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Home My WebLink AboutWILLIAMSON BLK 1 LT 6Williamson Block 1 Lot 6 #015-073-11 .w GREA,dR ANCHORAGE AREA BORILiGH 1\' Department of Environmental Quality ' Ji n C Street Anchorage, Alaska 99503 l INSPECTION REPORT ON-SITE SEWAGE: DISPOSAL SYSTEM NAME MAILING ADDRESS (/ jjj r LOCATION S % _ _ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE _�,��'��{�^, NUMBER OF FROM WELL ! I�NUFACTURER MATERIAL___. -__--_-_-_.-__-COMPARTMENTS INSIDE LENGTH--- INSIDE WIDTH_._ ____ LIQUID DEPTH __LIQUID CAPACITY___ GALLONS. TILE DRAIN FIELD: TOTAL LENGTH C DISTANCE FROM WELL LH -J% r FOUNDATION )D / NEAREST LOT LINE 01O �. OF LINES Z7J NUMBER OF LINES __L- DISTANCE BETWEEN LINES ___L TRENCH WIDTH�P IN. TOTAL EFFECTIVE ABSORPTION AREA V 1L5 SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER �� f E DEPTH: TOP OF TILE TO FINISH GRADE _5_ MATERIAL BENEATH rILE___-_-"N. ABOVE TILE ' _IN. WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION__-, LOT LINE CESSPOOL APPROVED __-. DISTANCES: OTHER SOURCES DISAPPROVED INSTALLED BY: H"& 4��Ve_ SEWER LINE DEPTH: -. PIPE MATERIAL:.---- LOT ATERIAL: LOT SLOPE: REMARKS:,�CAC Form EQ -032 DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER 1_INE--, TANK_--, SYSTEM_ REMARKS 5 DIAGRAM OF SYSTEM �/o o S Z' DATEi 1y APPROVED GREQ ':R ANCHORAGE AREA BOR` IGH Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM__ NAME 000 R)4CrSC'�Il p _ MAILING ADDRESS r d� U,'.£fL kt)i �J. H ONE LOCATION 136kel(, /6r LEGAL DESCRIPTION /Or 6 80C wdzdmis SEPTIC TANK: �(s Srsm 7Zvw/ 7vrs 0barb r rlrX 5' e.s[ct DISTANCE / NUMBER OF 1 FROM WELL.60 `f MANUFACTURER JS _2a&(' W.Vq. MATERIAL 00300-cTr'. COMPARTMENTS -L INSIDE LENGTH- � ff — INSIDE WIDTH 4f _LIQUID DEPTH/ LIQUID CAPACITY /JL'r) `1?66 -_GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER -OR WIDTH LENGTH, DEPTH--!i- LINING MATERIAL h4e&=l CRIB SIZE: DIAMETER19XV DEPTH _i�_ DISTANCE FROM: WELL A" //� TOTAL EFFECTIVE q BUILDING FOUNDATION `/= NEAREST LOT LINE 19 ABSORPTION AREA (WALL AREA)%L—SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE LDIVinWL —CONSTRUCTION IZCQSr__DEPTH_/4p� --DISTANCE FROM: SEPTI FOUNDATION LUILDING/f , LOT LINEM '-, SEWERNEARESTS-LINE_y TANK -C - -Sd J , SYSTEMS lee) CESSPOOL _U& OTHER SOURCES /ULD/le &IVO�vAI APPROVED- ✓_DISAPPROVED— REMAR DISTANCES INSTALLED BY: -M&, �S60&kI PIPE MATERIAL: r,I/ ow "/ I� LOT SLOPE: REMARKS: &,( ed Ln 2, %OiP2_r WeGUtawq,, a' ..�k�firin.' raver .- AIT Form PW -026 DIAGRAM OF SYSTEM t /q -acpa��n;r , ,x � ..'3cptio IAnu� UC(t pi-oo 110m, WLIL DATE 6d_ 3. /l/2_ APPROVED G.A.A.B. I Kilt: !A 441 1 1 , I lik, I IIYJ ; I I I iN '111' , I 1- 1-1 I't 1.1:1 NiJ I Mi I: Ihii 111 I , 11 11 - I I -1 I I :' ill:: 1 1 , I,., I I I (I -j': , , f I I L. 1 ' 1 1 1 1 1 J I :f P: , , I 1 i= I io ' . 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II It It,! w:: 1 :1 li,'f it i'l, GREA I ER ANCHORAGE AREA BORVUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT LO�L/ / L to INSTALLATION LOCATION �/ LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE PIT JL— _ TO BE INSTALLED BY 1ANA@EWCNgs] PERMIT NO PHONE OTHER 2180 NOTE. THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. 13ACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE MINIMUM D15TANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT "� DRAIN FIELD _ SEEPAGE AREA SIZE TYPE SEPTIC TANK TO SEEPAGE PIT WALL f — ?L, � —. SEPTIC TANK ! SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. r WELL TO SEPTIC TANK .'��i .SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK — / SEEPAGE PIT _ le' % DRAIN FIELD SEPTIC TANK, TO RIVER, LAKE, STREAM. SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE/%- DATE J��'/ �� APPLICANT'S SIGNATURE I LP pEll A"IM1.NL 1-' 1: !=;'1VIRCNt'r .;,� I 'JI 1,x_11 CP,S. ! 3500 TUDOR ROicD ANCHORAGE, ALASKA 99502 Performed For�(ili _Jc,,t<+C,:Q_— Date Perforinc,d _371]4,-1972 L e a a 1 Description: Loth- _Block _Subdivision Will amson-._________.-___ —_ This Form Renorts Soils I_oq XXPercolation Test Oenth Feet 3 rim to A Pxkf 5 — 6 — 7 — R _CD 9 -- 1 0 --- Soil Characteristics The sed-imentr; had, a moderate amount of cobble and pebble with erratic bodies of sand.. The Gm to Gw- Gm contact was gradational with no sharp division between the two typ of soil. slap�esii --, Was Ground Water Encountered? -_-No. s� �� I -' i If Yes, At what Denth? - -- a —J-� Readina� Date Grnss Time Net 1-i me Denth to 1120 We't Drnn; i -A- - - - - - -- - - - Percolation Rate ut2 Pronosed Installation: t: XX. Depth of Inlet 2- feet_ Death To [3o,tit 0 TrenchI-4--f eet Cr' ENTS: ---�--feet C,m to_Gw at _x.5:5 s-Ii-_f_t/�1�d.rczom; ___------- _feet Gm ai 2?..5 .s_q_ ft/bdrm;_--- average•- 190 sq ftZlArm -------------- ------ Test Performed Ily Pereco Pa .a e h,: ✓. (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number:�f5'I775 , l( Legal Description Property Owner Name & Address: ln? t It &ra S 01A GA's( Cam Pump Installation Date: /7_6// Pump Intake Depth Below Top of WellCasing: /44'(%feet Pump Manufacturer's Name: Ae &Lr -n– 74— Pump Model: 4�5 1 Z Pump Size / � hp Pitless Adapter Burial Depth: /V feet IPitless Adapter Manufacturer's Name:LVL�— Pitless Adapter Installer: /TA Well Disinfected Upon Completion? MYes ❑ No Method of Disinfection: rr��l� Comments: Pump Installer Name: ANCHORAGE WELL & PUMP SERV. 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AW PS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Development Services Department Building Safety Division On -Site Water & Wastewater Program ASG $U 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www muni.orglonsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number:�f5'I775 , l( Legal Description Property Owner Name & Address: ln? t It &ra S 01A GA's( Cam Pump Installation Date: /7_6// Pump Intake Depth Below Top of WellCasing: /44'(%feet Pump Manufacturer's Name: Ae &Lr -n– 74— Pump Model: 4�5 1 Z Pump Size / � hp Pitless Adapter Burial Depth: /V feet IPitless Adapter Manufacturer's Name:LVL�— Pitless Adapter Installer: /TA Well Disinfected Upon Completion? MYes ❑ No Method of Disinfection: rr��l� Comments: Pump Installer Name: ANCHORAGE WELL & PUMP SERV. 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AW PS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department Phone:907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-073-11 1. GENERAL INFORMATION Expiration Date: Complete legal description Williamson B1 L6 Location (site address) 5211 E 98TH Ave Anchorage, AK 99503 Current property owner(s) Cody & Sara Carpenter Day phone Mailing address Same Real estate agent Day phone 2. TYPE OF DWELLING: / E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic. 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer . ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ $�/�/ Waiver Fee $ Date of Payment Date of Payment Receipt Number X20162 Receipt Number COSA# 65C19196 3 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD /^SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 745-8200 Date I t?61`72_2�__ Conditional approval for bedrooms, with the following stipulations: By: �C Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Williamson 131 L6 If more than 1 septic system on lot: COSA Checklist # 1 of I A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1978 Total depth uk ft Cased to uk ft Q Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 712/2019 Static water level at beginning of test 74.4 ft Comments B. TANK DATA Age of tank(s) 47 years Tank type/material Measured operating fluid level in septic tank ❑I Standpipes/foundation cleanout per record drawing 2 i Date of pumping -7 _r �[ D. ABSORPTION FIELD DATA Crib/ Deep Trench Which system tested (date installed) 19721197 ❑® ALL standpipes present per record drawing Total measured depth from grade 111111-12 ft (max) Measured depth to pipe invert from grade 5.3 ft (min) ❑ N/A — pressurized field ❑_ Monitor tubes go to bottom of effective. If not, state depth into effective ®❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 750 gallons Comments/Deficiencies: COSA Checklist yellow sheet Parce I I D: 015-073-11 Structure served by this system 1 Well production at time of test 3.80 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑✓ No X Coliform bacteria is Negative Nitrate mg/L ❑M Nitrate less than MRL (ND) Arsenic ug/L M Arsenic less than MRL (ND) Collected by PES Date of Sample 07/18119 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: ** 10" +/- below top of tank Adequacy test date 7/212019 Results JDPass For 5 bedrooms Fluid depth prior to test 56/0 in Water added 750 gal New depth 62/0 in Elapsed time 200 min Final fluid depth 61/0 in Absorption rate >750 gpd Any rejuvenation treatment (past 12 months) Yes If yes, enter date 6/27/19 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) 0 Yes Septic Tank/Lift Station on Lot > 100' 75 Surface Water > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft 71 Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' Il Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Community Wells > 200' ❑✓ Yes if No ft Animal Containment > 50' ✓❑ Yes if No ft El Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 121 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' ❑ Yes if No ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' ❑ Yes if No 96 ft Water Main > 10' ✓❑ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' ED 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 7 ft Wells on Adjacent Lots: Water Main > 10' ❑✓ Yes if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10' Fv-'] Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' ❑✓ Yes if No ft F. ENGINEER'S COMMENTS Waivers on file for all separation distances which were not met. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Q 4 -2-5 COSA Checklist yellow sheet OF A�,4kkk \49 D I =' Municipality of Anchorage • Development Services Department \ Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 t ) Anchorage, AK 99519.6650 www.muni.orglonsite (907) 343-7904 C/t CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. bis COSA# bi�D!A?jg 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address WILLIAMSON S/D: BLOCK 1. LOT 6 5211 E.98TH AVE ' ANCHORAGE. AK • 99503 NORMA JOHNSON Day phone 5211 E.98TH AVE r ANCHORAGE. AK • 99503 Day phone DONNA ORR W/ REMAX PROPERTIES Day phone 240-7493 110 W. 38TH AVE, #100 • ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site E Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. I Phone Address 3701 E. TUDOR ROAD, SUITE 101 IS ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. 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 lost, and separation distances measured to readily Idontiflablo features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory lost results do not guarantee future performance of the system, nor do they guarantee that there aro no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confor any legal right whatsoever. 5. DSD SIGNATURE Approved for L+ bedrooms. Disapproved. 337-6179 Date %Z• VII o $ 01�••• � �ryS"�0 rr :� �•� e ......... ... ss,: E-7953 A. �D �oa 0 edprotesslo°oo .0 , , o IIII,,,.. Conditional approval for bedrooms, with the Blowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Othpr By: , tf JR.. ISMS) ON-SITE WATER AND •: WASTEWATER PROGRAM Original Certificate Date: a 6 - O 9 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: WILLIAMSON; BLOCK 1, LOT 6 Parcel ID: 0%.r D73 - I I A. WELL DATA "BASED ON SURROUNDING WELL LOGS. COPIES OF WELL LOGS ATTACHED. "PER 1972 ON—SITE INSPECTION REPORT. Well type PRNATE If A, B, or C provide PWSIDA N/A Well Log (YIN) "NO Date completed '"1972 Sanitary seal (YIN) YES Total depth ""140 ft. Cased to "40+ ft, FROM WELL LOG Date of test 8� Static water level Well production N g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 10/31/2008 69 ft. 5 g.p.m. Other bacteria 0 colonies/100 ml. Arsenic: ND ug./L. Date of sample: 10/31/2008 Collected by: GEG Ltd. B. SEPTICIHOLDING TANK DATA "DOUBLE CLEANOUTS INSTALLED BEFORE TANK Tank Type/Material CONCRETE Date installed 10/1972 Tank size 1200-1300 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) *NO Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 10/31/2008 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA "ELow EXISTING GRANDE Date installed 10/1972 & 9/1e77 Soil rating (g.p.d./ft'o /bdr 225 System type CRIB/TRENCH Length 8/25 ft. Width 8/3 ft. Gravel below pipe 720/450 Total depth"13/" 11.5ft. EH. absorption area -1170 ft' Monitoring