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Home My WebLink AboutGLENN VIEW ESTATES NORTH BLK 1 LT 10Glenn View North Block 1 Lot 10 #051-821-23 e Municipality of Anchorage • , iirre., Development Services Department `�_= mil -__ Building Safety Division .�_ �. On-Site Water & Wastewater Program, 4700 South Bragaw St. e' a` . — > i E_ • SA,.,T P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW030329 PID Number 051-821-23 of 3 Nome: JOHN THOMSON Wastewater System: ■ New 0 Upgrade Address: NORTHWOODS CIRCLE * CHUGIAK, AK * 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 240-2020 4 to Deep Trench 0 Shallow Trench 0 Bed OMound OOther LEGAL DESCRIPTION soD Rating: 0.6 Gpoisv. R Tad °� from 5.0(MAX) n. Block: Lot Subdivision: 1 10 GLENN VIEW NORTH Depth to pipe bottom from original grade: 2.0 (MAX) Ft. Grovel depth beneath pipe: 2.04/2.0 R Township: _ Range: _ Section:ril — added above original geode: SEE DWG. R Gravel length: 2 t. 70 (140 TOTAL) PL WELL: 0 New 0 Upgrade Gravel width: 5.0 R Number of 1110.: 1 [Mona between Ene.: — R Classification (Private, AB,C): UtJ\ Total • • • R Cawed To: n. Total absorption area: 1000 sa. R Pipe 'notarial: D 3034/ F-810 Driller. Dote Drilled: Static Woter Lanni: R Installer: DAN GREEN Dat. stalled: 9/26-29/2003 'field: CPU Pump Set At: R Casing Height Above Ground: R TANK SEPARATION DISTANCES ■Septic OHolding OS.T.E.P. OOther To Septic Tank Absorption Field Uft Station Holding Tank Public/Prtvate Sewer un.. Uonufccfunr. ANCHORAGE TANK Copeck, In gallons: 1250 Well 200'+ 200'+ — — 25'+ Natation NumberNumber of compartments 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Line 5'+ e5'+ — — - Size M gallons: Wnuloctur.r: 5 + 10'+ — — - Pump on' level at Pump off. at: High water alarm at: Curtain Drain Pump Maks el: Electrical Inspection' pet-famed by. NONE KNOWN Remarks: *5' LOT LINE WAIVER REQUESTED. BENCH MARK (see evrTActiej Location and Description: BOTTOM OF TANK A..umed Elewtion: 89.95 R, ,vo604�. ..... o`. ' ; *�'.. 4 F'.. j = pip ••. �pOd�'Foresstao°oc7 0400000a S \ `, i . 4 kl I '� �0 * �0 03rd (ifess: O0 95 •' eQO 7 .•• eo ad Inspections performed by: AKWWC, INC. Dates: 1st 9/26/2003 2nd 9/26/2003 9/29/2003eff Development Services Department Approval Reieed and approved by: Date• /// /o? ( 12/01) PERMIT NUMBER: SW030329 AS -BUILT DRAWING A B C FCO 25.51 4.02 - ST1 31.40 20.84 54.42 ST2 39.29 24.04 55.74 DBL1 41.28 25.20 56.26 DBL2 42.72 26.07 56.64 FS 62.21 37.02 55.63 C01 62.49 52.24 82.51 MT1 63.40 52.19 82.03 CO2 - 37.92 28.42 MT2 - 34.51 27.28 CO3 76.20 62.19 89.33 MT3 77.62 62.91 89.47 C04 - 50.13 43.48 MT4 - 46.01 41.49 NEW 1250 GALLON SEPTIC TANK THI1 PARCEL ID NUMBER: 051-821-23 5' LOT LINE WANER REQUESTED "s\\ ��ir \ AS* \ `vim //// a / TOBEN SPURKLAND TEST HOLE ALTERNATE SITE • AI.ASKA WATER & WASTEWATER •-- -- ------ CONSULTANTS, CONSULTANTS, -^----- 3701 F. TUDOR ROAD. SLATE IOI • ANCHCWACF. A( 99.507 • P.4ONF (907)337.6179 • FAX (907)355-5246 PREPARED FOR: JOHN THOMSON PHONE NUMBER: (907) 240-2020 LEGAL DESCRIPTION: GLENN VIEW NORTH SUBDIVISION; LOT 10, BLOCK 1 TYPE OF WORK: AS -BUILT DRAWING OF' SEPTIC SYSTEM UPGRADE DATE 10/24/2003 DRAWN BY: A.J.G. SCALE: 1" = 40' PAGE NUMBER: 2 OF 3 PERMIT NUMBER: SW030329 AS -BUILT DRAWING PARCEL ID NUMBER: 051-821-23 TOP OF TANK AT INLET - 94.82 iFlNAL GRADE es96.82 INVERT OF BUNG AT INLET = 94.29 TOP OF TANK AT OUTLET - 94.82 INVERT OF BUNG AT OUTLET - 94.04 SOUTHWEST TRENCH ORIGINAL GRADE - 94.42 (AVC), AKWWC TH#1 1 FINAL GRADE - 95.60 INSULATION r FILTER FABRIC ORIGINAL GRADE - 94.42 (AVC) �y^^`o;^�,."'`"`•..-may 3,4.4P-••••••411MK-•,-, 5. /-RELATNE ELEVATION OF GROUNDWATER - 84.42 RELATNE ELEVATION OF BOTTOM OF TEST HOLE - 82.60 INVERT OF PIPE - 93.21 (AVC) BOTTOM OF TRENCH - 91.17 (AVG) 10' NORTHEAST TRENCH ALASKA WATER & WASTEWATER -'------^------ CONSULTANTS. INC. ------------- 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 00507 • PHONE (007)337-6170 • FAX (907)338.3266 ii 7SL FINAL GRADE - �- 95.60 INSULATION AKWWC TH,1 FILTER FABRIC - INVERT OF PIPE - 93.17 (AVC) BOTTOM OF TRENCH '— 5 - 91.17 (AVC) RELATIVE ELEVATION OF GROUNDWATER - 84.42 RELATIVE ELEVATION OF BOTTOM ---Fib—,4 OF TEST HOLE - 82.60 DATE: 10/24/2003 DRAWN BY: A.J.G. SCALE 1" = 40' PREPARED FOR: JOHN THOMSON PHONE NUMBER: (907) 240-2020 PAGE NUMBER: 2 OF 3 LEGAL DESCRIPTION: GLENN VIEW NORTH SUBDIVISION; LOT 10, BLOCK 1 TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. c i. an c h o rag e. ak. u s (907) 343-7904 Waiver Review Worksheet WR#: 040041 PID#:051-821-23 HA#: 040279 Permit#: Date Received: 6/22/04 Legal Description: Glenn View North Block 1 Lot 10 Engineer: Garness Engineering Group, Ltd. 3701 E Tudor Applicant: John Thomson Waiver Requested: 5 feet from Absorption Field to Property Line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver is Granted: List Conditions or Reasons for above: Waiver is not Granted: Date: 6 - 2. 2. - D Lt By: T a • "of Reviewer Rec#: 43926 Amount: $150.00 Date Paid: 6/22/2004 Mayor Mark Bcgich Municipality of Anchorage P.O. Box 116650 • Anchorage, Alaska 99519-C)650 • Telephone (907) 343-8301 • Fax (907) 343-8200 4700 Bragaw Street • Anchorage, Alaska 00507 �t�t��.nunti.org . Building Safety Division 6/2/2004 Garness Engineering Group, Ltd. 3701 E Tudor Road Anchorage, AK 99504 Subject: Waiver Request for Glenn View Estates North Block 1 Lot 10 Waiver Request #WR040041 Parcel ID #051-821-23 Dear Mr. Garness: Your request for a waiver of the required 10 feet from the Absorption Field to the Property Line. The approved separation distance is 5 feet. This waiver approval applies to the existing Absorption Field to Property Line separations only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeff Poet Engineering Tech On -Site Water & Wastewater Program Community, Security, Prosperity ALASKA WATER & WASTEWATER , .. « u .. CONSULTANTS, INC. 111*.4*64»4...416.40k 1.g,ar,.444644at..®..661. October 28, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 10, Block 1; Glenn View North Subdivision. To whom it may concern: We request that your department issue a 5 foot lot line waiver from the northeast property line to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assist , e. ince e effe'� Presi i'c P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 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 PERMIT Initial Permit Number: SW030329 Legal Description: Glenn View Estates North Block 1 Lot 10 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: John Thomson Owner Address: 17343 Santa Maria Eagle River , AK 99577 - Date Issued: Aug 25, 2003 Expiration Date: Aug 24, 2004 Parcel ID: 051-821-23 Site Address: Unknown Lot Size: 42629 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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. 