HomeMy WebLinkAboutT12N R3W SEC 22 LT 40BZL-ZVT-910# ZE NOI39 M£21 NET Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251061 PID Number: 015-142-72 Dwelling: N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name CIO AMANDA HARMAN -CONTACT: JERRY ABSORPTION FIELD FM Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound ❑ Other Site Address 5640 FENWICK CIRCLE, ANCHORAGE, AK Phone Number of Bedrooms Soil Rating Total depth from original grade 1-520-820-3189 3 0.8 GPD/SF 12.5 MAX. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 7.03 Ft. Subdivision Block Lot ----- --- 408 Fill added above original grade SEE DWG. Ft. Gravel length 42 Ft. Township Range Section 12N 3W 22 Gravel width 2.5 Ft. Beds: Number of Lines Distance between lines - Ft. SEPARATION DISTANCES To From Septic Tank Tk Absorption Field Lift Station Holding an Tank Sewer Line Total absorption area 590 Ftz Number of trenches Dist. between trenches - Ft. Well EXIST. 1001+ _ _ 25'+- T Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacit Surface Water EXIST. 1001+ _ - EXISTING Gal. Material f compartments Lot Line EXIST. 10'+ - - NA Foundation EXIST. 10'+ - - PtT-qManufacturer ATION Capacity Remarks SEWER SERVICE LINE BETWEEN HOUSE AND TANK Gal. WAS REPLACED. INSTALLED AT 1.1 % SLOPE PER CONTRATOR. Alarm location Elec r alled by Installer ARM SEPTIC SERVICES PIPE MATERIAL House to tank D3034. drainfield Tank to D3034 Drainfield D3034 COIMTD3034 Inspector GARNESS ENGINEERING BENCHMARK (Assumed elevation) 100.00 ft Inspdectio 15' 3/25/2025 2�d 3/26/2025 3rd 4th Location and description TOP OF GARAGE SLAB ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date Engineer's Stamp oo�000�4 o '9SOp 0o Q: ...:...... ...........:.*. Q J f y Gar ess.: OQ E_ o� ��04 rP� • � 243 29 04400000d) Septic Systeme Approved //-� �� Date -,T7 - ) /Note this approval does not include well permit requirements.e (Rev 05/02/18)k_ PERMIT NUMBER: RECORD D RAW I N O PARCEL ID NUMBER; OSP251061 015-142-72 FENWICK CIRCLETS NOTE: PER CONTRACTOR, `\�\o�r� NEW DRAINFIELD OLD DRAINFIELD WAS \ 01. ` ` o� DOUBLE &DBL1 UTS DECOMMISSIONED IN PLACE � oc � (DBL1 & DBL1) � NOTE: WELL RADII AND EAST G LOT LINE WERE FLAGGED/ — — — — — � T12N, R3W, SECTION 22, LOT 40C i i i i i 1 I NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. 1�f FC r L/ / EXISTING j 3 -BEDROOM HOUSE w 1 � 1 � / 1 � ah_ P 10' UTILITY EASEMENT 1� (2021 INSTALLATION) \ V006 / l / I► Ir rt tr II ii STING BRICK PLANTER. I t ii Ir it It II it I T12N, R3W, I \\ \\ SECTION 22, ADIUS I \\ \\ LOT 40A I \ \ I \ i �p•C\O p,\�pN \ V OG 1 \ -------- �oo / i t / SCS E Ir r V=30' 9 * E*rtd 'w ... 14 ::�G............... ...•� a ENGINEERING -�� SALES w CONSULTING � �. : r � . r 3701E TUDOR ROAD SUITE 101 ' ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE. www.gamessengineeiing.com / •.� ; ..... ..+�......•.••.•...•... ; PREPARED FOR: C/O AMANDA HARMAN PHONE NUMBER: PAGE NUMBER: f \fin`; rey A. Gayness J W CONTACT: JERRY 1-520-820-3189 2 OF 3 ��G% ' �d CE -79 3 ` PROJECT/LEGAL DESCRIPTION: ZZ DRAWN BY: �.�T •• ' •• \ - T12N, R3W, SECTIO X, 40B J.L.M. 1� FQ .4....• •(�`iP', �* TYPE OF WORK: DATE: 44 O LICENSE `S,;� ,0* RECORD DRAWING OF DRAINFIELD UPGRADE 3/27/2025 #AECC884 V� STAKED BY REGISTERED LAND SURVEYOR. �y `'.