HomeMy WebLinkAboutHERITAGE HILLS BLK 4 LT 6H eritage Hilis
Block 4
Lot 6
#015-221-30
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP161285
Tax Code Number: 01522130000
Work Type: Septic Upgrade
Permit Effective Dates: October 28, 2016 to October 28, 2017
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: HERITAGE HILLS
Site Legal Address: HERITAGE HILLS BLK 4 LT 6 G:2737
C 1
cpartnrcut
11.3-16
R 6,0
Owner/Address: JJ KLEIN JOINT REVOCABLE TRUST
KLEIN GERALD JERRY A & JOYCE M CO TRUSTE 5 BRIGHTON KNOLLS CT BRINKLOW MD 20862971
Site Mailing Address: 12311 TRACY RD, Anchorage Lot Size in Sq Ft: 15500
Total Bedrooms: 2
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: 11 111 b
Date:
MUNICIPALITY OF
Community Development Department
Development Services
On -Site Water & Wastewater Program
ANCHORAGE
Mayor Dan Sullivan
On -Site Sewer/Well Permit Application
For A Single Family Dwelling
Phone: 907-343'
Fax: 907- 343 -
Parcel I.D. 015-221-30
Property owner(s) GERALD A. KLEIN JR. Day phone 443-995-7850
Mailing address 12311 TRACY ROAD *ANCHORAGE AK
Site address 12311 TRACY ROAD *ANCHORAGE, AK
Legal description (Sub'd, Block & Lot) HERITAGE HILLS; BLOCK 4, LOT 6
Legal description (Township, Section & Range)
Lot Size
2
APPLICATION IS FOR:
APPLICATION IS AN:
( Pall that apply)
Initial ❑
Absorption Field
Septic Tank
(w/wo ADU)
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Sq. Ft. Number of Bedrooms
2
APPLICATION IS AN:
TYPE OF DEWELLING:
Initial ❑
Single Family (SF)
®
(w/wo ADU)
Upgrade
Duplex(D),
El
F-1
Multiple Dwellings
❑
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
12RAINFIFLD TO LOT LINE /pRA1rJF IELZ) To TEST I-4oLE/ Distance: 1 FOOT w Fr/�FT
e(?oraSED F/£LD 7o Eki ST/NG SfF/�AGE /iT
1 certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number: LIMCI %
Permit No. (1SP/61a8S
Date of Payment: 41Amo
Receipt Number: d t?,3 L7
Waiver No. 05y/(O 1116
(Rev. 01/11)
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
October 27. 2016
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic System Upgrade for Heritage Hills, Block 4, Lot 6
To whom it may concern:
4Iz� if1``ira
UeaJer'�
The existing 2 bedroom house is served by a class "C" well and private septic system. The drainfield is in a state of
failure and needs to be upgraded. We are proposing to install a new 1000 gallon septic tank and deep trench type
drainfield. One testhole was excavated on the property and the drainfield is designed within its 30 foot radius.
Comments regarding the design are as follows:
1. SOILS: See the attached 2016 logs which show the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface water concerns.
4. TOPOGRAPHY: As can be seen on the attached design drawing, the average topography around the proposed
drainfield is 5-10%.
5. WAIVER: The proposed drainfield is approximately 5 feet from the west property line. We are requesting that your
department issue a variance from the required separation distance of 10 feet from drainfield to lot line to 1 foot.
Additionally, the exact location of the existing seepage pit is unknown. We are requesting that your department
waiver the requirement of 14 feet from the proposed drainfield to the existing seepage pit down to five feet. The
existing seepage pit is an MOA approved onsite septic system and has been in use for approximately 34 years
(installed in 1972 per MOA records). Given the visual classification (GM) and percolation rate of the existing soil
(30min/inch) it is reasonable to assume that the effluent will be significantly treated by the time it moves laterally to
the sidewall of the existing seepage pit. The existing seepage pit is to be decommissioned, therefore both systems
cannot be in use at the same time. We are also requesting that your department wavier the requirement from 5' from
the proposed drainfield and the testhole down to zero feet. During the excavation of the trench any sluffng that
occurs near the T.H. will be excavated out and compacted as to ensure minimal impact on the proposed drainfield.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have
any questions, please cor)tgct us at 337-6179. Thank you for your assistance.