1 L Received By: - —. r ttraf'I7a /► Date* 8.25 '03 Issued By Date: 2 tzslos Parcel I.D. / 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 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 82/— 23 Permit Number Property owner(s) JOHN THOMSON Day phone 240-2920 Mailing address (1) 17343 SANTA MARIA * EAGLE RIVER Mailing address (2) A/ HA/ NORTNai000s C/RCL f Zip Code 99577 GLEAM/ Errr►ris A/o►erlf Legal description (Lot, Block & Sub'd.) LOT 10. BLOCK 1: Jelt.fibikile SUBDIVISION Legal description (Section, Township & Range) N/A Lot Size 14 oS t tf' as Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only II Well Only 0 Sewer and Well 0 Water Storage 0 Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi Swimming Pool 0 Water Softening Unit Therapy Pool 0 ❑ 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 codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: 400 Waiver Fees4 /SD. Date of Payment: g-15 --05 Date of Payment: Receipt Number: Li 02.05 (3-5- Receipt Number: r 9Z(' r /. ALASKA WATER & WASTEWATER arnnmaua+ais®a.aalemoseaarwamrnm CONSULTANTS, 1 N C. easaearalliCmsaMieaai co11111.r August 18, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic System for Lot 10, Block 1; Glenview North Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a community water system and a private septic system. A test hole was excavated on the property by Toben Spurkland P.E. and by our firm. The primary drainfield will be designed around the 30 foot radius of our test hole. We are proposing that a 1250 gallon septic tank and dual 5 -wide type drainfields be installed. Comments 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. 2. TRENCH DESIGN: a. Percolation Rate: 18 & 20 minutes/inch b. Proposed Application Rate: 0.6 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 f12 f. Total Depth: 4 feet (max.) g. Effective Depth: 2 h. Width: 5 feet i. Reduction Factor: 0.7 j. Minimum Length: 2 @ 70 feet long each (140 feet total length) k Effective absorption area = 1000 f12 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The area for the proposed drainfields is fairly flat. In short, there are no slope concerns. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com We are unaware of any adverse impacts this 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. S'scerel Jeffr=y ',. amess, Pres' .E., M.S. NOTE: A site plan drawing, a design drawing, a detail drawing, a soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com NOTE: ALL PROPERTIES SHOWN ARE TO BE SERVED BY PUBLIC WATER AND PRIVATE SEPTICS 0' WI PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 2) PROPOSED 4 GLENN VIEW NORTH S/D: BEDROOM LOT 12. BLOCK 1, HOUSE ALTERNATE SrTE TOBEN SPURKLAND TEST HOLE • • • • ALASKA WATER & WASTEWATER CONSULTANTS, INC. 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AX 99507 • PHONE (907)337.6179 • FAX (007)358-3246 PREPARED FOR JOHN THOMSON DATE: 8/13/2003 DRAWN BY: C.J.G./B.S.G. SCALE: 1" = 100' PHONE NUMBER: PAGE NUMBER: 240-2020 1 OF 2 LEGAL DESCRIPTION: LOT 10, BLOCK 1; GLENVIEW NORTH SUBDIVISION TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM +tii "i 61 �A ..4 e A. Gar ess; t� +14Pf•L —79 • e�Q . 1 Ftp•+ IV"; kra` P,rofessl000y NOTE: THE WATER UNE MUST BE 10+ FEET FROM THE PRIMARY AND ALTERNATE SITE. NOTE: THE CONTRACTOR SHALL HAVE THE NORTHEAST LOT UNE AND THE EAST LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. NEW 1250 GALLON SEPTIC TANK INSTALL FOUNDATION CLEANOUT TOREN SPURKLAND TEST HOLE ALTERNATE SITE WILL REQUIRE THE USE OF AN ADVANTEX TREATMENT SYSTEM ALASKA WATER & WASTEWATER WATER UNE KEY BOX N DATE: 8/13/2003 INSTALL DOUBLE CLEANOUTS INSTALL FLOW SPLITTER PROPOSED DRAINFIELDS. EXCAVATE TWO DRAINFIELDS THAT ARE 4 FEET DEEP MAXIMUM AT ANY POINT BY 5 FEET WIDE BY 70 FEET LONG EACH (140 FEET TOTAL LENGTH). ADD 2 FEET OF CLEAN. WASHED SEWER DRAINROCK. DRAWN BY: C.J.G./B.S.G. --------��--•--•-- CONSULTANTS, INC. 