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Home My WebLink AboutDOGWOOD LT 2Dogwood Lo1' 2 , 015- 501 -28 GREAI~R ANCHORAGE AREA BOROugH Department of Environmental Quality 3330 C S~ree~ Anchorage, Alaska gg§03 .s w^o LOCATION LEGAL DESCR SEPtiC TANK: DISTANCE FROM WELL /~'~ INSIDE LENGTH. R~.,,/.,~,~.../.,~ ~ NUMBER OF ,~ MANUFACTURE MATE RIAL - COMPARTMENTS INSIDE WIDTH __ LIQUID DEPTH LIQUID CAPACITY/~-*~"~GALLON$. TILE DRAIN FIELD: D~STANCE FROM WELL /g:~' NUMBER OF LINES 1 ABSORPTION AREA ?~¢ DEPTH: ~ /~ / TOTAL LENGTH FOUNDATION /~ NEAREST LOT LINE OF LINES DISTANCE BETWEEN LINES ~/~' TRENCH WIDTH;~IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ~TZ~-// j i DEPTH OF FILTER TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TILE__~ ~ ABOVE TILE 7 IN. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE_ OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEWER LINE , TANK REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL'~-'/~-~1~/~1¢ LOT SLOPE: REMARKS: Form EQ-032 r'IUI'-J ! C: I Pt-4L I T'-r' OF FiI'-,IC:HORI--] 2510 E. TUDOR RD., RNCHORRGE., IlK. SRR BOX 474E PERMIT NO. RPPLICRNT JRMES BUMGRRDNE~ LOCRTION OFF i04TH 8VE OFF BIRCH LEGRL L2 DOGWOOD SUBD WELL 8r-JD ON--S I TE SEWER PERt4 I T 3 4 4-t9 ~._-.-: LOT. SIZE 49005 SQURRE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING <SQ FT?BR)= i50 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: I;:,EF'TH= :1.2 LENGTH= 38 m~RRVEL DEPTH= :3 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). REQUIRED SEPTIC TRNK SIZE= t250 ~GRLLONS BRCKFILLING OF RN¥ SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RN¥ ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS 8RE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PERt4 I T VRL I D FOR ONE YERR FROr~ I$SUE I CERTIFY THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS RE TO INCLUDE MORE THRN 4 BEDROOMS. -.'MODELED_ SIGNED :t ISSUED BY__ -~~-- GREATER ANCtlORAGE AREA Department. of Environmental (}ualitY 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST Performed for_JjLk~]~.?~__~,_..~ U ~G~ D ~ ~ ~ ~ate Performed~-~ 4" 7~ Legal Descripdon:' Loy~~oGW0.~D SO6_oIY~Sz0~ This form reports: ~ls ,l~g .... X~ Percolation :es~ Depth Feet 2 - 4- 5- 6- 7- 8- 9- 10- GvJ-TM ~4- ~G~ ..... Was ground water encountered? Acres '%/~o. If yes, at what depth?'__ Reading Da te Gross Time Net Time Depth to Water Net kJrop Percolation, rate minute. '~Drain Field -Proposed ir~stallat~o'--~-n'~ Seepa'ge Pit Depth of Inlet ~. Depth to bottom of pit qr trench ._~ .... TIME DRILL LOG , CASING ! .... ,~ ~) STATICLEVEL ,~, , ~ GPM-YIELD Municipality of Anchorage 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 DVVELLING Parcel I.D. 015-501-28 GENERAL INFORMATION Complete legal description Location (site address) DOGWOOD LOT 2 COSA# 0 ExpiratiOn Date: 5550 E 104TM AVENUE, ANCHORAGE, AK 99507 Current Property owner(s) LESTER & NANCY NEWELL Day phone Mailing address 5550 E 104TM AVENUE, ANCHORAGE, AK 99507 Lending agency. Day phone Mailing address Real Estate Agent DAVE SMITH -- W/DYNAMIC Day phone Mailing Address Un/ess otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class .__ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank F"] 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 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 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 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 01/12/2011 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 dudng 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 occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. DSD SIGNATURE '~'" Approved for J~J Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: /- ~. (.o -// 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: DOGWOOD LOT 2 A. WELL DATA Well type PRIVATE IfA, B, or C provide PWSID # Date completed '6/16/1976 Sanitary seal (Y/N) Y__ Total depth 60.7 ff. Cased to 