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Home My WebLink AboutGLENN VIEW ESTATES NORTH BLK 3 LT 2Glenn View Estates North Block 3 Lot 2 #051-811-56 Municipality of Anchorage Development Services Department Building Safety Division; i On -Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW030053 PID Number. 051-811-56 Name: Wastewater System: ■ New ❑ Upgrade KENNY SCHRAMKO Address: P.O. BOX 772931 a EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 252-4245 4 ODeep Trench ■Shallow Trench OBad OMound OptMr LEGAL DESCRIPTION =ow l 1.2 WD/54. R Tdd o.pa bam 5 6 R Block Lot. Subdivision: V l Depth to pipe ledtern been Original grade D'a'd depth beneath 0": 3.08 3 2 GLE NORTH 1.92-2.92 R R Township: Range: Section: — red added - - "lrwt grade: Draw Iwrptn: 60 — — SEE DWG. R R cmwwh.. NurMer a•snew Dwtore W. ire WELL: ❑ New [3 Upgrade 5.0 Ft, 1 — R eloedlwaub fthatw &S c :Total p Daeed ie Total aaeeeptim area: 517+ ske matedah D 3034/ F-810 R R so.R Dr . Dab Dr P store order Lewd: artolle: GREEN GENERAL ' e'da ' 5 24-26/2003 R "d p" p ad A< ceelm me°gm Baer, areear: TANK CPU R R• SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. 0Other To Septic Tank Absorption Field Lift Station Holding Tank /pont° s...r once eewfach�` ANCHORAGE TANK Dapaab ° 1250 F om a aanwenmw M Well 200'+ 200'+ — — 25'+ STEEL 2 Surface Water 100'+ 100'+ — — — LIFT STATION sw in goNww Monvfw sea Lot Une 5'+ •10+ — — — Tune an law at: ah Nips sat« abrin as Foundation 5'+ 10'+ — — — ►wnp Mole aecatool lrrpectlorr perlomW eY• Curtain Drain NO KNOW BENCH MARK Remarks: 'WAIVER GRANTED WR030019 taedbn err Deewlptb BOTTOM OF SEPTIC TANK damned EMrdbn: B 94 R ENWNEEIre SEA 0604 4 ' o *�..... I .. y°.0 Inspections performed by: AKWWC, INC. Dates: 1st 5/24/2003 ....... 2nd 5/26/2003 3rd 5/26/2003 ff am s.- O y Q Development Serv'ces Department Approval CE 79 dpi �� .. �e Date: J �Op°proreaalo�°oma Reviewed and approved by: �40000�� (14w. ft/01) W POMRNUMBER: SW030053 AS -BUILT DRAWING SW0 GRINDER PUMP INSTALLED INSIDE W NEW GRAINFIELD F A -f e I STI 47.01 14.13 ST2 44.56 22.16 DBL1 44.14 25.57 DBL2 43.99 26.98 C01 60.62 60.82 WTI 58.53 59.17 CO2 63.98 12.34 MT2 67.16 16.39 \I 4 H�EOpA N I •r 11 1 IST ` DB 1 1 rn 1 1I EW 1250 GALLON SEPTI: TANK I APPROXIMATE LOCATION / OF WATER NE / AKWWC./INC. ALTERNATE SITE WILL REQUIRE THE USE OF AN ADVANCED TECHNOLOGY SYSTEM. / �;. Li• APPROXIMATE LOCATION • r� OF KEY BOX PARCEL ID NUMBER: 051-811-56 L�0 2 �y O� I � I I I I I i ALASKA WATER & WASTEWATER SCALE.'C.J.G. CONSULTANTS, INC. 1" = 40' 1701 F TUDOR ROAD. SUITF 101 • ANf NORAGF. AK 00501 • FNONF (007U37d170 • FAX (00])156-1X6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KENNY SCHRAMKO (907) 776-2073 2 OF 3 O '•, ffi a A. GD ess: LEGA. DESCRIPTION: Q��r C -7953GLE.FFG TYPE OF NVIEW NORTH SUBDIVISION; LOT 2, BLOCK 3, �4�D�dpro/saatoo°oo WOR .h AS -BUILT DRAWING OF NEW SEPTIC SYSTEM �pp0000� (LEvI S t-0 PERMIT NUMBER: AS -BUILT DRAWING PARCEL NUMBER: SW030053 051-811-56 INSULATION PER FINAL GRADE . 97.86 (AVG.) CONTRACTOR TOP OF TANK AT-\ TOP OF TANK AT INLET 94.86 OUTLET 94.88 TH#1 INVERT OF BUNG J AT INLET - 94.28 MON OF - 85.44 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE - 82.94 NEW 1250 GALLON SEPTIC TANK \-INVERT OF BUNG AT OUTLET - 94.17 FWAL GRADE 98.12 (AVC.) rRLTER FABRIC INVERT OF PIPE 94.02 (AVG.) -BOTTOM OF TRENCH - 90.94 (AVC.) 7/23/20[ -a�S+�a ) DRAWN BY: ALASKA WATER & WASTEWATER SCALE: C.J.G. CONSULTANTS INC.c 3701 E TMOR ROAO. SUITE 101 • ANGNORAGF. AK 99SO7 • FNONF ("?)357-6179 • FG% (907)338-3746 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER KENNY SHRAMKO (907) 776-2073 2 OF 3 LEGAL DESCRIPTION: GLEMVIEW NORTH SUBDIVISION; LOT 2. BLOCK 3. TYPE OF WORK: PROFILE AS—BUILT OF NEW SEPTIC SYSTEM X, 4 y0�� .. . ...... ......� it4 y G rn S:795 ;• MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number W03O01.j : enn V;tv Est.)ey Legal Description: North Block 3 Lot 2 Design Engineer: 0041 AK Water & Wastewater Consultan• Owner Name: Kenny Schramko Owner Address: P.O. Box 772931 Anchorage , AK 99577 - Date Issued: Mar 20, 2003 Expiration Date: Mar 19, 2004 Parcel ID: 051-811-56 Site Address: P.O. Box 772931 Lot Size: 45557 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: Fvj Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AACBO ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 1321/0.3 Date: i;'7o V Georgie 1. 111aerch. Mayor 3/20/2003 Anchorage iklunieipc,r t r of Anchorage All -America City Bttil(lincf Safety Division I� 2002 Jeff Gamess Alaska Water Waste Water Consultants Subject: Waiver Request for 1 ft Lot Line Waiver Request #WR030019 Parcel ID 4051-811-56 Dear Gayness: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 1.0 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 are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, rnineer e On -Site Water & Wastewater Program P.O. Box 106650 • Anchorage, Alaska 99510.6650 • TelLphone: (907) 343.8301 • Pax: (007) 343.8200 4700 South Bragaw Strcet • Anchorage, Alaska 99507 littl)://%%,%%-%v.ci.wicitorage.alt.us Municipality of Anchorage Development Services Department • �+ Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Boz 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: 030019 PID#: 051.811-58 HAM _ Date Received: 3118103 Legal Description: Glenview North Block 3 Lot 2 Engineer. Alaska Water Waste Water Consultants Applicant: Jeff Gayness Waiver Requested: 1 foot lot line waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Permit#: sw030053 Total: Points: ................................................... one@... mass .... ............4 Waiver is Granted: Waiver is not Granted., List Conditions or Reasons for above: f Date: -A-0103 By: I e of Reviewer ............ own ... .....................`..i1.I.......aaa...aaa a....a a.... mass... Rec#: Amount: $ 1901 Date,�aidJ 3/2012003 Municipality of Anchorage • ", Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION r Q FOR A SINGLE FAMILY DWELLING Parcel I.D. O7 — U I k — �) k' Permit Number SCJ 03 53 Property owner(s) KENNY SCHRAMKO Day phone 776-2073 Mailing • :•. :► s. Mailing address (2) Legal description (Section, Township & Range) N/A Zip Code 99577 Lot Size L45, SSa Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only 0 Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER do WASTEWATER CONSULTANTS, INC. 40o 4 I7Ow (Guf LJ v(N il . Permit Fees. arver Fees: Date of Payment:l Date of Payment: Receipt Number. 32630 Receipt Number: s ZtC ALASKA WATER E- WASTEWATER CONSULTANTS, INC. March 14, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic System for Lot 2, Block 3; Glenview North Subdivision To whom it may concern: The proposed 4 bedroom house is to be served by a community water system and a private septic system. A test hole was excavated on the property and the proposed drain}ield will be designed around the 30 foot radius of this test hole. We are proposing that a 1250 gallon septic tank and a 5 -wide type drainfield be installed. Also, per the homeowner's request, we are a proposing that a grinder pump be installed inside the foundation in order to avoid the installation of a lift station. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 1.2 gallons/day/112 should apply. 2. TRENCH DESIGN: a. Percolation Rate: 2 minutes/inch b. Proposed Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 500112 f. Total Depth: 6 feet (max.) g. Effective Depth: 3 h. Width: 5 feet i. Reduction Factor: 0.58 j. Minimum Length: 60 feet k Effective absorption area = 517112 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337.6179 0 Fax: (907) 338-3246' Website: akwwc.com 4. TOPOGRAPHY: The area around the proposed drainfield is relatively flat. There is a slope that ranges between 20-25 percent north of the proposed drainfield, but we do not anticipate any slope concerns regarding this. In short, there are no slope concerns. 5. LOT LINE WAIVER REQUEST: We request a 1 foot lot line request from the west lot line to the proposed drainfield. We are unaware of any adverse effects on the neighboring property with the granting of this waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, P.E., M.S. NOTE: A site plan drawing, a design drawing, a soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2D • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 0 Website: akwwc.com NOTE: ALL PROPERTIES WITHIN 200 FEET ARE SERVED BY PUBLIC WATER. \ \ NORT14WOODS S/D /2; LOT 15. BLOCK 1 SEPTC ARFo GLENVIEW NORTH S/D; LOT 1, BLOCK 3 C4C#�2 SITE 0 I GLENVIEW NORTH S/D; LOT 7, BLOCK 2 61f�� ALASKA WATER & WASTEWATER CONSULTANTS, INC. 4001 DFAAPP 00AD SURF )R • ANFWIIIAf F. AK 00504 • P ANF (007)351.41)0 • FAX (0015".3741 PREPARED FOR PHONE NUMBER: KENNY SCHRAMKO 776-2073 LEGAL DESCRIPTION: GLENVIEW NORTH SUBDIVISION: LOT 2, BLOCK 3 TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM 6th -PROPOSED BEDROOM HOUSE I \ GLENVIEW NORTH S/D; \ LOT 10. BLOCK 2 I 1 1 1 f GLENVIEW NORTH SID: / LOT 9, BLOCK 2 -PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 2). GLENVIEW NORTH S/D; LOT 8, BLOCK 2 , , i DRAWN BY: Z.T.G. SCALE: 1" = 100' PAGE NUMBER: 1 OF 2 C�01�2 6 C 7953 `�Cy \1 NOTE: WATER LINE MUST BE \ LOCATED 10'+ FEET FROM ANY PORTION OF THE SEPTIC SYSTEM. \ INSTALL GRINDER PUMP - 4 PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 6 DEEP MAXIMUM BY S FEET WIDE BY 60 FEET LONG. ADD 3 FEET OF CLEAN. WASHED rn 1 II 11 11 1 I I REQUEST A 1 FOO •l' LOT UNE WAIVER .:.. 0 ! >.• J L'. / ALASKA WATER & WASTEWATER CONSULTANTS. INC. 6001 DFGAGG GOAD. SiOTF IA • ANFMDGAO,f AK 00504 • F F (0011331-M10 • FAX (0011}3R -314A PREPARED FOR: PHONE NUMBER: KENNY SCHRAMKO 776-2073 :SGAL DESCRIPTION: GLEN VIEW NORTH SUBDIVISION; LOT 2. BLOCK 3 TYPE OF WORK: DESIGN FOR PROPOSED SEPTIC SYSTEM APPROXIMATE 1 LOCATION OF START 1 I OF SLOPE I I I I 1 / / J / / / PROPOSEED C2 µGALLON SK INSTALL DOUBLE 1.1/ TS / TOKEN SPURKLAND TEST HOLE / ALTERNATE SITE WILL / REOUIRE AN ADVANTEX TREATMENT SYSTEM 3/14/2003 Z.T.G. 40' 1a.i....I*I'llf*t.....1....... 2 OF 2 QQ J fry 60 ss.. ,• tt a '•. F 79 lkk� ALASKA WATER & WASTEWATER oma` 4 CONSUILTANTS. INC. wo • NOWAc4 0- ON" • (007W7-6179 • FAX. (907AM-U" • M MSM' oWa.oan SOIL LOG — PERCOLATION TEST .... ................. LEGAL DESCRIPTION: CLEWEW NORTH S/D; LOT 2, BLOCK 3 O a eff a A. Car ess.: KENNY SCHRAMKO DATE: 3/6/2003 QOoa —7953 •.•`� PERFORMED FOR: 04�s^' .......•,.