HomeMy WebLinkAboutT15N R1W SEC 30 LT 84Onsite File
15N
RIW Sec 30
0
M16121A
:: 299EI "11%
AVEC Septic System
I MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
[] UPGRADE
LEGAL DESCRIPTION
NO. OF BEDROOMS
-- ~ 9 ~ Abs°rpti°n area ' Dwe,ling '
z Manufacturer 6~ Material No. of compartmentsx
~ DISTANCE TO: /7~ ~ Trench ~h /5~
No. of lines Len th f ach li~ Total ]en th of lines Distance between lines
Top of tile to finish grade ~ ~ /¢ Material beneath tile
~ ~ inches
Length Width Depth PERMIT NO,
~ DISTANCE TO:
OTHER
PERHIT NO~
APPLICBNT
LOCATION
LEGAL
MYERES CONST
TiSNRiWS20 L84
PO BM 25i CHUGIAK
LOT SIZE
54000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING (SQ FT?BR)= 2~8
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:.EF"T H= 7. 5 LE[4"-STH= --'-': ± :=: ,3R R %-'EL [:,EPTH= 2~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE E~CBVRTION (IN FEET).
RE[:" SEF'T I C: TRNK S I ZE= 22513~ ~_SRLLElf4S
PERMIT APPLICANT HRS THE RESPONSIBILITV TO INFORM
INSTRLLATION INSPECTIONS OF ANY WELLS RDJRCENT TO
HUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
THIS DEPARTMENT DURING THE
THIS PROPERTY RND THE
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
±00 FEET FOR A PRIVATE WELL OR ±50 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE T~PE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY RPPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVBILABLE TO INSURE PROPER INSTALLATION.
F"EF-:i-"'I :[ T' E::'=:F' 'ii' F~'ES [:.E¢-:E ~-'IBE F." -----=:t.. t.~qE:--TM
I CERTIFY THAT
±: I AM FAMILIAR WITH 'THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS AS SET
FORTH BV THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTFILL THE SYSTEM IN AC:COR[:,AHCE/4~4ITH ~H~ COD~S.
2: I UNDERSTRN[:, THRT THE GN-SITE/SEWER S'~T~i'I h'lR~ REQUIRE ENLRRGEMENT iF THE
RESICENCE IS REMODELEB TU IHZ:LLC~ MERE T~RNI~: BEDRF-M'~ ~ . _~
- ~ ....... ~ If *
APPLICANT~ t"lk~ CONSF/ ¢ V -- "Y I~l~I ¢ - .~
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
PERCOLATION
TEST
3
,gCc go
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER y ~_~ ~
ENCOUNTERED? ~
IF YES, AT WHAT i/~_/ E
Gross Net Depth to Net
Reading Date Time Time Water Drop
: :., 2o /o.,:: 6 %
PERCOLATION RATE
TEST RUN BETWEEN
%
PERFORMED BY:
72-008 (6/79)
DEPARTMENT OF NATURAL RESOURES
Division of Gsologicol & Geophysicol Surveys
gTol,,A.C.' A.o D"ECT'O" ''OM "OA0 I"TEN,ECTlO,, ,.OW,E, OFWELL= ~ ~.
Sfree+ Ad~e~l and Aria of Will Locaflo~
2. WELL LOG Feet Oelow 4. WELL__DEPTH:r(final) 5, DATE OF COMPLETION_
........... M oterlol Type Top 80tram ~ft. _ _
-'P~ ......... *~ .~ o ...,...,
- F~~~' , ,~ -~,~' ,.c.~, ~T~,..,.~ ~
/7
,l,,. *...o ~ ,,. o,p,h w.~,~, -. ,./,,,
' ~/ ~// diem. In, to fl, Depth lfllkul , fl,
-.-
lO, STATIC WATE~ LEVEL: ft.
.................. fi, after .bra. pumping
00.bm, ~ Jet ~ Centrifloal 0 Other
~ 0~ · 5~5
' APPLI¢ -NT FILLS OUTUPPER HA[- ONLY
Property Owner .~,~? YL~ ~ ~ 0/~/3/~L~[/~ ~ Phone
Mailing Addre~ /~? F ~-~ ~ ~ / Zip Code ~-~ ~y- ~/~
Buyer
Zip Code
Address ~
Lending Institution /:/IC~ ~"~) ~:~ ~ ~.. Phone
Address ~/( ~ (/2 ,~//~/~ . ZiP C°de ~ ~
Realty Co. & A~nl Phone
Address Zip Code
Street Locati~
Type of Resi~nce
~ Single Family
~le Family No. of Bedrbo~ ~ y~ ~L ~
Water S pply
Individual A~ACH WELL LOG. A w~l log is required for ag wells drilled since June 1975.
~mun[ty For wells drilled prior to that date, give well depth (attach log if available).
~ Pubgc Utility
Sewer Disposal
n~]vidual Year ~ndividua~ Installed: /~
blic Utility When Connected to Public Uti~ty~ ~
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE tNITIATED.
Time Time Time
Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
.~ ~n__~. .... Mu,icJpali~,,Dep..
....... '*'CONdlT NS oF APPROVAL fi
(~)( ) APPROVEDDisAPmOvEDBEDROOMS ~ ~. ~~ ~ Protection"
( ) CONDITIONAL APPROVAL'
lled Well To ~sorption Area Well Log Received
SOHs Rating Date ~
Well to Tank Septic T~k Size
72.023 (3/82)
I I
/-
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Parcel ID 051 -302-29
Certificate of On -Site Systems Approval
OSC251553
Expiration Date: 12/9/2026
Legal description T1 5N R1 W SEC 30 LT 84
Site address 19111 STEPHANIE BLVD
Current property owner(s) OWEN MICHAEL F
X The On-site system(s) is/are approved for 8 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
By-./ Original Certificate Date:
12/30/2025
This rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
sy em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
development Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory X
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 051-302-29
Complete legal description T15N R1W Sec 30 Lot 84
Location (site address) 19111 STEPHANIE BLVD
Current property owner(s) Michael Owen
2. ON-SITE SYSTEMS SIZED FOR 8 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: A Private Well serving # I dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
❑ Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: I Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank E Community Septic or Public Sewer
5. SEPTIC TANK: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 7 - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑E Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for: ADEC Septic Distance:
Expedited review requested: ❑
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $_ 25(/
Date of Payment IZNOS
COSA# 05(ZS01
Waiver Fee $
Date of Payment
Waiver #
COSA App11ca0on_Ap2025.doc
Legal Description:
COSA Checklist
T15N R1W Sec 30 Lot 84
Parcel ID: 051-302-29
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA
F/❑ Well log is filed with Onsite (or attached) Well production at time of test 0.35 gpm
Date drilled 2/911983 Total depth 245 ft Water storage tank volume 800 gallons
Cased to 30 ft Well disinfected for coliform test? ❑ Yes No
✓❑ Sanitary seal is functioning correctly ✓❑ Coliform bacteria is Negative
❑� Wires are properly protected Nitrate mg/L ❑✓ Nitrate less than MRL (ND)
Casing height (above ground) 25 in. Arsenic ug/L ❑✓ Arsenic less than MRL (ND)
Date of flow test for COSA 12/15/25 Collected by Arcterra Consulting
Static water level at beginning of test __2,&_ft. Date 1219/25
Comments Southern most well used for COSA well flow test. Water sample from combined water spigot from all
3 wells on property.
. DATA ADEC Septic
Measured operating flus tic tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments:
DISPOSAL FIELD DATA ADEC Septic
Which tem tested (date installed)
❑ ALL stan ' s present per record drawing
Total measured dept m grade ft (max)
Measured depth to pipe inve om grade ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insula
❑ 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.
COSA Cheddist_May2025.docx
C. LIFT STATION
❑ Required maintenance completed
A e of lift station years
Lift station ma
Comments:
Adequacy test date
Results II Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
7LD STATUS — POST RECOVERY
EffectE depth (per record drawings)
Effective dep sed in
Effective depth ramal in
in
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100'
0 Yes if No ft
Neighboring Tank > 100' M Yes if No ft
Disposal Field on Lot > 100' ✓❑ Yes if No ft
Neighboring Disposal Fields > 100'
✓❑ Yes if No ft
Sewer Line/Main > 100' ❑✓ Yes if No ft
Sewer Manhole/Cleanout > 100'
❑✓ Yes
if No ft
Sewer Service/Septic Line > 25'Z Yes
if No ft
Holding Tank > 100' ✓❑ Yes
if No ft
Animal Containment > 50' ✓❑ Yes
if No ft
Manure/Animal Excreta Storage > 100'
Tank to Property Line > 5'
❑✓ Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
eptic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation >
❑ Yes if No
ft
Surface Water > 100' ❑ Yes if No ft
Field to Foundation > 10'
❑ Yes
ft
Wells on Adjacent Lots:
Tank to Property Line > 5'
❑ Yes if No
ft
IIs > 100' ❑ Yes if No ft
Field to Property Line > 10'
El Yes if No
ft
Community We Mrivew�ay Yes i�No ft
Water Main/Service Line > 10'
❑ Yes if No
ft
If tank or field is undemme
ADEC Septic
F. ENGINEER'S COMMENTS
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
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 i��r*s►��
conditions as of the day tested. The flow and absorption rates may change due to 4 e
s��,G 01, -Ai- *
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 i
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 evaluator of the well and septic system. Therefore, ArcTerra can not give
any estimate of how long a system will function satisfactory for current or future occupants f i{E4VETI s V. S 4J
or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies ri >> , 5
exist.
■
COSA Cheddist_1V1ay2025.docx
Legal Description:
COSA Checklist
T15N R1W Sec 30 Lot 84
Parcel ID -
051 -302-29
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA Well 2 (middle well)
❑ Well log is filed with Onsite (or attached)
Date drilled UNK Total depth UNK ft
Cased to UNK ft
0 Sanitary seal is functioning correctly
❑v Wires are properly protected
Casing height (above ground) 23 in.
Date of flow test for COSA 12/15/25
Well production at time of test 0.35 gpm
Water storage tank volume 800 gallons
Well disinfected for coliform test? ❑ Yes✓❑ No
❑2 Coliform bacteria is Negative
Nitrate mg/LNitrate less than MRL (ND)
Arsenic ug/L ❑✓ Arsenic less than MRL (ND)
Collected by Arcterra Consulting
Static water level at beginning of test 28 ft. Date S
Comments Southern most well used for COSA well flow test. Water sample from combined water
3 wells on property.
DATA
Measured operating
ADEC Septic
tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments:
DISPOSAL FIELD DATA ADEC Septic
tested (date installed)
❑ ALL Stan -S" resent per record drawing
Total measured dept m grade ft (max)
Measured depth to pipe inve m grade ft (min)
❑ N/A -pressurized field.
F-1 Per record drawings, field is insula
❑ 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
COSA Cheddist_May2025.docx
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station
Comments:
Adequacy test date
Results ❑ Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
MELD STATUS - POST RECOVERY
from all
Effec=depthper record drawings) in
Effecsed in
Effective depth
in
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100'
0 Yes if No ft
Neighboring Tank > 100' 0 Yes if No ft
Disposal Field on Lot > 100' 0 Yes if No ft
Neighboring Disposal Fields > 100'
0 Yes if No ft
Sewer Line/Main > 100' 0 Yes if No ft
Sewer Manhole/Cleanout > 100'
0
Yes
if No ft
Sewer Service/Septic Line > 25'Z
Yes
if No ft
Holding Tank > 100' 0
Yes
if No ft
Animal Containment > 50' 0
Yes
if No ft
Manure/Animal Excreta Storage > 100'
❑ Yes if No
0
Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
eptic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation ?
❑Yes if No
ft
Surface Water > 100' El Yes if No
Field to Foundation > 10'
❑ Yes i
ft
Wells on Adjacent Lots:
Tank to Property Line > 5'
❑ Yes if No
ft
IIs > 100' ❑ Yes if No
Field to Property Line > 10'
❑ Yes if No
ft
Community We _ 0' ❑ Yes if No
Water Main/Service Line > 10'
❑ Yes if No
ft
If tank or field is under driveway comme
ADEC
Septic
F. ENGINEER'S COMMENTS
ft
ft
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 ,2&4C -
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 theOF
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 *� * A
systems are subject to these various and dynamic characteristics and are outside the
control of the evaluator of the well and septic system. Therefore, ArcTerra can not give i
any estimate of how long a system will function satisfactory for current or future occupants 4i Fi1JS1a;ii
or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies CE 116
exist. �f * I� J;0�� r
COSA Cheddist_May2025.docx
CASA Checklist
Legal Description: T15N R1W Sec 30 Lot 84 Parcel ID:
051-302-29
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA Well 3 (North well)
] Well log is filed with Onsite (or attached)
Date drilled UNK _Total depth UNK ft
Cased to UNK ft
0 Sanitary seal is functioning correctly
❑/ Wires are properly protected
Casing height (above ground) 28 in.
Date of flow test for COSA 12/15/25
Well production at time of test 0.35 gpm
Water storage tank volume 800 gallons
Well disinfected for coliform test? ❑ Yes✓❑ No
✓❑ Coliform bacteria is Negative
Nitrate mg/L❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑✓ Arsenic less than MRL (ND)
Collected by Arcterra Consulting
Static water level at beginning of test _15 _ft. Date12/9/25
Comments Southern most well used for COSA well flow test. Water sample from combined water
3 wells on property.
DATA
Measured operating
ADEC Septic
tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments:
DISPOSAL FIELD DATA ADEC Septic
Which tem tested (date installed)
❑ ALL Stan i s present per record drawing
Total measured dept m grade ft (max)
Measured depth to pipe inve m grade ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insula
❑ 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
COSA Cheddist_May2025.docx
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station
Comments:
Adequacy test date
Results II Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
HELD STATUS — POST RECOVERY
from all
Effec=dep
er record drawings) in
Effecsed in
Effective depth
in
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100'
✓❑ Yes if No ft
Neighboring Tank > 100' F7 Yes if No ft
Disposal Field on Lot > 100' ✓❑ Yes if No ft
Neighboring Disposal Fields > 100'
✓❑ Yes if No ft
Sewer Line/Main > 100' ❑✓ Yes if No ft
Sewer Manhole/Cleanout > 100'
✓❑ Yes
if No ft
Sewer Service/Septic Line > 25'Z Yes
if No ft
Holding Tank > 100' ✓❑ Yes
if No ft
Animal Containment 2:50' 0 Yes
if No ft
Manure/Animal Excreta Storage > 100'
❑✓ Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
F eptic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft
Field to Foundation > 10' ❑ Yes
Tank to Property Line > 5' ❑ Yes
Field to Property Line > 10' ❑ Yes
Water Main/Service Line > 10' ❑ Yes
F. ENGINEER'S COMMENTS
ft Wells on Adjacent Lots:
if No ft IIs > 100'
if No ft Community We _
if No ft If tank or field is under driveway
ADEC Septic
❑ Yes if No ft
❑ Yes if No ft
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 _ -1 L &o y�
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 ��x�aa
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 i
`
usage of the family being served by the system. The operational life of all well and septic �7 *�
systems are subject to these various and dynamic characteristics and are outside the 1 4921
control of the evaluator of the well and septic system. Therefore, ArcTerra can not give 0
any estimate of how long a system will function satisfactory for current or future occupants ,�yyfm rFt1S 4,
or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies *1� CE 7i
exist.
44
y� +
tF"
COSA Chedclist_May2025.docx arR�*fw»���;
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT1 Al� 907-343-7904
On -Site water and wastewater Section Fax: 343-7997
www.muni.org/onsite
Well Water Advisory
Certificate of On -Site Systems Approval # OSC251553
Subdivision: T15N R1W, Block: Section 30, Lot: 84
This well's productivity was determined to be .35 gallons per minute. The
recommended well productivity under (AMC 15.55) for a 8 -bedroom residence is
.83 gallons per minute or 150 gallons per day per bedroom. Water storage may be
necessary to accommodate your needs.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.