HomeMy WebLinkAboutMCCREADY MEADOWS LT 10AMcCready
Meadows
Lot I OA
#015-092-90
Municipality of Anchorage -"
-�
(• Development Services Department
Building Safety Division '
Onsite Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650 Page of
www.d.anchorage.ak.us (907) 3417904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWOGOQ33 PID Number. 015-o72- 88
'"" Ur $ 5f ce Meder
Wastewater System: KNew ❑Upgrade
Aee.F. 1051/0 V051KOF PIACEABSORPTION
FIELD
p11Rr raaroaf a Basoana 5,
)(D� T al D sneww Tloo Daae ❑ aria O oewr
Asa
LEGAL DESCRIPTION
Rema
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op
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SEPARATION DISTANCES
❑ Septic ❑ Holding AS.T.E.P. ❑ Other
To
Septic
Absorption
Litt
Holding
ubbr/PnMe
a'r"'«
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r
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Tank
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Station
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Inspections performed by: �nlSS r2�dn Dates: 1" i�3oi
2nd 3 3 D%
i �• fit, ,f9ll�
Development Services Department Approval
� 49TH r
Conditional Approval Date:
.'06 ,,1
r , L;..;15. SF AKLAKD.
Reviewed and approved by: Date:
IM ONII.I
i
I ,
I I
I
1 ,
I
I LOT 9
I I
I I UNDEVELOPED
I I
I I
L — Well
HO
INSTALLED 5 -BEDROOM SEPTIC SYSTEM
2000 GAL. STEP SEP71C TANK W/ DEEP TRENCH
LENGTH 61 1£FT
MOTH 5 IrET
DEPTH 10 fFFT
ROCK B fFET
2• ANSULATION
COVER J f£fT
USF
n
I
UNE UUTED UNDER DRIVEWAY I
f
SHOP I
L0T l0A
- - - - - - - - - - - J
NOTES:
1) ALL WORK SHALL B£ PREFORMED IN
ACCORDANCE WITH AMC 15.65..,�-- %.411 1
•
t) MA1CR/ALS USED SHALL Bf M ACCORDANCE �� d'
WITH THOSE SPfCf20 1N AMC 15.65. �! p"��........ 4.4
UNSUBDIVIDED
I I
i
25 1 0 25 50 75 100 125 150
I SCALE: I' = 50 FT.
rte.;•• L9�
49th
SPURKLAND
I SPURKLAND ENGINEERINGLOT 10 McCREADY MEADOWS I I SEPTIC SYSTEM ASBUILT I
203 W 157H. AVENUE DATE: JULY 12, 1007
ANCH. AK. 99501 BRADY & STACEY NIED£R
i I SHEET. 2/3 GRID: 2440
I PERMIT # SVO60229 PID # 015-092-88 MCML102.DWG
�O =we
4�
3
2000 Gallon STEP Tank
c
a
V
Standard Trench:
3'
61'
Wide
Long
Lon
w
I-
• OF
E ........
10'
Beep
o
,.
8'
Sewer rock
2'
Insulation
49th
3'
Cover
• r"'Sn 1_ ] �j '.
_
SPURKLAND
CE -11500
NO SCALE
S
Monitor
Cleanouts 4' Cover
3' Cover
2' Insulation
Silt Barrie
•:•• ••: a •.:. •'s i ::.• : •� �s:•:�••••3'i
Effective
I
iii Got STEP Tank
Nil SCALE Bottom TH rlev.=83.8'
No Water
Femch Mork D..
Assumed Elevation Jam Garage
SPURKLAND ENGINEERING LOT 10 AcCRWY kwo#s
Ii •..
Anchorage Ak 99501 SHEET, 313 GRID 2440
FROM : ALPINE DRILLING
FAX NO. : 907 345 0202 Dec. 12 2007 11:33AM P1
ALPINE
DRILLING
&
ENTERPRISES
Permit Number. PSW060229 Date of Issue: 7.27-0 Parcel Identification Number: 015-092-88
Date Started: &22-07 Date Completed: 5-23-07 Is well located at approved permit location? ® Yes [] No
Legal Description: McCready Meadows Lot 10
Property Owner Name & Address: Brady & Stacy Nieder
10960 Voslkof Polaco
Borehole Data:
Soil Type, Thickness & Water Strata
stick-up
sr7ty gravelly sand
silty gravel
silty graveity sand
siltygravel .
gravel
silty sandy gravel
silty sand
gravelly sandy slit
silty sandy gravel H2O
bedrock, H2O
Depth (ft)
From To
0
2
11
35
47
81
112
161
178
220
221
2
11
35
47
81
112
161
178
220
Method of Drilling ® air rotary ❑ cable tool
Casing type: steel
Wall Thickness: .250 inches
Diameter.,¢ inches Depth: W feet
Liner Type:
Diameter inclies Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground Ievel): J_$ oet
Pumping level: 224 feet after
Z hours pumping Q Spm
Recovery Rate: f gpm
Method of Testing: 2LE
221 Well Intake Opening Type:
226 ® Open lnd ❑ Open Hole
Screened Start191 feet Stopped 199 feet
[:]perforations Startfeet Stopped feet
Grout Type: bentoni(e chips Volume: Lbg
Depth: Start.Q feet Stopped 2 feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller. Alpin DriDing & Enterpnses
PO Box 110496
Anchorage Alaska 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion.
JLIL-20-2007 02:088 FROM: TO:3437997 P.1/1
Oevdewwo 6nr)easafoy �Oo t w*
lm
on•alh� i Weetesefr N"
moo &vow S~
P.O. box 19111120
Arg"ll, At "804M
*Afz*
lee�l�esr
Pump lAsteg ,t�1�ar Lao
Wen nwftl FIf t=b"=----- flen e►lf�ae)
tirw7► lmktVWA waw !bp of Wdt Co do 6"
ha+i MviewMlhtTRrrh neje ' L0 "A
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c"Mant -FX'ficv�d Ca 51 Y17 3
CALL FOR SERVICE
—COWOWWderSYMOMBar-to - •••rte
AAROW PUMP & WEII SERVICE, LLC
ANCHORAGE BRIAN WILLE EAGLE RIVER
(907)040 -MW (007) 00Y-8786
Ate( TkefoamiagdW4WPaAhapWVCmt&VXI M(MtODOWW"]0byeefP Wberdlydew
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW060229
Date Issued: Jul 27, 2006
Expiration Date: Jul 27, 2007
Parcel ID: 015-092-88
Legal Description: MCCREADY MEADOWS LOT 10
Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 9860 CONIFER STREET
Owner Name: BRADY & STACEY NIEDER Lot Size: 81413 SO. FT.
Owner Address: 10960 VOSIKOF PLACE Total Bedrooms: 5 Permit Bedrooms: 5
ANCHORAGE. AK 99507 -
This permit is for the construction of:
❑✓ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑✓ 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 DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 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 By:
Issued By: 1 1 /[
Date: �I o U
Date: Z't
Municipality of Anchorage ,,
iDepartment
.,, Vii~
Development Services ep`;
Building Safety Division
On -Site Water and Wastewater Program TV
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsile
(907) 343-7904
ON-SITE SEPTICMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-07x-9
Propertyowner(s) • S4ace —Day phone 33G —0018
', P% A Zip Code 7150T
Mailing address // 10 960 Vo5i o� � ph. ( -e t .1 ra4 e
Site address `7 8f`¢_ D �/11 �rX x171 p Zip Code
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
Lot Size 81 413 Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
R.
Water Storage
❑
Number of Bedrooms 5
THIS APPLICATION IS AN:
Initial
Upgrade
Renewal
I certify that the above information is correct. I further certify that this application
Sin le Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of pr eny owner or authorized agent)
Is being made for a
Date of Payment:
Receipt Number. __1S Receipt Number:
(Rev. 11105)
LAW
SPUTMand Efigheefing
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
IAT 10 McCREADY MEADOWS
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
Subject:
Ladies and Gentlemen:
Well & Septic Permit
Lot 10 McCready Meadows
July U, 2006
1 am writing to request a permit for the construction of a well & septic system for this property. The proposed system
will serve a 5 -bedroom single-family residence. It is my understanding that a detached garagelshop with a bathroom will
also be constructed. The lot is currently undeveloped.
Soils: Two test holes were excavated on July 13, 2006. See the attached soil logs. The soils were variable, consisting
mainly of silty sand with some gravel. Pockets of silt and sandy gravel where identified. A percolation rate of 3.4 and
3.6 minutes to the inch were recorded in the silty sand material. Based on the variability of the soil an effluent
application rate of 0.8 gpd/sq.fL was used for design. Ground water was monitored from July 13" to July 19°i and was
not detected.
Surface Water: No surface water was observed within 100' of the proposed septic system.
Topography: The topography of the area is relatively flat (GS%) with small hills and depressions that will be leveled
during construction.
Well: The well will be installed to the north east of the proposed house. There are no septic systems with in 100 feet of
the proposed well.
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of
surface runoff will not result from this installation.
If you have any questions or concerns, please contact me at 279-3916.
Sincerely,
�� SP,hL
Lars Spurkland, P.E.
