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HomeMy WebLinkAboutMCCARREY LT 1McCarrey Lot 1 #017-092-81 Municipality of Anchorage Onsite Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151381 PID Number: 017-092-81 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: DAVID & LAURA TITIUS ABSORPTION FIELD ® Deep Trench El Shallow Trench EI Bed El Mound Address 14307 GOLDEN VIEW DRIVE, ANCH., AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 0.8 GPD/SF 9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 6 Ft. Subdivision Block Lot MCCARREY 1 Fill added above original grade Varies 0.83 — 2.98 Ft. Gravel length 80 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 960 Ftp 2 12+ Ft. well 100+ 100'+ 100'+ NA NA TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufactureracity ANCHORAGE TANK Cap1500 Gal. Surface water 100'+ 100'+ 100'+ NA Material. STEEL Number of compartments 2 Lot Line 51+ 10'+ 5'+ NA NA Foundation 5'+ 10'+ 5'+ NA LIFT STATION Manufacturer Capacity Gal. I Curtain Drain NA *50'+ NA NA Remarks *None known. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 drainfieid 3034 Installer BEEK'S CONTRACTING Drainfield 3034 CO/MT 3034 Inspector ARCTERRA BENCHMARK (Assumed elevation) 100 ft Inspection 1°1-4-16 d1-5-16 Location and description 2 3" 1-5-16 a" 1-6-16 Bottom of siding COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin OF AI�4 Conditional Approval: Date � / �Qi 0" 1 4,9 M*, KHiVNk;1'H 1. I UFk / 'g': � A rove � Date I -a(? Pp .i P Nrssloira� .� ear's Stam Inspection Report_9-1-12.doc A -C=36.5' B -C=85.5' A -D=44.0' B -D=81,0' A -E=102.0' B -E=92.5' A -F=114.0' B -F=112.0' A -G=142.5' B -G=120.0' A -H=131.5' B -H=116.0' AS -BUILT SYSTEM DETAILS/SITE PLAN Permit OSPI51381 McCARREY LOT 1 PID# 017-092-81 N 89'46'29"E 251.57' 1 "I 00 NEW DO 1500 GALLON SEPTIC TANK INSULAR NI dr T� TN 15-1 y*96,7114 SCALE, NTS GRAVFI 74.6 TUBE FINAL GRADE TUBE MT:R FAI=G FILTDR SEWER ROCK TRENCH 1 a0•+ — FINAL GRADE SEWER ROCK III TRENCH 2 62.70 401+ 5 / .. . � \PREPARED FOR, DAVID TITUS 14307 GOLDEN VIEW DRIVE * : TH * I ANCHORAGE, AK 99516 907-632-4101 IKENNE' g FIELD BOOKS COMPUTED: ` CE -7116 : / BOUNDARW BC DRAWN: BMW t'4 STAKING: CNECTcm: KMD / loo ASBUILT. SBO DATA 1/21/2016 ss1o�� i DWG. FlLE; GRID: swsoss ACAD RM DO JOB Na: 15-241 15—BR HOUSE I a. y Iv 1. CA .. SCALEi 1' = 40' MONITOR TUBE _56- T 6' _L BOH On -Site Wastewater Disposal 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: OSP151381 Tax Code Number: 01709281000 Work Type: Septic Upgrade Permit Effective Dates: December 10, 2015 to December 09, 2016 Design Engineer: ARC TERRA CONSULTING INC Subdivision: MCCARREY Site Legal Address: MCCARREY LT 1 G:3038 Owner/Address: TITUS DAVID K & LAURA A 14307 GOLDEN VIEW DRIVE ANCHORAGE AK 995164304 Site Mailing Address: 14307 GOLDEN VIEW DR, Anchorage Lot Size in Sq Ft: 81980 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N 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 Issued By: MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-092-81 Property owner(s) DAVID & LAURA TITUS Day phone 907-632-4101 Mailing address 14307 GOLDEN VIEW DRIVE, ANCHORAGE, AK 99516 Site address 14307 GOLDEN VIEW DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) McCARREY LOT 1 Lot Size 81980 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Single Family 19 Absorption Field Initial ❑ (SF) Septic Tank ElUpgrade (w/wo ADU) Duplex (D) ElHolding Tank F-1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or authorized agent) Permit/Rush Fees: tvc Waiver Fees: Date of Payment: k hxqh 45 Date of Payment: Receipt Number: QOIL 'i t� Receipt Number: Permit No. n5Pl513O Waiver No. Permit App_9-1 -1 2.doc November 23, 2015 ARC 1 ERRA CONSULTING, INC 212 E. 51"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 Subject: Septic Upgrade Permit — McCarrey Lot 1 It has been determined that the subject property's septic field is saturated. Subsequently, the owner has requested we proceed forward to obtain a septic upgrade permit for the subject property. The proposed system will serve the proposed 5 -bedroom single-family residence. The general slope of this lot is from east to west at a grade of approximately 1-5% over the septic area. A test hole (TH15-1) was performed in November 2015 and is attached for your review. Groundwater was not encountered during excavation or monitoring. Based on ground elevations and site investigation, we have designed the proposed system to maintain a 7' separation from the bottom of TH15-1 and 5-6'+ from the seasonal high groundwater levels observed in the testhole performed in 1992 as shown on the design. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, PY Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan Soils Log/Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA McCARREY LOT 1 WELL RADII & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N NO SLOPES >25% W/IN 100' DOWN SLOPE OF PROPOSED FIELD NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. low OF A �or* / KENNETH D 0 `1 CE 7 SSIO-fi Aw Scale: 1'= 100' DESIGN DETAILS PAGE 1 OF 2 5 BDRM X 150 GPD = 750 GPD 7500 GPD/0.8 GPD PER SQ. FT. = 938 SQ. FT (938 / 2 x 6' GRAVEL = 79 FT. TRENCH USE 2 TRENCHES - 40' (L) X 3' (W) X 6' (ED) Total depth of system is 9' max from original grade. Total depth of gravel below distribution pipe Is 6' . NOTES1 1. CONNECT TO EXISTING 1500 GAL WITH DIVERTER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ, 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PREPARED FOR1 DAVID TITUS 14307 GOLDEN VIEW DRIVE ANCHORAGE, AK 99516 907-632-4101 FIELD BOOKS caNPuTm: BOUNDARY. onl lAln A ov I DRAYN: ouu, STAMNa STAKING CHECKED: KMD ASBUILT` KGL °A 11 /23/2015 °M FILE. °Ri° SW3038 AQPD FILA' FILE sae "°• 15-241 OIrRIM WASTEWATER DISP❑SAL SYSTEM DETAILS McCARREY LOT 1 L'J EXISTING CO 1500 GALLON INSTALL STEEL TANK DIVERTER & ADDL 00 ORIGINAL 1993 \\ DISPOSAL FIELD S _ 5 BEDROOM F TH 15-1 MT MT 2� CO v FLAG PROPERTY LINES, SURFACE WATER WELL