••' �q� edProlsesto�aoo D(f et m ORGANICS TEST HOLE 1 ��O000ao�o t IIIII'III SM -ML MIXED w/ TRACES OF GRAVEL 9 10 11 12 13 14 15 16 17 18 19 DEPTH TO GROUNDWATER DATE DRY 3/6/2003 LOAM • • CLASSIFICATIONS 3/11/2003 11,5' 3/13/2003 6' • GW RG 2 4:08 10 1/2- II1111111 I 3 4:08 — 6' 11:111!11GMCL 4 4:18 10 1' N/NNS • 5 4:18 — 6• 4itil IIIIIIIIIMH 6 4:28 10 1' SID %y///►►%CH/ 7 4:28 — 6' ),{ SmY/V� • 8 4:38 10 1' Sc SM -ML MIXED w/ TRACES OF GRAVEL 9 10 11 12 13 14 15 16 17 18 19 DEPTH TO GROUNDWATER DATE DRY 3/6/2003 11.5' 3/11/2003 11,5' 3/13/2003 6' - DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 3 2003 1 3:58 - 6' - 2 4:08 10 1/2- 5 1/2- 3 4:08 — 6' — 4 4:18 10 1' 5' 5 4:18 — 6• — 6 4:28 10 1' 5- 7 4:28 — 6' — 8 4:38 10 1' 5- 9 4:38 — 6' — 10 4:48 10 1' 5- 11 4:48 — 6' — 12 1 4:58 10 1' 5 - PERCOLATION RATE 2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: 7ACHARIAH GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. CARNESS, CERTIFY THAT THIS WAS PE FO MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Municipality of Anchorage Development Services Department Building Safely Division *e*�- On-Site Water and Wastewater Program 47CO South Bragaw SL P.O. BoxAnchorage, 99519.6650 www c www i.anchorace.ak, us (907)343.7904 Soils Log - Percolation Test Performed Fcc LEN v I EW ht bRi l Date Performed:_ 1 _ Le;al Descript.cn: 1-67 2, SKX 3 Township, Range, Section: N4C0f-Ott4G Te FION, CLW---' Slone Sile Plan Deptn (Feet i- 6VI 2- Mit r 3- 4. 6- 7. 16- 17- 1s- 10. 20 - COMMENTS C?R6siNICs i 1`� L ,sANfly sit.: M L ;0TTD H a F uot_G WAS GROUND WATER ENCOUNTERED? p 5 IF YES. AT WHAT DEPTH? L Depth to Water After 0 Monitoring? V-2> -F3P E Dale T L2 D L Reading Date Gross Time Net Time Depth to Wale, I Ne: Of= TZ ILL tYt Z o K �neIBM 3o M i Yom. t _ 5 3 3v o.(,,..,. ° + 23 30 01 I Reading Date Gross Time Net Time Depth to Wale, I Ne: Of= TZ ILL tYt Z o K 3o M i Yom. t _ 5 3 3v o.(,,..,. ° + 23 30 I . � •""`^ •• .1 t aevnpp PERD HOLE DIAMETER TEST RUN BETWEEN 4 FT AND FT PERFOR-MED 0Y. t , S , 1 I _S., CERTIFY THAT THIS TE Y:A PERFORIMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. a);; OZ. • Municipality of Anchorage "pGfh-, On-Site Water and Wastewater Program (907) 343-7904 s�. a r. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcell.D. 051-811-56 1. GENERAL INFORMATION Expiration Date: -S 'n l Complete legal description GLENN VIEW ESTATES NORTH BLOCK 3 LOT 2 Location (site address) 22510 WHISPERING BIRCH DRIVE CHUGIAK AK 99567 Current Property owner(s) PATRICK & KELLI MCCREA Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: PSC #2 BOX 14669 APO AE 09012 ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 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 ❑ WaiverNariance request for: Distance: Received by: COSA to be released of sneer, unless otherwise requested by the engineer. COSA Fee $ 521D• CC Date of Payment Receipt Number COSA# OSGI (01390 Date: 9-Z f -1(o 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS 8/6/2016 Engineers 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 —v OF A \_� 1 occupants or can ArcTerra guarantee that no unseen L encroachments, deficiencies or discrepancies exist. y. *�49T,-,[* _ '#, 6. DSD SIGNATURE / ` , J 9 la:NA'B1' FVS K System #1 Approved for —L bedrooms. 