tube YES Depression over field NO Date of adequacy test **10/31/200 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before lest30 in. Water added 620 gal. New depth 42 in. Elapsed Time: 1135 min. Final fluid depth 40 in. Absorption rate >= 600+ g_p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - "TESTED 1977 TRENCH ONLY. D. LIFT STATION Date installed "Pump on" levet at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access "Pump off" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: *ACCEPTABLE PER 1972 CODES. Septic tank/lift station on lot '50'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots ••96' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '"71 Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS **SEE ATTACHED WAIVER REQUESTS AND LETTERS OF NON—OBJECTION. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date (llt{�oq COSA Fee S Date of Payment �/ 3 O /O Receipt Number e2 (o o (Rev. 11/05) r 00 _ Waiver Fee $ / 7J Date of Payment ) -- /3 0/0 Q Receipt Number 060,126 18 va o ut �w w �a wu ,9B'b6 a 3e6 I,GSe l E N w U ii I I I I I I I I it do �aMawra AYILL/, PI : _ _ ,BS bG Me6E,L E ° Z O.. L J to • `� � � (�4 tO, oC Almicipality of Anchorage �,�( R✓�1 4; t CO. Ra 1 W50) • Anchorngc..U^6 167,19-66N) • 47(X) hhnorc Mm"I ( lnioc: (!X)7) a4A-Ki111 - 1`n<: eX17) 34:1 NL9Xl liffid/mim.n unl org 1/ntt Clamnn, I evclopnienl Services Depnrintent Acting ,1/agor February 18, 2009 Norma Johnson 5211 East 981h Avenue Anchorage, Alaska 99503 Dear Property Owner: RE: Encroachment: Septic Pipe Williamson, Block 1, Lot 6, Grid SW2437, 5211 East 98'h Avenue Q N,ENT v �"J L DEPARTMENT The Right of Way Division has reviewed a request for a letter of nonobjection to an existing septic pipe, which encroaches approximately 3.0 feet into and 5.0 feet underground in the 10.0 foot Utility Easement, for a distance of approximately 7.0 feet. On the site plane prepared by Gamess Engineering Group, Ltd, dated November 6, 2008, submitted with the request, the petitioner has shown the trench cleanout and pipe. This letter of nonobjection is issued with stipulations, and by using it the petitioner is agreeing to the following: 1. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3. This letter of nonobjection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the easement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Letters of nonobjection have been obtained from the following utilities: ® Anchorage Water & Wastewater Utility ® Alaska Communications Systems ® Chugach Electric Association, Inc. ❑ Matanuska Telephone Association ❑ Matanuska Electric Association, Inc. ® Enstar Natural Gas Company ❑ Municipal Light & Power ® GCI Cable of Alaska ❑ Eyecom (Girdwood Cable TV) ❑ • No letters required All letters of nonobjection should be retained in your permanent files. If you have any questions, please call meat 343-8033. Sincerely, ack L. rrost, ]r. Right of Way Supervisor Concur Property Owner(s) Community, Security, Prosperity G:IOrvfopnrnr SrrvinrlRON h'onobjMion lrtMrl N ifhnwuon, B/k 1. lof 6, Johmon doe Municipality of Anchorage r. �* P.O. Box 196650 0 4700 Elmore Road Anchorage Alaska 99519-6650 •(907)343-7904 • Fax(907)343-7997 htta:llwww. m un I.OralO nsite Development Services Department On -Site Water and Wastewater Program Ment n Department **** VARIANCE/WAIVER REVIEW **** WR#: 040042 HAM 080435 Permit#: _ PID#: 015-073-10 Legal Description: Williamson, Block 1 Lot 5 Engineer. GEG Your request for an amendment of waiver WRO40042 to include a waiver of the required 100 feet horizontal separation from the septic tank on lot 6 to the private well on lot 5 has been approved. The approved separation distance is 96.0 feet. This waiver was approved based on conditions being similar to the 2004 waiver request for the absorption field on lot 6 to the same well. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: 2/26/2009 Approved by: Deb Wockenfuss Name of Reviewer ......................................................... .......... ......one..