HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES BLK 1 LT 10Onsite File
Mountain
Valley Estates
Block 1
Lot 10
#050-631-13
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211322 PID Number: 050-631-13
Dwelling: IRE Single Family (SF) El with ADU E] Duplex (D) n Two Single Family Project: 171 New nN Upgrade
Name
ROANLD & PATRICIA JOVANOVICH
A RPTlION FIELD
D Tr c
r Trench 171 Wide Trench E] Bed ound
Site Address
4815 BIRDSONG DRIVE, EAGLE RIVER, AK 99577
Other
Phone
Number of Bedrooms
Soil Rating�
depthoriginal grade
862-1214 1
4
ISF
ITotal
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original -g-t �e
'Gravel depth beneath pipe
%.- Ft.
Subdivision Block Lot
MOUNTAIN VALLEY ES'r 1 10
Fill added above originalG7
Ft.
< h Ft.
Township Range Section
IGravel width
Ft.
Beds: Number of Lines
Dist e between lines
N� Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total orption area
L2�
Number of trenches
Dist. between ches
From
Tank
Field
Tank
Line
Ft2
-
Well100'+
I
EXIST.
I
251+
TANK M Septic El S.T.E.P. 171 Holding 0 Other
Manufacturer
GREER TANK
Capacity
1250 Gal.
Surface Water
100'+
EXIST.
Material
Number of compartments
Lot Line
5'+
EXIST.
NA
PLASTIC
2
Foundation
110,+
EXIST.
L TION
7
Manufacturer —
Remarks
Gal.
Alarm location Electra Iled by
Installer
Tank to
V11'r—IMAIMMIAL House totank U6U,54 drainfieldD3034
SOUTHFORK CONSTUCTION DAN JANKE
Drainfield EXIST. CO/MT D3034
Inspector GEG CONSULTANT, JODY MAUS
BENCHMARK (Assumed elevation) 100.00 ft
Inspection 1m 8/23/2021
Location and description
dates: 2"d
TOP OF TANK MANHOLE
3rd 4,h
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineers Sta
Conditional Approval: Date
........... . ...... .........
............ . .......... .......
Septic System
Approved Date
Je r
Je Gorne s.-'
DO 9 E—.795
0
Note: this approval does not include well permit requirements.
#AECC�4��Pro'fe
(Rev 05/02/1 8)
FIR
PERMIT NUMBER:
RECORD
PARCEL ID NUMBER:
DRAWING 050-631-13
OSP211322
NOTE: THE OLD SEPTIC TANK
WAS DECOMMISSIONED PER
A I B
16.8 18.6
UPC (DISPOSED OFFSITE)
14.7 21.5
FDB
13.8 22.2PER
THE CONTRACTOR
12.8 22.2
NOTE: PER DAN JANKE WITH
SOUTHFORK CONSTRUCTION, THE EDGE
— '
OF THE EXISTING DRAINFIELD IS 9+ FEET
FROM THE HOUSE FOUNDATION.
INSTALLED DOUBLE
CLEANOUTS (DBL1
& DBL2) S�Ma
�'
` NEW 1250 GALLON
.
GREER TANK PLASTIC
4 „�• .
,, SEPTIC TANK
✓ ' �' °a
�� EXISTING DRAINFIELD.
e' PASSED SEPTIC ADEQUACY
TEST ON 7/15/2021
d
A.
a. \\
EXISTING
.` . .
GARAGE
EXISTING
a r - t A
},d
FOUNDATION
CLEANOUT
srtr
EXISTING
Mi FOUNDATION
CLEANOUT
EXISTING
EXISTING
\� a
WATER
d�.....: al i
' KEY BOX
WATER'
,
N
k
�\ KEY BOX
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EXISTING f%.f
EXISTING
Y
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<' ( 4-BEDROOM
j HOUSE %r
WELL A\
aa.' � a �... ':
L
A.