¢ 1•. — -- EXISTING SINGLE ����� COMPARTMENT SEPTIC q 4 a`� T_ ° •" TANK. INLET AND .%...: y; `�� : �, OUTLET BAFFLES WERE INSPECTED BY a" t r'• .•I �` sS �� °' 1 : �• I C ARM SEPTIC SERVICES AND FOUND TO BE IN TH#1 GOOD CONDITION T12N, R3W, SECTION 22, LOT 40C i i i i i 1 I NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. 1�f FC r L/ / EXISTING j 3 -BEDROOM HOUSE w 1 � 1 � / 1 � ah_ P 10' UTILITY EASEMENT 1� (2021 INSTALLATION) \ V006 / l / I► Ir rt tr II ii STING BRICK PLANTER. I t ii Ir it It II it I T12N, R3W, I \\ \\ SECTION 22, ADIUS I \\ \\ LOT 40A I \ \ I \ i �p•C\O p,\�pN \ V OG 1 \ -------- �oo / i t / SCS E Ir r V=30' 9 * E*rtd 'w ... 14 ::�G............... ...•� a ENGINEERING -�� SALES w CONSULTING � �. : r � . r 3701E TUDOR ROAD SUITE 101 ' ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE. www.gamessengineeiing.com / •.� ; ..... ..+�......•.••.•...•... ; PREPARED FOR: C/O AMANDA HARMAN PHONE NUMBER: PAGE NUMBER: f \fin`; rey A. Gayness J W CONTACT: JERRY 1-520-820-3189 2 OF 3 ��G% ' �d CE -79 3 ` PROJECT/LEGAL DESCRIPTION: ZZ DRAWN BY: �.�T •• ' •• \ - T12N, R3W, SECTIO X, 40B J.L.M. 1� FQ .4....• •(�`iP', �* TYPE OF WORK: DATE: 44 O LICENSE `S,;� ,0* RECORD DRAWING OF DRAINFIELD UPGRADE 3/27/2025 #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP251061 RECORD DRAWING 015-142-72 GEG TH#1 }} 4 00 . ENGINEERING SALES CONSULTING / 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, ALASKA • PHONE (907) 337.6179 • WEBSITE. www.gamessengineefing.com , •••• •• • • •••.•n....■...........L..., PREPARED FOR: C/O AMANDA HARMAN PHONE NUMBER: PAGE NUMBER: f J ffreyA mess 4CCa CONTACT: JERRY 1-520-820-3189 3 OF 3 }}��J, E-7 53 ` Z�'A, PROJECT/LEGAL DESCRIPTION: 12 Z DRAWN BY: }♦ • �•.��'f • ..•� ��� Tl 2N, R3W, SECTION LOT 40B J.L.M.•••••...t•••" �, • TYPE OF WORK: DATE: 41'+,;PROFESS;�� �• RECORD DRAWING OF DRAINFIELD UPGRADE 3/27/2025 #AECC884 1 �� MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP251061 Work Type: Septic Upgrade Tax Code Number: 01514272000 Site Legal Address: T1 2N R3W SEC 22 LT 40B G:2637 Site Mailing Address: 5640 FENWICK CIR, Anchorage Owner: HARMAN STELLA A Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 3/21/2025 3/21/2026 24000 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 Reeei. y: _ 55 1,14 +C, C- Date: Issued By: Date: 317— 1/0- 5 3 Municipality ®® r. 1 13 pnttnnitf P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Develo2ment Services Division On -Site Water and Wastewater Program * * * * VARIANCEIWAIVER REVIEW * * * * Waiver#: OSV251014 COSA#: Permit#:OSP251061 PID*: 015-142-72 Legal Description: T12N RM SEC 22 LT 40B Engineer: Garness Engineering Group Your request for a waiver of the required 50 feet horizontal separation from the absorption field on Thunderbrush Lt 6 to the private well on T 12N R3 W SEC 22 LT 40B has been approved. The approved separation distance is 45.0 feet. This waiver approval applies to the existing absorption field 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: ranted: Date: Approved by: Zo.,, . Name of Reviewer' ............................................................rte ................