@ Rec#: NIA, Amount: _ Date Paid: **** VARIANCE/WAIVER REVIEW **** GARN E SS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS , December 29, 2008 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Request for Waiver Amendment (#WR040042) from the Well on Williamson SID, Block 1, Lot 5 to Septic Tank on Williamson S/D; Block 1, Lot 6: During our site investigation work to obtain a COSA for Lot 6, we discovered that the septic tank on the subject property is only 96 feet away from the well on Lot 5. We request you amend #WR040042 to approve a 96 foot separation distance from the septic tank on Lot 6 to the well on Lot 5. The following items are justification for the waiver: • Water samples pulled on 8/10/2005 & 8/24/2005 for Williamson, Block 1, Lot 5 indicate nitrate levels of 0.100mg/L and no bacteria. • The location of the neighboring well is in a very visible area so that if any effluent was to subsurface, it would be noticed. • We are asking for a variance of only 4%. • The existing encroachment has existed for almost 25 years. The well that serves the neighboring property was drilled January 12, 1984, and the septic tank that serves referenced lot, was installed in October of 1972. • Attached are well logs from surrounding properties. Based upon the aforementioned facts, it appears that there is minimal risk associated with the 96 foot separation dist cc waiver. If you have A q cstions, please contact us at 337-6179. Thank you for your assistance. .E., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246 0 Website: www.gamessengitiecring.com /---------- , , / / WILLOCK1, , / BLOT S 1977 TRENCH / I - — — — — 1. CLEANOUT / CRIB I fV'KtfAMSON. BLOT 8. \•.: / s SEPTIC TANK WELL RADIUS � 1 Q GARNESS ENGINE=ERING GROUP, Ltd. p*'.) -- - CONSULTANTS d GENERAL CONTRACTORS Ml L TM1C11 11010. f1A[ 101 FM (e0r)S =" .ASML ew.,�Yyw1 PREPARED FOR: PHONE NUTA6ER: PAGE NUMBER: DONNA ORR (AGENT) 907-240-7493 1 OF 1 Al LEGAL DESCRIPTION: WILLIAMSON TYPE OF WORK: SITE PLAN (Rev. O1N5) BLOCK 1. LOT 6 A.J.C. 1 / / / / Op �OQ� F �gs�o0i ' i OTOE53•• CE ,795P •2q.R$«,od4 GARN E S S December 29, 2008 ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS Municipality of Anchorage Development Service Department Building Safety Division On -Site Nater R. Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Williamson Subdivision; Lot 6, Block 1, To whom it may concern: We request that your department issue a 7 -foot lot line waiver from the west property line to the existing drainfield. The separation distance between the drainfield on the referenced property and the drainfield on the property to the northwest (Williamson 1, Block I, Lot 9A) is 10 feet or twice the effective whichever is greater. 1 am unaware of any adverse impacts this waiver would have on adjacen wells or septic systems. if you have any questions, please contact us at 337- 6179. Thank yt�for your assistance. Jeffs )Mamesj, P.E., M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: www.gamcssengincering.coni 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 Waiver Review Worksheet WR#:90 0001 PID#:015-073-11 HA#: 80 0435 Permit#: Date Received: 12130108 Legal Description: Williamson Block 1 Lot 6 Engineer: Jeffrey A. Garness 3701E Tudor Road Suite 101 • Anchorage. Ak. 99507 Applicant: Norma Johnston Waiver Requested: 7 foot separation distance absorption field to property line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ..bases..... seem.. ..................................................... Waiver Is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: — Cl By: ............. age... some... oess... wasse. ..:: Rec#: 060126 Amount: $175.00 Date Paid:211 30108 ..season ... @seen ... . ease .... 0 w i Mai/or Mark Bef ich 1/5/2009 Municipality of Anchorage l:U. lAn 1lNigiR) - Anclmrage..11aam !XA M-Qp 511.471X1 I'lnwrc Rued 0I14 -c: l!M17):W-M()I • lin: 1!X!7)343- 4X) hup://u�ncnnmLor� I)evelopment Services Dcptu•tmcnt Jeff Gamess Gamess Engineering Group, Ltd. Subject: Waiver Request for Williamson Block 1 Lot 6 Waiver Request #WR090001 Parcel ID #015-073-11 HAA# 080435 Dear Engineer, n�Cal y.. Department Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 7.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there arc any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, /^ / Jeffrey W. Poet Civil Engineer On -Site Water & Wastewater Program Conlnlunhy, Security, Prosperity Municipality of Anchorage Anchorage Water & Wastewater Utility Engineering Division http://w w•Aa .biz 3000 Arctic Bmlcverd• Anchorage, Alaska 99503-3898 • Fax (907) 362-0824 Mayor Mark Begich November 19, 2008 Norma Johnson 5211 E. 98th Avenue Anchorage, AK 99503 Re: WILLIAMSON BLK 1 LT 6(Grid SW2437) Request for Letter of Non -objection to Encroachment The Anchorage Water & Wastewater Utility received a request from your representative Garness Engineering Group on November 7, 2008 In regards to an existing septic system encroaching Into the utility easement running north to south along the west property line of WILLIAMSON BLK 1 LT 6. AWWU is currently not using this easement, and has no objection to the encroachment. AWWU hereby issues this letter with stipulations to allow the encroachment of an existing septic system, and by using the easement the property owner(s) agrees to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachment; 2. All applicable codes and regulations will be observed and maintained within the easement; 3. This letter will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the easement; 4. The property owner shall pay any additional and/or extraordinary costs incurred to accommodate the encroachment during any future required construction or reconstruction of AWWU facilities; 5. AWWU's non -objection does not imply other approvals that may be required for this encroachment; and, 6. AWWU does not provide a position for any other parcel or utility Impacted by the encroachment. Should you have any questions, please call the AWWU Planning Section at 564-2739. Sincerely, Paul Hatcher Engineering Technician CHUWa= POWERING atarxa r FUTURE November 13, 2008 Garness Engineering Group, Ltd. 3701 East Tudor Road, Suite 101 Anchorage, Alaska 99507 Attention: Jeffrey Gamess, P.E., M.S., President Subject: Encroachment Permit Request for a Septic System Lot 6, Block 1, Williamson Subdivision Grid 2437,1203-15A, EN08055 Dear Mr. Gamess: Chugach has received your request for an Encroachment Permit for a septic system on the above referenced property. Your request is being reviewed by Chugach's Distribution Services Department. I anticipate having a response to you within the next ten (10) working days. This time frame is tentative and may be extended if additional review is required. If you have any questions, please call me at 762-4738. Sincerely, Chuck Couts, SR'VVA Right -of -Way Agent II cc: (via: E -Mail) Jarrett Boling, Supervising Engineer, Distribution Design (via: E -Mail) Mike Tullius, Manager, Distribution Design Chugach Elecl6c Associalion, Inc 5601 F;eceon 0,,�e. PO So, 196300 A�cho.cge. Ala!ka 995 1 9 6300 • 100 71 56 3 74 94 Fo. !9,171 5620027 • 1803! 473'7494 .1..1� chvgocheleurrc com • . odchv_qacnelec1,,c com F.20M`:GCI Cable FAX N0. :8585384 Nov. 12 2003 03:05PM P2 November 11, 2008 Norma Johnson 5211 E. 98th Avenue Anchorage, Alaska 99507 Dear Ms. Johnson, Subject to your agreement to indemnify the company at set forth below, GCl Cable Inc. of Alaska has no objection to the septic pipe located 7 feet underground that encroaches three feet into the utility casement that parallels the west property line in Lot 6, block 1, Williamson Subdivision, otherwise known as, (5211 E. 98th Avenue) city grid 2437. 1321s letter of non -objection in no way precludes GCI Cable from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. 13y signing below, you agree to indemnify and hold GCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of theAncroachmcnt. Please indicate your acceptance by sigming andfc(urnin this, et j r to myself at the address below. �� II 11 Sincerely, David Brown MDU Specialist 5151 Fairbanks St Anchorage AK 99503 907-868-6950 Office 907-868-8580 Fax r Date GjAF-cf-t-- C t -h r<� r— r -n SENT 6_': ENSTAR AM; 907 334 7798; i December 2, 2008 Norma Johnson C/O Garness Engineering group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Grid: 2437 Re: Letter of Non -Objection To whom it may concern: DEC -2-08 6:48PM; PAGE 2/2 ENSTAR Natural Gas Company A DIVISION OF SEMCO I3NL•RGY Engineering Department 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907) 