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HomeMy WebLinkAboutGOLDEN VIEW HEIGHTS LT 7EGolden View Heights Lot 7E #020-043-04 /A Municipality of Anchorage Department of Health and Human Services UW -- Division of Environmental Services Onsite Services Section 825 V Street Room 502 P.O. Box 196650 Andwrege, AK 9951M50 Page of g www.d.anM0rape.akus (907) 343-4744 I ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. aKO-DW33 wn.: PID Number. 6Z0—o y?_- GAn.fa 4✓110t eX;CrA,ot Te- 41e Wastewater System: ®New Ad*r Upgrade Ro. ox, /OsoG/ nc�e. K 99S/ABSORPTION FIELD pt�: Mnba of aa*o : y Koov n.wl o aero. TmCI o a.e a Ma.W o on.: LEGAL DESCRIPTION $ONP-M`TOW Demtmmaq. .rOaac /. Z ►� aa,.wlae cmre. 7E iawghlp• DapsbObababafan*10 Oadc Ow.eldwft M*r�pW: : 6aefon: FE rOwaVnei Vw& Gm* / R Well: New ❑ Upgrade n. I (L.wl.taac Manbwcrr*c Dm�b,r.... 2 0 -9 -fon "''sic ti a. DT Tar Devf - 4+sa W. GR1✓sir£ /(v S Zt r / i Taal � R .oma... s ra►ra. r: D o..r HE P7Y Date taw: -2G s r� 2 p FS 0 Dr, 6/� l✓(./18�; D±/ 24 99 Trlr wro ad at: Da*f ttaw bow r am. 2 ur�iee4ry TANK n. O.8 rl SEPARATION DISTANCES 9Septic ❑ FW&V p S.TT-P. p p(mr ToAbsUfl Tanko arp8on Hper :ran rW Station Tank s"wu,* A epowA TAMC 12$0 ar wr /00'1 /00'+-- 257+ wa.w. S?L`�Z_ Mnwralca.o.an.n LIFT STATION ; tau* 10 t+ /o r"' — — eal. I sanaran /D �r /ptl- — — %'*m ar*wa: Tum ar Mpn.wrrrm a: lyh cut*. 01W I h M*8 Bactlal fuVaNa. f.bnne0 by. BENCH MARK �1'liM+. D� S7Mn AnwnW eawtla: R / Inspections performed by: K//D t5n ynecr1 P a * 9 i �_ Dates: y 2G 99 . ,....... _......... . .............� v L 4 2G 99 , D S. / Department of Health and Human Services approva � '• ce-711e ' Reviewed and approved by: Date: -fit •O ' I. ` (fe. uA) k r/ 4 I AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW000033 G❑LDENVIEW HEIGHTS S/D , LOT 7E PID#02�0-i /43-J04 -r---------------------------------------------ice /, T r ©,u MA 1250 GAAV.. S.T. co B M" vJ8%,p+ -- � V C° OD WELL WELL LOT 7E LOT 7B LOT 7 SCAL o I' = I50' 6.24 6.0 A -D=66,4' B -D=91.9' A—E=70.7' n nn nn n 691 ORIGINAL GRADE 4.6 C -E=90.1 nm FABONV� A -F=73.2' 1250 GAL C -F=92.8 SEPTIC 89.5 89.7 A -G=101.9' : TANK 83.1 SEWER ROCK 63.1 M C -G=118.5' II 89.8 89.6 L * 1491 TE* * +� MINETH Y. DUFF'�(!S / r CE 7118 lJ OfAOF Ar 34' PREPARED FOR, RICHARD 6 DEANNA WLAD 745 W. 4TH AVE., SUITE 400 ANCHORAGE, AK. 99501 (907) 274-7443 FlEU) BOOKS cawvy[m eawArtr:WALATKA— 00AW VBG STu WALATKA aca®: KMD AST WALATKA 0Alr' 7/7/00 DM "L. GM 3238 " "'E 98155.DWG "NO` 98155 1 SCALES NTS 75 7 a 10 NO ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 LOCATION Of WELL (Please eew Plele either le, Ib ar Ic.) i•. S err Bereugh • Subli vision I1 `I •� qur.Uld t.J ei Lel Block 7 Bottom — Ib. 1 _ /. el re. —al_of—of le. DISTANCE ANO DIR ECTI IRON ROAD INTERSECTIONS Street Adurere and Area Of Well Lecalle. INS, Alaskan MELLO WATER WELL RECORD STATE OF ALASIKA DEPARTMENT OF NATURAL RESOURES Division of G•olo0ieol D Geri Physical Survey. Drilling Permit No..�Ce)99 A.D.L. No. $$alien No. Torashipi, "GAO* EO Meridian SC) WO 3. OWNER Of W L-1.FC / A li i I II. PUMPING LEVEL sato. tend Surface and YIELD /1, eller Me. pumping I o, P. m, 11• •Ib, M•• pumpin0 I tepee. 12.GROUTING Well 0,00100: Yee O Ne Materiel: (] Neal Comsat O Other: BL"L' 13. PUMP: (II callable) HP I Length of Drop Pipe 11, capacity O Sub.. O Jet O C•nlrllical O 011ier 14.R(MAAXS: 3 0--AKUCA DRIVE--` -- 16. WATER WELL CANCMl7r.<nt[$ AyRTM15j5,ON: , (907)"345-059r3ty YJ IS. Wet., el.r. O F TMp vest ree ar.Ned erne$,. p ------------------- my Iuris"i"" and oris "Poll ell is Nue to the beat el my Inc/ledge and belief. / Nome �_�..�' /T T „ Contract Lice., Number )(Illsit A. term02.W �- Copy Dri b.nnt.er• KHIT ..--...... ..__._._.�..-.- C'$tu4 DGGS. PINK -Driller, DANApY •Cgtamer C Add r•elj AS. A. Sf 0 i•. S err BhpV •. WE I)EPTH: (first$ S, Dqg OF CQ6LETION lea$ Lye- e'( ft. C?Q Bottom — 1.9 6. (]Cable tool ORolory (]Driven C3Dug t O)Avu-�O•r Ohll•d (]Bond (]Other: I�q ?.use: Da.04110 (] Public Supply (] Industry Cl lrrloollon (] Rodbell. O Commerical 41—(].Test Wall (]Dlhel: 6. CA IN G: (] Threaded Welded�_. dlow. In. low It. Doom Weight tbs./ft 2 diem, In. Is—(I. Dealt, Sticeup ft. 9. FINISH f WELL: '-TT ��� Type: .V c • YO mneL lar�f� J Slot/Mesh Slse• Laoalh• Sat belneon 11. ped I ft, Basalllling Gravel posh 10. STATIC WATER LEVELUJ6 f I. ��qg OAbp.• ar O Belo. land .,face a,- E•ulp.eat used: II. PUMPING LEVEL sato. tend Surface and YIELD /1, eller Me. pumping I o, P. m, 11• •Ib, M•• pumpin0 I tepee. 12.GROUTING Well 0,00100: Yee O Ne Materiel: (] Neal Comsat O Other: BL"L' 13. PUMP: (II callable) HP I Length of Drop Pipe 11, capacity O Sub.. O Jet O C•nlrllical O 011ier 14.R(MAAXS: 3 0--AKUCA DRIVE--` -- 16. WATER WELL CANCMl7r.<nt[$ AyRTM15j5,ON: , (907)"345-059r3ty YJ IS. Wet., el.r. O F TMp vest ree ar.Ned erne$,. p ------------------- my Iuris"i"" and oris "Poll ell is Nue to the beat el my Inc/ledge and belief. / Nome �_�..�' /T T „ Contract Lice., Number )(Illsit A. term02.W �- Copy Dri b.nnt.er• KHIT ..--...... ..__._._.�..-.- C'$tu4 DGGS. PINK -Driller, DANApY •Cgtamer C KINID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-8111 December 15, 2000 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Golden View Heights Subdivision, Lot 7E Gentlemen: During the as -built process of the above referenced system it was the monitoring tube for the field had not been placed to the bottom All design details, including the total trench depth and gravel depth during the scheduled construction inspections. After discussing tl that of the trench. were verified �e issue with DHHS, it has been determined that this letter of clarification will resolve the problem. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, IISM Engineering enneth M. Duffus, P.E. attachments: On -Site Inspection Report As -built System Details/Site Plan Well Log , MUNICIPALITY OF ANCHORAGE Department of Health and Human Services Onsite 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 Renewal Date Issued: Mar 17, 2000 1 Expiration Date: Mar 17, 2001 Permit Number: SW000033 Parcel ID: 020-043-04 Legal Description: GOLDEN VIEW HEIGHTS LT 7E Design Engineer: 0070 KND Engineering Site Address: 006500 WEST CIR Owner Name: Richard Wlad Lot Size: 53238 SQ. FT. Owner Address: 745 West 4th Ave, Suite 400 Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99501 - This permit is for the construction of: n✓ Disposal Field Q Septic Tank ❑ Holding Tank n Privy Q 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. Received B Q/l/ Issued By: Date: Date: 3- /7_ 0 0 Lo Pm MUNICIPALITY OF ANCHORAGE Department or Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Mar 17, 1999 Expiration Date: Mar 16, 2000 Permit Number: SW990033 Parcel ID: 020-043-04 Legal Description: GOLDEN VIEW HEIGHTS LT 7E Design Engineer. 0070 KND Engineering Owner Name: Richard Beighle & Deanna Wlad Owner Address: 745 West 4th Ave, Suite 400 Anchorage . AK 99501 - Site Address: Lot Size: 53238 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of: 1 ❑✓ Disposal Field ❑] Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑Water Storage All construction must be in accordance with: 2. 7 4. The attached approved design. 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 ). 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). 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. Received By: Issued By: B. Covered, sealed, and heated to prevent freezing. Date: Date: K1\\TD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1/FAX (907)696-8111 March 6, 1999 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New sewer/well permit — Goldenview Heights S/D, Lot 7E Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subject lot. On November 24, 1998 we dug one testhole for the proposed system. The results of these tests are attached. The general slope of this lot is from Isouth, east and west to the north at approximately 5% - 10. We have designed our system utilizing the testhole we excavated for the four-bedroom house, which is proposed for this lot. The lot will be served by individual well. We propose to install a 2' wide deep trench. Although the soil percolated faster than 1 min./inch a sample of the sand was sent in for laboratory analysis. Based on the results of that sample it is recommended that a sand filter not be required.! These results are attached. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, KIM Engineering i enneth M. Duffus, attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL/WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE, PLAN GOLDENVIEW HEIGHTS S/D. LOT 7E I�• --__. ..__.------------------------------- t----------------------------- LOT 6K VACANT SEPTIC LOT 7A NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM NO PRIVATE WELLS WITHIN 200' Or PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200. OF PROPOSED WELL EXCEPT AS NOTED. OF A/ 1 � 9TH* *�� / - KENNETH M. S CE -71 47 fif ftnsslo'Il" AV LOT 6L (84-475> /CANT /.-, l�lY' ROPOSED PRIMMY S / PROPOSED R SER ww H 4 d ' t CAL T. CANT f .�7 ` • P WE • WELL WELL. ,VVSN LOT 7B — LOT �<r LOT 7F (84-475) (84-475) HP215 P0167 1 IV Lt@C LS"I ewccu rpva I I I DESIGN DETAILS i 4 BDRM X 150 GPD = 600 GPD 600 GPD/1.2 GPD PER SO. FT. (<1 MIN/IN.)= 500 SO. FT 500/(2'(W) X 8'(D)) (8' GRAVEL) = 31.25 FT. TRENCH USE 1 TRENCH - 31.25(L) X 2' (W) X 8'(D) Total depth of system Is 12' from original grade. Total depth of gravel below distribution pipe Is 8.0' NOTES, 1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK, 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJCENT WELLS 8 SEPTICS. PREPARED FOR: RICHARD 8 DEANNA WLAD 745 W. 4TH AVE., SUITE 400 Scale, 1'= 100' ANCHORAGE, AK 99501 (907) 274-7443 PAGE11 OF 2 FIELD BOOKS CouwTED:II BOUNDARY. WA ATKA """' KM D' B ENGINEERING STAWN6: WALATKA O1EmED' KMO 20441 PTARMIGAN BLVD. ASBUMT: QIAI ATWA DATE: I ia, EAGLE RIVER, AK 90577-8736 DN . FXE: I MD: ACRD PILE:"C"D 98155.Dwr, I DB M" 98155 1 (907x" 98155 1 (907 R1 WASTEWATER DISP❑SAL SYSTEM DETAILS G❑LDENVIEW HEIGHTS S/D. LOT 7E 17 PRIMARY S C �D c❑ SERVE MT O H # og I �o T co N o B CH co< o o , GAL, T. °� f c <\V FUTURE HOUSE OF ALgs PREPARED FOR, rr r RICHARD L DEANNA WLAD 9,#745 W. 4TH AVE., SUITE 400 * . 4 g �I t iif����` * I ANCHORAGE, AK 99501 /��}+�a� (907) 274-7443 IKENN . DQF�Jd$/ / FIELD BOOKS couw><o- ` CE -7118 J00' �"Wu . WA ATKA DRAM: KM +, # Aol "run"c: WALATKA CiCOCCDi KMD \ 7 V AsemLr.WALATKA o•¢: 3/6/ r 7fESSlOTlp "rc. rx[: m": 3238 Ac." Fuc: 98155.DWG I '10B "' 98155 a e Scole: 1'= 20' lc��\q�nl PAGE' 2 OF 2 LEND ENGINEERING 20441 PTARMIGAN (BLVD. EAGLE RIVER, AK 99577-11730 'IK' D ENGINEERINGarc so 20441 PTARMIGAN BLVD. i • •• EAGLE RIVER, AK 99577-8736 i i Kenna ih M. CE 71' SOILS PERCOLATION TEST Performed for. Deanna Mad Date Performed: 10/24/98 Project: Goldenview Hts. Lot 7E TEST HOLE N 98.1 I 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- Org- roolmat SM- roolmat Cr/GW- w/Sand cobbles to 8" slight silt