HomeMy WebLinkAboutGRANITE VIEW #1 BLK 5 LT 3Granite View #1 Lot 3 Block 5 #014-301-14 Municipality of Anchorage ..-;Urparimrnt P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Development Services ivy On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV241045 COSA#: Permit#: P I D#: 014-301-14 Legal Description: GRANITE VIEW #1 BILK 5 LT 3 Engineer: Pannone Engineerincl Services Your request for a waiver of the required 100 feet horizontal separation from the public sewer trunk to the private well has been approved. The approved separation distance is 33.0 feet. Your request for a waiver of the required 100 feet seperation from the proposed public sewer manhole to the private well has been approved. The approved separation distance is 33'. Your request for a waiver of the required 25 feet seperation from the proposed private sewer service line to the existing private well has been approved. The approved separation distance is 14'. This waiver approval applies to the existing public sewer trunk only. Any future upgrade to the on -site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: 71 Date: d 3� ��� z Approved by: Name of eviewer son ■......................................•............................... **** VARIAN C EIWAIVE R REVIEW **** Pannone Engineering Services LLc Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska Subject: Granite View #1 Blk 5 LT 2,3,4 t Private Wells to Sewer Main and Manhole Separation Distance Waiver Request Ladies and Gentlemen: I am writing to request a separation distance from the private wells on each of the above -mentioned lots to the proposed 8" DIP sewer main extension and manholes. The soil and groundwater conditions in the area are not conducive to the installation of conventional individual onsite wastewater treatment systems. The property owners have elected to decommission their holding tanks and extend the existing sewer main on North Circle. An application including a plan and profile has been submitted to AWWU for permitting, the design package is attached to this request. A summary of the requested separation distance waivers is in the table below. Alt distances are taken from the closest edge of the sewer component to the outside edge of the well casing. Legal Description Distance (ft) to Proposed 8" DIP Sewer Main Distance (ft) to Proposed Type A Watertight Manhole n4a-View-Al B5 L4 24.7 54.2 Granite View #1 B5 L3 33.3 33.4 Grans a "L2 58.2 54.2 The proposed sewer main will connect to an existing manhole on North Circle. It will run southeast down North Circle approximately 211 feet and terminate in a manhole. The pipe joints will be positively connected by the use field lock gaskets. Further, each pipe connection will be wrapped to provide a watertight seal using material specified in AWWU Design Criteria Manual. The existing manhole currently has all mechanical joints inside the manhole and is watertight. The proposed manhole will be a watertight manhole with mechanical joints inside. See the attached plan set. These plans have been submitted to AWWU for review and comments. We are also requesting a waiver from the sewer service line for Granite View #1 B5 L2 to the Well on Granite View #1 B5 L3 to a distance of 14.6' from the outside edge of the well casing to the outside edge of the C900 PVC sewer service line. Due to area constraints on the properties and the location of existing utilities it is not possible to achieve a distance of 25' to the subject well. All proposed sewer service lines will be constructed on 4" C900 DR18 PVC. Alljoints will be wrapped in a heat shrink membrane to provide a redundant watertight seal. Granting these waivers will not pose a risk to public health or the environment. If you have any questions or concerns, please contact me at (907) 745 8200. Sincerely, Steven R. Pannone, P.E. F.ASCE Owner/Civil Engineer 7 August, 2024 f.f.=208.59' f.f.=211.38' f.f.=215.16' 2n d F l r D e c k 2 n d F l r D e c k 2n d F l r O H Inv.=206.69' Inv.=212.00' 220 215 210 205 Inv.=212.00' Pa n n o n e E n g i n e e r i n g Se r v i c e s , L L C C. I . 1 0 8 8 GR A N I T E V I E W # 1 B L K 5 L T 2 , 3 , 4 , 5 SI T E : N O R T H C I R C L E 8/ 1 / 2 0 2 4 SW 2 3 3 4 JR L AC P C1.0 1 OF 1 1 SCALE: 1" = 40' (11x17 PRINT) SEWER EXTENSION PLAN Municipality of Anchorage Development Services Department '' s Building Safely Division OnSile Water & Wastewater Program, 4700 South Bragaw, St. P.O. Boz 196650 Anchorage, AK 99519.8650 eww.cLanchorage.sk.us (907) 3437904 Pogo 1 of 3 On -Site Wastewater Disposal System andior Well Inspection Report Permit Number. SWO10303 PhD Number 014-301-14 Nam: JOY PEARSALL/CARE OF REMAX PROPERTIES Wastewater System: I] New ■ Upgrade Address: 2600 CORDOVA ST. *ANCHORAGE AK. 99503 ABSORPTION FIELD Phone: No, of Bedrooms: BONNIE GORRELL: (907) 244-4196 3 O Oasp Trench O Shallow Trench Dead O iAound OOthar LEGAL DESCRIPTION 50 "`p"° Taw from Ord"aP6/9q. R R Lott Wook: W WWRIlon: - DWkh to pipe bwbm Own .Aptnd Gads GterN bwmth PIPs 3 5 GRANITE VIEW/ R R Township: Range: Stiction: FWoJOW eeaw OWW Geos Crawl W*ft — — — R R WELL: Growl wee. kw hor of rnos ar.... bWow e,.: ❑New [I Upgrade R PL 0e,Wb lWi TOM Carla Ts TOM ebwpbm PW ,rWwbe R n. 91 R Geer: Dob DrG.e: 5toW w.t Lw.b Dab bwoll.a: R Pmp m t A Cwwq fwtyd Abrlw Grow,: TANK GPM R R SEPARATION DISTANCES o Septic ■ Mowing ❑ S.T.EP. D Other To Septic Tank Abaorpeert Field Lift Station Holding Tank seas t&iw NaKdaft w: ANCHORAGE TANK CaPadq in mYoos 40rXJ From We" N/A N/A N/A 75'+ N/A url.ab STEEL Nwnh.r or 1 Surface Water N/A N/A N/A 1O0'+ N/A LIFT STATION Lot Line N/A N/A N/A 5'+ N/A ata In adww: awwrodww• ce We � � sero .tam at Foundation N/A N/A N/A 5,+ N/A Pwre wao�� Curtain Drain NONE KNOW 13ENCH MARK Remarks: l..otleri wr DGarous,: EXISTING SEPTIC TANK AND FIELD WERE GARAGE SLAB, SOUTH CORNER ABANDONED PER U.P.0 AA.,ewd Orloff.. 1 .00 R ewkx[sesarx •°F .spa Inspections pertonned by. AWWC, 1NC. Dates: 1st 8/8/01 *J' 4 2nd 3rd a :. Gc ....s'... Department of Health nd man ervices pprovval E( 99}E � Reviewed and approved by: Doter proreasbn��Q tow. 12/00 PERMIT NUMBER: AS -BUILT DRAWING PARG0. ID NUMBER: SW0103O3 074-301-14 A B STI 32.2 46.6 ST2 40.1 55.4 I ST3 45.3 60.2 0 zrp �z cC N GALLON— HO S G TANK Z, I h•'9Dn._ r r � EXISTING SEPTIC — COMPLETELY ABANDONED. rLJ` �f O`J z HANK G ALASKA WATER & WASTEWATER CONSULTANTS, INC.- 0901 DEBARK ROAD, SUITE ZS • ANCHOFAGE-AK 9939L • A*NE (9D M740 • FAK (9971.530.8E K(EPARED FOR: PHONE NUMBER: JOY PEARSALL (907) 257-0124 EGAL DEMRPRON: GRANITE VIEW SUBDIVISION; LOT 3, BLACK 5, YPE OF WORK: AS—BUILT B.S.G. LE: 1-=40' 'E NUMBER: 20F3 PERW Swo1"pap AS -BUILT DRAWING PO 4-1301-14 I TOP OF TANK AT INLET = 92.55 INVERT OF BUNG - AT INLET = 92.38 FINAL GRADE = 96.8-96.7 ALARM ST2 /-TOOFOUTLET =A 92.5AT 4 NEW 4000 GALLON HOLDING TANK oci lil::,:= ALASKA WATER & WASTEWATER a.s.G. CONSULTANTS, INC. .ee� ..e.eo e�e� u..� a.. e.�uroe�s eu eaonr.. eue�rc remm�.eim .car rm�ttu vcR JOY PEARSALL (907) 257-0124 3 OF 3 LEGAL DESCRIPTION: GRANITE VIEW SUBDIVISION; LOT 3, BLOCK 5 AS -BUILT PACKAGE MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Permit Number: SWO10303 M WON I RWM" Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Joy Pearsall Owner Address: 2469 NE Sunrise Hillsborough , OR 97124-5955 Date Issued: Aug 06, 2001 Expiration Date: Aug 06, 2002 Parcel ID: 014-301-14 Site Address: 002824 NORTH CIR Lot Size: 14398 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: Disposal Field ❑ Septic Tank Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. Private Weir- ❑ Water Storage 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 ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 8 A (O Date: �% Municipality of Anchorage • ;'li'i h....2 Development Services Department Building Safety Division n On -Site Water & 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 PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 1e/ Z Parcel I. D. 014-301-14 Permit Number 5'w©103o Property owner(s) JOY PEARSALL Mailing address (1) 2469 NE SUNRISE Day phone 242-9149 Mailing address (2) HILLSBOROUGH. OR Zip Code 97124 Legal description (Lot, Block & Sub'd.) GRANITE VIEW #1 LOT 3 BLOCK 5 Legal description (Section, Township & Range) N/A Lot Size Z!L5'1 9' Acre q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. (Signature of property ewneF OF-eutherized agent) Permit Fees: _33 Date of Payment: 81 1101 Receipt Number: 2C) (¢ T Waiver Fees; Date of Payment: Receipt MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 01, 1999 Expiration Date: Aug 31, 2000 Permit Number: SW990309 Parcel ID: 014-301-14 Legal Description: GRANITE VIEW #1 BILK 5 LT 3 Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: 002824 NORTH CIR Owner Name: Joy Pearsall Lot Size: 14398 SQ. FT. Owner Address: 2469 NE Sunrise Total Bedrooms: 4 Permit Bedrooms: 4 Hillsborough , OR 97124-5955 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank✓❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage 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 ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. The existing system may remain in place with a diverter valve between it and the new holding tank. Received By: Issued By: Date: 9' 07 - Date: —9 - 1....25 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B — Anchorage —Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers August l lth, 1999 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Upgrade for Lot 3, Block 6; Granite View S/D. HOLDING TANK To whom it may concern: The existing 4 bedroom house is served by a private well and a septic system that consists of a 1000 gallon septic tank and a trench type drainfield that is surcharged. A test hole was excavated on 7/29/99 and groundwater was not found. Four days later on 8/3/99 groundwater was encountered at 5.0 feet (see attached soil log). Two percolation tests were performed and the soils were found to be impermeable. The two neighboring properties are served by holding tanks. Based upon our assessment of the site and the knowledge of the area, it is unlikely that there is any suitable accepting soils (2 feet unsaturated), as required to install an onsite septic system. We are proposing that a 4000 gallon holding tank be installed. The tank will be located approximately 15 feet northwest of the existing septic tank and 100 feet away from the well. We are unaware of any adverse impacts this installation will have on neighboring properties. A copy of the proposed desigA attached. If you have any questions, please contact us at 337-6179. M.S. ® _ _ E. 88 AVENUE 00 ° m� jos � sl° i 31� 6 sl° L W�EKsl WS N sl° n O1°4tE "Y' G4� ,�-- (."..--'" SI° LOT 5, BS/D o mS AMARON S/D 1 G�`_� 0\g� ,\ O¢3 p 1 c� a, 0 EXISTING FOUR s BEDROOM HOUSE { TANKyo _ / J PROPOSED ON HOLDING v o ms 1 I No No TANK. \ r min my \TH14 Nq 'o yry` ry \ O / /o o�,i O ��k m s m s N mry\O\ \ �^- OLD SYSTEM TO og ~o QBE` DONED. HAORB R CIROIE pi`'4 ` O ^ U OS 20. 651° OB � dIl ,--- C K 2 TAMARON S/D w) gL YN Ym VI NO t 0 ms i1 Z m ti \ f LOT 24, BK 2� LOT 22, BK 2 I I S F N p \ TAMARON S/D t TAMARON S/D ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: GRANITE VIEW SUBDIVISION; LOT 3, BLOCK 5 TYPE OF WORK: SITE FOR HOLDING TANK UPGRADE PREPARED FOR: PHONE NUMBER: JOY PEARSALL (907) 242-9149 DATE: DRAWN BY: SCALE: PAGE: 8/11/99 K.D.W. 1 = 100' 1 OF 2 r795 arness.- 3 y�` i �\ THE CONTRACTOR IS RESPONSABLE \ FOR ALL SEPERATION DISTANCES V��SI° \ \ FROM NEIGHBORING WELLS. V� (� l b r It \ \ � \ INSTALL FCO \ \ \ \ PROPOSED GALON HOLDING \ \ TANK. \ TH 1 000 0 LARM \ p 3 \ \ \ \ \ IXISTING SEPTIC SYSTEM TO BE ^� \ COMPLETELY \ ABANDONED. hp \ '\ o� � q.:\\ �\� �ANK G A m oy \ 0 C4. _ ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SURE 2B. ANCHORAGE, AK. 99504o O•FA �d0 PHONE: (907) 337-6179/FAX: (907) 338-3246 oaoo,`r'.•.. ••��4�V LEGAL DESCRIPTION: ^ .• GRANITE VIEW SUBDIVISION; LOT 3, BLOCK 5 O•;, t * 90 TYPE OF WORK: HOLDING TANK UPGRADE DESIGN • • •••• ......••• PREPARED FOR: PHONE NUMBER: �A •e.f y-7953ness,aQ� JOY PEARSALL (907) 242-9197 VQn DATE: DRAWN BY: SCALE: PAGE: ��14@� yP••••••••• 8/11/99 K.D.W. 1 = 40' 2 OF 2�p0p fessil0l' OQpO ALASKA WATER & WASTEWATER CONSULTANTS, INC. SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: GRANITE VIEW SUBDIVISION: LOT 3, BLOCK 5 PERFORMED FOR: JOY PEARSALL DATE PERFORMED: 7/29/99 DEPT TEST HOLE #1 (feet ORGANIC ML C 7 10 11 12 13 16- 17- 18- 19- 20 617181920 COMMENTS: SOIL CLASSIFICATIONS .wib--- GW GP SW SP SM SC DRY ORG ML CL LGC OL MH CH OH �GM 7/30/99 5' 8/3/99 -°4 �'. DEPTH TO GROUNDWATER DATE DRY 7/29/99 DRY 7/30/99 5' 8/3/99 DATE READING CLOCK TIME I NET TIME (MINUTES) WATER LEVEL I READING NET DROP (INCHES) 7/30/99 UPPER PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 1 3:27 — 6" — 2 3:57 30 6" 0" 7/30/99 LOWER PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 1 3:25 — 6" — 2 3:55 30 6" 0" PERCOLATION RATE 120+ (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) UPPER TEST RUN BETWEEN 3.0 FT. AND 3.5 FT. LOWER TEST RUN BETWEEN 7.5 FT. AND 8.0 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers September 2, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Donna Mears Ref: Septic System Upgrade for Lot 3, Bk 5, Granite View S/D. Dear Ms. Mears: As per our telephone conversation on 9/1/99, the soils in the test hole on the subject lot were dry during the initial excavation. The test hole was left open throughout the groundwater monitoring period, during which time there was considerable precipitation. It is likely that the water encountered was trapped surface runoff and not rising groundwater. The existing septic system was installed in 1976 and was based upon a 20 foot deep test hole (7/9/76) in which no groundwater was encounjered. If you have any questions, please contact us at 337-6179. Sincerely, =1 GRAR ANCHORAGE AREA BOAGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 A INSPECTION REPORT ON-SITE" SEWAGE DISPOSAL SYSTEM LOCATION ZZQ: /'S Cid .0- /' ! 1//i_ LEGALDESCRIPTION CK'3- /56 4 ori SEPTIC TANK: DISTANCE - NUMBER OF FROM WELL MANUFACTURERS MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY I� GALLONS. SEEPAGE14T--713G NUMBER OF PITS DIAMETER OR WIDTH LENGTH/, DEPTH 1 . J,L0_e"fL_" LINING MATERIAL - CRIB SIZE: DIAMETER _DEPTH �6 L DISTANCE FROM: WELL 1 ; / TOTAL EFFECTIVE ® J.J/ O BUILDING FOUNDATION—, NEAREST LOT LINE �'S ABSORPTION AREA (WALL AREA) .. -54O SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE � —CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE—,SEWER LINE—,TANK.,SYSTEM , CESSPOOL OTHER SOURCES - APPROVED - DISAPPROVED REMARKS DISTANCES: ` DIAGRAM OF SYSTEM, raq -0 i INSTALLED BY: 1 p. A PIPE MATERIAL: JO LOT SLOPE: EQ -03 DATE ®® 1111111111111=2 M F_F" I 17. I F' F=F i_ I T V RD F= F=l "o_ H u P2 F=F ®_j E (?"qjn QEFHRTMENT Q HEALTH HND ENVIRONMENTAL OTECTION 2516 E. UDOR RD., ANCHORAGE, iRAGE, AK. 07 276-2221 Is /. WELL_ F=Ft--4 C• tar-A—:_� I TE - o=WEF;;-' F}EFw r4 I T PERMIT'NO. { 76502 '. APPLIC:AN'T JIM MC COY BX 3-4024 ANCH LOCATION 07M C:R i_7F E 88TH LEGAL L3 B5 GRANITE VIEW SUB LOT SIZE 11ZLO• Y-/P-Oco./ 278-366,p4 nn Tc cx1V 14500 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOM_ = 3 +OIL RATING CSC! FT/BR>= 150 THE'REQUIRED SIZE.OF THE SOIL ABSORPTION SYSTEM IS: C•EF=_r"= :JLES; LErti1GTH= � <_ CiFZn%.rEL [SEPTI -1= JLC -t THE LENGTH DIMENSION IS THE LENGTH CIN 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 EXCAVATION CIN FEET?. FREE C-:.uF_F I FRECti -.E1=°T I I!- T'F=F"K E~ I 2!E_ :lLI VD RD a3F=l Ll_IDtV-. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL, BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A I4ELL AND ANY ON-SITE SEWAGE DI_,POSAL SYSTEM IS .100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 CLAYS OF THE WELL COMPLETION. :PEC.IFICATIONS AND CONSTRUI TION QIAGR.AMS ARE A+JAILABLE TU INyURE PFcOFEF. INSTALLATION. F= E_F %0F=1L I C• F= aF1 c-Dr-aE YEF=FF? F= F'C,M I �1F_1E I -CERTIFY THAT 1: I AM FAMILIAR IJITH THE REQUFREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNIUvIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. .C: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY 'REQUIRE ENLARGEMENT IF THE RESIDENCr REMODELED 0 IINCLUDE MORE THAN 3 BEDROOMS. SIGNED JIM MC COY ry. o � 1 ISSUED BY-__1__s1�'°''�'L_ ------- R&M CONSi1l.TANTS, INC. 040 CAST 31ST AVE. BOX 6GBJ ANCMORABB AN. 90502 - P.H-961 ST.. pg03 - TLX. OBQ'26360 July 9, 1976 R.& M No. 656264 Jim McCoy . P.O: Box 3-4024 Anchorage, Alaska 99502 RE: Test Hole and Soil Log Report for Sanitary System Lot 3 Block 5 Granite View Subdivision Dear Mr. McCoy: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of July 1, 1,976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within lot 3 for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 20 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. We-appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & MM C.OWNS'ULLTANTTSSS,,wINC. "//��-y'y'y�/(/ - - - James W. Rooney !� Vice President JWR/ddp XC'. GAAB ANCti t]AAG9 - FA{A BANIG3... JUNEAU i i t m N O N b � T• � 1 a 88th Avenue TH 1 OWN: VRZ CD o n F.B. CKD: DWM R&M CONSULTANTS, INC. Log of Test Hole - GRID: Ems..............,....,,...,.. ....,,..... E 7-9-76 - Jim McCoy - - IPROJ.N0656264 Anchorage, Alaska _ DWG.NO- A-Ol 0.0. ti21 ORGANIC MATERIAL f o� 1.0' %; • SAND W/TRACE SILT °`•..: AND GRAVEL (SM) - - — — — — 3.0' SILT W/SOME SAND (ML) — 4.01 •' SAND W/SOME SILT (SM) - I9: �e SANDY GRAVEL (SP) - OD a' ♦ E e9.01, P•p p SAND W/SOME GRAVEL ,•; TRACE SILT (SP) - �::, --- — — — --- 15.0' GRAVELLY SAND (GP) _ a�a 20,0' TD No Water Table Required Absorption Area is 150 ft2/bedroakq .Lot 3 Block 5 - Granite -View Subdivision - OWN: VRZ CD o n F.B. CKD: DWM R&M CONSULTANTS, INC. Log of Test Hole - GRID: Ems..............,....,,...,.. ....,,..... E 7-9-76 - Jim McCoy - - IPROJ.N0656264 Anchorage, Alaska _ DWG.NO- A-Ol • (//4-;\ Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 014-301-14 Expiration Date: l Z -� 1. GENERAL INFORMATION Complete legal description _GRANITE VIEW #1 BLK 5 LT 3 Location (site address) _2824 NORTH CIR ANCH, AK Current Property owner(s) _WARREN SOUTHER Day phone Mailing address _SANTE Real Estate Agent Day phone 411. pMdE 2. TYPE OF DWELLING: `, 61 Single Family (w/wo ADU) co2 ❑ Duplex 3:511:j; ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 9sy �a Fz l Wd 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 ❑ Waiver/Variance request for: Distance: Received by: It, Date: '7 COSA to be released to the engineer,unless otherwise requested by the engineer. IS}k COSA Fee $ 52 ' + 316A0 ^ TLk1�o Waiver Fee $ Date of Payment —1-3\--i8 6410(016 Date of Payment Receipt Number Z2-100 co Receipt Number COSA# 0 813161 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. Name of Firm MIKE N ANDERSON. P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON. PE Date 7/30/18 OF Ai• .��'a q. °49TH k r �•o a o e*e e:s o o e e o 0 0 0 0 o e e o 6. D\SDD SIGNATURE �. e e, ?' JC System #1 Approved for 3 bedrooms. f+� MICHAEL -NA6Dsascv i✓°;. CE-94469 System #2 Approved for bedrooms. �i4°,1-D.•?/'3/il,t!°' ?� ' • Disapproved. kvbROFE . �� Con firortsa1 approval for bedrooms, with the following stipulations: \• Q����1 c q�Cyo ON-SITE . WATER AND o WASTEWATER a PROGRAM GCS Ami Original Certificate Date: ZrI 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10.12 doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system _ Certificate of On-Site Systems Approval Checklist Legal Description: GRANITE VIEW #1 BLK 5 LT 3 Parcel ID:_014-301-14 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) N Date completed UK Sanitary seal (YIN)Y Wires properly protected (Y/N) Y Total depth 54+ ft. Cased to 40+ ft. Casing height (above ground) 12"+ FROM WELL LOG AT INSPECTION Date of test UN 7.18.18 Static water level UN ft. 44 ft. Well production UN g.p.m. 2.5+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 6.49 mg/L Arsenic: ND ug/L Date of sample: 7.18-18 Collected by: Mike Anderson B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL HOLDING TANK Date installed 8.8.01 Tank size 4000 gal. Number of Compartments 1.0 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping MONTHLY Pumper _AROUND THE CLOCK_ C. ABSORPTION FIELD DATA— 1985 SYSTEM TESTED Date installed Soil rating (SF/BEDROOM) System type Length _ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area_ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. new depth in. Elapsed Time: _min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes. give date D. LIFT STATION 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 &circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot NA On adjacent lots 100'+ Absorption field on lot NA On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field NA Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 75'+ ABSORPTION FIELD ON LOT TO: Property line Building foundation _ Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots OF 'Ao F. COMMENTS ••"••:z;Q <E j • • 49TH /' % • A • .r4 G. ENGINEER'S CERTIFICATION 17% 00101 MICHAEL N. ANDERSON ; I certify that 1 have determined through field inspections and !r CE790,9 .;�. •°' review of Municipal records that the above systems are in 0 9� d .• E � . � conformance with MOA COSA guidelines in effect on this date. fid\Fh�tlftS$i' `�E, Engineer's Printed Name MIKE N. ANDERSON, PE Date 7130/2018 COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • '"� 907-343-7904 On-Site Water and Wastewater Section \ Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # Osc181379 Subdivision: Granite View #1, Block: 5, Lot: 3 A water sample revealed a nitrate concentration of 6.49 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids,and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P.0.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org Municipality of Anchorage '�1_ Hp6E BL< .■•, Development Services Department r , Building Safety Division On -Site Water and Wastewater Program S ETY 4700 Bragaw 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. 014-301-14 COSA # 0i 10 l30 LA Expiration Date:a f l h/ 1. GENERAL INFORMATION Complete legal description GRANITE VIEW #1 BLOCKS, LOT 3 Location (site address) 2824 NORTH CIRCLE, ANCHORAGE, AK 99507 Current Property owner(s) SHAUN & ANGELA BLACK Day phone Mailing address 2824 NORTH CIRCLE, ANCHORAGE AK 99507 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank Community Class r Well ❑ Community On-site Public Water System ❑ 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. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date it/10[10 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 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 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 or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 5. DSD SIGNATURE _Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: _PW Attachments: "')}+(M, COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrat Advisory Other By: G'✓ i/ Original Certificate Date: IC' (Rev. ti Municipality of Anchorage Development Services Department = r = 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: GRANITE VIEW til BLOCK 5, LOT 3 Parcel ID: 014-301-14 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # Date completed UNK Sanitary seal (YM) Y Total depth 54+ ft. Cased to 40+ ft. FROM WELL LOG Date of test UNK Static water level UNK ft. Well production UNK 9.p -m. WATER SAMPLE RESULTS: Well Log (Y/N) N Wires properly protected (YIN) Y Casing height (above ground) 12+ in. AT INSPECTION 10/28/2010 43 ft. 2.61 g.p.m. Coliform NEG colonies/100mL Nitrate ND mg/L Arsenic: 6.36 4/1 Date of sample: 10128/10 & 10/7/10 Collected by: ArcTerra B. SEPTIC/HOLDING TANK DATA Tank Type/Material Holding Steel Date installed 08 OS 2001 Tank size 4000 gal. Number of Compartments 1 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YM) Y Date of pumping 101810 Pumper Around the Clock C. ABSORPTION FIELD DATA Date installed = Soil rating (g.p.d./flz or fe/bdrm) -_ System type -- Length Length — ft. Width —ft. Gravel below pipe _ft. Total depth - ft. (Measured 5/21/10) Eff. absorption area _ft if tube - Date of adequacy test = Depression over field -- Results Results (Pass/Faiq -_ For bedrooms Fluid depth in absorption field before test in. Water added_ gal. New depth -- in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >_ - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) --If yes, give date D. LIFT STATION 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 & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Rubiic sewer main NA Sewer/septic service line 251+ Animal containment areas 50'+ On adjacent lots On adjacent lots 100'+ Public sewer manhole/cleanout100'+ Holding tank 751+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 51+ Absorption field NA Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 751+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line — Building foundation — Water main -- Water Service line -- Surface water — Curtain drain -- F. COMMENTS Wells on adjacent lots 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 KENNETH M. DUFFUS Date 11/10/10 COSA Fee $490.00 Date of Payment �O Receipt Number 021 9/0 L (Rev. 11/05) Driveway, parking/vehicle storage -- Waiver Fee $ Date of Payment Receipt Number I G GLLC m °w 111 0A. v� D � ,00'S9l � 3„9Z,12.6ZN x! o83 , .• }�� �° � o 'o 02 .b'bZ i c 0 o in xA'Zb Z W w U P p o n Z> U W— I kZ j �Y p Cf) o O 3:W � x I� U M %�-- O O W I p I r�,-�--y .0'Zb Fin .. m O = I x O [ry; :` O w co .. .. m _Z O Li I x ,I Cyt.v• z' �L.c o// �” O Z O w l II (V E" °' "o'bei::' � c/) to Er �1 `�y:•. \.,: �,. •e(�D�/� �o< �Q n —O��lSit: Z 1� r'.oaJ.•.. n � �� e9_ O � } \� a cn OJ • �� Q b J C� U o J m � Z O W m r b i cn I > Q U3 LV o .. OLLJ Q m m~ �� F > E._ H •d Wo LLJ 6 100' 991 c> .> 0 8 J /y� O WU ' "SEs ab _E"°k'0 / �m C4 Wa 4.Rv iv vi�� oma: 2 O43 C v o Fr ZJ Q �x E T' m'•'� z mx w 4 C 0 Q> a 4 5S a.g Municipality of Anchorage �f • '� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 014-301-14 HAA#Iq e�) D (n 3 s 1. GENERAL INFORMATION Expiration Date: II—Iia ' Di Complete legal description GRANITE VIEW SUBDIVISION; LOT 3, BLOCK 5, Individual On-site ❑ Individual Water Storage ❑ Location (site address or directions) 2600 CORDOVA ST. *ANCHORAGE AK. 99503 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JOY PEARSALL Day phone c/o AGENT Day phone BONNIE GORRELL/REMAX PROPERTIES Day phone 2600 CORDOVA ST. *ANCHORAGE AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 244-4196 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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 sample results less than 30 days old. (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 8 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1,250.00 at, or prior to closing for the engineering services provided. 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. 1 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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. AWWC, Inc. 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. S. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Phone 337-6179 Date 1 S� Conditional approval for bedrooms, with the filowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other CE -7953 'Oro f e ssiono�o OF A J== ON-SITE WATER AND ; in WASTEWATER PROGRAM iJJ))1)llUlll By:/ Gt '_ t — a tom/ Original Certificate Date: (Rev. 12!00) Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:_ GRANITE VIEW SUBDIVISION #1; LOT 3, BLOCK 5 Parcel ID: 014-301-14 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed UNK Sanitary seal (YIN) YES Total depth 54+ ft. Cased to 40+ ft, FROM WELL LOG Date of test UNK Static water level UNK ft, Well production UNK g,p,m, WATER SAMPLE RESULTS: Well Log (YIN) NO Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 8/16/99 54 2.5 — g -p.m - Coliform 92 colonies/100 ml. Nitrate 0•5mg./L. Other bacteria colonies/100 ml. Date of sample: 8/8/01 Collected by: AWWC, INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Material HOLDING TANK/STEEL Tank size 4000 gal. Number of Compartments 1 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping NEW Pumper. C. ABSORPTION FIELD DATA Date installed Length ft. Soil rating (g.p.d./ftZorft'/bdrm)_ Width ft. Total depth ft. Eff. absorption area_ fe Date of adequacy test Date installed 8/8/01 Cleanouts (Y/N) YES High water alarm (Y/N) YES VLu System type pipe ft. Depression over field For bedrooms Fluid depth in absorption field test_ in. Water added _gal. New depth _in. Elapsed Time* _ min. Final fluid depth _ in. Absorption rate >= g.p.d. y rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level atin. E. SEPARATION DISTANCES Size in gallons 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 Absorption field on lot N/A Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank 75'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field N/A Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 75'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Water service line F. COMMENTS G. ENGINEER'S CERTIFICATION Building Wells on adjacent lots - I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Nae JEFFREY A. GARNESS Date Driveway, parking/vehicle storage HAA Fee $ 300.E Waiver Fee $ Date of Payment 9/ 151 G 1 ReosiptNumber 87Y7 (Rev. 12/00) Date of Payment Receipt Number f ey Garness; e C 7953 e� �:e�_•• '• colo