HomeMy WebLinkAboutO'DOWD ACRES LT 2Onsite File
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MUNICIPALITY OF ANCHORAGE LEI
WASTEWATER
fi,F �r CONNECT PERMIT
WATER & WASTEWATER UTILITY DATE OF APPLICATION: 07130/2Q14
3000 ARC TIC-BLV
PHONE:{907}564= 762 SCHEDULED COMPLETION DATE: '12/31%2014
BLOCK/LOT/TRACT:'T12N R4W SEC 11 W2E2NW4NE4NW4 PARCEL 10A M SINGLE FAMILY
SUBDIVISION: T12N R4W SEC 11 ❑ DUPLEX
COMMERCIAL
MU;ITI-DWELLING No. APTS
TAX CODE: 01224502000 GRID: SW2226
STREET ADDRESS: 3338- STRAWBERRY RD Anchorage, AK 99502
OWNER: MARSHALL LYNWOOD R'& NANCY A PHONE:
MAIL ADDRESS: 3338 STRAWBERRY RD ANCHORAGE, AK 995023109 -
CONTRACTOR John's Excavating
AS sESSi ENT$
❑' RepairExisting Service
❑ Main Line Extension
On Property Only
❑ City Tap
❑ Have Been Levied
❑ .Hydrant Only `
X❑ To Be Levied
❑ Main Tap - To Property Line Only
Comments:
Main Tap & On Property Connect
Row No.
Sewer Lateral $3,168.00 + SACC $
❑ Disconnect
❑ 'R & R - Main Tap Only
FDwner Staff
CONNECT SIZE 4 in
ISSUED WWSAP
INSPECTION FEE $ 103.00
❑ PAID ❑ CASH
PERMIT FEE $ 72.00
❑ CHECK #
$` 0.00
❑ OTHER
REIMBURSABLE
DEPOSIT $' 0.00
NUMBER
TOTAL $- 175;00
INSPECTED BY
DATE
REMARKS
PERMITEE (Please Print) MARSHALL LYNWOOD R &'NANCY A` PHONE
MAIL ADDRESS 3338 STRAWBERRY RD ANCHORAGE, AK 995023109
SIGNATURE
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
INSPECTOR COPY
DATE SCHEDULED 12/31/2014 TIME 12:00 am INSPECTOR
SUBDIVISION T12N R4W SEC 11 BLOCK/LOT/TRACT
INDICATE NORTH
t
�k
55-
SIZE MAIN:
TYPE MAIN:
DEPTH AT MAIN:
ROP. LINE: jr—`
FT
CONNECT LOCATION: (S r =(� f
COMMENTS: �' rr �Gd t
INSEPECTEDBY::
DATE:'
T12N R4W SEC 1'I 1N2E2NW E4NV
iii
E M G I N E E R I N G
PO BOX 240773
ANCHORAGE. AK 99524
522-7773 677-7766 (FAX)
November 26, 2018
Municipality of Anchorage
Development Services Dept- On -Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: T12N RW SEC l 1 W2E2NW4NE4NW4 Parcel l OA — 3338 Strawberry Road
Separation Distance Waiver - Well to Sewer Service Line
Dear On -Site Services Engineer:
The placement and encasement of the sewer service line located on the subject lot was completed
by John's Excavation in conformance with the plan presented to you on August 18, 2004. In
addition, a bentonite collar was placed around the well casing at the depth of the sewer service line
by G & R Excavating. All work was completed in accordance with the waiver request and design
drawing dated August 18, 2014 and August 26, 2014 respectively.
Sincerely,
00
Michael E. Anderson, PE
..:�� - . ? F. AOh
.............
