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SPRING CREEK TR A
GAAB-HO-J G! ,TLR ANCHORAGE AREA BORG H Di:PAFITMENT OF EI~VIFIONMENTAL O, UALITY 3§00 TUDOR ROAD ANOHORAGE, ALASKA ggs0? 27g-8§86 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: MAILING ADDRESS_ PHONE. LEGAL DESCRIPTION /,~,~C¢7~'~ ,~,.~.~-/'~'~.~' (~"'~Z~. LIQUID CAPACITY__[j~tK)C') __ GALLONS. MATERiAL~,~f;~,,.~O_?(.:~.._~_~ ~ NUMBER OF COMPARTMENTS LIQUID INSIDE LENGTH INSIDE WIDTH ,-- DEPTH - .. SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF P,TS { OUTSIDE DIAMETER LINING MATERIAL L ~) NEAREST LOT LINE OR WIDTH DISTANCE FROM WELL / I C~- TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_ LENGTH ,/ ~ I , , DEPTH ,BUILDING FOUNDATION ~ (~>'~/ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL .~_7~'~-~'~~ , NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINES TOTAL EEFECT,VE DEPTH: lOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE ~'~' I ~'"~ DEPTH Zf(~ J NEAREST LOT LINE , SEWER LINE '~ SEPTIC , TANK WATER _SAMPLE DISTANCE FROM -- ., BU LD NG FOUNDAT ON _~. ~ ,,~-,,i/~ f SEEPAGE / , SYSTEM___ DIAGRAM OF SYSTEM , NEAREST OTHER , SOURCES. DATE APPROVED .,~~'-' /~"' ~', G.A.A.B. GRE. ER ANCHORAGE AREA BOI~OUGH DEPARTY~ENT OF ~NVI~ON~NTAL QUALI~ SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT LEGAL DESCRIPTION INSTALLATION OF: SEPTIC 'raNI( SEEPAGE PIT ...... DRAIN FIELD OTHER TYPE AND S, E OP PAC,L,T',' TO .E SERVED COMPLETION DATE ANTICIPATED .. _~~ IFII~IAL INISPEC,¥10~¢= ;~4 HOUR NOTICE I:IE~)UIRED. BACKFILLING OF ANY :~Y~t."I~M WITHOUT FINAL IN,-qPEC:TIOiq lay' THE SEPTIC TANK SIZE . SEEPAge AREA SIZE FOUNDATION YO SEPTIC TANK ]~ / ......... DRAIN FIEUD_ SEPTIC TANK TO SEEPAGE PiT WALL /[ SEPTIC TANK ........ SEEPAGE PIT ~ ..... DRAIN FIELD WATER MAIN TO SEPTIC TANK ~ / ......... SEEPAGE PiT SEPTIC TANK, ~ / / CAST lEON INTO AND OU'¢ OP SEPTIC TANI( AND INTO CRIS CROSSING GAP OF EXCAVATION ~ EEET INTO UNI:)JSTURBED SOIL, CON?OEM TO ~-~OEOUGlq F;{SQULATION8 REGARDING INSTALLATION. DIAGI~AM OF J~Y~TI~M HEALTH AUTHORITY i CER'i'iFY THAT r At,4 FAMILIAR WITH 'rile REQUIREMENTS OF' CF/IEA%T E ANCHOR/g~"~ ARE~OROUGH ORDINANCE HC01 6761 OWNER OF LAN ........................... ADDRESS DAILY DRILLING LOG S & S DRILLING Palmer. Alaska 99645 WELL - SITE.7��. ....... DATE- STARTED.Y�.:-.C� .... 9 ............................... ................................ DATE -ENDED ...... ; C:�' ti 1� ................................................................................... KIND OF FORMATION: DEPTH OF WELL -1.15... STATIC LEVEL OF WATER FI ..... �±� (907) 746-0606 ...................................... DRAWDOWN FT ....... ......................... ..................................................... GALS. PER ... N>�� .... n�S� ...................................... KIND OF CASING..��=..7� ... .... 0z I i) Li F:gom .................................. -TZ3 ov- ��cf' A -i. FROM...... !;�? ............ FT. TO .... ........... FROM ........................ FT. TO ....................... FT ................................... FROM ... :4� ............. FT. -10 .... H�f ........... FT....� FROM ........................ FT. TO- .................... F� ................................... FROM.... ............. FT. TO-�� ............. FT.....--� ................. .................... FT� TO ....................... FT ................................... FROM..:��C? ............. FT. TO ... 1 !E�S .................... FT . . 'FWOW ....................... I ............................ 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 ............................ MISCL- INFORMATION: FROM........................ FT. TO ........... ... FT ................................... ........... FT ......................... ......... FROM ..................... FROM........................ FT. TO .... ... ')'V)Qj:� ... FT ................................... FROM........................ F -W ....... N.�W-.CF*ge e�sl ......................... �5 -all sek�lc FROM..................... &AMiT ...... FT .. ................................ IDelpt. v-keat.11 - ----- FROM........................ FT. TO ....................... FT ................................... DRILLER'S NAME ... 7�7 ...... ....... .................. PAGE 1 OF 1 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 SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920300 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:OCZKUS GREG OWNER ADDRESS:430 WEST 7TH, SUITE 202 ANCHORAGE, ALASKA 99501 DATE ISSUED: 9/21/92 EXPIRATION DATE: 9/21/93 PARCEL ID:05121101 LEGAL DESCRIPTION: SPRING CREEK TR A LOT SIZE: 152460 (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: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND TNE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. ~9Z I, O01J. Q /I3 MUNICIPALITY OF ANCHORAGE 0 rt�` 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. 051-211-01 Expiration Date: Z 20 Z ey Legal description SPRING CREEK TR A Site address 22032 SPRING CREEK LN Chugiak AK Current property owner(s) HADDIX X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) islare 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 MUNICIPALITY OF ANCHORAGE 0. Development Services Department? Phone: 907-343-7904 On -Site Water & Wastewater Section I Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-21141 Complete legal description Spring Creek Track A Location (site address) 22032 Spring Creek Ln. Chugiak, AK Current property owner(s) 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 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 18 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed © Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: 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 $_ 5�0 Waiver Fee $ Date of Payment /2-9 zO2 3 Date of Payment I COSA # 0-5 c 2. 3 i 3%6 Waiver # COSA Application —June 2022 COSA Checklist Legal Description: _ Siring Creek Track A Parcel ID: 051-211-01 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA North Well / South Well 0 Well log is filed with Onsite (or attached) Well production at time of test 0.5 gpm Date drilled 1019/42 Total depth 183 ft Water storage tank volume 300 gallons Cased to 40+** ft Well disinfected for coliform test? ❑ Yes 21 No ✓❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 9/20/23*** Static water level at beginning of test 46.4 ft. ✓❑ Coliform bacteria is Negative Nitrate 12.3 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ✓❑ Arsenic less than MRL (ND) Collected by Arcterra Consulting_ Date 9/12/23 Comments *Well log From S&S Driling tiled with Onsite. **Per 6/1 105 well surve by Ar tic Pump & Well Inc— *** Well flow test completed by Sullivan Water Wells. ****Old West well decommissioned 10/26/23. B. TANK DATA Measured operating fluid level in septic tank 31" Date of pumping 8/28/23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 612145 ❑✓ ALL standpipes present per record drawing Total measured depth from grade 10.2 ft (max) Measured depth to pipe invert from grade 4.5 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 ❑ 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 Comments/Deficiencies STATION ❑ Require tenance completed Age of lift station s Lift station material Comments: Adequacy test date 9/13/23 Results ] Pass Fluid depth prior to test 0 in Water added 500 gal New fluid depth 6 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 450+ and FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 60 Effective depth used o_ in Effective depth remaining 60 in in 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' © Yes if No ft ❑✓ Yes if No Neighboring Tank > 100' �/❑ Yes if No ft Private Sewer/Septic Line > 25' �/❑ Yes if No Absorption Field on Lot > 100' [2] Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ✓❑ Yes if No ✓❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' © Yes if No ft ❑✓ Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water ft ft ft ft ft 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' ✓❑ Yes if No ft Tank to Property Line > 5' ✓❑ Yes if No ft Field to Property Line > 10' ✓Q Yes if No ft Water Main > 10' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' ✓❑ Yes if No ft © Yes if No ft If tank or field is under driveway comment below 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 Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date // J0.r.3 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the # surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluatorv_ of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will 0— function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist June 2022 Well Water Advisory Certificate of On -Site Systems Approval # OSC231376 Subdivision: SPRING CREEK TR A, Block: , Lot: This well's productivity was determined to be 0.5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3-bedroom residence is 0.3 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. Water storage is provided. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 * www mum arg Nitrate Advisory Certificate of On -Site Systems Approval # OSC231376 Subdivision: Spring Creek Tract A, Block: , Lot: A water sample revealed a nitrate concentration of 12.3 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. T Marling Address P O Box 196650 *Anchorage, Alaska'99519 6650 * www muni org 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. iVII unicipaMy of A.ndhorage Community Development Department on-S;te Water & Wastewater Prograrn 'i. 00 Lima St. u P.O. Fox 196650 a Anchorage, AK 99507-665Cl ° _._ .__ -- (907) " 43-I9t}:1. .ai AdE:lress: ibdivision i Section Flock } Lot e Water & Wastewater Pros ram certified the well deco :Me' LaV C��f � i ��i-`� L Signature pany:�,� ell decommissioning date: % 9-j s Method of decommissioning: Ira: f l if1i AMC 15:55.0601-1 a. ❑ b. ❑ c. 9 anon: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, ® Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, )te: The swing -tie distances shall be measured from either permanent structures of property corners. �a j l i� W l�t N WATER WELLS Drilling • Piling • Pumps P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259. TO: Dea; Arc Terra Consulting, inc. Date: 9/20/23 The flow test and well scopes have been completed at 22032 Spring Creek Ln., Chugiak. The flow test and camera inspection results for the South well are as follows: STATIC: 168' AJ ITM1-t; 2 %. 1s /L DRAW -DOWN: 205' <— Well decommissioned 10/26/23 YIELD: .06 gpm SF zo 3 Well Scope: No issues were found that would lead to elevated nitrate levels. The flow test and camera inspection results for the North well Are as follows: STATIC: 46.4' /N IT( I2 • ,^1 I DRAW -DOWN: 140' YIELD :.5 gpm .5U F 7-0 2-3 Well Scope: No issues were found that would lead to elevated nitrate levels . 0 co W11 co N co 0 b Cn N89"59'00"W 330.00 ) SPRING CREEK LANE • • SEPTIC VENT (typ) 1 50' TRACT A S89'059'00"E 330.00' ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: SPRING CREEK SUBDIVISION TRACT A PLAT 73-7 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul( any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements,, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: $C&E-. E-MAIL NOV 17, 2023 1 =50 schuller0ak.net 23-119 DRAW BY: CHECKED BY GRD NUMBER: BOOK/PAW- I JLS NW1 058 230355 bp 0o. - .0 47.5_ GRAVEL D/W * = FND 5/8" REBAR WELL 00- (0 P 0 z AMW I -RV SV1) AW OF LAV � �� V AW Ago 4 9TH .7 ................ ?A FA • RA 10 .. .............. F co HNJ/ L. SCHULLER 0 Or LS-10408 1831 Talkeetna Street 6 Anchorage, Alaska 99508 Ar AW `'� o \'G�\'Mw (907) 227-1455 office ession6 'W (907) 274-4992 fax o �RCTERRq ,� October 16, 2023 ARcTrr,R RA CONSULTING, INC 20441 Ptarmigan Blvd. Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SPRING CREEK TRACK A- Well Inspection During our mid -September field inspection for a COSA approval for this property sale, we took water samples of the 2 wells on the subject lot and submitted these to SGS Laboratories for testing. The lab report on the nitrate samples came back at 12.3 mg/L from the north well, and 21.1 mg/L from the southern well. We immediately called Sullivan Water Wells and requested they scope the well, to a depth below 40 feet and down to the static water level if possible, as suggested in the COSA Guidelines 2018 addition (8.c.i). Their report found no anomalies inside the casings that would lead to elevated nitrate levels. At the time of the inspection there was no visible sign of water intrusion into the wells. Static water level of the north well was found to be at 46.4' and 168' for the south well. Our field inspection of the site shows the well casings extend above grade 2' for the north well and 1' for the south well, all the area around the wells drains away from the wells, meeting the guideline 8.c.ii. The north well was drilled in 1992 to a depth of 185 feet and meets the construction standards in place at the time of construction, guideline 8.c.iii. This well consists of 46' casing in gravel soils and bedrock from 46' to 185' and the casing is lined from 40 foot to the bottom of the wellbore meeting the current rehabilitative guidance 8.c.v. The south well is not producing enough water to help sustain the property and is older, much deeper, and has the higher nitrate levels. Currently, it is the owner's intent to de -commission the l -well. Historical records in the area, as shown on the MOA nitrate mapping per the date of this letter, indicate no other nitrate information within 800' since 2007. While this well water has been tested for nitrates in 2005, with nitrate levels of 7.38, the residents of the property have not noted any adverse effects. If you have any questions, please contact me at 696-6111/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kennet M. fus. P.E Attachments: Sullivan Water Wells Report dated 9/20/23