� **** VARIAN C E/WAIVER REVIEW **** ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-142-72 Property owner(s) C/O AMANDA HARMAN Day phone 520-820-3189 Mailing address 5640 FENWICK CIRCLE, ANCHORAGE, AK Site address 5640 FENWICK CIRCLE, ANCHORAGE, AK Legal description T1 2N, R3W, SECTION 22, LOT 40B Number of Bedrooms 3 Engineering Firm GARNESS ENGINEERING GROUP, LTD. Building Permit Number Not Applicable FE -1 APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Absorption Field Initial 0 Septic Tank 5 Upgrade 0 Holding Tank D Renewal D Privy ❑ Well ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: WELL TO AWWTS DRAINFIELD Permit/Rush Fees: 5 Waiver Fees: Date of Payment: Date of Payment: Permit No. P�-) P2_ 61061 WaiverNo.- Distance: 451 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251061, Deb Wockenfuss, 03/21/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251061, Deb Wockenfuss, 03/21/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251061, Deb Wockenfuss, 03/21/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251061, Deb Wockenfuss, 03/21/25 a r�OR9\ ANCHORAGE WELL & PUMP SERVICE, INC. D 7640 KING STREET ANCHORAGE, AK 99518 PH. 907-243-0740 Invoice Bill To: Ship To: Jerry Harman Jerry Harman 5640 Fenwick Cir 5640 Fenwick Cir Anchorage, AK 99516 Anchorage, AK 99516 20253237 SALESPERSON YOUR NO. SHIP VIA COL PPD SHIP DATE TERMS DATE PG. VanWingerden, Mark 39970 Net 30 3/14/2025 1 TY. ITEM NO. DESCRIPTION PRICE DISC % EXTENDED TX. PRICE 1 Service Call CAMERAL WELL FOR CRACKS AND/OR PERFORATIONS 1 FIELD SERVICES 03/13/25 - Arrive site with camera. Remove $258.00 $258.00 well seal and camera well. No leaks in casing, no perforations. Casing dry all the way to static water level (98'). Reinstall well seal. 1 ST2-Mark Service Tech 1 ST19-Dennis Service Tech Helper 1 CAMERA WELL CAMERA $400.00 $400.00 SALE AMT. $658.00 We appreciate your business. Thank you! FREIGHT $0.00 SALES TAX $0.00 TOTAL AMT. $658.00 PAID TODAY $0.00 BALANCE DUE $658.00 BILL TO Jerry Harman 5640 Fenwick Anchorage, AK 99567 INVOICE # DATE 4149 02/11/2025 ACTIVITY ARM Septic Services, LLC Invoice 17933 Old Glenn Highway Chugiak, AK 99567 +19076889433 ARMServicesAK@outlook.com www.ARMServicesAK.com TOTAL DUE DUE DATE TERMS ENCLOSED $487.50 02/11/2025 Due on receipt Camera/Locate:Camera Services Camera to inspect tank and drainfield Tank baffles appeared to be in good shape, as well as walls of tank. Was only able to locate 6-7 feet from tank towards drain -field hit impassable blockage at 6-7 feet from tank. A 3.75% interest charge will apply to all invoice over 30 BALANCE DUE days late. FPay invoice ARM Septic Services, LLC QTY RATE AMOUNT 1.50 325.00 487.50 $487.50 II O O O LOT 40C O O CJ1 O O FENCE XX— po R5p Eo A� N P 5� Opp O J (D z z ti w o: CONCRETE PLANTER — — FENWICK CIRCLE— — — — — N 89059'00" E 83.86' ASPHALT DRIVEWAY C , / SEPTIC po STANDPIPES ao 0 Co N 50.0' 2 -STORY FRAME HOUSE 50.0' 0 06 N WELL LOT 40B 20,170 sq. ft. 02 — — — — — — — — — — — — — — — — — — — 10' UTILITY EASEMENT OVERHEAD UTILITY LINE EO EO EO EO EO EO EO EO- EO CO UTILIT POLE Y S 89059'00" W 150.00' LOT 6 LOT 5 28.7' EO EO REBAR T O O 0 O O O m O O O LOT 40A UTILITY PEDESTALS �I NOTE0 15' 30' ����� OF"44������ DRIVEWAY LOCATION IS APPROXIMATE DUE TO SNOW AND ICE COVER. i *.