` Michael E. Anderson
`tsti�' �UhEJJty"`_w✓
Municipality of Anchorage
P.O. Box 196650 · 4700 EImore Road
Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997
http:llwww.muni.orfllOnsite
Development Services Division
On-Site Water and Wastewater Proqram
o~,
Department
**** VARIANCE/WAIVER REVIEW ****
Waiver¢: OSP141340 COSA#: Permit:
PID#: 012-245-02
Legal Description: T12N R4W Sec11 W2E2NW4NE4NW4 P10A
Engineer: Anderson En.qineerinfl
Applicant: Lvnwood and Nancy Marshall
Your request for a waiver of the required 25 feet horizontal separation from the
sewer service line to the private well has been approved. The approved separation distance is 2.5
feet.
This waiver approval applies to the existing sewer service line only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
[] The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
[] Notarized letter(s) of non-objection have been received from the owner(s) of the affected
adjacent property.
[] Adjacent properties are not affected by this waiver.
Waiver is G~ted: ~ . Waiver is not ~f
Date
,:
.... ............................. ~__ ~222~?~% ............ . ....
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
~ Phone:907-343-7904
Fax:907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 012-245-02
Property owner(s) Lynwood and Nancy Marshall Day phone
Mailing address 3338 Strawberry Drive Anchorage, AK 99502
Site address
Same
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T12N R4W SEC 11 W2E2NW4NE4NW4 P10A
LotSize 105,600 Sq. Ft. Number of Bedrooms Four(4)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
([~ all that apply)
Absorption Field [] Initial [] Single Family (SF) []
(w/wo ADU)
Septic Tank [] Upgrade []
Duplex (D) []
Holding Tank [] Renewal []
Multiple Dwellings []
Privy [] (SF and/or D)
Private Well []
Water Storage []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Sewer Service Line to Well Dis tance: 2,5'
I cedify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
PermitJRush Fees:
Date of Payment:
Receipt N umber:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_J,
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 {FAX)
August 18, 2014
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 Elmore Road
Anchorage, AK 99519-6650
Attention:
On Site Services Engineer
Subject:
T12N R4W SEC11 W2E2NW4NE4NW4 PARCEL 10A
3338 Strawberry Road
Separation Distance Waiver Well to Sewer Service Line
Dear On Site Services Engineer:
The septic system on the subject property has failed and the owner is connecting to the AWWU
sewer system. The house on the property was constructed in 1967 and has a very small
crawlspace. The sewer service exits the house within 3' of the existing well. A waiver is
required to allow the service line to be less than 25' from the well.
The well was recently inspected and found to be 114' deep with casing the entire depth, The
well casing was inspected and found to be in good condition with no leaks or cracks in the
casing. The well is drilled through what appears to be silty sand material with silty clay lenses at
entire depth. The well has been in place since 1967 and the surrounding soil is closely adhered
to the exterior of the well. The static water level was found at 76' below the surface.
The sewer service line is constructed of new 4" C900 SDR18 PVC. The wall thickness of the
pipe is .267". The line is pressure rated and constructed in accordance with manufacturer's
recommendations. The chances of leakage are remote.
The perimeter of the well will be exposed at the elevation of the sewer service line and filled with
a minimum depth of 1' of bentonite for a width of 2' around the well. This will seal the casing
and prevent any effluent leakage from following the casing to the aquifer level. The placement
of the bentonite will safeguard the aquifer from contamination. The owner is also willing to
encase the sewer service line in concrete for a distance of 5' on each side of the well as an
additional assurance against contamination. We are confident these measures will prevent any
effluent from penetrating to the aquifer in the event of any damage to the sewer service.
3338 Strawberry Road
August 18, 2014
Page 2 of 2
An inspection of the encasement of the sewer service line and the placement of the bentonite
will be completed by the engineer and a inspection report completed and submitted upon
completion of the work. We hereby request a waiver be issued allowing the well to be 3' from
the new sewer service line.
Sincerely,
Michael E. Anderson, P.E.
Attachments
T12N R4W SECTION 11 W2E2NW4NE4NW4 ?ARCEk IOA
5558 STRAWBERRY ROAD
Concrete
Encasement 1'
Around Sewer
Servlce Une.
4" PVC C900 DR18
Sewer Service
6" Diameter Steel
Well Casing
~ Bentonite Collar
2' Wide x 1'
Deep Around the
Perimeter of the
PRDFTLE
NTS
HOUSE
Concrete
Encasement 1'
Around Sewer
Service Line.
~,.,~: ----" Cleon Out
~ /~.-- Bentonite Collar
o,x'D.j~ ~"/¢ 2' Wide x !'
-q) ~).~ ,, . Deep Around the
ojk) 6 Demeter Stee .
~ . Perimeter of the
~e~ Well Cas,rig Well.
NOTE:
Concrete encesement and bentonite placement must be inspected and
approved prior to backfilling. A certified inspection report completed by
the engineer of record must be filed with the City upon completion of
the work.
SITE PLAN
SCALE
0~/25/2014
22:02 907-3~5-0202
ALPINE DRILLING
Aarow Pump & Well Service, LLc
P,O, BOX 110496
Anchorage, AK 99511
Office: (907) 346-9355 · Fax (907) 345-0202
Eagle River: (907) 622-93,35
PAGE 01/01
No. 10230
JOB SITE
¥.~..-. '~ , .:,..,. ,' [ · ',.,' ~.~'~ · t. '.' :'i~CRi~ri~N~¥!~!~.(:¢.'~ [ :/~.:,... , ....?:: L'~ ~[' '~ 'i:. , :. ",'P~ICE..?.~' ")"' ... ~T '
~,: ~.. ~ ~ ~,.',: .~',:~?: ~, .~.~ ,.~, ~,..~ .~ .~, ,
~.r ' / % /
~BOR HOURS RATE ,AMOUNT TOTAL MATERIAL
TOTAL LABOR
~OBK ORDERED BYI TOTAL
LABOR
PaY THIs AMOUNT ~ ~
Thank You
8t(~NATURE
(I Heret~y Acknowledge the S&tisf&ctory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow
Pump & Well Service, L.L.C. tho right to remove unpaid for equipment and charge for labor e,l~eady performed & labor to remove unpaid for equipment.)
TERMS: ACCO UN'F~ PAYABLE AT lOTH OF MONTH FOLLOWING PURCHASE.
SERVICE CHARGE AT RATE OF 1,S% PER MONTH WiLL BE CHARGED ON OVERDUE ACCOUNTS.
' Physical Requirements for
AW'WA C900 Pipe
Material: Pipe compound shall meet
cell class 12454 per ASTM D1784
"Standard Specification for Polyvinyl
Chloride (PVC) Compounds and
Chlorinated Polyvinyl Chloride (CPVC)
Compounds."
Standard Laying Lengths: Standard
laying lengths shall be 20 ft. (+1 ") for
all sizes.
Hydrostatic Test: Each length of
pipe, including the joint, shall be
tested to four times the pressure
class of the pipe for a minimum of 5
seconds at the pressure listed in the
table below.
PC 150 DR18 600 psi
Quick Burst Test: Random{y
selected samples tested in
accordance with ASTM D1599 shall
withstand the pressures listed below
when applied in 60 to 70 seconds.
; PC100 P~i
PC 150 DR18 755 psi
Pipe Stiffness (F/Ay): The pipe
stiffness for PVC Municipal Water
Pipe is listed in the table below.
Agency Listings:
Underwriter's Laboratory (UL)
Factory Mutual (FM)
ANSi/NSF 61
Short Form Specification
for AWWA C900
Scope: This specification designates
general requirements for Polyvinyl
Chloride (PVC) water distribution pipe
in sizes 4-inch through 12-inch, with
integral bell and spigot joints for the
conveyance of water and other liquids.
Pipe: Pipe shall meet the require-
ments of AWWA C900 "Polyvinyl
Chloride (PVC) Pressure Pipe and
Fabricated Fittings, 4-Inch through
12-Inch, for Water Distribution."
Other Requirements:
· Provisions must be made for ex-
pansion and contraction at each joint
with an eiastomeric seal.
· The bell shall consist of an integral
thickened wall section with an elas-
tomeric seal. The wall thickness in
the bell section shall conform to the
requirements of Section 6,2 of ASTM
D3139, "Standard Specification for
Joint for Plastic Pressure Pipes Using
Flexible Elastomeric Seals."
· When used for potable water
systems, pipe shall meet the re-
quirements of ANSI/NSF 61 "Drink-
ing Water System Components
-- Health Effects."
· The pipe shall be manufactured to
cast iron outside diameters (CLOD) in
accordance with AVWVA C900.
· The seal shall meet the requirement
of ASTM F477 "Standard for Bas-
tomeric Seals Gaskets) for Joining
Plastic Pipe."
Physical Requirements for
AW~VA C905
Material: Pipe compound shall meet
cell class 12454 per ASTM D1784
"Standard Specification for Polyvinyl
Chloride (PVC) Compounds and
Chlorinated Polyvinyl Chloride (CPVC)
Compounds,"
Standard Laying Lengths: Standard
laying lengths shall be 20 ft. (_+1 ") for
ali sizes.
Hydrostatic Test: Each length of
pipe, including the joint, shall be
tested to two times the pressure
rating of the pipe for a minimum of 5
seconds at the pressure listed in the
table below.
Agency Listing:
ANSI/NSF 61
Short Form Specification
for AW~VA C905 Pipe
general requirements for Polyvinyl
Chloride (PVC) water transmission
and distribution pipe in sizes 14-inch
through 24-inch, with integral bell
and spigot joints for the conveyance
of water and other liquids,
Pipe: Pipe shall meet the require-
ments of AWVVA C905 "Polyvinyl
Chloride (PVC) Pressure Pipe and
Fabricated Fittings, 14-inch through
48-inch, for Water Transmission and
Distribution",
Other Requirements:
· Provisions must be made for ex-
pansion and contraction at each joint
with an eIastomeric seal.
· The bell shall consist of an integral
thickened wall section with an elas-
tomedc seal. The wall thickness in
the bell section shall conform to the
requirements of Section 6.2 of ASTM
D3139, "Standard Specification for
Joint for Plastic Pressure Pipes Using
Flexible Elastomeric Seals."
· When used for potable water
systems, pipe shall meet the re-
quirements of ANSI/NSF 61 "Drink-
ing Water System Components
-- Health Effects."
· The pipe shall be manufactured to
cast iron outside diameters (CLOD) in
accordance with AVCNA C905.
· The seal shall meet the require-
ments of ASTM F477 "Standard for
Elaetomeric Seals (Gaskets) for Join-
ing Plastic Pipe."
' The .~ealing System
PW Eagle's joints employ gasket
systems that have excellent track
records in the field, The ioining
systems are factory-made with
rubber gaskets installed in the ring
groove at the time of manufacture,
The gaskets are designed to retain
in the ring groove. When assembly
technique is consistent with PW
Eagle instructions, the secured
gasket systems will not displace.
The gaskets are classified to ANSI/
NSF Standard 61,
Cross-Sectional Views
The following drawings show the
cross-sectional views of the pipe
before and after assembly. When
the pipes are pushed together the
rubber in the seal is compressed.
Compression gives rise to a sealing
pressure that acts on the socket and
spigot as shown in the illustration
below.
Gasket in place.
Gasket after pipe joining.
Sealing
Pressur6
NOTE: Gasket drawings are
representations, Actual gaskets may
vary from drawings
Installation Advantages of
the PW Eagle Joint
The gasket is factory installed, so
there are no gaskets to install on the
job site. This avoids the possibility
of installing the wrong gasket or
improperly installing the correct
gasket. The installer should leave
the factory-installed gasket in place
and simply follow PW Eagle Joint
Assembly instructions for problem-
free joint performance.
Installation Standard
AVWVA C900 and C905 pipe
should be installed in accordance
with AWVVA C605 "Underground
Installation of Polyvinyl Chloride (PVC)
Pressure Pipe and Fittings for Water,"
Joint Assembly
PW Eagle's C900 and C905 pipe will
arrive on the job site with the gasket
installed at the factory, ready for
assembly.
Assemble as follows:
1. Inspect the bell and remove any
foreign matter such as mud, sand or
ice. DO NOT REMOVE THE GASKET
FROM THE PIPE.
2. Clean off the spigot end of the pipe
and apply lubricant evenly, covering
the beveled nose and sealing surface
up to the stop mark. NOTE: Use only
lubricant supplied by PW Eagle - the
use of other lubricants may cause
deterioration of pipe or gasket,
3. Place the beveled end in the
companion bell and provide straight
alignment,
4. Push the pipe straight into the bell
with a block and bar until the stop
mark on the spigot is even with the
end of the bell,
5. NOTE: DO NOT ASSEMBLE
THE JOINT BY SWINGING OR
STABBING.
6, NOTE: For larger sizes of pipe,
additional mechanical assistance
(such as a come-along or hydraulic
jack), DO NOT ASSEMBLE THE
JOINT USING A BACKHOE BUCKET.
7, Allowable axial deflection at the ·
joint varies with each manufacturer's
design. For PW Eagle products,
allowable deflection is two degrees,
For more information, see PW Eagle's
technical bulletin "Gasketed Pipe
Assembly."
Gasketed AWVVA C900
& C905 Transmission
& Distribution p/pe is
the clear choice for
municipal applications.
Tapping PVC - C900
PW Eagle's C900 and C905 pipe
may be tapped either dry or under
pressure. There are three types of
tapping equipment and methods.
1. Direct Tapping
The only pipes that may be direct-
tapped are C900 DR14 and DR18 in
sizes 6-inch through 12-inch. When
direct tapping, follow the procedures
in Uni-Betl's Uni-B-8 "Recommended
Practice for the Direct Tapping of
Polyvinyl Chloride (PVC) Pressure
Water Pipe."
2. Saddle Tapping
All sizes and DRs of C900 and C905
may be saddle-tapped. Maximum
tap size is 2 inches for saddles.
Service clamps or saddles used with
PVC pipe must:
a. be designed for use with ClOD
PVC pipe
b. provide full support around the
circumference of the pipe
c. provide bearing area of sufficient
width along the axis of the pipe
(minimum 2-inch width for taps up
to 1 inch diameter; minimum 3-inch
width for taps 11/4 to 2 inch diameter)
3. Tapping Sleeve or Valve
All sizes and DRs of C900 and C905
may be tapped using a tapping
sleeve or valve. For connections
greater than 2 inches in diameter,
this method is required. Maximum
connection is size-on-size.
V - For field cuts, draw a stop mark (line "V") by subtracting 5/8" from bell length "C".
WARNING=
Do not use PVC pipe to con-
vey air or other gases under
pressure. If failure should
occur, the result would be
catastrophic. Rapid expansion
of the compressed gas would
send shards of plastic over a
wide area and could result in
serious injury or death.
Nominal Average Approx Min Wall Min Bell Approx Approx Approx
Pipe Size DR Pipe OD Pipe ID Thickness (t} Thickness (tl) Bell OD Weight Weight
(inches) (inches) (inches) (inches) (inches) (inches) (Jbs/10Oft) (lbs/pc)
4 18 4.80 4.27 .267 .296 67/~ 260 52
6 25 6.90 6.35 .276 .300 9~/~ 390 78
6 14 6.90 5.91 .493 .567 9V2 670 134
8 18 9.05 8.04 .503 ,562 12~5 910 182
~o
lo 25 ~.1o ~o.2~ .444 .483 14,/8 lO~O 202
10 14 11.10 9.51 .793 .912 14% 1730 346
12 18 13.20 11.73 .733 .820 17% 1940 388
14 25 15.30 14.08 .612 .666 19V~ 1890 378
16 25 17,40 16.01 .696 ,760 21 *A 2470 494
18 25 19.50 17.83 .780 .852 24oA 3110 622
20 25 21.60 19.75 .864 .943 267~ 3840 768
24 25 25.80 23.59 1.032 1.127 31 V, 5440 1088
Custoraer Service Centers
Oregon 800-347-0200 Missouri 800-341-0058
Fax 541-686-9257 Fax 578-474-1760
West Virginia 800-624-31
Fax 304-472-0742
r-~,w:a.v,e ~.0. Box lO049. Eugene. OR 97440. (800)347-0200. (541)343-0200. FAX(541)886-§257. www. pweagleinc.com
Litho in USA or, R~c~cl~d paper o Reorder No. MKT-W-743 dub/200~
cE $�
• Municipality of Anchorage s
On -Site Water and Wastewater Program -
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 012-245-32 Expiration Date:—7-- Z (9Z2-
1. GENERAL INFORMATION
Complete legal description O'Dowd Acres Lot 2
Location (site address) 3338 Strawberry Rd. Anchorage _AK
Current Property owner(s) Brian O'Dowd & Megan Bounds __ Day phone
Mailing address
Real Estate Agent
3338 Strawber_ry_Rd. Anchorage, AK ___ ___ _ _
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
❑
Individual Water Storage
❑
Community Class _ Well
❑
Public Water System
❑
Waiver/Variance request for:
4
Day phone _
TYPE OF WASTEWATER DISPOSAL:
Individual
❑
Holding Tank
❑
Community
❑
Public Sewer
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 2 0
Date of Payment
Receipt Number d
COSA# 0SC 2211 Ij0
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
Distance:
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111
Address 20441_ PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS _ _ Date y Z%
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or futureIlk
occupants or can ArcTerra guarantee that no unseen i OF 4 l
encroachments, deficiencies or discrepancies exist.
t
6. DSD SIGNATURE
System #1 Approved for I bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following sfip`\I� \ �Ftt C�,r�
Q r,
ON-SITE
WATER AND m
-- - -- -WAS-TL_L ATER d
c21
PROGRAM
'�5 EK
\J 1 ����\�
B77 --6k— -
___ Original Certificate Date: e? ZZ
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory _ Arsenic Advisory
Well Flow Advisory Other -_-___
COSA blue sheet 10-10-12.doc
Legal Description: O'Dowd Acres Lot 2 Parcel ID: 012-245-32
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) Well production at time of test 3.3 gpm
Date drilled Water storage tank volume gallons
Total depth 114.0* ft Well disinfected for coliform test? ❑ Yes No
Cased to 114.0* ft 0 Coliform bacteria is Negative
Sanitary seal is functioning correctly Nitrate mg/L Nitrate less than MRL (ND)
Wires are properly protected Arsenic ug/L Arsenic less than MRL (ND)
Casing height (above ground) 29 in. Collected by Arcterra Consulting
Date of flow test for COSA 3/10/22 Date of Sample 3/10/22
Static water level at beginning of test 78 ft.
Comments *Per previous COSA & 8/14/14 well report.
DATA 66v .,LIFT STATION
Age of ta—nMQI years
Tank type/material/Stecl
Measured operating fluid leve tic tank
❑ Standpipes/foundation cleanout per r drawing
Date of pumping
BSORPTION FIELD DATA
Which Sys tested (date installed)
❑ ALL standpipes int per record drawing
Total measured depth from gr ft (max)
Measured depth to pipe invert from gra ft (min)
F-1 NIA — 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:
COSA Checklist yellow sheet
❑ Requhii..Lnaintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date
Results ❑ Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
lapsed time min
Final depth in
Absorption rate gpd
Any rejuvenation treatme st 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
❑ Yes
if No
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No 2.5r" ft
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No ft
Neighboring Absorption Fields > 100'
ii No —
ft
Animal Containment > 50' ® Yes
if No ft
® Yes
if No
ft
ft
If septic tank is under driveway commen
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ® Yes
if No
ft
® Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
'tom 4 dmi F�._ oundations > 10'
y>•,5`
❑ Yes
if No
ft
Surface Water > 100'
El Yes if No ft
Property Line
Yes
ifNo
ft
Wells on Adjacent Lots:
❑ Yes
Absorption Field > 5'
❑ Yes
if No
Water Service Line > 10'
_
Private Wells > 100'
❑ Yes if No ft
Water Main > 10'
❑ Yes
ii No —
ft
Commune 00,
❑ Yes if No - —,ft
Water Service Line > 10'
❑ Yes
if No
ft
If septic tank is under driveway commen
From Absorption Field on Lot to: (Please enter distances if less than required)
ntttdd' 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
iii
ft
Private Wells > 100' ❑ Yes if No ft
Water Service Line > 10'
_
❑Yes
if No
ft
~ ,~`i�bt�rry, ity Wells > 200 ❑Yes if No ft
Surface Water > 100'
❑ Yes
if No
ft
F. ENGINEER'S COMMENTS
**Waiver OSP141340 issues 8/26/14
G. ENGINEER'S CERTIFICATION
/ 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.
COSA Checklist yellow sheet
MUNICIPALITY OF ANCHORAGE
Development Services Department jPhone: 907-343-7904
On-Site Water & Wastewater Section '- Fax: 907-343-7997
Certificate of On-Site Systems Approval
Parcel I.D. 012-245-02-000 Expiration Date: 5 25
- '7
1. GENERAL INFORMATION
Complete legal description T12N R4W Sec. 11 W2 E2 NW4 NE4 NW 4, P10A
Location (site address) 3338 Strawberry Road Anchorage, AK 99502
Current property owner(s) Brian A. O'Dowd Day phone 907.223.6959
Mailing address 3111 Donington Drive Anchorage, AK 99504
Real estate agent N/A Day phone N/A
ODowoBA@ Mote_ c.or�
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
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 0
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ c✓CD•00 Waiver Fee $
Date of Payment 0-21-11 111 Date of Payment
Receipt Number Che-C,4/S Receipt Number
COSA# OSCI"1 j64q 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 N/A Phone 907.223.6959
Address 3111 Donington Drive Anchorage, AK 99504
Engineer's Printed Name Brian A. O'Dowd Date 2.19.19
49t 44.400
,*1493i
*:49]1 •.*�t
6. DSD SIGNATURE
System #1 Approved for 1 bedrooms •�:. r
Y Pp BRIAN A.O'DOWD :
! cr Ade
�s% No.CE-14447 ,•(4,.0
System #2 Approved for bedrooms ft l'4•/ �o***
Disapproved 1�Wv����
Conditional approval for bedrooms, with the following stipulations:
•
•
ON-SITE '
WATER AND
CA WASTEWATER o
PROGRAM 4
BY: �--�: P Original Certificate Date: 2-ZS -17
The Municipality of Anchorage Development Services Division (DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
•
COSA Checklist
Legal Description: T12N R4W Sec. 11 W2 E2 NW4 NE4 NW 4, P10A Parcel ID: 012-245-02-000
If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached) Well production at time of test 8.3 gpm
Date drilled Water storage tank volume gallons
Total depth 114.0 ft Well disinfected for coliform test? ❑ Yes I=1 No
Cased to 114.0 ft It Coliform bacteria is Negative
• Sanitary seal is functioning correctly Nitrate IN 2 mg/L ❑t Nitrate less than MRL (ND)
N Wires are properly protected Arsenic PI ug/L N Arsenic less than MRL (ND)
Casing height(above ground) Zy in. Collected by Brian A. O'Dowd, P.E.
Date of flow test for COSA 2.11.19 Date of Sample 2.12.19
Static water level at beginning of test 77.9 ft.
Comments After the initial draw down,the static water level returned to 77.9'in 3 hours and 35 minutes.