60.7 ff. FROM WELL LOG Date of test 6/1976 Static water level 40 f. Well production 5 g.p.m. WATER SAMPLE RESULTS: Parcel ID: Coliform NF.G colonies/100mL Nitrate Arsenic: ND .mg/I Date of sample: 1/5~22011 SEPTIC/HOLDING TANK DATA Tank Type/Material Se,ftc/Steel Number of Compartments _2 High water alarm (Y/N) N Well Log (Y/N) _.Y Wires properly protected (Y/N) Y_. Casing height (above ground) 18 in. AT INSPECTION 45 ff. 5.4 g.p.m. __ mg/L Collected by:. ArcTerra Date installed 611976 'Tank size 1250 gal. Cleanouts (Y/N) _Y_ Foundation cleanout (Y/N) __Y Depression over tank (Y/N) N __Date of pumping 1/4/2011 Pumper A+ C. ABSORPTION FIELD DATA Date installed 6/1976 Soil rating (g.p.d./ff2 or ff2/bdrm) 150 System type Deep Trench Length 44 f. Width --3 ff. Gravel below pipe 8__ff. Total depth 9._~7 ff. (Measured 1/4111) Eft. absorption area 704'ft2 Monitoring tube Y Depression over field N Date of adequacy test '1/5/11 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 35 in. Water added 1050 gal. New depth 35 Elapsed '13me: 0__ min. Final fluid depth 35 . in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Nlfyes, give date --_~- in. DJ LIFT STATION Date installed "Pump on' level at Datum in. E. SEPARATION DISTANCES Size in gallons "Pump off' level at ~ Cycles tested in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main Sewer/septic service line 25'+ Animal containment areas 50'+ Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lois 100'+ Public sewer manhole/Cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100,+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation $'+ Property line =3'+ Water main 10'+ Water service line Wells on adjacent lois 100'+ 10'+ Absorption field `;'+ Surface water 10o'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line lo'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Curtain drain .;0'+ (None Y~town) Driveway, parking/vehicle storage 10'+ Wells on adjacent lois 100'+ F. COMMENTS *Vacant system surcharged w/2000 gallons prior to testing, l~ield fluid levels r~a!ped consf.~_n_t duH~, sii~chai-~e and te~in§ at approximately 22.5" below lateral. ~ ~-~ ~,v'~ ~&'~ ir/~/~D ~ - ~~/~/~'od~ ~~sna~e:en./nd '-.~~~ . Enoinee(s Pgnted Name KE~E~ M. D~S :'~a~~~:'~~>~;:.~ Date 1/1E~ll '~:*'~ . COSA Fee $490.00 Waiver Fee $ ate /- I-- / / Oate R~ceipt Number O ~ ~ ~ ~ C~ ~ecei~ Number (Rev. 11/05) ............ S.G S ....... SGS Reft# 1110056001 Client Name ArcTerra Engineering and Surveying Printed Date/Time 01/11/2011 9:07 Project Name/# Dogwood L2 Collected Date/Time 01/05/2011 13:15 Client Sample ID Dogwood L2 Received Date/Time 01/05/2011 14:45 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 01/07/11 01/10/11 NRB Waters Department Total Nitrate/Nitrite-N 2.09 0.100 mg/L SM204500NO3-F B (<10) 01/05/11 AYC Microbiolo~ Laboratory E. Coli Total Coliform Negative 1 100mL SM20 9223B A 01/05/11 DLC Negative 1 100mL SM20 9223B A 01/05/11 DLC 104TH AVE Z O O N89'58'25"W (N89'57'50"W R) 164.84' 10' UTILITY ESMT / / LOT 2 / / hJ SEPTIC (T~) DECK WELl_ / S89'58'00'E 2' CANT 36.4' 24.0' L0 CO 24.0' 34-.0' 12.1' 164.84' SOUTH BLM LOT ANCHORAGE RECORDING DISTRICT, ALASKA AS-BUILT OF: DOGWOOD SUBDIVISION LOT 2 PLAT 73-126 ~ = FND 1/2" REBAR SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the "' A' ': ~mprovements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should I ['~.....' ¢. ?~TH ~../../I'~ any information on this drawing be used for construction of fences .... structures, improvements, or for establishing boundary lines. [~ ~ ' :;.~' ' '~~.' ~. '~ EXCLUSION NOTES: It is the owners responsibility to determine / the existence of any easements, covenants, or restrictions which ] '~/,"..... ~L~" 1040 8 ...',,~ do not appear on the recorded subdivision plat· WOI~K O~o~.fl NUMBER: JAN5. 2011 ]1"=40' E-.Nbkndeng·ok. net / OLS / 2537 110101 [ ~-~ ~.I~ LAND .,..: ~chorage, ~aska 99508 (007) ~7-1455 office (907) 274-499~ fax