• TF,49 * �; ..............................I .............................� i �'• Buku Saliz ��i� ��'•, LS -14837 rrr' �O FFSS�O k\_ EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT (70-377) ARE NOT SHOWN HEREON. THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR ISA VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. JOB # 25021 I NO CORNERS SET THIS DATE I SCALE 1" = 30 AS -BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 40B, A RESUBDIVISION OF BLM LOT 40 ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST EXCEPTAS INDICATED. DATED THIS 4th DAY OF FEBRUARY, 2025, AT ANCHORAGE, ALASKA. FIXED HEIGHT, LLC C.O.A.122554 Land Surveying Services WWWTIXEDHEIGHT.COM 600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949 GREA? '"R ANCHORAGE AREA BORC Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM N AM E,..~lJ') ttJ LOCATION MAILING ADDRESS LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH NUMBER OF I M A T E R i AL (1/)/1~,,~-{~(~ COMPARTMENTS LIQUID DEPTH ~ LIQUID CAPACITY/~*~O'*' GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA /.~/¢ ! Z~ DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ¢ - MATERIAL BENEATH TILE FOUNDATION/0~'ez3/O, NEAREST LOT LINE /(¢) /-/' oFTOTALLINEsLENGTH~j~ / DISTANCE BETWEEN LINES _ ~ TRENCH WIDTH~/CrZ/I)[~. TOTAL EFFECTIVE / SQ. FT. LENGTH OF EACH LINE ~'~ ! ~ ABOVE TILE_ ~ IN. WELL: TYPE CONSTRUCTION . DEPTH _ BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SYSTEM CESSPOOt OTHER SOU RCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: ~' SEWER LINE DEPTH: / PIPE MATERIAL: 0 LOT SLOPE: ,~ REMARKS; DATE Form EQ-032 GrEATEr ANCHORAGe AREA BorouGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE~ ALASKA 99503 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT I NSTALL^T~O~ LOCATION MAILING ADDRESS PHONE INSTALLATION OF; SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE PIT /~--~, DRAIN FIELD . , OTHER TO BE INSTALLED BY COMPLETION DATE ANTICIPATED NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEBT FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTB SEPTIC TANK TO SEEPAge PiT WALL /~-- / WELL TO SEPTIC TANK /~) / DRAIN FIELD /O~} { WATER MAIN TO SEPTIC TAN~( SEPTIC TANK, /~l SEEPAGE PIT SEEPAGE PIT ALSO CONSIDER AREA WELLS. j DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. Gl~AVEL BACKFILl. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYBTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF EATE~' NCHORAGEAREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROU~--~ ~epartment oH Environmental Qu~ ~y 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG PEROLATION TEST Legal Descrip~-~on:~ ~-e~-¥~z~e~ ~:~~ This form reports: Soils log_ ln_.~. ' Percolation test Depth Feet 10- 11 12- 13, ~6 (-.,4-, ~,'-'/'/~'w~ ~ T,.,,.~~ . - Was ground water enaountered? ~]:)__ If yes, at what depth? Reading Date Gross Time Net Time __D_epth to ~ote____~_~ Net Drop Percolation rate minute. · ~roposed installa~n-:--~e~i~-ge Pit ~ Drain Field ................... Oepth of Inlet~ . Depth to'~G-o~l~om of [)it or t~;ench CO;.,'.~e,TS: ...... ~_~_ --~ -;-i~_ ~ .-21) ~ ~Z~ ~_ ......... ~. ~t~~ ---.- ~ ............. EQ 040 (6/74) Performed For Legal This '~ne te~ t~ worth a thousand o~inions" Jim Nichols Date Performed Qescrintion: Lot Block Form Reports Soils Loq zes 9/30/74 Subdivision (Fenwiok Place) Percolation Test Peoth Feet 1 2 3 4-- 5-- 6-- Soil Characteristics Gravelly Silty Sand Sandy Gravel BOH Was Ground Water Encountered?__ I~ Yes, At what Depth? I Readinq Date Gross Time Net Time Depth to H20 Net Drop I Percolation Rate Minute Proposed Installation: SeenaQe Pit Drain De~th of Inlet Depth To Bottom Of C~ENTS: 2~0 square foot drainage required per bedroom Field Pit Or Trench Test Performed By J. Mack Data Certi.fied B~:Constrmction Test Lab Date: ±o/~/7~ F~ ATER ANCH~lRAGE AREA BOROU',, ~ DEPARTMENT OF ENVIRONHENTAL QLIALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For '-C$"2~ ~x}~c:,K~.~\ Date Performed Leqal Descrintion: LotZ~O-BBlock Subdivision -~-~'~'(~- ~- This Porm Reoorts Soils Log ~ Percolation ~enth Feet Soil Characteristics CASE # Test Was Ground Water Encountered? If Yes, At what Depth? Reading Date Gross Time Net Time Depth to H20 Net Dropl Percolation Rate Minute Proposed Installation: SeeDaQe Pit De~th of Inlet Depth CnM!~ENTS: ~o~A/,. ~ ~?~;~ Test Performed By (-('~}¢>k..A~V :k(($r~ Drain Field To Bottom Of Pit Or Trench MUNICIPALITY OF ANCHORAGE Ame Development Services Department Phone: (907)343-7904 On-Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251104 Parcel ID 015 -142-72 Expiration Date: 2/26/2026 Legal description T1 2N R3W SEC 22 LT 40B Site address 5640 FENWICK CIR Current property owner(s) HARMAN STELLA A X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments By:/ Original Certificate Date: 3/28/2025 This`Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject ;system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE us Development Services Department 1 Phone: 907-343-7904 On -Site Water &Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-142-72 Complete legal description T1 2N, R3W, SECTION 22, LOT 40B Location (site address) 5640 FENWICK CIRCLE, ANCHORAGE, AK Current property owner(s) C/O AMANDA HARMAN - CONTACT: JERRY Day phone 1-520-820-3189 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic Al Concrete ❑ Fiberglass Age 51 -See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ■❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ y Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSA Application—June 2022 COSA Checklist Legal Description: T12N, R3W, SECTION 22, LOT 40B Parcel ID: 015-142-72 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled "1974(?) Total depth **117'+ ft Cased to *98+ ft AN Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 2/26/2025 Well production at time of test 6.5+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes 0 No 0 Coliform bacteria is Negative Nitrate 6.54 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 0 Arsenic less than MRL (ND) Collected by GEG, LTD. Static water level at beginning of test 96.1 ft. Date 2/26/2025 Comments *NO WELL LOG. CAMERA INSPECTION OF WELL DONE BY ANCHORAGE WELL & PUMP. **PER 2/26/25 WELL TEST. B. TANK DATA Measured operating fluid level in septic tank 57.25 Date of pumping 2/5/2025 ❑ Required maintenance completed, if AWWTS Comments: THIS IS A CONCRETE TANK D. ABSORPTION FIELD DATA Which system tested (date installed) 3/25-26/25 0 ALL standpipes present per record drawing Total measured depth from grade 12.2 ft (max) Measured depth to pipe invert from grade 4.4 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. 