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Home My WebLink AboutT15N R1W SEC 8 LT 28AT15N R1W Sec. 8 Lot 28A #051-092-42 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: osp201147 PID Number: 051-092-42 Dwelling: FK Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New W Upgrade Name Marcus and Amanda Fausett ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench X Bed ❑ Mound Site Address 20838 Scenic Dr ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.8 GPD/SF 1.4 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade pressurized Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot 28A Fill added above original grade 1.9 Ft. Gravel length 38 Ft. Township Range Section T15N R1 W 8 Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption Lift ft Stat Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 570 Ft' Ft. Well >1 00' >1 00' TANK [I Septic 9 S.T.E.P. El Holding El Other Manufacturer Capacity Gal. Surface Water >1 00' >1 00' Material Number of compartments Lot Line >10' > 1 0' NA Foundation >1 0' >1 0' LIFT STATION Manufacturer Infiltrator Capacity 540 Gal. Remarks 2" insulation over bed Alarm location Plastic Electrical installed by Power Plus Electric PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer GUARANTEED SERVICES Drainfield 3034 CO/MT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspectioni�` 7/9/2020 7/10/2020 Location and description es: 2A 3'd 7/1 4/2C6 4m 7/23/208 bottom of house siding, point B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ;4Lgsfi� Conditional Approval: Date ®��Q��•�F . AQ_r .............� . . T�a D.11� Septic System NoWv Approve Date -2_0;0 ��FppROfESSt��P�®� Note: this approval does not include well permit requirements. (Kev U5/UZ/I ti) Z'- 0 =) F A............ 8 z 89'-6" ozD MT2 z w �wO �- 106'-10" 78'-4" Q —' U D O O L' J mQ J U Y W -JZ D W Z I- m Q 0 U Z H O O-1 v. i ❑ ❑ 9Fi.? Q o _ 1,000 G PLASTIC TANK MARK__ A............ 8 "Ti 89'-6" 52'-5" MT2 98'-10" 60'--11" MT3 106'-10" 78'-4" MT4 114'-2" 83'-6" 1� INFILTRATOR 540 WITH ORENCO PF3005 1/2 HP PUMP 2" INSULATION ON TOP 4 N S 2" RIGID INSULATION f PIPE INVERT ELEV 94.6 JBOTTOM OF PERE SEPTIC ROCK 94.1 DEPTH 94.0 90.0 —2" 0 DISTRIBUTION 88.2 PIPING FROM LIFT STATION TEST HOLE DUG 5/12/2020 7 DAY GROUNDWATER STUDY CONCLUDED 5/19/2020 BM IS BOTTOM OF HOUSE SIDING AT NORTHWEST CORNER, ASSUMED ELEVATION 100' Septic Inspection Report Drawings Prepared for MARCUS AND AMANDA FAUSETT ®b® t� Or 20838 Scenic Dr Chugiak, Alaska 99567 ® T1 5N R1 W SECTION 8 LOT 28A I I — ffi ......................... OSP201147 ��"� /I.........................}�..� 0 ..1�l. EK�UTNA ENGINEERING, �I_C DATE: 7/24/2020 �-, .CURTIS ...... NDr ��i 19162 MOUNTAIN ROAD DRAWN: CLT '0#;0' ` N 2 � ?a 1 ' � CHUGIAK, ALASKA 99567 SCALE: 1112"-1' 'C.....` e (907} 355-9820 ®+��F PID: 051-092-42 SHEET 3 OF 3 11141 SCOPE OF WORK 1. 1000 GALLON PLASTIC SEPTIC TANK WAS INSTALLED 2019 UNDER MOA PERMIT OSP191338. THIS YEAR, A LIFT STATION ADD ON HOUSED IN AN INFILTRATOR 540 TANK, WAS INSTALLED DOWNSTREAM OF SEPTIC TANK. 2. BASED ON A PERCOLATION TEST PERFORMED IN MAY 2020, A 15' x 38' BED WAS CONSTRUCTED. 2" 0 DISTRIBUTION PIPING TO HAVE 5/32" ORIFICE HOLES SPACED AT 6'. BED IS TO BE LOCATED 10' FROM PROPERTY LINE AND 5' FROM SEPTIC TANK AND LIFT STATION. THE FIELD WAS MOVED WEST TO FACILITATE CONSTRUCTION AND TO ALLOW FOR GATE ACCESS IN THE FENCE. THE SOIL FOUND UNDER THE BED WAS CONSISTENT WITH WHAT WAS DISCOVERED DURING THE PERCOLATION TEST AND SOIL ANALYSIS. 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Q N N NEIGHBORING WELL IS > 100' 14 FROM PROPERTY LINE \ 0 NEIGHBORING SEPTIC IS > 10' 1 % � FROM PROPERTY LINE Lot 21 r 8 Q r` N 0 J O O O A A V) Z U_Z _1 -I I- J 1 0_. V� (D w CD w FO EO maf a mwa L)o Oo z� z0� N2 I SHED M_ l / d0 ABANDON OLD FIELD7 30 'H1 x� K/ � NE DECK x ADD—ON LIFT STATION, INFILTRATOR 540 i A NEIGHBORING SEPTIC IS > 10' Lot 288 FROM PROPERTY LINE NEIGHBORING WELL IS > 100' FROM PROPERTY LINE SWING TIES ON NEXT PAGE Septic Inspection Report Drawings Prepared for 100 TOE OF SLOREE 15' x 38' BED POINT 8 SCO 3 BR HOME DESIGN PARAMETERS \ BEDROOM: 3 (450 gpd) SOIL RATING: 188 SF/BR AREA REQUIRED: 563 S.F. SYSTEM TYPE: BED 15' X 38' YIELDS 570 SF MARCUS AND AMANDA FAUSETT 20838 Scenic Dr Chugiak, Alaska 99567 T15N R1 W SECTION 8 LOT 28A EKLUTNA ENGINEERING, LLC 19162 (MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 355-9820 OSP201147 DATE: 7/23/2020 DRAWN: CLT SCALE: 1" = 40' PID: 051-092-42 SHEET 2 OF 3 ASPHALT DRIVEWAY MUNICIPALITY Development Services Department p tt- Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-092-42 Property owner(s) FAUSETT MARCUS & AMANDA Day phone 406-531-1245 Mailing address 20838 Scenic Drive Chugiak AK 99567 Site address 20838 Scenic Drive Chugiak AK 99567 Legal description (Sub'd., Block & Lot) T15N R1 W SEC 8 LT 28A Legal description (Township, Range & Section) Lot Size 41,994 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Initial ❑ Absorption Field Septic Tank Upgrade 0 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Sin` Ie Faal(SF) ❑ �� w/ o� U)pF Upgrade 0 Duplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (8F and/or D) THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify tPt the above information is correct. I further certify that this is in accordance with applicabte,Mdnicipal Codes. f '`\.--. ( h O ma, (Signatu of property owner or authorized agent)( I Permit/Rush Fees: _ 6-96 114i Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201147, Deb Wockenfuss, 06/11/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201147, Deb Wockenfuss, 06/11/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201147, Deb Wockenfuss, 06/11/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201147, Deb Wockenfuss, 06/11/20 Pump Selection for a Pressurized System - Single Family Residence Project Fausett House Scenic Dr - 3 BR / Chugiak AK Parameters Discharge Assembly Size Transport Length Transport Pipe Class Transport Line Size Distributing Valve Model Max Elevation Lift Manifold Length Manifold Pipe Class Manifold Pipe Size Number of Laterals per Cell Lateral Length Lateral Pipe Class Lateral Pipe Size Orifice Size Orifice Spacing Residual Head Flow Meter 'Add-on' Friction Losses 1.25 84 40 2.00 None 4 10 40 2.00 3 33 40 2.00 5/32 6 36 None 0 inches feet inches feet feet inches feet inches inches feet feet inches feet Calculations Minimum Flow Rate per Orifice Number of Orifices per Zone Total Flow Rate per Zone Number of Laterals per Zone % Flow Differential 1st/Last Orifice Transport Velocity 1.82 18 32.6 3 0.0 3.1 gpm gpm % fps Frictional Head Losses Loss through Discharge Loss in Transport Loss through Valve Loss in Manifold Loss in Laterals Loss through Flowmeter 'Add-on' Friction Losses 7.5 1.5 0.0 0.1 0.0 0.0 0.0 feet feet feet feet feet feet feet Pipe Volumes Vol of Transport Line Vol of Manifold Vol of Laterals per Zone Total Volume 14.6 1.7 17.3 33.6 gals gals gals gals Minimum Pump Requirements Design Flow Rate Total Dynamic Head 32.6 49.1 gpm feet 0 5 10 15 20 25 30 35 40 0 50 100 150 200 250 300 Net Discharge (gpm) PumpData PF3005 High Head Effluent Pump 30 GPM, 1/2HP 115/230V 1Ø 60Hz, 200V 3Ø 60Hz Legend System Curve: Pump Curve: Pump Optimal Range: Operating Point: Design Point: FOUND ALUM. CAP m m m It 3 N P. EAST 300.00 FOUND ALUM. CAP FOUND WEST 299.93 N0. 5 REBAR OF.A . 49 R `9 fiat u s SHANE A. HOLT �� G LS -6914 y��4� ,\,°fessioW �-Qo THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. w H DC O V H z Lu ul AS -BUILT SURVEY 1" =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 28A, NE 1/4 SECTION 8, T15N, R1W,S.M. (PLAT 78-228 ) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS -4 TH DAY OF _MAY , 2020 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 11606, FB 142-16, 204-3 223.8615 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 191338 PID Number: 051 092 42 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name FAUSETT ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 20838 SCENIC ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 3 - GPD/SF JTotal - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade - Ft. Gravel depth beneath pipe - Ft. Subdivision Block Lot T1 5N R1 W SEC 8 LOT 28A Fill added above original grade _ Ft. Gravel length - Ft. Township Range Section Gravel width - Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line _ Ftz 1 - Ft. Well +100 - - - +25 TANK ■0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water +100 - - - Material Number of compartments Lot Line +10 — — — NA POLYETHYLENE 2 Foundation +10 - - - LIFT STATION Manufacturer Capacity Remarks old tank demolished per code Gal. TANK REPLACEMENT ONLY Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield GUARANTEED SVCS Drainfield - CO/MT 3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation) 100 ft Inspection 1s` 10/16/19 2 �d Location and description aro 4'n BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval:Date Q TH •, i .. ... �� CHARLES G BALZARINI CE-13854Approved Septic System � o � Date 7z 3 .�D b isAw 11F�F� pR Note: this approval does not include well permit requirements. O F E S S kCV UU1Ue_/ IOJ 7/7/19 DECKASPHALTDRIVEWAY45.3FOUND ALUM.CAP20' B.L.M. RESERVATION CHARLES G BALZARINI CE-13854 R E G ISTEREDPROFE S S I O N A LENGINEER06/29/20 ""rr MUNICIPALITY OF ANCHORAGE J — OF ��_enc On-Site Water&Wastewater Program N° S; / rr; .;�.,,,.e�; PO Box 196650 4700 Elmore Road . . • Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ;, /1 httpalwww.muni.org/onsite �q V• ••'. _ ,� t. cparttlient On-Site Wastewater Disposal System Permit Permit Number: OSP191338 Effective Date: 8/8/2019 Work Type: SepticTank Upgrade Expiration Date: 8/7/2020 Tax Code Number: 05109242000 Site Legal Address: T15N R1W SEC 8 LT 28A G:1357 Site Mailing Address: 20838 SCENIC DR, Chugiak Owner: FAUSETT MARCUS D &AMANDA J Lot Size in Sq Ft: 41994 Design Engineer: C & M Engineering Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing • Received By: Date: • Issued By: a./ „may _ Date: 7J/g///. ERAWs MUNICIPALITY OF ANCHORAGE it Development Services DepartmentPhone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051 092 42 Property owner(s) Marcus & Amanda Fausett Day phone 207-0206 Mailing address Site address 20838 Scenic Legal description (Sub'd., Block & Lot) T15N R1W Sec8 Lot 28A Legal description (Township, Range & Section) Lot Size 41,994 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field - Initial LJ Single Family (SF) (w/wo ADU) Septic Tank U Upgrade 0 Duplex (D) ❑ Holding Tank fI Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 02 a 5 Waiver Fees: Date of Payment: 2L-,7/�f Date of Payment: C Receipt Number: 0 D Receipt Number: Permit No. O 5 IC)(q I,3'3 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Munidpality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191338,Deb V bckeiluss.08/08/19 C&M ENGINEERING SERVICES Ph:907-854-5558 Municipality of Anchorage Onsite Water&Wastewater Program 4700 Elmore Rd Anchorage. Ak 99507 07/12/2019 RE: Proposed Septic System Modification for T15N R1 W SEC8 LOT 28A Dear Reviewer, The above referenced property is currently served by an older septic system. The tank has failed and needs immediate replacement. We are proposing that the existing tank be replaced with a new 1000 gallon (minimum)tank constructed and installed in accordance with MOA requirements. A polyethylene or advanced coated tank is recommended. The tank will have an insulated riser and meet current code requirements. The tank shall be covered with a minimum of 2"moa approved insulation and 3'of cover. The repair shall be performed by a moa certified installer in accordance with MOA requirements. The engineer will inspect the tank before backfilling. Repair of the proposed system will not negatively impact adjacent lots. Upon completion of the installation, a record drawing will be submitted showing the location of the new tank, leachfield, well, and otherapplicable features. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cqbalzariniqmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE (08/2/19) 4 oF 44400 Are 41, pv T6 CHARLES G BALZARIN r �'� CE13854 z��/ Muni...li if Anchorage it ,. , •,..tewater LEGEND DOLAN LOT 27A ., AN( 0 CLEANOUT :r • 4$P191338.Deb • , . r, r • MONITOR TUBE .40*.• -No..– ••49 TH •.*j X TEST HOLE • • • • • / I 0.5% SLOPE INDICATOR ` I • • • . r CHARLES G BALZARIM• • rA t ��`•• CE-13854 • .0" lk FDPROFESS\ONb 1 SUMP 1 R1W SECS 1 N28A SEC8 111 ` R1W SEC8 LOT 288 LOTLOT 2 1 j ISHED I li CAMERA EXISTING SEWER LINE AND DISTRIBUTION PIPE. JET/FLUSH IF REPLACE OLD TANK WITH NEW CAL (MTANK I PLUGGED. REPLACE IF DAMAGED OR 1000MEETING MOA REQUIREMENTS. BELLIED. PUMP SUMP IF JETTED/FLUSHED I NEW AFTER TANK 1 CLEANOUTS M Si 1 � — : DEMOLISH OLD TANK PER MOA REQUIREMENTS DECK • / / \ U 3 BR HOME CLEANONEWFOUTSNDATION LOCATE AND TIE INTO EXISTING LINE RAISE OUTLET THROUGH CRAWLSPACE IF NECESSARY / TO MAINTAIN GRAVITY FLOW 1 ( DRIVEWAY J'ARATION DISTANCE NOTES: \ �100 1 iE PROPOSED SEPTIC TANK IS GREATER THAN: -to / 10' FROM ANY PRIVATE WELLS •SCENIC DRIVE 90, )0' FROM ANY PUBUC WELLS ►O' FROM ANY SURFACE WATER ►' TO ANY PROPERTY UNE N \ / \ / SCALE: 1" = 40' / LEGAL DESCRIPTION: T15N R1W SEC 8 LOT 28A C&M ENGINEERING SERVICES OWNER: FAUSETT DATE:7/31/19 REV: DRAWN: CB REF: 907-854-5558 SITE PLAN ', '*, '~ ~ ~ ~ "'~ ~"~'~'~.~'"~ ~, P ~ '' ..... , ..,:u PHONE ~NE u~u,o Ao~Sp~.~,b;~[~+~(~[~,.~,,. ,h.*~:,~t'~,... ,,,,,:. ?,,:.,, ,.-~ -.,~:~,.:,~,.?~4 ,%,, ~-.., .,.'", ,' ... A9 ~(~ ,~ ~.,. ~ . ~, ~:~ ~.~;~m~,, ~ · ':" ~ ' ~','.':~ ;'",";~/:~ · ' ' ...... : ' ....... ; .................... '~'~'"'"~ ' ' ' ' SULLIVAN WATER WELLS OWNER OF LAND ADDRESS ~ 7 LEGAL DESCRIPTION DATE - Stn,~ PERMIT NUMBER /: DEl'TH OF WELL ~' 7 STATIC LEVEL OF WATER FT. DRAW DOwN GALS. PER HR ~60 . KIND OFCASING ~- b O KIND OF FORMATION: From '-' Fi. to / Ft. ,0 &'~'4.~ ~'d~4? t_-",,~ From__Ft. to Ft From / Ft. to ? Ft.~~ ~ (~o~ From Fi. to Ft. From '~'' Ft. to I -} .74 --~ ~; / .~- FL Fromm. Ft. to.~Ft. F~m ' '' Fl, to Ft. , From__Ft. to Fl, F~m Ft. to--.Ft. ~;~4 Fromm. Ft. lo Ft From r .;L Ft. to ; _. FI.. From~.Ft. Io FL Fr~ ~ Ft. to Ft. ~ ~ ~ ~ ~ Fromm. Ft. From ~ FI. to Fl, Fro,n__.FL ID__Fl. From ~ Ft. to Ft. From~.Ft. to__Ft. From Ft. to Ft.. From__FL lo FL From Ft. to Ft. From From FI. lo Ft From Ft. to Ft From FI. Io FL From FI. ID__FI From FL to Ft. From__.FI. to Ft. Fr~ ~ Ft. lo FL From __ From FI. Io Fl From~.F/. to Ft MISCL. INFORMATION: DRILLER'S NAME /. ~:/~...t'..., , E].J,IOIi3F;, H I i:l",lF~:?-r' E~ )i t'?.CIdI'.IOOE:' I - C I::' "'-' f I. I,] F~'.:LH f HIE: I..l:ii:h,!,l:!i'l'l~l E:, ']'HIE I::,r.:F:"I-H OF I::1 TI?E:NCH O1~:~ [STFII',IC E~ETHEIEI'q THE :::,UF?.F::'F:ICIT~; OF: 'IHF' i:3J;i:i:)l..lN[.:, I::Ib~D THE.: En3T :lb.I ,:::[ [:: I~:E 'F ::, . '['1..11~: GF'.FI'v'E:[.. I::,[~I:::'FH OF' E',E:'I'HE: ]'I..IH OI..IFFFIf.I F:').F'Fi: I::lblE:, 'I'HE: OT'I O1,1 III , '.'t'I',IE~EE'..!T I?,1.. i',K:i TI I'' El. [ IH.. ....... 'l".?f:'lE ()F 31.)7C ;i:, :[ f::lf iiF?Y:! [::: 0 I;:'[i:::5. 4 5 7 8 9 ~- 10 11 12 13 14-- 15.- 16- 17,- 18- 19- 20- MU;NICIPALITY OF ANCt-IORAGE DEPARTMENT OF HEALTF AND ENV RONMENTAL PROTECTION Poucti 6-650, Anchorage, Alaska 99502 276,222? SOILS LOG - PERCOLATION TES'T LEGAL DESCRIPTION: [] SOILS LOG PERCOLATION TEST [)ATE PERFORMED:~_~ ~'~'~' 7~) SITE PLAN i COMMENTS /SLOPE Gross Net Depth to Net Reading Date Time Time Water Drop .~ ,, /2;.~'~ 4,, ,, ~ 7 z ~¢ iPERCOLATION RATE - '¢ (minutes/inch) TEST RUN BETWEEN ~-5~ FT AND----~';" FT 72-006 (7/76) SEP-28-~ 1B:52 S&S ENGINEERING 9~ 69d 1211 P.01 Anchorage 5-650 ANCHORAGE, ALASKA 99502 (907) 264-4111 ~IAYOR PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (825 "lJ' Sweet) Elwood,Box 463 Lorraine, Barry or Lonn''------~~ Chugiak, Alaska 99567 subject: T15N R1W Section 8 Lot 28 Before we can grant approval'the following must be completed: (1) Obtain a soils test for the house and prior to any construction a permit must be issued for the upgrade of the sewer ~ystem. The septic tank must be pumped to verify its size. For a three(3) bedroom residence it should be a 1,000 gallons. (2) A percolation test must be performed on the .six(6) plex sewer system to determine its adequacy. If the system is not adequate, an upgrade must be completed. The same procedure under Item I should need to be followed. The 4,009 gallon septic tank serving the six(6) plex is approved. If there are any questions, please contact this office at 264-4720. Sincerely, RCP/lJw AUgUSt 18, 1978 Elwoodr Lorraine~ B, Box 463 Ch%~iak, Alaska 99 SubJectt T15N R1W . ~:h¢, well serving minimum distance re. Befor~J we can~.ja. ant" ' approval, the follo~,zing lnust be complete~t ~ (I) Obtain a 8oil upgrade of th' residence it (2) A p~rcolation is not a¢lequa sa~e proceSur, ~ha 4,000 gal is approvedt. If there ar(~ any qu at 264-4720° Sincerely, test for the hous(] and prior %0 Los a permit must be i~sue~1 for the suwer system. The s~ptic tank must ~erify i~r~ size. For a thr~%/~(3) be(lroom ~hould bo a 1,000 gallons. t(~st :mlz~t be perform~ on the six(6) plex :o determine its adequacy, if the system :e~ an u~{rade must be completed. The under Item 1 shoul~ need to be follow~d. Lo~] seDtic tank ~ervlnq the six(6) plex ;stions, pl(:ase contact this office Rob¢~rt C. Pratt~, Sanitarian DAVID SLUNKAMP 634-90SS Ulwood fienery P. O. Box 46~ Chugiak, AK 99567 Dear Mr. llenery: S~S ENGINEERING SRB 196X RIVER, ALASKA 99S77 28 August 1978 ROBEI~ A. SHAFER 694-.2979 As the result of an inspeqtion by the Municipality lloalth and Environmental Offi. coa clean out was added to the line loading for tho 7000 gallen sopti,, tank t1 tho absorption field. The system was then ehargt over a period of 24 hours Porcolatien through the s) 2,136 gallonso qq~e sewag{ your 6 unit apartment bull located at Lot 28, See 8, 215.6 gallons per bedroom d by continuous flow through a water meter on 2S-26 August.. stem provided for 'the absorption ef approximately system (septic tank; absorption area) for ding with 10 bedrooms and laundry facilities T1SN, RI;~, provided an absorption rate of during the 24 hour test. On the basis of the above u~vey and test, it is determined that s.ewer system (septic tank; abso~ption area) for your apartmeut building ~s adequate. The septic tank for your esidence was pumped and the tank verified to be 1000 gaXlons. Sincerely yours CF: Dept of Health and Eu~ironmental Protection DEPARTME~ ENVI REQUEST FOR APPROV~ DIRECTIONS: ComDleteal parts on page 1,1neon 1. PROPERTY OWNER MA] LING A'[~D RESS PROPERTY RESIDENT 'If different from above} '2. [IUYER MAILING ADDRESS 3. LENDING INSTITUTION MAILING ADDRESS 4. REAL'J'OR/AGENT MAILING ADDRESS TOP HEALTH & ENVIRONMENTAL PROTECTION J 825 L Street- Anchorage, Alaska. 99~ 01 ,,_ , ¢/'~:. ;' ,, ~..' ~ ,¢~ {ONMENTAL ENGINEERING DIVISION ['~ ~ [ ~" ' ~ ' ~ ~/ ~-; '"~} L OF INDIVIDUAL WATER AND SEWER FACILITIES piete requell~ will not be processed. Please allow ten 10) days for processing. .., PHONE PHONE PHONE PHONE · I. EGAL DESCRIPTION STREET LOCATION Nt,¢ t.,O CJ,./ *FF 6. TYPE DF RESIDENCE SINGLE FAMILY NUMBER OF BEDROOMS ~ One-~ ~ Four ~ Two~ ~ Five Other [~3'" MULTIPLE FAMILY '7, WATER SUPPLY [~-' INDIVIDUAL~ I~ COMMUNITY [] PUBLIC UTI LITY S. SEWAGE DISPOSAL SYSTEM IN DIVI DUAL/ON-SITE** PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST Three [] Six ATTACH WELL LOG, A well log is required for al wells drifted since June 1975, For wells drilled prior to that date, ~jive well depth (attach log if available,} **If individua/on-site, give installation date . If system is over two [2) years old an adequacy test is reouirec uy this DepartmenL BOMPANY EACH REQUI~$T BEFORE PROCESS1NG CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL, ' DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED [~]PU BLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~]Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line ~ ROVEDFOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) ~. ~ . DATE BY (Title) / // LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY NCH AGE u�1, <; tY 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. 051-092-42-000 Expiration Date: x —;a q r Z020 1. GENERAL INFORMATION Complete legal description T1 5N R1 W SEC 8 LT 28A Location (site address) 20838 Scenic Drive Chugiak AK 99567 Current property owner(s) FAUSETT MARCUS & AMANDA Day phone Mailing address Real estate agent 20838 Scenic Drive Chugiak AK 99567 Stephanie Gamble 2. TYPE OF DWELLING: 0 Single Family ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone (907) 354-0277 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be rdleased to the engineer, unless otherwise requested by the engineer. COSA Fee $ 336 covI P Date of Payment %�23/LD Receipt Number (')052yD Waiver Fee $ Date of Payment Receipt Number COSA # O!SGZO) 3549 Waiver # 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 Eklutna Engineering, LLC Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE 6. DSD SIGNATURE X' System #1 Approved for 3 bedroo System #2 Approved for Disapproved Conditional approval for bedroc Phone 907.355.9820 Date 2� 2,—, bedrooms, with the following stipulations: 111))))))111 BOriginal Certificate Date: 7 X —W 20 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 Checklist blue sheet ,(( �( OP -SITE WATT him_= rn ,A WASTEWATERPROGRAM z; .o„ 4�_ 111))))))111 BOriginal Certificate Date: 7 X —W 20 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 Checklist blue sheet Legal Description: T15N R1 W SEC 8 LT 28A If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1979 Total depth 44.6 ft Cased to 44.6 ft ❑ Sanitary seal is functioning correctly On Wires are properly protected Casing height (above ground) + 12 in Date of flow test for COSA 511212020 Static water level at beginning of test 29 ft. Comments Parcel ID: 051-092-42 Structure served by this system Well production at time of test 3.6 gpm Water storage tank volume -0— gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 4.20 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Curtis Townsend Date of Sample 612912020 B. TANK DATA C. LIFT STATION Age of tank(s) <1 years ❑ Required maintenance completed Tank type/material SEPTIC PLASTIC Age of lift station <1 years Measured operating fluid level in septic tank Lift station material PLASTIC ®❑ Standpipes/foundation cleanout per record drawing Comments: INSTALLED 7/2020 Date of pumping TANK INSTALLED 10/2019 D. ABSORPTION FIELD DATA Which system tested (date installed) 7/2020 0 ALL standpipes present per record drawing Total measured depth from grade 3.3 ft (max) Measured depth to pipe invert from grade ft (min) OR N/A — pressurized field 7 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: r' INSULATION OVER BED COSA Checklist yellow sheet Adequacy test date Results El Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' E✓ Yes Community Sewer Manhole/Cleanout > 100' 77 Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' F/ Yes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' 2 Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' Yes if No ft 2✓ Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q✓ Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' E✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' �✓ Yes if No ft 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' 2✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓Q Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' F✓ Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 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. COSA Checklist yellow sheet ��INEER'S ft ft FOUND ALUM. CAP FOUND ALUM. FOUND N0. 5 WEST 299.93 REBAR V.`4 9 TH o o N� SHANE A. HOLT 4 �p P LS -6914 v O fessiona� THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. Lu H AS -BUILT SURVEY 1" =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 28A, NE 1/4 SECTION 8, T15N, R1W,S.M. (PLAT 78-228 ) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _ 18 TH DAY OF _3ULY , 2020 11606, FB 142-16, 204-3, 205-72 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 223.8615 r unicipality of Anchcra[ e Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Eimore Road 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. 051-092-42 1. GENERAL INFORMATION COSA# 05~-~1~1 ~'c~' f~" Expiration Date: /'0 "7--/// Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent ; MailiBg address T15N, RIW, 20858 .SCENIC SEC¥tON- 8; LOT 28A DRIVE * CHUGIAK~ AK * 99567 AARON & TAMI MOSES Day phone 382-2693 SCENIC DRIVE * CHUGIAK, AK * 99567 Day phone 20838 'DAR WALDEN W/ KELLER WILLIAMS Day phone 865-6407 101 W. BENSON BLVD, #505 * ANCHORAGE, AK * 99503 Unless otherwise;requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 3. TYPE OF'WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well BI 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 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 Certificate of On-Site Systems Approval Guidelines for this application, shows that t,ffe on-site water supply and/or wastewater disposal s~,~tem is (a.~) safe, functiona! and adequate for the number of bedrooms and type of structure indicated herein. I further verify t,bat based on the information obtained from the Mun/cipafity of Anchorage files and from m,y investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance wit.h all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 557-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 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 & 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 other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE tJApproved for ~ bedrooms. Disapproved, Conditional approval for · WATER AND ~ : ~/~$TEWATER · ~ ..',, PROGRAM .' ~ bedrooms, with the following stipulations: %,~ oo oO ,~. ~ ..... ..- /, ,'~_ _a*-_.. .... ,~r'~-,' -.~,,),~))))))))))} .- ,~tLmOhR-leFit~. COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisow (Rev. 11/05) Arsenic Advisow Maintenance Agreements Supplemental Engineer's Report Other ~'~¢-~ Original Certificate Date:j -- ~"~ // Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 ' www.muni.org/onsite ' CERTIFICATE OF APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type PRIVATE Date completed Total depth *40+ ft. T15N, RlW, SECTION 8; LOT 28A Parcel ID: 051-092-42 *PER GEG INSPECTION. If A, B, or C provide PWSID# N/A Well Log (Y/N) NO ~1978 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Cased to **40+ ft. Casing height (above ground) 12+ in. Date of test Static water level Well production FROM WELL LOG g.p.m. AT INSPECTION 6/16/2Oll 56 4.81+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: ND ug./L. Nitrate 4.72 mg./L. Collected by: Date of sample: 6/16/2011 GEG, Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material *SEPTIC/STEEL Tanksize 1000 gal. Number of Compartments *2 Foundation cleanout (Y/N)**YES Depression over tank (Y/N)__ Date of pumping 10/19/2010 Pumper. *SEE DOUG KENLEY C.O.SoA 2006. **INSIDE CRAWLSPACE. Date installed *UNKNOWN Cleanouts (Y/N} YES NO High water alarm (Y/N) N/A SANITARY PUMPERS C. ABSORPTION FIELD DATA Date installed **UNKNOWN Length 47 ft. Total depth *6,5 ft. Eft. absorption area 335 ft2 Monitoring tube YES Date of adequacy test **'6/1 6/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 880 gal. I'BELOW EXISTING GRADEI **ORIGINAL INSPECTION REPORT .ILLEGIBLE. Soil rating (g.p.d./ft2o~ 110 System type TRENCH Width 5 ft. Gravel below pipe 2 ft. Depression over field NO For 5 bedrooms New depth 5 in. Elapsed Time: 25 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - ***HOUSE WAS VACANT AT TIME OF TEST. DRAINFIELD WAS PRE-SOAKED PRIOR TO TEST WITH 1020 GALLONS OF WATER. DRAINFIELD REMAINED DRY THROGHOUT PRE-SOAK. 1000-t- GALLON PRE-SOAK APPROVED PER CONVERSATIONS W/ JEFF POET (6/15/2011 & 6/16/2011). INTRODUCED A TOTAL OF 1900 GALLONS DURING PRE-SOAK AND TEST. D. LIFT STATION Date installed "Pump on" level at~ .in. Size in gallons Manhole/Access ~ J "Pump off" ~igh water alarm level at Cycles .tested. Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: *90' Septic tank/lift station on lot Absorption field on Ioti 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas. 50'+ in. On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ .Property line 5'+ Water main ~N/A Water service line 10'+ Wells on adjacent Iotsi 100'+/150'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line. 10'+ Curtain drain NONE: KNOWN COMMENTS *SEE ATTACHED Absorption field 5'+ Surface water, 100'+ Building foundation 10'+ Water main N/A Surface water 100'+ Driveway, parking/vehicle storage Wells on adjacent lots 100'+/150'+ 10'+ WAIVER AMMENDMENT REQUEST. G. ENGrlNEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. · Engineer's Printed Name JEFFREY A. GARNESS Date ~/~' ~'/1' COSA Fee $ ~O Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS:,::::".'~ July 7, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: T12N, RIW, SEC8, Lot28A; Mr. Poet, The existing house is served by a private well and a private septic system. During the last C.O.S.A. inspection (10/10/2006), the distance between the well and the septic tank is listed as 93'. A waiver was requested at the time of that C.O.S.A. According to our inspection and the updated as-built survey, the distance from the well to the septic tank cleanout is approximately 90'. The exact di~nce is unknown. We request that you amend the previous waiver to 90'. I \ If you have/[an~ ~ue~ions, please contact us at337-6179. "-..-J~'frep//~ /~Jarness, P.E., M.S. mres~et 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Aarow Pump & Well Service LLC (907)346-9355 Inspection Report I ran a camera 50' down the well at 20838 Scenic Drive and did not find any holes/cracks in the casing or leaking around the pkless. Beau Maxim *~'~ r*' 0 ~4 gm .--I ('~ la, t'-' N 00 04' 42" ~ 140,00 40.9 // 20' 8,L.R, RESERVATION 03' N 14o.oe SCENIC DRIVE Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.org/onsite (907) 343-7904 '" ,~ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. ~"'l - C~- t-[oq- COSA# Expiration Date: ///~,/0'~" 1. GENERAL INFORMATION / Complete legal description Location (site address) off ,~ eC ,,~ ,,o Current Property owner(s) Mailing address Lending agency Day phone ~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. TYPE OF WATER SUPPLY: Individual We~l Individual Water Storage Community Class ~ Public Water System Well [] [] [] [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of AJaska. Certificates of On-Site Systems Approval are required for the transfer of titIe (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 lTpe 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. NameofFirm ~uq/.~ ~ /~"~/~ /~"~! Phone ~¢~'?) Address ~P~.M, ~-, ~'~/~ ~t~. ~ ~/'~ I~. ~2~ /~ /~/d Engineer's Pdnted Name ~/, ~/,,~,_~ ~ ,J)*~,~,/~,,/ Date I,D ° / 5. DSD ~IGNATURE V Approved for Disapproved· Conditional approval for .~ ,'~ bedrooms. bedrooms, with the following stipulation§: Additional Comments By: (Rev, Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other. Original Certificate Date: 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 LegelDescription: .,Zt'/,,,?~c,4/, ,5'~-t. ~, 7"/.~-/~, Parcel ID:, A. WELL DATA wel~ type Date completed g..n Total depth ~" ft. If A, B, or C provide PWSID #__ Sanitary seal (Y/N) ~' Cased to ~g~ f' ft. Well Log (Y/N) ~/ Wires properly protected (Y/N) ~/ Casing height (above ground) ,-~ ~ in. FROM WELL LOG Date of test Static water level ~ ft. ~WJJ~50~'~"~'-'~ g.p.m. AT INSPECTION ~:. / WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Arsenic: .z~ mg/1 e. SEPTIC/HOLDING TANK DATA '~ ~t~¢1 Tank TypeJMaterial Nitrate ,7,3g mg/L Date of sample: Other bacteria 0 colonies/100 mL Collected by:. /~*r¢ ~/ ~/CZ// Date installed Length '/-/~' Total depth 4'. ~' ft. Date of adequacy test Depression over field ~ For ,.~ bedrooms New depth // in. /-,/',.4""~ gp.d. If y~s, give date Eft. absorption area .?,35- fi= Monitoring tube . '~/~'7',,/~): Results (Pass/Fail)~ Fluid depth in absorption field before test ~ in. Water added//5'Ogel. Elapsed Time: ~,~ rain. Final fluid depth ~':in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) /]/ Tanksize /&ut gal. Foundation cleanout (Y/N) ~ Depression over tank (Y/N)'~,4/ High water alarm (Y/N) Date of pump!rig .,~'/~&/~ ~ Pumper ABSORPTION FIELD DATA Date installed ~,,~n~,,,~ Soilrating (g.p.d./ft2orft2fodrm,.~_.__~) //d Systemtype Width .~' ft. Gravel below pipe ,~ ft. V Number of Compartments -"' ~n Cleanouts (Y/N) D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on' levo~ at in. 'Pump off' lev~ at ' ' er alarm l~v~ at in. Datum-------'~ Cycles tested. Meets alarm & cimuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot Absorplion field on lot /~'-~ ,~ ,~" Public sewer main /~/,~ Sewer/septic service line ,~ O''''~ /'~,, On adjacent lots /~',~' On adjacent lots Public sewer manhole/cleanout /'//// Holding tank IV/'/// Animal containment areas . ,5-~ ," ~. Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~'~ ~ ,/~. Property line .~t) ! r/~ Absorption field Water main ./~// Water service line ~,5- ~- ?~'. Surface water Wells on adjacent lots 4~/~,~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation'~,,,z'~'/~//'O/& Water main Propertyline. ~ ,z Water Service line ,~,-~' .~. Curtain drain r-~ Surface water / ~ ,+ /'/T. Driveway. pan~ing/vehicle storage Wells on adjacent lots /~,t~- ~-~/,,,~"P ~- ~ F. COMMENTS G. ENGINEER'S CERTIFICATION Engineer's Printed Name Date COSA S. Date of Payment Receipt Number (Rev. 11/05) 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. / 4 Waiver Fee S Date of Payment Receipt Number ASBUILT I HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, ND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNE~ TO DETER~IINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS~ OR RE.~;TRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIo VISION PLAT. UNDER NO CIRCUMSTANCES SHOI~.D ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BO(JND- AEY LINES. SEWARD ASSOCIATES LAND SURVEYING 69&-0~29 TI5N, RIW, Sec. 8, Lot 28A COSA CIIECKLIST COMMENTS: Page I of 2 These comments concern the *s as they appear. Property tax records indicate that a building was occupied in 1971 on Lot 28, which was later subdivided into Lots 28A and 28B. Apparently there was a xvell on the lot in 1971; however, no well log is available. The septic tank was probably installed prior to 1978, as an On-Site Sewage Disposal System and/or Well Inspection Report, which nvas for just an upgrade on the leach field, undated but probably in 1978, listed the septic tank material as steel; however, the ~vater level in the tank at the beginning of the adequacy test on 9/17/06 was 66". The water level in the double after tank clean outs was 3". The after tank clean outs nvere installed in the summer of 2005 by Charlie Barr. Sanitary Pumpers couldn't tell the type of material and it could possibly be a concrete tank. Charlie Barr was also unable to determine the material. On a report from S & S Engineering dated August 28, 1978, the tank was pumped and the size of the tank nvas verified to be 1,000 gallons. The number of compartments is unknown. The foundation clean out is located in the crawl space inside the house. There is no depression, but there are alder trees growing over the top of the tank. The absorption area was figured in 1978 based on an unrestricted absorption rate. Only the leach field was tested (because ora blockage at the clean out at the beginning of the leach field) by introducing water through lhe monitoring tube in the leach field. The system passed with the results shonvn on the COSA checklist. There was 6" of water in the leach field at the beginning of the test. Water added was 1150 gallons, and the new depth was 11". The elapsed time was 90 minutes. The final fluid depth was 6.5". The blockage ~vas removed by Chugacb Sewer & Drain on 10/04/06. A follow up semi-test was conducted on 10/05/06. The water level in the leach field was 3" at the beginning of the test and 388 gallons was introduced through the double after tank clean outs. During the course of the test, the water level remained constant at 3" and water was observed going to the leach field at the clean out immediately before the leach field. The separation distance between the septic tank and the well is only 93 feet. A waiver request is included with the COSA checklist. There is a Class C well on adjacent Lot 28B. The other adjacent lots are residential lots. T15N, RIW, Sec. 8, Lot 28A COSA CHECKLIST COMMENTS: Page 2 of 2 The distance from the absorption field to the building foundation is greater than 75 feet; however, there is a shed that appears to be used only for storage that is not on a foundation and is immediately along side the leach field. Douglas T. Ken~