334-7753 ENSTAR Natural Gas Company has no objection to a well and septic encroachment into the Ten Feet (10 ft) wide easement situated adjacent to and coincident with the west boundary line of Lot 6, Block 1, Williamson Subdivision, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of nonobjection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: • landowner/Contractor working near INSTAR gas facilities $hall contact the Alaska Digline, loc., (907) 278-3121, for line locating two (2) business days prior to any related excavation. • ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by ENSTAR for special construction necessitated by this encroachment coil) be borne by the land owner. • All applicable safety code regulations will be observed and maintained. • This letter of non -objection will in no way preclude ENSTAR from full use and enjoyment of its rights aithin any portion of its right -of --way. Sincerely, /� `/�� 4�" -'4/ Andrew Fraiser Right -of -Way Assistant ENSTAR Natural Gas Company cc: File GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality "C" Street, Anchorage, Alaska 99503 274-4561 Date Received f �) Time of Inspection Date of Inspection c�c�,_, n nnt, REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: Phone: 2. Property Owner: �i��a IJ nn e �c13]C� r� Phone: Mailing Address: 3. Legal Description: - �•Ilia 4. Location: '; a l lPoc—C�Q� f. a _- d c� 5. Type of facility to be inspected �,,- �" Q ar No. of bedrooms 6. Well Data: A. Type , , a , n Q B. Depth _— uC�,— C. Construction ,�D. Bacterial Analysis 7. Sewage Disposal System: C)u-n.k �A 61k 0, 6-c', A. Installed iq qae B. Installer �)-�CXCC -0. -- %ter �C_,U.�51 t�usP�c� iu.� cel �s.�,u r,�..�.gS�¢_✓t.. C. Septic Tank: 1. Size La3L .� 2. Manufacturer 3 D. Seepage Pit: 1. Absorption Area gyp' 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank _--- , Absorption area Sewer Linesy Nearest lot line � I-)' Other contamination — —� B. Foundation to septic tank _—_, Absorption area -----� C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Re est for Approval of Individual ier & Water Facilities Legal Description �{)a I , r v,QALis Approved Disapproved Date Approval Valid for one year from date sig ied Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information containea in in is reyuesc rur' dPPrwai UU Ut: a WUC a1,. accurate representation of the subject sewer and water 'Facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date 2. Property Owner:1�Uj>�tMailing i n g Address: P h o nej K5 r� 3. Name of Buyer: Mailing Address:�pOd1- Day Phone 33--Ue. 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description:,��'W J _O_d& Location: ��s ,. Q T h i�C-X S i x '�t QiJ, 7. T Type Yp of Facilit Y A4UiMCiPALIIY OF ANCHORAGE 8. Water Supply DUAR"l X HIT OF HFALTH & O(,54D GREATER ANCHORAGE ARL/, BOROUGHeNvirorrieuva PzoTFcnoN Department of Environmental QualityQ3330 C St., Anchorage, Alaska 99503 - 274-4q0'2` RECEIV _D REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV. 2. Property Owner:1�Uj>�tMailing i n g Address: P h o nej K5 r� 3. Name of Buyer: Mailing Address:�pOd1- Day Phone 33--Ue. 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description:,��'W J _O_d& Location: ��s ,. Q T h i�C-X S i x '�t QiJ, 7. T Type Yp of Facilit Y to be inected: KArU� W;Th p �Sl_ -6pnew r_No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual ) If Individual, number of dwellings presently served If Individual, depth of well /!� 6 9. Sewage Disposal System Type.oF System: Public Utility Individual (on-site) If Individual, date of installation A r ;Diapiwia9€lnt of Ile alth and 2510 East Tudor Road Nnehoraaao, Alaska 99597 271-4531 4.1 VQi'l`ara;aj'T 451 19/6 - Alaska Natinnal n ank of dao North 3901 Seward UqUway Az chorsago# Alaska '99!X.,13 Subjnott Lot: a hlook I William= Gubdiviniwl Poor Sirt Mhis de partmeat would approvn the suh jest. rUSS+*000 Ror foot (44) bedrooms U fia,0g; are c^ncxsawd to mnlar, „ael oewer nbssorption area. ;s porait mid Imannotion in rxsfW04 for thin e~;>sta#.ruat±ion. If you have any further quesstionss, ;; to aso contact this v`sfS`iema at 278--4531, oxtoa cion 15, piYU'ez'_ ky e