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3746 PREPARED FOR: PHONE NUMBER: JOHN THOMSON 240-2020 SCALE: 1" = 40' PAGE NUMBER: 2 OF 2 LEGAL DESCRIPTION: LOT 10, BLOCK 1; GLENNVIEW NORTH SUBDIVISION TYPE OF WORK: DESIGN OF PROPOSED SEPTIC SYSTEM ALASKA WATER & WASTEWATER �----- CONSULTANTS, INC. - 3701 E. TUDOR ROAD. SURE 101 • ANCHORAGE. AC. 99507 • PHONE (907)337-6179 • FAX: (907)338-3248 • WEBSRE: okwwc.com .....' 44 ISOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION' CLENVIEW NORTH SUBDIVISION; LOT 10, BLOCK 1 PERFORMED FOR: JOHN THOMSON DATE: 8/4/2003 B.O. 1. 15- 5- 16- 16- 17- 17- 18- 18- 19- 19- 20 20 SOILS LOGGED BY: COMMENTS' PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS yy P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: g3 !303 1 TEST HOLE #1 SOIL CLASSIFICATIONS feNSI 11:111!11 00 000 0 RERRO anta GW ORG GP GM GC SW SF' SM SC ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY 8/4/2003 10.5' 8/6/2003 (0 .0' 8/13/2003 12:18 - 1 7953 eve Q°d/'rof •• 1D�°0 �ODoo s THft TOKEN SPURKLAND TEST HOLE SITE PLAN 1"-100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/6/2003 1 12:18 - 6" - 2 12:48 30 4.5" 1.5" 3 12:48 - 6" - 4 1:18 30 4.5" 1.5" 5 1:18 - 6" - 6 1:48 30 4.5" 1.5" PERCOLATION RATE 20 (MIN./INCH) TEST RUN BETWEEN 4.0 FT. AND A FOUR HOUR PRESOAK WAS PERFORMED: JODY MAUS PERC. HOLE DIA. 6 (INCHES) 4.5 FT. U YES ❑ NO PERCOLATION TEST PERFORMED BY: JODY MAUS Performed Fcr. Legal Description: Dear, (Feet) 1- 2- 3 -- 6- 7 8 - 11 12- 13 14- 15- 16- 17- 18- 19• 20. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519.6650 www. ei,anchorage.ak,og (907)343.7904 Soils Log - Percolation Test L>=1'V1=N,Vz NOIZ11-1 skj '(ENGINEER'S SEAL) Date Performed: LOT D t,. Fjk I Township. Range. Section: 1( olz.E7A14tc,5 SaicLy S:«'•u, I a. tel M L. S& -holy S;(4- G ray ML SfiKc\y S t i 4 1ZOL12S COMMENTS S eTro 11-4 O c• 1-} o LE Slope WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Depth to Water Aher Monitoring? 1O s L 0 v E • Site Plan • 1 1 1 et et (.12 toes .4Zo ® ggt Date: Reading Date Gross Time f� r.-- Net Time •v• V Depth to Water (f LOGS Net Orco FILL CZESoAX- ''' t117-102. 1Z:sS -- 5/�. t : E6 b04,:11 qtly 75�/ 176 it/ I 02!/H I 78 b/Z 2..:35 t4o Era 3:05 3o ( Iesnn nl FERC HOLE 0 AMETER TEST RUN BETWEEN 3 FT AND 14 FT PERFORMED 8Y: 1 , s 1 i. S CERTIFY THAT THIS TEST W.:.S PERFOR\IED IN ACCORDANCE WITH ALL STATE ANO MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Il2I io Z Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING n5i- 8ai-�� 1. GENERAL INFORMATION COSA# v00Qq/9-- Expiration Date: '7' — / / — Q 9 Complete legal description GLENN VIEW ESTATES NORTH, BLOCK 1, LOT 10 Location (site address) 23401 NORTHWOODS CIRCLE • CHUGIAK, AK 99567 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JEFFREY SPITLER Day phone 688-0818 23401 NORTHWOODS CIRCLE * CHUGIAK, AK 99567 Day phone Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer • The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that Guidelines for this application, investigation, based on procedures outlined in the Certificate of On -Site Systems Approval 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. 1 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 GARNESS ENGINEERING GROUP. Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the solo benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. \\4 �SQ0oh ness• QO C —7953 •. `FOS SJA 9. v IIDdpro(easlo��q �40t04 t•tI((lrrrr,rr ��\ o •. o Jam• ON-SITE ��i? : WATER AND : m^= WASTEWATER : - •PROGRAM O •• �_�� bedrooms, with the flowing stipulations: I tSEN 111\ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory By: (Rev. 11/05) 7 Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: I-1-11-08 CERTIF Legal Description: A. WELL DATA Well type Date completed Tota Date of test Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST GLENN VIEW ESTATES NORTH, LOT 10, BLOCK 1 PUBLIC WATER Parcel ID: 0 6'/-$z( - 23 If A, 8, or C provide PWSIDtt _ Well Sanita se Cased to ft. FROM WELL LOG Static water level Well production WATER SAMPLE RESULTS: Coliform colonies/100 ml. A ft. gpm Nitrate m•./L Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION Date of sample' B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL in. herbar rta colonies/100 ml. Collected by Date installed 9/26-29/03 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 4/1/2008 Pumper C. ABSORPTION FIELD DATA Date installed 9/26-29/03 Soil rating Length 140 (2 0 70) t, Width High water alarm (Y/N) JR'S PUMPING N/A (BELOW EXISTING GRADEI System type 5 ft. Gravel below pipe 2.04/2.0 ft. TRENCH Total depth 4.8-5.5 ft. Eff. absorption area 1000 ft' Monitoring tube YES Depression over field NO Date of adequacy test •'4/2/2008 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 5/6 in Water added 910 gal. New depth 11/9 in. Elapsed Time: 320 min. Final fluid depthB/10in, Absorption rate >= 600+ P g.p d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **INTRODUCED WATER THROUGH DOUBLE CLEAN OUTS AFTER SEPTIC TANK D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level • High water alarm level at in Datu Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service containment areas PUBLIC WATER On adjacent Tots On adjacen Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Surface water Water main 10'+ Water service line 10'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *5' Water service line Building foundation 10'+ 10'+ Surface water 100'+ Curtain drain NONE KNOWN F. COMMEND WAVIER# 040041 G. ENGINEER'S CERTIFICATION Wells on adjacent lots 200'+ I 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. Engineer's Print d N me c}�c�o6 Date JEFFREY A. GARNESS Water main '5'+ 100'+ 10'+ Driveway, parking/vehicle storage 10'+ • 0000 VA ass: 0 ' C -77 3 •' „�FO� cv 1�ec;Pro fesonce' �040000� COSA Fee $ y 5f1- ,../ Date of Payment / / V 08 Receipt Number 13(.0i9-1 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ASBUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SEWARD & ASSOCIATES LAND SURVEYING 694-082Q SCALE: , SO DATE] 3/ee9' GRID: HG1iS6° FR: VW -yam DRAWN: aef r''%P�� OFy/A•••• r5' e. • i;= '• TM'GV'' 7 • • .y • Diane Mark Sawed �,•. LS -6918 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-821-23 1. GENERAL INFORMATION Complete legal description HAA# 70 /A 04 d lf o a-79 Expiration Date: 6 - GLENN VIEW NORTH S/D; BLOCK 1, LOT 10 Location (site address or directions) NHN NORTHWOODS' CIRCLE Current Property owners) JOHN THOMSON Day phone 240-2020 Mailing address 17343 SANTA MARIA * EAGLE RIVER, AK 99577 Lending agency Mailing address Real Estate Agent Mailing address Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System • 4 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer • 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority 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. 