V
.e
PROPOSED 100' ` "�"•. ' '
°"
EXISTING WATER LINE N
WELL RADIUS ON 1 " •• ° °' .a :., . '
, '
BETWEEN GARAGE AND
<
1998 PERMITTEDi.: '
a; '�4
7 HOUSE. WATER LINE WAS
DESIGN. WELL -a 1 •
° ''a
/ PROFESSIONALLY LOCATED. SCALE:
APPEARS TO NOT ", 1, ' .� -
`'.
NEW TANK WAS 10+ FEET
HAVE BEEN
',a y=
FROM LOCATES. 1" = 30'
DRILLED YET=------4°'°
•d.
ilk
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EN INEERING
GR}UP Ltd
..... ...*♦%GARNLSS
ENGINEERING -
SALES-CONSULTING
0
3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE: w .garnessengineering.00m
•, ••• • •• • ••••••••••••, ""' �; •�"'•�
�♦ :�, e ey A. arness ` � i
CE-795 '
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
RONALD & PATRICIA JOVANOVICH
862-1214
2 OF 3
♦ -'
Aw
�♦ '• • d o I Z ''•C` �
PROJECT/LEGAL DESCRIPTION:
DRAWN BY:
MOUNTAIN VALLEY ESTATES; BLOCK
1, LOT 10
J.L.M.
�D�� "I . •�••••"'��"
FE
` Pr, \\�S\��`• •
,rr ��
TYPE OF WORK:pnr
DAr10/11/2021
RECORD DRAWING OF SEPTIC TANK UPGRADE
#AECC884
PERMIT NUMBER: PARCEL ID NUMBER:
OSP211266'327- RECORD DRAWING 05*4#=
050-631-13
FINAL GRADE
Gly NESS ENGINEERING
GROUP, Lt
ENGINEERING = SALES - CONSULTING
3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE. ALASKA -PHONE (907)337-6179
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
RONALD & PATRICIA JOVANOVICH =81
62-1214
3 OF 3
PROJECT/LEGAL DESCRIPTION:
DRAWN BY:
MOUNTAIN VALLEY ESTATES; BLOCK 1, LOT 10
J.L.M.
TYPE OF WORK:
DATE:
RECORD DRAWING FOR SEPTIC TANK UPGRADE
10/7/2021
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
-M' � )
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (9 07) 343-7904 Fax: (907) 343-7997
http://mvw.muni.org/onsite
Permit Number: OSP211322
Work Type: SepticTank Upgrade
Effective Date:
Expiration Date:
Tax Code Number: 05063113000
Site Legal Address: MOUNTAIN VALLEY ESTATES BLK 1 LT 10 G:0658
Site Mailing Address: 4815 BIRDSONG DR, Eagle River
Owner: JOVANOVICH RONALD & PATRICIA
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy
���1cnr
I?el}arCm�n t
8/5/2021
8/5/2022
Lot Size in Sq Ft: 79965
Total Bedrooms: 4
❑ 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
Received B
Issued By:
yy Date: —_
z—� Dater
of � ANCHORAGE 3ORA
Development Services Department Phone: 907-343-7904
On -Brie Nater & Wastewater Section Pax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-631-13
Property owner(s) RONALD & PATRICIA JOVANOVICH Day phone 862-1214
Mailing address 4815 BIRDSONG DRIVE, EAGLE RIVER, AK 99577
no -1c DIMnOr1nl(- noni� CA('I C OI\/= AIS Onc-7z
Site address 'YU IJ VI\LJ LJIlIVV LiI\I V L, Lr"%VLL I X I V L_,," rlf\ JaJ! r
Legal description (Sub'd., Block & Lot) MOUNTAIN VALLEY ESTATES; BLOCK 1, LOT 10
Legal description (Township, Range & Section)
Lot Size
Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
(® all that apply)
Absorption Field ❑
Septic Tank
Holding Tank ❑
Privy ❑
M _:. ...,.. IAl...rr n
Alva e vvcn I__I
APPLICATION IS AN
Initial
❑
Upgrade
El
Renewal
❑
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
TYPE OF DWELLING:
Single Family (SF) Q
(w/wo AD U)
Duplex (D) ❑
Multiple Dwellings ❑
(SF and/or D)
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: t 2 2 5 Waiver Fees:
Date of Payment: g�3,2 I Date of Payment:
Receipt Number: 92 G Receipt Number:
Permit No. D S P2 1 1 3.2 Z Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211322, Deb Wockenfuss, 08/05/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211322, Deb Wockenfuss, 08/05/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211322, Deb Wockenfuss, 08/05/21
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OE 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
MAILING ADDRESS
LEGAL DESCRIPTION'
Well .. ~ Ab s o r p t i o~n a r [/a.,~.
DISTANCE TO: ~'O'b [~/ ~.~ x.--
LOCATION
M a n u f act u r e ~.~¢~..~'
Inside length
Liq.
Dwelling/u]/
JW dt~
NO. OF BED~,~MS
PERM . /7 ,0
No, of compartment.~.~_
Liquid depth
IF HOMEMADE:
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Liquid capacity in gallons
DISTANCE TO:
No. of lines/
we,,//a
Top of tilq fil~isl.~grade~
Length Width
Total effecti~e~bsorption area
PERMIT NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE TO:
Driller Distance to lot line PERMIT NO.
DISTANCE TO:
Building foundation
SewerJine
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
soil TEST
INSTAL LF~ /~_ /_ 'p .
REMARKS
OWNER OF LAND
ADDRESS
tIT�tie Dr-tfitn :f[ug
by
DOC Co. dba
SULLIVAN NATER WELLS
P.O. BOX 272, CHUG IAK, ALASKA 99567 • TELEPHONE 688-2759
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
LEGAL DESCRIPTION
DRAW DOWN FT.
DATE - Started Ended
GALS. PER HR
PERMIT NUMBER
KIND OF CASING
KIND OF FORMATION:
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
Froin
-Ft. to Ft
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to Ft. �rHnRAGE
MUNICIPALI-ly
From
Ft. to
Ft.
From
Ft. to rF iFc I
n F'
ENVIt< -iT�
From
Ft. to
Ft.
From
Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to it.
From
Ft. to
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6!,,
MISCL. INFORMATION:
DRILLER'S NAME
PERMIT NO.
DEPARTMENT ~ HE8L. TH AND ENVIROMMENTBL ~'~DTEC. TION
825 "~ STREET., ANCHORAGE., AK. 9S
264-4720
~-.JEI_L R~-~D O~q--S I TE LSEL,~E~: PERI~ I T
( 820787 )
RPF'LICRNT
L. OCRTION
L. EGRL
RONALD JOVANOVICH
LiO Bi MT VALLEY EST
909 GAUGRCH WRY ~47 99502 24~-3i43
LOT SIZE 99999D SQURRE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MR::<IMUM NUMBER OF BEDROOMS = 3.
SOIL RRTING (SQ FT,'"BR)= 95
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[-~EPTH= 8 L El'-.i G'r FI = _---~-. ~i::-; ,_3R FI %,' E L [)EPTH= 4
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRR',/EL BETWEEN THE..' OUTFALL PIPE
AND THE BOTTOM OF THE E>.',CAVATION (IN FEET:).
t~.E~;!~J IRE[:, SEPT I I"-: TRFIk~
PERMIT APPLICANT HAS THE REESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
THC, ( 2 ) I ~SF"ECT I C~-~S ARE ~.' E .r;_-! I_11 REE:,
BACKFILLING OF RN'¢ SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR ~50 TO 200 FEET FROM R PUBLIC: WELL DEPENDING
UF'ON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE :CS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMFNT WITHIN ':8 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MR'¢ APPL. Y. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'EE:r~ I T E)<-.P ]: RES [:~EL-:EfdE:ER
I CERTIFY THAT
1: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3.: I UNDER. STAND THAT THE ON-SITE SEHER SYSTEM MAY REQUIRE ENLFIRGEMENT IF THE ~.