A. GhrMss. P E.. M.S.
3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 ` Fax: (907) 338-3246 ` Website: www.garriessengineering.com
DESIGN CRITERIA:
GEG, Ltd. HAS A 8 PAGE SPECIFICATION NO I E: I HE LUN I KAU I UK
LETTER THAT PERTAINS TO THIS DESIGN. TO SHALL HAVE THE NORTH &
NUMBER OF BEDROOMS: 2
OBTAIN A COPY OF THE LETTER CONTACT WEST LOT LINES, AND ALL
GALLONS PER DAY (GPD): 300
GEG. BY PROCEEDING FORWARD WITH THIS FLAGGED
WELL RADII SHOWN
PERCOLATION RATE/S: 7.5 MIWINCH
INSTALLATION, THE ENGINEER, WELL DRILLER,
BY A REGISTERED LAND
PROPOSED APPLICATION RATE: 0.8 i
CONTRACTOR AND PROPERTY OWNER AGREE
MINIMUM DRAINFIELD SO.FT.: 375 FT'
THAT THEY HAVE READ THESE SURVEYOR PRIOR TO
J
•�♦
SPECIFICATIONS AND AGREE TO ACCEPT THE CONSTRUCTION.
DRAINFIELD DESIGN:
TERMS AND CONDITIONS OUTLINED.
MAXIMUM DEPTH: 10 FEET
(��
WIDTH: 2.5 FEET
LENGTH: 30 FEET
EFFECTIVE: 7 FEET
HERITAGE HILLS; BLOCK 4, LOT 5 JPS'
ACTUAL SO.FT.: 420 FF
TYPE OF WORK:
I
LOCATION OF
EXISTING SEEPAGE PIT TO BE HERITAGE HILLS; BLOCK 4, LOT 4
/APPROXIMATE
I
DECOMMISSIONED PER UPC (SAME OWNER AS LOT 3)
I
PROPOSEDTRENCH
#AECC884
PROPOSED 1000 GALLON SEPTIC TANK; INSTALL DOUBLE
CLEANOUTS BEFORE AND AFTER TANK; IF GRAVITY o
Q
FLOW CANNOT BE ACHEIVED, A 1250 GALLON STEP TANK N y
WILL BE INSTALLED 7
m
S T1 `
5.10% \
m
EXISTING FCO 3 I 3
19 1 m
HERITAGE HILLS; BLOCK 4, LOT 3
0
MT 1`
w I
SERVED BY WELL ON LOT BA
U, 5-0%
T
EXISTING SEPTIC TANK TOI
BE DECOMMISSIONED PER 1
UPC %
Q\
EXISTING 2
EDROOM HOUSC t�
I
MT
5mVCo
I
-
---------------
- --- --APPROXIMATE
-
DRIVE WAV'
APPROXIMATE
\moi
LOCATION OF KEYBOX i
I
r
I
------
HERITAGE
HERITAGE HILLS; BLOCK 4, LOT 2
SERVED BY WELL ON LOT BA
'Nl i THE CONTRACTOR TO VERIFY THE WATER LINE
LOCATION FROM THE HOUSE TO THE KEYBOX
A I AND CONFIRM SEPARATION DISTANCE FROM
SEWER SERVICE LINE AND WATER SERVICE LINE
N
1"= 30'
HERITAGE HILLS; BLOCK 4, LOT 7
SERVED BY WELL ON LOT BA
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
3701 E. TUDOR ROA, SUITE 101 ' ANCHORAGE. AK 99507 • PHONE (907)3378178' FAX (907) 33&3&9' VrEBSITE: x^vx ymeawlginemilgs
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
C�
�j
GERALD KLEIN
443-995-7850
2 OF 2
J
•�♦
PROJECT/LEGAL DESCRIPTION:
DRAWN BY:
(��
HERITAE HILLS; BLOCK 4, LOT 6
D.J.G./PNB
14�
TYPE OF WORK:
DATE:
LICENSE
� SEPTIC SYSTEM UPGRADE DESIGN
9/19/16
#AECC884
I..... F•'
pROFESS�1,40�
0
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
3101 E. TUO R ROAD, SHITE 101 'ANCHONAGE. AK WK? -PHONE I93TI 3318119' FA 193113383246" WEBSITE', wupargmemg.¢m
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: HERITAGE HILLS; BLOCK 4, LOT 6
PERFORMED FOR: GERALD A. KLEIN DATE: 9/12/20106
DEPTH ---- ORRG
7-
8
GM
s
10
11
12
13
14
15
16
B.O.H.
17
18
DEPTH TO
GROUNDWATER
----
DRY
9/12/2016
TEST HOLE #1
1
3:20
-
6"
-
2
3:50
30
2"
SOIL CLASSIFICATIONS
2
3:50
-
6"
-
4
4:20
30
2"
GW =__= ORG
5
420
-
6"
"
5
450
30
2"
4"
GMCL
GC OL
4
0 SW MH
': �'• : SP CH
5
1 SM OH
SC
6
7-
8
GM
s
10
11
12
13
14
15
16
B.O.H.
17
18
DEPTH TO
GROUNDWATER
DATE
DRY
9/12/2016
DRY
9/19/2016
3:20
-
6"
-
1" = 100'
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
9/15/2016 1
3:20
-
6"
-
2
3:50
30
2"
4"
3
3:50
-
6"
-
4
4:20
30
2"
4"
5
420
-
6"
"
5
450
30
2"
4"
19 PERCOLATION RATE 7.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5 FT. AND 6 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: LANDON BRUCE
COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFPRMEQ IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2 /`
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME k?Pbdb& 6Wt 4,6123 MAILING ADDRESS PHONE .�L/ �2 )6S'
LOCATION Patti to7E �� ll t Jz i�y 6 irt�a� LEGAL DESCRIPTION ��"r �' &/<-
SEPTIC TANK:
D[STANCE NUMBER OF
FROM WELL 82) I� MANUFACTURER MATERIAL ':j/ =L `� MATERIALZ/L j `J� � � COMPARTMENTS
INSIDE LENGTH I INSIDE WIDTH LIQUID DEPTH — LIQUID CAPACITY ��� G GALLONS.
SEEPAGE PIT:
i
NUMBER OF PITS / DIAMETER _—OR WIDTH 6 , LENGTH �j, DEPTH
LINING MATERIAL CRIB SIZE: DIAMETER'y'r`)�DEPTH a' / DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION jJ�, NEAREST LOT LINE 1� ABSORPTION AREA (WALL AREA) G - SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE (�f'/")�lY1Gi9l.>i1/ CONSTRUCTION6r lyC0f11d"t✓ DEPTH
BUILDING NEAREST NEAREST SEPTIC /
FOUNDATION LOT LINE SEWER LINE TANKU.f_ ,
CESSPOOL
APPROVED_
DISTANCES:
OTHER SOURCES
DISAPPROVED
INSTALLED BY: rZel iabk IfildcS.
PIPE MATERIAL: 01" (1941 Iron
LOT SLOPE:
DISTANCE FROM:
SEEPAGE 12
jCI
SYSTEM
REMARKS
DIAGRAM OF SYSTEM
ffi (`l^�H rrt lx •U t7�
�C7T (L• N
v vrJ a't /�t'[iSF
n a
n -
REMARKS: IVGr 0t410—
IUt�
(<)%11T6N iUJ77ani7/�IIe� T'2�l!a FibizilbynYj »I�t���
d,qQ�/� �>C� �t-;�� (fir f
zim
[/ (1lihU[ 2 of- Il:7 L/ti'[= f1iUJ . DATE �G; 1,9%� APPROVED�� L
$e j jr/-C iii-SifjT.-`1,�- iyT%i)E2�3G G.A. A.B.