1 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations..The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the yearand.the.water.usage of the .family.being.served by_the.system..__ These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for T bedrooms. Disapproved. Conditional approval for Phone 337-6179 Date 513/4_ bedrooms, with the fllowing stipulations: ll<<t tYfl(aOF((((/�rr�i AY:. • • ',61srf?. Jam: • ON-SITE ; WATER AND : rn • WASTEWATER : PROGRAM �• ;. • JJJJJ/c9' tie I SE\01" -•'. ») ». Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: Manitenance Agreements Supplemental Engineer's Reort "Other (Rev. 12!01) Original Certificate Date: - 2_ O T r 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 HEALTH AUTHORITY APPROVAL CHECKLIST . Legal Description: GLENN VIEW NORTH S/D; BLOCK 1, ' LOT 10 'Parcel ID: 051-821-23 y A..WELLDATA .. i . Well type PUBLIC If A, B, or C provide,PWSID# Welll Log (Y/N) . i Date completed Sanitary seal (Y/N) ' Wires properly protecte• /N) . ' ',:: , • i , i • Total depth i ft. • I Cased to ft. Casing hei• • above ground) in FROM WELL LOG .-rF9. NSPECTION Date of test Static water level .1. Well,production g.p.m. WATER SAMPLE RE S: ,Colifomi . r ml. Nitrate mg./L. he ft. g.p.m. -- Other bacteria colonies/100 ml. enic:. mg./L. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA ! { i ,t Tank Type/Material STEEL Date installed llled 9/29/2003 , Tank �� Size 1250 gal. Number of Compartments • .....2..... : Cleanouts(Y/N) YES Foundation cleanout (Y/N) YES Depression over tank(YIN) NO , High wateralarm (YIN) N/A Dateof pumping NEW Pumper — C. ABSORPTION FIELD DATA Date installed 9/29/2003 Length' i.140 (2070) ft Soil rating Width •BELOW FINAL GRADE r ft2/bdrm) 0.6 . 5 ft. Total ,depth 4.43 ft Eff. absorption area 1000 ft2 Monitoring tube Date of adequacy test NEW Results (Pass/Fail) PASS System type SHALLOW TRENCH Gravel below pipe 2.0+ ft. i ' YES Depression over field NO !1 4 For 4 bedrooms Fluid depth in absorption field before test in Water added •01.`1 t ! i. i NEW '11 i Elapsed Time: min. Final fluid de.' • Absorption rate >_ An r - - a ment (past 12 mo.) (Y/N & type) :,If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Ac "Pump on" level at in "Pump off" - in High water alarm level at 'in. Datu Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot L,r WATER 0 Public sewer main PUB Public sewer manhole/cleanout Meets alarm & circuit requirements? On adjacent Tots ots S c service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 101+ Water service line 10'+ Surface water 100'+ Wells on adjacent Tots N/A SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *5' Building foundation 10'+ Water main 1 0'+ Water service Zine 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain . NONE KNOWN Wells on adjacent Tots N/A F. COMMENTS . .. _ *WAIVER REQUESTED WITH INSPECTION REPORT G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in • conformance with MOA HAA guidelines in effect on this date. Engineer's Printed ame Date 5113 0¢ JEFFREY A. GARNESS vO • D ness: 3 \c°.OD „Profession o`er DO000�� HAAFee$ 4' Date of Payment fa //'/04 Receipt Number 01.573-7 (Rev. 12/01) Waiver Fee $ Date of Payment . Receipt Number ASBUILT • 'SEWARD & ASSOCIATES I HEREBY CERTIFY •THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: G�iV4,17 Esr79,Z3 o. 7, 1; - oT/e, oe/:' AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SCALE: -DATE= GRID: ,t/Q), 5C' FB: /o/ DRAWN: LAND SURVEYING 694-082 4.7771""4 •.s . Duane Mark Seward • / I1.r• LS - 6918 •'• _.... •• '•SJ.r