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HomeMy WebLinkAboutALLUVIAL LT 83A �JN,t;IDkll\of MUNICIPALITY OF ANCHORAGE rncnt ` On-Site Water&Wastewater Program Sof PO Box 196650 4700 Elmore Road g Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,- / http://www.muni.org/onsite // 1 epartmen t On-Site Water System Permit Permit Number: OSP191237 Effective Date: 6/19/2019 Work Type: Well Initial Expiration Date: 6/18/2020 Tax Code Number: 05108133000 Site Legal Address: ALLUVIAL LT 83A G:1457 Site Mailing Address: 20909 ALLUVIAL ST, Chugiak Owner: NIELSON LANCE C Lot Size in Sq Ft: 49478 Design Engineer: Total Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy Q Private Well 0 Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. If existing well is to be taken out of service, as defined by AMC 15.55, it shall be decommissioned. 2. To close out this permit, please submit the following: a)Well log b) Pump install log c)Water sample results for total coliform, nitrates and arsenic d) Decommissioning log for existing well, if required. - Received By: Date:evritS Issued By: QJ142J Date: 6 / 9 MUNICIPALITY OF ANCHORAGE 041Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. ocl 081 3300D Property owner(s) C /1i is �'I Day phone ya 171- _2 yj__c-sys Mailing address 3 do 5, /4 1/9a57- c-t/ 1k .4* �l7 G5-y Site address A G / C / A //v v2erl 57. C A1/ i a h .4k, J�' ? 6-41-11- Legal -6*Legal description (Sub'd., Block & Lot) A#vv,'ct 2 3 .4 Legal description (Township, Range & Section) J7 4/ R/t S. $F ' S L4 4 N' sec Lot Size I7-?) Lftai Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial Single Family (SF) ur (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: C2-2-s. o Waiver Fees: Date of Payment: 0g1411e1 Date of Payment: Receipt Number: 2459 11 Receipt Number: Permit No. OSP 19123.7 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc I r I, V r akt FHe N 111-13954441 Paae#151 �' s i 1 i 2 i t,t, U/1 l,/ AAshbiitl o, • . eis dry / . rfr -110" .r ~h1= x1'sra� t...._, lied -' tot!tt 15 1'0 — .. :: .., Z0'3 '..1 i P ye G/rCoti;s-5 1 i 7r f,.et� ' ,/. .-' I ,-)., ---- • Lot 83A Shed Shed ,........:...„.. ., . . ...12.-Giove.Ro----- . od, ••::::,__;i"- D ^_ IQ ? 0.00 V , O Septic Stondpipes o ID d 4• pvC N 8. 1 \ Lot 82 �, m g Lot 83B bo,�\ \'.i, f co u • `\ly A"- „kik /i_ Septic Standpipes es 1 \\ 1 (/ 4” PVC Al 111 1� - AcL x z Cleo, Out pQ E 9 Building _ �.. .... i : 9 • 4.8 -55.9 A�'�t!.. ....,•�/.Aao V Ilene afC ed • __57.7.—— i tteti> 4l/ 1. +`�IENIQR/ eD `o /!k> or StJ S f psis lectd,,„s .._j_ 104f £x.'Sf.a y t rolessb:POn �a� ' Wen �Q40o�'4 '' 6?1 ay t et(e N •JO. •3LM R.O.V[, Ncserve K / Sr ............ �- - -- • 'Grid NW 457 ."t�J i 44-elf 1 i I N89.52'58"W j 00 ` Gy pcceosrd. • 165.01' a ,,,e II hoc� -.- _ Alluvial Street M Lot 97 Lot 96 ' ; 6v I are. C' /frf'e/ye 5 ► ee� 4, /-7..