HomeMy WebLinkAboutTONJESS ESTATES BLK 3 LT 11 ·
Tonj
Block 3
Lot 11
#051-532-03
: :-' ' CCUiqTP. Y RE~,LT"r,'
PHONE NO. : 9BV688'!238 !dam 21 2E182 !i:34AM P2
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by
DOC CO. dba
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RD. BOX 670272, CHUGiAK, ALASKA 99567 .' TELEPHONE 688-27.50
i ........ ,~ ' ~ · .'-~ - ' : DEPTH
~,. ~.-: '.,s: '.2'~'~4 o.x .... 6ZTa'~B. ~_. ! ,?~_-- ~o .~.
11 , inches, depth_ ~ 3 feet
,.) Stickup Above Ground:_ ~' feet
'~ta~:e Opening Type: ~ open end ~f~en .hote
...... - s-..-sned: Start feet Stopped feet
. - ,,_,~ a,.,on~ S,art e~,.,.~_,opo~ feet
D:-t t: % from ~) i feet. to ~ ~' ~ feet
~M~h 'Xsinf~t~ Upon Completion? ~ O No
:,, ::,,, ~,., of Disinfection:
! ucmments:
Driller's Name .
.~//..C:,g~.~,,,i, - '~F"
"f,~T!ON: It'is [ne respons, ibiti~/of ihe property- owner to submit a.copy of the'wetl log to the proper aut~horib/. Municipality
,-:.-m',chorage: Department of Health & Hum ..... Services and/or Department of Environmental Conservation. MatSu Borough:
,'tment of Environmental Conser.~ation.
MUNICIPALITY OF ANCHORAGE
Development Sen/ices Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Upgrade
Date Issued: Apr 11,2001
Expiration Date: Apr 11, 2002
Permit Number: SW010061
Legal Description: TON JESS ESTATES BLK 3 LT 11 ~
Design Engineer: 0014 Anderson Engineering
Owner Name: MM & M Contracting
Owner Address: PO Box 670495
Chugiak, AK 99567-
Parcel ID: 051-532-03
Site Address: 021507 TONY CIR
Lot Size: 85340 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
Ii~ Disposal Field [] SepticTank
[] 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 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:~~jz' ~~'~'~ Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-532-~ o~
Permit Number
Property owner(s) MM&M Contractinq
Mailing address (1) P.O. Box 670495 Chugiak, AK 995657
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot 11, Block 3, Tonjess Estates Subdivision
Legal description (Section, Township & Range)
Day phone 688-1236
Lot Size ~ .~ '~ t-~'O
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Acres/Sq. Ft.
Number of Bedrooms Three (3)
[] Well Only []
[] Water Storage []
[] Jacuzzi []
[] Water Softening Unit []
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.
(Signature of property owner or authorized agent)
Permit Fees: ,.~ /,~,. ~)
Date of Payment: ~." /'// - ~//
Receipt Number: '~ r,(:~ /
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
April 11, 2001
Municipality of Anchorage
Building Safety Division
On-Site Water and Wastewater pr°gram
4700 S. Bragaw Street
Anchorage, AK 99507
Attention: Dan Roth/Jeff Poet
Subject:
Lot 11, Block 3, Tonjess Estates Subdivision
Well Construction Permit
Dear Dan or Jeff:
The existing well on Lot 11, Block 3, Tonjess Estates Subdivision has apparently
temporarily run dry. We are therefore requesting a permit be issued immediately to
construct a new well on the lot. The attached documentation shows the location of the
new well and its proximity to other wells and septic systems in the area.
Both the new well and the existing well will remain on line to serve the house. We
anticipate the existing well will be recharged soon as we approach the high water period
of the year. Until that time it is imperative a new water supply be obtained for the
house. Thank you 'for your expeditious handling of this permit.
Sincerely,
Michael E. Anderson, P.E.
Attachments
LOT 11, BLOCK 3, TON JESS ESTATES
TONy CIRCLE
"Alternat~ S2~
Sit~ '.' ·
Sl :57.5 55.7
S2 63.4 61.9
M1 125.4· 120.5
SCALE 1" = 50'
W e !.~lQ
( Exi s t~i'n,
14
9
/
13
Municipality of Anchorage Page 1 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:_ .qwflfln 1 20 PID Number: 051 - 532--~
~me: Wastewater System: :D New' ~ Upgrade
MM&M Contracting '
'*~: ~ ABSORPTION FIELD
p.o. Box 670495 Chuqiak, AK 99567
Phone: '. [ No. of Bedr~ms: '
'688-i236 j Three (3) gD~pTrench ~hallow'Trench BBC gMound ~Other
,. , , . 8 GPD/Sq_Ft_ . ' ', 5. 5 ' ·
_ot: 1 'i Bt~k:.. 3 Toni essSUbdi~ion:Estates'. JU~ to pi~ ~om: from. 1 .'5'°rigi~l" 'grade: Ft G~vel. depth beneath4 . pipe . Ft_
Township:.'. I ~ge: J.ct,on:. FH, ~dd~ a~ve origins' g~de: ! Gravel ength: .
. " ' '.'- :, 2 5' Fc 57 Ft_
' 1
WELL: .", ~ New ' ,.. ~ UPgrade .., · . gra~e~ wi~h: : N~r of ~i~: ~e~.~:
. , : " · ,.. . . . , ''" " FL · j'"'--' .... Ft.
Cldf;~fion (Pilate. A,B.C): .'. - . To~l Dep~: Case To: ' ' Total. absorption ar~: ,' ' . . . Pi~ mate~l: . .
P. rivate' · .... '..." ' : 250 Ft : .1'3~. Ft_ ' '570. SQ.'Ft. ASTM D3034 PVC
". ' To . ~ ~ ~so~don . .~ff . '. , Holding , Pu~idr~te Manufacture~ .... - . · Capaci~ in gallo~: .
.. .. ..... A.~ q a . 000 · ..
' ' : ' ' ~ 25" Matefiah ' ., · ~ Numar of
' :.Line ' ' . ' '. ' · ." ' .:'
Remarks:..ExSs~$ng We~ o:n:.Lo~ '.'-.' ''':' '"". ~'' .:'-::'~ ''':''/BENcH'~K' ' ' "'.'.".'. "
· '.,. - ..; --.'.." ' .. ' ,-' ,.' .'.'. h~on~dOesc~pt~on: ' ' - · - ". ' ': · ' ·
"' ' .... ' " .... ' .... ' ' "' Ga=age: Szab ':. '"' .".~ :"".
:. ,., .~ . '.. . : -..- . . . .. '.,.'." , ..:...' ~ .'. .... . ':: '.' .;.'~...'...').: :
..j .~ ~t~o~:'...,, ,.' ~..: "..': ·
. . .. . · ~ '~ ·
merit of Health and Human Se~ices .aPproVal:
· Reviewed a~d ·
72-013 (Rev. 9/9~} MOA 25
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 -Anchorage, AK 99519-6650 -343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number SW000120
PID No. 051-532-32
/
/
/
/
/
/
/
/
/
/
/
/
/
A B
S1 .57.5 55.7
S2 63.4 61.9
C3 70.6 69.1
M1 125..4 120.5
C4 125.4 120.5
/
/
/
/
/
/
TONy CIRCLE
Bedro¢
Page 2 of 3
PLAN AS-BUILT
SCALE 1" = 50'
Page 3 of 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
rmit Number SW000120
PID No. 051-532-32
2' I Insul
83.8 / sGeapl.lO~a~.83.~ I~/
54'
6' 6.3' 1 '
I i i I I
87.7
Geotextile Fabric
Drainfield Rock
54.5'
57.0'
PROFILE AS-BUILT
83.35
79.4
FROM
:, COWNTRY REALTY PHONE NO. : 9876881238 Oct.
by
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
BORE HOLE DATA
DEPTH
ADDRESS
LEGAL DESCRIPTION ~-J g ~' T-
Is well located at approved ee~i~oca~n? al'Yes O No
Method of Drilling: ~' ~taw ~ cable tool
Depth of Well: _ m-~)~:~-O'
Casing Type ~~ Wall Thickness , 2~''O inches
Diameter--_~/' inches,-depth · / ~.~.' feet
Liner Type: ~'t~,-~ ~.
Casing StickQp Above Ground: c;~, feet
Statib Water Level (from ground bevel): ,~ ~ feet'
Pumping level: feet arieL, hrs. pumping __ gpm
Recover Rate: /~ . gpm
Method of Testing: _ /~i/~
Well Intake Opening Type:
... I~i- Scr. eened;.~ .Sta, rt_~.
[~1 Perforations Start
Grout Type:/¢~i~ t' ,~ '~ 'CE
Depth: from .. f-~ feet
Pump Intake Depth: feet
Pump Size hp Brand Name
Well Disinfected Upon Completion? I~90~s [~1
~lethod of Disinfection: 4.~'~/4 ~ ,,~ g.
Open End ~ Hole
~feet Stopped _.; feet
feet~ ~pped feet
V~me ~0 ~,
feet, to / ~
C6mments:
i o.
1 ooo
No
7'8 13
~ELEIVEL)
OCT 23 2000
unicipality of Anchorage
/'/
· ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper auth0dty. Municipality
of ~,nchorage: Department' of Health & Human Services and/or Department of Environmental Conservation. MatSu Borbugh:
Department of r-.,,~...,,~,,~,~l C¢_n~rvntion
Rece;ved Time 0ct,12, 8'58AM
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
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: May 23, 2000
Expiration Date: May 23, 2001
Permit Number: SW000120
Legal Description: Tonjess Estates, Lot 11, Block 3
Design Engineer: 0014 Anderson Engineering
Owner Name: MM&M Contracting
Owner Address: PO Box 670495
Chugiak, AK 99567-
Parcel ID: 051-532~
Site Address: unknown
Lot Size: 85340 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank
[] 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 WATER WELL ON THIS PROPERTY SHALL BE ABANDONED PRIOR TO BEGINNING THE
EXCAVATION OF THE PROPOSED WASTEWATER SYSTEM OR CONSTRUCTION OF THE WATER WELL.
Date: ,~-- 2Y-O0
May 10, 2000
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subjecti
Lot 11, Block 3, Tonjess Estates Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 8, Block 3, Tonjess Estates Subdivision intends to construct a three
bedroom home on the lot. We are therefore requesting a permit be issued to construct
a new well and septic system.to serve the proposed home. The attached Site Plan and
backup documentation show the location and configuration of the new septic system
and well. It also shows the location of an old well casing which will be abandoned in
accordance with MuniciPal regulations.
Two 'test holes were recently placed on the lot to find an acceptable location for the new
absorption trench and reserve site. The holes revealed silty gravel which percolated at
15 minutes per inch. No groundwater was noted during the excavation of the holes and
none was noted during the ensuing monitoring period. We have therefore designed a
5' wide trench absorption system with 4' of gravel beneath the distribution lateral. The
lateral will be placed at 1.5'. below the ground surface and the total depth of the trench
will be 5.5'. Mounding will be required over the trench to provide a minimum of 3' of
cover over the absorption trench.
The new trench will be placed at the base of a steep bluff. The house will be placed at
the top of the bluff with effluent flow from the septic tank down to the base of the bluff.
The groundslope at the base of the bluff is approximately 1% from southwest to¢
northeast. The new trench will be constructed with the slope in accordance with
Municipal regulations. The lot contains sufficient surface area to prevent any conflicts
with wells on the lot or on neighboring lots.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
Lot 11, Block 3, Tonjess Estates Subdivision
May 10, 2000
Page Two
The system, if constructed as designed, will have no adverse impact on reserved
space, either surface or subsurface, on any lots located in the area.
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
The system, if constructed as designed, will have no adverse impact on drainage
/3
2O
· 0
THIS PROJECT
.
Undeveloped
~o.oo ~.
~o ' ~.~o oo u~ oo / ~o.s. oo ~ -'.~. ~.oo ~ s~.~
I '- ~ / ~ ' · ~ .'
I z/~ ~/ , ' ~
I ~L ~/~ , ' ~/~ ~1.
.. _ 'AREA MAP
I ~ -- ~-~ ~ ~o~ ~ SCALE i" = 100'
~~., ~-/~' . ~.
2/
/
/
/
/
/
/
/
/
16.0.325
tJ:oo X~ . /
"%' 1I
TONY CIRCLE
/
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/
/
/
/
uoII~D 600~[
SITE PLAN
SCALE 1" = 50'
i
LOT 11, BLOCK 3, TONJESS ESTATES
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom Home
Perc. Rate: 15 Min./Inch
Application Rate: .8 GPD/SF
5' Wide Trench System
1,000 Gallon Septic Tank
4' Drainfield Rock
3 Bedrooms X 150 GPD / .8 GPD/SF = 562.5 SF of Absorption Area
562.5 SF/5 LF (Width) X .5 (Red. Factor) = 57 LF Trench Length
Therefore: Construct a 5' Wide By 57' Long Absorption Trench As Shown
on the Site Plan with 4' of Drainfield Rock Beneath the Lateral.
Distribution Pipe in Trench Placed at 1.5' Below Original Ground
Surface. Total Depth of Trench to Be 5.5'. Mound Over Trench to Provide
a Minimum of 3' of Cover.
NOTE:
Natural
1 .0'
.5'
4.0'
Backfill
-Geotextile Fabric
4" PVC (Holes Down)
Drainfield Rock
TYPICAL WIDE TRENCH SECTION
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 10' Separation From Water Service
Minimum 10' Separation From Lot Line.
Minimum 4' Separation From Groundwater.
Municipality of Anchorage
Department of Health & Human Services
825 L Street, Anchorage, AK 99502-0650
SOILS LOG - PERCOLATION TEST
Performed For: MM&M Contracting
Legal Description: Lot 11. Block 3. Tonjess Estates Subdivision
SLOPE
Date Performed:
SITE PLAN
6
7
8
9
10
11
12
13
14
15
16
17
18
21
OG/OL
GM
Was Groundwater
Encountered? No S
If Yet, What Depth? L
Depth to Water O
After Monitoring None P
Date: 5~7~00 E
Bottom of
Hole
See Site Plan
Reading Date Gross Net Depth To Net
Time Time Water Drop
1 29-Apr 2:20 2.5"
2 2:50 30 4.5" 2"
3 2:51 2"
4 3:21 30 4" 2"
5 3:22 2.5"
6 3:52 30 4.5" 2"
Perc. Rate: 15 Min./Inch Perc. Hole Diameter: 6"
Test Run Between 4.5 Ft. and 5.5 Ft.
Comments: Percolation Cavity Presoaked Prior to Testing.
Performed By: MEA. I, Michael E. Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 5110100
Municipality of Anchorage
Department of Health & Human Services
825 L Street, Anchorage, AK 99502~0650
SOILS LOG - PERCOLATION TEST
Performed For: MM&M Contracting
Legal Description: Lot 11. Block 3. Ton!ess Estates Subdivision
SLOPE
Date Pe¢ormed:
SITE PLAN
6
7
8
9
10
11
12
13
14
15
i6
17
18
21
OG/OL
GM
TESTHOLE NO. 2
Was Groundwater
Encountered? No S
If Yet, What Depth? L
Depth to Water O
After Monitoring None P
Date: 5~7~00 E
Bottom of
Hole
See Site Plan
Reading Date Gross Net Depth To Net
Time Time Water Drop
1 29-Apr 2:25 3.25"
2 2:55 30 5.25" 2"
3 2:56 2.5"
4 3:26 30 4.5" 2"
5 3:27 2.5"
6 3:57 30 4.5" 2"
Perc. Rate: 15 Min./Inch Perc. Hole Diameter: 6"
Test Run Between 3.5 Ft. and 4.5 Ft.
Comments: Percolation Cavity Presoaked Prior to Testing.
Performed By: MEA. I, Michael E. Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 5110100
MUNICIPALITY OF ANCHORAGE -
o�
Development Services Department 7 Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-532-03-000
Legal description TONJESS ESTATES BLK 3 LT 11
Site address 21507 TONY CIR Chugiak AK 99567
Expiration Date:
Current property owner(s) DYKSTRA RICHARD J II & JOY D
9/30/2023
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
"2i
Original Certificate Date: 6/30/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory X Arsenic Advisory
Other
COSA Approval_June 2022
.y ` „� n , ic�c.•fi. � F� �� �fi �� .. U?'„ C �
Development Services Department Phone. 907 343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On-Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 051-532-03
Complete legal description TONJESS ESTATES; BLOCK 3, LOT 11
Location (site address) 21507 TONY CIRCLE, CHUGIAK, AK 99567
Current property owner(s) RICHARD DYKSTRA
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone 907-854-9310
3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5: SEPTIC TANK: lel Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age X23 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench (M Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ /� S l� Waiver Fee $
Date of Payment��/ Date of Payment
COSA # CJS C L 3 b Waiver #
COSA Applicaftn_June 2022
n cN
COSA Checklist
Legal Description: TONJESS ESTATES; BLOCK 3, LOT 11
Parcel ID: 051-532-03
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
0 Well log is filed with Onsite (or attached) Well production at time of test 3.6 gpm
Date drilled *4/12/01 Total depth 220 ft Water storage tank volume 600 gallons
Cased to 53 ft Well disinfected for coliform test? ❑ Yes ® Nc
❑N Sanitary seal is functioning correctly (2 Coliform bacteria is Negative
0 Wires are properly protected Nitrate "'j*3-mg ❑ Nitrate less than MRL (ND)
Casing height (above ground) 18 in. Arsenic ug/L Arsenic less than MRL (ND)
Date of flow test for COSA 5/8/23 Collected by GEG, LTD.
Static water level at beginning of test 45.8 ft. Date 6/5/2023
Comments -TWO (2) WELL ON PROPERTY. BOTH CONNECTED TO HOUSE. OWNER IS CURRENTLY ONLUY USING SOUTH (2001) WELL.
NORTH (2000) WELL IS AN 8" CASING AND HAS A TOTAL DEPTH OF 250 FEET DEEP WITH A CASING DEPTH TO 13 FEET
(TO BEDROCK). DID NOT PERFROM WELL TEST ON THIS WELL. WATER SAMPLES PULLED FOR BOTH WELLS.
B. TANK DATA T STATION
p ❑ Require . tenance comp)
Measured operating fluid level in septic tank 50
Date of pumping 11/8/2022 Age of lift station rs
El Required maintenance completed, if AWWTS Lift station al
Comments: C ents-
D. ABSORPTION FIELD DATA
Which system tested (date installed) 9/3/2000
0 ALL standpipes present per record drawing
Total measured depth from grade 8.4 ft (max)
Measured depth to pipe invert from grade 3.9 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) NONE
If yes, enter date
Comments/Deficiencies:
COSA Checklist June 2022
Adequacy test date 5/8/2023
Results Q Pass
Fluid depth prior to test 0 in
Water added 579 gal
New fluid depth 0 in
Elapsed time 0 min
Final fluid depth 0 in
Absorption rate 450+ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 48 in
Effective depth used 0 in
Effective depth remaining 48 in
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
Q■ Yes
if No
Community Sewer Manhole/Cleanout > 100'
M Yes
if No
ft
FN_1 Yes
if No ft
Neighboring Tank > 100' no Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' E Yes
if No
ft
Holding Tank > 100' Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' Q Yes
if No ft
no Yes
if No
ft
ft
If tank or field is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑E Yes
if No
ft
no Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
Q■ Yes
if No
ft
Surface Water > 100'
F■ Yes if No ft
Tank to Property Line > 5'
Di Yes
if No
ft
Wells on Adjacent Lots:
- • S QO
Field to Property Line > 10'
n Yes
if No
ft
Private Wells > 100'
M Yes if No ft
Water Main > 10'
Fol Yes
if No
ft
Community Wells > 200'
R-1 Yes if No ft
Water Service Line > 10'
M Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179
Engineer's Printed Name Jeffrey A. Gamess Date
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry
o60�
practices. The reported results describe the condition of the system/s on the date/s of the evaluation.
oO9O F
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
�4
o Q
'
exist that were not identified during the evaluation. The operational life of all wells and septic systems depend
including limited levels fluctuate
- • S QO
upon a variety of variables, (but not to) soil conditions, groundwater (that may
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing
QAC
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
0- - • - :. .... .. • .... .......
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regardin4
the future performance of the well or septic system. GEG makes no representation whether an alternative well
.....
or septic system can be installed on the property in the event either of the current systems fail to perform
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
ff A. Garn s:G
do
_
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including subsequent is not authorized, nor will it confer any legal right whatsoever.
Q 9 oe0
property purchasers)
COSA Checklist June 2022
LICENSE�� P�ofessio� o
#AECcaea
Cogger, Benjamin M.
From: Jeff Garness <Jeff@garnessengineering.com>
Sent: Wednesday, June 28, 2023 1:55 PM
To: Cogger, Benjamin M.
Cc: Sonja Blewett
Subject: Tongess Estates, B3, L11 - COSA - Well Test
[EXTERNAL EMAIL]
In your COSA review comments you expressed concern regarding our recent well flow test results, when compared to
previous well flow tests (that ranged from 0.6 gpm to 1.5 gpm). When the well was drilled in June of 2000, the driller
indicated that the recover rate was 1.5 gpm. A well flow test in August 2003 (Steve Eng, P.E.) indicated a production of
0.6 gpm. There is water storage in the house (two 300 -gallon tanks) that was undoubtedly installed in the past to
address inadequate water production from the well. Regarding our well flow test and observations:
1. When the well was pumped down to 150 feet below the top of the casing, "lots" of water could be heard
cascading into the bedrock well.
2. During the last 74 minutes of our test, 274 gallons was pumped from the well and the water level in the casing
only dropped 5.5 feet (from 65.2 feet down to 70.7 feet). The storage tanks were by-passed. In short, we were
pulling water directly from the well.
It is possible that the well production changed (due to the 2018 earthquake?) or that the production rate is
seasonal. There was a lot of rain last summer, and significant snowfall this last winter.
If you have further concerns, please contact me.
Jeffrey A. Garness, P.E., M.S.
President
Garness Engineering Group, Ltd.
3701 E. Tudor Road, Suite 101
Anchorage, Alaska 99507-1259
Phone: (907) 337-6179
Mobile: (907) 244- 9612
Website: www.garnessengineering.com
GARNESS ENGINEERING GROUP, 1Ad
w,.. �NGiNEERING-SALES -CONSULTING
qRk"010
,cYQ�. s&'7159
S o d ed t a
Ae ' i' CORPORATION treatment systems
la.gk Aud1wizeLP OvIaW Autlyrrr�xi Alsl; ibiio# py INFILTRATOR
NIUNMP U T V O A iNIC HOR OE
DEVELOPMENT SERVICES DEPARTMENT
On -Site Water and Wastewater Section
www.muni.org/onsite
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC231196
Subdivision: Tonjess Estates Block:3, Lot: 11
907-343-7904
Fax: 343-7997
The septic tank for this property is 23 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more,
not including engineering, surveying or MOA permitting fees.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org
Municipality of Anchorage
Development Services Department
Buildin§ Safety Division
On-Site Water and Waste,crater Program
" 4700 South Bragaw St. ' '
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage, ak. us
(907) 343-7904
CERTiFiCATE OF HEALTH AUTHORITY ^ '-'""'-'"'
,t--~l- r' mk.] v/AL
i-OR ~' UINGLE-PAMi£Y L)WE'_LLiNG'
Parcel I.D.O.~'/-.Y'~
Expiration [)ate: ]
GENERAL INFORMATION
Compleie 'legal description` -'~"g~/J,.T~'$~'
Location (site address or directior~s) .~/
Current PrOperty
Mailing address.
Lending agency
Day Phone ~/~O~j~>-.~"2 0~.
Day phone
Mailing address
Real Estate Agent
Mailing Address
Z.4 u4//,4,w/z Z-o
Unless otherwise requested, HAA will be held by DSD £or pickup.
NUMBER OF BEDROOMS: .-~'
Day phone
TYPE OF WATER SUPPLY: - '
Individual Well
Individual Water Storage
Community Class__ Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding tank
[] Communi~ On-site
[] 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 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water 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, '1 vedfy that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this app ication 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 redly that based on the information obtained from the
Municipality of Anchorage files and from my investiga~on 'and inspection, the on-site water supplv and/or
wastewater disposal system is(are) in compliance with 'ail applicable Municipal and State codes, ordinances
and regulations in effect at the time of installation. ' : ..- ' .... '
Printed
Name
Conditional ap~ov~l for -' - .... bodmoms; ~ the follOWin~Stipulations:' ' ,-..t"- ' -
· :':. ::.--::,:'.:,...'.'.': . ..
Additional Comments
Attachments:
HA& 'Checklist
Septic System Advisory
Well Flow Advisory
By: .~ ._
(Rev, 0110'2)
Maintenance Agreements
Supplemental Engineer's Report
.Othe[
.Original Certificate Date:'
Municipality of Anchorage
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
HEALTH AUTHORITY APPROVAL ',,.,HECrv S '
Legal Description: T'<~/J',,T'~'-~...~
WELL DATA
Well type _~____
Date completed ~[
Total depth ~'~6 fL..
If A, B, or C provide PWSID # __
Sanitary seal (Y/N) ¢
Cased to .,~".~ ft.
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
in.
FROM WELL LOG
Date of test
Static water level
Well production /
g.p.m.
AT INSPECTION
ft.
g.p.m.
WATER SAMPLE RESULTS:
Coliform (~ colonies/100 mi. Nitrate ~,~f roe.II.
Arsenic: ~ mg./I. Date of sample:
Other bacteria ~ colonies/100 mi.
Collected by:
B. SEPTIC/HOLDING TANK DATA
'Fank Type/Material .Z~/'~/0/¥~3/¢...~¢.~--~' 7',,4/N'(~/.~"'/'~'~'~,
Tank size//~¢~ gal. Number of Compartments
Foundation cleanout (Y/N)
Date of pumping OC/~'/ ~?
ABSORPTION FIELD DATA
Depression over tank (Y/N)
Pumper
Date installed
Cleanouts (Y/N)
High water alarm (Y/N) /~/'/,,,¢' .__
System type Tl'~'~'d~ff
Gravel below pipe ~
Depression over field ~_~
For ~
Date installed '~//~¢ Soil rating (g.p.d./ft2 or ...... m) ~
Length .~'~ ft. Width ~ ft.
Total dept~" ~' ft. Eft. absorption area -,~'7~ft2 Monitoring tube
Date of adequacy test ~///¢.~ Results (Pass/Fail)
Fluid depth in absorption field before test ~ in. Water added~,C~al.
Elapsed Time:/Z,~ min. Final fluid depth <2
Any rejuvenation treatment (past 12 mo.) (YIN & type)
New depth__
__ in. Absorption rate >= /../.~d' +
/.2,tJ[~o~/~[ _ If yes, give date
bedrooms
<2 in.
g.p.d.
LIFT STATION
Date insta,ed
"Pump on" level at in.
Datum
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at ___
Cycles tested
Manhole/Access (Y/N) _
High water alarm level at
Meets alarm & circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot,
Absorption field on lot
Public sewer main _
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation -.~,'~" Property line /<:3 ~.- Absorption field
Water main __ /,~./,~ Water service line _~(~'/*' Surface Water.
Wells on adjacent lots /OO'*
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Propertyline... /¢ ¢~ Building foundation
Water Service line ~ 0 '-e Surface water /¢
Curtain drain ..- ,~,/~ Wells on adjacent lots /0
Water main .. A/,~
Driveway, parking/vehicle storage
F. COMMENTS
HAA Fee $.,,,~-~'~
Date of Payment
Receipt Number
(Rev. 12/01)
ENGINEER'S CERTIFICATION ~-,-'~ OF .4~. %%,
/F.~' .' ~ 'ee ~ ~
I ce~ify that I have determined through field inspections and ~ ~ ~ ~ '.~
review of Municipa/ records that the above systems are in ~ ~ ~.~ 'TH
conformance with MOA HAA guide/ines in effect on this date. ~' "~,~,..~ .... =.. · ~
Engineer's Printed Name ~~ ~ ~ ~{. -;; ~'~*'~ .... ~;~ ~:~
~ ~.~ ~ , · ~'~,~
Waiver Fee $
Date of Payment __
Receipt Number
ASBUILT
I HEREBY CERTIFY .THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
SEAWARD &
SCALE.'
DATE= /.../
GRID:
FB:
DRAWN:
ASSOCI TES LAND SURVEYING 694-0829
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-532-~
1. GENERAL INFORMATION
Complete legal description
Expiration Date:
Lot 11, Block 3, Tonjess Estates
Location (site address or directions)
Current Property owner(s)
Mailing address
MM&M Contractinq Day phone
P.O. Box 670495 Chugiak, AK 99567
688-1236
Lending agency
Mailing address
Day phone
Real Estate Agent
Mailing Address
Day phone
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Well
Three ( 3 )
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding Tank []
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Department of Health and Human Services (DHHS) 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) on properties served by a single family on-site
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners.
Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served bv
a private or Class C well and may be reissued with new water sample results !ess than 30 days old. 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.
72-025 !Rev. 01 00/*
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 Health Authority Approval Guidelines for the Health Authority Approval
application show that the on-site water supply and/or wastewater disposal system is 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 in compliance with all applicable Municipal and State
codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
Anderson Engineering
Address P.O. Box 240773 Anchorage,
Engineer's Printed Name Michael E. Anderson, P.E.
DHHS SIGNATURE
~ Approved for '~
Disapproved.
Conditional approval for __
bedrooms.
Phone 522-7773
AK 99524
Date 1 0/1 9/00
:'~;:.'/' · z 1 .... ¢7:/
bedrooms, with th~ foii0~i~g:'~pulations.
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplementa Engineer's Report
Other
Expiration Date: /- .-~ ~-'-o ~ /
Original Certificate Date:
Reissue Date:
75-025 (,qev. 01/00)'
RECEIVED
Municipality of Anchorage OCT 2 0 Z000
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division MUNICIPALITY OF ANCHoI~
825 L Street, Room 502 · Anchorage, Alaska 99501 ~~/~78L~VlCES DIVISl0N
Legal Description: _~ot
A. WELL DATA
Well type Private
Log present (Y/N) ¥
Total depth 2 5 0 '
Sanitary seal (Y/N)
Health Authority Approval Checklist
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0
~o/~5/oo
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed 9 / 1 / 0 0
Foundation cleanout (Y/N)
Date of Pumping New
C. ABSORPTION FIELD DATA
Date installed 9 / 3 / 0 0
Length 5 7 ' Width
11, Block 3, Tonjess Est.Parceli. D,: 051-532-G~
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased t° 1 3 '
FROM WELL LOG
6/8/00
37'
1.5
g.p.m.
6/8/00
Casing height (above ground) 2 '
Wires properly protected (Y/N) ¥
AT INSPECTION
Nitrate 1.4 4 mg / L Other bacteria 9
Collected by: MEA
Tank size 1,0 0 0 Number of Compartments 2 Cleanouts (Y/N). Y
Y Depression (Y/N) N High water alarm (Y/N) N
Pumper Construction
Soil rating (g.p.d./fF or fF/bdrm) .8
5 ' Gravel thickness bel°w pipe
Effective absorption area 570 ,~F Monitoring Tube present (Y/N).__
Date of adequacy test New Cons t o Results (Pass/Fail)
Y
g.p.m.
Fluid depth in absorption field before test (in.);
Fluid depth (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
N
Immediately after
Absorption rate =
If yes, give date
System type Shallow Trench
5 ' Wide
4 ' Total depth 8 '
Depression over field (Y/N) ~
For
__ gal. water added (in.):
g.p.d.
N/A
N
bedrooms
D. LIFT STATION - N/A
Date installed '
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at*
*Datum
F.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot . > 1 0 0 '
Absorption field on lot > 1 0 0 '
Public sewer main Iq/A
Sewer/septic service line > 2 5 '
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation > 5 ' Property line > _5 '
Water main/service line > 1 0 ' Surface water/drainage > 1 0 0 '
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
> 1 0 ' Building foundation > 1 0 '
"Pump off" level at*
N/A
N/A
Property line
Surface water > 1 0 0 '
Curtain drain ]~nn~ k~ote,-]
ENGINEER'S CERTIFICATION
Lot
On adjacent lots > 1 0 0 '
On adjacent lots > 1 0 0 '
Public sewer manhole/cleanout
Absorption field > 5 '
Wells on adjacent lots > 1 0 0 '
Water main/service line > 1 0 '
Driveway, parking/vehicle storage area
Wells on adjacent lots
>100'
are
>25'
I certify that I have determined thru field inspections and review of Municipal
in conformance with MOA HAA guidelines in effect on this date.
Signature ~ ~/j'~~
Engineer's Name Michael E. Anderson, Po E.
Date 10/19/00
HAAFee $ ~
Date of Payment /
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment.
Receipt Number