HomeMy WebLinkAboutGRANITE VIEW BLK 6 LT 9Granite View
Block 6
Lot 9
014-301-03
NOT ELIGIBLE FOR COSA
BECAUSE COSA IS
INCOMPLETE.
a.lso ~mow{~d hi~h water' l,'-''.t/la<,"~
DATE
REPLY
SIGNED
SIGNED
SEND PARTS I AND :3 INTACT .
PART $ WILL BE RETURNED WITH REPLY.
carbonle~s~
DATE /
POLY PAK (SO SETS) 4P472
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREFT, SUITE 303
ANCHORAGE, AI. ASKA 99501
BILL SH£FFIELD, GOVERNOR
274~2533
May 7, 1985
MUNIClPAtlTY OF AN~OP, A~I~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECI'IOI~
Mr. Lou Butera
Eagle River Engineering
Services
P. O. Box 773294
Eagle River, Alaska .99577
WAY o
RECFIVED
SUBJECT:
Waiver Horizontal Separation between Well and Sewer Line
Lot 9, Block 6, Granite View Subdivision, Anchorage, Alaska
8521-WA-147
Dear Mr. Butera:
The Department has reviewed 'the subject waiver request and hereby waives
the horizontal separation between the well and sewer line 'to 40 feet
on the subject property for a single family residence only.
This is contingent upon satisfactory water test results being sent to
this office
Sincerely,
SE/dd
~Steve'Eng, P.E~~''
District Engineer
Municipality of Anchorage .
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Jeff Gamess
Legal description: Granite View Block 6 Lot 9
ME
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in design.
❑ Additional soils information needed.
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate. _
® Incomplete; missing Approval from Right of Way for well in East 88M Ave.
❑ Incomplete; missing
❑ Additional adequacy test information needed.
❑ . Water sample unacceptable.
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown. _
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
❑ Omission in narrative.
❑ Insufficient fill over tank or field._ H r r^y
❑ Other.
Name of reviewer. Jeff Date: 9/8/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED :TO THE PAPERWORK
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorage.ak.us
(907)343-7904
Parcell.D.
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
014-301-03
1. GENERAL INFORMATION
HAA# 65101--ILA"1
Expiration Date:
Complete legal description GRANITE VIEW
SUBDIVISION:
LOT 9,
BLOCK 6.
Community Class Well
❑
Public Water System
Location (site address or directions) 3030
EAST 88TH
STREET
* ANCHORAGE. AK 99507
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
KAREN SHELBY Day phone (907) 727-4400
3030 EAST 88TH STREET • ANCHORAGE, AK 99507
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual Well
lit
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
❑
Individual Holding tank
❑
Community On-site
❑
Public Sewer
lit
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority
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 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 Health Authority 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 riles 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.
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
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 B Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, 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
otherperson or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Phone
Date
337-6179
Conditional approval for bedrooms, with the following stipulations:
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
M
(Rev. 1201)
Maintenance Agreements
Supplemental Engineers Report
Other
Original Certificate Date:
F
Municipality of Anchorage
Development Services Department
J Building Safety Division r
Onsite Water & Wastewater Program
4700 South Bragew St.
P.O. Box 196050 Anchorage, AK 99519-WSO
www.a.anchorage.ak.us
(907) 343-79W
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: GRANITE VIEW SUBDIVISION: LOT 9. BLOCK 8. Parcel ID: 014-301-03
A. WELL DATA
Well" PRIVATE If A, B, or C provide PWSIDIF N/A Well Log (YIN) NO
Date completed APPROX. 1984 Sanitary seal (YIN)YES Wires property protected (YIN) YES
Total depth 110 R. Cased to 40+ R. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test BOG _ 7/15/2005
Static water level _ ����' R. 84 R.
Well production N� g.p.m. 3.0 g,p.m.
WATER SAMPLE RESULTS:
Coliform :k colonies1100 ml. Nitrate a,� mgJL. Other bacteria �coloniesl100 mi.
Arsenic: N/A mg./L. Date of sample: 7/15/2005 Collected by: GEG. LtD.
B. SEPTIC/HOLDING TANK DATA PUBLIC SEWER
Tank Type/Material Date installed _
Tank size gal. Number of Compartments X61outs (Y/N)
Foundation cieanout (YM)
Pumper
C. ABSORPTION FIELD DATA
tank (YIN) _ High water alarm (YIN)
Date installed Soil rating (g.p.d./ft or ft1bdrm)_ System type
Length
Width
Total depth R. Eft. absorption area _ ft' Monitoring
Gravel below pipe
Date of adequacy test aewts(Pass/t=as)
Fluid depth irpt field before test _ in. Water added _gal.
Elapsed Time: —min. Final fluid depth _ in. Absorption rate >=
ion over fteld
For bedrooms
New depth _in.
g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
Municipality of Anchorage
Development Services Department
J Building Safety Division r
Onsite Water & Wastewater Program
4700 South Bragew St.
P.O. Box 196050 Anchorage, AK 99519-WSO
www.a.anchorage.ak.us
(907) 343-79W
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: GRANITE VIEW SUBDIVISION: LOT 9. BLOCK 8. Parcel ID: 014-301-03
A. WELL DATA
Well" PRIVATE If A, B, or C provide PWSIDIF N/A Well Log (YIN) NO
Date completed APPROX. 1984 Sanitary seal (YIN)YES Wires property protected (YIN) YES
Total depth 110 R. Cased to 40+ R. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test BOG _ 7/15/2005
Static water level _ ����' R. 84 R.
Well production N� g.p.m. 3.0 g,p.m.
WATER SAMPLE RESULTS:
Coliform :k colonies1100 ml. Nitrate a,� mgJL. Other bacteria �coloniesl100 mi.
Arsenic: N/A mg./L. Date of sample: 7/15/2005 Collected by: GEG. LtD.
B. SEPTIC/HOLDING TANK DATA PUBLIC SEWER
Tank Type/Material Date installed _
Tank size gal. Number of Compartments X61outs (Y/N)
Foundation cieanout (YM)
Pumper
C. ABSORPTION FIELD DATA
tank (YIN) _ High water alarm (YIN)
Date installed Soil rating (g.p.d./ft or ft1bdrm)_ System type
Length
Width
Total depth R. Eft. absorption area _ ft' Monitoring
Gravel below pipe
Date of adequacy test aewts(Pass/t=as)
Fluid depth irpt field before test _ in. Water added _gal.
Elapsed Time: —min. Final fluid depth _ in. Absorption rate >=
ion over fteld
For bedrooms
New depth _in.
g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at _in.
E. SEPARATION DISTANCES
Size in gallons
!!Tgq in. High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/A On adjacent lots 100'+
Absorption field on lot N/A On adjacent lots 100'+
Public sewer main '40' +/- Public sewer manhole/cleanout `41' +/-
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: PUBLIC SEWER
Building foundation Property line
Water main Water warier
PUBLIC SEWER
Surface water.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line--,—: Building foundation W
Water service line r Driveway, parking/vehicie storage
in Wells on adjacent lots
F. COMMENTS
cvlcTlur_
G. ENGINEER'S
I certify that 1 have determined through Reid inspections and t!' `J ! r*
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Je Go ess.
Engineer's Printed Name JEFFREY A. GARNESS'.,
Date �•eaP••......•
•otnsWo
HAA Fee $ *%'- ` q3D
Date of Payment p i.9-C)G7
�r
ReoeiptNumber WU►j '43504
(Rev 12101)
Waiver Fee $ _
Date of Payment
Receipt Number
09/02/2005 15:49 FAS 9077621878
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SYMBOLS
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PLOT PLANS k LOT SURVEYS
NOTE:
IT IS THE R�PONSBILITY OF THE BUILDER OR OWNER. PRIOP. TO
ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
COH5TRVCTON. TO VERIFY PROPOSED BVILDINC GRACE RELATIVE
TO FwsHro GRADE AND UTILITY CONNECTIONS AND TO OETFRMINE
SHOWN FSNCCS. WELLS. SEFTIC CLEANOUT$. SIDEWALKS. DRIVCWAYS.
ETC.. ARE SHOYIN IN THEIR APPROXIMATC LOCATION. ONLY. SNOW
rHE EXISTENCE OF ANY EASEMENTS. COVENANTS OR kESTRICTICMS
MAY PRE CNT SOME IMPR0V..MCN1r FROM BDNG SEC" AND LOCATED.
WHICH DO NOT APPEAP ON TNC RECORDED SUP.DINSIDN PUT.
All DISTAN 5 AP! Rr"I'l FEZ
' UNDER 110 CRCUMSTANCES SHOULD AN AS -BOLT B: USED FOR CONSTRUCTION OP. FOR ESTAWS`aNC BOUNDARY OR FZNCE b4E'S.
THE SUgVCYOR TAKES RaPONS'Bi1TY FOR THC IrDTIAL 'RANSACTI0% ONLY ANO ASSUMES IN CI LIA:IUT. C. Y FO? THE COST OF THE SURVEY.
' USTED DISTAIICES PREVAIL OVER SCALING. REPRDDUCHON MAY CAUSE ERRORS IN SCALE
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07-21-05 02:41PM FROM -CUE ESI, SGS ENV SERVICES
SCS Rets
1054321001
Client Name
Gamess Engineering Group, Ltd.
Project Name/#
Granite View L9 Blk6
Client Sample ID
Granite View L9 Blk6
512trls
Mnking Water
9075615301 T-500 P.02/04 F-256
All Dates/Times are Alaska Standard Time
PrintedDale/fimc 07/212005 7:39
CollectedDate/ITme 07/152005 10:20
Received Date/time 07/152005 10:55
Technical Director Stephen C. Ede
Sample Remarks:
353.2 - CCV/LCS failed high, sample is below the PQL for nitrate.
Allowable Prep Analysis
Parameter
Rendu PQL Unita Mcdtod containttlD Limits Date Date fait
Nittnte-N
0.100 U 0.100 mg/L EPA 353.2 B (<=10) 07/15/05 PLW
Microbiology Laboratory
Total Colifonn
cot/l00mL SM209222B A (<-1) 07/15/05 TLF