„...,...._, NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT NE C RESSED WRITTEN CONSENT Of LANTECH. L. / Z - 2 Loyd�� 1140,44 ex LoVonne Vogt with Re G _ (J/, AS-BUILTLogout 9 /Max Properties Lot 83A, s.,, stonep,,e ® I l WOter Welt Alluvial Subdivision ' °—x—.x--._ f_ :'1- _Y Ct)t710t1 NI'tur)t:a no.eanwet4M o phHfeol wrvey'r'rent WOW_l�es Morn ee Ws trar)np and enlfa than the h ptovpmsnls ot1 M'rlhpNi,n�al rete dlhln the property UN eke ea avoothmonta IOW LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEERS EXCLUSIONARY NOM l II Iv c OeAefe `•11ponaetlty to 04100400 the 44f) wool RentO1 R.a•1n..n.4t 0,.t• •fr,f neo,.. as Roe( taer�ligs*Astons do eat ownarol radrfeebne a ripht. Unger 1 5 o,eeor IA the reeoraW auesldslw�Not• Unger Form SCNLGL-'WInTOTAL•applalsel aofhra'by a la modo,hc•—1.800•AI MOOE , . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION , ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE ~1 [~' NEW MAILING ADDRESS LOCATION .~ NO. OF BEDROOMS~ . Material ~ ~ No. ofcompartm~ ~Z Manufacturer .~ ~,f~ '~ ~ Liq. capaci~y~ons IF HOME,DE: I~ Width ~ Liquid depth ~ ~ g ~ufacturer~ O Well Foundation ~ No. of lines Length of each I~ Total length of line~ Trench width Distance between lines p ~ ~ .~ ~, inches ~/c~  of tile finish Material beneath tile Total effeotive absorption area Top to grade ~ ,~ ' ~z inches Depth PERMIT NO. ,~th~ ~ Width ~ ~ Type of~ Crib d effective abso e m DISTAl: Well ~ ~ng foundation Near~ C *~ Depth Driller Distance to ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS SOl L TEST R~TI NG R EMAR KS ~ '~3' APPROyED '~ . , DATE LEGAL 72-013 (Re' 3/78) ('~ A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 ~ TELEPHONE 694-2588 OWNER OF LAND I.E(;A L I)ESCRIPTION._~.~&7' o'"~ ........ I)ATE. Started I'ERMIT NUMBER Ended DEPTH OF WELL /,~ t STATIC LEV£L OF WATER FI. DRAW DOWN FT. GALS. PER HR KIND OF FORMATION: From O Ft. to, o~ From c~ Ft. to S~ Ft. From__~_~_Ft. toJ'el~ Ft. From /g~ Ft. to~Ft .... From /~ Ft. to l~6 Ft. - From /~ Ft. to Ft.., to _Ft. to Ft.~ From_ Ft. From_ Ft. From Ft. to From _ Ft. to_ From, Ft. From _Ft. to From ,, Ft. to,, From_ Ft. to ; Ft. From ..... Ft. to.. Ft. From___Ft. to_ Ft. From_,, Ft. to Ft. Ft. 00,~.q ,6'a,q,a~-e,,O From Ft. to .Ft. From Ft. to .... Ft, , From__Ft. to Ft, From. Ft. to Ft..i ~"- ~ff~l~rom. Ft. to --Ft, ~; From Ft. to . _Ft. From Ft. to .... Ft._ From Ft. to Ft. ~ From Ft. to.. Ft. ~ to'_ . Ft. Z From ' ' Ft.' to Ft. :~ -- FI; to ........ Ft. $ From Ft. to Ft. ~ From ' ' Ft. to ,. Ft." From . Ft. to_ Ft.. From__Ft, to From,,, Ft. to , MISCL. INFORMATION: L E (3 F! L.. '1' '-' .... "' .z, 'r :, FEM I E; ' r I'- E OF :: ..... ~_ I:::IE;::31Zd:;.:[.EF'[' I O1",1 '-' '" .... PIF:I',:'::.'[P1UH I",tUFtE:E]:4: OF 8E:E:,R(]OMS = ]: 'Z;O t L RFI-r I I'.~G ,:: '_5C::! F'T'?E;R; .... :i:E:'~.-'.; ......... .:, .:,fEI I:5' I"HE: ~'[::'l':~l i I RE[:, :.:]; I ZE: OF:' THE i!50 1 L. RE':2, -: RF'T I Oh! -" '" ....... ~" THE LENGTH DIP1EIq'-':;ION I:5 THE LENGTH ,:; IN FEET::, OF THE 'TRENCH OF: [:,RF~.INFIEL. D. 'T'HE [:,EPTH OF FI TF.:IENC:H OR PIT 'rS THE [:,tSTFINCE E:ET.HEEN THE :.:7:,URF:F~CE OF THE GROUN[:, F~N[:' THE E',OTTEH'I OF THE E',:.:',CFt'v'FI'I"ION ,:: IN FEET). 'T'HERE ZS NO SE']-I.,.I~[:,I"H FOF.: TRENCHES. -- .... ~ t~'" -' ' ....I .... 'f'HE =[~1.-1,~f_ [:,EP]"H IS THE M!NIt'tL.IM [:,EI::'TH C)F FIt'..I[> "I"HE BOTTOM OF THE: E]:.::C:F:t'v'IaT!ON ,:: !l'.,I FEET). F'ERM I 'T' RF'F'L. I CFII'..IT HFIS THE I:;?.ESF'Ot'..IL--;, I E: I L. I T"r' T :) I I",tF'ORf'I TI'"I I S [,EF'f:tI:;:THEN'T [:,U!:,i: ! NFJi THE: I I'.C':]]'I:]LLF!T ! Ot'.4 t NSF:'ECT IONS OF' FIF,I'T' I,IEI_L:E; F~E:,.3'IZtCE.NT T "i I'H Z :.:.i; F'ROF'EF;:T'¢ t::IN[> ]r'I--!Ei: NL mE:ER OF RE'}J I E:,ENCEE; ]' HA-I- THE HE'LL_ H Z I....L. ':_::ER'v'E. E".¢ 'F Fl ! :E; E;t::IC.I-::]::' ILL I NG r.)F IzlI",t'T' :5"r'd;1-Ef'l .['.11 THOU"f' FT 1"4FIL_ .T. I",~f-3F'EC"I"I O1",! Al"4[:' FIt::'F'f;..:L-.P,"f:IL z, ' [:,EPFtR]~f'tENT H:[LL E',E 'SUE',JECT TO PRO'J~;EE'UTtO!",t. F'I]:I",t!HI.JM E:'I:E;TFINCE E:ETHEE!",t Ft I.,.IELL Rt"4D Fllq"r' Ot".I'"""3ITE '.'T::E!.,IFtC~iE [:,I"21;F'O:E;FIL :B"r':i~;'r'Ef't :l.e~(~ FI:EET FOF:: Ft F'I:~:I',/F:ITE F.tEL. L.~ OR :L. SC~ 'FL3:2OC~. FEET F,r';-:Cff"l F:t F'IJE',LIC HEI._.L [>E:F'ENDZNG UF'ON 'THE T"r'F:'E O1::' PI..1E:LIC HEL. L. I.'.iELL L. Ot]i::_':; FIRE F:E:~:iI_I:[F;-'.EEE:, FiI",ID PIU2'ST E',E RE:'I"L.tRI",IED '1"O "f'HE DEF'FIF.:TMEI",Ff' I.,.I]:'T'HII",I ::~:et [:'f::t'T':!!i; O!::' THE HEL. L ('.':OHF'LET I O1",1. O't' HEIE: Fi:EC.:!U ]; REMENTS MF:I'-r' FIPF:'/...'T'. :E;I:Z'EC: I F I C:F! 'r I O?.,1:5 f:li'.4[:, COt'.,I'E, TRLIC]' l ON [:, I FI G F;: Iq M E; l:::ff',;:E Fl'v'l:::l ~ I..!aE',L.E TO .ET NS;LIRE PROPER ! I'-.!.fE:TFILL. RT 1 ON. J: F-: E: Fi: 'I" I F"r' THAT i: I FIt'"I FF:ti"IlLIFtF.: 14I]"H 'THE REC-:!UIREMENTS FOF.: Cd'.,I-L.E;I"rE :::3EHEI-;.:':7. F:II'..!E:, !.,.tEL..L.~!; FORTH BY THE I',tUI'.,I I C: I F'FIL I ]""¢ (iF ;1-2: I HILL II'..I:i-3TFtL. L fi'HE ?'r".E:"I"EM. IN FtCC.:OF.:DFINCE: HITH '1"!-4. E E:Ci[:,E"z'!.. [ii:: I IJI",I[:,E':R~!iTf:ff'4[:, THFIT THE OI",I'"'~'3ITE 5E'I,.IER '?'r'E"i"EM MFt'T' !E.:Et'::!UIRE EI",t!.._FtF-':GEP!E]"4'T' IF:' THE ,"-;:E:~.-: t [:,ENCE ! :5 REMOE:,ELED TO I ?,ICL_!.J[)E HORE THAN 'J~; 1 C:i hi E [) ' FIF'F'L [ CFI!'.4T '.E;ERN Box 90° Davis St., t:agie mve~, ,,,,~a 694-2774 or 688-2280 Russ'ell Oysle! 694-2774 SOIL LOG Soils E~ Foundations Performed for: Name: Tel. )~o. Earl Ellis 688-2280 Land Devel. opm~nt 1' Mailing Address: Legal Description'.~c'T ~ ~ ~--' '- ~' · ~::,~.,.~:._.~, .::,., T/.~',,./~ ..-~' ~ ,.-~<. _~, ACC Depth (feet~ Soil Characteristic~ 0 1]. i2~ 13 16 Ground ~'ater Encountered: Yes ~'" No__ If yes, what depth ./.I ~ .Proposed Installation: Seepage Pit Drain Field__ /7 } / ' Performed by: Date: 0 Et E GEO · 'CHNICAL Er DEVEL Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 :'MENT CO. Russell Oyster 694-2774 Soils Et Foundations .-~/J Performed for: Name: ~J- - SOIL LOG Tel. No. Hatlt~g Address: Legal Description: ~o~ :~, ~.. Depth (feet) Soil Charactertsttc~ lO 11 12~ 13 15 16 Earl El~is 688-2280 Land Development Ground Water Encountered: Yes~No~ Proposed Installation: Seepage Pit Comments: If yes, what depth , Drain Field Performed by: Date: Jim Sullivan 688-2510 WORK ORDERED BY: ADDRESS: COMPLETE WATER SYSTEMS SAI.ES & SERVICE ~.