~ day of ,2'~ ,7_~ 200
RO~ER? C. JOHNSON
SCALE: .Registered Land Surveyor No. 880-LS
"~r-o LZ~x ~7-0456, 'E~le River, Alaska 995~'
Phone (907) 694-2,543'
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Progrem
4700 South Bragaw Street
P.O. Box ~196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Sep 10, 2001
Expiration Date: Sep 10, 2002
Permit Number: SW010364
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Joseph Vallieres
Owner Address: PO Box671924
Chugiak, AK 99507-
Parcel ID: 051-302-48
Site Address: 019239 DARBY RD
Lot Size: 44122 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-7904
Parcel I.D.
ON-SITE SEWER/WELL PERHIT APPLICATION
FOR A SINGLE FAHILY DWELLING
Property owner(s)
Mailing address (1)
Mailing address (2),
JOSEPH VALLIERES
P.O. BOX 671924 * CHUGIAK. AK
Day phone 688-2949
Zip Code 99567
Legal description (Lot, Block & Sub'd.) VALLISKA SUBDIVISION: LOT 5.
Legal description (Section, Township & Range) N/A
Lot Size 44.092
THIS ~I.ICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Acre~Sq. Ft.
Number of Bedrooms
[] Well Only []
· Water Storage []
THIS PROPERTY CONTAINS:
Hot Tub [] Jacuzzi []
Swimming Pool [] Water Softening Unit []
Therapy Pool []
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 cedes.
ALASKA WATER &: WASTE'WATER CONSULTANTS~ INC,
Permit Fees:
Date of Payment:
Receipt Number:
Waiver Fees;.
Date of Payment:
Receipt Number:.
ALASKA WATER & WASTEWATER
CONSULTANTS. INC.
August 28, 2001
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
P.O. Box 196650,
Anchorage, Alaska 99519-6650
Ref: Well and Septic Design for Lot 5, Valliska Subdivision
To whom it may concern:
The proposed 3 bedroom house will be served by a private well and septic system. Two test
holes were excavated in the area of the proposed septic system. The septic system will be
designed around the 30 foot radii of these test holes. We are proposing that a 1000 gallon septic
tank and a bed type drainfield be installed. Conunents regarding the design are summarized as
follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that due to the overall appearance of the soils, an
application rate of 0.5 gallons/day/R2 should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 8 & 12 minutes/inch
b. Allowable Application Rate: 0.5 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 900 ft2
f. Total Depth: 6 feet (maximum - at any point)
g. Effective Depth: 0.5 feet
h. Width: 15 feet
i. Minimum Length: 60 feet long
j Effective absorption area = 900 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
4. TOPOGRAPHY: As can be seen on the attached design drawing, the area for the proposed
septic system is mostly flat; in short, there are no slope concerns.
We are unaware of any adverse impacts tlfis installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
~P.E., M.S.
Pmsid~n~ ~
NOTE: Attached is a site plan drawing, a design drawing, two soils logs, and a 7 page
construction specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
I I [ I \ / I I
I I I
NO ENCR~ACHMEN3 : I ! NO ENCROACHMENT
l
I I } '~/ I /
I I I t ~/ ~ / /
I I ~ ~ o~ I/ / ~
I J I ~ ~/ ~ / ~ ~ ~ V~S~ S/D
I I I -~ ~ ~ / I
I LOT ~ / // ,/ ~
NO ENC~ACHME~ ~ DmlGN. PAGE 2 Of 3) ~ ,~[ // / .... ~
CONCERNS / I '~ /~'~/L ~ WA~
I I HOUSF ~ ~/,, ~TER~ S~
I , ~ I~ l/ ./
DARBY ROAD -'..._ ..... ...'/ /./ Gu / ~ LOT H "'
,X /
,/
}~ 8/28/2001 .~-~ OF
PREPPED ~R PHONE NUMBER: PAGE NUMBER: ~..~.'~ ~ .........
JOSEPH VALLIERES 688-2949 1 OF 5 ~ ~d~ey[~, Gorness/
LOT 5, VALLISKA SUBDIVISION ~h;~.~'~._
SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
THE TANK IS TO BE
THE TANK IS TO BE
THE TANK IS TO BE 5'+ FROM LOT UNE
THE DENNFIELD IS TO BE I0'+ FROM LOT LINE
NOTE: THE CONTRACTOR SHALL
HAVE THE 15' UTILITY EASMENT
- -- PRIOR TO CONSTRUCTION, /_~,v
~.~/ ' / ~ /.-~ ,
BED 'iHAT IS 8 FEET DEEP MAXlMUi~ J · J
~ BY 15 FEET WII)£ BY 60 FEET LONg. //~o /~-k
\ ~W~NO, PAGE ~ OF =)---~ ///~/:: b /
[ II/ ///:f?///~:
/ _~/
' 8/~8/~oo~
~WN
AI ~ WATER & WASTEWATER
CONSULTANTS, lNG. "
PREPARED ~R: PHONE NUMB~: PAGE NUMBS:
JOSEPH VALLIERES 688-2949 2 OF
LOT 5, VALLISKA SUBDIVISION
~E OF ~RK:
DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
I Om' m'O
IOco coO
---I
~ROPOSED 1000 ~ON S~IC T~K
c~ co ~
I ~L~R F~RIC
~:~ 8/28/2001
~ CONSULTANTS, INC. -------- N.T.S.
PREP~ FOR: PHONE NUMBER: P~E NUMBS:
JOSEPH VALLIERES 688-2949 5 OF 5 ' ':' ............. :""~
ess:
LE~ DESCRI~ON: ~0 "..
LOT 5, VALLISKA SUBDIVISION
DETAIL AND PROFILE OF PROPOSED SEPTIC SYSTEM
WATER & W' TEWATER '
CONSULTANTS, INC. 'l ..... ~ ~ r., ~ ,
~1 ~R ~, ~ 2B * ~ ~. ag~ * PHONE (Uu/~/-8170 * ~: (~ * ~ a~ .....
]SOIL LOG - PERCO~TION TEST] ~/ ./~,.. ...,,t
LEGAL DESCRIPTION: VALUS~ SUBDNISlON; LOT 5,
PERFORMED FOR: JOSEPH VALUERES DATE: 8/21/01
DEPTU ~
ITEST HOLE
, SOIL C~SSlFICATIONS SiTE P~N] /////
..... V~S~ S/D
, ~ GM CL ~x // / /'
~__~~ GC ~¢ OL ~ ~ ,,/~
,~ . . SW MH
5-~ ~SP~ CH , ///
, SH OH I ,/ / / I
6-- SC I / / / ~ l
S~/ML
7-- , DEPTH TO DATE
, GROUNDWATER
8-- : DRY ~21/01
; DRY 8/22/~! - TEST HOLE LOCA~ONSI /
10--~
11 ~ ~ DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
,, TIHE (HINUTES) READING (INCHES)
', 8/22/01 1 2:~ - 6. -
12-- ~ 2- 5:10 30 2"
13_ s.o.~. 3 5:10 - 6- _
14-- 5 3:~ _ 6- _
6 4:10 30 2 1/4" 5 3/4"
15--
16--
17-- ~
18--
19-- PERCOLATION RATE 8 (HIN./INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN. 5.0 FT. AND 5.5 FT.
20--~
COHHENTS: PERC HO~ WAS PRE-SOAKED FOR 4+ HOURS. PERC TE~ W~ PERFORMED BY CA~B GALL
PERFORMED BY A~SKA WATER ~ WAS~WATER I, JEFFR~ A. GARNESS, CERTI~ THAT THIS ~AS ~ERFORMED
IN ACCORDANCE WITH ALL ~ATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
DEPTH TO DATE
GROUNDWATER
DRY 8/21/01
DRY 8/22/(3!
shslo.
AI.ASKA WATER & WASTEWATER~-"4 "r"~' ~'~-
CONSULTANTS, INC. ~. ....
~°'LEGAL--DESCRiPTiON:~ sur~ 2, * ~c.o~or., ~ .so~ ~' .HO~.,iSOmLv~s~LOGsuBDiViSION;_ PERCO~TIONLoT(a°7)~7-"~' F~5, TESTI(9°~-32~ *--'= e.=.mm~
PERFORMED FOR: JOSEPH VALLIER~ DATE: 8/2¥01 qb~e¢fi'....? _....'
- --= reTEST HOLE ¢2m
%e ~: S01L C~SSIFICATIONS SITE P~N] / / ''~
:;;~,,w..~;', GW ORG 1"=100 ] Lm 5
..... V~lS~ S/D ? / /
SW ~,~ MH x , /
'~ , ',
/
SC ,/
SU/~L DEPTH TO DATE ' ~" ,/
D~ 8Z21/01 /
D~ 8/~01 - TE~ ARE HOLE APPROXIMATE LO~TIONS
/
11 DATE ~E~DING CLOCK NET TI~E WATER LEVEL NET DROP
TI~E (~INUTES) READING (INCHES)
8/22/01 1 2:40 - 6- -
12 ~ 2 ~ 3:10~ 30 3_1/4" 2 5/4"
13 5 3:10 - _6" -
4 ~ 3:4~ 3~ 3~2" 2 1/2"
14 5 3:40 - 6" -
~ ~:10 30 3 1fi2" 2 1/2"
15~
16
18
19 PERCOLATION RAIE 12 (~IN./INCH) PERC. HOEE DIA. 6" (INCHES)
lEST RUN BETWEEN 5.0 FT. AND 5.5 FT.
20
CO~ENTS: PERC HOLE WAS PRE-SOAKED FOR 4+ HOURS. PERC ~ WAS PERFORMED BY ~LEB GALL
PERFORMED BY A~KA WATER ~ W~I~ATER I, JEFFR~ A. GARNESS, CERTI~ THAT THIS W~ PERFORMED
IN ACCORDANCE WffH ALL ~ATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE:
DEPTH TO DATE
GROUNDWATER
DRY 8/21/01
DRY s/~/Ol
MUNICIPALITY OF ANCH
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. 051-302-73
1. GENERAL INFORMATION
Complete legal description
Valliska, Lot 3A
Expiration Date: 7— co— 20 a Z_
Location (site address) 19239 Darby Rd, Eagle River, AK 99577
Current property owner(s) Dakota Vallieres Day phone
Mailing address 1919 196TH STREET SW #7, LYNNWOOD, WA 98036
Real estate agent Heather Maidl Herrington
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone 907-433-9898
3. NUMBER OF BEDROOMS:
2
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
Private Septic
ED
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distan
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ -5550
Date of Payment. 7q�ZZ
Receipt Number 000 / Lf G
COSA # 03c2-2-12-2-1
Date:
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. 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 Crewdson Engineering LLC Phone 907-280-9493
Address PO Box 671389, Amonson Rd, Chugiak, AK, 99567
Engineer's Printed Name James Crewdson Date 5-18-2022
System #1 Approved for 2—bedrooms
System #2 Approved for bedrooms
Disapproved
A<A`r�ll
arses A. Crewdson
0115,12
.• r
til pROFESSION�.� ;.
Conditional approval for bedrooms, with the following stipulations:
By: Original Certificate Date:
�� _2 �zZ
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
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
X Nitrate Advisory
Arsenic AdvisoryS _
Other q ( — _e
Ad") � li,, t, 0"y
r
r
2
y
By: Original Certificate Date:
�� _2 �zZ
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
Septic System Advisory
Well Flow Advisory
COSA Checklist blue sheet
X Nitrate Advisory
Arsenic AdvisoryS _
Other q ( — _e
Ad") � li,, t, 0"y
s
Legal Description: Valliska, Lot 3A
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled
Total depth 62 ft
Cased to 61 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 24+ in.
Date of flow test for COSA '-°.2022
Static water level at beginning of test 23 ft.
