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HomeMy WebLinkAboutTHE VILLAGES LT 3 Municipality of Anchorage Page 1 of 3 DEPARTMFNT 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: _RwgR¢)01 ¢) PIe Number: 020-291 -57 N~ne:Wastewater System: [] New [] Upgrade Sean& Dee Taylor Murphy P.O. Box 112488 Anch., AK 99511 ABSORPTION FIELD Phone: I NO, of Bedrooms: Four ~ Deep Trench E3 Shallow 'French E] Bed [] Mound [] Other L E G AL D E S C R IPTI O N Soil Rating:. 8 GPD/Sq. Ft. Total Oepti~ from9. 5°rilginal grade: 3 The Villaqes 3.5' Township: I Range: I Sec'ion: Fill added above original grade: ' Gravel length: 3 F~. 63 F~..~ WELL: ~] New [] Upgrade ~ravelwidth: 3' Numbe~ of lines: Private 256 F~. 74 rt. 756 so. rt. ASTM D3034 PVC __ H20 Well Drilling ' 7/7/98 229 F,. GS Express 5/26-27/98 Yield: 5 GP~pM IP'mPS"'a':253' ~ FL ICasing Heig~ A~b°ve Gt°und:Ft. TANK SEPARATION DISTANCES :~ Septic ~ Holding F'I S.T.E.P. Well > 100 > 100 N/A N/A N/A Material: Steel Surface >100 >100 N/A N/A N/A LIFT STATION - N/A > 5 ' > 10 ' N/A N/A N/A Size in gallons: '1 uanutacturer: LOt Foundation > 5 ' > 10 ' N / A N / A N/A "Pump on" level at: I "Pump Remarks: BENCH MARK Loc~]tion and Description: Deck 0]3. South Side of House. 100.0 FI, ' nspections performed by: MEA Dates: 1 st_5_Z2,A.L2JL_ ~.~"~"~,..~L..--~ Department of Health and I-I~r~o .,~ervic.es approval '¢¢;~2~° 4'1t~-~ oO~ Reviewed and approved by: ~- '/6¢*& , Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, AK 99519..6650 343-4744 On-Site Wasteater Disposal System and/or Well Inspection Report Permit Number: .SW980010 PID Number: 020-291-57 Page 2 of 3 GREECE DRIVE Three Bedrm. }louse C3 C4 S1 S2 1 , 250 Septic Tank C5 Alternate Site S1 S2 C3 C5 M1 A B 29.9 39.3 37.9 41.1 43.4 43.0 74.7 50.4 71 .7 55.5 C6 63' Long X 3' Wide X 6' Effective Depth Absorption Trench PLAN AS-BUIL SCALE 1" = 40' On-Site Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION Box 196650 Anchorage, AK 99519-6650 343-4744 Wasteater Disposal System and/or Well Inspection Report Page 3 of 3 Permit Number: SW980010 PID Number: 020-291-57 86.40_ m ~O 4' 25' 83o Geotextile Fabric ~ Drainfield Rock 63' PROFILE AS-BUILT HORIZONTAL SCALE 1" = 10' NO VERTICAL SCALE -t 01/04/1.q99 09:§0 90?5612332 & Municip W Of Anchorage Depa~ment of.Health a~d Human Services 8~5 "L" ~t~eet Rick Mystrom, Mayor PAGE 02 Attention= The-well clrlllet shall provldea well log 'to the property owner within 30 days of completion. · ~ DG~ripUon Block ~.~ Properly Owner Nmne & AOdrmm: ~ '. P.O. Box 19665o Anchorag.e, Alasko 99519-0650 Permit Number ~' ~_Date ~ Issue~-I~ -~ Tax Identlfi~lon Num~-_~l'-~ ,'Vo4 ¢o?Y PAGE i OF i 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 PARCEL ID:02029133 LEGAL DESCRIPTION: THE VILLAGES TR PERMIT NUMBER:SW980010 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:MURPHY SEAN & DELORIS K OWNER ADDRESS:P.O. BOX 112488 ANCHORAGE, ALASICA 99511-2488 7A DATE ISSUED: 1/22/98 EXPIRATION DATE: 1/22/99 LOT SIZE: 261796 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / 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 (iSAAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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 S~ME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER SHALL PERFORM AN ADDITIONAL PERCOLATION TEST IN THE VICINITY OF THE PROPOSED ABSORPTION TRENCH AR' THE TIME OF CONSTRUCTION. ISSUED BY: ~'~ DATE:_/ -- 22 - ~'~ DATE: TO: FROM: SUBJECT: MEMORANDUM May 20, 1998 Dan Roth Mike Anderson, P.E. '~ fi''--~ Tract 7A, The Villages Subdivision Well and Septic System Permit R[CE'IVED MAY 21 1998 Mu,~ C~pabty of Anchorage Health & l',turnan 8er¥ices The owner of Tract 7A, The Villages Subdivision intends to subdivide the property into tln'ee lots. The preliminary plat has been approved and should be recorded later this summer. We are therefore requesting the septic system issued for the tract be relocated so it is entirely on proposed Lot 3. The site plan has been revised to reflect the new location. In addition, two testholes were placed last week which indicated similar soils to those encountered in the other testboles on the property. The percolation rate on the underlying material ranged fi'om 10 to 15 minutes per inch. The design for the system is therefore the same as originally presented. All other components of the original design with the exception of the location remain the same. Please let me know if you have any qnestions. January 16, 1998 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 /IRONMENI'AL SERVICES DIVISk RECEIVED Attention: Dan Roth Subject: Tract 7A, The Villages Subdivision Septic System Design Impacts to Adjacent Properties Dear Dan: We hereby apply for a permit to construct a well and an onsite septic system on Tract A, The Villages Subdision. The attached site plan and backup documentation identify the size and location of the well and new system to serve the four bedroom home to be constructed on the lot. One of the bedrooms along with a bathroom will be constructed in the detached garage. A separate service will be constructed to the garage. A soils study was completed on the lot in late December of 1995. At that time 4- testholes were placed on the property. Unfortunately only one percolation test was completed which revealed a rate of 5 minutes per inch. This test was completed in Testhole No. 4 which contained soils with nearly 22% passing the No. 200 seive. We are proposing to place the new absorption trench around Testhole No. 2 which contained soils with only 12% passing the No. 200 Seive; This material will percolate as good or better than that encountered in Testhole No. 4. We have designed the system, however, for a slower percolation rate of 12 minutes per inch. A verification will be completed during the construction of the absorption trench and submitted with the as built, At this time the owner of the property is anxious to get his septic system permit so he can submit his house plans for review and eventually obtain a building permit. We are hopeful you will issue the septic system permit even though additional field data may be required. I am confident based on the gradations taken from materials encountered in the testholes that a 'Fract 7A, The Villages January 16, 1998 Page Two Subdivision septic system can be successfully constructed on this tract. In addition, a soils exploration was completed by David Paul of Construction Test Labs in 1977. His results are very similar to those submitted with this package. His recommendations based on gradations of material encountered varied from 125 to 200 square feet of absorption area per bedroom. His results further document our position. No construction of the septic system will begin until we are satisfied the soils at the location of the new absorption trench will percolate at the rates utilized for the design. Hopefully a permit can be issued based on the submitted information and our assurances that all soil conditions will be further verified. The ground surface of the lot is slopes from east to west at a rate of 12%. The ground surface also slopes gradually from south to north at a rate from 0 to 2%. No developement is within 200' of the proposed well or septic system. If the system is constructed as designed the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The subdivision is served by a community water system. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 'rhe system, if constructed as designed, will have no adverse impact in the area. The current drainage pattern will on drainage patterns be maintained. Sincerely, Michael E. Anderson, P.E. NOTE: No wells or~stic systems wishing200' of new systems. THIS PROJECT TR' [0 I~0 AREA MAP SCALE 1" = 400' bllCHAEI. E , A~qDE¢tSOf'4 4381-E '?" ' GREECE DRIVE (CURRI-'NTLY UNDEVELOPED) ~ , Proposed Lot Line ~ TH3 ~TH4 Proposed Well House Garage/ Bedroom 1,250 Gallon Septic Tank TH#5 ~ 63' Long X 6' Effective Depth Absorption Trench SYSTEM PLAN SCALE 1" = 40' TRACT 7A, THE VILLAGES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Perc. Rate: 12 Min./Inch Application Rate: .8 GPD/SF Deep Trench System 1,2,'~0 Gallon Septic Tank 6' Gravel Beneath Dist. Pipe 4 Bedrooms X 150 GPD = 600 Gallons Per Day 600 GPD/.8 GPD/SF /12 SF/LF = 63 L'F 'French Therefore: Construct a Deep Trench System with One Lateral 63' in Length. Distribution Piping to be Placed at 3.0' Below Original Ground Level. Mound over Trench to Provide Minimum of 3.0' Cover Over Pipe. NOTE: Natural Backfill Geotextile Fabric 6.0~ " PVC (Slots Down) Drainfield Rock 3,0I [)El=P TRENCH SECTION (NO SCALE) Grade Area to Drain Away. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: .q~n M11T'~h~ LEGAL DESCRIPTtON: Wraot 7A, The V±l]acje'E~wnship, Range, Section: 1 2. 3- 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17- 18- 19 2O OG Testhole No. GM/GW Cobbles to 24" Bottom of Hole SLOPE 5 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Dep[h t~ Water Alter M011itoting? _None SITE PLAN No Dal~_~/20/98 Reading Date Gross Net Depth to Net Time Time Water Drop ~'-~ 3'r%t~' ~s' 7" I ~q" ~ ~ ~ol ~ ~/~" lye" PERCOLATION RATE /~" (m,nutes/mch) PERC HOLE DIAMETER TEETRUNEETWEEN '> ~7".,FTAND -- ~* COMMENTS __Testhole presoaked prior to test. I~~ ~C~RTIFY THAT THI~ TE~T WAS PERFORMED IN PERFORMED EY: · ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TI-liS DATE: DATE: ' 72~08 (Rev. Municipality of Anchorage DEPARTMENT OF NEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: ~n ~11T'~hy DATE PERF Tract 7A, The Village~wnship, Range, Section: 1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 OG Testhole No. 6 GM/GW Cobbles to 12" SLOPE WA~ GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oeo~ to Water Ajar Monitoring? ~ None No 0,~ 5/20/98 Bottom of Hole SITE PLAN -I I I J PERCOLATION RATE / ~'_ (m~nute~,ncn) PERC HOLE DIAMETER ~" TESTRU. SETWEEN ~'/Z-_FTAND /.,,__~ COMMENTS Testhole presoaked prior to test. PERFORMED aY: /~/~-'~ ' ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATF_ DAT~ 72-008 (Rev, 4/85) I '"~J/~' ~~IFY THAT THiS TEST WAS PERFORMED IN PERFORMED FOR: LEGAL DESCRIPTION: .1 4- 6- 7- 10- 11 15- 17- 18- 19- 20- Muni;tpali~/ol An=borage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, AIESI~I 99502-0650 IlOIII.S LOG -- PERCOLATION TEST David Tisch mh~ 'v~ I ~ ~d~ownshlp, Range, Section:. WAS GROUND WATER ENCOUNTERED? NO SITE PLAN N S ~e Si ;e Plan , ,/ IF YES, AT WHAT ~ DP:PTI'I? ~ pO E -- ~' Gro~ N~t I}m~th to ReJdlng I)at~ 'l'Ime , · Time Water Drop P-I;RCOI,ATiON RATE ~ (mmute~'~ncb) PERD HOLE DIAMETER Chulltna-Hurrlcane Users' Group · Civil Engineering Services P.O. Box 13024 Trapper Creek, Alaska 9@883 Phone & Fax: (907) 733-2378 Construction/Building~Soils Inspocti°n / Well & SePtic Tbstlng & Design/Subdivisions/Roads (~A,,,~'L" ~/k. "["~:~ ,,,J tl.x.,~=~ Jackson M. Parry. P.E._. Mun~ al Anahomge DI':PARTMENT OF HE,AL.TH & HUMAN 51':RVICES 825 "L." ~treet, Anahomg~, 8OILS LOG -- PERCOLATION TEST ~EGAL DESCRIPTt ON: .1 2 3 4 6- 7- 6- 9- 10- 1i- 18'" 19- 20- · ~sct 7A. q'h~ Vi 1 I n~;,~°wn;htpo R'lmge, 8emCon:' ELOPE OG Organics/Silt/ Topsoil 'SW/SM TEST HOLE NO. m WA8 GROUND WATER NO I~COIJNTERED? .,..--~...--.----- 81TE PI.AN Bottom of Hole FI~COLATION RATH. . (Wlmch) PER(: Chulltna-Hurrlcane Usera' Group · Civil Engineering Services P,O, Box 13024 Trapper Creek, Alaska 99683 Phone & Fax: (907) 733-23'78 Construction / Building / Soils Inspection / Well & Septic Testing & Design / Subdivisions //~oads T',/'c~,,~T' "/' ~ T~; "~,Jt~-.~._.~..,~5...% Jackson M. Parry, P.E. I '~ FI1AIITUI1E . l. (]R^OA¥10N COARSE WASH FINI~WA$1'I ' A ,~ ~ PERFORMED FOR: LEGAL DESCRIPTION: .1 2 4- 6- 7- 10- 14 17- 19- 2;)- DEPAR'~ OF H~ & HU~N 8E~VIC~ Stm~ An~omge, ~ LOG -- PERCO~ON ~' David Tisch Ti-~ 7A: Th~_ 'Vt 1 1 ~q~own~hlp, Rang~ ELOPE OG 'anics/S'ilt/Topsoil GW/GM TESTHOLE NO. 3 WA5 GROUND WAI'E~ ENCOUNTERED? No SITE P~N Bottom of Hole (~ Nit Oe~th to Net Rmcilng Date Thne . ' ~ Wate~ {3roi) I:~ERCOLATION RATE --~ (m,,rlut~'mcfl) PE~C HOLE DIAMETER F~ACTURE · / , -~.- : Chulitna-Hurrlcane Users' Group · Civil Engineering Services · ~ P.O, Box '13024 Trapper Creek, Alaska 99683 Phone & Fax: (907) 733-2378 Construction / Building / Soils #~spection / Well & septic Testing & Design / Subdivisions / Roads ,.__ , Jackson M. Parry, P.E. ,.~ #.~ ~.,euL.. I:''ov.E.s~z. '"'l ~1 ~ " 'WT -- ' GRADATION COAFtSE WASH FINE WASH PERFORMi"D FOR:~ LEGAL DE~.J:TIPTI ON: .I 3 4- 6- 6- 7- 8- 9- 10- 1i- 15 18- 19- 20- OG Organics / ~ilt/Topsoil TESTHOLE NO. 4 SM Large Boulders Bottom of Hol~ 'l WAS GROUND WATER ENCOUNTERED? NO ~F YElL AT WHAT IOEP'TTI? }~mm~abnamng~, ..~,: 1/14198 !Z,L C. Iro~ I~ I~ m Net Oats Time , · 'l~ne Wetar FERCOLAT(ON RATE. 5 (mmute~,r~h) PERO HOLE. DV4;ETER 6" Chulltna-Hurrlcane Uecr,,~' Group · Civil Engineering Services P.O. Box 13024 Trapper Creek, Alaska 99683 Phone & Fax: (907) 733-2378 Construction / Building / Soils' Inspection' / Well & Septic' ' Testing & Design' / Subdiws/ons' ' ' / Roads · ~ Jackson M. Parry, P.E. FINE WASH ' GRADATION ON-SITE WASTEWATER DISPOSAL. SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: TRACT 7A, THE VILLAGES SUBDIVISION GENERAL: The scope of this project includes furnishing and installing a new 1,250 gallon septic tank. It also includes the construction of a new 63' total length by 3' wide by 6' effective depth absorption trench. The distribution piping must be placed at 3.0' below the ground surface. Mounding over the trench will be required to provide a minimum of 3' of protective cover. A second service line will be run from the detached garage which will have a bedroom and bathroom. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC 1. TANK INSTALLATION A new 1,250 gallon septic tank must be procured from an approved source and installed at the location shown on the plans. Tract 7A, The Villages January 16, 1998 Page Two Subdivision 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between , the drainfield rock and the natural soil backfill. Monitor tubes must be 4" in diameter and installed .at the locations shown on the design. The portion below ground must be perforated. ': Tract 7A, The Villages January 16, 1998 Page Three Subdivision Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene ([:)ow Chemical Co. Styrofoam HI or equ.ai). Septic tank inlets and outlets shall be fitted_' 'with watertight couplings (Caulder, Fernco, or equal). ~ Tract 7A, The Villages January 16, 1998 Page Four Subdivision 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s a T Parcel I.D. Certificate of On -Site Systems Approval 020-291-57 Expiration Date; i© --Z �rZaZy 1. GENERAL INFORMATION: Complete legal description THE VILLAGES; LOT 3 Location (site address) 5745 Greece Drive *Anchorage 99516 Current Property owner(s) Sean Murphy Day phone 350-6839 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: 4 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: Distance Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. 0 COSA Fee $ 12,E o vi D ' /q Waiver Fee $ Date of Payment 7 15 1200 Date of Payment Receipt Number. D �' % I G Receipt Number COSA # 05C W /32.0 Waiver # A 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 f Engineer's Printed Name: Jeffrey A. Garness Date: 131 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 o ��. O ' a 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, r groundwater levels (that may fluctuate during the year), quality of construction (materials and�G . �.� ;.l 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 r s stem/s; therefore, GEG makes no warrant (express or implied) regarding the future performance of �. Y Y( P P ) 9 9 P U the well or septic system. GEG makes no representation whether an alternative well or septic system e "fey�AGorness, can be installed on the property in the event either of the current systems fail to perform adequately in Q 9 F-7 53-` the future. The content of this report is for the sole benefit of the person/party that retained GEG to �o ferj� perform the evaluation. Reliance upon the information provided in this report by any other person or ed party (including subsequent property purchasers) is not authorized, nor will it confer any legal right p�� pr0/ess1O� a whatsoever. ��OO�o�� #AECC884 6. DSD SIGNATURE System #1 Approved for bedroomsvl� '�' Irr System #2 Approved for bedrooms�Q�� y0 a � Disapproved j 04-51`�E r R Conditional approval for bedrooms, with he fol l i i �tIgIlgoon C) VNAs 4� r;ranrV�Alln Z Original Certificate Date: �- 2; ( -20 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 _="�-_ ' " e (�b Legal Description: THE VILLAGES; LOT 3 If more than I septic system on lot: COSA Checklist # 1 Of 1 A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 717198 Total depth 256 ft Cased to 74 ft FE11 Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/2/20 Static water level at beginning of test 142.0 ft. Comments B. TANK DATA Age of tank(s) 22 years Tank type/material STEEL Measured operating fluid level in septic tank 49 ® Standpipes/foundation cleanout per record drawing Date of pumping 7/8/20 Parcel ID: Structure served by this system 1 020-291-57 Well production at time of test 2.5+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes FE -1 N Coliform bacteria is Negative Nitrate 0782 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 0 Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 6130/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A t D. ABSORPTION FIELD DATA DEEP TRENCH - Which system tested (date installed) 5/27/98 - - -Adequacy test date 7/2/20 - © ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 12.8+ ft (max) Fluid depth prior to test 41 in Measured depth to pipe invert from grade 3.58 ft (min) Water added 649 gal ❑ N/A — pressurized field New depth 53 in 1 Monitor tubes go to bottom of effective. If not, state Elapsed time 180 min depth into effective 4_8'-5.3' 45 � Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A If yes, enter date • N/A Gallons introduced gallons Comments/Deficiencies: DISTIRIBUTION PIPE IN TRENCH IS OUT OF LEVEL BY APROXIMATELY 6" COSA Checklist yellow sheet if -d r YaDoil, &19-112 U40K 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' Q Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25'✓❑ Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ✓� Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10'✓❑ Animal Containment > 50' �✓ Yes if No ft F✓ Yes if No ft Yes if No ft Water Service Line > 10' M Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' 0 Yes . if No ft ® 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' Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' F/I Yes if No ft Private Wells > 100'✓Q Yes if No ft Water Main > 10'✓❑ ft Yes if No ft Community Wells > 200'Q Yes if No ft Water Service Line > 10' M 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' ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Fv� Yes if No ft Community Wells > 200' Q✓ Yes if No ft Surface Water > 100' /I Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l 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 �ofessio� a #AECC884 n,, A MUNICIPALITY DEVELOPMENT SERVICES DEPARTMENT �t�� ��� 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 201328 Subdivision: The Villages lot 3 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000 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. « m ,x,h;5� >, �� �5 k � � a'��mg�Address � O Bo � 9650- �A1ncoage; . Kaska 99519 6650' www I k F I aLuua HOMO M„O L,00°OOS T}UGWGSD3,' "aai3 V ' •UJoaalaj OL if � r? N +, co c v +0 c v _-0Y U tll �} Gl > O U Qi 0 • Q v p v _..._. 07 p LLJ r` - o v Y O C U Ln M _I v� 0 s ,�o v 6 a ID > J O N 0 E.E . J y� O 0 O v w 0 Of c U p� O C � Jcn o O L U LO >> -00 �v N L'f -'E O ,.� c NU co"� r - I I� C/)41 W L "L� vlv °' •L UJ c � �I �I Lil 0; U U N. W Q Co Q� � I 0 o I aLuua HOMO M„O L,00°OOS T}UGWGSD3,' "aai3 V ' •UJoaalaj OL if � r? N +, co c v +0 c v _-0Y U tll �} Gl > O U Qi 0 • Q v p v _..._. 07 p LLJ r` - o v Y O C U Ln M _I v� 0 s ,�o v 6 a ID > J O N 0 E.E . J y� O 0 O v w 0 Of c U p� O C � Jcn o O L U LO >> -00 c0 J N > o IanoJO ° ,.� c NU U? aLuua HOMO M„O L,00°OOS T}UGWGSD3,' "aai3 V ' •UJoaalaj OL if � r? N +, co c v +0 c v _-0Y U tll �} Gl > O U Qi 0 • Q v p v _..._. 07 p LLJ r` - o v Y O C U Ln M _I v� 0 s ,�o v 6 a ID > J O N 0 E.E . J y� O 0 O v w 0 Of c U p� O C � Jcn o VZ12 O > y U'. )t J -0 -j II ,.� c r - aLuua HOMO M„O L,00°OOS T}UGWGSD3,' "aai3 V ' •UJoaalaj OL if � r? N +, co c v +0 c v _-0Y U tll �} Gl > O U Qi 0 • Q v p v _..._. 07 p LLJ r` - o v Y O C U Ln M _I v� 0 s ,�o v 6 a ID > J O N 0 E.E . J y� O 0 O v w 0 Of c U p� O C � Jcn o 01 s ,L0.cLt, 3„0 L,OO,OON N O J O = LL r Q n- z ry w n U� I ( I O I� 1 Y II I r - I� •L UJ J 0; U N. W Q Co Q� � v> _l 0 Q)> -j °' c 0> _1 E 'E � �41 0c 0 YE N o� 0a Q) SCD NU 0�� NU of NU Q Ory 01 s ,L0.cLt, 3„0 L,OO,OON N O J O = LL r Q n- z ry w n U� I ( I O I� 1 II I r - I� � J 0; U N. W Q Z � f- I4 c Q) W U v w 0 0 3 0 N v o O i v L 0 v v co C: O O E z C) O M LO O n L i X ., L"L :3ZIS DIHS o- I ` 03 � o z o F 0a o _ CD co --DN \< Yo oto O N _� N O Q Lv \ N N o Q \ Li] (,(1 0 o r, LL. IL � o ct� o Z 0 l CL L d G� -�� Ii N 4-1 Q p Q v v Q c x v > o v s o E O O O QLO Oa)3o OON N 0— p 6�� O O.� rn O -�3 v o c o >, v 0°°c0c O v v Ny 0 c-cvoc0� > - 0 v E— v >'c� vLL � v U OCa- C) +' v+ cr) O to Np� CC)' p� v i1 0 > 41 4” T 0 00 o vrn �_cc C oo > v o Ucz N v 0 C3 O O v V) v C U3 "� L 0 "41 W a 0 r Q a•- 0 0 O 1+ U) p c v 2-'(-') � v L o , s C) m U QO0 O to cvc v�� cn c v co' E _0 w0 v c c v�c-0 ¢ 0 •T '2 -� O v E E N 0 Q N 0> N E -0 O L N -� j0 0 d. U) C O �o =0 aa��0�� I --j 3 u> v._ N 0 L Q Al oii 4,r o • C3 t Yoe MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES :'Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# 0:20-291-57 HAA# 1. GENERAL INFORMATION Complete legal description Lot 3, The Villages Subdivision Location (site address or directions) Prope~y ortner ~,,.~ Taylor · ,~&. Dee Murphy · P. O~J ~ox 112488 Anchorage, M, aili'hg addreSs::i~ i,' ~,--" Lending agency Mailing address ' ,'"' ' Agen~ Address Day phone AK 99511 Day phone Day phone 349-9010 Unless otherwise requested, HAA will be held for pickup. Four (_4) NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well XX× Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site ××× Holding tank Community on-site .... Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Fronl MOAi~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed here~0 and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewate? disposal system is 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 in compliance with all Municipal end State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm. Anderson Engineering _ Phone 522-7773 Address P.O. Box 240773 Anchoraqe, AK 99524 DHHS SIGNATURE /~' Approved for ¢~' -- Disapproved. Conditional approval for bedrooms. bedrooms, with th~ following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage D___ ~F (~ ~ IV1999 ~ D ~ DEPARTMENT OF HEALTH & HUMAN SERVICES" u Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3~J~74z~ Municipality ct Ancno~ age Health Authority Approval Checklist Dept. Health & Human Services Legal Description: Lot A. WELL DATA Well type Private Log present (Y/N) Total depth 256 ' Sanitary seal (Y/N) 3, The Villages ParcelI.D.: 020-291-57 If A, B, or C, attach ADEC letter. ADEC water system number Y Date completed 7 / 7 / 98 Cased to 74 ' Y Date of test Static water level Well production WATER SAMPLE RESULTS: 0 Coliform Date of sample: 12/17/98 B. SEPTIC/HOLDING TANK DATA Date installed 5/26/98 Foundation cleanout (Y/N) Date of Pumping, ,, c. ASSORPTION ELD Date installed 5/27/98 Length 63 ' .Width 3 ' Effective absorption area 756 SF FROM WELL LOG 7/7/98 229' 5 g.p.m. Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Nitrate 1 . 54 mg/L . Other bacteria 0 g.p.m. Collected by: MEA Tanksize 1,250 Number of Compartments 2 Cleanouts(Y/N)__ Y Depression (Y/N) N High water alarm (Y/N) N Pumper Construc_~ion Date of adequacy test New Const. Fluid depth in absorption field before test (in.); Fluid depth (ins) Minutes later:. Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Y Soil rating (g,p.d./ft~ or fF/bdrm) .8 Gravel thickness below pipe Monitoring Tube present (Y/N) ¥ Results (Pass/Fail) Pass N Immediately after Absorption rate = If yes, give date System type Deep Trench 6 ' Total depth 9.5 ' Depression over field (Y/N) N For 4 bedrooms gal. water added (in.): g.p.d, D, LIFT STATION None on Lot Date installed Manhole/Access (Y/N). High water alarm level et* Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: >100' >100' N/& Septic/holding tank on lot Absorption field on lot Public sewer main F. Size in gallons "Pump on" level at* *Datum On adjacent lots On adjacent lots "Pump off" level at* >100' >100' Public sewer manhole/cleanout__ N/A Sewer/septic service line > 2 5 ' Lift station N / A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation > 5 ' Property line > 5 ' Absorption field Water main/service line > 2 5 ' _Surface water/dra nage. > 1 0 0 ' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line > 1 0 ' Building foundation > 1 0 ' Surface water > 100 ' Curtain drain None on Lot ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that in conformance With MOA HAA guidelines #; effect on thie date, Signature '_~V~.~&~_ ,, Engineer's Name Michael E. Anderson, P,E, Date _ I / 4 ! 9 9 Water main/service line > 25 ' Driveway, parking/vehicle storage area > 2 5 ' Wells on adjacent lots _ > 1 0 0 ' HAA Fee $ _~(~£~. r'-~( ) Date of Payment 1 ' ~' ~ Receipt Number (~ q~"/,\ ~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number