~--ARcTic ~PUMP & WELL~ ~ SUPPLY NWWA CERTIFIED PUMP INSTALLER 87 WELL RECOVERY TEST Alaska Distributor P.O. Box 197 Eagle River, Alaska LEGAL: DATE: CASING DIAMETER CHECKED'( )~ VERBAL( ) WELL LOG ( ) PUMP SET CH ECKEO~~' TAKEN BY: DEPTH OF WELL CHECKED_( ) VERBAL ( ) WELL LOG ( ) STATIC LEVEL CHECKED( ) COMPLETED BY: CHECKED ( ) VERBAL( ) WELL LOG ( ) PUMP HP CHECKED ( ) VERBAL ( ) WELL LOG ( ) f~':'-, ..' DRAW DOWN CHECKED() VERBAL() WELLLOG() VERBAL() WELLLOG() RECOVERY RATE CHECKED~+' VERBAL ( ) WELL LOG ( ) VERBAL( ) WELL LOG ( ) SCREENED() OPEN() PERFORATED() LINED() Municipality of /anchorage • Development Services Department Building Safety Division 5 r 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 FOR A SINGLE FAMILY DWELLING Parcel I.D. 051 - 0`011 COSA# OG CZ q g 1. GENERAL INFORMATION Expiration Date: 1 — Complete legal description ALLUVIAL S/D, LOT 83A Location (site address) 20909 ALLUVIAL * CHUGIAK, AK 99567 Current Property owner(s) KEVIN FINNIGAN Day phone C/A Mailing address Lending agency Mailing address Real Estate Agent Mailing address PO BOX 771645 * EAGLE RIVER, AK 99577 Day phone LAVONNE VOGT w/REMAX PROPERTIES Day phone 110 W. 38TH SUITE 100 * ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 884—'1025 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 seat 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. 1 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 GARNESS ENGINEERING GROUP, Ltd. 7�7ni F_ TUDOR ROAD. SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. 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 test, and separation distances measured to readily identifiable 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 test results do not guarantee, future performance of the system, nor do they guarantee that there are 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 confer any legal right whatsoever. 5. DSD SIGNATURE '(// Approved for -2-- bedrooms. Disapproved. Phone 337-6179 Date (a [Z5/ U< OFAfl .. . . .. . ........... ...... f A. Garne s: Conditional approval for bedrooms, with the fllowing stipulations: Attachments: / COSA Checklist Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report 'CE953 •' .% �O° L -rofess'0_ 0 `�'q��',. 0� V y ' ON-SITE Gi WATER AND ; ►"= WASTEWATER PROGRAM 0NT • %))1'�T� j j )� Nitrate Advisory + Other By: N f Original Certificate Date: _ (Rev. 11105) Municipality of Anchorage o ® 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: ALLUVIAL, LOT 83A Parcel ID: +QS"% - 0 $ / ',3 3 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 8/1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 156.5 ft. Cased to 156.5 ft. Casing height (above ground) 24 in. FROM WELL LOG Date of test 8/1982 Static water level 26 ft. Well production 2.0 g.p.m. WATER SAMPLE RESULTS: AT INSPECTION 7/22/2009 26 ft. 0.26 9.p -m. Coliform 0 colonies/100 ml. Nitrate _NQ mg./L. . Other bacteria 0 colonies/100 mi. Arsenic: 26.5 ug./L. Date of sample: 7/23/2009 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/FIBERGLASS Date installed 10/17/1978 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 8/18/2009 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 10/17/1978 Soil rating (g.p.d./Wo ftZ/bdr 85 System type TRENCH Length 43 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth *9.08 ft. Eff. absorption area 344 ft' Monitoring tube YES Depression over field NO Date of adequacy test 8/11/2009 Results (Pass/Fail) PASS For 2 bedrooms Fluid depth in absorption field before test DRY in, Water addef**500 gal. New depth 10 in: Elapsed -Time: 30 min. Final fluid depth DRY in. Absorption rate >= 300+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — 4 *WATER DELIVERED FOR TEST D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot *95 On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ 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 Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOW 100'+ Building foundation 10'+ Water main N/A Surface water 100'+ Driveway, parking/vehicle storage 10'+ Wells on adjacent lots 100'+ F. COMMENTS *SEE WAIVER REQUEST G. ENGINEER'S CERTIFICATION 0 4 I certify that l have determined through field inspections and Q * 4 T� review of Municipal records that the above systems are in • ' ' ' ' . ' . . . . .. ' ' . . . . . ' ' . ' ' conformance with MOA COSA guidelines in effect on this date. .r .. ........ ey A. ess., Engineer's Printed Name JEFFREY A. GARNESS �O 9, CE -795 F3%2.59�ooO Date Pr o f e s sio��©�' COSA Fee �� t%� Waiver Fee $ S Date of Payment � 2 -7 y Date of Payment_ �71 0C( Receipt Number Q z6og Receipt Number (Rev. 11/05) ,A, NT S ENIGI NT EE RING GROUP, Ltd. CONS,U LTA TS & GENNE _44L CONTRAC TORS August 18, 2009 f Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref Alluvial Subdivision, Lot 83A. Waiver of Separation Distance between the Well on Property and the Septic Tank on Property. The existing two (2) bedroom house is served by a private well and septic system. The septic system was installed on October of 1978 and the well was drilled in 1982. Per the MOA inspection report, the separation distance between the well and the septic tank is 100 feet. Per the as -built survey (prepared by Lantech) the separation distance appears to be less than 100 feet. We shot the separation distance with a Topcon total station and determined the separation distance between the edge of the well and the edge of the first tank clean-out to be 99.98 feet. Attached is a site plan. The MOA septic system inspection report shows the tank clean-out located in the middle of the tank; therefore, the edge of the tank is approximately 4 feet closer to the well. Based upon the graphical drawing, it appears that the septic tank is as close as 95 feet from the well; therefore, we are requesting a separation distance waiver of 95 feet. Justification for the waiver is summarized as follows: • The encroachment has existed for approximately 31 years and recent water samples indicated non- detectable nitrate levels and no bacteria to be present. • Attached is a well log for the subject property showing the well is 156.5 feet deep and cased 156.5 feet. • The well head extends at least 18 inches above grade, has a sanitary seal, and has appropriate drainage