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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 °.'.''1 EXISTING f%.f EXISTING Y "' <' ( 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 .z_$+.r v..z,an `k",5.. :.,.. vh✓.}� .3...... :msX...a_....ki. _,.&:wL'l¢G. .., w.N- S:va'n..: rn..,. r..vu` .Lux-i"'.MY a.^:"ve4Fie..+o-...tu.:. .. ..wvvw. tre._r..�..... ... a..a Nv .-*.. 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 3@ 8 ®E WIA IVA O . ....... . AV ............ .............. 0 ....... ........... L .. 0 - OF rey . Gar ss �-AV Aff V CE 7 AV 4? Vo LICENSE 4411 w w N o N 161 v ui y 1.17 / > LO m c C7 V-1 a) p 0 m C=,) m M L OZ �t 18,21 'S s C m �' i— �a CL it p � D v co m cpm 1 � y d Ln d ', W L�iJ FU-- Q) ,OZ��' u I >I I N Q I - 1 Q) /tU d W N1 1. > �U N \�// W .` / _ 1' • 1)11 O 0,co �-+d i> 4wi c��n •- UJ y �'oo �W z ti1 ?moo � 1 m EL ,q. rn€.d� > o c O i 188 I �r �,S' ji1)111�1tt��`t`` .- I I 1 I � I j ( > O N F �� I O J W o a N o j d LD I I M w ° � r p I .� � .•n '� ,��^„ .d v rev Cv > > c� W G O U C p W O I,D y s < m rn (lJ 6 m 7 � � 4U (`� V l '� _ �.: N CEJ' o CUN lt'1 .,,2 •.,. � � � O m n p O L L C W w ~� N 0 V) S 00.06'13' E 165.00' \\\\\\\tttttl / 0i ml, cr- W } - Y AR v c _ CO vJ .i o - '2 a011 tti yn' `w } J co W ryr, h�ry� ID C 003 e. o 0 w S � N o < O � W h VL d a r ID N J u ''� •� O S to r p � co W z LO .� >.0 p ..1 V gyVr a p0 -' d Q 0 o t N a / o w o z %•°�oo r w 11 p CDo y _ mEnL's �o mU CUN DRs -C��' v o 'c o a>eo rn G_ BLRDSpN w O rj i j � LU 7',O O U CL ` Z O +�. s p O ct 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 — o .- F w o z N rnrn � � • � .r-'� � W r Cr M N r M �' o Zc, 3 Q N D m 3 /n y i "� v cp C J• S C.JI !D CD W L•Sg[ 3 S' jV v _ N C o '_ f.} c O CD°. JCD V m a. O ✓ ° C z 0 0 0 o z y Oo O a ��) Cl) Z � d -e in � � � N CD CD C a o O N O £ / W ti / O N I I / y 1D m o m CD z _0 o -a r A ,T0j (Q (D OrN CD a. -• _ t U,;? (D= — o _ O C O ` ¢' N \ UlCC - N ^*C3v O O m �w OZ 0v �n x N(D i j o r N c0 G� J N .ZJ D m 0 m Df N VJ A 'n � �1 cn 40 � r c�i2j � 11 11 co v a yc,\ '.' s I o D ET 7 /) N = O ' v°i C ro -��cn.i n � CD m m 3 m Q 00'S9I 3 ,EI,90.00 S \a _ N m S2=�1ro�= Da c ••-: A ,�• O A CD CD T A04 r °CD° CD M co y YY ° z "• � N n v ' a- ai ° Q)CD CO 0� W F— Y . � , CD� % ng-D. � UN v0 CD O m <�G oa°.owp° Qbd a � atiQ w CCD CL O ac m a CL cn c o dCD a' a a � CD CD o o o CD w CD 1� Z o q � I M Q pCD Q r o I I C) I o I I I I I CD OR ;o (a CD o y . w �� CD o- - 5o % o -u :moi % CD C (n 0N i g •� ai _ i,iCD �� .' /� j m 7 CD av cD Q ~ r Cn ro Co co 0 III ��� _ _ 13.5'I N Q nl `i mry ro / SX ro ro t7I Q Q 4. m Im w i 22, cu 13,5' '-'--- — i ISI Q cn 2�' II (o D m � Q ul / I /0 L_ l = I t m °co C O LA CD I f cn 90 Dav / / hw > o i 15,12 8' 20' I Q- W W Co L \` co In _ v o ° Ln < =ill � I5, 5' 15,5' Ln m �' Ln o s < DP�k m 38 4�1 19' 18' o m \ m N m Mm 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 Ft. From Ft. to r v ED 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 Aq 86:% V_ � 1to may:✓ ANCHORAGE l ..''"cam' �, '�2^uA`�i:=--'^"`_�T*�,^'="~��.:x..::a..+^^ta'�' 3•st�a.,u Y1.�'cr+.x-..r, �- - 1 / 66'sf4� 2..�\\' .- - 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. �--r-�-c s'`+`�,-�►F...�"i �r�a� c� v� ��rz., t to l3 f 2'�� r2� ,,:re-^ 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 Jeff-ey_Qjaf'ness,: CE 7�9j5 3 •' D�nP" f e s sio�°oma #AECC884 AR ENGINEERING GROU P,rLtd 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. ■ammaaaaaoaaammaamaamaaaaaaaaaaaaaameamaaaaeaaaaaeaaameaaaameaaaeaaaaaaaaaaana� Waiver is Granted: X Waiver is not Granted: Date: / 2- 20Z. Approved by: II Name of Revi e ■ a a a a a a a m a C a■ ■■ a a a a a a a a a a a a a a a m■ a m a a a a a m m a a a a a a a a a a a i a m a a a a a a as i a m a a a m a a a a mi 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.