Civil Engineer
203 West 15 1b Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.net
fa111-tm
�"
Spuftk d C M909RO N
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
LOT 3 BLOCK 2 BROADVIEW SID
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
July 21, 2006
We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of
three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed
improvements of the lot, of which only the well and septic system is subject to this permit application, (sheet 2/3), and a
schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed The
septic system design is based on the following:
No Ground water encountered
Use standard trench
Soil Rating. From Testhole 7/13/06.
3.6 minlin = 1.2 gal per sq.f /day
No. of Bedrooms 5
Required Area per Bedroom: 150/1.2 =125 sq.fL
Total area required: 125 x 5=625 sgft
Bottom Rock 10 feet
Top Rock At 2 feet
Rock Depth 8 feet
Total Bed Length
USE 60 FEET
625 /16 = 39 feet
SYSTEM CONFIGURATION
1500 GALLON W/ 8 FEET ROCK
TOTALLENGTH 60 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 FT
ROCK DEPTH 8 FT
COVER 3 FT (MIN)
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.net
� I
I WET I ANDS I c� / I I
I
TYP B LEi 9 I
rr 1,0
'- --
`�.(7; I Mousc
LOT 10A
• T iri2'�11
r Tp l"1;
LET 11 II
C�
cJ I II
50 0 50 Ix 150 Xv 250 300
SCALEr 1' = 100 FT.
BRADY
+& STA OURTDER
LD1 '04
49th
SEPTIC SYSTEM DESIGN
DATE. JULY 20, 1006
SHEET: I/3 GRID: 2440
PERMIT #SW020XXX PID # 016 -141 -XX HcCRE4DYHL101.DWG
� LOT 9
1 1
1 UNDEVELOPED
I I
1 1
-& Well
C J1 I
PROPOSED I
MOUSE �. . \ WAU S-KDROOW SEPTIC SYSTEM
. • 15M CAL. SEPAL TANK W1 DEEP M119
-`� •' LEWTN 60 fm I
'' DETH IM
EPW t
Do fm I '
TON I I
�. COYER S FEET I
i T FROM= lw � LOT 10A
-- — — — — -- — — — —
J
I MOTES:
1) All WORK SHALL Of PREroRYID 01
r 0. ACCORA ACE WIN AMC 13.65
I I t) taTERulS USED SHul Mr N ACCORDANCE OF
..�Q/ ,1
I I WNTM05C SPCL1W RA MAC 1565, •. ........ •..�♦i♦♦ I
I ' 49th
I �... i.....
00 ..................................
I I UNSUBDIVIDED , i, Arts PURKIAND Z:
1 I ♦♦ No. c[-ttsoo ti i
I ♦♦j•.. 11 0(�•••
1'•- B'E;k�•••
251 0 25 50 75 lx 125 150
I SCALEt 1' = 50 FT.
OWN SPURKLAND P.£. LOT 10 McCREADY MEADOWS SEPTIC SYSTEW DESIGN
103 W 157H. AVENUE BRADY STACEY NIEDfR DATE: JULY 20, 2006
ANCH. AK. 99501 SHEET.• 2/3 CR/D. 2440
PERMIT A PID # HCHL102.DWG
75'
O O
r.
N �
O s 1500 gal Septic tank
0 a
r
C C`V
d
U p
W y'
a
� 3
A `pp
Standard Trench,
2'
Wide
60'
Long
10'
Deep
8'
Sewer rock
2'
Insulation
3'
Cover
NO SCALE
2' Insulation
silt
8 Ft of Septic Rock
Effective
203 W15th Ave
Anchorage Ak 99501
NO SCALE
LOT 101remnr RAMAS
BRADY & STACY Ni£DER
14101 COOM YEW DfPNE
49th
LARS
1500 gal, septic tank
SEPTIC SYSTEM DESIGN
DATE, JULY 20, 2006
SHEET, 3/3 GRID- 2440
PERMIT / SW0600XX PARCEL ID McK103.DWO
Municipality of Anchorage
Development Services Department
Bulking Safety Division
�r
on -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
www d anchoroae.ak.us
(907) 3437904
TEST INOL.E "1
Soils Log - Percolation Test
Performed For. BRADY NEIDER
i yA,- TH ^1Is9�
;..:49.-6SU
�:sr
�.. ...:TARS E. RKLAND.
1500
\
Date Perto ned: JULY 1Z�20A9�
Legal Description: LOT 10 MOCREADY SID Township, Range, Section:
Depth
dsl�0VCaJtlly
SCIVIA WI Silt
Lren5e5
Fail
17 -
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT DEPTH?
Depth to Wrier Alter
Monitoring7 l7.'•/
Dare: i O6
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
7/13/06
4.26PM
0 MIN
15.25'
12.63'
7/13/06
4:36PM
10 MIN
16.63'
2.62'
13.75'
7/13/06
4:46PM
20 MIN
16.88'
2.88'
13.88'
7/13/06
4156PM
30 MIN
16.56'
3.000
14.00'
7/13/06
5:06PM
40 MIN
16.63'
2.56'
14.00"
7/13106
5:16PM
50 MIN
16.63'
2.63"
13.88'
7/13/06
5:26PM
60 MIN
2.75"
PERCOLATION RATE 3.6 (mnm~) rtwc r Lc uwmc, �m o
TEST RUN BETWEEN 4 FT AND FT
COMMENTS PRESOAK AT 2:10 PM
PERFORMED BY: LARS SPURKLAND I .L..,�,�-. CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDE NES IN EFFECT ON THIS DATE. DATE: 7/15106
r�)r Frrv?,e t
Municipality of Anchorage � • ,. • • S l�
Development ServiceQ
Services Department i A
Building Safety Division / �.'•
On-
Site Water and Wastewater Program j � 49TH
� 4700 South Bragaw SL A �L�y. .L•*,J /
P.O. Box 1950 Anchorage, AK 99519-6650
66 • •�+•'r• • .� /
www cienchorage.sk.11 LARS'E. SPURKLAND,.•' j
(907) 543.7904 �' �r�•,•,. 11500
Soils Log ?Percolation Test �i19 r�
Performed For. BRADY NEIDER Date Perk red: JUL wPbab'�
Legal Description: LOT 10 McCREADY S/D Township, Range. Section:
ewe awn
Depth
2-
San�y
5A
wl 069eo
1D- QO SGn
11-
14- JGt'1C11
15- @ L 1r- JIIL
- WkAIPo
18
WW
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT DEPTH?
Depth to WaterAfter V
►bnitocwvwtrgT V ---��
Data: 2LI 0(0
Reading
Date
Gross Tine
Net Tem
Depth to Water
Net Drop
7/15/06
12:29PM
0 MIN
9.75'
6.50'
7/15/06
12:39PM
10 MIN
9.44'
3.25'
6.31'
7/15/06
12:49PM
20 MIN
9.38'
3.25'
6.31'
7115/06
12:59PM
30 MIN
9.88"
3.07'
6.75'
7/15/06
1:09PM
40 MIN
10.13'
3.13'
7.00'
7/15/06
1:09PM
50 MIN
10.13'
3.13'
7.19'
7I15/O6
1:29PM
60 MIN
2•��
PERCOLATION RATE 3.4 (m KAO'k4,) PERCHGLEDVWE,.. v
TEST RUN BETWEEN 3.5 FT AND 4.5 FT
COMMENTS PERCOLATION HOLE WAS PRE-SOAKED
PERFORMED BY: LARS SPURKLAND I ' CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/15/06
•
GE tr
•; Municipality of Anchorage 4
On-Site Water and Wastewater Program 4 esu'
(907) 343-7904 SA ETV
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 015-092-90 Expiration Date: 1 i`22- - (7
1. GENERAL INFORMATION
Complete legal description McCREADY MEADOWS LOT 10A
Location (site address) 9850 CONIFER STREET, ANCHORAGE,AK 99507
Current Property owner(s) STACEY R. NIEDER Day phone
Mailing address 610 E 76TH AVE.APT. 2,ANCHORAGE,AK 99518
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual
Individual Well ® Holding Tank ❑
Individual Water Storage ❑ Community ❑
Community Class Well ❑ Public Sewer ❑
Public Water System ❑
WaiverNariance request for: Distance:
Received by: Date: - Z /- / 7
COSA to be released to th- - , unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment g J li IV? Date of Payment
Receipt Number (3:;- t. Receipt Number
COSA# cSC 1? I7(2"" 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.
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 8/8/2017
THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED
WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. 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 ArcTerra guarantee that no unseen ��\
encroachments,deficiencies or discrepancies exist. • OF AL`,
k 4• Ti I y* ;
6. DSD SIGNATURE /-- '
AS �
System #1 Approved for .3 bedrooms. KENN `nil M.
System #2 Approved for bedrooms. 1 7116
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Disapproved. \ '' .ff.,, o`
Conditional approval for bedrooms, with the following stipulations:
ON-SITE t
WATER AND
n WASTEWATER F.
PRCOR/',fiu
. V Original Certificate Date: g -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 blue sheet 1O-10-12.doc
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: McCREADY MEADOWS LOT 10A Parcel ID: 015.092.90
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 5/23/2007 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 226 ft. Cased to 221 ft. Casing height (above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 5123/2007 8-2-2017
Static water level 182 ft. 198 ft.
Well production 5 _ g.p.m. 1.75 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 6.07 mg/L
Arsenic: ND ug/L Date of sample: 8/112017 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP 1 STEEL Date installed 7/312007
Tank size 2000 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YIN) Y
Date of pumping 8-of- 11 Pumper OPE- STOP
C. ABSORPTION FIELD DATA
Date installed 7/3/2007 Soil rating (g.p d./ft2 or ft2/bdrm) 1.2 System type DEEP TRENCH
Length 61 ft. Width 3 ft. Gravel below pipe 8 ft.
Total depth 11.9 ft. (Measured 8/2/17) Eff. absorption area 976 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 8/2/17 Results (Pass/Fail) PASS For 5 bedrooms
Fluid depth in absorption field before test 24 in. Water added 760 gal. New depth 31_ in.
Elapsed Time: 1110 min. Final fluid depth 24 in. Absorption rate >= 750 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) N _ If yes. give date
D. LIFT STATION
Date installed 7/3/2007 Size in gallons 2000 Manhole/Access (YIN) Y
"Pump on" level at 28 in. "Pump off" level at 28 in. High water alarm level at 23 in.
Datum TOP OF TANK Cycles tested 2 Meets alarm &circuit requirements?Y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ 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 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain_50'+(NONE KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
300-gallon water storage tank inside house.
G. ENGINEER'S CERTIFICATION
! certify that 1 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. ! OF A j`N
)
Engineer's Printed Name KENNETH M. DUFFUS
Date 8/8/2017 __- / 49 9 Ti-)
"AAA' 1.0111.-Wilf
COSA canary sheet_2-6-15.doc /
G' 7118 4
•
• Municipality of Anchorage
* U 4
•t Development Services Department ;`
Building Safety Division tir
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Nitrate Advisory
Certificate of On-Site Systems Approval # OSC 171362
A Certificate of On-Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
10A of McCready Meadows subdivision. This inspection revealed a nitrate
concentration of 6.07 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/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.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble
in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass
rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is
in the form of ammonia or protein first, which through contact with oxygen and certain
bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from
wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also
result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or
three years, but is associated with a potentially fatal infant disease called
methemoglobinemia. In the digestive system of young children, nitrate converts to
nitrite, which can pass through the intestinal wall into the blood stream. There it
combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The
EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The
standard has been lowered from a previous level of 45 mg/L set by the US Public Health
Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and
other common home water treatment systems such as softening or iron filtration does not
readily remove nitrate. The best method for limiting nitrate in well water is source
control. This can include avoiding overdosing of fertilizer near the well and maintaining
good separation distances between septic tank leach fields and the well. A special anion
exchange filter that contains a media with a strong affinity for negatively charged ions in
water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical"
methods using a spectrophotometer to read the final color endpoint. Specific ion
electrodes also can be used to detect the activity of nitrate in water. This laboratory uses
several different wet chemical methods approved under the public water supply
laboratory certification program. They also have test kits available, which the laboratory
uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test
kit results against a certified analysis from the lab occasionally to verify the accuracy of
the kit. We recommend using a specially prepared bottle that has been rinsed in
hydrochloric acid for collecting samples.
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I LOT 11 I I I
10' TELECOM & ELECTRIC EASEMENT
PLOT PLAN _ AS BUILT X SCALE 1' -. 50' GRID SW 2440 Protect No. 07-079
Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
(907) 522-6476 Phone
Registered Land Surveyors (907) 522-4625 Faxa �opt
kglangleOalosko.net / JclongisOalaska.net ,` ...........C�SaV
I hen certlf that I have surveyed the followingdescribed ro P•
by Y Y P PertY� '` •'.�
LOT 10A, McCREADY MEADOWS SUBDIVISION (PLAT No. 2006-63) ,r(2.: 49113 ''.9e q) The location of the structure(s)
Anchorage Recording District, Alaska. and that the improvement, situated thereon orer-••• ••••••.• e0 as 8h0'Wf on this record drawing
within the property Tines and do not encroach onto the property adjaoent thereto, that (as I�t1tlt)complies ITh Title 2i,AMC.
no improvements on the property lying adjacent thereto encroach on the surveyed //jj -4-�,;. - .A -- .
premises and that then are no roadways, transmission lines or other visible Kole- 4e. LANG bi
easements on said property except as Indicated hereon. (-)(J
Dated this the 541 Day of ` -yr6�,t7.Yt.. Zcso1. , at Anchorage, Alaska �lj ,eb ''•a! a,•' S`� date:_ --`
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H Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.