0 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced _gallons date Any rejuvenation treatment (past 12 months) N/A If yes, enter date STATION ❑ Require 'ntenance Age of lift s=;I Lift station Adequacy test date NEW Results Q Pass Fluid depth prior to test NEW in Water added NEW gal New fluid depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 in Effective depth used 0 in Effective depth remaining 84 in Comments/Deficiencies: NOTE: TANK INLET AND OUT BAFFLING DEEMED TO BE GOOD BY ARM SEPTIC SERVICES CAMERAING INSPECTION ON 2/11/2025. COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ■m Yes if No ft ❑■ Yes if No ft Neighboring Tank > 100' Fn� Yes if No *50+ ft Private Sewer/Septic Line > 25' F2 Yes if No ft Absorption Field on Lot > 100' 51 Yes if No ft Holding Tank > 100' QYes if No ft Neighboring Absorption Fields > 100' **45+ Animal Containment > 50' QYes if No ft Qi Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' OYes if No ft QYes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ■0 Yes if No ft Surface Water > 100' R] Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' ■� Yes if No ft Wells on Adjacent Lots: ❑■ Yes if No ft Private Wells > 100' Q Yes if No ft M Yes if No ft Community Wells > 200' M' Yes if No ft Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *FOR AWWTS ON LOTS 5 & 6, THUNDERBUSH S/D. **WAIVER GRANTED FROM WELL TO LOT 6, THUNDERBUSH S/D AWWTS DRAINFIELD (WAIVER# OSV251014). G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 ey A. Garness: E! Z� Z o p .. coo LICENSE4� r'�ofesslo` ©�' #AECC884 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC251104 Subdivision: T12N R3W Section 22, Block: , Lot: 40B 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 6.54 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. II O O O LOT 40C O O CJ1 O O FENCE XX— po R5p Eo A� N P 5� Opp O Fz i1-� J (D z z ti w Cr — — FENWICK CIRCLE— — — — — N 89059'00" E 83.86' ASPHALT DRIVEWAY I �z=' SEPTIC � n� A° STANDPIPES ao 50.0' CONCRETE PLANTER 2 -STORY Co FRAME 06 N HOUSE N 50.0' WELL LOT 40B 20,170 sq. ft. 02 — — — — — — — — — — — — — — — — — — — 10' UTILITY EASEMENT OVERHEAD UTILITY LINE EO EO EO EO EO EO EO EO- EO CO UTILIT POLE Y S 89059'00" W 150.00' LOT 6 LOT 5 28.7' EO EO REBAR Eo N T O O 0 O O O m O O O LOT 40A UTILITY PEDESTALS I NOTE 0 15' 30, DRIVEWAY LOCATION IS = APPROXIMATE DUE TOjq�" SNOW AND ICE COVER. '*'4 *•4 ............aliz r LS -14837 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT (70-377) ARE NOT SHOWN HEREON. THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR ISA VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. JOB # 25021 B I NO CORNERS SET THIS DATE I SCALE 1" = 30 AS -BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 40B, A RESUBDIVISION OF BLM LOT 40 ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST EXCEPTAS INDICATED. DATED THIS 27th DAY OF MARCH, 2025, ATANCHORAGE, ALASKA. FIXED HEIGHT, LLC C.O.A.122554 Land Surveying Services WWW.FIXEDHEIGHT.COM 600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949