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Home My WebLink AboutO'DOWD ACRES LT 2Onsite File i2 5 1 AM In Fdrmerly TI 2N W Sec I I W'eE2NW4 s 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. _ _ - ��.. Max A. Schillinger -.�j • LS-12039 �' r �� •�5.�AMP 35.0' �,, FESSIONAV�'+ x x x x X x x �N 90'00'00" W X - - - 182. 4 ' \ 11/30/2018 x _cn- _-4 I Ncri o ► ; I \ x v a I A 0 0 / \ \ LOT 1 x LOT 1 c''. o m I 0 LOT 2 x ,°� m rn I c x o�°�1�SHED LOT 2 1 0 N x �. Z Io o N — loo 0 N 14.8' R* Ii.O O y 9.5' ; r'' 1- N / x I v TRACT A ` , x � I m LOT 3 0 X w I O x cn w E 0 Q� m l r 26.1 N - = w S 4' I LEIKER \ Cn SEWER ASBUILT-"— 22.6' I PLAT #78-46\ x N I.....................WELL ....... 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