3�i5' Sfh rao�
Form PW026
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME�d1��'�f' f�/A/IlI�.9•S MAILING ADDRESS r30X 'TPHONE
g,% /•
LOCATION / iu��� 1�E�f LEGAL DESCRIPTION__/GT �lC / !e�h�ll✓ �Y���S
----------------------
SEPTIC TANK: Z-rGC_ /S
DISTANCE
FROM WELL IfQ MANUFACTURER M& 'Sta-t 06 - MATERI/
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH,
SEEPAGE PIT:
OF
fMENTS�
:G GALLONS.
NUMBER OF PITS / DIAMETER –_ OR WIDTH �/ , LENGTH—Zi, DEPTH —
fx (Y
LINING MATERIAL%!'P.-//�— CRIB SIZE: DIAMETER—DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION__, NEAREST LOT LINE /Z� ABSORPTION AREA (WALL AREA)`/ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPES/17/-OAhi/LCONSTRUCTION6 WIS14 'a- Lti'eC' DEPTH
DISTANCE FROM:
BUILDING NEAREST NEAREST / SEPTIC SEEPAGE
FOUNDATION ( LOT LINE SEWER LINE /0 TANK �( f SYSTEM-
CESSPOOL
YSTEM_
CESSPOOL b0lk OTHER SOURCES %U[T/JC "r OCOAJ
.pub -
APPROVED
APPROVED DISAPPROVED REMARKS Lee 61M&Y!
D+STANEES: `b/IST ly'
INSTALLED BY: PA,h•k(t_-- / XC
PIPE MATERIAL: ad('few lhy1�
.q_4140 P//LS
LOT SLOPE
REMARKS: WveZ aeK i O a- "Tln7e
6/'in�sP ' LnrL/lr�: CRt�wAp-nursic>Qp�;ru
leTCeR CF P,714¢(cHTipN F; Vn2 &CX«4-'
of r�iyr��� �� � " - ��la•uri ,(;�� .
11'e ��titt� �)c .
Form PW -026
DIAGRAM OF SYSTEM
2/
N �jai�a •t/tea � ��Q;u,e
� � l�lhrrun
d
/,EcuS�
r)ATF APPROVED
G.A.A.B.
%543
}�4 ppCH0iAGf APFI :
cis d'Oo � 1
G �
Gt t
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
t
Time of Inspection d
Date of Inspection !mss.dfd
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
V. A1.
1. Approval requested by:
Mailing Address: Phone:
2. Property Owner: 4_i , %�,c,< < , Phone: .3L/ l %
J
Mailing Address:
3. Legal Description::` /�11�' y , �.
4. Location: `%� «,.c E. Jnr �(n ,_:e.l_ x1-1
5. Type of facility to be inspected IJ6Y% No. of bedrooms
6. Wel l Data
A. Type 4'� B. Depth
O
C. Construction D. Bacterial Analysis A.fxr -O/'L'_.
7. Sewage Disposal System:
A. Installed /2 B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 66-,2, 2. Material,
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank sZ ` Absorption area /v o Sewer Lines ,
Nearest lot line Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
Page 2 of two pages - Re.,..:st for Approval of Individual Yer & Water Facilities
Legal Description
J
Comments
Approved �, -,.;_� ., , f->:��.,.rv;: ;
Disapproved Date
Approval,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ -034 (1/74)
�rsc7.attttta � -
b
GREATER ANCHORAGE ARLl, BOROUGH
Department of Environmental Quality
qk° 4,,.� 3330 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV
2. Property Owner:
Mailing Address 12t;4' Day Phone
3. Name ^f Buyer:
Mailing Address: Day Phone
4. Name of Lending Institution: 7�=
Mailing Address: Phone>
5. Name of Realtor or Agent:
Mail ing Address: Phone
6. Legal Description:
Location:
_Z/
A
7. Type of Facility to be inspected: No. Bdrms.
8. Water Supply//ems
Type of Supply: Public Utility Ind1 dual
If Individual, number of dwellings presently served
I.f Individual, depth of well
9. Sewage Disposal System
Type.of System: Public Utility Individual (on-site)
If Individual, date of installation /� 7�
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
1. Approval Requested
Address:
Date Received
Time of Inspection
Date of Inspection /%/XJ
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
2. Property Owner:
3. Legal Description: L ell,
4. Location:
Phone: /
3�a�Z hone:
5.- Type of Facility to be Inspected:—
Number of E
6. Well Data:
A. TypeB.
C. Construction D.
7. Sewage Disposal System:
A. Installed B.
Septic Tank: 1. Size
NN
/D. Seepage Pit: -1. Size - 2.
Depth /01
---cam----
Bacterial Analysis
Installer
Manufacturer
Material
E. Disposal Field: Total -Length of Lines
B. Distances:
A. Well To: Septic Tank �o / ��,/Absorption Area / -O Sewer Lines
Nearest Lot Line Other Contamination
B. Foundation to Septic Tank Absorption Area
C. Absorption Area to Nearest Lot Line
Request for Approval of �;iividual Sewer & Water FaCiliti �j
'Page Two
9. Comments:
P.poroved µ, ��isapproved Date — '73
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEPJ:
I certify that the information contained in this request for approval to be a true
and accurate representation of the subiect sewer and water facilities located at:
Signed
Date
C�
=.-r'
— ISSUGI=
•
• PGE.' BV`
Municipality of Anchoragetiz
=¢ "
On-Site Water and Wastewater Program 4 sid
(907) 343-7904 s A ETY
Certificate of On-Site Systems Approval
Parcel I.D. 015-221-30 Expiration Date: 101,201;017
1. GENERAL INFORMATION:
Complete legal description HERITAGE HILLS; BLOCK 4, LOT 6
Location (site address) 12311 TRACY RD. `ANCHORAGE,AK 99516
Current Property owner(s) JJ KLEIN JOINT REVOVABLE TRUST Day phone (443)995-7850
Mailing address 12311 TRACY RD. *ANCHORAGE,AK 99516
Real Estate Agent PEGGY FRENCH Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 2
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
P `ggieVl-Well Individual
Individual Water Storage ❑ Holding Tank ❑
¢M€2. Community Class C Well ® Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by:, - r` {a- Date: 1
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ roc k.o5S , D 0 Waiver Fee $
Date of Payment I a \ � \ Date of Payment
Receipt Number 0 (p`-1 Receipt Number
COSA# C G 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 Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507
1
Engineer's Printed Name: Jeffrey A. Garness Date: 12-0 t�
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o
in accordance with the guidelines and regulations established by the Municipality of Anchorage and o i\\•%;%„
industry practices. The reported results describe the condition of the system/s on the date/s of the 4 .
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or QO�Q / 9 ft • O,
encroachments may exist that were not identified during the evaluation. The operational life of all wells / * : f .1,. 00
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, g
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 !� vA
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and I... f•f .
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the % ( f ey A. Gayness:'
system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of �/ I. CE 79. 3 ••
�QQ
the well or septic system. GEG makes no representation whether an alternative well or septic system Q 9 e � .�eQ
can be installed on the property in the event either of the current systems fail to perform adequately in QQfe, ZD (•< �°o
the future. The content of this report is for the sole benefit of the person/party that retained GEG to �Q dprofess• no\
perform the evaluation. Reliance upon the information provided in this report by any other person or \\\\OOpoo�Q
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD
SIGNATURE
System #1 Approved for <2 bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations: ,‘0`l OFANC i5e.
ON-SITE
C .
\A/ATFR AND•
WASTEWATER oz
PROGRAM
nom^ c�
1 v'
By: Rdeie'o. L-Lck9Original Certificate Date: f/2 D /2O / 7
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 1( Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_1 O-1 O-12.doc
15 Svc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: HERITAGE HILLS; BLOCK 4, LOT 6 Parcel ID: 015-221-30
A. WELL DATA *SEE ATTACHED MEMO DATED 10/24/16 REGARDING WELL **FORMER CLASS "C"
Well type PRIVATE If A, B, or C provide PWSID# ** Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly protected
Total depth ft. Cased to ft. Casin• •- (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate 2.73 mg./L. Collected by: GEG, Ltd.
Arsenic: ND ug./L. Date of sample: 6/30/17
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 11/3-4/16
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA `BELOW FINAL GRADE
Date installed _ 11/3-4/16 Soil rating gq.p.d t2or ft2/bdrm) 0.8 System type DEEP TRENCH
Length _ 30 ft. Width 2.5 ft. Gravel below pipe 7 ft.
Total depth *10.2 ft. Eff. absorption area 420 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For 2 bedrooms
Fluid depth in absorption field before test NEW in. Water added NEW gal. New depth NEWin.
Elapsed Time: NEW min. Final fluid depth NEW in. Absorption rate >= 300+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date -
"SECOND COMPARTMENT OF 1250 GALLON STEP TANK
"PER MOA ELECTRICAL INSPECTION REPORT
D. LIFT STATION "t"ON 7/14/17 GEG RAN WATER INTO LIFT STATION AND MONITORED 3 PUMP CYCLES
Date installed 11/3/16 Size in gallons *416 Manhole/Access (YIN) YES
"Pump on" level at 43 in. "Pump off" level at 39 in. High water alarm level at 45 in.
Datum BOTTOM OF TANK Cycles tested """3 Meets alarm & circuit requirements? "YES
E. SEPARATION DISTANCES
COMMUNITY
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main •• • sewer manhole/cleanout
Sewer/septic service lin. Holding tank
• . containment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+PVT&200'+PUBLIC
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line '1' Building foundation 10'+ Water main 10'+
Water service line "10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+ PVT& 200'+PUBLIC
F. COMMENTS
'WR#161115
"ASSUMED PER KEY BOX LOCATION;DISTANCE BETWEEN SEWER SERVICE LINE AND WATER LINE IS UNKNOWN
4,4 nr 11
G. ENGINEER'S CERTIFICATION =� P .••• •• ` fa.
'1, c •I
I certify that I have determined through field inspections and 9 '• / ♦•
review of Municipal records that the above systems are in
•
conformance with MOA COSA guidelines in effect on this • •• •�• : 1•a
date. o ' J� Gamess:: .
Engineer's Printed Name JEFFREY A. GARNESS ���,(�� ••I"—79 3 •
Date *q120/! •4414
f+ �7FESSISP��—
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LICENSE �l' Il 'S.
*AECC884
(Rev. 10/12/12)
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/',� . Municipality. of Anchorage „ :_. . .
( P.O Box 196550 4700 Elmore Road
��; �. / .-.r...:3;-aca,Ala, ;;5 1 ( !)J4J-:904 Fax s:5: 3243-7997
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/ http://ww'w.muni.orq/onsite
” °'` Planning and Development Services Department Erpa' t!n`-n t '\
On-Site water and W'aet r.mtc:Prog7z.7.
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On-Site Sewer/Well Submittal Comment Sheet
Engineer: GARNESS ENGINEERING GROUP LTD 10/20/2016
Legal Description: HERITAGE HILLS BLK 4 LT 6
Permit: OSP161285 Septic Completed By: R.Carroll
Report Type: On-Site Review
The attached paperwork has been reviewed and is being returned for the following reasons:
I
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0 erify well on Heritage Hills Block 5 Lot 2 is not a Class"C"well,requiring 150 foot separation.
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