around it. • The topography is such that overflowing wastewater from the septic tank would not flow towards the well. • There is a house between the septic tank and the well, so it would be impossible for overflowing wastewater to reach the well unnoticed. Based upon the aforementioned facts, it appears that there is minimal risk associated with granting the requested 95 feet waiver between the well and the septic tank. lease contact us at 337-6179. Thank you for your assistance. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com SGS Ref.# 1093614001 r 5.00 ug/L EP200.8 Client Name Gayness Engineering Group, Ltd Printed Date/Time 08/04/2009 11:18 Project Name/9 Alluvial L83A Collected Date/Time 07/23/2009 8:05 Client Sample ID Alluvial L83A ` Received Date/Time 07/23/2009 14:11 Matrix; Drinking Water Technical Director Stephen C. Ede Sample Remarks: ` 07/28/09 LCE Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 26.5 r 5.00 ug/L EP200.8 C (<10) 07/29/09 08/03/09 NRB Waters Department Total Nitrate/Nitrite-NT ND 0.100 ma/L SM20 450ONO3-F B (<10) 07/28/09 LCE Microbiology Laboratory Colony Count 0 col/l OOmL SM20 9222B A (<200) 07/23/09 DLC Total Coliform 0 col/lOOmL SM20 9222B A (<1) 07/23/09 DLC Fecal Coliform 0 col/IOOmL SM20 9222B A (<1) 07/23/09 DLC —rza 0 ; 25;'2009 15: 28 WSW Order Date: 17 -Aug -2009 service Date: 18 -Aug -2009 12:0 Technician: Bike V. JRc Pin9 PO Box 773415 Haele River,AK 99577 (907) 694-6454 9073449_,21 I JHS SAF' 11L Bum information. . Remax Job Description; 1000g 2800 COrdOV8 P.O. Number. Suite 1 DO Terms: Net 30 Anchorage, AK 99503 Salesrep: Dawn -Dawn .(907) 594-4200 Brook Map book: Cross streets: Rirnhwood Spur Rd ,lob Site lnformatlan Job Comments: LaVonne 20909 Alluvial St Chugiak, AK 99557 (907) 884-1025 r'AIa` 01 Servfce Agreement Number: 029392 Order Date: 17 -Aug -2009 service Date: 18 -Aug -2009 12:0 Technician: Bike a Tax %: 0 Job Type: Repeat Map Grid: 19 Last Service *02/20/2008* 100Dg tank normal back flushed 2 times=clean clean outs ok Additional Location Comments Diagram; S:\Diegrams45� t211 2nd on the left -log home w/asphalt U has a gravel dw Pipes @ the back of home e c'`o & Tank Service Type City Price Each Tax? Septic Sery 1000K 1 $0.00 No Estimated Chargss: Gallons Planned: 1000 Gal, Actual: Hose Length: 3,5 Double Tank: ❑ Pump System: Q Baffles Inlet: ❑ Baffles Outlet: ❑ �,,1 Extension Actual $0.00 NonTaxable Total Taxabla Total Tax Total Grand Total Aetuai Charges: customer agrees to the terms and conditions shown. THIS IS A BINDING AGREEMENT. Signutwe and Tltic of Customer Representetive Date Accspted by JRs Pumping Date Accepted -For your added convenlence we accept; American Express, Dleover, Visa and Viaster Card payments over the phone. Fnereo Days account will be turned over to COLLECTIONS. $30.00 For NSF Checke Returned. APPLIC'NT FILLS OUT UPPER HAl = ONLY Pr0perty O~vner.~"~4 ,.../~ ,~ (~ '~- ,Jr'~ ~ /,~,~: q ~ i'~ , Ci FO\ ~,.,'~"t, r ~ Phone Mailing Address ~' C) ~S ~ ~. )~). '~ ~, b , \/~ , J ~i zip Code C Address ?0/ L/ ~f ~'~t ~,t~. /~/~/~,.,~,'~, t))" O,~2..r; ZipCode Legal Description Z o'~' ~:~- ~ ~-JJ/I..4t/tO J ...)" JP / .