Cr/GW- w/Sana slight silt 15- "j. J 16- "rt. 17- ', X. 16 B.O.H. 19- 20 - SITE PLAN FOR HOLE LO TIONS • 48-I i KD I -78 -7 � F N -f 5 Was Ground water encountered? _10 Whatdepth? N/A I Depth to water after monitoring? DRY Date 1112/ Reading Date Gross Time Net Time Depth to Water Net Drop 1 10/24/98 1:10 - 6", - 2 1:15 5 min D 6" 3 1:16 - 6", - 4 1:21 5 min D 6" 5 1:22 - 6". - 6 1:27 5 min D 6" 7 128 - 6", - 8 1:3.3 5 min Dry 6- 9 10 i 11 12 vvacer nuuev Percolation Rate <_(min/in) Perc Hole Diameter 6" Test Run Between 3.5 feet and 4.5 feet, Comments Soil sample taken at 6' for laborato!�E scize analysis I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal g lidelines in effect on this date. Y ,1.11.;99 MED 09:55 FAX 907 274 7407 Koonce Pfeffer Bettie Q)001 Richard Beighle / Deanna Wlad PO Box 103061 Anchorage, Ak 99510-3061 March 30, 1999 Attn: Health and Human Services Septic Design Re: Lot 7E, Goldenview Heights Subdivision Anchorage, AK To Whom It May Concern: Our septic system has been designed by KND and after issuance of the permit, we will be installing the' system this spring. We would like to complete an owner install, and a friend of ours will complete the excavation for us. He has operated heavy equipment on several occasions and is familiar with the engineers drawings and the work that needs to be completed. The equipment will be rented locally, and we will be on site to supervise the work. The required inspections will be completed. If you have any questions or need any other information, we can be contacted at: 563-9396. Thank -you, ,�- ose Deanna Wad RichardBeighle ("NOV RUSH!Municipality of Anchor19 20)2 On -Site Water and Wastewater Progra(907) 343-7904 6SL90 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 020-043-04 1. GENERAL INFORMATION Complete legal description GOLDEN VIEW HEIGHTS LOT 7E PArr Expiration Date: 2 " l Location (site address) 6500 WEST CIRCLE ANCHORAGE AK 99516 Current Property owner(s) THOR & MICHELLE KALLESTAD Day phone Mailing address Real Estate Agent 6500 WEST 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: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class —Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: t/T/1 s Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ y0l0 — Waiver Fee $ _ Date of Payment ll 1, .51 l a C ems _ Date of Payment Receipt Number CW59 13 Receipt Number COSA# (�`j���o I`J�J� Waiver# II!l�ll� $'2°lu 't2.ush ow C55% -y 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 onprocedures 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 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 11/009/2012 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 future occupants or can ArcTerm guarantee that no unseen encroachments, deficiencies or discrepancies exist.,.- _"`+•'' u 6. DSD SIGNATURE (( ll(( t� System #1 Approved fof bedrooms. 11A The Municipality of System #2 Approved for. bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Original Certificate Date: 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 COSH!;.,.-lhelt? 1-i221w If more than 1 septic system is on the lot: COSA Checklist # of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: GOLDEN VIEW HEIGHTS LOT 7E Parcel ID: 020.043.04 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Date completed 4/2611999 Sanitary seal (Y/N) Y Total depth 165 ft. Cased to 42+ ft. FROM WELL LOG Date of test 412611999 Static water level 20 ft. Well production 4 9.p -m. WATER SAMPLE RESULTS: Coliform E('Y colonies/100 mL Nitrate 3, Oh mg/L 1111112. Arsenic: ND ug/L Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping 10129/12 Pumper