Loading...
HomeMy WebLinkAboutLEWIS & CLARK LT 16Onsite File Lewis & Clark Lot 16 #017-074-80 M Ii ti Ii cn c LL L LL O C7 d ao0, O opp �O4 Q a� o + aci - c� c� Jad�4 �- p -o o_ 00 ru 0 rn 6� m ❑ ❑ 76 �o +vC° ��- Eos r. ��0 m a ti c n O n N v �'m NOD 70 m O 0 L � .L_. .:� 0 LO E N a N N D z o `- o o 0 o ��0, N ■ Elc _ _ * Ili __ ❑ T -- �, y �t I- o O m O U CL W C7 C7 N a) m m m M w a� _ O o 0 o S � z W ❑ ❑ c Lu LL LL ~ O` ~ m m` �° = o > J {I ; FLeAo v a CD a� v I z � N ❑ J w (1 Q pp O C') Lija �i >_, o a) a n a� n w ~ = z ZLL LLL C ❑O o Q ❑ Q J Q c LL ti li r 0 �, ZO W Q1 0 ca .V 1w f Q �rn0 ; w> ow w �o v � uJ c� O O 0 ¢ U w ¢ Lo n U) z t- z O❑ u) L � 36 ti � r` Y = :3 X O w o w U a ca a ❑ M ❑ Q ❑ ❑ �' a m s � >" o z ¢ C) mz w a M € C- z ,s ¢ a LU 3rL ¢ cn o LL - c� �- F- Q c w a [L w m 0 Q M El)_+ _ H E Q (B ¢ Q N (D's �J N z W Q c W C)w ° c U U N 5 m I -I eUr m Nt a rn. Z V!L-1 Cl) � O J— N• O I I I 1 N ❑O Q L ! 1 E O 2 I CO W N "t 0 N W U •C C u1Q Z .O z 2 1 1 1 1 U N N 0D N ¢ C O N El W o' -j O J W rn rn ai O z _ .I c0 = N z Z'1 C � C /�/ V lL / �L \\. 2 r d f, V Z U Z 8 N � LL p p O O z w m W Q cv E w O ¢ a r- z o N a eca u) LL O Q a ( Y + + + + O0 � N > O J m U Y E O O O O Ln Or z rn rn o�+� O CO � Z O w a .- Q b \ Z\ o ❑ J I W W O >+ \ Z v� LU Q a ~ 06 _ c 00 U s c (� > ; .0 C r a M N 1 J ¢ •� '> Q y �¢�// ¢ O Q 3 EU 00 0o waw 3' W E ca o -I cu E cu o a C p c Q a) Q c a`Ei �- ❑ co . z 2 in L m Il cn J o F- Cl) o � ° c O C1� Q _I I LLII C PERMIT NUMBER: PARCEL ID NUMBER: OSP241311 RECORD DRAWING 017-074-80 ----------------------------------- UPPER DEARMOUN ROAD ----------- ----------- 10' T & E EASEMENT - -- - -- B-RO-W-N-- ROH'ERS INSTALLED -E-DAGE-DRA-l-N-- SONB SWALE IN AUGUST OF 2024. LOCATION SHOT IN WITH LEICA DISTO BY GEG RELATIVE TO HOUSE FOUNDATION. z LU NEW 1500 GALLON EPDXY W COATED STEEL SEPTIC U) OUTFALL OF DRAINAGE TANK. SWALE/DRAIN. NO LU FLOWING WATER ON 9/4/2024. INSTALLED DOUBLE CLEANOUTS (DBLI & DBI -2) INSTALLED POLYLOK FLOW SPUTTER (FS) 'EGO'S (DOUBLE CLEANOUTS) FC01 & FCO2 CONFIRMATION PERK. T T6 PERFORMED PRIOR c2t- CONSTRUCTION FCOI 5.4 FCO2 56 MHI 53.0 83.7 117.3 MH2 60.5 90.2 122.8 DBLI 64.5 93.5 125.6 DBI -2 64.4 93.0 125.0 FS 65.9 87.7 116.1 C01 59.3 61.5 81.7 MT1 60.6 62.7 82.4 CO2 95.8 123.3 153.0 MT2 94.7 122.6 152.6 CO3 72.8 70.0 84.1 MT3 74.6 71.8 85.4 C04 104.5 128.8 156.1 1 MT4 1102.8 1127,8 1155.1 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. NEW DRAINFIELDS W GEG TH#1 A (914/2024) RESERVE SITE (AWWTS) 4-1 A In 1-4 cl I" OT TV"" F -r-: It ff A R N i Ez 5S E N( il I N IET" R I N (31 (34 R u L t d 9 ..... I.- ENGINEERING* SALES, CONSULTING P, 0 3701 EAST TUDOR ROAD SUITE 101 *ANCHORAGE, ALASKA* PHONE (907) 337-6179 WEBSITE: www.gamessengineedng.com 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 �n- % MICHAEL A. FRISON 907-242-2020 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: LEWIS AND CLARK S/D; LOT 16 J.L.M. TYPE OF WORK: DATE: LICENSE RECORD DRAWING OF NEW SEPTIC SYSTEM 10/1/2024 #AECC884 EXISTING WELL 'US rTrey A,-%amess :,&Q a CE 79 3 4-4 Ar o 2 9-0110<�. 0 ')?OFES DOC co doe BILL 4�N ► LLIU WATER WELLS OVP.Q. Box 670269, Chugiak, AK 99567 688-2759 Well Drilling Permit Number: OSP Parcel Identification Number: www.suilivanwaterwells.com Pump Installation Log 231219 Date of Issue 7/19/23 01707480000 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Certified Drilling Log ® DOC CO dba ♦�►ULLILL &VAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2753 OWNER OF LAND: Crown Pointe Homes ADDRESS: 8531 Trailblaze Circle Anchorage, AK Bore Hole Data Depth From To LEGAL DESCRIPTION LEWIS & CLARK LT 16 DATE: 10/30/23 0 2 Casing Stickup PERMIT NUMBER: OSP231219 DATE OF ISSUE: 7/19/23 TAX IDENTIFICATION NUMBER 01707480000 Is well located at approved permit location: ®Yes [:]NO Method of Drilling: ®air rotary Elcable tool Depth of Well: 55' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 49 feet Liner type Static Water Level: 36 feet Recovery Rate 5 gpm F-] gph Method of Testing Air Well Intake Opening Type: open end open hole Screened Start feet Stopped Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 Lbs. Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes 0 no Method of Disinfection: Chlorine 50 PPM Comments: 2 4 Overburden 4 15 Gravel/Some sand 15 18 Silt and some gravel water 18 38 Silty sand and gravel 38 48 Tight silty sand and gravel 48 55 Sand and gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. GARNESS ENGINEERING GROUP Ltd ENGINEERING SALES CONSULTING x,.... = 9 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA - PHONE (907) 337.6179 - WEBSITE: w%w.gameswngineering.com SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: LEWIS AND CLARK; LOT 16 PERFORMED FOR: MIKE FRISON DATE: 9/16/2024 DEPTH (feet) = �` ORGANICS/LOAM CONFIRMATION TEST HOLE 1 7 8 11 9 "; "11 ' B. 0. 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 9/16/2024 �Q N SCALE: iia 1"=100' DATE READING NET TIME WATER LEVEL READING (INCHES) I) SOIL CLASSIFICATIONS 6 - 0/16" - 2 30 MIN. 0 - 12/16" MGW 3 - •R - 4 30 MIN. 1 - 1/16" GP ML 5 (� 6 - 0/16" - �I M I I W I GM i 30 MIN. (� 4 - 12/16" 7 •CL I/�� 6 - 0/16" - 8 30 MIN. 000 SWMH 4 - 12/16" •.GM WITH Oo.". - CH ffix LENSES SM OH r Twp SIC 7 8 11 9 "; "11 ' B. 0. 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 9/16/2024 �Q N SCALE: iia 1"=100' DATE READING NET TIME WATER LEVEL READING (INCHES) NET DROP (INCHES) 9/16/2024 1 6 - 0/16" - 2 30 MIN. 0 - 12/16" 5 - 4/16" 3 - 6 - 0/16" - 4 30 MIN. 1 - 1/16" 4 - 15/16" 5 6 - 0/16" - 6 30 MIN. 1 - 4/16" 4 - 12/16" 7 6 - 0/16" - 8 30 MIN. 1 - 4/16" 4 - 12/16" 19 PERCOLATION RATE 6.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AND 3.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:' ; /- . MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241311 Work Type: Septic Renewal Tax Code Number: 01707480000 Site Legal Address: LEWIS & CLARK LT 16 G:2941 Site Mailing Address: 8531 TRAILBLAZE CIR, Anchorage Owner: FRISON MICHAEL ANTHONY & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: 2 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 9/13/2024 9/13/2025 80488 ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: S s `�� !-� �� s= C Date: Y . Issued By: Date: �j `r 4 ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-074-80 Property owner(s) Michael Frison Mailing address Site address NHN Trailblazer Circle Day phone 907-242-2020 Legal description (Sub'd., Block & Lot) Lewis & Clark Ll 6 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field Fj 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 WAIVER REQUEST FOR: Distance: I certify 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) Permit/Rush Fees: 2 32 Waiver Fees: Date of Payment: Receipt Number: Permit No. 0522A 15 1) Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\0n Site Water and WastewaterTorrns\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241311, Curtis Townsend, 09/13/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241311, Curtis Townsend, 09/13/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241311, Curtis Townsend, 09/13/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241311, Curtis Townsend, 09/13/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241311, Curtis Townsend, 09/13/24 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP231219 Work Type: WellSeptic Renewal Tax Code Number: 01707480000 Site Legal Address: LEWIS & CLARK LT 16 G:2941 Site Mailing Address: Owner: FRISON MICHAEL & AMANDA Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: n�enr Department 7/19/2023 7/18/2024 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing ��: r —, s U e a fe � � �r- Issued By: lam/ Date: Date: 2 4 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I.D. 017-074-80 Property owner(s) Michael Frison Mailing address Site address NHN Trailblazer Circe[ Legal description (Sub'd., Block & Lot) Lews & Clark L16 Legal description (Township, Range & Section) Day phone 242-2020 Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo AD U) Septic Tank X ❑ Upgrade � Duplex (D) El Holding Tank El Renewal Q Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify 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) Permit/Rush Feeo2.32. Waiver Fees: Date of Payment: Receipt Number: Permit No. 0_5 P23 i2 j 9 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP221140 Work Type: WeliSeptic Initial Tax Code Number: 01707480000 Site Legal Address: LEWIS & CLARK LT 16 G:2941 Site Mailing Address: Owner: FRISON MICHAEL & AMANDA Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: cnt h - n Deparanent 5/23/2022 5/23/2023 Lot Size in Sq Ft: 80488 Total Bedrooms: 4 Q Disposal Field ® Septic Tank ❑ Holding Tank ❑ Privy © Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: Issued By: '-66 Zr Date: p? iTl_�ot? _ ON-SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 017-074-80 Property owner(s) Michael Frison Mailing address Site address NHN Trailblazer Circle *Anchorage, AK Day phone 907-242-2020 Legal description (Sub'd., Block & Lot) Lewis and Clark S/D; Lot 16 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 0 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field [] Initial Single Family (SF) x❑ Septic Tank ElUpgrade (w/wo AD U) ❑ Holding Tank El Duplex (D) ❑ Renewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify 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) Permit/Rush Fees: _o Waiver Fees: Date of Payment: 7 �zo2 Z Date of Payment: Receipt Number: 01 f � & G Receipt Number: Permit No. C) 5 r 2� 1 I H 0 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231219, Deb Wockenfuss, 07/19/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221140, Rebecca Carroll, 05/23/22 �CRTHIRIM ENGINEERING SOILS LOG - PERCOLATION TEST Date Performed: 9/16/16 Performed For; Todd Brownson Legal Description: Lewis & Clark S/D, Lot JH )(o'- DEPTH (o DEPTH (FEET) 1 - Date Gross Time 2 Depth Net Drop - 9/16 3 - 2" -- 2 9/16 30 30 min. 4.5" 5 - ,: 32 -- 2" 7 - - 8 30 min, 4.5" 2.5" 5 9/16 65 -- 2" 10 6 9/16 95 30 min. 4.5" 12 - Q' 13 14 15 - 16 - 17 - 18 - 19 - 20 - 21 - T,H. Location: See Location Map Organic SM/ML Silty Sand & Silt w/Gravel Groundwater? No Depth -- Denser Water Depth After Monitorino.None Date: 10/14/16 # Date Gross Time Net Time Depth Net Drop 1 9/16 0 -- 2" -- 2 9/16 30 30 min. 4.5" 2.5" 3 9/16 32 -- 2" -- 4 9/16 62 30 min, 4.5" 2.5" 5 9/16 65 -- 2" -- 6 9/16 95 30 min. 4.5" 2.5" Percolation Rate 12 min,/inch Perc Hole Diameter 6" Test Run Between 4' and 5' Comments: Presoaked. Performed By NorthRim Fng, I Performed in Accordance with A ON THIS DATE. DATE: 10/22/16 NOR THRIM ENGINEERING PO Box 770724 Eagle River, Alaska 99577 907.694.7028 stn. EN ce-e= k10%22%1 4yy CERTIFY THAT THIS TEST WAS tate/Municipal Guidelines in Effect TESTHOLE LOG GEOTECHNICAL TH10 LEWIS & CLARK S/D LOT 15 1°at 0/22/10 110 of 26: Lewis & Clark Subdivision Groundwater Monitoring Lot No. Boring /Test Pit No. Depth High Groundwater Reading Date Notes 1 TH 27 (NE) 14'-0" 11'-0" 10/2/18 Onsite system installed and as -built shown on site plan 2 TH 15A (GEG) 15'-0" Dry 10/17/14 Groundwater was observed at 6.5 ft below grade by Steve Eng and MOA Onsite personnel in TH 26 (NE) in May of 2018 3 TH 24 (GEG) 16'-0" 15'-4" (TOC) 10/21/16 4 TH 23 (GEG) 14'-6" Dry 10/21/16 Existing well will need to be abandoned, or advanced treatment system will need to be installed at time of lot development 5 TH 22 (GEG) 16'-0" Dry 10/21/.(6 Existing well will need to be abandoned, or advanced treatment system will need to be installed at time of lot development 6 TH 1 (NE) 15'-0" Dry 10/14/16 Groundwater was observed at 6.0 ft below grade by Steve Eng and MOA Onsite personnel in TH 1 (NE) in May of 2018 7 TH 8 (NE) 14'-0" Dry 10/14/16 8 TH 32 (GEG) 16'4" Dry 10/21/16 9 TH25(NE) 14'-0" 9'-0" 10/24/16 10 TH 16 (GEG) 16'-0" 16'-1" (TOC) 10/21/16 11 TH 11A (GEG) 16'-0" 12'-4" (TOC) 10/21/16 12 TH 22 (NE) 14'-0" Dry 10/24/16 Groundwater was observed at 9.0 ft below grade by Steve Eng and MOA Onsite personnel in TH 22 (NE) in May of 2018 13 TH 17 (NE) 14'-0" 11'-0" 10/14/16 14 TH 6 (GEG) 16'-0" Dry 10/16/14 15 TH 9 (NE) 14'-0" Dry 10/14/16 16 TH 8 (GEG) 16'-0" Dry 10/16/14 Groundwater was observed at 4.0 ft below grade by Steve Eng and MOA Onsite personnel In TH 8 (GEG) in May of 2018 17 TH 12 (GEG) 16-0" Dry 10/21/16 18 TH 13 (GEG) 16'-0" Dry 10/21/16 QF. pt'qs�ko *: 49L NT W, ,ATHEWS PF •, qCE 135444 �,�WPR FE551 �sG ur CIVIL & ENVIRONMENTAL ENGINEERS '_701 E.TUDOR ROAD. SWE 101• AVZHORkUZ. AK M507' PHONE (M 377L170'FAX (807) 3i9:148'YFBS17E: p•F.v.pYtC.t.q'rac': �, Lcm SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: LEWIS AND CLARK SID ( PROPOSED - LOT 9) `LD PERFORMED FOR: BIG COUNTRY ENTERPRISES, LLC/S4 GROUP DATE: 10116/2014 DEPTH ::::::== ORGANICS ( feel) 1 LOAM (SM) 2 3 4 5 GM/SM 14 (LOOSE) 15 16 B.O.H. 17 18 DATE DRY molla SM/ML 6 DRY 1/1512015 DRY W/ SOME 2 3:15 30 5-118" GRAVEL 7 3:15 - 6" (HARDPAN) 8 3:45 � 5-318" 518" 9 3:45 - 6" - 10 4:15 30 5-3/8" 5/8" 11 12 13 GM/SM 14 (LOOSE) 15 16 B.O.H. 17 18 DEPTH TO GROUNDWATER DATE DRY molla DRY 10/27/2014 DRY 1/1512015 DRY 4/17!2015 2 3:15 30 5-118" 1/8" II�'IlII!11%//..