Comments
B. TANK DATA
Age of tank(s) 20.6 years
Tank type/material Septic/steel
Measured operating fluid level in septic tank 49
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 6-1-2022
D. ABSORPTION FIELD DATA
Which system tested (date installed) 920-2001
❑ ALL standpipes present per record drawing
Total measured depth from grade 7-0 ft (max)
Measured depth to pipe invert from grade 6.4 ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
Parcel ID: 051-302-73
Structure served by this system
Well production at time of test 5+ gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ No
® Coliform bacteria is Negative
Nitrate 2.86 1 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
Collected by Crewdson Engineering
Date of Sample 517-2022
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date '-"-"22
Results [DPass For 2 bedrooms
Fluid depth prior to test 0 in
Water added 450 gal
New depth 2 in
Elapsed time 900 min
❑ Code -required soil cover over field Final fluid depth 0 in
❑ System presoaked Absorption rate 300+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months)
date of test)
Gallons introduced 1600* gallons If yes, enter date
Comments/Deficiencies: *90M.580.4=1562
COSA Checklist yellow sheet
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
Community Sewer Manhole/Cleanout > 100'
ft
If absorption field is under driveway comment below
C]✓ Yes
if No
ft
M Yes
if No
ft
Neighboring Tank > 100'
[✓ Yes
if No
ft
Private Sewer/Septic Line > 25'M Yes
if No
ft
Absorption Field on Lot > 100'
Q✓ Yes
if No
ft
Holding Tank > 100' M✓ Yes
if No
ft
Neighboring Absorption Fields
> 100'
ft
Animal Containment > 50' FV1 Yes
if No
ft
M Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
(a Yes
if No
ft
P/ 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
Surface Water > 100' [✓ Yes
if No
ft
Property Line > 5'
[✓ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'C]✓
Yes
if No
ft
Private Wells > 100'✓0 Yes
if No
ft
Water.Main > 10'
0✓ Yes
if No
ft
Community Wells >200' [✓ Yes
ifNo
ft
Water Service Line > 10'
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
If absorption field is under driveway comment below
Property Line > 10'
[✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100' Q Yes if No ft
Water Service Line > 10'
Q✓
Yes
if No
ft
Community Wells > 200' Yes if No ft
Surface Water > 100'
Yes
if No
ft
F. ENGINEER'S COMMENTS
*per Garness 10/9/202 drawing.
OF
G. ENGINEER'S CERTIFICATION -A�? ' T
l certify that I have determined through field inspections and review *' • • H• ..
of Municipal records that the above systems are in conformance with ® • .. . .
MOA COSA guidelines in effect on this date. Jam A. Crewdson
� '•• C1i527 ,i
.�o
t `� \R,`�`..�
COSA Checklist yellow sheet
Septic Tank Advisory
Certificate of On -Site Systems Approval #OSC221221
Subdivision: Valliska Lot 3A
Starting; at 20 years of age the MOA issues Advisory's for steel septic tanks The septic tank for
this COSA / property is 20.6 years old. A'leaking septic tank may be a source of contamination
to the aquifer. Typical replacement costs range from $10,000 to $15,000
This advisory must be attached to all copies of the subject Certificate of On -Site Systems
Approval.
This is an example of a 16 -year-old septic tank in failure and should be replaced.
Ma�hng Address P O Box 196650 *Anchorage, Alaska 99519 6650 ..
muni org
300
IN
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Ecklund, Timothy J
From: Walters, Michael S.
Sent: Monday, June 6, 2022 3:00 PM
To: Ecklund, Timothy J
Subject: RE: Well in utility easment
Right of Way has no objections at this time.
Regards,
Michael S Walters
Senior Plan Reviewer
-----Original Message -----
From: Ecklund, Timothy J <timothy.ecklund@anchorageak.gov>
Sent: Monday, lune 6, 2022 2:59 PM
To: Walters, Michael S. <michael.walters@anchorageak.gov>
Subject: Well in utility easment
Mike,
Could you look at the attached asbuilt for Valiska lot 3A for a determination.
Tim Ecklund
Onsite Water and Wastewater
Municipality of Anchorage
907-343-7905
timothy.ecl<lund@anchorageak.gov