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HomeMy WebLinkAboutSKYLINE VIEW BLK 2 LT 18Onsite File ......................... r. s � r�r � x r a r Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: SW040207 PID Number: 051-192-09 Dwelling: 110-1 Single Family (SF) El Duplex (D) 0 Multiple (SF and/or D) Project: W New El Upgrade Name: Thomas Beesing ABSORPTION FIELD F71 Deep Trench 9 Shallow Trench E:1 Bed El Mound Address P.O. Box 672226 Chugiak, AK 99567 El Other Phone Number of Bedrooms Soil Rating Total depth from original grade (907) 274-6507 3 1.2 G 8.4 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.4 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot Skyline View 2 18 Fill added above original grade 0 Ft. Gravel length 38 Ft. Township Range Section Gravel width 5.0 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 380 Ft2 1 Ft. Well >100' 1 >100' N/A N/A I PA >25' TANK ©Septic E] S.T.E.P. E] Holding n Other Manufacturer Anchorage Tank Capacity 1 1,000 Gal. i Surface Water i I >100' >100' 1 j N/A I N/A Material Steel Number of compartments 2 Lot Line > I >10' N/A N/A NA Foundation E >,1 0, > 10, N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain i None Noted Remarks Pump on level at in. Pump off level at in. High water alarm at in. :Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Charles Barr Contracting Drainfield D3034 CO/MT D3034 Inspector T. Kimbrough BENCH MARK (Assumed elevation) 100 ft Inspectes:tion is' 10/6/04 nd 10/6/04 Location and description da2 31d 6/25/19 411' Bottom of back door jam. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp 0.. Conditional Approval: Date .�7 i 49th 0 0 ....................}}AAA 0 h4lc EL E. ANDERSON Cy Jr NoCE-4381 7/14/19 ,* ........... Approved Date 71-22117 X Oi /'ROFESS\Sf,i� nspection Report_9-1-12.doc O O N O Lo 0 O 0 Z M W � M r � 0- T s�� USO') QU rn o>Q W(3)U) 0) Q cc U O c W d 0,0 w M t4J O E W O O ti U) O EM z 0 »_ N E. O a_ cq O ,4t N O O C lO m M co (DD I , , n N i� O c 41 O U N i- Q >0 0:QZ UC�'M O (n (n U U N N OD N z Cn U W ' I ~ ILC OCA® ®RIVE 0 -------------- ---_ _ -._._:-----.,.___.-N � P 01 105.90 00_11- LI W � � H to D \ \ O LLI \ O \ M �_ p N \� �1 00 n \ E r W LZLLJ 00\ O \ H_F w J L) N O \\\ 0 -_— _)_ % to O `� to n i N v---------- --1- 0----- c r = t l ! � 1 � ! 1 N oo•oi,ao=' 105.00' www 44 W �NY••�®®� AV� Lj Q bfNitN/MP NOriPPNY®,®, ` �• .yT.: : ¢ Q Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW040207 /-101.8 0 U) fisting Finished Ground :. Ground 1,000 Gallon Septic Tank 96.95 Page 3 of 3 PID No. 051-192-09 38' (Trench Length) LOT 18, BLOCK 2 SKYLINE VIEW PROFILE AS -BUILT No Scale 90.7 .w�y�..w n-.�•w�^�wr�wet^^'T+�^+51�'M�►*'rw��•Ym•rrM MTP'Y:Tn�nr�!^�enM+��Tr+�+Im.n."^I"'�y^f��'o..w.w.+...-,. ..,. T'1^.r;.�,urvrnrwn �.r_.-... .r Cerfifteb orditug lag by DOC CO. en3a SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2750 OWNER OF LAND: MqQ fflp S I as -14C ADDRESS: P12 0 e 472 r 6 C4J�+�.� LEGAL DESCRIPTION: sfK y L tr it 01.K ) 4oT lL DATE: sfb�07a O &. nl PERMIT NUMBER:4 IQ 23 "T' Date of Issue TAX IDENTIFICATION NUMBER:%/ -01 Is well located at approved permit location? �s Ij No Method of Drilling: rotary J cable tool Depth of well:_1631 Casing Type Ergalc. Wall Thickness ��� inches rr Diameter _ G -inches, depth 6 q feet Liner Type: A) a •11 1;! Casing Stickup Above Ground: C- • feet Static Water Level: 13 ct feet Recover Rate: a gpm Method of Testing: T'7 f Az Well Intake Opening Type: LJopen end U open hole Screened-, Start feet Stopped feet J Perforations Start feet Stopaed feet Grout Type: TJ Volume I S` 4 G d r Depth: from Q feet, to - y r feet Well Disinfected Upon Completion? S<es C] No Method of Disinfection: _ C 4A,% A,.�i jo 45" ( jo"I Comments: DEPTH o 6A f3v�to�.� S 00 .Sortie—% e4 -. s c, 465 r 1'%4.eA&1 -j Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (F May 5, 2013 Thomas Beesing P.O. Box 672226 Chugiak, AK 99567 Subject: Lot 18, Block 2, Skyline View Subdivision Well and Septic System Permit No. SW040207 Dear Tom: We originally designed and secured a construction permit from the City for the well and septic system on your lot in July of 2001. This permit expired and a new permit was issued in July of 2002. The permit again expired and you applied for and received a renewed permit in July of 2003. This permit also expired and a new permit was issued in June of 2004. The system was finally constructed in October of 2004 by Charlie Barr. The work was inspected by Tim Kimbrough, an engineering technician under my supervision operating as Ve Tech Technical Services. Unfortunately both Mr. Barr and Mr. Kimbrough have now passed away. We have completed the field measurements on your lot, but are unable to complete the final certified as built of the septic system without a surveyor as built. The City has contacted us several times to finalize this as built, but it can't verify the location of the property line or the separation distance from the well. We will complete the as built once we receive the surveyor certified as built from you. Please let me know if you have any questions. Sincerely, Michael E. Anderson, P.E. xc: Municipality of Anchorage,: _On Site Water and Wastewater Program MUNICIPALITY OF ANCHORAGE 160 1 V r &A Development Services Department Onsite Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Jun 18, 2004 Expiration Date: Jun 18, 2005 Permit Number: SW040207 Parcel ID: 051-192-09 Legal Description:)SKYLINE VIEW BILK -.2 LT 18'k Design Engineer: 0014 Anderson Engineering Site Address: Owner Name: Thomas Beesing Lot Size: 15120 SO. FT. Owner Address: PO Box 672226 Total Bedrooms: 3 Permit Bedrooms: 3 Chugiak , AK 99567 - This permit Is for the construction of: ❑7 Disposal Field ❑Q 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 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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: ` — z 2 —0'V Issued By: ll�lvll Date: 611210-1, A'L 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 SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051 — r'12 - O Ll — 000 — 0 2 Permit Number SW Property To NJ phone Z%4-16-0-1 Mailing address Mailing address (2) 1/ Zip Code �1g5(o7 Legal description (Lot, Block & Sub'd.) 12) 'iS 2— Legal Legal description (Section, Township & Range) Lot Size 15., 1217 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms ~� Sewer Only PQ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Si gle Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or Permit Fees: ` I 1 S v Date of Payment: A in/04 Receipt Number: C;;-Z'v1 (Rev. M00) Waiver Fees: Date of Payment: Receipt Number: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICF FOR A SINGLE FAMILY DWELLING Parcel I.D. - L,2 S I — 11 7--01 Permit Number SW Property owner(s) T�o.,.Rs $ces%M, Day phone Mailing address (1) Pa - Box 6 ZZ C ln. c,:n k r A Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) L of It .; 81or_k Z, Sk!.yf:,vc U' w S�i> Legal description (Section, Township & Range) Lot Size X., I zo Acres/ q. t. THIS APPLICATION IS FOR: Number of Bedrooms .3' Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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: 1 p0 ket've -Ver Waiver Fees: r Date of Payment: Date of Payment: Receipt Number: Receipt Number: (Rev. 12100) •''� 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 / WATER SUPPLY PERMIT Renewal Permit Number: SW020225 Legal Description: SKYLINE VIEW BLK 2 LT 18 Design Engineer: 0014 Anderson Engineering Owner Name: Thomas Beesing Owner Address: PO Box 672226 Chugiak , AK 99567 - Date Issued: Jul 16, 2002 Expiration Date: Jul 16, 2003 Parcel ID: 051-192-09 Site Address: Lot Size: 15120 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: 7 Disposal Field []✓ Septic Tank [] Holding Tank E] Privy Q✓ Private Well E] 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: Issued By: 00 Date: 7 -fit _p z.— Date: « o� Municipality of Anchorage • Development Services Department ='* Building Safety Division t ' O 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 SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051492-09 Permit Number SW Property owners) Thomas Beesing Day phone 694-6646 Mailing address (1) P.O. Box 672226 Chu4iak, AK 99567 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lot 113, Block 2, Skyline View Subdivision Legal description (Section, Township & Range) Lot Size 15.120 SF Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Three (3) Sewer Only p 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 §inglq Family DweJliog and is in accordance with applicable Municipal Codes. of property owner or Permit Fees: A;0 - ad Fees: Date of Payment: l 19 �aZ" Date of Payment: Receipt Number: 8 P 1 Receipt Number: (Rev. 12/00) Municipality of Anchorage -� Development Services Department Building Safety Division < O On -Site Water and Wastewater Program : A . 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 Parcel I.D. 051.192.09 Permit Number SWD / 0 237 Property owner(s) Thomas Beesing Day phone 694.6646 Mailing address (1) P.O. Box 672226 Chugiak, AK 99567 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lot 18, Block 2, Skyline View Subdivision Legal description (Section, Township & Range) Lot Size 15,120 SF Acres/Sq.Ft. Number of Bedrooms Three (3) 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 ❑ 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 Date of Payment: ZG1 Receipt Number: Ca�fA_ (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: ANDE_RSON,�ENQ NEERIN.Q P.O. BOX 240773 ANCHORAGE,. AK 99524 522.7773 522.6779 (FAX) July 2, 2001 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 18, Block 2, Skyline View Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 18, Block 2, Skyline View Subdivision intends to construct a three- bedroom home on the lot. We are therefore applying for a permit to construct a new well and septic system on the lot to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the new septic system and the parameters used in the design. Also identified on the plans are the location of the well along with the test holes and the alternate absorption site. Existing drainage patterns are shown and will not be altered by the development of the lot. This is a small lot and the wells on the surrounding lots restrict the area available for the new septic system. Our survey of the area, however, indicates the 100' separation distance from the wells can be maintained. Two test holes were placed at the location of the new absorption trench. These holes indicate poorly graded gravelly sand with only small amounts of silt. Percolation tests in the material revealed rates approximating 1 minute per inch. We are therefore proposing to place a 5' wide absorption trench with 4' of gravel beneath the distribution pipe. The total depth of the trench will be approximately 7'. The length of the new trench will be 38'. The ground surface on the lot slopes as shown on the attached Site Plan with grades from south to north that flatten in the area of the proposed absorption trench. The new absorption trench will be constructed on a fairly flat surface as much as possible in conformance with Municipal requirements. If the system is constructed in accordance with our design the following statements apply: 1. 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. 2. 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 18, Block 2, Skyline View July 2, 2001 Page Two 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments caQ� O 1 44 '�'' Pte,• , ^_ � f 491tf :' . sJ .. ..... ............� �:-� :' : fA1CNAEL E. ANDERSON �i'J•.• CE -438'1 •:\ �. O A n A w`a.c •. �3$± OF 4,. s� G7 •.`r w° go 4 J T ��� H Ea o 4' �0 '.MICHAEL E. ANDERSON � ` d 410 G�••, CE - 4381 C�eCOtnREum ��b, IO O I > 1110 O IZ z I THIS PROJECT 144.50' L y _ �L ti I I I I I I $MMEW AVE. AREA MAP NO SCALE r r 0 N 0 O 1A o � Ir WILDWOOD DRIVE Proposed Well Three Bedroom House 1,000 Callon Septic Tank 38' Lonq X 5' Wide X 4' Effective Depth Absorption Trench TH1 Alternate Site �,�etaaay :ry P`��OF''4�V X44 QO TH2 ,`,'vj�� •. �c'® 10' Utility Easement #"*: ; 49TH �'v� • . ;,< ,� jo •�. . ..................... •.. A MICHAEL E. ANDERSCN CE -4331 AW GL4� C•_d�`'� SITE PLAN SCALE 1" = 20' LOT 18, BLOCK 2, SKYLINE VIEW SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home 5' Wide Trench System Perc. Rate: 1 MinAnch 1,000 Gallon Septic Tank Application Rate: 1.2 GPDISF 4' Drainfield Rock 3 Bedrooms X 150 GPD 11.2 GPDISF = 375 SF of Absorption Area 375 SF15 LF (Width)•.5 (Red. Factor) = 37.5 LF Trench Length Therefore: Construct a 38' Long X 5' Wide X 4' Effective Depth Absorption Trench. Flowline Elevation in Trench to be 3' Below Original Ground Surface. Total Depth to be 7' Below Existing Ground. Mound Over Trench to Provide Minimum of 3' of Cover or Provide 2^ of Direct Bury Insulation. 2'6" 4' 6" 2" Insulation 6 2' Cod or Geotextile Fabric b 3' 4" PVC ASTM D3034 Drainfield Rock TYPICAL WIDE TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 10' Separation From Lot Line. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Well. Cl�-����1t I++ at ......J Or .• /O A 1. MICHAEL E ANDERSCN � 0 `� '• CE -4381 ttae0QRmeESS � PERFORMED FOR: BARR ENTERPRISES DATE R, .* *CrP-6.12/01 Ilii m►z LEGAL DESCRIPTION: LOT 18. BLOCK 2. SKYLINE VIEW SUBD TEST HOI F # 1 SLOPE SITE PLAN IMOIST SANDLOAM:OB/PTREDDISH-BROWN SANDY LOAM: OB/PT 2 3 4—I.. 5- 6 - POORLY 6POORLY GRADED GRAVELLY -SANDS 7 LITTLE FINES/SOME COBBLES: SP 8 9 10 11 12 13 14 15 16 17 WAS GROUNDWATER NET TIME DEPTH OF WATER • ;.r/��•• ••ray 9 MUNICIPALITY OF ANCHORAGE y"ra��% �d �� 49 Tkl':� .. DEPARTMENT OF HEALTH & HUMAN SERVICES •�•'` `' •.• •, 825 L STREET, ANCHORAGE, AK 99502-0605 �! p SOILS LOG - PERCOLATION TEST f �MIGIAEL L ANDERSON•;� 0 ��.• CE -4381 10" 0 15:41 DEPTH OF WATER PERFORMED FOR: BARR ENTERPRISES DATE R, .* *CrP-6.12/01 Ilii m►z LEGAL DESCRIPTION: LOT 18. BLOCK 2. SKYLINE VIEW SUBD TEST HOI F # 1 SLOPE SITE PLAN IMOIST SANDLOAM:OB/PTREDDISH-BROWN SANDY LOAM: OB/PT 2 3 4—I.. 5- 6 - POORLY 6POORLY GRADED GRAVELLY -SANDS 7 LITTLE FINES/SOME COBBLES: SP 8 9 10 11 12 13 14 15 16 17 0% READING DATE WAS GROUNDWATER NET TIME DEPTH OF WATER NET DROP ENCOUNTERED? NO S 12- 1 L 4 IF YES, WHAT DEPTH? 10" 0 15:41 DEPTH OF WATER . Jcmic P 2 AFTER MONITORING: 10 E 10" DATE: 15:52 0% READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 6/22/01 15:30 12- 1 15:40 10 10" Recharge 15:41 12" 2 15:51 10 1 10" Recharge 15:52 12- 3 16:02 10 - PERI: RATE: 1 MIN./INCH PERC. HOLE DIAMETER: 6" TEST RUN BETWEEN 4.5 FT. AND 5.5 T. COMMENTS:.— NO IMPERMEABLES ENCOUNTERED/HOLE PRESOAKED PRIOR TO TEST GREATER THAN SO% OF COARSE FRACTION PASSES THE #4 SIEVE TEST PERFORMED BY: T.L. KIMBROUGH I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: PERFORMED FOR: BARR ENTERPRISES DATE OfS LEGAL DESCRIPTION: LOT 18 BLOCK 1 SKYLINE VIEW SUED 2 3- 4- 5- 6- 7-1 45 67 8- 9-4 17 El TEST HOLE # 2 MOIST REDDISH -BROWN SANDY LOAM. OB/PT POORLY GRADED GRAVELLY -SANDS LITTLE FINES/SOME COBBLES: SP WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: DATE: SLOPE X6 NO S L 0 tilII�,�- P E 7—/—O! 0% READING DATE GROSS TIME NET TIME DEPTH OF WATER MUNICIPALITY OF ANCHORAGE C-9 �" �' '• DEPARTMENT OF HEALTH & HUMAN SERVICES ,:• $1 J 49?H 825 L STREET, ANCHORAGE, AK 99502-0605 0 eA SOILS LOG — PERCOLATION TEST I'MICHAEL EL 10 E4ERSCN: ,� 381 PERFORMED FOR: BARR ENTERPRISES DATE OfS LEGAL DESCRIPTION: LOT 18 BLOCK 1 SKYLINE VIEW SUED 2 3- 4- 5- 6- 7-1 45 67 8- 9-4 17 El TEST HOLE # 2 MOIST REDDISH -BROWN SANDY LOAM. OB/PT POORLY GRADED GRAVELLY -SANDS LITTLE FINES/SOME COBBLES: SP WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: DATE: SLOPE X6 NO S L 0 tilII�,�- P E 7—/—O! 0% READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 6/12/01 1635 12" 1 16:45 10 10" Recharge 16:46 12" 2 16:56 10 1 10" Recharge 16:57 12" 3 17:07 10 10- PERc RATE: 1 MIN./INCH PERC. HOLE DIAMETER: 6" TEST RUN BETWEEN 4.S FT. AND 5.5 T. COMMENTS: _ NO IMPERMEABLES ENCOUNTERED/HOLE PRESOAKED PRIOR TO TEST GREATER THAN 50% OF COARSE FRACTION PASSES THE #4 SIEVE TEST PERFORMED BY: T.L. KIMBROUGH 1, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: MUNICIPALITY OF ANCHORAGE Development Services Department 7 Phone: 907-347-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I. D. 051-192-09 1. GENERAL INFORMATION Complete legal description SKYLINE VIEW BLK 2 LT 18 Expiration Date: Location (site address) 19400 WILDWOOD DR CHUGIAK AK 99567 Current property owner(s) THOMAS & WINONA BEESING Day phone Mailing address Real estate agent PO BOX 672226, 19400 WILDWOOD DR CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 BR 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ S - Waiver Fee $ Date of Payment may/ zd 2 Z Date of Payment Receipt Number 71 Lf CV3 Receipt Number COSA # O -V- ZZ/ 09 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE. AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 3/4/2022 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the 111\\\\\ system and maintenance. The operational life of all well and septic systems are subject to �~ � ,kk these various and dynamic characteristics and are outside the control of the evaluator of the •�f(i l well and septic system. Therefore, any estimate of how long a system will function satisfactory r�P• • • !� �) for current or future occupants or guarantee that no unseen encroachments, deficiencies or fig•' '.9 `� discrepancies exist can be given by First Water Consulting & FWC5 *' iii •'* 6. DSD SIGNATURE �+ ' Curtis Huffman System #1 Approved for bedrooms �� VJ' CE fzssst •���� System #2 Approved for bedrooms VIP Disapproved Conditional approval for bedrooms, with the following stipulations: O OWSIT T WATER AND rn WA Q­rr- ROGRAM By: N^ Original Certificate Date: 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 Legal Description: SKYLINE VIEW BLK 2 LT 18 Parcel ID: 051-192-09 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 5/19/2002 Total depth 164 ft Cased to 164 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3/3/2022 Static water level at beginning of test 141 ft. Well production at time of test 5.1 gpm Comments B. TANK DATA Age of tank(s) 3 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 2/24/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 7/14/2019 ® ALL standpipes present per record drawing Total measured depth from grade 7.7 ft (max) Measured depth to pipe invert from grade 3.6 ft (min) ❑ N/A — pressurized field ® 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: Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 5.57 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW"E-- Date of Sample 2/25/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 3/3/2022 Results N Pass For 3 bedrooms Fluid depth prior to test 3 in Water added 460 gal New depth 5 in Elapsed time 180 min Final fluid depth 3 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date 4r'S E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' Yes if No ft Community Wells > 200' Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10` ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that / 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. .• Z. - 7H .. ........ • Curtis Huffman CE 128991cvA.314/22 4�A� ft ft ft ft ft ft ft ft www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC221071 Subdivision: Skyline View Block 2 Lot 18 - A water sample revealed a nitrate concentration of 5.57 milligrams per liter (mg/Q. 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. Ma�l�ng Address P O Box 196650'* anchorage; Alaska 99519 6650 *www mum 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 O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org