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ? BEDROOM.:,. ' ~D '
S GNED:__ /
V4. 0
PERFORMED FOR: ,
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
DATE PERFORMED:
'E
SOl LS LOG
PERCOLATION
TEST
1
2
3
4
5
6
7
8
9
10
11
12
WAS GROUND WATER
ENCOUNTERED?
SLOPE
:l
13
?/'~"'POI--IF YES, AT WHAT
DEPTH?
SITE PLAN
14
15
16
17
18
19
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
Reading Date Gross Net J Depth to Net
Time Time Water Drop
PERCOLATION RATE /~,/ ~z~/~A (minutes/inch)
TEST RUN BETWEEN ND FT
~. ~-~. -)"' ' - CERTIFIEDB - v ~
MUNICIPALITY OF ANCHORAGE
Development Services Department P p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 050-631-13
Certificate of On -Site Systems Approval
Expiration Date: V-2_(vq02_3
Legal description MOUNTAIN VALLEY ESTATES BLK 1 LT 10
Site address 4815 BIRDSONG DR Eagle River AK
Current property owner(s) JOVANOVICH RONALD & PATRICIA
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for
Comments or advisories:
bedrooms, with the following stipulations:
Original Certificate Date: 4/26/2023
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 Services 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 work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
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Development Services Department ('hone: 907-343-7904
On -Site VVater o: Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 050-631-13
Complete legal description MOUNTAIN VALLEY ESTATES; BLOCK 1, LOT 10
Location (site address) 4815 BIRDSONG DRIVE, EAGLE RIVER, AK 99577
Current property owner(.) RONALD & PATRICIA JOVANOVICH Day phone 907-862-1214
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: M 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: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel H Plastic ❑ Concrete ❑ Fiberglass
Age 1 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for: F 1 6 4 N iro�JN�g—� �,, Distance: 9
Expedited review requested: ❑
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 $ Q Waiver Fee $
Date of Payment .72. Date of Payment
COSA G 2-S I0,66 Waiver # SV Z3 DI �-
COSA Application June 2022
COSA Checklist
Legal Description: MOUNTAIN VALLEY ESTATES; BLOCK 1, LOT 10 Parcel ID: 050-631-13
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
X Well log is filed with Onsite (or attached)
Date drilled 8/16/1982 Total depth 98.25 ft
Cased to LINK ft
OR Sanitary seal is functioning correctly
X Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 7/15/2021
Static water level at beginning of test 55.9 ft.
1616717 �T-
B. TANK DATA
Measured operating fluid level in septic tank *57.5"
Date of pumping 11/1/2022
❑ Required maintenance completed, if AWWTS
Comments: *IN 1ST COMPARTMENT
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/30/82
R ALL standpipes present per record drawing
Total measured depth from grade 6.7 ft (max)
Measured depth to pipe invert from grade 2.9 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
❑ Monitor tubes go to bottom of effective.
If not, state depth into effective 3.8'
❑ 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)
If yes, enter date
Well production at time of test 5.1+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes X No
M Coliform bacteria is Negative
Nitrate 1.53 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑■ Arsenic less than MRL (ND)
Collected by GARNESS ENGINEERING
Date 10/20/2022
T STATION
:Ageof
uire tenance com
lift station rsion nal
ents:
Adequacy test date 7/15/2021
Results Q Pass
Fluid depth prior to test 0 in
Water added 715 gal
New fluid depth 33 in
Elapsed time 214 min
Final fluid depth 0 in
Absorption rate 600 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 48 in
Effective depth used 0 in
Effective depth remaining 48 in
Comments/Deficiencies: SUMP WAS CHECKED ON 10/31/2022 AND FOUND TO BE DRY.
