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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 1 LT 59Valli* Vue Estates #2 Block 1 Lot 59 #015-311-33 Municipality of Anchorage .° • Development Services Department { Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 650 / w (907) 343-7 onsite (907)343-7904 ��,��✓✓✓ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0I l3--31 1-13 COSA# 10 0 01 Q 1. GENERAL INFORMATION Expiration Date: I -.z a - % r' Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address VALLI VUE ESTATES H2: BLOCK 1. LOT 59 6.3720 ROUND TREE DRIVE * ANCHORAGE. AK • 99516 ESTATE OF MARY LAFOLLETTE Day phone Day phone KURT STENEHJEM W/ KEY REALTY Day phone 277-5397 200 W. 34TH AVE. #96 • ANCHORAGE, AK • 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class A Well 0 Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. 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 (les 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. Phone Address 3701 E. TUDOR ROAD. SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines d Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. 337-6179 Date Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other rvr��icrrr�rcrt - PROGRAM O' '•.�k '�NTSEN�S��`. By: (1"/� ✓ /N Original Certificate Date: �� 0 T Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater.Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST ;X -33 Legal Description: VALLI VUE ESTATES BLOCK 1, LOT 59 Parcel ID: A. WELL DATA ICOMMUNITY WELL Well typeCOMMUNrTY If A. B, or C provide PWSID# 210605 Well Log (Y/N) Date completed — Sanitary seal (Y/N)— Wires properly protected (Y/N Total depth —ft. Cased to —ft. Casing height (ab round) in. FROM WELL LOG AT I CTION Date of test Static water level Well production —9 -P.M. g.p.m. WATER SAMPLE RES Coliform colonies/100 ml. Nitrate —mg./L. Other bacteria —colonies/100 ml. Amenic: —ug./L. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 5/20/1974 Tanksize1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) NIA Date of pumping 1/19/2010 Pumper ANCHORAGE CESSPOOL I C. ABSORPTION FIELD DATA Be Ow EXISTING GRADE Date installed 5/20/1974 Soil rating (g.p.d./Wor(tt /bd 125 System type SEEPAGE PIT Length 17.6 ft. Width 15.6 ft. Gravel below pipe 6 ft. Total depth *9.9 6. Eff. absorption area398 ft' Monitoring tube YES Depression over field NO Date of adequacy test 1/15/2010 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth In absorption field before test 33 In. Water added 450 gal. New depth 69 in. Elapsed Time: 220 min. Final fluid depth47 In. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN _ If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N 'Pump on" level at in. "Pump oft" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot— Public sewer main — Sewer /septic service line On adjacent On adjacent lots Holding tank COMMUNITY WELL manhole/cleanout oniainment 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 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 100+ Building foundation 'S' Water main 10'+ Water service line 10'+ Surface water 1000+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS "ESTIMATED G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date t II,-, I/O COSA Fee $ T q0 Waiver Fee $ Date of Payment ! 2 V Date of Payment Receipt Number I O Receipt Number (Rev. 11105) Gor ess :E— :p 'oleaaio^°aa� R • Ra•I •.• IM•[ml •, Y•.L R>••I ••• ■....o. rcX«al R ^ QU JSoD GRAVEL p 7 DRIVE A7 C O.e / / W / / 0 60 o �? N 667JJp. � o s W / SURVEY C rRCATION x rLAM rr r Y� MA" AS-IULT YM�[IIN� A� rl VL lTl[1CINeE � � Y I LOr 9lw4rT �^VI- T0IAO " AR -MAT PM 111Acww. 014IRT ROf ruw ... Aft—T ... THE WRMCY00 TAMS RE9P R T..rss Prepared by Robert E. Johns, Jr. & ASSOC. Protesslonol_Land Surveyors 1" 40' . a -.rix 1-11-10 D" sr ' A aX..1. 1-11-1D "' 2539 Rk—R Lot 59 BIO&Z 1 Balli We Estates SYMBOLS = COAMACIE D rM*M RERAR - WOOD r[MCC ;..31 ASSVMCD CLEW. 0-- YCTAL rCMCC V ?M� WOR[ CMO'Mt M AIERt APV" XIMAT[ D OI}1A,M0�9 I.R[RF_CORO �LzUHDAR!! [rRIRT OR rot MIARLpU11DART P JAI AcgMr3 rWAMOAL LIA•[RM ONLY FOR DE :TION YAv CAVE[ CRROAS NN E10 0 r AW"ALT 0mco eOMLTIL"IC som DCP V1R•LC [ILL be UU ft p,•yt WAM•. K 04.Y. sma IN AND LACATm. PtMA46 MOTm [ LDd Or TME 11RWY- 5 IS 0 :ANcH cEsspoa- I Jan. 20 2010 11:28AM PI ANCHORAGE CESSP60L'PUMPING 11240 L911on Lina Amhwat^AK 996I5-2918 (907) 3442M Niover palms w irsrtuma0 goons muST bi wc6ff4wny this bul. 267"t 'IhankYou 11, I 7g, I'A ...... .. Pitt .... .. . ..... . ..... . ......... .. . ......... ... ..... ... ... .. .. ... ... .. . .... TAX r iv TOTAL -C4 Niover palms w irsrtuma0 goons muST bi wc6ff4wny this bul. 267"t 'IhankYou 11, I GRE?"!:ER ANCHORAGE AREA BOr 'hUGH Department ~3E0n;irs~rn=~ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME C~/~"..~ '/~.~.~/.~Y~Z~/&"~:'' M~ILING ADDRESS .,~b. Z~/ ~/~-~ PHONE LOCATION ..~-~/-~'/.~ ~?~- Z~./,~/~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELL ~)~//Z~. MANUFACTURER ,~t'~S~'~,~/-- ---- MATERIAL S'~- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ~ .LIQUID CAPACITY .//~-) GALLONS. SEEPAGE PIt: / NUMBER OF PITS ,/ DIAMETER ~ OR WlDTH//D['~' LENGTH/~/ DEPTH // LINING MATERIAL~U'~z'~<' L~,~'/~IB SIZE: DIAMETER'S_DEPTH ~ / DISTANCE FROM: WELL BUILDING FOUNDATION ~/,f' NEAREST LOT LINE ~L~'/ t TOTAL EFFECTIVE . ABSORPTION AREA (WALL AREA) ~2~/~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~/'/Zf~[t/~7~./ CONSTRUCTION DEPTH DISTANCE FROM: / BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED . DISAPPROVED ~ REMARKS DISTANCES: ~'///~X//~'/ INSTALLED PIPE MATERIAL: LOT SLOPE: REMARKS: Form NO, EQ-031 DIAGRAM Of SYSTEM DATE Gr 'TER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 'lC" Street Anchorage, Alaska .~o03 Performed for .~ ,.~ Date performed Legal Descri pt~n: .~_<~__~.~=_=~_____~ / ~- ~_e 'Th~s forl~ reports: Soils log ..~ ' Percolation test Depth Feet t ]0- 13- !4- Was ground water encountered? /'75 If yes, at what ~epth? .... Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation /aL minute Proposed installation: Seepage P'i'~ .... Drain F'ield ,ep,.n of Inle,. . Depth to bottom of Fit or trench