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HomeMy WebLinkAboutPARADISE VALLEY BLK 9 LT 35 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'V,J ~ '~ O~..'~ Z. PID Number: OZ. O 4-t4-1 ~ Name:~___,. [..I~,,4.~,~ ~~C~ Wastewater System: ~New D Upgrade ~d,~,,: ~)O ~ ~0 ~ / ~, ~ Z~ ABSORPTION FIELD Phone: ~__ ~ No. ol~rooms: ~ Deep Trench D Shallow Trench ~Bed ~Mound ~Other Sod Rating: Total Depth from original grade: LEGAL DESCRIPTION Subdivision: Depth to pi b~ from original grade: Gravel depth ~eath pipe Township: Range: ~ Section: Fill added above original grade: Gravel length: WELL: D New D Upgrade Gravel widt~:~Ft. Number~of lines: Distance between~ lines:Ft. Classdication (Private, A,B.C}: Total Depth: Cased To: Total absorption area: Pipe material: )rilier: DaleDri[led: SlaticWaterLevel:F,. ,nstalle~ SEPARATION DISTANCES ~eptic D Holding D S.T.E.P. Ma facturer: Capacity in gallons: From Tank Field Sial,on Tank Sewer Lines Material: Number of Compartments: Water ~ -- ~ ~ LineL°t ~ // ~ -- -- S,ze .n gallons Foundation ~ ~ -- ~ ~ "Pump on' level at: ~water alarm at: Curtain ectrical Inspections performed by: Remarks: ~IJ~U C1~.¢~ /~ ~ BENCH MARK .o~,,o~ ~.d ~.or,p,io.: P'"/~ Assumed Elevation: ENGINEEB'SSEAL 2nd ~/"/*~ ..... ~'~ ...... ~ ....... '' Department of Heal nd Huma e~ices approya~ '~:~'... .,"~ 72-013 (Rev. 9/91) MOA 25 Permit No. ~'~s ~'~O~.SZ.- Page Z.,, of -~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L'~"~j i),~9~ {,)Au.~'~ PID No.: O~0de 141t~ 72-013 A (1/93) * PermitNo. <~(~ ~OZ,~'~. Page '-~ of -~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: ~'C J~cJ/ p,~ll.J~,~,E I//AgI.C-,~ PIDNo.: 72-013 A {1/93) * \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930252 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:BREHMER CHRIS J & OWNER ADDRESS:P.O. BOX 241103 ANCHORAGE, AK 99524 PAGE 1 OF DATE ISSUED: 7/23793 EXPIRATION DATE: 7/'23/94 PARCEL ID:02041416 LEGAL DESCRIPTION: PARADISE VALLEY BLK 9 LT 35 LOT SIZE: 21292 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE PERFORATED PIPES AND GRAVEL IN THE EXISTING TRENCHS MUST BE REMOVED AND REPLACED WITH SAND. THE NEW BED MUST NOT EXCEED A TOTAL DEPTH/OF 2.0 FEET, AND MUST HAVE A 2 FOOT SAND FILTER LAYER ~NDERLYING/THE SEPTIC ROCK. RECEIVED BY: ~ KNIEFEL ENGINEERING 8451 MILES COURT ANCHORAGE, ALASKA 99504 (907) 337-6560 July 16, 1992 ~. John Smith, P.E. On-Site Services Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 Subject: Lot 35, Block 9, Paradise Valley ~71, System Re-Design Dear Mr. Smith: Based upon your staff inspection of the original, but never used, absorption system installed on this lot, we have completed a system re-design to avoid the problem with the perceived high water table. The attached paperwork shows the new system location, the treatment of the existing system to accommodate the new system, and the proposed well location. Please review this information and change the cuxrent permit for this lot to allow for this system installation. If you have any questions, please don't hesitate to contact me. Resp~tfully Submitted, Robert .~miefel, P.E. I SYSTEM DESIGN/CONSTRUCTION GUIDELINES AND NARRATIVE LOT 35, BLOCK 9, PARADISE VALLEY 1. System Size - 3 bedrooms x o00 sf/bedroom = 900 sf Recommend Absorption Bed System 20' x 45' = 900 sf This ~vill be an owner installation, gA1 materials, construction methods and required inspections to follow MOA rules an([ regulations. The owner is responsible for notif.ving the Engineer and the MOA ar least four hours in advance of all inspection needs. The Owner will insure no additions or changes have been made to the location of well or septic systems on the adjacent lots prior to the rime of construction of this system. If any changes to those systems have occurred, the Engineer should be immediately notified for review and possible changes. The previous sewer rock installed in the initial trench system (trench system never used) will be removed to at least two feet below the level of r. he bed and backfilled vAth sand. The lot generally slopes down to the west at, 5 - 6% and slopes down at a 2 - 4% to the south. The installation will have little or no effect on the surface drainage, ~ound water, or the adjacent systems in the area. The septic system should be properly maintained to include septic tank inspection. pumping on an annual basis and no garbage disposal grinder in the kitchen. If a garbage disposal grinder is used. the septic tank size shmfld be increased to 1.500 gal. The well must be installed ac least 105' from the nearest point on the septic tank or field. The septic tank and field must be inst~lled at least 105' from any adjacent wells. Nlunicipality Ancho. rage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 April 30, 1993 Robert Kniefel, P.E. 8441 Miles Court Anchorage, Alaska 99504 Subject: Lot 35 Block 9 Paradise Valley Subdivision, PID #020-41,4-16, On-site Wastewater Permit #SW910139 Dear Mr. Kniefel: On March 31, 1993 you furnished this office with an as-built under your seal (On-site Wastewater Disposal System and/or Well Inspection Report) for the new septic system installed on the subject lot on September 30, 1991. As you are aware, under AMC 15.65.150.E, it is mandated that the as-built drawing prepared and approved by a professional engineer must be submitted to the Department within thirty (30) days from the date Of the final inspection. The subject as-built was received eighteen (18) months following the installation. Also, AMC. 15.65.150.A requires that the Department must be notified at least two hours prior to any inspections made during the installation. This was not done. When you submitted the application for the On-site Well and Wastewater Permit, the attendant supporting information indicated in one place that the septic system would be installed by "the contractor", and inferred on the site plan that the installer would be Acreage Systems, Inc. The above referenced as-built drawing shows that the system was installed by the owner. When it is proposed that the owaer be permitted to install his own system, it is required that the owner provide proof to the Department of his experience and ability in this type of construction, and the department then approves (or disapproves) of the owner installation. This was not done. During a site inspection 6onducted by Messrs Roth and Robinson on April 29, 1993, numerous major problems and discrepancies were noted with the septic system installation which are as follows: Cleanouts at BOTH ends of the absorption trenches were not installed in accordance with the approved system design, and as required under AMC 15.65.060.E.12. The monitoring pipes adjacent to each absorption trench are perforated throughout the length of the monitor tube. ''Robert Kniefel, P.E. '.April 30, 1993 Page Two The approved system design specified a total depth of the absorption trenches to be 5.5 feet below the original ground surface. Assuming that the monitoring tube extends to the bottom of the gravel layer, the total depth of the trench is 6.5 feet. The approved system design specifies a minimum of 3.5 feet of backfill over the top of the gravel. AMC 15.65.060.E.7 requires a minimum of 24 inches of backfill over the gravel layer and E.8 requires insulation over the gravel layer if the backfill is less than 36 inches. The backfill observed during the recent site visit appears to be only 1.5 feet. During the recent site visit, water was observed in the original ground water monitoring tube at a depth of 6.0 feet below ground level. During the recent site inspection, water was observed standing in the monitoring tube adjacent to the west trench at a depth of 5.5. feet below ground level. From these observations it is obvious that the subsurface disposal field in installed in ground water. Based on the above noted problems and discrepancies, the subject on-site wastewater disposal system is hereby disapproved by this office. The Building Safety Section of the Public Works Department has been advised of this situation, and has flagged the building permit accordingly. There must be no remedial work commenced on the subject disapproved disposal system before you meet with this office and a mutual decision is reached concerning how to bring the system into compliance. By a copy of this letter the property owners, Chris J. and Lisa M. Brehmer, are also being advised that the subject on-site wastewater disposal system has been disapproved by this office. If there are any questions, please call our office at 343-4744. ~~ely, ~ Robert W. Robinson - Civil Engineer On-site Services cc: John Smith, P. E., Program Manager, On-site Services Chris J. & Lisa M. Brehmer PO Box 241103 Anchorage, Alaska 99524-1103 Tom Fink, Mayor unicipality of Anchor ¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 April 30, 1993 Robert Kniefel, P.E. 8441 Miles Court Anchorage, Alaska 99504 Subject: Lot 35 Block 9 Paradise Valley Subdivision, PID #020-414-16, On-site Wastewater Permit #SW910139 Dear Mr. Kniefel: On March 31, 1993 you furnished this office with an as-built under your seal (On-site Wastewater Disposal System and/or Well Inspection Report) for the new septic system installed on the subject lot on September 30, 1991. As you are aware, under AMC 15.65.150.E, it is mandated that the as-built drawing prepared and approved by a professional engineer must be submitted to the Department within thirty (30) days from the date Of the final inspection. The subject as-built was received eighteen (18) months following the installation. Also, AMC. 15.65.150.A requires that the Department must be notified at least two hours prior to any inspections made during the installation. This was not done. When you submitted the application for the On-site Well and Wastewater Permit, the attendant supporting information indicated in one place that the septic system would be installed by "the contractor", and inferred on the site plan that the installer would be Acreage Systems, Inc. The above referenced as-built drawing shows that the system was installed by the owner. When it is proposed that the owner be permitted to install his own system, it is required that the owner provide proof to the Department of his experience and ability in this type of construction, and the department then approves (or disapproves) of the owner installation. This was not done. During a site inspection ~onducted by Messrs Roth and Robinson on April 29, 1993, numerous major problems and discrepancies were noted with the septic system installation which are as follows: 1. Cleanouts at BOTH ends of the absorption trenches were not installed in accordance with the approved system design, and as required under AMC 15.65.060.E.12. The monitoring pipes adjacent to each absorption trench are perforated throughout the length of the monitor tube. Robert Kniefel, P.E. .April 30, 1993 .'Page Two 3. The approved system design specified a total depth of the absorption trenches to be~.~§~5 feet below the original ground surface. Assuming that the monitoring tube extends to the bottom of the gravel layer, the total depth of the trench is 6.5 feet. 4. The approved system design specifies a minimum of 3 5 feet of backfill over the top of the grave!· AMC 15.65.060.E.7 requires a minimum of 24 inches of backfill over the gravel layer and E.8 requires insulation over the gravel layer if the backfill is less than 36 inches, The backfill observed during the recent site visit appears to be only 1.5 feet. 5. During the recent site visit, water was observed in the original ground wa%er monitoring tube at a depth of 6.0 feet below ground level. During the recent site inspection, water was observed standing in the monitoring tube adjacent to the west trench at a depth of 5.5. feet below ground level. From these observations it is obvious that the subsurface disposal field in installed in ground water. Based on the above noted problems and discrepancies, the subject on-site wastewater disposal system is hereby disapproved by this office. The Building Safety Section of the Public Works Department has been advised of this situation, and has flagged the building permit accordingly. There must be no remedial work commenced on the subject disapproved disposal system before you meet with this office and a mutual decision is reached concerning how to bring the system into compliance. BY a copy of this letter the property owners, Chris J. and Lisa M. Brehmer, are also being advised that the subject on-site wastewater disposal system has been disapproved by this office. If there are any questions, please call our office at 343-4744. ely, ~ W. Robinson Civil Engineer On-site Services cc: John Smith, P. E., Program Manager, On-site Services chris J. ~ Lisa M. Brehmer PO Box 241103 Anchorage, Alaska 99524-1103 · Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~-~1,~1~ lO [3~2~ PIDNumber: Name: ~S ~. ~ ~ ~ e ~ Wastewater System: ~New D Upgrade A~es~: ~ ~ ~ t~O~ ABSORPTION FIELD No. of Bedrooms: Phone: ~ S'7--~ O ~ ~ Deep Trench ~ Shallow Trench XB~ '~'~und ~ Other Soil Rating: Total Depth fro~original grade: LEGAL DESCRIPTION ~ ~//~ GPD/Sq. Ft. Lot: ~ Block:~ --~¢~ ~Subdivisi°n:~ Depth to pipe bo~ from original grade:/- Ft. Gravel dep~eneath pipe Ft. Township: Range: Section: Fill added above original grade: Gravel length: ~ ~ New D Upgrad~ ~w~width: ~ IFt, Number oflines:~ Distance between lines:/ ~ Ft. Classificatio~8,G): Total ~ Cased To: Total absorption area: Pipe material: ~G~~pMDriller: ~-- ~lled: Pump Set a;: ~'Casing Heig~d:Static Water Level:Ft. I n~r~ ~ Date installed:~ ~. ~. TANK SEPARATION DISTANCES ~Septic D Holding ~ S.T.E.P. · o Seplic Absorption Lifl Holding ~u blic/Private Ma~~ ~ From Tank Field Station Tank Sewer Lines ~~ /~ ~ '~ ~ ~ -- Material: ~ ~ Number of Compartments:a Water -- -- ~ -- - LIFT ~o~ II 1~ ~,~,. ~,,on~: Line ~ ~ .... evel: at: High water alarm at: Foundation ~ ~ ~ -- ~ "Pump on' Jevel at~ CurtainDrain ~ ~ ~ ~ ~ ~ J Electrical Inspections porformed by: Remarks:- ~0 ~ I';~ BENCH MARK Location and Description: ' ' ENGINEER'S SEAL Inspections performed by: ~,/~' Dates: 1st Reviewed and approved by: Date: 72-013 (Rev 9/91) MOA 25 ~, ~ ,~, Permit No.'5 W q ~, O ~"~ ~ Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 995'19-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: V I = 72-013 A (Rev. 9/91) MOA 25 Permit No. ~(AJ ~'~ [ 0 l'3 9 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-013 A (Rev. 9/91) MOA 25 ENG NEER~S SEAI~ Tom Fink, Mayor unicip Hty of nchor ¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 9, 1992 Chris J. & Lisa M. Brehmer PO Box 241103 Anchorage, Alaska 99524-1103 Subject: Lot 35 Block 9 Paradise Valley Subdivision Permit 9SW910139, PID #020-414-16 The subject permit, issued June 7, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of June 7, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, / ~ On-site Services enc: Copy of Permit PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910139 DESIGN ENGINEER:ROBERT KNIEFEL, P.E. OWNER NAME:BERHMER, LISA AND CHRIS OWNER ADDRESS:iS121 GOLDENVIEW DRIVE ANCHORAGE, ALASKA 99516 DATE ISSUED: 6/07/91 EXPIRATION DATE: 6/07/92 PARCEL ID:02041416 LEGAL DESCRIPTION: PARADISE VALLEY BLK 9 LT 35' LOT SIZE: 21237 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: DATE: SYSTEM DESIGN GUIDELINES AND NARRATIVE Lot 35, 8lock 9, Paradise Valley 1. System Design = 3 bedrooms x 188 Sf/bed. = 564 sf 2. Five Wide Trench (4' sewer rock) = 2 x 30' x 5'/.5 = 600 sf 3. All materials, construction methods and requlrea inspections to follow NOA rules and regulations. The contractor is responsible for notifying the Engineer and the MOA at least four hours in advance o¢ all inspection needs. 4, Contractor w~ll insure ~o additions or changes have Deer made to the location of wells and septic systems on the adjacent lots prior to the time of construction of this system. If any changes to those systems have occurred, the engineer should be immediately contacted for review and possible changes will be made as necessary. 5, The. OB/Fill material.will be removed...~o the ..q.~.er]y.i.~g graye.ll.y sand.material under eny port~.o~ cf the...~.ceoGh..aEea,. 6. The lot slopes down towards t~e west at a 5% slope which increases to 10 - 13% at the west property line, The system installation should have little or no effect on the surface drainage, ground water, or the adjacent systems in the area. 7. The septic system should be properly maintained to include septic tank inspection and pumping as necessary on an annual basis and no use of a garbage disposal. If a garbage disposal is used the tank size should be increased to a minimum 1,250 gal tank and the tank pumped regularly on an annual basis. . The separation distances from the other adjacent systems is very tight, and the lot should be surveyed prior to final field layout to insure the proper distances are maintained. MOA CE 90-030 SEPTIC-' SYSTEM DESIGN DATE . __ PREPARED FOR: SCALE PREPARED BY: {/'= /0~ ~ Kniefel Engineering No. 4149. E MOA CE 90-030 LEGAL DESCRmTION~~,i~) [(~E Township. Ran e. Section: PERPORMED:~ 2 I_ I N ¢ WAS GROUND WATER · ENCOUNTERED? ~ 0 ' , 11 IF YES, AT WHAT 12 DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop 17 18 19. 2O PERCOLATION RATE __ (minutes/tach) PERC HOLE DIAMETER TEST RUN BETWEEN , ~' FT AND ~' FT COMMENTS PERFORMED CERTIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNiCiPAL GUiDELiNES iN EFFECT ON THiS DATE, DATE: 72-008 (Rev. 4/85) ' PERFORMED FOR: 2 3 4 5 7 9 ~0. 11 12 13 14 15, 16 17 18 19 20- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST COMMENTS Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER Reading Date Gross Time ~.'~'7 ?;07 7.'z. 7 ?,'~7 Net Time /O Depth to Net Water Drop · ~r. o ~ , ~z.. ,~.z- PERCOLATION RATE TEST RUN BETWEEN I (m~nutes/~nch) PERC HOLE DIAMETER ~ It ~' FT AND ~ FT PERFORMED BY; . ~, ~-~JI I.~"~,'~ I J~, I~./, I~'C"~ CERTIFY THAT THIS TEST WAS PERFORMED IN 72-008 IRe,,'. 4/85) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHOR_AGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW940253 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:BREHMER CHRIS J & OWNER ADDRESS: 0204141600088 DATE ISSUED: 7/22/94 EXPIRATION DATE: 7/22/95 PARCEL ID:02041416 LEGAL DESCRIPTION: PARADISE VALLEY BLK 9 LT 35 LOT SIZE: 21292 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. DATE: 1201 Ramona St. 99515 ANCHORAGE~ ALASKA SIX INCH WATER WELL DRILLED .......... OUT TO THE DEPTH Of 349 feet. DRILLED AT THE RATE OF $24.©.) PER FOOT. Charge for 31t5 feet, PROPERTY OWNER :~'~r. Mark {:[icke'Ls')n LOCATION OF WELL SITF, [Jt .3~ DRILLER Bernie Claus of ~.~rE LL LOG: 277-1896 274-9176 9 Paradise Vaqiey, Ramoart Dri.k]~ing Works. - 7: Cons].o:.'t'terate of weathered bedrock. 7 - 20' Bedrock. Medium hardness, but. ¢~b~eo ~ to drive steel casing. ' B ~ 2) - 349 eo. rock. A sedimentary rock. No water production showing until 16) to 163 ft. with a slight amount of yield. By 255 ft. water yield from cracks & fissures p~oved j¼st under ~/2 gpm. This Wel].c~d not i~prove from that figure until ~40 ft. when a porous rock area was encountered. Water oroduction from 3~O to 344. ft. yields 5 to possibly 6 gom. Water recovery after'48 hours came to a slight flow over the top of the casing. Water recovery after two hours came back to ¥~thin 4.0 ft. of the surface. One hor$eo~wer submersible pump should be installed to somewhere around the 390 ft. level. $1 , 5;)i) "'~ ~o. .a-~ · ,;~..oaid on this account. ,~.~.,:, per. ft. X 3LiS ft: $8,280.00 No charge for mob or demob. No charge for set up or Well cap seal. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM Of $6 ~ 780.00 O ORKS DATE A}}~i}.~t. 1©: 1 9~,~ SERVICE CHARGE O F 1~% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNT~ • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I. D.020-414-16 1. GENERAL INFORMATION: Expiration Date: Ll -2-.S -2-022 Complete legal description Paradise Valley; Block 9, Lot 35 Location (site address) 18121 Golden View Drive *Anchorage AK Current Property owner(s) _Patty O'Scannell Day phone 907-947-1589 Mailing address Real Estate Agent. . Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ �5d Waiver Fee $ Date of Payment Receipt Number COSA # 03 C a a 1018 Date of Payment Receipt Number Waiver # 5. 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 for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 1 1'74 1 ZZ 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. 6. DSD SIGNATURE . System #1 Approved for -3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, o e, .�..... Il ................. I J r y . Corress•' CE -7953 k 1� 12 �VlINq� 1P,ofe`-si0 Gc�` #AECC884 OF Q � i Z ON-SITE with the folhaing "PgraRo _ TATER ` (�,S�T(.v o V V f n A fl UJ - PR Jam/ 1, A��,� `IT Cr- Original G Original Certificate Date: �OzZ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: PARADISE VALLEY; BLOCK 9, LOT 35 Parcel ID: 020-414-16 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 3.0+ gpm Date drilled w"2"941?' N/A Water storage tank volume gallons Total depth 349 (?) ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to UNK ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate 0.5 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by GEG Date of flow test for COSA tt7/2022 Date of Sample 1/7/22 Static water level at beginning of test * ft. Elapsed time min Comments *ARTESIAN (?) AS -BUILT SURVEY IN MOA RECORDS SHOWS WELL EXISTED ON 2/17/94 B. TANK DATA Age of tank(s) 29 years Tank type/material Measured operating fluid level in septic tank 51 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 1/13/2021 C. LIFT STATION ❑ Required maintenance Age of lift station �'`� Lift station materiaf'' D. ABSORPTION FIELD DATA Which system tested (date installed) 1993 Adequacy test date 1/7/22 **❑ ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 3.75 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade *2.8 ft (min) Water added 611 gal ❑ N/A — pressurized field 4 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 135 depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: •DRAINFIELD INSULATED PER MOA RECORDS "2 C/OS AND MT NOT LOCATED ON NORTH SIDE OF BED COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes Community Sewer Manhole/Cleanout > 100' ft C] Yes if No ft f 7 Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25'0 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' R11 Yes if No ft Neighboring Absorption Fields > 100' Surface Water > 100' Q Animal Containment > 50' Q Yes if No ft ft 21 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M Yes if No ft P Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [� Yes if No ft Surface Water > 100' 121 Yes if No ft Property Line > 5' n Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Main > 10 P11 Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Q Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *ASSUMED BASED UPON WELL LOCATION NORTH-EAST PORTION OF BED MAY BE PARTIALLY UNDER DRIVEWAY G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 MR DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section t www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC221018 Subdivision: Paradise Valley B 9 lot 35 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 29 years old. Typical replacement costs range from $9,000 to $12,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. 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