~ ~ '7 /~.; JV ~'~ J ~ ' Type of Residence ,~ Single Family [] Multiple Family No. of Bedrooms [] Other Water Supply ~ Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach Icg if available). [] Public Utility Sewer Disposal _~, Individua, Yea, Individ,,al ~nsta,ed:/~ ~ b [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Ti me / Date Date Date Date Inspector Inspector Inspector Inspector L ~/~..... · ~ - Field Notes: , -k. -0 ~ /, ~'--~ ~1 ('~0.~I~- · 'kJ' .~ / '~.- ~ . 'Dept. 0T ( ,~"'rAPPROVED BE~ROOMS~/~/' ~ *CONDITIONS OF APPROVAL Environmental, ' . ' I Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received [0 (~L~ Well to Tank Septic Tank Size 72-023 (3182) EXCAVATION ROBERT A. SHAFER WORK August 8, 1983 CIVIL ENGINEER 694-2979 ERA Soquet Attention: Bob Wastell 2518 East Tudor Road Anchorage, Alaska 99507 Dear Mr. Wastell, Reference: Lot 83A; Aluvia Subdivision A s~wer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was p~and verified to have a capacity of %.000 gallons. ~ The ~rain?field was tested by a continuous fl0w of water over a period of 72 hours. During this time for a 24 hour period the flow exceeded 405 gallons. Based upon this test it can be concluded that the waste water disposal system serving the two bedroom cabin located on tSis property is currently_ fuDctlohin~ adequately, However, the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to contact us. cc: Municipality of 'Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA APPLIC NT FILLS OUT UPPER HAl. ONLY Prc~erty Owr{er ~ ~'C~ ~,. {'~, ~ ~, ~ ~''' ~ (J(" Phone Lending Institution I ')~ ~ ~ ,' o,~ ~ {) C '~ vx c [", · Phone Realty Co. & A~nt ~ ~ Phone Address Zip Code Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ ~ Other Waler Supply ~lndividual A~ACH ~LL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ Individ~l Year Indiv~ual Installed: / ~ ~ ~ h-~ ~)~ ~ ,-~ ~ ~ C- ~ Public ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector COT 6 1982 gECEI ED ( ~ APPROVED BEDROOMS 'CONDITION8 OF APPROVAL ( ) DISAPmOVED ( ) CONDIT~NAL APPROVAL' Soils Rating Date ~wer Installed Well To ~sorption Area j~O Well Log Received ~ ~ ~ Well lo Tank )/~ Septic m~k Size j 72-023 {3182) EXCAVATION ROBERT A. SHAFER Sean Barnett North Birchwood Loop Road Chugiak, Alaska 99 567 WORK CIVIL ENGINEER 694-2979 October 15, !982MUNJCIPAU~ OF ANCHORAGE DFOT Or ~'i'~.T;, ~. ENV/R°;&';.-'t,. A_ ~ .,O. 2CTION RECEIVED Dear Fir. Barnett, Reference: I,ot 83A; Section 5; T15N; R1W A sewer systom adequacy test w; =erformed on the ss,': ~m located on the rent, fenced propertl. , as you requeste '~he septic tank was pumped and ~erified to have a capacity in excess of 750 gallons. The absorption trench was tested by a continuous flow of 462 gallons of water over a period of 24 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the two bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. I'f we may be of further assistance, please do not hesitate to call. Sincerely, //_, CC: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA