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Home My WebLink AboutGRANITE VIEW BLK 6 LT 2Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site 014-301-02 E;;ira~ioFnE~a~e~ 2016 Parcel I.D. 1. GENERAL INFORMATION Complete legal description Granite View, Block 6, Lot 2 Location (site address) 3004 E 88th Ave. Current Prope~y owner(s) Shelby Wagoner & Richard Spicer Day phone Mailing address PO Box 670545 Chugiak, AK 99567 Real Estate Agent Day phone TYPE OF DWELLING: [] Single Family (w/wo ADU) [] Duplex [] Multiple Dwellings (Single Family and/or Duplex) NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class __ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual [] Holding Tank [] Community [] Public Sewer [] Waiver/Variance request for: Received b' COSA to be released to the engineer, unless otherwise requested by the engineer. Distance: Date: <:~///~/~0 ~, COSA Fee $ Date of Payment Receipt Number COSA # Waiver Fee $ Date of Payment Receipt Number 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of at/wells and septic systems depend on the local soil condition, g round water levels that may flucluate dudng the year, and the water usage of the family being served by the system. These conditions are OUtSide the control of the evaluator of this system. AIl systems eventually fail and satisfactory test results de not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of !he system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone bedrooms bedrooms 6. DSD SIGNATURE System #1 Approved for ~ System #2 Approved for __ Disapproved Conditional approval for Phone (907) 272-8218 Date 2/23/2016 bedrooms, with the following stipulations: Original Certificate Date: .~, The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (CASA) 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. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other COSAbluesheet_.c '- ;.t If more than 1 septic system is on the lot: COSA Checklist # f of ~ Structure served by this system ~ Certificate of On-Site Systems Approval Checklist Legal Description: Gradite View, Block 6, Lot 2 Parcel ID: 014~301-02 A. -WELL DATA Well type Private IfA. B, or C provide PWSID # Date completed Unknown sanitary seal (Y/N} Y Total depth 67.5+ ft. Cased to Unknown ft. Well Log (Y/N) N Wires propeny protected (Y/N) Y Casing height (above ground) 12+ FROM WELL LOG Date of test U n known Static water level Unknown ft. Well production Unknown g.p.m. AT INSPECTION 1/28/2016 34 ~. 0.75 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100mL Nitrate ND mg/L Arsenic 53.0 ug/L Date of sample: 1/28/2016 Collected by: Sullivan Water Wells B. SEPTIC/HOLDING TAN,,~'~TA Tank Type/Materi~? Tank size j gal. Foun~ion c~eanout (Y/N) __ ,~of pumping C. ABSORPTION FIELD, DATA Number of Compartments __ Depression over tank (Y/N) Pumper Date installed Cleanouts (Y/N) High water alarm (Y/N) Date installed Soil rati~2 or ft2/bdrm) System type Length ft. J Width ff. Gravel below pipe ff. Total depth ft? ,.,,~. absorption area ' ~ Monitoring tube Depression over field Date of adeqUaC~t: ~ ~ " Results (Pass/Fall) __ ' ' For bedrooms Fluid dep~bsorption field befor~ test __ in. Waier added __ gaL. New depth in. Elapsez/d'Time: mih. Final fluid depth in, Absorption rate >= , g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N & type) If yes, give date LIFT STATION Date installS._ 'Pump/gn" level at __ in. / Da~m Size in gallons "Pump off" level at Cycles tested Manhole/Access (Y/N) High water alarm level at Meets alarm & cimuit requirements? in. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station'on lot N/A Absorption field on lot N/A Public sewer main 75+ Sewer/septic service line 25+ Animal containment areas 50+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100't' 100+ Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building~tion Property line Wymain __ ~ellS on adjacent lots ABSORPTION./I~D ON LOT TO: Property li~_ . Wat./er~ervice line ~rta'm drain Absorption field Water service line Surface water Building foundation Surface water Wells on adjacent lots Water main Driveway, parking/vehicle storage. F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and re~/iew of Municipal records that the abot~e systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 2/23/2016 COSA canaPj sheet_2-6-15.doc Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elrnore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On-Site Systems Approval # OSC 161054 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 6, Lot 2 of Granit View Subdivision. This inspection revealed an arsenic concentration of 53 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of I0.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On-Site Water and Wastewater Program website (www. muni.org/onsite) or at 343-7904. This advisory must be attached to ail copies of the subject Certificate of On- Site Systems Approval. ~SEMENTS OF RECORD, OTHER THAN HOSE SHOWN ON THE RECORDED ;AT ARE ~OT SHOWN HEREON, ~7 -8- AS-BUIlT NO CORNERS SET THIS *DATE I hereby certify that I hav~ performed spection cfi the following described property: ,~LoCA~ - 6 G AA?Y'%-~ YT~£~V Anchorage Recording I~ecinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying.adjacent thereto encroach on the premises in question and that there are no roadways, h'ansmission lines or other visible easements on said property except as indicated hereon. Dated a{ Anchorage, Alaska this. /t' ~-/~ day of ~ZS' ~, 19 <5~L FRED WALATKA & AESOCZATES Eng/neers and Surveyors Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA) # OSC 161054 During a recent COSA on-site inspection and test of the potable water supply well on Block 6, Lot 2 of Granite View subdivision, the well's productivity was determined to be .75 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3-bedroom residence is .31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval.