HomeMy WebLinkAboutGREENLAND BLK 3 LT 5Greenland
Block 3
Lot 5
#015-172-11
M C � PAU T 5 OF
_ A ire i C a � , �3 i
- AM,
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. 015-172-11
1. GENERAL INFORMATION
Complete legal description GREENLAND BLOCK 3, LOT 5
Expiration Date: 7-(:,-,.7-�
Location (site address) 4821 E 115TH AVENUE, ANCHORAGE, AK 99516
Current property owner(s) ERIKA QUADE
Mailing address
Real estate agent
Day phone
4821 E 115TH AVENUE, ANCHORAGE, AK 99516
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
®
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 550
Date of Payment '7- /31�2I
Receipt Number 31134`
COSA # OSC211140
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 3/26/2021
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. 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 in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. 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 i• . �y `
well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • :1•,9 ���
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting & FWGS . *TH
6. DSD SIGNATURE Curtis Huffman
System #1 Approved for bedrooms I�� �Fc� CE 128991 .���
Y PP �� s.1/26/21-�
System #2 Approved for bedrooms `il �PROFESSO
Disapproved
Conditional approval for bedrooms, with the following stipulations:
\SA` Y OF
ON-SITE
WATER AND
J
PROGRAM
`O
V
�SER\1\ _'
By: W��=>iQ�M�fi� Original Certificate Date: /-/—Co 'Z r
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 X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory n
Other aKk
Legal Description: GREENLAND BLOCK 3 LOT 5 Parcel ID: 015-172-11
If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled CIRCA 1975
Total depth 140 ft
Cased to 40+ ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 3/24/2021
Static water level at beginning of test 75 ft.
Well production at time of test 2.8+ gpm
Comments
B. TANK DATA
Age of tank(s) 26 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank 48"
® Standpipes/foundation cleanout per record drawing
Date of pumping 3/23/21
Which system tested (date installed) 1995
® ALL standpipes present per record drawing
Total measured depth from grade 13 ft (max)
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes ® Nc
® Coliform bacteria is Negative
Nitrate mg/L ® Nitrate less than MRL (ND)
Arsenic 7.29 ug/L ❑ Arsenic less than MRL (ND)
Collected by FUSS
Date of Sample 3/25/21 r
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _ years
Lift station material
Comments:
Adequacy test date 3/24/21
Results M Pass For 4 bedrooms
Fluid depth prior to test 91 in
Measured depth to pipe invert from grade 3.5 ft (min)
Water added 610 gal
❑ N/A — pressurized field
New depth 111 in
® Monitor tubes go to bottom of effective. If not, state
depth into effective
Elapsed time 1420 min
® Code -required soil cover over field
Final fluid depth 90 in
❑ System presoaked
Absorption rate 600 gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months) N
date of test)
Gallons introduced gallons
If yes, enter date
Comments/Deficiencies: TRENCH OPERATING IN THE TOP PORTION OF THE EFFECTIVE DEPTH — RECOMMEND
SWITCHING TO CRIB FOR A FEW YEARS... CRIB WAS DRY.
FW{'S
E. SEPARATION DISTANCES
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
if No
Community Sewer Manhole/Cleanout > 100'
If absorption field is under driveway comment below
® 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'
® Yes
if No
ft
Holding Tank > 100' ® 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_
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 _
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100' ® Yes
if No _
Water Main > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes
if No _
Water Service Line > 10'
® 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'
® Yes
if No
ft
Community Wells > 200' ® Yes if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
*'PER MOA / ADEC RECORDS 101' TO TANK CO — WAIVED TO 95'.
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.
TH
.... ....�..�....
. Curtis Huffman
�� �`�G' • CE 128991 .•
-.313 0/2 . - *`R,d
ft
ft
ft
ft
ft
ft
ft
ft
Septic Tank Advisory
Certificate of On -Site Systems Approval #OSC211140
Subdivision: Greenland Block 3 Lot 5
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this property is 26 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.
Ma�hng Address P O Box 196650'* Anchorage, Alaska 99519 6650 *www muni org
GRE. ER ANCHORAGE AREA BOF JGH
Department of Environmental Quality
0 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME _T Oe QVgl? S 0 y MAILING ADDRESS 594 IOax 40 ^ PHONE���%/���f��
LOCATION �h —��r fZ RJ' I"9/IQ�5ay1 h%W �1i��LE�GAL DESCRIPTION L `� f e'e-1 A"J✓��la
SEPTIC TANK:
DISTANCE / r' NUMBER OF
FROM WELL C MANUFACTURER vl ✓ �� 1� MATERIAL -5A21? / COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY �Z✓� GALLONS.
SEEPAGE PIT:
NUMBER OF PITS DIAMETER OR WIDTH/, LENGTHS, DEPTH C Vi� 5d eZt �S!
s�
LINING MATERIAL 17 CRIB SIZE: DIAMETER —DEPTH DISTANCE FROM: WELLI z
r i TOTAL EFFECTIVE
BUILDING FOUNDATION � 2✓ , NEAREST LOT LINE Z O ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL
TYPE-5Qm/' A'611c, CONSTRUCTIONy/ ��5� c�4?61�PTH
i
DISTANCE FROM:
BUILDING NEAREST NEAREST
DATION S LOT LNS SEWERINE TAN KC C 3 ,
/ ! , SYSTEMSEEPAGS �
FOUNDATION
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY: Z Pc fir'
PIPE MATERIAL: a/( �S� )/O)1
LOT SLOPE:
REMARKS:
Form No. EQ -031
REMAR
DIAGRAM OF SYSTEM
%.2
DATE / APPROVED
G.A.A.B.
vel I
GREATER ANCHORAGE AREA 130ROUGH
.y
:Js n bq DEPARTMENT OF ENVIRONMENTAL QUALITY
I'//�=II ILfI 3330 "C" STREET ANCHORAGE, ALASKA 99503
�W.11 jj t TELEPHONE 274-4561
\\\\\\VVVIIIIII � .•
SEWAGE DISPOSAL SYSTEM - APPLICA'YION AND PERMIT
NAME OF APPLICANTbk� �'---. MAILING A
INSTALLATION LOCATION
i YYY
LEGAL DESCRIPTION (.'tx ""-4,�._"—L'.��_•
INSTALLATION OF: SEPTIC TANK C S-6 SEEPAGE PIT
TYPE AND SIZE OF FACILITY TO BE SERVED (JJ�a'K�`---
PERMIT NO.
ESS �-3-IL- •\�C--l-J-. .—_ PHONE L�L�_U
Gly
DRAIN FIELD OTHER
FINANCED THROUGH - -- TO BE INSTALLED BY
r)
SOIL TEST RESULTS - "��"--n--- =-- NO'PI : 'PHIS PERMIT IS NOT VALID WITHOUT SOIL 'PEST
COMPLETION DATE AN.TICJYIITED --1 �l ---- ---
FINAL INSPECTION: 24 HOUR NO'T'ICE: REQUIRED. BACKFILLING OF ANY SYSTEM WI"fI-IOU'P FINAL. INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC; YANK SIZE TYPE !-'-��-Q �� - SEEPAGE AREA SIZE —__..-- IYPL -----
MINIMUM DISTANCES, REQUIREMENTS
I
FOUNDATION TO SEPTIC TANK �'-
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL -
I I
SEPTIC TANK - SEEPAGE PIT �� DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD --
X 0 1
WAl'ER MAIN TO SEPTIC YANK
DRAIN FIELD
SEPTIC TANK, .-_ ---. SEEPAGE PIT
TO RIVER, LAKE, STREAM.
I
SEEPAGE PIT 3-V
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC YANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL MACKF'IL'1_
EQRM TO BOROUGIi_R-EGULAYIONS REGAFRDI NG4 STALLATION.
2
G.A.A.B.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER AN
DESCRIBED Sy E IS IN ACCORDANCE WITH SAID CODE. /
DATE LS- / --- APPLICANT'S SIGNATURE /
DIAGRAM OF lSYOTL'•M
AGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
„11yr1l 1,11/111%.nN11n111 11111.11 111111\1II1711 .
Ut! Ir Aip' • 1� N t r f' f'. '1�P f f H f1 � ” Al. v U -NI Y `t1AJ)t f1C�
3§�AA �yGR R�P�
ANCHORAGE, ALASKA 99502
Performed For J�Cur s Date Performed 08/13/73
Legal Descript oni Lot 5 Block 3 Subd v sion Greenland""
This Form Reports Soils Log Vircolat on est
Depth
Feet Soil Characteristics
2.__ Gray & Tan gravelly, silty,
sand (SM)
4.
6_..1 Cray gravelly sand (SW)
Gray silty sand (SM) with
sand seams (SW)
w/sand,y silt 1l0y1—�1�, 1 .5'
]a it, C lf1 1 V LI I)
AUG 619'/;3 AM
GREATER ANCHORAGE AREA ROROUGII
DEPT. OF ENVIRONMENTAI OUA�,ITY
w/clean sand lenses �c
pockets• from 121
Was Ground Water Encountered? No
If Yes, At What Depth?
0
I
Reading
Date
Gross Time i Net Time (Depth
to H2O
Net Drop
avrn n* nn
,4-
_ _ 11 11u 1,4
Proposed Insta at1�1 ion.- Seepage Pit x Drain Field
Depth Of Inlet Depthth To Bottom Of Pit Or Trenci
COMMENTS: 210 square eet of drainaL-e area is required per
bedroom be ow five feet depth.
Test er orme yCdrli.sleata er i ie y:
ALA -VA MiNP.R.AT e 1r,, -,,Y ,
If
A
'✓ i gip' °� Jt!T I I
i
Municipality of Anchorage OLNNe-p,4-�'
`
• Development Services Department Building Safety DivisionOn-Site Water and Wastewater Program, -
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING,,
Parcel I.D. _O r5 - 1'7 2 - It COSA # OG D�Zy
Expiration Date:
1. GENERAL INFORMATION
Complete legal description l of S. 41ocie S- j51+ -•en jand SIL)
Location (site address) 'l8 2/ E.erf 1 rs" l"
Current Property owner(s) ��q�l f� -1 R.aoC FaafrN Day phone 3 Y6- lz 76
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
'if 821 Cs+df I1S /hHCnuA flncAo-aiert, hk 995 -
Day phone
Day phone
Unless otherwise requested, COSA will be held by DSD forpickup. P1,0wt c411 &Wnrry of 3Y6-12.10
2. NUMBER OF BEDROOMS: _ y W40,7 [ol'A ►^octal Aor r�c1•-sjo
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage ❑
Community Class Well ❑
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site IR
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 sample results. (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 engineer's 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 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. S'ytfr••v mn tk,Fe.f .F.v.,
'% dgpitx
Name of Firm Fla 14&n TieJ%^:e. i feet l.w Phone 3 VS- 13j,+-
Address_WrTe Ec4o Caexa� Ane'Sonye., A-14 'Mr,!
Engineer's Printed Name 'M e,.oec ee r- P- C Vo a Date C/) -x/ 20�
�•l�it•yt Ai •!�p!!4w NVi ..• ji
.nr4ol"0
5. DSD SIGNATURE
Approved for L bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory —3,
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: ZZ/ 4 Original Certificate Date: S-- 19 - O
(Rsv ))Ns)
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.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: La FSS G G.c4 3 _ 6:"On le4noT SIO Parcel ID: 015— 1'72-1/
A. WELL DATA
Well type _('v l If A, B, or C provide PWSID # _ Well Log (YIN) N
Date completed I9 7.s; Sanitary seal (YIN) Y Wires properly protected (YIN) _
Total depth f10 ft. Cased to>YO ft. Casing height (above ground) / 7.a in.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
AT INSPECTION
H /z.o / 09
tL 60 ft.
g.p.m. 7. 6 ti g.p.m.
Coliform O colonies/100 mL Nitrate <o. 1 mg/L
Arsenic: -C-01 ug/L date of sample: H/ze/o9 "
Other bacteria 0_colonies/100 mL
Collected by: ' f lu /-/ap 7_e 4 S. ,e
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Ssil c /S'/= ref Date installed S&,20 19 9s
Tank size ( 00 gal. Number of Compartments Z Cleanouts (Y/N) `r
Foundation cleanout (YIN) Y Depression over tank (Y/N) : N High water alarm (YIN) N• X
Date of pumping t'/13 / O 9 Pumper Reeeny/ /A Gee Ic PeeVIP
C. ABSORPTION FIELD DATA
Date installed • d. 1995 Soil rating (g.p.d./ft2 or fetbdrm) 0 System type 7 C
Length SS ft. Width 3 ft. Gravel below pipe
Total depth ) y_ ft. Eff. absorption area t al ftp Monitoring tube 'f Depression over field
Date of adequacy test Y / 20 / O 9 Results (Pass/Fail) FccuFor Lf bedrooms
Fluid depth in absorption field before test ICY in. Water added 7ZZgal. New depth I IS Sin.
Elapsed Time: 115 min. Final fluid depth 110. 1 in. Absorption rate >= 600 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) None' bane,&O .^ If yes, give date N• A.
D. LIFT STATION V. A•.
Date installed Size in gallons Manhole/Access (Y/N)
'Pump on' level at _in. 'Pump off" level at _ in. High water alarm level at in.
Datum Cycles tested Meets alarm d circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot to 14 % e.0, On adjacent lots > rO ri '
Absorption field on lot 1,45-1 On adjacent lots -->/U7
Public sewer main j! • A•. Public sewer manhole/cleanout N• A.
Sewer /septic service line 2s' Holding tank P. A--
Animal containment areas V. A. Manure/animal excrete storage areas N. A,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 20' Property line I.S, Absorption field t), zo
Water main m-A. Water service line > col Surfacewater > /mo,
Wells on adjacent lots > [tea'
SEPARATION DISTANCE FROM ABSORPTION FIELD.ON LOT TO:
Property line 3.r 1 Building foundation 35' Water main N• A•,
Water Service line 7> to Surface water -->(6o, Driveway, parkinglvehicle storage 7 (of
Curtain drain No+ t Sea+ Wells on adjacent lots > cuo •
F. COMMENTS-t Ws kr, U-oov k'wu%-tr i y1 /Lr.nt wt,-go cy vV#na rl�y o(sr�f cr""(
cytnroDCC 4car pt"41.ex Wel/-stpfic rr,a-whu- 9s;
G. ENGINEER'S CERTIFICATION ReLi�lnR' hc'w cant c� /vc( fo S���ft- cmr/y
Sae 00-h%c4eCl roc 17O�k d- CC- &W cfvcc.a» en/h
n •
I certify that I have determined through field inspections and �- ,r ;�' i„ u';r� k
review of Municipal records that the above systems are in r, ., `.• ' •��� '•.;,;
conformance with MOA COSA guidelines in effect on this date. ; C �kr:" " �'}' '•ter i ;
1•'•••••i•••.i..w sonO�Hoi *� l
Engineers Printed Name T71tracPo.it F• r+oo.•r. x t
Date/t2/ 2009 ; �• �1P1'" r
_S
COSA Fee $ q 10c= Waiver Fee $ s,
Date of Payment Q Date of Payment
Receipt Number g C Receipt Number
(Rev. 11105)
Municipality of Anchorage
• Development Services Department
% Building Safety Division °
- On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Septic System Advisory
Certificate of On -Site Systems Approval # 090124
During a recent adequacy test on the septic system for Block 3, Lot 5 of
Greenland subdivision, 104 inches of standing water was observed in the
absorption field. This indicates that approximately 90% of the absorption
area is inundated. Although this system passed the adequacy test, the
remaining life expectancy may be limited.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval
SCS Refa
1091526001
Client Name
Flattop Technical Srv.
Project Name/p
L5 D3 Greenland SD
Client Sample ID
L5 B3 Greenland SD
Matrix
Drinking Water
PN'SID
0
Sample Remarks:
Printed Dateff[me
05/04/2009 16:50
Collected Date/Time
04/20/2009 14:30
Received Date/rime
04/20/2009 14:55
Technical Director
Stephen C. FAc
Allowable Prep Analysis
Parameter Results PQL Units Method Container ID Limits Date Date [nit
Metals by ICP/MS
Arsenic
Waters Department
Total Nitratc(N[iritc-N
Mierobiolocry Laboratory
Colony Count
Total Coliform
Fecal Coliform
5.03
5.00
ug/L
GP200.8
C
(<10)
04/24/09 05/01/09
NRB
ND
0.100
mg(L
SM204500NO3-F
11
(<10)
04/23/09
JDZ
0 coV100mL
SM20922211
A
(Q00)
04/20/09
DLC
0 col/100mL
SM209222B
A
(<I)
04/20/09
DLC
0 coV100ml.
SM20922211
A
(<I)
04/20/09
DLC
— (i_E_114th Avenue
S89e53'20"E 100.00
*Septic vent
LOT 6A 1$ Test Hae N
c2 � �
LOT 5
shed *Septic vents
O
O
O shed
N °
oodfence
Lu e• cvBn
O :;eo
0
Chain link fence
0
o SC1Al,
39. 26.0
r—
LOT 6B I
r—'�
� I I
I I
I � I
•n I ra I
I
wanD
1 �!I
I I I I e
I I I I
9
SCALE: 1"= 30'
S89053'20"E 100.00
E. 115th Avenue
EASEMENTS OF RECORD. OTHER THAN
THOSE SHOWN ON THE RECORDED Fb 09.2, pg 38-39
PLAT ARE NOT SHOWN HEREON.
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Fred Walatka
Icf1 No. 3255-S
BE
5770
LOT 4
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have perforated a Mortgagee's inspection
of the following described property, LOT 5. BLOCK 3.
GREENLAND SUBDIVISION
Anchorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property lines
and do not overlap or encroach on the property ling
adjacent thereto, that no Improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission fines or other
visible easements on said property except as Indicated
hereon.
Dated at Anchorage, Alaska
this 21st day of ADol 2009
FRED WALATKA 8 ASSOCIATES
Engineers and Surveyors
(907-248-1666)
FLATTOP TECHNICAL SERVICES -
CML & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION b ANALYSIS
TED MOORE, P.E. 14530 ECHO CANYON ROAD
PHJFAX: (907)345-1355 ANCHORAGE, AK 99516
E -Mail: tgmoore@gct.net May 12, 2009
Brigitte and Reed I Leath
4821 East 115'' Avenue
Anchorage, AK 99516-1628
Dear Brigitte and Reed
Per your request, on April 20, 2009 I conducted adequacy tests of the water sppply and wastewater
disposal systems serving your residence on Lot 5, Block 3, Greenland S/D. I am pleased to report that
both systems appear to be performing adequately at this time. The on-site systems were originally
designed and approved by the State DEC to serve a 4 -bedroom duplex. Since this property has now
been converted into a 4 -bedroom single-family residence it will be necessary to submit copies of all
relevant documents and adequacy test data to the Municipality to obtain a Certificate of On-site
Approval (COSA). I will do this shortly and request the Municipality to call you when the COSA has
been approved and is ready for pick-up. The following is a report of my test procedure.
I was unable to locate a driller's log for the well, however other documents on file with the State and the
Municipality indicate that it was probably drilled in 1975 and that it has a total depth of 140 feet On
April 20, 2009 the static water level in the well was at 60 -feet below the top of the casing. Steady
pumping of 722 gallons of water from the well at the maximum pump rate of 7.6 gpm caused the water
level inside the casing to be drawn down to a maximum of 104 feet. Based on this well test data I
determined that the well yield is in excess of 7.6 gpm, which is more than adequate for any single-family
residence. Water samples collected on 4/20/09 were satisfactory, showing 0 coliform or other bacteria
per 100 ml., less than 0.1 mg/1 of nitrate -N and 5.03 micrograms per liter of arsenic.
The wastewater disposal system was completely upgraded in October of 1995 and consists of a 1500 -
gallon septic tank that discharges effluent into a 55 -foot long soil absorption trench that has an effective
gravel depth of 9.6 feet. To assess the adequacy of the soil absorption system on 4/20/2009 I added 722
gallons of water into it while monitoring fluid levels in the tank and trench before, during and after the
flow of water was stopped. Prior to the start of the test the fluid depth in the monitor tube at the end of
the trench was 104 inches and after the addition of 722 gallons of water it was 115.6 inches. After the
flow of water was stopped the fluid levels receded 5.5 inches over a two hour period, which corresponds
to a more than adequate absorption rate for a 4 -bedroom residence.
In conducting an adequacy test I attempt to provide a thorough, conscientious engineering analysis of
the system. The test results describe the performance under the conditions encountered on the day of the
test and do not guarantee future performance under different conditions. Please feel free to give me a
call if you have any questions on this report.
Sincerely,
Tell(
ri /` %Lo.
Ted Moore, P.E.
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
555 CORDOVA STREET
ANCHORAGE,' ALASKA 99501
August 22, 1995
Byron Gajewski, CRW
3900 Arctic Btvd., #203
Anchorage, Alaska 99503
ronr �TiC .Sr'Si'�i
(907) 269-7520
SUBJECT: Lot 5, Block 3, Greenland Subdivision, Sewer and Waiver 9621 -WW -184-013;
9621 -WV -184-002
Dear Mr. Gajewski:
On July 3, 1995, we received your request dated June 28, 1995, to construct an alternate soil
absorption system, install a new septic tank, and receive a new waiver of separation distance
from the Class C well on the subject lot. The well has long been recognized as a Class C well,
but to the best of our knowledge has never been approved as such. A separation distance waiver
was granted in 1986 for the existing sewage system distances from the well.
There is a private well on Lot 4 100' from the existing septic tank and an approved Class C well
on Lot 6B which is 125' from the existing septic tank, 155' froin the existing drainfield. Based on
submitted information, no other wells are affected by the subject septic system.
Submitted information included nitrate and coliform waver tests, drilling logs, soil tests, area
map, map of affected system, and diagram of proposed trench soil absorption system. In
addition, file data and verbal information show the ground surface to slope slightly to the north
and west.
We responded on July 27, 1995, suggesting that the sewage facilities be moved farther away
from the wells and sent invoices for the waiver and plan review fees. Your reply dated August 4,
1995, was received on August 9, 1995. In it, you moved the new septic tank and the new
drainfield further north and showed monitoring tubes on the new drainfield. You also paid the
fees.
WAIVER:
We have carefully reviewed the submittals per 18 AAC 80.030 and grant a waiver for separation
distance for the well on Lot 5 of 95' to the new septic tank and 130' to the new drainfield. This
Byron Gajewski, CRW
August 22, 1995
Page 2
waiver is only valid under existing conditions and those proposed in the application. Any change
in building use from the 4 bedroom duplex or in the sewer system will require a new waiver
review. This letter is your approval document.
SEWER SYSTEM:
We have carefully reviewed the submitted information on the sewer system as well as our file
information. The soils appear acceptable, and groundwater does not appear to be a problem. In
addition, the existing system does not appear to be affecting the well. Based on the requirements
of 18 AAC 72.210, we therefore approve the new 1500 gallon septic tank and the Y x 55'x 14'
deep trench drainfield as submitted and revised. This letter is your Certificate to Construct; a
Certificate to Operate will be issued upon receipt of acc ptable as-builts from a registered
engineer. These as-builts must indicate soils, watertable, and impermeable strata within
appropriate distances and that the installation was monitored by a registered engineer. Additional
detail concerning the installation of monitoring tubes should be included. We will also need at
that time a filled out Domestic Wastewater System Owner's Statement and Data Sheet (copies
enclosed). Per 18 AAC 72.210, this approval is valid only if construction is completed within
two years.
WELL:
As previously mentioned, we have no information that the well on Lot 5 was ever approved as a
Class C well. Pleas! either furnish such information or apply --or approval of the well. (The
records the owner has may include an initial approval by the Anchorage Borough.) We are
enclosing a check list for your use in such a submittal.
The foregoing approvals do not imply the granting of any additional authorizations nor obligate
any state, federal, or local regulatory body to grant required authorizations. We appreciate your
cooperation with the Department. Please contact me if you have any questions on any of the
foregoing.
Cordially,
4ougStark
District Engineer
Encl: Class C Well Checklist, Data Sheet, Owner's Statement
State of Alaska
Anchorage/ Western District Office
555 Cordova Street
Anchorage, Alaska 99501
Attn: Doug Stark, District Engineer
October 11, 1995
Re: Lot 5, Block 3 Greenland Subdivision: Sewer System Improvements
9621 -WW -184-013; 9621 -WV -184-002
Dear Mr. Stark:
Please find attached as -built information on the new septic system for the above
referenced lot. The system was installed by Aurora Construction In the first week of
September. Soils for the deep trench drainfield were uniform and identical to the soil
boring originally taken within 10 feet of the trench. These soils are also similar to
those encountered for the original crib.
A 3 -way valve was installed allowing use of the existing crib or new deep trench. A
new 1500 gallon septic tank was installed. The original tank was pumped, crushed
and backfilled. The attached as-builts provide grades of the new piping and detailed
locations.
If you have any questions or concerns, please do not hesitate to contact us.
Truly yours,
CRWW ENGIINNEERIING UP
Willem Van Hemert
attachments
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No.rti NilltYun Mtm„t1 ��• :i
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3900 Arctic Blvd. *Suite 203•Anchorcge9, Alaska 9(.'503•;907) 562-3252* FAX (907) 561-2273
L 0 T 5, BLOCK 3, GREENLAND SUBDIVISION €-8"°1;'''a'' a.0-0 Monitor Tube
SEPTIC SYSTEM AS -BUILT 00
V-10• SEPTEMBER 1995 Trench I'-' 3 0�
LOT 6A
3 -Way Valve
6" dia. Stand
for Operator
Existing Crib,
:0
0
Concrete Crib
Bottom EI. 83.9 °
45° Bend Top , °
of Pipe EI. 93.9
with g0 ` a o
Pipe
iM
i �
LOT 68 �s
•O.
N \
Top Pipe EI. 94
Brown
Sandy
SiR u
r•
(SL) 0 Filter Fabric
Top of Pipe EI. 93.5
f.? 4" PVC
Perforated
Plpe
Gray
Silty
Sand Clean Drain Rock
(SM)
Bottom EI.83.6
TYPICAL DEEP TRENCH DETAIL
N.T.S.
Filter
45° C.1
\ Bend
C. 0. `
Top Pipe
0 EI. 94.5
1500 Gal.
Septic
Tank
45• Bend
C.0
Top Pipe EI. 95.5
TBM: SW Cor.
of Sidewalk,
Assumed
Elev. 10.0O3
C.0
a) U
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e 0 0: a
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° 0 1 0 0
I
o° I °'
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°1 ° °
o Monitor Tube
rs..o.�i Top Pipe
;n EI. 93.5
Top Pipe
450 EI. 93.7
C.O.
Bend
LOT 5
NOTE: All pipe is 4"
PVC 3034 SDR 35
unless otherwise noted
DUPLEX
No. CF A$03
r
Private Well
Private Well
..M.
Crib
Crib.
-1
wen JI I t ELAN
LOT 5, BLOCK 3,
GREENLAND SUBDIVISION
NOTES:
1. Well Information taken from
Alaska Environmental Control
Services, Inc. drawing dated
11-26-66.
B 114Th AVENUE 2. Lot 6A served by Class -C- well
located on Lot 66.
j T�t
6Test t
Hde 19 li
NEW TRENCH
Haase I I I (55X10' DEEP)
Septic
Tank rn
C.O.
LOT 6A 0 CRIB
(16'x16
L T
v
.. NEW 3 -WAY VALVE
Stand Pipe c NEW 1500 GALSEPTIC TANK
Id
, O
Septi.
Tank
C.O.
- C- Well
Tank
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(CFlled)rushed &
LOT 5
I
Class -C- Well
ILLI:I�
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Q�,��OFESSlO`,,,+
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fr C
• .., Municipality of Anchorage
DEPARTMENT OF HEALTH 8, HUMAN SERVICES v .
825 "L" Street, Anchorage, Alaska 99502-0650 v �e
SOILS LOG — PERCOLATION TEST d� T
len ✓oh Ile i T ,R
PERFORMED FOR: ✓
_ O -TE PEn FOFw-0
-
LEGAL DESCRIPTION:SUnc�i✓/UoTownship Rarg_,Secncn:
(FEET) J
loose tv r�edva, dense
2 r4l inois aOsi - p/os riG
3 0CClrS/Oi7q/ -A✓e/S
4
5
6-
7
8
9
10=
11
12-
13-
14-
151
2131415
16
71819 17-
is -
191
2J -
COMMENTS
y s,ie y 51o4d C5.�)
r�eC�/uM L�C<fSP� irro/SY`
l E!`Cil'
ROf/Om o 7-'
TeSr /: f
SITE PLAN
496
G. SCOTT CROWTHER
,. CE -6491
WAS GROUND N/ATiii
ENCOUNTEREC7
IF YES, AT WHAT
DEPTH?
Depth lu Water Mer _
Mmitaring?
Reading Date Gross Net Death to
Time Time Water
Net
Drop
o ,
10 f
I G
D
5
c c
6.5'0
PERCCLATIOri RATE 27 Immutes,mcni PERC HOLE DIAMETER G /�7C%iCf
TEST RUN BETWEEN
FT A.%o 1.
FT
PERFORMED BY: _A—"T� e5z-� I CLF 649/
CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE.
72-008 IRev. 4/85)
4
ai' nV
o � _
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received /
/6 — 75
Time of Inspection��
6/ Date of Inspection
J REQUEST FOR APPROVAL OF
u (0 10IVIDUAL SEWER & WATER FACILITIES
FOR
i
1. Approval requested by:
Mailing Address: ', �, 4 3�� 4-1! Phone:
2.
3.
Property Owner:_ �, _`r,c�c./ 9 4,1-0 7 Phone:
Mailing Address:
Legal Description
4. Location:
5. Type of facility to be inspected Lr_r:s._-,✓: No. of bedrooms
6. Well Data:
A. Type ,C>6-,) e t '(. r -c_ J _ B. Depth / (f)�
C. Constructions D. Bacterial Analysis
V d
7. Sewage Disposal System: .
�3
A. Installed'c /- �'
-/ :: B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
i
A. Well to: Septic tank /,� Absorption area ' , Sewer Lines ,
Nearest lot line , Other contamination
B. Foundation to septic tankt ' � , Absorption area
C. Absorption area to nearest lot line _
EQ -034 (1/74) Page 1 of two pages
GREATER ANCHORAGE AREA BOROUGH._
DeparLment of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO
PA
3.
4
5.
0
Property Owner:
Mailing Addres
Name of Buyer:
Mailing Address:
Name of Lending Institution
Mailing Address:
Name of Realtor or Agent:
Mailing Address:
VA FHA CONV
Legal Descrip
Location:
Day Phone,__�-,5'
Phone
Phone
7.
Type of Facility
to be inspected: �i�- _ No.
Bdrms. L
8.
Water Supply
Type of Supply:
Public
Utility
Individual
If Individual,
number of
dwellings
presently served
_
If Individual,
depth of
well GO
9.
Sewage Disposal System
Type of System:
Public
Utility
I n d i v i d u a I
(on - site)
If Individual,
date of installation;(-,�
EQ
-037 (1174)
i
rage 2 of two pages - Reqs for Approval of Individual Se & Water Facilities
Legal Description
Comments
Approved ��w^t. 7e_/UL.)ifDi.sapproved v� Date / '
Approval.,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
i
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date _
EQ -034 (1/74)
fl, r
IPJ4
