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Home My WebLink AboutVALLISKA LT 3AValliska Lot 3A #051-302-73 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. cLanchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW010364 PID Number:. 051--302--4-8 Name: JOSEPH VALLIERES WastewaterSystem: · New [] Upgrade Address: P.O. BOX 671924 * CHUGIAK, AK 99567 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 688-2949 5 r'lDeep Trench [] Shallow Trench · Bed •Mound •Other LEGAL DESCRIPTION ~" "~"°: '~' ""~ '~'= °~"'"~ 0.5 ~.D/S.. FL 5.0-6.0 5 VALUSKA 4.42-5.42 ~ 0.58 - - - SEE DWG. ~ 60 WELL: · New [] Upgrade 15 ~ 3 PRIVATE 62 r~ 61 rc 900 s~.~ D 5034/ F-810 SULLIVAN WATER WELLS 9/17/2001 27 F~ WALKER CONSTRUCTION 9/18-20/01 20 GPMJ UNKNOWN FLJ 2.0 FL TANK SEPARATION DISTANCES = s,pticD Holding D S.T.E.P. mOther To Septic Absor tlon Lift Holding =ublio/Pflvaf, e Manufacturer: Capaoit), in From Tonk Re~J Tank S~wo, Un** ANCHORAGE TANK Stotion 1000 Well 100'+ 100'+ -- -- 25'+ STEEL 2 Su,o:e Woter 400'+~00'+ - - - LIFT STATION Curtain Drain NONE KNOWN P.~p ~.~: Je.~al I.~,~ p~r'r~ ~ ~emarks: *5' LOT LINE WAIVER VERBALLY GRANTED BENCH MARK BY DAN ROTH ON 9/20/2001 TOP OF WELL HEAD J~""~ ~"~°"= 100.84 J~,,~.:..~ ~ .......... 2nd 9/19/2001 ~t J;~' /J:'~ Reviewed and approved by:~ Date:~o~ ~ ~,~:'"~ PERMIT NuMBeR: swo,o364 AS-BUILT DRAWING I / /~ ~ /~/~ /~/ X WIL REQUIRE ~e USE Of A ~ ~/ /~/ se~,o T~K D~L~ ~.~0 82.S~ DBL2 ~0.~ ~*.7. // / I MT1 45.19 39,86 cm ~3.~7 35,05 /// // co2 j4s.g3 33.7~ / // /./ co3 4~.~ 33.~ MT2 ~53.19 36.38 / /// co4 ~s.s~ so.~, ~ ~/ /, / ~ ~,o~ ~ * ~oo~ C05 94.21 90.03 // co~ ~2.4~ ~o.~ / // MT3 97.48 91.29 / / / / t , / A B ST1 51.87 55.04 ST2 57.84 60.71 DBL1 59.80 62.59 DBL2 60.99 63.75 MT1 45.19 39.86 C01 43.47 35,05 C02 46.93 33.76 CO5 49.98 33.41 MT2 ~ 53.19 56.,:38 C04 95.81 89.69 C05 94.21 90.0.:3 C06 92.48 90.61 MT,:] 97.48 91.29 MT4 95.11 91.58 ~ .::: 10/9/2002 ~="'x,~., /'/':: DRAWN BY: .''" ' c.J.o. ~'" ~ ~ ".~0~ AI,AS~ ~TER & WASTEWATER ~: ~.... ....... CONSULTANTS, INC, 6901 D~BARR ROAD, SUITE 2B * ANCHORAGE, AK 995~ * PHONE (907)3~7-6179 * FAX (907)358-5~6 1" =40' ........................ JOSEPH VALLIERES (907) 688-2949 2 OF 5 VALLtSKA SUBDIVISION; LOT 5, ~E OF WORK: AS-BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM LOCATION PERMIT NUMBER: swo., o.....,6,.. AS- BUILT DRAWlNG ,~,~E,.,,, 051-502-48 INSULATION PER EXCAVATOR .~ OUTLE'r = 95.82 _/ N 'W ',ooo reVERT 0~- nONe SEPTIC TANK INVERT or BONO AT AT INLET = 95.25 OLffLEr -- 95.09 -- INSULATION PER FINAL 6RADE - ORIGINAL ORADE tILlER FABRIC.~ EXCAVATOR (JIMMY /'~ BB.82-100.7~- ='9'"'*-'~°°"~4-X / WALKER) / MT CO CO , -, INVERT OF DISTRIBUTION , BOTTOM OF IRENCH RFLAT1VE ELEVA'IION OF no'FrOM OF ~ESlHOLE = 80.8,6 (TESTNOLE nRY).~{i]~...- DAT~: '~o/~/2oo2 ~'~ DRAWN BY: "" '" ~" h AIx~r~.SKA WATER & WASTEWATER C.J.G. ~CONSULTANTS, iNC. - n~L£: "'__] 6901 DEBA~R RO~D, SUITE 2B ~ ANCHORAGE, AK 9950& ~ PHONE (~07)357-6179 ~ F~'~ {907)5~8-52&6 JOSEPH VALLIERES (907) 688-2949 · ~.o~c.,~,o.: *O&,"- c -~,,'-~,~ ..'t;~ VALLISKA SUBDIVISION; LOT 5, e." PROFILE AS-BUILT DRAWING OF NEW SEPTIC SYSTEM DOC CO~ dba P.O. BOX 670272, CHUGIAK.~S~ 99567 · TELEPHONE 688-27~ LEGAL DESCRI~TION:d~Zq~ ~ 4~ ~ DATE: PERMIT NUMBER- O/~"~ ~.,~ Dateoflssue~_O TAX IDENTIFICATION NUMBER: _4~5"1 _ Is well located at approved perm t ocation? ~Yl~s ~:.1 No Method of Drilling: ~ rotary ~ cable tool Depth of well: ~-~' / CasingType-~--,~Wall Thickness_ ~ ~;~'~"""~,.