%I 3:15 - 6" - 4 3:45 � 5-318" 518" ��fUIR , 1�p/�i 3:45 - 6" - 6 4:15 30 5-3/8" 5/8" DEPTH TO GROUNDWATER DATE DRY 10/16/2014 DRY 10/27/2014 DRY 1/1512015 DRY 4/17!2015 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/17/2014 1 2A5 - 6" - 2 3:15 30 5-118" 1/8" 3 3:15 - 6" - 4 3:45 30 5-318" 518" 5 3:45 - 6" - 6 4:15 30 5-3/8" 5/8" PERCOLATION RATE 48 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 4.5 FT. AND 5.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ME YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER ORM D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: q._ com m co C) C) (Y) 0') O X LU o cB ♦ ^ O LL V � Q TO i U Z Q 0t, /44 10 CO �0 o I..V O U U �L Qa) Z p D U) U a) � CO c >� Q O � N 00 (6 O Q Q Q cn N CD rad CO v J O O N U 4= O O O I O 00 i 4 ti O ti O U (B d C.fl LO CD Q Cu t� O (.0 C Irl -Q -11 J Y U W Q a U J 06 m J U) Q w J C: U) 0 00 N Uin (n () c6 Ca O) J C/) W W J Q G 06 Z O H Z W Q U 2 O CO E LL U) Q) C 0 m OL O Q 7 U 0 0 0 a) O OL m a) cn aa) N N a) c O a) F - x A E O ru N N C`7 O r- R 0 a a 0 U o 0 /0/ � rL a a O 3 N R L cc� C 5 � oxF- a) 4) ma) U L o O 0 C N N v N N O m C ca CL Q (n> > 'o o a)V m C N Q D > 'O > a (n 0 N U Q ... in a) N — a0i CO_ ° 0 a) z Q O U 3 E Q. .N cN > O CQ- M O 'a C O L Q Q CD Q Q N Q O Q a O II V v '- a X 0 cn o U) � U)o cn CQ N E 'a •> O Q 0 4 - Oi2 N Mo L N U i.L a) (] a) LM a) 0 N C Q C -C U o o m L)<0 '++ Z W W O O Y E O N O = O (j N C) V rU) (n a Q a) a a a a 0 U d- ti o0) 0)0) � "It 0 0 o0) W x L L9 O LL O L y' co z -0 LL d., c❑ l irk � c O U ® (D U) ® c� O_ D � m U � AW z O O H 00 a� C) � O O LL o z qJ Q W= z Lu O a VII d m m m CL CD (1) m El t U C a) a) O U C a� H CL (1) m El .o m m ❑ U) ElQ w LL z O_ F- a w U) m Q Lf w 0 m O as M' N U) V •O Q. `L O c G. O .� E E c m •— E as c o a) � � 0 C CL m d m� a) a) LL a`) m E >+ m 0 a) a) >_ m O � CD a) m LL d 0 O m O 0 0 0 O y' co CV -0 c❑ O a W N m N O = fn Y d- a) 3 `-' Q Q N 3:_0 5 O U W � O a) C: — cn O- x Er O a) O a) O n 3 Q cn O 0 ❑ 0- a)' U o W z �' n Eic Q � > E u) ILO(bm d V cOo LU U a) O a� J> U c a0 ca El Y z c 0) U~ 2 W0 N C: _ a) 0) a) Q �q O Ela) > p N L.L Co o ❑� ElU cz m ❑ U) Q Qco cu U _J j OLL ❑ ❑ d Ln O o 00 N N IL W _ La- n `m a ~ a) 3 U) in O _0 co w m Y a)0) z v o y a) a w LL LL m o O O v 0- N w w E_ E U 0 U O ya. fa• a w I— I— N M L6 d m m m CL CD (1) m El t U C a) a) O U C a� H CL (1) m El .o m m ❑ U) ElQ w LL z O_ F- a w U) m Q Lf w 0 m O as M' N U) V •O Q. `L O c G. O .