A+ Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 12 in. AT INSPECTION 1013112012 ft. Collected by: ARCTERRA Date installed 4126/1999 Cleanouts (Y/N) Y High water alarm (Y/N) N C. ABSORPTION FIELD DATA � MT_ B)rhYvOs &, SY "wm 4,1). Date installed 412611999 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 System type DEEP TRENCH Length 34 ft. Width 2 ft. Gravel below pipe 8 ft. Total depth 12.3 ft. (Measured 10/31112) Eff. absorption area 544 ft2 Monitoring tube Y Depression over field N Date of adequacy test 1 013112 01 2 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 0 in. Elapsed Time: 1 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off"level at in. Cycles tested Septic tank/lift station on lot 100'+ Absorption field on lot 1004 Public sewer main 754 Sewer /septic service line 25'+ Animal containment areas 504 SEPTIC/HOLDING TANK ON LOT TO: Building foundation 54 Property line 54 Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 1001+ Public sewer manhole/cleanout 100'+ Holding tank 1004 Manure/animal excrete storage areas 100'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Waterman 10'+ Water Service line 101+ Surface water 100'+ Driveway, parking/vehicle storage 104 Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 1004 F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 1110912012 COSA brown sheet 9-1-12.doc � rj�1Ff #9 f A "K3XNa.B U na gp, :-.: 4� Ik III Municipality of Ancho le �enr 7997 epactment Development Services Division Onsite Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121404 COSA#:OSC121530 Permit#: PID#: 020-043-04 Legal Description: Golden View Heights Lot 7E Engineer: ArcTerra Applicant: Thor and Michelle Kaliestad Your request for a waiver of the required 18 inch well casing stickup has been approved. The casing is approved to have a stickup of 12 inches. This waiver approval applies to the existing well only.. A new well will require the 18 inch stickup 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 nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............... ....mood ........... wool ............ ......... now ......... none .... Waiver is Granted: X Waiver is not Granted: Date: Approved by: v Name of Reviews .........................................................."%'w'................... Rec#: 005928 Amount: $320.00 Date Paid: 11/20/12 **** VARIANCEIWAIVER REVIEW **** November 19, 2012 ARC .1 ERRA CONSULTING, INC E. 51'Ave, Anchorage, AK. 99503 (907) 868-3791, Fax (907) 868.3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Golden View Heights Lot 7E The above subject property's septic system is functioning adequately for the 4 -bedroom residence. Identical adequacy test procedures were performed in July 2006 and October 2012 by injecting 600 gallons of water into the absorption system. The monitoring tubes during both tests were dry and water levels did not appear during the tests. The Municipality of Anchorage reviewed this procedure in 2006 and issued the COSA accordingly. The absorption trench is in SP sandy soils. The 2006 and recent 2012 adequacy tests shows that the trench is operating in the bottom one-fifth of the 8' effective depth. If you have any questions, please contact me at 868-3791 ( FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, ARcTERgq ARCTERRA " ~ CONSULTING}, INC 212 E. 51° Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 November 20, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Golden View Heights Lot 7E— Wellhead Stickup Height Variance The above subject property's wellhead meets the State of Alaska standards with a stickup height of 12" and positive drainage. The well is located along the backside of the house and is easily identifiable. The well is several feet higher in elevation and is located 30'+ from any parking or driveway areas. The wellhead has conduit and a sanitary seal. This well has been functioning properly and safely for over 12 years. We therefore respectively request that a waiver be granted for a stickup height of 12". If you have any questions, please contact me at 868-3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. 1 Kenneth M. Duffus, P. . Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. 020-043-04 % O �� 9 1 Expiration Date: % O D a 1. GENERAL INFORMATION Complete legal description Golden View Heights Lot 7F Location (site address) 8500 WPct CirrlP Anrhnragp AK gA516 Current Property owner(s) Richard 6Pighle & DPanna Wtad _ Day phone 952-5017 Mailing address 8kisT L✓lllLcnl Lending agency „ Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems Annroval (COSA) based onlv upon the representations given in Dara9raph 4 by an independent I professional transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or' Class C well and may be reissued with new water 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. i 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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. Engineer's Printed Name KENNETH M- DIIFFIJS Date OR/07/06 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, KND can not give any estimate of how long a ++ OF q ► system will function satisfactory for current or future �•q 1� 11 •NMI y,1 occupants or can KND guarantee that no unseen ..�CQ;.•• A ••I,S encroachments, deficiencies or discrepancies exist. jr�?:;9,/. 5. DSDSIGNATURE f� Approved for LIL bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: COSA-Checklist X Arsenic -Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By: — a ezl za %o� Original Certificate Date: (Rw. IV05) '/ i Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsitO (907) 343-7904 i CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLISTI Legal Description: GOLDEN VIEW HEIGHTS LOT 7E ParcellD: 020-043-04 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID S Well Log (Y/N) Y I Date completed 4/26/99 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 165 ft. Cased to --42±—ft. Casing height (above ground) I! 12 in. FROM WELL LOG AT INSPECTION Date of test 4/26/99 7/20/06 Static water level 20 ft. 23 ft. L Well production g.p.m. 4.2 g.p.m. WATER SAMPLE RESULTS: i Coliform _0-_colonies/100ml. Nitrate 2.17 ma/L Other bacteria 0 colonies/100 mL i Arsenic: SID mg/1 Date of sample: 7/21/06 Collected by: KND EnyineeHny, Inc B. SEPTICIHOLDING TANK DATA i Tank Type/Material Septic/Steel Date Installed 4/26/1999 Tank size 1250 igal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) 1! High water alarm (YM),_Date of pumping 7/20/06 Pumper McDonalds C. ABSORPTION FIELD DATA. I Date installed 4/26/1999 Soil rating (g.p.d.ife or fe/bdrm) 1.2 System type peeR Trench Length ,U ft. Width 3 R Gravel below pipe eft. Total depth 12 ft. , Eft. absorption area 544 fe Monitoring tube Y Depression over field N Date of adequacy test 7/20/06 Results (Pass/Faii) Pass For _4_ bedrooms Fluid depth in absorption field before test JJ_ in. Water added 600 gal. New depth-0—in. Elapsed Time: _I min. Final fluid depth Q in. Absorption rate >= 600 I g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date ----- D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on' level at_in. 