HomeMy WebLinkAboutSKYLINE VIEW BLK 2 LT 13Skyline View
Block
2
Lot 13
#051-192-14
Municipality of Anchorageb Development Services DepartmentBuilding 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 Page 1 of 3
Onsite Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW040224 PID Number. 051-192-14
Name: PREFERRED CUSTOM HOMES
Wastewater System: ■ New 0 Upgrade
Address:
P.O. BOX 875910-172 a WASILLA, AK 99687
ABSORPTION FIELD
Phone: No. of Bedrooms.
AGENT (907) 694-4200 3
O Deep Trench ■ Shallow Trench O Bed OMound OOtMr
LEGAL DESCRIPTION
=a 1.2
Tam Deph Na 9. (MAX)
DpDieR R
R
Block Lot'. Subdivision:
13 SKYLINE VIEW
Depth m pipe boom Iran. W191nd poec
SEE DWG.
Gravel depth Mwath p4F
*3.76
2
rt
rt
Township: Range: Section: —
— —
A added base Original Pbw
Gw'at bgft
48+
SEE DWG. FL
r<
WELL: ■ New O Upgrade
raw ayur
5.0
N,.ber of m.:
1
0190'00 b•bewr W.
—
rt
n
Cb•rnaatbe Prbab, Ae.a :
TOW Wpm
Coed To:
Told absorption erect
462
Plpe mawlct
D 3034/ F-810
PRIVATE
305 n
149.5 n
so. n.
or6w:
WHEATON WATER WELLS
Data Drilled:
111/17/04
Istaw waw tM:
125 m
nemwr:
EVERETT CATKINS
Dots
9 23-27/2004
new:Pr+ro
set u:
Co.N9 Height Above Ground:
TANK
2.5 cpu
UNKNOWN rt
2+ rt
SEPARATION
DISTANCES
■septic Cl Holding 13S.T.EP. 0 Mar
To
Septic
Ab so tion
Uft
Holding
ee/Prhat•
Monw1aon'en
GREER TANK
Dop°aly in 9060'`
1000
From
Tank
Flrid
Stauon
Tank
s.w« u'»
Well
1000+
100'+
—
—
25'+
wle aL STEEL
rhenb« a� 2
Surface water
100'+
100'+
—
—
—
LIFT STATION
Lot Une
5'+
10'+
—
—
—
aua in u•�
uo'ar«
Foundation
50+
10'+
—
—
—
ale less m:
on m:
w6n saw alwm at:
wp uah.
o.abtoal e+poatwra, pertomrd br:
Curtain Drain
NONE
KNOW
Remarks- *REDUCTION FACTOR a 0.52
BENCH MARK
Low and owwiptiom
PATIO SLIDING DOOR THRESHOLD
A.. n d a.retle'. 100.00 n
ENGINEER'S EAL
Inspections performed ormed bY: GEG,Ltd. 9/23/2000Dates: 1st
°
.... .............�0.
.. . ..
2nd 9/23/2004
3rd 9/27/2004
Q e f y � � � � � �amess.=
e Services Department ApprovalD
Development
�pp44o�e�p1 (:Z
Reviewed and roved by-
Reviewed PP Y
,
J �' rofesstan a�
4VP 00
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
July 14, 2005
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Release of Conditional 11AA For Skyline View Subdivision; Lot 13, Block 2,
To whom it may concern:
On 7/14/2005 we verified that the drainfield for the referenced property has a minimum of 3+ feet of
cover over the drainfield. We request that the conditional HAA be released. Attached are the new 11AA
fortes.
Tnak you for your assistance.
Y.E., M.S.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: gamessengineering.coin
PERMIT NUMBER: PARCEL ID NUMBER:
SW040224 AS -BUILT DRAWING 051-192-14
TOP OF AT
INLEi 95K08� I I / I I /-'TOUTLET . 95.12
NEW 1000 GALLON
INVERT OF BUNG SEPTIC TANK NVERT OF BUNG AT
AT INLET • 94.64 I OUTLET . 94.37
ORIGINAL GRADE
99.28 O
HIGH POINT
FABRIC
BOTTOM OF TRENCH / 5' INVERT OF PIPE
90.28 (AVG.) JJJ 94.04 (AVG.)
RELATIVE ELIVATION OF BOTTOM OF TEST
HOLE O 83.28 (TESTHOLE DRY) -r
J/ IJ/LUVJ
•' �L 4
DRAWN BY:
RAL /C.J.G.