� E E c m •— E as c o a) � � 0 C CL m d m� a) a) LL a`) m E >+ m 0 a) a) >_ m O � CD a) m LL d 0 O m O 0 0 0 COSA Checklist Legal Description: LEWIS & CLARK; LOT 16 Parcel ID: 017-074-80 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA M Well log is filed with Onsite (or attached) Well production at time of test 5 gpm Date drilled 10/30/23 Total depth 55 ft Water storage tank volume gallons Cased to 49 ft Well disinfected for coliform test? ❑ Yes ® No R Sanitary seal is functioning correctly 01 Coliform bacteria is Negative Al Wires are properly protected Nitrate 6.32 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18+ in. Arsenic ug/L N Arsenic less than MRL (ND) Date of flow test for COSA GG" w ' 'a 13 ° 1z 3 Collected by GEG, LTD. Static water level at beginning of test 36' ft. Date 9/13/2024 Comments 4 Tf—a ivy tic.. g (ZI B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 9/18-20/2024 Q ALL standpipes present per record drawing Total measured depth from grade 5.0 ft (max) Measured depth to pipe invert from grade 3.7 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. Q Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced _gallons date Any rejuvenation treatment (past 12 months) NIA If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 STATION ❑ Require ' enance com Age of lift station s Lift station rial Adequacy test date NEW Results Q Pass Fluid depth prior to test NEW in Water added NEW gal New fluid depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' Fo Yes if No ft p■ Yes if No ft Neighboring Tank > 100' ❑o Yes if No ft Private Sewer/Septic Line > 25' W Yes if No ft Absorption Field on Lot > 100' [E Yes if No ft Holding Tank > 100' ❑� Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft R Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' no Yes if No ft Q Yes if No ft N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q■ Yes if No ft Surface Water > 100' g Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' F. ENGINEER'S COMMENTS [E Yes if No ft Q■ Yes if No ft g Yes if No ft Yes if No ft Wells on Adjacent Lots: Private Wells > 100' [j] Yes if No Community Wells > 200' FE1 Yes if No If tank or field is under driveway comment below ft ft G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG) Phone Engineer's Printed Name Jeffrey A. Gamess Date _ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not 3uarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regardin, the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 907-337-6179 OF.A • TH*( Garn ss.: Q49. •.• E-74 Q�� IfCENSE A Pd P� °fess+o �o #AECC8B4U���O�O�O Cl) m C* R* M m � X O Ql LL OF, H O Z O U H N � N w 3 0 w +' N N w H C O H tw z w C 7 a � 3 O E w o O 3 i� .F-4 C I;I 00 'I N u U N m L 0- Q �--I �O J UO J E ,--, — •L 0 CL N E cLa CWr fV m 4- O O +_+U r c 0 U � E E f0 0L L_^ Ln — a- 0 Q O 0 N-0 ++ cn 0 ro 3 U IZ L O J \ to O O -'O C4 ' X 0E o N ca -0 0 rO _0 f0 ca Ln � Q a C O m MO N t 0-0 3 _ •fB cr 0 > ro 41 0 0 fa 4A -O 0 0 -0 LJ O 0 E o 0 3 0 Ln a) 3 o N 3 C 0 [LO N fu O ++ cu 0 Ln 4- U c0 0 z 41 (D 4N 0 LA 0 �n N U °' cd aL+ nn +0) N C 0 4-- O ++ cv U `�_ U 0 0 +' O cn 0 O U —_ fB O E 0 L LI) 0 a + O o 0 4 V•N ai U m 0 J ° .'- cn 0 N SZ f0 N> L +� Q U 40 o a i-+ E s= O i W f— 4- OCU -� U (D c m U O a-+ U � 0 c � Ln _ 0 3 ,. sZ +j ro -0 rro 0 E L O •— t N VI 3 0 +j m _' •L 4- cr 0 � 3: L 0 +- O E A l7A L, s= O co O c cu L .- 4-J 0 N �` O N •> I— aJ m m P%i Li C: ai "- Op -0 a) -0 v - � m m m +1 uO -p L c 0 '++7E '+ -p L 4+ Noa a h4� a>J uN umL C41 V p Dm O 3 N E$ } a, -0o s a- E �i' +O Vi a1 ° 0 c ou 3Q O n = E v-0 v a o Q w m a� L v o m +, v 0 O cu W p o m o '� r> E L aj (Ac� ami +� maj N u E -0 v OD _ m L L � a = C Y E L Cp L + m �p +L+ =p 3 ++ m L aJ -0 C L E ++ +, a`, 4 o a, o a; �p z o o O > ° o— v- 41 C is u m C Y _ C U O +L-� C >. m -0 'a _0 E m >• U O N U 'C t v 3 c +' 0 0 (V a� CL > E V, E +' c n C: _ 'c 4- -0 � *., _ �' � E u > 3 E o C '— 7 m O (U U C m a) ,„ aJ L L O A aJ m W cu > L N +' C w by i �- v 'O + a O + u u v c o ao m - L +� m v aD c c m 3` O 3 3 L +� L c a� c L L '3 v m p u v ,*,� c — v c> c E u v 3 o do cu av c Q o cLu v v s m m > tw p :3E o _u M aa) +, a > 0 aj +� u 3 e cu +, -op E o aj L o _ a, V, v W W 0 �e mru p W L +� a� L m `� a� u c m 3 N O m 3 (u 'c 0°-0-0 C aO+ 0 p v a W°° u v °c° Qj v 3 E v E n c -0 ai m ° m m c c v v n ° 'c L> H L C v -p c -O m_ 2 * O E° E ,� O N '^ CL n 7 j m N4-1 ++ .c O O 0 m u fC0 up- aJ .0 +� m C aJ " m m 'm N C C: +� = N O +' N w— 3 m N O > 3 ° N •'^ a' a c •` o ani C +� >. Q ' a� 0 0 Ln -=p m 3 _m o N c O w -O O u L O = `c > a) L ',n m u 0" O " m '^ O E 3 0 O +, E aJ w - 4- m +J u o Vf O O �p }' E v OD v m L tip c v m =p O 0p U O n E o C Cai U C L L Y - W m oA i O c0 ` WX m co cu +`-., O m c L o m +1 c O L -2 oo c 4- O— c ,� m `_^ M `—n CU Q +' N E +, + +' O C N O N m > + E u ai +J °c +m � E m 3 E m ,E„ 4C- m E O t C >. aJ 3 7 tiA — V .m 0 O > L a; O vi c V, a= m n E4-1 .0 E u N -0 aj a n m p c u io o w E c L o cu +, a x L V) m 3 n m +� V, — m c 41 v C c v ut E cLo z C m v> C a) L c a c '� E •c tw c a) E o a 0 a, c— o �' c p o c m 3 °_° 3 m - f9 f0 v u a +� u a> > �o >- Ln >. a, ro 3 v w o cc °� m e +� � v a� +� (U m L ,' m 1 v 4 u O c m aJ M C CL Y L C aJ L O cn =o C (U E aL-+ u o E C L y= c m +_ z +� 3 w t +� c '> = L o `" L } z O o C° u .0 Z 0" -`o o •° z 1 L ami am o> r ai v LU (U+.' L L —. n> L O o v E 0 0 m o N a% C z° u �, CD C m L L m aJ C E x p0 o O f O O v cu CU_c O O O+ xx O 3 E L p w a L Laj E t0 Ln m 0 4 H m> 0 u 4- H 4— +, ._ H V, +� 3 +J m W Q O V Z Q LL 4 � fo ai 4- J t a F- c zo W cn U V F• N z a+M W j C O 4- O 0 7 N OJ W 41 O � W � o 4� fo U H UO Z L W Y M a � E a, co N N O 4 -CJ EN O E L ai U u N > v, 3 N }; o N U O m 3 ai 0 0 3 0 cc C IFY 4 � fo ai 4- t O cn Q N co N F L O O 0 o (o L C O 4- O O a) O � O N LJ 4� fo U W ca O m O a, co N N O 4 -CJ EN 4 L O �- L ai U u N M N cn O k > O n- Q N E N ], N GJ {a U? N }; o N U O m 3 ai .� 0 i- N a, O L Q N : 4' L O (IJ co a) L v H O N N Y c co U ' 0- Q bA > L Ln c L aa'i O O — O 4, N U m 4-+ co v -0 N O O ci Y c � a, Ln N cu L f0 L N > '6 -0 Q � QJ N v M c 4- N U V) H uO C iE H 0 3 op b CO_f-(DO) NNN c wO)(O(Duo(oU E OU LL C:l�� a 4 0-1Nw n Q IV jN o00 1.12 -- --- �. / - -- -- Sag 21 '08`'E -i55. 34'--- --- - M -C 0 - ---53021'08'-E _23"9' --- - - - _ i U •U -- ---- --- -- 50, m_� O -- PAVED - o - n y DRIVEWAYLo it II � -`� U, v 'o 2�s� 9 O yl 9 o = m v v N p� O W � as h4� ®sP 0 = � o �' o N O a o a ®SP QpL �amcsYc 0,: z U ±� � � � C U O � > 3 �� o 0 0 Chi Z — f0 Eli O CN o �= m U 2.c a30 E6 —j O O ^� Q yra : m c o.o /• � � m .y a �.o ao C� Ln='aa2cam� o U •O'V � NO ,�a �`y pi00