'Pump ofr level at --in. High water alarm level at—in. Datum Cycles tested Maets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 100'+ Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 10 0'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 10 0'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5 ' + Absorption field 5 ' + Water main 10'+ Water service line 10'+ Surfaoswater 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parkinglvehicle storage 10'+ Curtain drain 50'+ Wells on adjacent lots 10 0'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I car* 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 �x -io • " date. L'._ �. ,. .•�v.. Engineer's Printed Name KENNETH M. DUFFUS •. : r :r r . COSA Fee Date of Payment Receipt Number oy�-I r1 (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number r=III > '® DOm mC)m �. m Q � Z TtS ':4 z n m =0M 40 Q Ozm co a D oy o— mm = �g v MM � ` m nO Rt O O -� 0 m y 0 w CD CD CD 57 0 d Sc z r 0 a °A n zv w 3 m (D no CD C, CD 06 a 3cD � > =3� w @ — cn 'Q m o C, v a0) _0 K =r 0 V) 3 O 0C3D 0 � 0 �. m 0 0 CD -0 —0 0 CD = CD g O ErrID `2 D �•=@�D zs w K Inm aD CD m w cn m -3M 10 a' � PO In w w0 mD Q�ocD :' y CO CD 0 cp Oo in @D —� 0a D DO z�@iy(n mla �:immw� cQ z CL O � m 0 C — O cr CD z 0. m m o cn , Cn 3 m (D r%w Fn 2 0D m sv m U1 Naomi' CD CD n '-J a N o ° 05 i "c.�/ 30 -7 � -P W Crn 4� n� CJ3 laa 00� IS 40 ^�a�CD co a D oy o— (ap �g v mo Qq.3 0 CL w 0 =r CD N CD N lka� row y 0 w CD CD CD 57 0 d Sc r 0 a °A n zv w 3 m (D no CD C, CD 06 a 3cD � > =3� w @ — cn 'Q m o C, v a0) _0 K =r 0 V) 3 O 0C3D 0 � 0 �. m 0 0 CD -0 —0 0 CD = CD g O ErrID `2 D �•=@�D zs w K Inm aD CD m w cn m -3M 10 a' � PO In w w0 mD Q�ocD :' y CO CD 0 cp Oo in @D —� 0a D DO z�@iy(n mla �:immw� cQ z CL O � m 0 C — O cr CD z 0. m m o cn , Cn 3 m (D r%w Fn 2 0D m sv m U1 Naomi' CD CD n '-J a N o ° 05 i "c.�/ 30 -7 � -P W Crn 4� n� CJ3 laa 00� IS ^�a�CD co a D oy o— (ap v mo Qq.3 0 CL w 0 =r CD N CD N O O � `Dw row y 0 w CD CD CD 57 0 d Sc : i 0 a °A n zv w 3 m (D no CD C, CD 06 a 3cD � > =3� w @ — cn 'Q m o C, v a0) _0 K =r 0 V) 3 O 0C3D 0 � 0 �. m 0 0 CD -0 —0 0 CD = CD g O ErrID `2 D �•=@�D zs w K Inm aD CD m w cn m -3M 10 a' � PO In w w0 mD Q�ocD :' y CO CD 0 cp Oo in @D —� 0a D DO z�@iy(n mla �:immw� cQ z CL O � m 0 C — O cr CD z 0. m m o cn , Cn 3 m (D r%w Fn 2 0D m sv m U1 Naomi' CD CD n '-J a N o ° 05 i "c.�/ 30 -7 � -P W Crn 4� n� CJ3 laa 00� IS Al C ' a � 6� I. oy o S Al C ' a � 6� I. SCS ReLN Client Name Project Name/R Client Sample ID Matrix 1064067001 KND Engineering Golden View tits. Lot 7E Golden View tits. Lot 7E Drinking Water All DatesJTlmes are Alaska Standard Time Printed Date/rime 08/01/2006 8:02 Collected Date/rime 07/21/2006 9:45 Received DateMme 07/21/2006 10:04 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Dam Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) Waters Department Nitrate -N 2.17 0.100 mg/L EPA 353.2 D (<10) Microbiology Laboratory Total Coliform 0 cot/100ml. SM209222B A (cl) 07/25/06 Mil 07/21/06 ALR 07/21/06 TLF 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. Q20-043-04 1. GENERAL INFORMATION Complete legal HAA # MA 0/0153 i Expiration Date: %- '2 3 - o Location (site address or directions) West circle Current Propertyowner(s) Deanna Wlad/Richard Beinhle- Dayphone F61-SF43 I Mailing address )45 W ATH AVe 'Elie 41111 wncu. son n Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. 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 ❑ Community 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 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) 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 less than 30 days old. (Certificates may be ',reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4.. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify; that my, Investigation, based on procedures outlined in the Health Authority 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 KND Engineering Phone _696-6111 •.. �• a ... Engineer's Printed Name Kenneth M. Duffus Date OV19101 OF .4 sg;•••. pOlt w 649L+' / Kenneth M. 5. DSD SIGNATURE I ce n r V Approvedfor-4-1—bedrooms. Disapproved. ,IQ�9\•,••. 9pF �Essiot'�r� p Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory WATER AND - WAST€WATER PROGRAM ;R X Maintenance Agreements Supplemental Engineers Report Other 1) By: l� -� /n Original Certificate Date: R l/ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 195650 Anchorage, AK 99519-6550 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Golden View Heights, Lot 7E A. WELL DATA Parcel ID: 020-048-1 _ Well type private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 04/26/99 Sanitary seal (Y/N) Y— Wires property protected (Y/N)! Y Total depth 165 ft. Cased to 42+ f1. FROM WELL LOG Date of test 04/26199 Static water level Well production 20 ft. Casing height (above AT INSPECTION 2 9 -p.m g.p.m. WATER SAMPLE RESULTS: 1 I Coliform _Q,youlonies/100 ml. Nitrate 1.84 mg./I. Other bactena,.k_colonies/100m1 Date of sample: 04/17/01 Collected by: KND Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel I Date installgd 04/26/99 Tank size 1250 gal. Number of Compartments 2 Cleanouts Foundation cleanout Depression over tank ELHIgh water alarm ffa Date of pumping Pumper C. 'ABSORPTION FIELD DATA i Date instaflea 04/26/99 Soil rating (g.p.d./ft' or ft'/bdrm) _U System type Trench Length $4, ft. Width 2 ft. Gravel below pipe 8 Total depth 11 ft. Eff. absorption area ¢4Lfe Monitoring tube Y Depression over field N Date of adequacy test NA - New System Resufts (Pass/Fail) For I bedrooms i Fluid depth in absorption field before test in. Water added gal. New depth In. Elapsed Time: min. Final fluid depth in. Absorption rate >= I g.p.d. I Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. UFT STATION Date installed NA Size in gallons Manhoie/Access (Y/N) 'Pump on' level at in. 'Pump off' level at _ in.High water alar level at in. Datum Cycles tested Meets afar & ci=h requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lots 10 0 ' + On adjacent lots 10 0 ' + Public sewer manhole/cleanout 10 0 ' + Holding tank 10 0 ' + SEPARATION DISTANCES FROM SEPTIC/HOLOING TANK ON LOT TO: Building foundation 6'+ Property line 5 ' + Absorption field 5 ' + Water main 10'+ Water service line 10 ' + Surrace water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10 ' + Water Service line 10'+ Surface water 100'+ D dv way, parkingfvehide storage 2 6 ' + Curtain drain 60'+ Wells on adjacent lots 100'+ F. COMMENTS The well casing height at inspection was 10' from grade. with the grade sloping away from the well 6--A 11..... ...ill — --A——w.l/w. —JJ ww—AAUI --- 1 41 1— M Iw N — wwwiww �.wiwl.� w.��►1��w www�l{.Iw G. ENGINEER'S CERTIFICATION I car* that 1 have determined through held inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Duffus Date _04/19/01 HAA Fee $ 30 D Waiver Fee S _ Date of Payment Y m D Date of Payment Receipt Number Zo Receipt Number, Mm. 12x00) ld Xa ne:h f.\. C CE 71 is 10NM ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 11/FAX (907)696-8111 April 19, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Golden View Heights, Lot 7E (Permit SW000033) Gentlemen: The subject property has not been inhabited since the construction of the on-site septic system in April of 1999. The owners are just now completing construction, and are planning to move into the house within the next few days. If you have any questions, please contact me at 696-6111 /FAX 696-8111. Respectfully submitted, EMIL' Engineering Brent M. Western