1 , NE ' $� System #2 Approved for bedrooms. , ° oFEs oN Disapproved. \�`��• Conditional approval for bedrooms, with the following stipulations: Original Certificate 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA b1m sheet_10-UM2.dw 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: GLENN VIEW ESTATES NORTH BLOCK 3, LOT 2 Parcel ID: 051.811.56 A. WELL DATA — PUBLIC WATER Well type P.m- If A, B, or C provide PWSID # Date completed Sanitary seal (Y/N) Y Total depth ft. Cased to _ft. FROM WELL LOG Date of test Static water level ft. Well production 9— WATER SAMPLE RESULTS: Coliform _colonies/100 mL Nitrate _mg/L Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) _in. AT INSPECTION Arsenic: _ ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA ft. 9— p.m- Tank Type/Material SEPTIC 1 STEEL Date installed 5/2612003 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alar (Y/N) N Date of pumping - 8/512016 Pumper JRs C. ABSORPTION FIELD -DATA Date installed 5126/2003 Soil rating (g.p.d./ft2 or ft /bdr) 1.2 System type SHALLOW TRENCH Length 60 , ft. Width 5 ft. Gravel below pipe 3.08 ft. Total depth 6.2+ ft. (Measured 8/5/16) Eft. absorption area 5V ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/5/16 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 620 gal. New depth 16 in. Elapsed Time: 1200 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off" level at _ in. Cycles tested E. SEPARATION DISTANCES - PUBLIC WATER WELL ON LOT TO: Septic tank/lift station on tot Absorption field on tot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOTTO: Building foundation 5'+ Property line 5'+ Manhole/Access(Y/N) High water alarm level Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Absorption field 5'+ Water main 104 Water service line 101+ Surface water 100'+ Wells on adjacent lots 200'+ ABSORPTION FIELD ON LOT TO: Property line 1'+ (MOA WAIVER) Building foundation 10'+ Water main 101+ Water Service line 104 Surface water 1001+ Driveway, parking/vehicle storage 104 Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 2004 F. COMMENTS Vacant system presoaked per code prior to testing. G. ENGINEER'S CERTIFICATION ! 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 KENNETH M. DUFFUS Date 8/612016 COSA canary sheet_2-6-15.doc OF A4 %9.I�:'NE1'H 4 / �� " l �e� t�ssiox�' � fl'i1 Municipality of Anchorage Z//WG 7 Development Services Department Building Safety Division On -Site Water and 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 FOR A SINGLE FAMILY DWELLING Parcel I.D. SC COSA#____.^ Expiration Date: GENERAL INFORMATION Complete legal description ��F[y'iv V/`uJ �(T.< S AIORVt . 63 Location (site address) Current Property owner(s) Day phone 6-5k/, 6 Z 9 Mailing address �Z Sly �l�/f-SPr�?i�tlt; Bf2C if l� �_ Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Day phone Day phone 24/4/- /9?n F_ /21t��c12. TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site ❑ Individual Holding tank ❑ ❑ Community On-site ❑ 10 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 Onsite 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 sample results. (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, I verify that my investigation, based on procedures outlined in the Certificate of Onsite 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 Address /'U X0 Engineer's Printed Name Phone — OL cr Date —W -,LO •'.oe�St,Zy y,Ap ..• •,,w�•y 5. DSD SIGNATURE .