B. TANK DATA C. LIFT STATION
Age of tank(s) years ❑ Required maintenance completed
Tank type/material Age of lift station years
Measured operating fluid level in septic tank Lift station material
❑ Standpipes/foundation cleanout per record drawing Comments:
Date of pumping
D. ABSORPTION FIELD DATA
Which system tested (date installed) Adequacy test date
❑ALL standpipes present per record drawing Results ❑Pass For bedrooms
Total measured depth from grade ft (max) Fluid depth prior to test in
Measured depth to pipe invert from grade ft(min) Water added gal
❑ N/A—pressurized field New depth in
❑ Monitor tubes go to bottom of effective. If not, state Elapsed time min
depth into effective
0 Code-required soil cover over field Final fluid depth in
0 System presoaked Absorption rate gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months)
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
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' Community Sewer Manhole/Cleanout> 100'
❑s Yes if No ft ❑✓ Yes if No ft
Neighboring Tank> 100' 0 Yes if No ft Private Sewer/Septic Line >25' ❑Yes if No 2.5 ft
Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank> 100' 0 Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment> 50' ❑✓ Yes if No ft
0 Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑✓ Yes if No ft ❑✓ Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations> 10' ❑ Yes if No ft Surface Water> 100' ❑Yes if No ft
Property Line> 5' ❑ Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' 0 Yes if No ft Private Wells > 100' ❑ Yes if No ft
Water Main > 10' ❑ Yes if No ft Community Wells >200' ❑ Yes if No ft
Water Service Line > 10' ❑Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' 0 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' El 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 ft
Surface Water> 100' ❑ Yes if No ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION r,�(G9t!444k
P••• 4
I certify that I have determined through field inspections and review j �m. •'*�0
of Municipal records that the above systems are in conformance with /....
MOA COSA guidelines in effect on this date. % ... �
BRIAN A.O'DOWD
/Is f<c•. No.CE-1 .447 •.`��
�1IFi:0. .5.:t•`,ce. �
��
``1 f':
STANDARD MORTGAGE SURVEY NOTE: THIS SURVEY IS PREPARED IN ACCORDANCE TO A.S.P.L.S. MORTGAGE LOCATION
SURVEY STANDARDS. THIS SURVEY REPRESENTS SURFACE CONDITIONS FOUND AT THE TIME OF LOCATION SURVEY AND
DOES NOT CONSTITUTE A BOUNDARY SURVEY. THIS SURVEY IS SUBJECT TO ANY INACCURACIES THAT A BOUNDARY
SURVEY MAY DISCLOSE. THE INFORMATION SHOWN HEREON SHALL NOT BE USED TO ESTABLISH FENCES, STRUCTURES,
OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, LIABILITY OF THE PREPARER IS LIMITED TO
THE FEES COLLECTED FOR SERVICES IN THE PREPARATION OF THIS PRODUCT.
eaua'�est r P��.OF A�...t1
f
49TH *�/e
STRAWBERR____F _Y RD.
_ _ -
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• LS-12039 �' r
�� �� •�5.�AMP 35.0'
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BLOCK 1 \ x 21.1'm
88.39 I
LOT 4 I x 47. 12' N 85' 4'33" E I
N 82'07'42" w I
b x McHENRY
x i PLAT #82-182
LOT 5
x LOT3
x
X X X X X X X X X X X )� I, —
CURVE ARC LENGTH RADIUS DELTA ANGLE CHORD BEARING CHORD LENGTH x
C1 30.54 50.00 34'59'27" S 48'57'22" E 30.06' \ LOT 2
C2 27.42' 50.00' 31'25'27" N 15'44'55" W 27.08'
u \
AS-BUILT DRAWING OF: 0 25 50 SCALE: 1"=50 FEET
DATE: 11/30/2018
LOT 2 FILE: 17-170 O'DOWD
O'DOWD SUBDIVISION PROPERTY
LEGAL DESC:LOT 2,ESS: O 'DOWD SUB338 DIVISION; PLAT:RY RD, ANCHORAGE, AK 99502
A.R.D.
ALL POINTS NORTH LLC --- PO BOX 4207. PALMER, AK 99645 TEL: 907-746-4185