~ inches Diameter_. ~ !1 _ inches, oepth ~ / _ feet UnerType:, ,¢~ ~,,~ Casing Stickup Above Ground: feet Static Water Level: ,¢~ ~'/ feet Recover Rate: ~ gpm Method of Testing:. Well Intake Opening Type: ~en end FJ open hole -' Screened; Sta.¢~ · f ' . · eet Stopped feet ~ perforations Start feet ,.~t¢pped feet · : ' · Volume )eoth: from . ~ feet. to' '¢{ ~ ~ feet Nell Disinfect,e? Upon Completion? ~ ,Q No ,4ethOd of Disinfection: ~ ~/4m~;¢,~. Comments: Driller's Name. /~,~..~ r~,.,~' - TTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority. Municipality Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: epartment of Environmental Oonservation. / / AS-BUILT I hereby certify that I have surveyed the'followm~ described property: ~..o T- ~ , V,'4LLI~KA ~r~ , Anchorage Recording- Pt~cmc~, Alaska, and that the iml~rove- ments situated thereon are within the propeyty lines and no not ~oe.tta? or encroach on the property lying adjacent theret0,_that lmprovementh on property lyihg adjacent thereto enci~ach on thepremises in questton and that there are no roadways, h'ansmission h'nes or other visible easements on said property except as indicated hereon. Dated at Eajgle River, Alaska th~s. ~ -'~ day of ,2'~ ,7_~ 200 RO~ER? C. JOHNSON SCALE: .Registered Land Surveyor No. 880-LS "~r-o LZ~x ~7-0456, 'E~le River, Alaska 995~' Phone (907) 694-2,543' MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Progrem 4700 South Bragaw Street P.O. Box ~196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Sep 10, 2001 Expiration Date: Sep 10, 2002 Permit Number: SW010364 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Joseph Vallieres Owner Address: PO Box671924 Chugiak, AK 99507- Parcel ID: 051-302-48 Site Address: 019239 DARBY RD Lot Size: 44122 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] 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. Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERHIT APPLICATION FOR A SINGLE FAHILY DWELLING Property owner(s) Mailing address (1) Mailing address (2), JOSEPH VALLIERES P.O. BOX 671924 * CHUGIAK. AK Day phone 688-2949 Zip Code 99567 Legal description (Lot, Block & Sub'd.) VALLISKA SUBDIVISION: LOT 5. Legal description (Section, Township & Range) N/A Lot Size 44.092 THIS ~I.ICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Acre~Sq. Ft. Number of Bedrooms [] Well Only [] · Water Storage [] THIS PROPERTY CONTAINS: Hot Tub [] Jacuzzi [] Swimming Pool [] Water Softening Unit [] Therapy Pool [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal cedes. ALASKA WATER &: WASTE'WATER CONSULTANTS~ INC, Permit Fees: Date of Payment: Receipt Number: Waiver Fees;. Date of Payment: Receipt Number:. ALASKA WATER & WASTEWATER CONSULTANTS. INC. August 28, 2001 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650, Anchorage, Alaska 99519-6650 Ref: Well and Septic Design for Lot 5, Valliska Subdivision To whom it may concern: The proposed 3 bedroom house will be served by a private well and septic system. Two test holes were excavated in the area of the proposed septic system. The septic system will be designed around the 30 foot radii of these test holes. We are proposing that a 1000 gallon septic tank and a bed type drainfield be installed. Conunents regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.5 gallons/day/R2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 8 & 12 minutes/inch b. Allowable Application Rate: 0.5 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 900 ft2 f. Total Depth: 6 feet (maximum - at any point) g. Effective Depth: 0.5 feet h. Width: 15 feet i. Minimum Length: 60 feet long j Effective absorption area = 900 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 4. TOPOGRAPHY: As can be seen on the attached design drawing, the area for the proposed septic system is mostly flat; in short, there are no slope concerns. We are unaware of any adverse impacts tlfis installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. ~P.E., M.S. Pmsid~n~ ~ NOTE: Attached is a site plan drawing, a design drawing, two soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I I [ I \ / I I I I I NO ENCR~ACHMEN3 : I ! NO ENCROACHMENT l I I } '~/ I / I I I t ~/ ~ / / I I ~ ~ o~ I/ / ~ I J I ~ ~/ ~ / ~ ~ ~ V~S~ S/D I I I -~ ~ ~ / I I LOT ~ / // ,/ ~ NO ENC~ACHME~ ~ DmlGN. PAGE 2 Of 3) ~ ,~[ // / .... ~ CONCERNS / I '~ /~'~/L ~ WA~ I I HOUSF ~ ~/,, ~TER~ S~ I , ~ I~ l/ ./ DARBY ROAD -'..._ ..... ...'/ /./ Gu / ~ LOT H "' ,X / ,/ }~ 8/28/2001 .~-~ OF PREPPED ~R PHONE NUMBER: PAGE NUMBER: ~..~.'~ ~ ......... JOSEPH VALLIERES 688-2949 1 OF 5 ~ ~d~ey[~, Gorness/ LOT 5, VALLISKA SUBDIVISION ~h;~.~'~._ SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM THE TANK IS TO BE THE TANK IS TO BE THE TANK IS TO BE 5'+ FROM LOT UNE THE DENNFIELD IS TO BE I0'+ FROM LOT LINE NOTE: THE CONTRACTOR SHALL HAVE THE 15' UTILITY EASMENT - -- PRIOR TO CONSTRUCTION, /_~,v ~.~/ ' / ~ /.-~ , BED 'iHAT IS 8 FEET DEEP MAXlMUi~ J · J ~ BY 15 FEET WII)£ BY 60 FEET LONg. //~o /~-k \ ~W~NO, PAGE ~ OF =)---~ ///~/:: b / [ II/ ///:f?///~: / _~/ ' 8/~8/~oo~ ~WN AI ~ WATER & WASTEWATER CONSULTANTS, lNG. " PREPARED ~R: PHONE NUMB~: PAGE NUMBS: JOSEPH VALLIERES 688-2949 2 OF LOT 5, VALLISKA SUBDIVISION ~E OF ~RK: DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM I Om' m'O IOco coO ---I ~ROPOSED 1000 ~ON S~IC T~K c~ co ~ I ~L~R F~RIC ~:~ 8/28/2001 ~ CONSULTANTS, INC. -------- N.T.S. PREP~ FOR: PHONE NUMBER: P~E NUMBS: JOSEPH VALLIERES 688-2949 5 OF 5 ' ':' ............. :""~ ess: LE~ DESCRI~ON: ~0 ".. LOT 5, VALLISKA SUBDIVISION DETAIL AND PROFILE OF PROPOSED SEPTIC SYSTEM WATER & W' TEWATER ' CONSULTANTS, INC. 'l ..... ~ ~ r., ~ , ~1 ~R ~, ~ 2B * ~ ~. ag~ * PHONE (Uu/~/-8170 * ~: (~ * ~ a~ ..... ]SOIL LOG - PERCO~TION TEST] ~/ ./~,.. ...,,t LEGAL DESCRIPTION: VALUS~ SUBDNISlON; LOT 5, PERFORMED FOR: JOSEPH VALUERES DATE: 8/21/01 DEPTU ~ ITEST HOLE , SOIL C~SSlFICATIONS SiTE P~N] ///// ..... V~S~ S/D , ~ GM CL ~x // / /' ~__~~ GC ~¢ OL ~ ~ ,,/~ ,~ . . SW MH 5-~ ~SP~ CH , /// , SH OH I ,/ / / I 6-- SC I / / / ~ l S~/ML 7-- , DEPTH TO DATE , GROUNDWATER 8-- : DRY ~21/01 ; DRY 8/22/~! - TEST HOLE LOCA~ONSI / 10--~ 11 ~ ~ DATE READING CLOCK NET TIHE WATER LEVEL NET DROP ,, TIHE (HINUTES) READING (INCHES) ', 8/22/01 1 2:~ - 6. - 12-- ~ 2- 5:10 30 2" 13_ s.o.~. 3 5:10 - 6- _ 14-- 5 3:~ _ 6- _ 6 4:10 30 2 1/4" 5 3/4" 15-- 16-- 17-- ~ 18-- 19-- PERCOLATION RATE 8 (HIN./INCH) PERC. HOLE DIA. 6" (INCHES) TEST RUN BETWEEN. 5.0 FT. AND 5.5 FT. 20--~ COHHENTS: PERC HO~ WAS PRE-SOAKED FOR 4+ HOURS. PERC TE~ W~ PERFORMED BY CA~B GALL PERFORMED BY A~SKA WATER ~ WAS~WATER I, JEFFR~ A. GARNESS, CERTI~ THAT THIS ~AS ~ERFORMED IN ACCORDANCE WITH ALL ~ATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO DATE GROUNDWATER DRY 8/21/01 DRY 8/22/(3! shslo. AI.ASKA WATER & WASTEWATER~-"4 "r"~' ~'~- CONSULTANTS, INC. ~. .... ~°'LEGAL--DESCRiPTiON:~ sur~ 2, * ~c.o~or., ~ .so~ ~' .HO~.,iSOmLv~s~LOGsuBDiViSION;_ PERCO~TIONLoT(a°7)~7-"~' F~5, TESTI(9°~-32~ *--'= e.=.mm~ PERFORMED FOR: JOSEPH VALLIER~ DATE: 8/2¥01 qb~e¢fi'....? _....' - --= reTEST HOLE ¢2m %e ~: S01L C~SSIFICATIONS SITE P~N] / / ''~ :;;~,,w..~;', GW ORG 1"=100 ] Lm 5 ..... V~lS~ S/D ? / / SW ~,~ MH x , / '~ , ', / SC ,/ SU/~L DEPTH TO DATE ' ~" ,/ D~ 8Z21/01 / D~ 8/~01 - TE~ ARE HOLE APPROXIMATE LO~TIONS / 11 DATE ~E~DING CLOCK NET TI~E WATER LEVEL NET DROP TI~E (~INUTES) READING (INCHES) 8/22/01 1 2:40 - 6- - 12 ~ 2 ~ 3:10~ 30 3_1/4" 2 5/4" 13 5 3:10 - _6" - 4 ~ 3:4~ 3~ 3~2" 2 1/2" 14 5 3:40 - 6" - ~ ~:10 30 3 1fi2" 2 1/2" 15~ 16 18 19 PERCOLATION RAIE 12 (~IN./INCH) PERC. HOEE DIA. 6" (INCHES) lEST RUN BETWEEN 5.0 FT. AND 5.5 FT. 20 CO~ENTS: PERC HOLE WAS PRE-SOAKED FOR 4+ HOURS. PERC ~ WAS PERFORMED BY ~LEB GALL PERFORMED BY A~KA WATER ~ W~I~ATER I, JEFFR~ A. GARNESS, CERTI~ THAT THIS W~ PERFORMED IN ACCORDANCE WffH ALL ~ATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: DEPTH TO DATE GROUNDWATER DRY 8/21/01 DRY s/~/Ol MUNICIPALITY OF ANCH Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-302-73 1. GENERAL INFORMATION Complete legal description Valliska, Lot 3A Expiration Date: 7— co— 20 a Z_ Location (site address) 19239 Darby Rd, Eagle River, AK 99577 Current property owner(s) Dakota Vallieres Day phone Mailing address 1919 196TH STREET SW #7, LYNNWOOD, WA 98036 Real estate agent Heather Maidl Herrington 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 907-433-9898 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic ED Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distan Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -5550 Date of Payment. 7q�ZZ Receipt Number 000 / Lf G COSA # 03c2-2-12-2-1 Date: 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Crewdson Engineering LLC Phone 907-280-9493 Address PO Box 671389, Amonson Rd, Chugiak, AK, 99567 Engineer's Printed Name James Crewdson Date 5-18-2022 System #1 Approved for 2—bedrooms System #2 Approved for bedrooms Disapproved A<A`r�ll arses A. Crewdson 0115,12 .• r til pROFESSION�.� ;. Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: �� _2 �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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic AdvisoryS _ Other q ( — _e Ad") � li,, t, 0"y r r 2 y By: Original Certificate Date: �� _2 �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 Septic System Advisory Well Flow Advisory COSA Checklist blue sheet X Nitrate Advisory Arsenic AdvisoryS _ Other q ( — _e Ad") � li,, t, 0"y s Legal Description: Valliska, Lot 3A If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth 62 ft Cased to 61 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA '-°.2022 Static water level at beginning of test 23 ft. Comments B. TANK DATA Age of tank(s) 20.6 years Tank type/material Septic/steel Measured operating fluid level in septic tank 49 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 6-1-2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 920-2001 ❑ ALL standpipes present per record drawing Total measured depth from grade 7-0 ft (max) Measured depth to pipe invert from grade 6.4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 051-302-73 Structure served by this system Well production at time of test 5+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ® Coliform bacteria is Negative Nitrate 2.86 1 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by Crewdson Engineering Date of Sample 517-2022 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date '-"-"22 