RADII & EASEMENTS PRIOR TO CONSTRUCTION Scale, 1'= 30' PAGE 2 OF 2 PREPARED FOR, DAVID TITUS 14307 GOLDEN VIEW DRIVE ANCHORAGE, AK 99516 907-632-4101 FlELD BOOKS BWNDAft" 80UNC S&KM STAKIP AsIA&T KGL Dwc rm ACAD F7F: FILE coMPU1m: DRAM BMW cNEacm; KMD DAM 11/23 GRID: SW303€ JOB N- 15-241 t►RcTERR9 ¢ A o ARC 1m ERRA 1 CONSULTING, INC k 212 E. 51" Ave, Anchorage, AK. 99503 yep° Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: David Titus Date Performed: 11-14-2015 Project: MCCarrey Lot 1 TEST HOLE # TH 15-1 Depth Org/OL & Fill (PT) SM/GM B.O.H. - mosit 17- 18 - HOLE PRE-SOAKED 19- PRIOR TO TEST 20- .0�'"*`\ _OF AZ4, 01 49 T1q 1� ` P:r [ENINM M. li 9 Er / r 7116 AV SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NO Date? 11/21/2015 Reading Date Gross Time Net Time Depth of Water Net Drop 1 11/14/15 1:00 6" - 2 1:10 10 min 3 5/16" 2 11/16" 3 * 1:11 6" 4 1:21 10 min 3 6/16" 2 10/16" 5 * 1:22 6" - 6 1:32 10 min 3 6/16" 2 10/16" 7 * 1:33 6" 8 1:43 10 min 3 8/16" 2 8116" 9 * 1:44 6" 10 1:54 10 min 3 7/16" 2 9/16" l l * 1:55 6" 12 2:05 10 min 3 7/16" 2 9/16" * Water Added Percolation Rate 4 (min/in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5W 930052 PID Number: D1 :?-� 9'7-01 Name: �n�vt� �<• -�-�S Wastewater System: C/New ❑ Upgrade Address: ABSORPTION FIELD Phone: No. of Bedrooms: p Deep Trench ❑ Shallow Trench 09 Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe I — rlCCR2REY -3 G' Ft. O° S Ft. Township: t� Range: W Section: �5 Fill added above original grade: Gravel lllength: `�,,, O `— Ft. 110311. Ft. WELL: ]New ❑ Upgrade Gravel width: 1 t Number of lines: 3 Distance between lines: 6 Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: T % VA•'�—L 24 :?- Ft. 5'1> Ft. C D -:;L t SQ. Ft. 3B3 Driller: ALPINE Date Drilled: Static Water Level: Installer: RD. Date installed: x-01-93 a/9/93 3t Ft. Yield:Pump Set at: Casing Height Above Ground: TANK `S GPM Z"tS Ft. -a M Ft. SEPARATION DISTANCES IZSeptic ❑ Holding Cl S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: '�,�s•,�� Capacity in gallons: t 500 From Tank Field Station Tank Sewer lines Wellqu I / 'V/A l M/A AYA Material: Number of Compartments: 2 t eo ! 5TEBL Surface v .tr LIFT STATION N/A Water A Lot ISize f--?- -� in gallons: Manufacturer: Line 71 Foundation 36.3 1 -.� "Pump on" level at: "Pump off' level at: High water alarm at: Curtain �„ Pump Make & Model Electrical Inspections performed by: Drain BENCH MARK Remarks: Location and Description: WrLI NEAR: gL90. 144,0 Assumed Elevation: •0 ENGIN�AL OF • Inspections performed by: sV` E4WNnA► iF- Dates: 1st 6-5�3 ' `� °°'°°°�®""""�°°°°° 2nd ..,.e..,°�,... ,. .�°.,°r.°.......�..,., V3 Steven R. Pannone a �� c� CE-8149 w f' Department of Heal d Hu erviceS approval �e� . �a2 .... Reviewed by ate: and approved 72-013 (Rev. 9/91) MOA 25 I D p D p D p DL>= pDDpDDDDpDp DDpDpDp � p D D D � p D D D � D D D D Yk DDDGDDD pDpDDpD DpD p D D D D D D bd ❑ ❑ -9 ? 3 ITl Q° D ❑ n� T J JS N N td Cil 7D d N N Z A 3 z t7 GN .17 , D H z � r- n r r F O O z �m I I n O ; D - FTI D (j� uj C C F- V) O O F z FTI V) Z C ❑ Z7 70 TI -I rl 3 r ❑ Mz < H ED J ❑ N 70 o Z Gl m f - r r H r m w m r� N o o N -9 a D w � -{ ❑ D 7 9 ❑ D m f'l t:j -O D < p m r V) Z C ❑ Z7 70 TI -I rl 3 r ❑ Mz < H ED J ❑ N 70 o Z Gl m f - r r J W W J J W w J W Wo O� 3 o z F m F- m z ❑ M f'l D � r rl r r r1 r r = r9 F9 < D D tI Frl ❑ r F Z < H Z J TI A F9 A F9 o m w m Ul N o o N m� D -{ r D J W W J J W w J W Wo O� 3 o z F m F- m z ❑ M f'l D � r rl r r r1 r r = r9 F9 < D D tI Frl ❑ r F Z < H Z J TI A F9 A F9 o Z z c £ p i £ p O tt q W W N QO V n > W W q Q W W 3 p Z J ¢ a � J W W J n m CD y D Q (� W W � O �O U m njJ I!] O w u U Iw I � u z O o -� J W 3 LOT 3 BUNNY SLOPE SUBD. LOT 3 McCARREY SUBD. LOT4 McCARRY SUBD, 0 MERCEDES STREET / GMDENVIEW DRIVE z 0 0 H Pa r W Offa u u N 0 J c £ p i £ p O tt q W W N V n > W W q Q W W 3 p Z J ¢ a � J W W a y m jnJ m m � O �O 3 £ m njJ I!] � o J Lo W 0] > � J U Q i z OF o Q Qz r WO W 3 W U � J > N Q I N a N _ a U � U W O z MERCEDES STREET / GMDENVIEW DRIVE z 0 0 H Pa r W Offa u u N 0 J ..�.�,. . , .. i. VCYAKIMCIYI urIV" IYnA/."C8uunucia- DIVISION OF WATER WATER WELL: RECORD ;; •. .I .wl. �: T. , • �. www ' :e00000N SUBDIVISION 4oT STOCK SECTION OTRa SECTION TOWNSHIV NANO[ MER1l�►AN!{' ON CIE ; ITIS ©w i T1dwiskilITCH: WELL OWNER: • z; i )RIED FROMCcasing top 09round surface WILL DEPTH: DATE OF COMPL �< Depth of hoe:_ Limit er, -�w� HOLD I�ATAt depth Depth of casing: it 1 ' (a plAd Color From To !S DEPTH TO STATIC. WATER LEVEL: below 0 top of casing 11 ground surfoe. • r7� • ', s C• La 9?,fr Lr, .: Date: f. METHOD OF DRILLING: C5 air rotary CI cable tool • 0 other i- USE OF WELL: 0 domestic 0 Irrigation 0 monitor " ' ` is public supply O other,,,____ , ill 1 CASING $TICK -UP•, It. Diem:In. to ��f�/ to Casing type: ��. WELL INTAKE OPENING TYPE: 0 open end 0 screen+jld; . ? •• • ' / %� « �1�� 0 perforated t! open hole Depths of openings: to ft > " SCREEN TYPE: �� . Diem: In.. Slot/Mesh Size: Length: ft GRAVEL PACK TYRE ..;.:; Volume,used:_ Depth to top:SEP ,..• .; Munic� palgaull'(' GROUT TYPE: - —•.. Volume: Dept• of Anc Depth: from ft to it •ie es bEVELOPMEN'�f 41): Duration: ,.7 . • PWPING J„EVIEL AND YIELD: , ft after hrs pumping, p11 i PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON.COMPLETION) 0 YES., CI, .::: w CT" NNFORMAj�I REMARKS: upineas nae � PLEASE MAIL WHITE COPY OF LOG`i: • r' •��-t'�-^• ., �/ �7 DNR/DIVISION OF WATER AU or zea R8ZPresentatwe ate PO BOX 772116 EAGLE RIVER AK 99577-2116 ;• K:: r.: 9 g72 L06 71 I Ja 3N I did wo.ld TOd 111d rS : LO 265T'ST 'dag FOZO Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 7, 1994 David K Titus Laura A. Titus 14307 Golden View Drive Anchorage, Alaska 99516 4304 Subject: Lot 1 Mc Carrey Subdivision Permit #SW930052, PID #017-092-81 The subject permit, issued April 7, 1993.by this office for a single family well and/or on-site wastewater system, has expired as of April 7, 1994. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, OrZhn Sm' ogram anager On-site Services enc: Copy of Permit MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMI PERMIT NUMBER:SW930052 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:TITUS DAVID K & LAURA A OWNER ADDRESS:1241 BALFOUR #2 ANCHORAGE, ALASKA 99515 PARCEL ID:01709281 LEGAL DESCRIPTION: MCCARREY LT 1 LOT SIZE: 81900 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 2 Xp T.vsP�cTia,� C `/6 -93 DATE ISSUED: 4/07/93 EXPIRATION DATE: 4/07/94 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. INSTALL TWO (2) POST TANK CLEANOUTS. 2. THIS IS A REVISED PLAN WHICH OMITS THE SAND FILTER. ENGINEER WILL VERIFY THE CONSISTENCY OF SOIL THROUGHOUT THE LENGTH OF THE BED. PAGE 2 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 3. WELL LOCATION HAS BEEN CHANGED FROM ORIGINAL APPL. / p RECEIVED BY: �{�d� I S DATE: G - 3 ISSUED BY: (04:7,f�� DATE: & - -3 June 2, 1993 Ms. Susan Oswalt On -Site Services Department of Health and Human Services Municipality of Anchorage P.O. Box 196650 825 L Street Anchorage, AK 99519-6650 REC7FIVFD JUN 2 1993 MunicIpar.;, .>! A wnorage Dept. Health & Human Services Subject: Revisions to On -Site Services for Lot 1 McCarrey Subdivision Dear Ms. Oswalt, I have enclosed a revised On -Site Services plan and disposal field cross section. They reflect the following proposed changes: The well location has been moved farther to the south in order to make it more accessible for installation and maintenance. The impact of the well radius will be increased on Lot 2 McCarrey Subdivision but the distance from the septic system on Lot 2 McCarrey remains at well over 100 feet. 2. The sand filter has been omitted from the design for the absorption bed. I feel the sand filter is not needed. The bottom of the absorption bed is at approximately -5 to -7 feet. The soils test show a poorly graded sand with silt layer approximately 5 feet thick starting at -8.5 to -9 feet. Poorly graded sands with silts typically percolate at 10 to 20 minutes per inch. No groundwater was encountered within 14 feet of the surface. Under these conditions there will be no significant exposure of the ground water to effluent from the disposal field. The intent of the ordinance will be satisfied even with the omission of a sand filter. Please accept these changes for incorporation in the On -Site Services design and permit for Lot 1 McCarrey Subdivision. Thank you. Sincerely, 4 Steven R. Pannone, P.E. P.O. Box 142025 Anchorage, AK, 99514 zz Q0 LL �m W :D w Wm (� Q W U zo J 0 L LOT 3 BUNNY SLOPE SUBD. LOT4 McCARRY SUBD, SO SE��'. S(SZEM goo,. oY JQ a � � J p W p W N F N Vl a .p jIT� m T Z O 1 ^ � O L p 6' Ln 41 O q N 3 N Pa a L 3 m c j Ol L7 c n :n 41 LO Qj m LLJ ^ C3 ❑ 3 3 O L7 s O 6 r b S U Z T d Z os s m LU3 t � 3 N Lr) t L- 0 13 ou d J \r X: 0 N N L i i S c d * L N 0) O O S S T a4 U+ } + C 0 C 2 L d LU L O Q O 1 4d. N m d L L> a L7 E N cv 3 L qo ❑ Ui 0) u d N + 3 Ui O S d O' 0.0 0 r 3 d z o LOT 3 McCARREY SUBD. 0 o � n c \VT V O ^ J \ J r� W ' of a S�Q s � W ~ 1 N P � l ^ U1 N a �$ 0 y ! LOT 3 McCARREY SUBD. 0 I TN+ i 63' 581. X a 58- j7 a ti w d 58 , W > N aN y ! a a � c I w a ! w c p a w r a a � \ o I MERCEDES STREET /�DENVIEW DRIVE SyS y�G S�Q ~ 1 y Z y ! II N a �y lJ q F q W r W Q ' U E w F— ❑ n J (U p W Cu � I i i I i m Z i I I TN+ i 63' 581. X a 58- j7 a ti w d 58 , W > N aN y ! a a � c I w a ! w c p a w r a a � \ o I MERCEDES STREET /�DENVIEW DRIVE Z E V LI! CL n F] W H ryQ O W W n x U I TK MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBE SW930052ID DESIGN ENGINE :DUMflY COMPANY- OWNER NAME:TITDAVID K & LAURA A OWNER ADDRESS:1 41 BALFOUR #2 AN HORAGE, ALASKA 99515 PARCEL ID:0170928 LEGAL DESCRIPTION: LT 1 PAGE 1 OF 1 DATE ISSUED: 4/07/93 EXPIRATION DATE: 4/07/94 y�P LOT SIZE: 81900 (SQ.T.) _. NUMBER OF BEDROOMS: 5 HIS PERMIT: 5 THIS PERMIT IS FOR THE C TRUCTION OF: DISPOSAL FIELD / WELL SYS M J ALL CONSTRUCTION MUST BE I ACCORDANCE WITH: 1. THE ATTACHED APPROVED DE IGN. 2. ALL REQUIREMENTS SPECIFIE IN ANCHORAGE MU ICI CODE CHAPTERS 15.55 AND 15.65 AND THE ST TE OF ALASKA WA TEWATER DISPOSAL REGULATIONS (18AAC72) AND D INKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DH AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. P VIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A BSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRU ION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME D Y B. COVERED, SEALED AND HEATED TO PR VENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. INSTALL TWO (2) RECEIVED BY TANK CLEANOUTS. DATE: ei-16­9 a ISSUED BY: c ate . (?��t DATE: ""/_ %-_'q 3 J o � W w 2 > Q I q W ° Q o � 9 f o. cv ° W W J o ° a v v O a W :- • Z H Z O ° o ti H r J a Q o CL a Q � W U � o /<E^�. V / n Z II Z Q 0 Z z Q _O LOT 3 BUNNY SLOPE SUBDr n 02 00 U j a co LL ' U� 44 Q Q o U W V) > q ra w a 0 J L7 zo } oz P LOT 3 McCARREY SUBDr LOT4 McCARRY SUBD. 0 0 w zCU o 3. z (-� L7 V H W H N a N q i a w u LLJ a _ x w u u U I \ V o 4t N a cu O I cEPttG Sys 6M � � J . V J (T� W \ V Y ZD co F, a W ti l N X o 11 1 G \ V z O N m E3 O 1 0 c 63'Ln o x _ Y �. ; 0 Ln 3 O PCI. _ 58 7u O a io N 7 N e O ... Q% -pW 63r1s i CD _. o d O +> s v z U z a 63' x cl > d D TS58 O 4 i q i < a n - 58, w i, X 41 C O o 1 y w > O� O v as a 63 F- N N i J a H H i` _ 0 c d C! O O N S -c a 0 a>, U41 >, A� UI 4 u y a 7 = s do aj u o o� © d i N i > U( l7 E N4.. 3 i o O Ol 0). m d W +''3 N. d o Jt S O' 0. 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LLI � CC) ` _ § J w u 2 2 \ e \ / \ / o e f � Cl) / / / j 0 I 2 § E L w } - b q o 3 w . ! it p 0.° / w J 0 0 q g LL w w o \ 2 2§ / I IRT \ \ § } § } / -j CL q \ § j § § f } ƒ / � F § � ) w § � a 0 C.) 2 k $ \ 2LL 20 F- §■ oI > 3: f- 2§■ $ ® zUJ LOL ■®g o §_j . 2 §k �2 _ §2 § � Q E �_� w & kW§ / W) z 0 N 0- wLL«E ®0 -° / § �\ } w mak ] o §�U Uo _ a § w ~ Cy w LO> LU § 1 § § CN + . § © �U.o k k $ \ 0 2 .. «owuj IWww = ® 9 S / a 2 § r S k w ■2zP , / . " - M 2 § \ 2 zo 20a> § 3 I w I ƒ o I 44( «umo E E / ) ) b < 0/k0 \)20 k � 2 0 < ƒ ƒ w W .4KiS R Rƒ a « ■oRm z z e e +.r Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: .Q�vf / /7 -OS DATE PERFORM D` ILAF �_ 7-H A`/ LEGAL DESCRIPTION: 1-07_ ? M C/ikq,Ey Township, Range, Section: T12 N,� IZ, 3 VJ j $EG 35 DEPTH Q SLOPE SITE PLAN 1 (�P^-Gru Poo e1Y 6PeA6�rS6r4vwtI 2 G) ¢J r &0 a,3 AJ 3- 4- 5 45 6- 7 8 ,;IOUC `) ofrA�ec�. SAn d 9 Sr -SNS 10 pftRK BRou?N ?Q 11 �iovtblR 12 13 t■■.■■.R■■ Depth to Water Net Drop -t\-112 0 0 2,2- .23,6 ENEENNE 3,6 1,4 IN '4,17 3 f ,U i, I 4 7.4 .O■■■..■■■ ■■■■■■■■■■ ■.■■..■■■® ■■■■■.■■■■ ■E■■■■■■ WAS GROUND WATER �$rl ENCOUNTERED? f\C S Qo IF YES, AT WHAT .-.� LO 2�/0 DEPTH? P E Lo Depth to Water After NON F - Monitoring? CACCOWC9l Date: 9 19-`tZ 14 �1 L w i O -P C-AC'41"'4 + 15 iLg 17 PJcTgS: /Vtorlt"d^ 18 TUbE kvlSW-L A`r I q Fl 19 Reading Date Gross Net Time (MIN) Time MIN Depth to Water Net Drop -t\-112 0 0 2,2- .23,6 3,6 1,4 2 f '4,17 3 f ,U i, I 4 7.4 20 u PERCOLATION RATE + 7 1 tminutes/inch) PE RC HOLE DIAMETER 7v -7 TEST RUN BETWEEN `�- FT AND �'-'5 FT COMMENTS BELL SKAP .D I-tG�L� 'I�(::-GAI)SE- SOIL tNG1S .50 I-OOSrr--, PERFORMED BY: MA7 F 7-17-4,S I STEUr-iJ ?/* wori o 2- CERTIFY THAT THIS TE/ST QWAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: / /r - / Z- 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: DAVOC T/-rys DATE PERF / I #Z LEGAL DESCRIPTION: 4e)r" / nc Cf kliiZS`/ Township, Range, Section: r 12 N , K 3 W t 36—c- 35 D�EP7 1 SLOPE SITE PLAN r cl c c- , I OK I I I I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS GP -GM POORLY 6RAoRo G RAV G. LS L16 HT BROWN, C 6 8% l'r, S Tv S N sP-sm 1>60kLI 6KRD , 5 A Ni) W / s (4-T LiMliT OF F,?,f-AV 4"CIbN WAS GROUND WATER ENCOUNTERED? N O S IF YES, AT WHAT L O DEPTH? P E Depth to Water After Monitoring? Dale: Reading Date Gross Net Depth to Net Time Time Water Drop ,SGA' T/1 ' L / PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: ��� TauI ��� Q �� ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) "" '�r1f�RL'Wti AF ow ✓ : Y Y - Municipality of Anchorage . 4% DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 nnone SOILS LOG — PERCOLATION TEST /f�`�J��ts�CE-8149 f rF B-Zo-a z. 0. 0 PERFORMED FOR: �OP1N to M� Lt IN" 1z r -j- DATE PERFORMED: �Pf2o E�lfsLs� LEGAL DESCRIPTION: �-oT I 2 �CCf,2f2 6ugZjTownship, Range, Section: DEPTH SLOPE SITE PLAN (E5`0) a24ANtc- 1 2 3 4 5 I 6- 7 7 8 GM RECEIVED 9 AUG 2 0 1992 10 11 12 13 14 SM 15 Municipal .y DI i+,%". tM� vl$Qi31ND WATER Dept. Health & HuM5N(R i °' D o+ ML'�cv.rt '1J E[t7 s¢ S A AID 16 13, }}, 17 18 19- - 4�1 0" 7; Py i s IF YES, AT -WHAT L DEPTH? �P E �O O Depth to Water After Monitoring? 1*40 C. Date: Reading Date Gross Time Net Time Depth to Net Water Drop 20 (0 t,ZS 3 0 20 . LFATION RATE (minutes,inch) PERC HOLE DIAMETER ETWEEN;OMMENTS.AT� ly�Ai 21L MONtToP2WH Aas �'en'1=0¢MeJJ i'4 A-pett, i "Dyz-,2('UKA S'pRtnlS fzj"-C('= F PERFORMED BY: M/ILC ANtJc� co.✓ STLVEtV�Ad�L CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH -ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Z IMPACT TO ADJACENT PROPERTIES LOT 2 McCARREY SUBDIVISION WELL - No impact on existing well. Proposed and alternate disposal fields for Lot 1 McCarrey Subd. are more than 200 feet away. WASTEWATER SYSTEMS - No impact on existing wastewater system. RESERVED SPACE - The north central portion of the lot falls within a 100 foot radius of the proposed well for Lot 1 McCarrey Subdivision. DRAINAGE - No surface drainage channels. LOT 3 McCARREY SUBDIVISION (undeveloped) WELL - No existing well. WASTEWATER SYSTEM - No existing system. No impact on future system since the proposed well for Lot 1 McCarrey Subd. is more than 100 feet from the property line. RESERVED SPACE - No impact -- proposed well for Lot 1 McCarrey Subd. is more than 100 feet from the property line. DRAINAGE - No surface drainage channels. LOT 4 McCARREY SUBDIVISION (undeveloped) WELL - No existing well. WASTEWATER SYSTEM - No existing system. No impact on future system since the proposed well for Lot 1 McCarrey Subd. is more than 100 feet from the property line. RESERVED SPACE - No impact -- proposed well for Lot 1 McCarrey Subd. is more than 100 feet from the property line. DRAINAGE - No surface drainage channels. LOT 3 BUNNY SLOPE SUBDIVISION (undeveloped) WELL - No existing well. WASTEWATER SYSTEM - No existing system. No impact on future system since the proposed well for Lot 1 McCarrey Subd. is more than 100 feet from the property line. RESERVED SPACE - No impact -- proposed well for Lot 1 McCarrey Subd. is more than 100 feet from the property line. DRAINAGE - No surface drainage channels. LOT 4 BUNNY SLOPE SUBDIVISION (undeveloped) WELL - No existing well. WASTEWATER SYSTEM - No existing system. Impact on future system: the southwest portion of the lot falls within a 100 foot radius of the proposed well for Lot 1 McCarrey Subdivision. RESERVED SPACE - The southwest portion of the lot falls within a 100 foot radius of the proposed well for Lot 1 McCarrey Subdivision. DRAINAGE - No surface drainage channels. LOT 5 BUNNY SLOPE SUBDIVISION (undeveloped) WELL - Existing well is 173 feet from the nearest point of the proposed disposal field for Lot 1 McCarrey Subd. WASTEWATER SYSTEMS - No impact on existing system which is located on the north half of Lot 5 Bunny Slope Subd. RESERVED SPACE - The southeast portion of the lot falls within a 100 foot radius of the proposed well for Lot 1 McCarrey Subdivision. DRAINAGE - No surface drainage channels. LOT 2A ILIAMNA SUBDIVISION No well or wastewater systems are proposed for Lot 1 McCarrey within 100 feet of lot 2A's property line. LOT 2B ILIAMNA SUBDIVISION No well or wastewater systems are proposed for Lot 1 McCarrey within 100 feet of lot 213's property line. LOT 2C ILIAMNA SUBDIVISION No well or wastewater systems are proposed for Lot 1 McCarrey within 100 feet of lot 2C's property line. Parcel I.D. 017-092-81 E @ Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s A' Certificate of On -Site Systems Approval Expiration Date: 1. GENERAL INFORMATION: Complete legal description MCCARREY; LOT 1 Location (site address) 14307 Golden View Drive *Anchorage Current Property owner(s) Michael Leonard Day phone 240-3765 Mailing address 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 ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_Well El Community 1_1Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Jr b Waiver Fee $ Date of Payment Receipt Number COSA # 0 3 C a a 1 0 i (� Date of Payment Receipt Number Waiver # ,,A 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. Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 j Engineer's Printed Name: Jeffrey A. Garness Date: 7• In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and aQ�,00ptlp�� industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ��,.• "' 9S1� encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q groundwater levels (that may Fluctuate during the year), quality of construction (materials and �u 94T�* workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and%""""' """ """"' �D are outside the control of GEG. Satisfactory test results do not guarantee future performance of the ! systerri/s; therefore, GEGrnakes no warranty (express or implied) regarding the future performance of f x the well or septic system. GEG makes no representation whether an alternative well or septic system () /^ "; rness: G can be installed on the property in the event either of the current systems fail to perform adequately in �)1 '• CE -7953 �`pG the future. The content of this report is for the sole benefit of the person/party that retained GEG to I r f �' • c O perform the evaluation. Reliance upon the information provided in this report b an other person or 417i�0i....�t. oresParty (including subsequentproperty Purchasers) is noauthorized, nor I it confer any legal right so2�. whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedroomstOF((�/�i��/ Disapproved Conditional approval for bedrooms, with the �Il�vinOAMER IINAN D By: —r wt I _ IG'l.�L 74Z 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 �� Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other ('14 Legal Description: MCCARREY; LOT 1 Parcel ID: 017-092-81 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 6/9193 Total depth 247 ft Cased to 50 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 1/28/22 Static water level at beginning of test 77.1 ft. Comments B. TANK DATA Age of tank(s) 6 years Tank type/material "" Measured operating fluid level in septic tank 0 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 2/7/22 Well production at time of test 0.53 gpm Water storage tank volume 250 gallons We 2sinfected for coliform test? E] Yes 01 No Coliform bacteria is Negative Nitrate mg/L M7Nitrate less than MRL (ND) Arsenic ug/L (JXrsenlc less than MRL (ND) Collected by GEG, LTD. Date of Sample 1/28/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A D. ABSORPTION FIELD DATA DUAL TRENCH Which system tested (date installed) 1/5/16 Adequacy test date 1128/22 ❑ ALL standpipes present per record drawing Results Q Pass For 4 bedrooms Total measured depth from grade 13.6 ft (max) Fluid depth prior to test 13 in Measured depth to pipe invert from grade 3.91 ft (min) Water added 876 gal ❑ N/A — pressurized field 38 OR Monitor tubes go to bottom of effective. If not, state New depth in 120 depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth 23 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Gallons introduced *2000 gallons !f yes, enter date N/A Comments/Deficiencies: 'PRE-SOAK PERFORMED ON M7Y22 - PRE-SOAKED 8 TESTED WEST TRENCH ONLY- PIPES FOR 1893 BED WERE NOT FOUND, CONDITION IS UNKNOWN COSA Checklist yellow sheet CA 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' QQ Yes if No ft Community Sewer Manhole/Cleanout > 100' Absorption Field > 5' R Yes if No ft j7 Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25'2] Yes if No ft Absorption Field on Lot > 100' Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft Q Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' C] Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' M Yes if No ft Surface Water > 100' B Yes if No ft Property Line > 5' QQ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' El Yes if No ft Private Wells > 100' M Yes if No ft Water Main > 10' S -Yes if No ft Community Welis> 200' 0 Yes if No ft Water Service Line > 10' P1' 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' Property Line > 10', Water Main > 10' Water Service Line > 10' Surface Water > 100' F. ENGINEER'S COMMENTS [✓ Yes if No ft Yes if No ft Yes . if No ft Yes if No ft (� Yes if No ft G. ENGINEER'S CERTIFICATION If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100' 0 Yes if No ft Community Wells > 200' Yes if No ft l 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. COSA Checklist yellow sheet ob OF A ��°gyp 4 � . : .. 1!IhJ.---.... . .i.;. V•t ......... . ?,Jeff le A. arness., �%'• CE -793 a. ���a Fro f es s;on°oo #AECC884 A Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC221046 During a- recent COSA on-site inspection and test of the potable water supply well on Lot 1 of McCarrey subdivision, the well's productivity was determined to be .53 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Parcel I.D. 017-092-81 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date: I r Complete legal description McCarrev; Lot 1 Location (site address) 14307 Goldenview Dr. *Anchorage AK 99516 Current Property owner(s) Farugi Faisal Day phone 626429-8918 Mailing address 14307 Goldenview Dr. *Anchorage AK 99516 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 ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee 1$ 5 /s��} Date of Payment I Zl%9 Receipt Number N93&(? COSA# 1��514 (glLI-A� 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. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conductingthis evaluation, GEG provided an engineering evaluation of the well and/or septic stem P 9 9 P Y in accordance with the guidelines and regulations established by the Municipality of Anchorage and rr—'C\G •.- "' 1 �Ll industry practices. The reported results describe the condition of the system/s on the date/s of the n �G, �. ��`;•, evaluation. Separation distances were measured to readily identifiable features. Hidden defects or _ encroachments may exist that were not identified during the evaluation. The operational life of all wells 1 and septic systems depend upon a variety of variables, including but not limited to, soil conditions ........ ""' groundwater levels (that may fluctuate during the year), quality of construction (materials an `�;�..... workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and ................... are outside the control of GEG. Satisfactory test results do not guarantee future performance of the cf r- A mor less-= system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system t<h' -•1. ��� a =' can be installed on the property in the event either of the currents stems fail to perform adequately m P P Y Y P q Y� �_ .!� c� �- ti:,`C' the future. The content of this report is for the sole benefit of the person/party that retained GEG to 0; perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6, DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the ON-SITE I! n stipuWAI)-)-TSR AND m WASTEWATER o V,I J 1) mill Original Certificate Date: 1$1 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 1" Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory_ Other COSA blue sheet 10-10.12.doc Legal Description: McCarrey; Lot 1 Parcel ID: 017-092-81 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) Well production at time of test 0.46+ gpm Date drilled 8/93 Water storage tank volume n/a gallons Total depth 247 ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 50 ft ❑ Coliform bacteria is Negative © Sanitary seal is functioning correctly Nitrate mg/L 0 Nitrate less than MRL (ND) W Wires are properly protected Arsenic ug/L © Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by GEG, Ltd. Date of flow test for COSA -9/28119 Date of Sample 8/22/19 Static water level at beginning of test 74 ft. Comments *Well test was performed by Aarow Pump and Well Service (Retained by the owner) B. TANK DATA Age of tank(s) 3 years Tank type/material Measured operating fluid level in septic tank **24" © Standpipes/foundation cleanout per record drawing Date of pumping 8/14/19 / **On 9/3/19 - House was vacant since tank pumping D. ABSORPTION FIELD DATA C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material . Comments - Which system tested (date installed) 2016 Adequacy test date 9119 0 ALL standpipes present per record drawing Results Q✓ Pass For 4 bedrooms Total measured depth from grade 13.1 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 3.4+ ft (min) Water added 626 gal ❑ N/A — pressurized field 0 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 0 depth into effective Elapsed time min ® Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) No date of test) Gallons introduced N/A gallons If yes, enter date - Comments/Deficiencies: —Tested east trench only. 'Nest trench dry at time of inspection. 1993 bed was not evaluated. Information on 1993 bed is in MOA records. 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' 0 Yes if No Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft 0 Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' 0 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' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with 4 MOA COSA guidelines in effect on this date. :.. , . , . . ......... . .............. .... Jef , Gornes QE-79- 4-, COSA Checklist yellow sheet p� ' �& o ofess"o 0 #AECC884 Well Water Advisory Certificate of On -Site Systems Approval # OSC191427 Subdivision: McCarrey Lot 1 This well's productivity was determined to be .46 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. �,E B �6 O P ri O Municipality of Anchorage On -Site Water and Wastewater Program CERTIFICATE ryf� TEMS APPROVAL JAN 29Zl15's Parcel I.D. 017-092-81 \<v �G, Expiration Date: 1. GENERAL INFORMATION Complete legal description McCARREY LOT 1 Location (site address) 14307 GOLDEN VIEW DRIVE, ANCHORAGE, AK 99516 Current Property owner(s) DAVID & LAURA TITUS Day phone Mailing address Real Estate Agent 14307 GOLDEN VIEW DRIVE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class_ Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released tot neer, unless otherwise requested by the engineer. COSA Fee $ (o g.,�/ Waiver Fee $ Date of Payment Date of Payment Receipt Number 08 17 1,L Receipt Number COSA# o�C1lp 1012- 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 ray 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 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 11/22/2016 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 r.�\ occupants or can ArcTena guarantee that no unseen ® r A encroachments, deficiencies or discrepancies exist. O ,� cS AZ4, 10, ��A 0 Tf/ I 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. ?� KEN'IIMFf )1. DLT !S .7,,1J6 P FES10hN� -%, � Conditional approval for bedrooms, with the following stipulations: WASTEWATER _! , BY• 'VVt 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.dm 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: McCARREY LOT 1 Parcel ID: 017.092.81 A. WELL DATA Well type PRVr If A, B, or C provide PWSID # _ Date completed 6.9.1993 (2012 deepenec Sanitary seal (Y/N) Y Total depth 367 ft. Cased to 50 ft. FROM WELL LOG Date of test 6.9.1993 Static water level 31 ft. Well production 2.5 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.116 mg/L Arsenic: ND ug/L Date of sample: 11.24-2015 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping NA - NEW TANK Pumper C. ABSORPTION FIELD DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24 in. AT INSPECTION 11.24.2015 237 ft. g.p.m. Collected by: ARCTERRA Date installed 1/412016 Cleanouts(Y/N) High water alarm (Y/N) N Date installed 1.5.2016 Soil rating (g.p.d./ft2 or ftz/bdrm) 0.8 System type DEEP TRENCH Length 80 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 8.83-11.75 ft. (Measured 1121/16) Eff. absorption area,960 ft2Monftoring tube Y Depression over field N Dat6 of adequacy. test NA -NEW FIELD Results (Pass/Fail) For _ bedrooms Fluid depth 'in -absorption field before test _ in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g:p.d; Any rejuvenation trgatment (past 12 mo.) (YM & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in gallons "Pump of' level at —in. Cycles tested WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot 1004 Public sewer main Sewer /septic service line Manhole/Access (Y/N) _ High water alarm levet at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 1001+ Public sewer manhole/cleanout 1004 Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 51+ Absorption field 54 Water main 10'+ Water service line 10'+ Surface water 1004 Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation 101+ Water main 104 Water Service line 10'+ Surface water. 1001+ Driveway, parking/vehicle > torage 104 Curtain drain 50'+(NONEKNMN) Wells on adjacent lots 1004 F. COMMENTS G. ENGINEER'S CERTIFICATION I certHy that t have determined through field inspections and review of Municipal records that the above systems are in conformance with, MOA COSA guidelines in effeet.on this date. )F�� EngineeF's Printed Name KENNETH M. DUFFUS."r' Date 11=91:0 . 9 T—H COSA canary sheet 2.6-15.doc L}e I in Alpine Drilling & Enterprises Well Log Permit Number: #SW Date of Issue: Parcel Identification Number: Date Started: 5-22-12 Date Completed: 5-23-12 Is well located at approved permit location? x Yes ❑ No Legal Description: MoCarrey Lot 1 Property Owner Name & Address: David & Laurie Titus 94307 Goidenview Drive Anchorage, Alaska 99516 Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: Existing well 0 247 Wall Thickness: ® inches Bedrock 247 367 Diameter: inches Depth: feet Liner Type: Diameter: inches Depth: feet Casing stickup above round: 2 feet Static water level (from ground level): 31 feet H2O 330 340 Pumping level: 360 feet after 2 hours pumping L55 gpm Recovery Rate: 1_5 gpm Method of Testing: air li Well Intake Opening Type: Q Open End x Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start _ feet Stopped feet Grout Type: Volume: e the Start feet Stopped fee Pump: Intake Depth feet Pump size hp Brand Name Well Disin°Acted Upon Completion? x Yes ❑ No r� WACER C 'fi g �NQ COW . � e. CoVIOO L N Dg (9w 11 M91L Arsenic _—U91- Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 M J N J I J v w� c � U � U Q liw V Zd, �r �w o �- I � Q =N N I � U GOLDEN VIEW DRIVE N c6 x M N d O M I N rn rn Z a U a Y U W O Ir m d 4 n to II J U N x J 7 m z S d F O d vuO4po�a v w� c � U � U Q liw V Zd, �r �w o �- o� � Ny N m N m � U C 0 ,6'2Z Q _ � a Y U W O Ir m d 4 n to II J U N x J 7 m z S d F O d vuO4po�a y m v �r a o �- � 0 q C 0 0 m O d q C c m= > < o v 0 n m m c 0 C V a°s v.n a c v° +oo 0a mm v Eou0 °� m0 n >n.0� ro u 0 O c c m` CaC O C L A D OZ O m m 0 w M C.s. Es c c C O� m n 00 C Cm gm .N `0 L. OCO o - j G L ">.c < 0 c 0 v =s°m°�3m 0. '00 '0dvo5c.ov �c OjvY C 0, 0 0 O C 0 m Z 0 O O Q a C m V ° 0 tn 0 m G 0 s >O Oa0 3 s m= m m O d C O C -T MSE ,:Eoa0 ww`°.� Cm Tapo.c�Com CL t 00 0,, O .0m>v m L% T��t 0 0 C O� .OH dgm 000, 0, tp E 0 0 m 0 OL CSO�p 0 �> — Q 3 C d 0 V Municipality of Anchorage �E s • �h o Development Services Department .;:^_ Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC161012 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 1 of McCarrey subdivision, the well's productivity was determined to be 0.64 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 5 -bedroom residence is .52 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. E'OF WA` "E: If. cc ing ) E'OF 1NA ll , � 72.025 (Rev.1/91) Front MOA q21 sem. :)m State Awt,y,,arre, I I All 5. STATEMENT,OF INSPECTION BY ENGINEER , s As certified by my seal affixed hereto and as of the validation date shown below, I verify that my r, investigation of this Health Authority Approval°application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l_furtherverify that based n the information obtained from u j 'trlr Fthe.Municipality of Anchorage files andlfrotnmy mvestigation3and inspection, the on=site water }-.p , 7v supply and/or wastewater disposal systerh `is" in compliance w tmall Municipal and,Sfate ordinances, and regulations in 606d on the date of this inspection -: r, � AA iIT-1111--l-1111 `r._ 4,14 a Name of FirmPhone - ; 1 'L'}ep f at'�dp��y t{ ,� F 1 , 'Y Address H� o�o-�� 7 ` Iilu+I f 5!I ?'r w. Y�.�"N. ..:,�%I(1,rf J1 ('Y51'1� r. ,�- , 7 •. n L , yra a 1e rt x e ! P� i Eng)neer's signature- Date a z --9y PP y NC, 1 r�¢'B lip 1`A l4.,, 1 yi(�8� vtt f ire 47C�, (,� •'(e+C vre i ;%B'f I,"�,1, i i, ^' �, z �drl�I. Ir i a. 5 ` >ti " '• ) tip '+. a t. § ! { � a r �, u 1 ," IK 1 b -. ��' a , I)i r $ , t r i r1Y 1iw Ii7"f t(x S , d ) ',; f T . I r r; , rr (` 14'y.-i•�� wi. 5 6e w i 4l V ti �. Nf w 1 � ShV!lt11R.1'F t aD�0110c A. � �7 $ CE 14 y9t, o �x,e r i ,t : 7�4� �� 'IL i � x 'r h{,, Fp • N Lac: # . .A 6LY,. e 5 x� 7t Td �V 11 1 5 9i t� 6' DHHS SIGNATURE I. ' 11" ell'I I4 , ,I V5 tliS 'f } J lu 'iii,{� , ,� f ,;� `— .Approved fore E a, bedrooms i i If ��k x ,I! Disapproved, . hs WY 1'3F�j Conditional approval for,, �bedrooms,rwith,t st(pulat(ons , , vY4 l �� h 55 7 'S t ( M r u ° r� I�����1�?'i D'S�%.✓�y r'. 1ir , 3,PuS rt{(Fj�R d' �; d ; .^ (iF .r,� 1p Ekk yt . 3 V{. 5 a 4, 1 e W t k 91 ^ 1 jr & r 47 ��� yA' F7 7 i ftta rj I' , TI r`,n I. '� rY i zll 1,1� r5e i `7I f i Additional Comments gy'WilfAll2ii �5 nJ , gy: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations.given in paragraph 5 above by an independent professional engineer registered in the State ofAlaska..TheDHHS does this asacourtesy topurchasers ofhomes and their lending institutions in orderto;satisfy certain federal and state requirements. Employees of DHHS do not ' conduct inspections or anaiyz6 data before a certificate is issued. The Municipality' of Anchorage is not r All tiro; -r ,) A It, , responsible for errors or omissions in the professional engineer's work. , j 72-M(Ray.1/91) Back MOA#21 - ; Municipality of Anchorage Department of Health and Human Services 44 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L07- / IV-- CAA efZ sub. Parcel I.D. OI 7 O 9 2-6 ( A. Well Data Well type a72_i V A7Z_7 If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed 6-'? - 93 Driller A6.P/Nf DVILiNG Total depth z rt3� Cased to (5� ` Casing height Z - Sanitary seal (Y/N) Y�Z Wires properly protected (Y/N) r3s FROM WELL LOG AT INSPECTION Z Date of test -93 S(J�n rrn r7) N D Static water levet 3 rn < o Well flow Z'S7 g.p.m. 9•P•m• 1PCT7N = Pump levell 00 O m SEPARATION DISTANCES FROM WELL TO: Z Septic/holding tank on lot 144 ; On adjacent lots / 4 0 Absorption field on lot 10-3 ; On adjacent lots / -to + Public sewer main N/A Public sewer manhole/cleanout /VIA Sewer service line N/A Petroleum tank N�a WATER SAMPLE RESULTS: Coliform —0,Nitrate t Other bacteria Date of sample: u- zz--9 a/ Collected by: T c 42 B. SEPTIC/HOLDING TANK DATA Date installed G- 4 - 93 Tank size /500 GAL Compartments 2 Cleanouts (Y/N) `/ AIA cleanout (Y/N) Y Depression (Y/N) �a High water alarm (Y/N) `mac A Alarm tested (Y/N) A,; (dam Date of pumping %E:� W Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 144 On adjacent lots 16 3 Foundation 74 / To property line 7 Absorption field 14 Water main/service line J/f0 Surface water/drainage N( 72-o2s(ai)•Front CONTINUED ON BACK PAGE C. LIFT STATION N /A Date installed �./ �A Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Manhole/Access (Y/N) "Pump off" Level at Cycles tested On adjacent lots Surface water Date installed 6- 16 Soil rating (GPD/Ft2) c PD ASF System type Length 63 / Width 1-7Gravel thickness Total absorption area i07/ TR.Fr. Cleanout present (Y/N) -_ v Total depth Depression over field (Y/N) / Date of adequacy test N 9EW Results (pass/fail) sz, for I_s-- Bedrooms Water level in absorption field before test — o After test Peroxide treatment (past 12 months) (Y/N) A,00 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 103 On adjacent lots I77 ' + Property line C., To building foundation 17 ' To existing or abandoned system on lot N /A Cur v$RNY- On adjacent lots Ion' t Cutbank 70' kU,4 e r l EGD Water main/service line so Surface water N /A Driveway, parking/vehicle storage area 4' FRoM D2Wewa1 NO PART Or SYrrCel Curtain drain rl / A vNof-,2 ORtVi way E. ENGINEER'S CERTIFICATION I certify that / have checked, verified, or conformed to all MOA and HAA guidelines in effect on,W this inspection. Signature_°•^.•°`• •° Engineer's Name s A.) 0,4J 0� "-. % Steven R. ' R Pannone 6. CE . 8149 Date+4tFFp u'• ^"`�`�g �WL f)?aFfSS0" HAA Fee $ 6 CO `CO Date of Payment Receipt Number ° Z r� ✓�� 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number RECEIVED NORTHERN TESTING LA13ORA T.'INC. f+Jlunic;ipality of Anchorage - 0 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 Dep.. Heal;Ght $d$rb ABf riVA 6-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 00 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Mike Titus/Mike Anderson Public Water System I.D.# 14250 Goldenview Anchorage, Ak 99516 Date Received: 05/06/94 Time Received: �47' ` �`�Q / Date Analyzed: 05/06/94 Time Analyzed: 17:00 <1 Date Reported: 05/09/94 Time Reported: 10:49 Next Sample Due: Comments: S = Satisfactory U = Unsatisfactory POS = Positive Test Result ND = None Detected Collected by: MA TNTC = Too Numerous To Count (>200 Colonies) Sample Type: CG = Confluent Growth Routine HSM = Heavy Sediment Masking, Results May Not Be Reliable SA = Sample Age >30 Hours But <48 Hours, Method of Analysis: Results May Not Be Reliable Membrane Filtration Old = Sample Age >48 Hours, Too Old For Analysis Comments: R = Resample Required NT = No Test * # Colonies/100 ml ** # Colonies/ml Sample Sample Total* Fecal* Other* HPC** Location Date Time Lab# Coliform Coliform Bacteria Result Comments ----------------------------------------------------------------------------------------------- 1 Outside Spigot 05/06/94 09:45 AB4086 ND ND ND NT S NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Dave Titus Public Water System I.D.# 14307 Golden View Dr. Anchorage, AK 99516 Date Received: 04/22/94 Time Received: Date Analyzed: 04/22/94 Time Analyzed: 18:00 Date Reported: 04/27/94 Time Reported: 11:55 Next Sample Due: Collected by: DT Sample Type: Routine Method of Analysis: MMO-MUG (Colilert) Comments: Comments: S = Satisfactory U = Unsatisfactory POS = Positive Test Result ND = None Detected TNTC = Too Numerous To Count (>200 Colonies) CG = Confluent Growth HSM = Heavy Sediment Masking, Results May Not Be Reliable SA = Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable Old = Sample Age >48 Hours, Too Old For Analysis R = Resample Required NT = No Test * # Colonies/100 ml ** # Colonies/ml Sample Sample Total* Fecal* Other* HPC** Location Date Time Lab# Coliform Coliform B a Result Comments --------------------------------------------------------------- 7-Y7,_ �- ------------------ 1 Bathroom sink 04/22/94 14:30 AB4058 ND ND NT S '.i o s NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 Dave Titus 14307 Golden View Dr. Anchorage Attn: - Our Lab #: A130471 Location/Project: 14307 Golden View Dr. Your Sample ID: - Sample Matrix: Water Comments: Steve Pannone, Engineer Lab Report Date: 04/28/94 Date Arrived: 04/27/94 Date Sampled: 04/25/94 Time Sampled: - Collected By: D Toomey * Definitions * B = Below Regulatory Min. H = Above Regulatory Max. E = Estimated Value M = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Number Method Parameter Units Result ----------------------------------------------------------------------- A130471 EPA 353.3 Nitrate -N mg/l <MDL Reported By: Anthon . Lange Chemistry Supervisor Date Date MDL Prepared Analyzed ----------------------- 0.10 04/27/94