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Home My WebLink AboutWOODHAVEN #3 LT 10Fa "- Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171038 PID Number: 015-282-55 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑■ New ❑ Upgrade Name: William & Jessica Moran ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench 0 Bed ❑ Mound Address 3908 Marcelle Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2.0 GPD/SF 0.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0.0 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Woodhaven #3 10 Fill added above original grade 2.5 Ft. Gravel length 20 Ft. Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5.0 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 300 Ft2 Ft. Well >100' >100' >100' N/A >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑■ Other Manufacturer Orenco/Advantex (F.A.P) Capacity 11500 Gal. Surface Water >100' >100' >100' N/A Material Fiber glass Number of compartments 2 Lot Line >5' >10' >5' N/A NA Foundation >5' >10' >5' N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Anchorage Tank 100 Gal. Remarks Pump on levelat 48 in. Pump off level at 42 in. High water alarm at 54 in. Pump make and model Electrical Inspections performed by Orenco PF2005 MOA PIPE MATERIAL House to tank D3034 dTankrainfie ld D1785 Installer Pomraning Excavation Drainfield D1785 CO/MT Inspector J. Mlllette BENCH MARK (Assumed elevation) 100 ft Inspddectionates: 1st 9/23/17 10/21/17 Location and description 2ntl 3`d 4t" Bottom of back door jam. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ,®Jtl %p% OF • q � ��4 Conditional Approval: Date e9 AW 49TH y'9oe • •eon e.oeaeeap e. ••.•• •.•.• .......e oeoeoeeee o•.........® to� ••MICHAEL E. ANDERSON 0 _`� 0� ��.• CE - 4381 .` AW Ap L Date OFESSMO, 14'. proved Inspection Report_9-1-12.doc WOODHAVEN #3, LOT 10 PERMIT # OSP171038 PID # 015-282-55 ao. FOOTING DRAIN OUTFALL (>100' FROM ANY SEPTIC >� \ \ - LOT 11 10 T. --k E. ESMf. \—-----------\ \ / \ —�------ — L— / \ I I LOT 10 ( ® I �� i \� LOT 9 WELL \ \ / 4-BDRM HOME / i w �— — \X11 ' - FCO % j io PUMP STATION \ H — — — TH11A H3 i 1500 -GAL MHl ADVANTEX H2 SYSTEM i 20'x15' ABSORPTION BED 0.5' EFFECTIVE DEPTH � °• 49th I . . .. n MICHAEL E. ANDERSON �! ° No. CE -4381 ,♦;OIESS\tl* MT2) ALTERNATE SITE LEGEND MT - MONITORING TUBE FCO - FOUNDATION CLEANOUT TH - TEST HOLE MH - MANHOLE FOOTING DRAIN A R FCO 28.7 60.4 MH1 36.4 .101.5 MI -12 39.6 111.2 MI -13 39.7 116.0 MT1 68.3 123.2 17MT21 77.6 116.3 0 50 100 FEET 111=50' WOOD HAVEN #311 LOT 10 PERMIT # OSP171038 P I D # 015-282-55 0 (N CY) C) T- LL 93.8 AX-20 POD 898 IL IL 88.9 1500 GAL ADVANTEX TANK (F.A.P.) 88.8 84.5 97.2 ORIGINAL GRADE 99.7 FINISH GRADE INSULATION f= ............... 97.2 97.2 96.T7 FILTER SAND 96.7 95.2 20'- ALL ORGANICS REMOVED 93.2 GROUNDWATER 10/15/14 e:r *w'�l99k%vl%rj � OF 6 82.2 AV AV JE 49th jo ...... .... ....... ... ... . ....... 0 0 2a:�u ..... ...................................... MICHAEL E. ANDERSON MF A r ;�,�x% No CE4381 AV , . -:-� PROFILE AS-BUILT 4-7 ................. •• (NO %FESS\00�' (NO SCALE) MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 PERCOLATION TEST LEGAL DESCRIPTION: WOODHAVEN SUBDIVISION No. 3 LOT 10 PERFORMED FOR: SPINELL HoMEs DATE: 9/25/17 PROJECT No.: PARCEL ID#: TECHNICIAN: J. M I LLETTE DEPTH PERK TEST #I (feet) 1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 COMMENTS: PERK TEST ONLY. SLOPE SITE PLAN SEE SITE PLAN WAS GROUND WATER ENCOUNTERED? Na READING IF YES @ WHAT DEPTHS S DEPTH TO WATER (INCHES) DEPTH TO WATER AFTER MONITORING: N/A LLO TEST HOLE PRESOAKED PRIOR TO TESTING: DATE OF MONITORING: D 5:25 DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) 9/25/17 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 5:25 0" 2 5:55 30 2-1/8" 2-1/8" 3 5:56 0" 4 6:26 30 2-1/16" 2-1/16" 5 6:27 011 6 6:57 30 2-1/16" 2-1/16" PERCOLATION RATE: 14.5 (MIN/INCH) PERC. HOLE DIA. 6� (INCHES) TEST RUN BETWEEN: 0 FT. and 1 FT. OWNER OF LAND: ica ran I Bore Hole Da ''--'--------- ADDRESS: LEGAL DESCRIPTION Woodhaven #3Lot 1O DATE: 6-22-17 PERMIT NUMBER: oSpz7/038 DATE 8FISSUE: 4_6-17 TAX IDENTIFICATION NUMBER 015I8255000 |swell located atapproved permit location: Eyes [_]No f7l El cable of Drilling: u�uairrotary �_�cab|etoo| Depth ofWell: 124' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 124 feet Liner type Static Water Level: 57 feet Recovery Rate 35 gpnn | | gph Method ofTesting Air Well Intake Opening Type: [x\jopen end []openho|e [-7 Screened Start feet Stopped �� Perforations Start feet Stopped Grout Type: Bentonite Volume: 50lbs Depth: from Z feet, to 42 feet Well Disinfected Upon Completion: Eyes [_] no Method of Disinfection: Chlorine 58PPM Comments: 118 1 124 Casing Stickup Overburden Silty Sand & Gravel w/ Clay Tight Sand &Gravel Hardpan Tight Sand &Gravel Tight Silty Sand & Gravel w/Clay Tight Sand &Gravel Sand&Grave| Water Drillers Name: Cole Sullivan 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. K4at5uBorough: Department ofEnvironmental Conservation. Well Drilling Permit Number: SVV DSP171038 Parcel Identification Number: 01528255000 Date of Issue 4-6-17 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. J*EkNEE I N G PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) December 4, 2017 Municipality of Anchorage Development Services Dept- On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Woodhaven 43, Lot 10 Engineering ASB report and waiver request Dear On -Site Services Engineer: The owner of the above lot has constructed a 4 -bedroom home with a well and septic system on the above lot. The approved permit specified a raised bed with the distribution pipe 1' above the existing ground, to ensure 4' separation to groundwater. The system installed was and Advantex Cat III treatment system. During construction, the water level in the test hole was measured at 3.5' below grade. In order to simplify construction and save material costs, the contractor installed the bottom of the bed at 0.5' below existing grade, with a 2' separation to seasonal -high groundwater. We would like to request a waiver to allow the 2' vertical separation. As mentioned, this is a Category III treatment system, with significantly reduced nitrates in the effluent. The new code recently approved by the Municipality allows for this reduced separation for a Category III treatment system. There is no threat of contamination of the groundwater by allowing this waiver. Sincerely, wl'� Z_- &'J� Michael E. Anderson, PE OF b . �wea eoe eooeee ' MICMEL F. A�NDMSON c' • CE -/AM, i � ry �• F',�D C4°bra°o ° ��,� Ep�11YS MUNICIPALITY OF ANCHORAGE 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. 015-282-55 Expiration Date: 1. GENERAL INFORMATION Complete legal description WOODHAVEN #3 LOT 10 Location (site address) 3908 MARCELLE CIRCLE, ANCHORAGE, AK 99516 Current property owner(s) WILLIAM & JESSICA MORAN Mailing address Real estate agent 1 -/q3 -02-n Day phone 3908 MARCELLE CIRCLE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $56V n Waiver Fee $ Date of Payment Ib 1�I 19 Date of Payment Receipt Number U' (0(C56tD Receipt Number COSA # 05C 1 q IU13 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 ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 NATRONA AVENUE, ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 10/7/2019 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 the9W A system and maintenance. The operational life of all well and septic systems are subject to d these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by FW[.S and Anderson Construction & Engineering. k &z 6. DSD SIGNATURE 10/7/19y_,-- System #1 Approved for bedrooms �t'�,""W System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: lllllll(((((f( ,4 OJV-Srrl� �— C = ER .. ASD M n RI- Vsip T AAV4, �c� - �°ERVICV Original Certificate Date: 10 —14 ^ � q 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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic Advisory Other Legal Description: WOODHAVEN #3 LOT 10 Parcel ID: 015-282-55 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 6/22/2017 Total depth 124 ft Cased to 124 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 9/19/2019 Static water level at beginning of test 60 ft. Well production at time of test 5+ gpm Comments B. TANK DATA — 9/23/17 - 1500 GAL Age of tank(s) 2 years Tank type/material ADVANTEX / FIBERGLASS Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 6/25/2019 AX MAINT. Water storage tank volume NA gallons Well disinfected for coliform test? ® Yes ❑ No ® Coliform bacteria is Negative Nitrate 3.96 mg/L ElNitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by F Date of Sample 9/19/2019 & 10/1/19 C. LIFT STATION ® Required maintenance completed Age of lift station 2 years Lift station material Comments: D. ABSORPTION FIELD DATA — 20'L x 15'W x 0.5'ED — 2 GPD/SF = 300 SF Which system tested (date installed) 10/21/17 ® ALL standpipes present per record drawing Total measured depth from grade 3 ft (max) Measured depth to pipe invert from grade _ft (min) ® N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Adequacy test date 9/19/2019 Results Z Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 620 gal New depth 2 in Elapsed time 20 min ®Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: US - COSA Checklist copy 3.docx 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 ft 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' Surface Water > 100' ® 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' ft ft ft ft ft ® Yes if No ft 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 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. 10/5/19 COSA Checklist copy 3.docx ft Iii 06E26/2019 04:21 8686770 . APLUS PAGE 11 338 896 also I on Ill a R �III I� A ® Fief Maintenance Report .Annual inspection 111113 111111 MOE. AnchorageTank 907-272-3543 PmrArtybwnnr/nnr.Wng H Current'Previous oporotar Current William & Jessica Moran 2nd Compartment Larry Betts -- Sltc A dm. Prevlcua contact pmno 3908 Marcelle Circle, Anchorage AK 99516 J 907 -230 -'?423 AX SH -5 ra Y County ID k Ped if WU u/11L h Date of last Inn*rotbn AX -142918 OSP171038 1427270 RTU132232 08/22/2018 Retrieve O&M Info Dally flow Recirc ratio.— Timer settings: Perform Field Sampling/Observations NTU (15 x NTUs) pH (6-9) DC (2-6) D -3 Odor of Sample Typical� Musty E] Ea ❑ Moldy Non -typical Sulfide ❑ Cabbage D Decay Oily film in lfvu n Yes I 1 No Foam in tank ❑ Yes No Check Check Control Panel Reeire Amps Discharge Amps C? .' I I- )- Audible and vi^.ual alarms XOK Dial tone (telemetry only ZYes E)No Inspect/Clean hump System inspect Riser/Lid ..................... V Splice Box ........ .......... . VT Float Cords ................... Floats ........................ Pump, . ............. ...... _ Biotube°b Filter. . ........... . Siotubo Pump Vault ......... . Recirculating Splitter Valve...... . Comments signature Clean Measure Sludge/Scum Siudea Scum 1st Compartment Current'Previous Current Provlous 2nd Compartment Current Previous Current Prevlcua Inspect/Clean AdvalnTex Filter Inspect Clean Odor; % Normal Pungent Lateral*/Otifica;: 7J Biomet: `0 Normal ❑ Exces*iv9 Pod Bottom � a Bridging/Ponding; None/Mlnor n 1=xcessive Intake Vent J inspect/Clean Discharge Pump System Inspect ln;,pect Clean RissrlLid 'K, Floats Splice Bax Z Pump Float cards 7 Inspect/Service Other System Components inspect Clean lrinppeerct Clean Disinfection Equipment 1- Dispersal Laterals/Orificas,,'/_I , Observations Additional Services Rendered Cleaned textile shoots? ❑ Replaced UV Items? Replaced/Used other items? Parts Used,. W a Warranty, B = Billable (✓ approprlate selection) w S Item Number Description Final afety Inspection RSV reinstalled Manifold reconnected; flush valves closed Summary/Recommendations ❑ System performing; no further action needed (� Call for serVico Date Fax completed form to 1-866-384-7484 Lids bolted an ontroi panel reactivated F-1 Tank needs pumping ❑ Other? --� MUNICIPALITY OF i ? THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of OC_ib btf.Y 41of 20J q , by and between Edward and Bertha M. Gohr , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described, as Advantex System located at (legal description) Woodhaven 4#3 Lot 10 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. , ___71t shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. weer acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. r Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 201�, by NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY: By: (signature) F-LV^4W (print name) Date: / v 1? / / ? day of C)d_-obAw- , Ndwy PubVe KELLY M. WYTASKE Smte at jMy C Deo. 12, 2020 Date: 1(2— 11H Title:►'l/L�A_ mwb (rev. 05/18/2018) Page 3 of 3