Results [DPass For 2 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 2 in Elapsed time 900 min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 300+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced 1600* gallons If yes, enter date Comments/Deficiencies: *90M.580.4=1562 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' Yes Community Sewer Manhole/Cleanout > 100' ft If absorption field is under driveway comment below C]✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' [✓ Yes if No ft Private Sewer/Septic Line > 25'M Yes if No ft Absorption Field on Lot > 100' Q✓ Yes if No ft Holding Tank > 100' M✓ Yes if No ft Neighboring Absorption Fields > 100' ft Animal Containment > 50' FV1 Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' (a Yes if No ft P/ 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'C]✓ Yes if No ft Private Wells > 100'✓0 Yes if No ft Water.Main > 10' 0✓ Yes if No ft Community Wells >200' [✓ Yes ifNo 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' 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 if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10' Q✓ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Yes if No ft F. ENGINEER'S COMMENTS *per Garness 10/9/202 drawing. OF G. ENGINEER'S CERTIFICATION -A�? ' T l certify that I have determined through field inspections and review *' • • H• .. of Municipal records that the above systems are in conformance with ® • .. . . MOA COSA guidelines in effect on this date. Jam A. Crewdson � '•• C1i527 ,i .�o t `� \R,`�`..� COSA Checklist yellow sheet Septic Tank Advisory Certificate of On -Site Systems Approval #OSC221221 Subdivision: Valliska Lot 3A Starting; at 20 years of age the MOA issues Advisory's for steel septic tanks The septic tank for this COSA / property is 20.6 years old. A'leaking septic tank may be a source of contamination to the aquifer. Typical replacement costs range from $10,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank in failure and should be replaced. Ma�hng Address P O Box 196650 *Anchorage, Alaska 99519 6650 .. muni org 300 IN F \ mf \ o M 0 > m Ln> Km :2 z Z > I C) m K: m 502 c CD 0 0, ^� IBJ m�'��0 VVV \ S`fl. L5' S.- < c 1 1 0 4 a > No i . 2.ICU) a '5 It 2 Q0 �x �O \ r- 0. , 1 -: - o 8' -30-:C- c: ID ; "Y \ \0 F 03 oc k 6- < 0. 'o 'cl En 0 22 3 E a 0- .0.-.-0. g 0 lz . -.a C) 0'a 0 Z. a. 0 Sc .0 ym .0 go -C 6,0 EF, v3 0 D., 40 3 m Cm M o 0 o xo>.. > 0 49 Sao � Z ms a; C� C) > pC� 28.2, / \ 'f N 00-00'00-E 125.00' w \ mf \ o M 0 > m Ln> Km :2 z Z > I C) m K: m 502 c CD 0 0, ^� IBJ m�'��0 VVV \ S`fl. L5' S.- < c 1 1 0 4 a > No i . 2.ICU) a '5 It 2 Q0 �x �O \ r- 0. , 1 -: - o 8' -30-:C- c: ID ; "Y \ \0 F 03 oc k 6- < 0. 'o 'cl En 0 22 3 E a 0- .0.-.-0. g 0 lz . -.a C) 0'a 0 Z. a. 0 Sc .0 ym .0 go -C 6,0 EF, v3 0 D., 40 3 m Cm M o 0 o xo>.. > 0 49 Sao � C9 oo E Ecklund, Timothy J From: Walters, Michael S. Sent: Monday, June 6, 2022 3:00 PM To: Ecklund, Timothy J Subject: RE: Well in utility easment Right of Way has no objections at this time. Regards, Michael S Walters Senior Plan Reviewer -----Original Message ----- From: Ecklund, Timothy J <timothy.ecklund@anchorageak.gov> Sent: Monday, lune 6, 2022 2:59 PM To: Walters, Michael S. <michael.walters@anchorageak.gov> Subject: Well in utility easment Mike, Could you look at the attached asbuilt for Valiska lot 3A for a determination. Tim Ecklund Onsite Water and Wastewater Municipality of Anchorage 907-343-7905 timothy.ecl<lund@anchorageak.gov