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HomeMy WebLinkAboutPARADISE VALLEY BLK 9 LT 34: 02.o /7 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231138 PID Number: 020-414-17 Dwelling: F15 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Shirley Dam A RPTION FIELD [01 De Trench El Wide Trench El Bed ❑Mound Site Address 18201 Golden View Drive Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-854-5822 4 SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original g Gravel depth beneath pipe Ft. Ft. Subdivision Block Lot Paradise Valley 9 34 Fill added above original grade Gra length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dista between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between tre es From Tank Field Tank Line Ftz Well >100' N/A N/A N/A >25 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Greer 1250 Gal. Surface Water > 1 oo' N/A N/A N/A Material Plastic Number of compartments 2 Lot Line >5' N/A N/A N/A NA Foundation >10' N/A N/A N/A L TATION Manufactur Capacity Remarks Insulation placed over tank Gal. Alarm location Electn led by Installer PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield ACES Drainfield D3034 CO/MT D3034 Inspector B Schiller BENCH MARK (Assumed elevation) 100 ft Inspect1m 6/27/23 Location and description 2ion nd r Concrete Slab @ Man Door 3 4m ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ®F A�,� Conditional Approval: Date .t9 49— •• Benjam ri.,Schiller �¢ �'F•• Septic Syste Approved Date qA CE 12592 ,•i��`�� �VP, F9FppROFESSION�t��� Note: this approvalcj�a s not Include well permit requirements. kr[Cv UJ/UL/ 16f a 1 a . 1 . • PERMIT # i PID # 020-414-17 EXISTINaTRENCH TO REMAIN IN \ ( SERVICE - 1 - --- - CHIN LINK FENCE I 10' UTILITY EASEMENTS / I I I CO LOT 35 NEW 1250 SEPTIC TANK r F LCAT 3 / I (( �h / / LOT 4- ! G01 OA �O DECK L —I \ \ \ \ BM ^j r' SHED/ \ ) DECK \ \ ,... \ LOT 34 '~ 4 r r LOT 31A r \ \ \ tf ENGINEERING ..i -.r --or- ski Benja i Schiller I��csJF�F,C812412392 l�►,�pROFESSIONP ,a 0 50 100 hE =1 INE ME FEET 1 "=50' A B 2C01 23.2 27.6 MH 27.8 31.8 SV 32.0 35.9 I 33.8 i CO LOT 35 NEW 1250 SEPTIC TANK r F LCAT 3 / I (( �h / / LOT 4- ! G01 OA �O DECK L —I \ \ \ \ BM ^j r' SHED/ \ ) DECK \ \ ,... \ LOT 34 '~ 4 r r LOT 31A r \ \ \ tf ENGINEERING ..i -.r --or- ski Benja i Schiller I��csJF�F,C812412392 l�►,�pROFESSIONP ,a 0 50 100 hE =1 INE ME FEET 1 "=50' A B 2C01 23.2 27.6 MH 27.8 31.8 SV 32.0 35.9 2CO2 33.8 1 37.9 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT PERMIT # OSP231138 ENGINEERING PID # 020-414-17 PROFILE AS -BUILT (NO SCALE) INSULATION AQ 7H .. ... ... . ...... ......... .......... Benja Schiller CE 142112 8!24.3 Lot 35 10' UTILITY \ / EASEMENTS c6 \ '"E 170.01' Lot 3 30 E / Lot 4 WELL \ `\ � O��v ` 4 <37 \ _ry s'\ 'OR /OT FcT LF % RgOj�S / Lot 31 A / PLOT PLAN _ _ AS BUILT X SCALE 1" = 40' GRID — SW 3538 Project No. __ 23-18�A2_ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone ken®langsurvey.com ®4�►�®�1� Professional Land Surveyors jonathan0longsurvey.com .� '� OF At trovis®langsurvey.com • ' ' ' ' • • !9�1 I hereby certify that I have surveyed the following described property: LOT 34, BLOCK 9, PARADISE VALLEY SUBDIVISION (PLAT No. 87-16) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the _ -11 "V"Day of _r �� v "= ° at Anchorage, Alaska t If is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH u .. . ...� KENNETH G. LANG 4 �/ i c NoC202 State of Alaska AECC963 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 Departnient On -Site Wastewater Disposal System Permit Permit Number: OSP231138 Effective Date: 6/15/2023 Work Type: SepticTank Upgrade Expiration Date: 6/14/2024 Tax Code Number: 02041417000 Site Legal Address: PARADISE VALLEY BLK 9 LT 34 G:3538 Site Mailing Address: 18201 GOLDEN VIEW DR, Anchorage Owner: DAM SHIRLEY M Lot Size in Sq Ft: 25372 Design Engineer: FORGE ENG Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field Q 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 -Received:Sy_: ..L55tAe Issued By: Date: Date: ��� Z MUNICIPALITY OF ANCHORAGE Community Development Department; Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-414-17 Property owner(s) Shirley Dam Day phone 907-854-5822 Mailing address 1120 East Huffman Suite 24 PMB 695, Anchorage AK 99515 Site address 18201 Golden View Drive Legal description (Sub'd., Block & Lot) Paradise Valley Block 9 Lot 34 Legal description (Township, Range & Section) Lot Size 25,372 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑x Septic Tank ❑X Upgrade ❑ (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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: 2 Z S Waiver Fees: Date of Payment: 6Z-� Date of Payment: Receipt Number: O G7,Z0D Receipt Number: Permit No. 0 S P_2-'3 I / --?-, '? Waiver No. Permit App_-'.:- .-.,:c. May 30, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Paradise Valley Block 9 Lot 34 - 18201 Golden View Drive Septic Tank Replacement Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. We are replacing the septic tank with the same size designed for 4 bedrooms. The new septic tank will be a minimum of 100’ from all wells and surface water. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231138, Deb Wockenfuss, 06/14/23 x x x x x x x x x x Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 2CO PARADISE VALLEY BLOCK 9 LOT 34 FEET 0 50 100 CO GO L D E N V I E W D R I V E 3-B DR M HO M E SEPTIC PLAN 9/7/22 DECK DECK SHED CHAIN LINK FENCE 10' UTILITY EASEMENTS EXISTING 71' TRENCH TO REMAIN IN SERVICE EXPOSE END OF TRENCH AND INSTALL CLEANOUT NEW 1250 SEPTIC TANK INSTALL 2CO BEFORE THE TANK (OR FOUNDATION CLEANOUT) KEEP OUTSIDE 100' WELL RADIUS B U L G A R I A D R I V E 2CO DECOMMISSION EXISTING 1250-GAL SEPTIC TANK PER UPC Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231138, Deb Wockenfuss, 06/14/23 I I 25.0' I I I FENCE n I Lot 35 10' UTILITY \ EASEMENTS \ I R"� \a f k[ ?j ��u WSEPnc ' I - \ PIPES'? + h S < �O f� O 3 °Fwgr {IJ zs 3 �. 9• W ro 73.6' °Fck 55:O i, O Z o A, W Z o I Lot 2 34 0 N--� 10 10.6'x12.2' GREENHOUSE hk^ o�r�F F Lot 3 \ S QS 2 Lot 4 'fie• x\ WELL I ZOO F \ �Se pROT RSO/GS l Lot 31A PLOT PLAN ___ AS BUILT _x_ SCALE __1" =_49__ GRID _ SW 3538__ Project No. ____23=18V 1____ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone kenOlongsurvey.com\ Professional Land Surveyors jonathanOlangsurvey.com ? OF A� 1 trovisOlongsurvey.com i P'��! �ts�.�t1, I hereby certify that I have surveyed the following described property: LOT 34, BLOCK 9, PARADISE VALLEY SUBDIVISION (PLAT No. 87-16) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. N; Dated this the ---«'_—_ Day of at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. *• 49TH *1 y KENNETH G. LANG Fcs' No. 202 .' �1l%J511G 3' 0 State of Alaska AECC963 . ~,~, ,, 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 NAME ~, PHONE ~NEW LEGAL DESCRIPTION ~ NO. OF REDROOMS AbsorptiqD~rea Dwelling PERMIT NO. ~N~ Z ~ Manufacturer ~~ Material ~ ~ ~o. of comoartments kiq. capacitg in ~allons Inside length ~idth kiquid dopth ~ ~ DISTANCE TO: Well ~ Dwelling PERMIT NO. ~_~O ~ ~ Manufacturer ~ ~ Material Liquid capacity in gallons ~ DJSTANCETO: Well ~ ~ ~ Foundation ~ ~ Nearestlotline~ PERMITNO. - Distance between lines ~ No, of Hnes Length of each line Tota, length of ,i~O *rench~ -- Z ~ [ '--~ ~ inches ~ ~ ~ To~ of tile to finish grad~ Material beneath tile ~ (~ Total effective absorption area ~ i~ ~0 '~ ~ ~x~ ~ O inches Length Width Depth PERMIT  Type of crib me Crib depth Total effective absorption area m Building foundation Nearest lot line ~ DISTANCE TO: J~ s~ [~B Depth Driller Distance to lot line PERMIT NO. ~ ' Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER SOl L TEST RATING ~ ~'¢ )t ~ ~ INSTALLER ( 72-013 (Rev. 3/78) , x- [.':,EPFtF'.Tf'IENT OF HEFILTH PII`,t[) ,, ::::'::'R ." ." ':;TF.'EE"", ~---II E'SZ L I! ..... . Ir:Il IP-.~ [::, (::n ~-..~ ....... rE.T, F'E'F.':H]:T 1'.40. ,' 7':F.:06'2::E: ', FFLT ..-I~T I~.OCFIT ]: FiN LEGFtL [::,FI',,,'):.[:, FOR£:,' J'ORi'.]i'..t ..TEI`-]k:I~5 SRI::I EOX ~J..,'~'~='~-:~..~l.,- Fli'.]CFIOF.':FIGE EiOL[.'.,EI`-,I V :1: El.,] BI..ILGFI[.i: I Ft L _-'::4 E: '95 FJ:72 S~;:!LIF-1t:;?.F£ FEET T'¢F'E OF SOIL I:IBSOR~T.~EiN :B¢S'['EH I_~,.;~-~TRE:N~:H : ~ :q E.i't .T,S: THE RE(;!LI:[RED SIZE OF THE '::0 T'FIE L_EI`.]G'rH .F.'.,II',IEN'...:.;IOI'.,I TS THE LEI`.,IGTH ,::Ii"4 FEET) OF THE' 'i"RENCH OR DRRIIqFIEL.[:,. ]'HE DEPTH OF F:I TRENCH OF..: PIT :t:S THE D:[STRI`,IC[:_' BE:TI-,.IEEf',I THE SUF::F'RC'E OF THE GROUND RND THE BOTTOH OF THE EXCRVFII"ION (]:N FEET::,. 'THERE IS NO SET I.,.IIB','FH FOR TRENCHES. 'T'HE'GI';.'tFIVEL C, EF'TH !S THE M):N~i"IUH [;:,EF"t'H OF:' GRFI',/EI~. E=E'I"!.,IEEN 'THE OUTFRL.L PZF'E RN[::, TFIE BOTTOH OF,,TFIE E',qC:RVFIT]:ON ,.':]:N F'EET.':,. tI~:E:E ~2..:.~ILII Z 1):,14: E: [:, 2~;E:F'qF' Z ~:: 'T"F'¢lt'..,lt::: ."E; i ;.-:-:.".E =: ;'I1. "::::~,:E& ~.LEiF'¢IL_..~,ii:;; CX',B.,,~:E.';; F'ERI"I] T FIF'F:'L): CRNT HI:IS THE RESPONS ]:lB Z L :t: T'.r' TO i NF:'ORH TH I S B',EPFIRTHEI`.]T' DUR I I`'.IEi THE :!:I'SSTFtLLRT.f. ON II'4SPECT]:OI",IS OF RI".!'¢ NEL. LS RB',O'RCEI',IT TO THIS F:'ROPERT'¢ FIND THE NUi'"IBEF..' OF RESIB',ENCES THFfT 'i'HE NELL MILL SERVE. RRCKFIt_LING OF FIN¥ =.r::,lEI1 1.4):THOUT F~I`.,IFtI_ INE;F'ECTIOI`',I FINE:, FIPF'F.:OVFII.... E',"r' [::'EPRR'I"I'IEI",I"I" 14 :[ LL. E;E E;LIB.J'ECT TO F'fS'."'SE 'Z. '1":1: Oi`',1. M!i"]ti"lUH B'ISTFINCE BE*I"!4EEI"] R 14ELL. RND F:li`,l"r' ON'""SITE L::;EI.,.IRGE DISPOSF!I.... S'¢STEI"'! IS ;±00 FEET FOR R PR. IVRTE !-,.IELL.~ OR .':t. 50 'i'O 200 FEET FROH FI PUE:LIC !.4ELL [:'EF'EI"]DII`,IG UPON THE '['"r'F'E OF F'UBL!C I.,.IEL.L.. 1.4ELL LOG"-"'; RRE REC!U:[RE[.':' FIND r'ttJST BE RE'i"URNE[:' 'Fi;) THE DEF'FIRTPIENT 14 :[ TH Z i',I 2~:O DFI"r'::5 OF THE 1.4ELL COHF'LE'TIOI'4. 'OTHER RESK.IIREi"IENTS i'"lFl"r' RF'PL"r'. SPECIF'ICRTI'ONS RN[:' COI`']S'I'RUC¥ION DZFIGt:;~Rf"[S FIRE RVRIL. RBLE TO .'I:NSLIRIE PROPER INS'rRLL. FITION. IF=' E F-." ~",'~ l." *'IF* F_.F_Z ,',=-=." F' % F:: IE~: :'.=.;~; It:Z:, EE: Ill: EL ir'-ll ~: EE IF;-.'. .~-- ..~ .... :..l._ c:: ,~ ,,=. I CERTIF"¢ TFIRT :'L: :[ Ri"1 FFIP1]:LIRR !.,.II'I"H THE RE(-'.!LI:[REHENTS FOR ON-SITE SEI4ER"_q RI'.][::, 1.4EL. L:.?, F:IS :~ET' F'OR'f'I4 D"? THE HUNIC]:PFIL]:I""r' OF FINE:HOF;.:RGE. 2: I P.ITL_L ~.N'.:STRL. L THE S'¢STEI"I ]:i`',l RCCOR[:.:'RNCE I.'.II'TH THE CODES. :ii:: ~ UNDER?.';TF-IND THRT THE ON-SITE SENEI:~: S'¢STEH HI::I'¢ RES!U:[RE Ei"]LRF;.:GEHEI",Ff' IF' THE RESIDENCE ISB REHOI)ELE[:' TO );i`-,tl..-2b, IJ[)E f'ILqF:E 'f'FIFtN ]: E:EDF.:OF$1S. ZLt , ~';S U El:;, B '¢¥L. '~.~~ _U:~_' ....................... t'::, FI T E .:.'~1 ...k...%%~-_L ?,'_ .......... PER FOEIM E-D FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-050, And~orage, A!~sk;.~ 99502 276-222T SOILS LOG - PERCOLATION TEST DATE PERFORMED: PERCOLATION TEST 4 5 6 7' 8 1G -I 17 't 18- SLOPE SITE PLAN WAS GROUND WATER .i / -'}~ L ENCOUNTERED? 0 IF YES, AT WHAT ." : DEPTN? [)ate Time Time Wa[er Read (minutes/inch) ;' ' FT PERCOLATION RATE 'T'EST RUN BE IWf.!EN F'r AND PERFORMED BY: :"- ' ! ) ~ ~ ' ' ,' ' ' CERTIFIED BY: i , ' ~ ~/ '~ " DATE: 72 008 (?/761 © © 0 0 © 0 © 0 0 0 © © 0 0 0 © 0 0 0 0 0 0 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-414-17 Expiration Date: f �025 Legal description PARADISE VALLEY BLK 9 LT 34 Site address 18201 GOLDEN VIEW DR Anchoraqe AK Current property owner(s) DAM X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: S ! 12o-2—'y 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 x Tank Age Advisory Arsenic Advisory Other COSA Approval —June 2022 MU HHCFAU T Y OF ° NCHO R GEE Development Services Department �;''-�4 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. 020-414-17 Complete legal description Paradise Valley Block 9 Lot 34 Location (site address) 18201 Golden View Dr Current property owner(s) Shirley NI Dam 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone (907)864-5822 3. TYPE OF WATER SUPPLY: ❑® 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 ❑® Plastic ❑ Concrete ❑ Fiberglass Age 1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Absorption Field to Lot Line Distance: ? _ EJ 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 $ > Waiver Fee $ Date of Payment 2 3 7p Z `% Date of Payment COSA # �.2 z-/ fit Waiver # COSA Application June 2022 Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road _Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * x x Waiver#: OSV241016 P I D#: 020-414-17 COSA#:OSC241116 Permit#: Legal Description: PARADISE VALLEY BILK 9 LT 34 Engineer: Forqe engineering Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 2.5 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. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted Date: Approved by: Name of Reviewer **** VARIANCE/WAIVER REVIEW **** April 30, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Paradise Valley Block 9 Lot 34 - 18201 Golden View Drive Absorption Field to Lot Line Waiver Dear On-Site Services Engineer: The existing documentation for this septic trench includes an inspection report from 1978 which shows a dimension of 13’ from the 4” sump to the west lot line (and 25’ to the north property line). However, in our inspections of the system we suspected that these measurements were not very accurate. The recent as-built survey confirms that the sump is located approximately 3.5’ from the west property line, which means the trench is likely closer to 2.5’. We cannot say how the distance was measured or estimated back in 1978. However, there does not appear to be any significant problems with the location. The trench is still absorbing effluent adequately, and it does not adversely affect the ROW. The location doesn’t affect the neighbors to the north and doesn’t constitute a maintenance problem for either this lot or the ROW for Golden View Drive. We respectfully request that a waiver be issued for a 2.5’ separation from the trench to the west lot line. Sincerely, Benjamin Schiller, PE 7.92 4/17/24 N/A New installation N/A N/A N/A Benjamin Schiller, P.E. (907) 522-7773 Nitrate Advisory Certificate of On -Site Systems Approval # OSC241116 Subdivision: PARADISE VALLEY, Block: 9, Lot: 34 A water sample revealed a nitrate concentration of 7.92 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. i 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. ~.-~ MUNICIPALITY OF ANCHORAGE · - DIVISION OF E6BfIRONMENTAJ~ HEAL~JH DEPARTMENT OF HEALTH AND ~NS/IRON]WR~NTAL PR(TI~ECT_ION APPLICATION FOR HEALTH ~3THORITY APPROVAL CERTIFI~JtTE i'. General Information Application Date (a) De. gal Description (include lot, block, subdivision, section, township, range) Location (adcl~ess o~ directions) (b: Applicants Na~___~P~f//D Applicants Address Telephone ~,5--/5~ 8 ?¢5 - (c) Applicant is (check one) Lending Institution ~; Owr~er/builder ~ r Buyer ~r Other ~ (explain); __~_e !!~ f- (e) Real Estate Co. & Agent Address Telephone 2. TyDe of Residence Single-Family~ Nua~er of Bedrocgs Wa ter S_~po~p~lJ~ Individual Well Multi-Family ~-~ Other (describe) Con~unitYF--/. Public~ Note: If co~r~nity well system, must have written confirmation from the State Department of Environmsntal Conservation attesting to the legality and status. Is the well adequate fo~ the number of hedrccms specified in this HAA (Y/N) 4. Se___~_ge Disposal Onsite ~ Public ~-~ Con~nity ~ Holding Tapk ~ ' Is the wastewater disposal system adequate for the number of b~droans (Y/N) [Page 1 of 2] 2-15-84 5a E__ngineerin~ Firm Pro_vidin~ .!.9~_Te.~sts, Data and Information I oertify that I have checked, verified, or conformed to all M3A ~ Guidelir_cs in effect on the date of this inspection° Name of Firm G/~/~ / ,ii /uT ~'/~ ~r Telephone flz/£- 723 Address Signed by (ENGINEER SEAL) Date 6. DHEP Approval Approved fo= ____ Approved ~ Disapproved E~ Conditional Terms of Conditional Approval 'lhe Municipality of Anchorage .'Department of Health and Environmental Protection doe~s not guarantee the continued satisfactory ~e=fom~anoe of the wate= supply and/or the wastewate= disposal system. This approval indicates that, as of the validation date. shown abo.~, based on the data and information furnished by an e~ineer registered in the State of Alaska, M]e w-ate~ supply and wastewater disposal system is safe and func~ tiona~ fo~ the number of bedrocks and type of structure indicated. (E~EP SEAL) 7. Mail the HAA to the following address: U~Ii KB2/d5/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE (MOA) ~EALTH AUTHORITY APPROVAL (NAA) CHECKLIST - FEBRUARY 1984 Well Classification /,~IG'/~D,~ ~ Well Log Present (Y/N) /' Total Depth ~ ~ Cased to Static Water Level / ~ ' Pump Set At Casing Height Above Ground /' Electrical Wiring in Conduit (Y/N) 7 Separation Distances f~cm Well: To Septic/Holding Tank on Lot / ¢~ o/~ To Nearest Edge of Absor~ption Field on Lot//~-/ To Nearest Public Sewer Line /~o ~ ~ Date Completed ; On Adjoining Lots /~ ~; On Adjoining Lots / To Nearest Public Sewer Cleancut/Manhole /~ ~/~ To Nearest Sewer Service Line on Lot Water Sample Collected By ~/~? ~J /9~rZ&~TF ; Date. ~$f L~ /~-f Water Sample Test Results f~£/ (~ RS?~ / jOt + Cca[[t~nts Be SEPTIC/HOLDING TANK DATA Date Installed ~-'//- 7~ Size Standpipes (Y/N) / Air-tight Caps (Y/N) Depression ove~ TamJ< ~(Y/N) /u Date Last Pumped No. of C~pa~tments 2 ~ Foundation Cleanout (Y/N) p~mping/Maintenance Contract on File (Y/N) ; for Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances f~om Septic/Holding Tank: To Water-Supply ~11 /¢~ To P~operty Line To ~ter Main/Service Line Course To Building Foundation /~/4- To Disposal Field 3- / To Stream, Pond, Lake~ c~ Majo~ D~ainage Conm~nts [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed .~-//- ? ~ Width of Field ZL/" Square Feet of Absorption A~ea Type of System Design Length of Field 1(2Y ' Depth of Field ~ ' Gravel Bed Thickness ~/ Standpipes P~esent (Y/N) Depression over Field (Y/N) /~/ Date of Last Adequacy Test Results of Last Adequacy Test ?o,~ ~,~'~ ~',~' ,~o~-~ /3Y ~',qc ~ z'.~r¢/,~ Separation Distance f~om Absorption Field: /$ /~?~r~. /~ ~ ~g Z6~ To ~te~-Supply ~11 //~' To ~o~ty Li~ To Building Foun~tion ~ d ~ ~' To Existing or ~ndo~d System / Lot ~ ~,~ ; ~ Adjoining ~ts / o ~ To Wate~ Main/~vi~ Line ~/~' To ~t~(if p~e~nt) To St~e~ond~ke/~ Majo~ ~aina~ C~se / ¢ ~ / ~ To ~iveway, Pa~ki~ ~ea, ~ Vehicle Sto~a~ ~ea / LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ Electrical Codes(Y/N) Dimensions Manhole/Access (y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Corm~nts ** Check Permitted Bed~ocra Rating Against HAA Request I certify that I have checked, verified, o~ conformed to all MO~"HAA ~.i~_ ig~s in effect on the date of this inspection. --,r~ ,- -~./,. ~ ~ · Company ~-~ /~t~/ ~I /~ ~..L £ ~tf MOA No. Km/dS/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE /vlUNICIPAI. I~ OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF U,:,^,LTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL Pr, o-rECTION ENVIRONMENTAL ENGINEERING DIVISION AU(~ t 6 f979 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~I~61EI~r)¢~ D DIRECTIONS: Complete all parts on page 1. Incomplete requests will ,ct be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE David L./Joann Jenkins 344-4587 MAILING ADDRESS Star Route A Box 480-J 99507 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE National Bank of Alaska % Ruth La BarI 276-1132~ MAI LING ADDRESS Pouch 7-025 99510 ,~ x 2883 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 34 Block 9 Paradise Valley Subdivision ;TREET LOCATION Golden View Drive 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other__ ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY X:I~ Three [] Six 7. WATER SUPPLY INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give welt depth (attach Icg if available.) WELL LOG IS ATTACHED. 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY If indlwdual/on-slte, give installation date 1978 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) ', THiS SIDE FOR OFFICIAL US ONLY ., DATE RECEIVED . INSPECTIQN APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS -[~[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX 2, WATER SUPPLY PERMIT NUMBER -E~] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER -[~] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified ~ '- \~- - INSTALLER '~]Septic Tank or E~ Holding Tank (~¢~,_-)~J~J~_ ~L~' ~ ,.~L L:)L~. Size: ~,~3~--'~. If Tank is homemade SOILS RATING give dimensions: ~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/FleldMg\L___~)! Tank Absorption1 \~'~ Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompa~cm~ertif[cate) ° /? DATE BY (Title) / / . LEGAL DESCRIPTION 72-010 (Rev. 3/78) //.'~ ~'~ · 2 6 4 - 4 7 2 0 ~~ al of individual Sewer and Water Facilities ~~quest for Approv 1. Property Owner: David L. Ford & Jo ~n Jenkins Mailing Address: S~ Box ~80-J ~chora~e, ~ 99507 Phone: 344-4587 mo Name of Buyer: Mailing Address: Lending Institution: Mailing Address: NA Construction-Permanent Same as above Phone: National Bank Of Alaska ' Pouch 7-025 Anchorage, AK 99510 Phone: Realtor/Agent: Mailing Address: Legal Description: Street Location: NA NA Phone: ________ Lot 34, Block 9, Paradise Valley S/D 000 Golde~ View Drive Anchorage, AK 99507 Single Family Residence: Multiple Family Residence: (x) Number of Bedrooms: ( ) Number of Bedrooms: water Supply: *Individual Well (x) If individual Well, well depth _ If Con~nunity System, name of system Public/Community System ( ) Sewage Disposal System: *~n-site System ~ Public System ( ) If On-site System, date of installation: __~.C~, -·.~J~- *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy · test is required, by this department. A fee of $25.00 must accompany each request before processing can be initiated. · /~ ~ //~ /6/~/~ ~