� s,o.n, �•�, c g ; Approved for bedrooms. PC as=s • `�; N Disapproved. ��Z•a ri "'-:x� Conditional approval for bedrooms, with the following stipulations: Additional Comments WATER AND rn Attachments: COSA Checklist x Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:hr7z_l Original Certificate Date: la— 13-07 (11" 11/05) Municipality of Anchorage ° • Development Services Department Building Safety Division • . . ++ On -Site water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995198650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 6s F� 1/7 7= `(� N L Parcel lD:� A. WELL DATA /1 r t ki Well type _ If A. B. or C provide PWSID # Date completed Sanitary seal (YM) Total depth ft. Cased to FROM WELL LOG Date of test static water level _ Well production _ WATER SAMPL Sl Coliform colo Arsenic: mgfl n. g.p.m. mL Nitrate mg1L Date of sample: , Well Log (YIN) Wires properly protected(YM Casing height (above gr ) AT INSPECTION 9 - p.m - Other bacteria coloniesl100 mL Collected by: B. SEPTICfiJOLDING TANK DATA TankTypelMaterial 1A!ALf/✓/d/'� L Date installed ��aT6lSl=— Tank size !�$a gal. Number of Compartments L Cleamuts (YM) Foundation cleanout (YIN) Depression over lank r} _ L High water alarm (YM) Date of pumpingoi3 Pumper v C. ABSORPTION FIELD DATA Date installed AW -01 Soil rating (g.p.d.e "JZzWd") System type r�l>< c� Length _ ft• Width .5 ft. Gravel below pipe 3 ft. Total depth ft. Eft. absorption area 5tzft Monitoring tube 4__ Depression over field N Date of adequacy test /6 Results (Pass/Fal)fJ/},tS For bedrooms Fluid depth in absorption field before test _0_ in. Water added600 Sol• New depth_2 in. Elapsed �Q_ Absorption rate >_ �QQ g.p•d.t Time: min. Final fluid depth �_ In. t 12 mo. M & type) r/,t/J� If yes, give date Any rejuvenation treatment (pas )Y D. LIFT STATION Date installed 'Pump on' Datum -7 E. in. DISTANCES Size in gallons 'Pump off" level a _ in. Cycles test Manhole/Access (y/N) High water alarm at in. Meets alarm requlrerrents? SEPARATION DISTANCES FROM WELL ON LOT TO: wwv Septic tank/iift station Wlot On adjacent lots AbsorptionOn adjacent lots PublicPublic sewer mSewer line Holding tan;/ containment areas Manuryammat excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation (* Property line O �f ( -L— Absorption Heid S r*' Water main d t�� r.�. Water service line Surface water 240 r7'' Wells on adjacent lots 2LyJ i� SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r Property line /. Building foundation Water main Water Service line �� r /Q Surface water _ Id -0 rf- D,;, ayiehide storage /0 r� Curtain drain — Wells on adjacent loll 260 rt - F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field fnspecdons 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 Date 1Q24 0 /d 7 COSA Fee Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ••^S)•`Ip\/]/!moi\•�•.. (•Y. � '� f �� ...5� .. L.. •�, rB 62.,1,� 15' TEL SLOPE do DR LOT ' CLEF NOTE: THIS LOT IS SERVICED BY A PUBLIC WATER SYSTEM PLOT PLAN _ AS BUILT X SCALE 1' 40' GRID NW 1560 Project No. 07-210 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 rax kglonglo0clasko.net / JclanglsOalaska.net �,`�,.•• gs4n 1 hereby certify that 1 have surveyed the following described property. LOT 2, BLOCK 3, GLENN VIEW ESTATES NORTH SUBDMSION (PLAT No. 2003-94) �: 49 Anchorage Recording District, Alaska, and that the Improvements situated thereon are ........... .............. within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed . ....... „ ... premien and That then an no roadways, transmission lines or other visible' K&;N easements on sold property except as Indicated hereon. LS -502 Dated this the (vim Day of ZnALAmur..,r� Lw't of Anchorage, Alaska �'•�?�C! � I• It Is the responsibility of the owner to determine the existence of any easements, covenants. or resfricfions which do not aonear an fhe ~nMart wiMIA.inn n1,0