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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'
❑i Yes
if No
ft
❑Q Yes
if No ft
Neighboring Tank > 100' Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' Yes
if No
ft
Holding Tank > 100' [E Yes
if No ft
Neighboring Absorption Fields > 100'
Animal Containment > 50' Q Yes
if No ft
on Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 9Yes
if No
ft
g Yes
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' [:]Yes if No * ft Surface Water > 100' Q Yes if No ft
Tank to Property Line > 5'
Field to Property Line > 10'
Water Main > 10'
Water Service Line > 10'
■0 Yes if No ft
n Yes if No ft
Q Yes if No ft
Q Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100'
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
*TANK IS 10+ FEET FROM FOUNDATION. 1982 DRAINFIELD WAS FOUND TO BE 9+ FEET FROM FOUNDATION
DURING 2021 TANK UPGRADE PER CONTRACTOR. DISTANCE APPROVED WITH MOA APPROVAL OF THE 2021
INSPECTION REPORT. **WATER LINE PROFESSIONALLY LOCATED DURING 2021 SEPTIC TANK UPGRADE.
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 Gamess Engineering Group, LTD. (GEG)
Engineer's Printed Name Jeffrey A. Garness
Phone 907-337-6179
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 systems 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) regardirn
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
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ENGINEERING -SALES -CONSULTING .. .. n ,.< Alaska Authorized Dealer
April 24, 2023
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Attention: Curtis Townsend
Ref: Drainfield to Foundation Waiver Request for Mountain Valley Estates; Block 1, Lot 10
Mr. Townsend:
Per our 10/11/2021 record drawing, we noted that (per the contractor), the edge of the existing
drainfield is 9+ feet from the house foundation. We are requesting a 9 -foot waiver from drainfield
to foundation. Per a phone call between the owner and Jody Maus, GEG consultant, the
foundation near the drainfield is a basement and per the attached owner's statement, there has
been no evidence of effluent seeping into the foundation at the corner of the house where there
is the encroachTent. If you have any questions, please contact us at 337-6179. Thank you for
your assistarkco]
Sin
, P. E., M.S.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
Jodv Maus
From: RON JOVANOVICH <jovan@ mtaonline. net>
Sent: Saturday, April 15, 2023 10:45 AM
To: Jody Maus
Subject: RE: COSA for Mountain Valley Estates; Block 1, Lot 10 - 4815 Birdsong Drive, Eagle River,
AK
Jody here is the statement that is required by the muni;
4/14/2023
RE: COSA for Mountain Valley Estates; Bk 1, Lt 10;
There has not ever been any issue with this encroachment and I have not had any indication of
seepage into the foundation at the corner of the house where the encroachment exists.
Ron Jovanovich
Let me know if this is sufficient.
Thanks
Municipality of Anchorage
I Jrpon tmrnt
P.O. Box 196650 ® 4700 Elmore Road
Anchorage, Alaska 99519-6650 P (907) 343-7904 Fax (907) 343-7997
http://www.muni.org/Onsite
cvclopmcnt Services Division
On -Site Water and Wastewater Proqram
Waiver#: OSV231017 COSA#:OSC231066
PID#: 050-631-13
Legal Description: Mountain Valley Estates Block 1 Lot 10
Engineer: Jeff Garness
Your request for a waiver of the required 10 feet horizontal separation from the absorption field to
the foundation has been approved. The approved separation distance is 9.0 feet.
This waiver approval applies to the existing absorption field. Any firture upgrade to the on-site
wastewater disposal system will require all separation distances be met or another approval from
this department.
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Waiver is Granted: X Waiver is not Granted:
Date: / 2- 20Z. Approved by: II
Name of
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11/3/2022
To: Garness Engineering
Ref: Septic system @ 4815 Birdsong Dr. Eagle River, AK
There has never been a freeze up in the system since its original installation.
There has never been a problem.