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GARNESS ENGINEERING GROUP, Ltd.
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4
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CONSULTANTS i GENERAL CONTRACTORS
N.T.S.
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3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 00507 • P ONF (007)337-6170 • FAX (007)333d7LA
O
PREPARED FOR: PHONE NUMBER:
PAGE NUMBER:
PREFERRED CUSTOM HOMES (907) 694-4200
3 OF 3
i• •'•••
. r G rness;
loo o E— S e
LEGAL DESCRIPTION:
SKYLINE VIEW SUBDIVISION; LOT 13, BLOCK 2n�
/N,0�
444�� p1117 )Of1ak tWi
��40000�0
TYPE OF WORK:
PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM
PERMrrNUMBER:
-
AS—BUILT DRAWING
PARCEL IDNUMBER:
051-192-14
SW0
SW040224
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29.76 26.89
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42.91 57.01
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48.69 61.49
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50.99 63.11
X00 FES wEu
DBLZ
53.11 64.54
/
C01
56.28 74.85
/ ALTERNATE SRE
MT7
56.75 1 75.28
CO2
77.51 156.17
NEW l000 GALLON
I I"'#1i I
MT2
74.89 55.55
SEPTIC TANK
/
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DATE:
1/18/2005
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DRAWN BY:
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GARNESS ENGINEERING GROUP, Ltd.
CONSULTANT 5&GENERAL CONTRACTORS.....
310- F TIIDG4 FOAn 4nTF 10, • AM1GWIOAGF. AF 0050) • F ANF f001pD M1�)0 • FAX (00T33R.3)GM1
SCALE:
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NUMBER:
PAGE NUMBER-'DO
PREPARED FOR:
PREFERRED
PHONE
CUSTOM HOMES (907) 694-4200
2 OF 3
QO '•,j/
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LEGAL DESCRIPTION:Q34,
SKYLINE VIEW SUBDIVISION; LOT 13, BLOCK 2
,
O� 1`l1
4��DOpp°o`��ao
S
AS—BUILT
DRAWING OF NEW WELL AND SEPTIC SYSTEM
PERMtTNUMBER: AS -BUILT DRAWING PARCEL IDNUMBER:
SW0
SW040224 051-192-14
TOP OF TANK AT
INLET - 95.08
-
INVERT OF I
AT INLET .
OCINAL GRADE
. 99.28 O
ADDITIONAL COVER
TO BE ADDED IN
SPRING/SUMMER
NEW 1000 GALLON
SEPTIC TANK
:RADE -
9.30 +/-
FABRIC
TANK AT
. 93.12
OF BUNG AT
- 94.37
�-- `INNER. 4 PIPE
BOTTOM OF TRENCH .94.04 (AVC.)
. 90.28 ((IVC.)
RELATIVE EWATION OF BOTTOM OF TEST
HOLE O 83.28 (TESTHOLE DR) —
__�� riDATE: oopd� N
9�il.�itIGLLT� nR
1/18/2005
GARNESS ENGINEERING GROUP, Ltd. SCALE Q y p
CON3UlTANTSd GENERAL CONTRACTORS I! . * D
3701 F. TMOR ROAD. S01TF 101 • ANGNMAGF. AK 90501 P40NF (90)11-0179 • FAX (90)8-3MA N.T."�9 )}1
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q ,• •�
PREFERRED CUSTOM HOMES (907) 694-4200 3 OF 3 pp p •, e f GO ness:
LEGAL DESCRIPTION: p g, E-% eQ
SKYLINE VIEW SUBDIVISION; LOT 13, BLOCK 2 .�1 pCj' q`1P�
4 e^e t
TYPE OF WORK: ��QdPro feesio lz§'
PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM �40000�
Jan 13 OS 12:28p John Tichenor 907-37G-2030 p.1
■� �ATONZiitAT3l R�YELLS, ZNC.
PO Box 8'71218, �Yata311a, AK 99687
�90rJ'� 376-2041
WISLL LOG
Name: Preferred Custom Homes of Alaska
Address: P.O. Box 875910 - Msc. 172
City: Wasilla State: AK Zip Code: 99687
Well Site: Skyline View Lot: 13 Block: 2
Additional: .
Well Depth:
305 ft.
From:
To:
Formation:
Below Ground:
303 ft.
0
45
silty gravel, boulders
Above Ground:
2 ft.
45
55
sand, some gravel
55
85
hardpan, gravel, boulders
Gal/Min:
2-1/2
85
90
moist silty gravel
tatic Level:
12511.
90
130
hardpan, boulders
Casing: 149' of 6"
ID Steel
130
148
silty gravel, sand
148
240
bedrock
Liner Pipe:
160 ft.
240
255
broken bedrock
Greened:
none
255
305
bedrock
Perforated:
none
Grouted:
Bentonite
Depth:
20'+
Develop. Method:
Air
Use of Well: Residential
Drilling Method:
Rotary
Fluids Used:
none
Pump Installed:
none
Other:
none
Pate Drilled: 11-17-04 Driller: Milo Pitner
MUNICIPALITY OFANCHORAGE 7 /�j
Development Services Department l'o_:!01/M
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 995196650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Jun 25, 2004
Expiration Date: Jun 25, 2005
Permit Number: SWO40224 Parcel ID: 051-192-14
Legal Desaiptbn:'SKYLINE VIEW BLOCK 2 LOT 13"
Design Engineer: 0041 AK Water & Wastewater Consuitani Site Address: STARFLOWER CIRCLE
Owner Name: PREFERRED CUSTOME HOMES Lot Size: 15750 SO. FT.
Owner Address: 16600 CENTERFIELD DRIVE Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE. A 99577 -
This permit is for the construction of:
Q 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 specked 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.
Date:
Date: ��
Municipality of Anchorage
• Development Services Department
Building Safety Division ,
- On -Site Water & Wastewater Program A ^
4700 South Bragaw St. t O A OA
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us OV
(907) 343.7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING �t
Parcel I.D. OSI' /9Z-1'4 Permit Number ()L/V221
Property owner(s) PRE RED CUSTOM HOMES Day phone 694-4200
Mailing address (1) c/o BROOKE STILTNER w/ REMAX OF F.R.
Mailing address (2) 16600 CENTERFIELD DRNE • EAGLE RIVER, AK Zip Code 99577
Legal description (Lot, Block & Sub'd.) LOT 13 BLOCK 2: SKYLINE VIEW SUBOMSION
Legal description (Section, Township & Range) N/A
Lot Size P_>5SSU
Acre
Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only
❑
Well Only
❑
Sewer and Well
0
Water Storage
❑
Sewer Upgrade
❑
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 codes.
CARNESS ENGINEERING GROUP Ltd.
Permit Fees: �af
Date of Payment:
Receipt Number:
Waiver Fees,
Date of Payment:
Receipt Number:
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
June 18, 2004
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Well and Septic System for Lot 13, Block 2; Skyline View 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 on the property in the area for the proposed septic system. The drainfield
will be designed around the 30 foot radius of these test holes. We are proposing that a 1000
gallon septic tank and a 5 -wide type drainfield be installed. The well is to be drilled in the area
shown on the attached site plan and design drawings. Comments regarding the septic 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 an application rate of 1.0 gallons/day/ftZ
should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 1.2 & 1.3 minutes/inch
b. Proposed Application Rate: 1.0 gallons/day/ftZ
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 450 ftZ
f. Total Depth: 9 feet (maximum — at any point
g. Effective Depth: 4
It. Width: 5 feet
i. Reduction Factor: 0.50
j. Minimum Length: 45 feet
k Effective absorption area = 450 ftZ
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: gamessengineering.com
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPHY: The area for the proposed drainfield is a 1 to 5 percent slope running
southeast to northwest; in short, there are no slope concerns.
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
P.E., M.S.
NOTE: 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.
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: gamessengincering.com
JEWEL RANCH S/D: JEWEL RANCH S/D; JEWEL RANCH S/D;
LOT 7 LOT B LOT S
SKYLINE D,
LOT tBLOCK MEW 2
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SKYLINE VIEW S/D: I
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LOT 4, BLOCK 2
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LOT S, BLOCK
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SKYVIEW AVENUE
SKYLINE VIEW ADDITION /1:
LOT 1A, BLACK 2
[JEWEL RANCH S/D;
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LOT 20, BLOCK 2
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5
[JEWEL RANCH S/D;
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LOT 4
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I52 LAT 19, BLOCK 2
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I SKYLINE VIEW S/);
1 (SEE DESIGNS PACE 2 OF 2)
5
I LOT 15. BLOCK 2
jSKYLINE VIEW S/D;
LOT 18, BLACK 2
I I T//ERfL1TE SITE
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TERNATE SITE
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SKYLINE VIEW S/D;
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LOT 17, BLOCK 2
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PROPOSED SEPTIC
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I SKYLINE VIEW S/);
2) ' O
S
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TERNATE SITE
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' PROPOSED SEPTIC SYSTEM
(SEE DESIGN, PACE 2
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LOT 2A• BLOCK 2
6/18/2004
DRAWN BY:
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GARNESS ENGINEERING GROUP, Ltd. J.L.M.
5�E
.+� CONSULTANTS 6 GENERAL CONTRACTORS n r
310 E. TIAOR ROAD. SUITE 101 • ANCHORAGE. AA 99507 • PHONE (907)3 3 7-0179 • FAK (907)338-3246 1 = 100'
PREPARED FOR PHONE NUMBER: PAGE NUMBER:
PREFERRED CUSTOM HOMES (907) 376-9136 1 OF 2
LEGAL DESCRIPTION:
SKYLINE VIEW SUBDIVISION; LOT 13, 14, do 15, BLOCK 2
TYPE OF WORK:
SITE PLAN FOR PROPOSED WELL LOCATIONS AND SEPTIC SYSTEMS
.. ...............
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L. If1L VVIYI RISVIVRT LINEJ7Y�LLS A7rND
•L / /
NORTH EAST LO
do
100 FEET WELL RADII FLAGGED /
A REGISTERED LAND SURVEYOR Ile
DR TO ANY CONSTRUCTION.
`le
//LOT 12
' PROPOSED D/RAINFlELD. EXCAVATE A TRENCH I
THAT 6 9 FEET DEEP MAXIMUM (AT ANY POINT
BY 3 FEET NIDE BY 45FEET LONG.uu0.v-vADD 4 FEET
7 cweo n0im
!'INSTALL DOUBLE
INSTALL FOUFIDATI�cLEANbUf�
/ LOT 13
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PROPOSED
100 1
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PRO I
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PROPOSED
WELL
LOT 14&
T
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS
570 F Tinoo ROTO SUITF 101 • ANCHMA6F AK 00507 • MMF (00715}7G179 • FAX (007]550-5nh
PREPARED FOR: PHONE NUMBER:
PREFERRED CUSTOM HOMES (907) 376-9136
LOT 13. BLOCK 2; SKYLINE VIEW SUBDIVISION
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6/18/2004
0`
BRAWN BY:
J.L.M.
SCALE:1w
= 30r
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PAGE NUMBER:
2OF2
DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM
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'ALTERNATE SITE
SKYLINE NEW S/D;
LOT 13, BLCCK 2
VACANT
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LOT 17. BLOCK 2 /
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GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
o, c w #A jo, • wcHowar. a ,,sy • ncw. •o 7-•rn • m. pora»am •.enc w•gg•4+••�
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: LOT 13 BLOCK 2• SKYUNE VIEW SUBDMSION
PERFORMED FOR: PREFERRED CUSTOM HOMES DATE: 8/6/2003
eet- E----..• ORGANICS TEST HOLE l
1
7
8
9
10
11
12
13
16
17
ib]
GP/SP
W/ LARGE
COBBLES AND
3OULDERS. MORE
SP W/ DEPTH.
TOP 4 TO 5
FEET HAD THE
MOST BOULDERS
DEPTH TO
GROUNDWATER
DATE
DRY
SOIL CLASSIFICATIONS
DRY
2
_:•�
t•••
—
2 —
7
0'
6•
.yam
—
»•••
it`y:
GW
_=
ORG
6-
5 —
—
6-
LLI
7
0'
6•
GP
ML
3
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GM
CL
U+,
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4
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got
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ir'
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1
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OH
01•=100'
•••
gelY
SC
7
8
9
10
11
12
13
16
17
ib]
GP/SP
W/ LARGE
COBBLES AND
3OULDERS. MORE
SP W/ DEPTH.
TOP 4 TO 5
FEET HAD THE
MOST BOULDERS
DEPTH TO
GROUNDWATER
DATE
DRY
8/6/2003
DRY
8/20/2003
6•
—
2 —
7
���" • a-7`r�00
p Je a Go ss.,
• C —795 e�
FFG
DATE READING CLOCK
TIME
1
/ ' /
,
8/7/2003 1 —
—
6•
—
2 —
7
0'
6•
4g
—
6-
4 —
li
0•
6-
5 —
—
6-
LLI
7
0'
6•
,
U+,
,
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ir'
"
1
SITE PLAN
01•=100'
DATE READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/7/2003 1 —
—
6•
—
2 —
7
0'
6•
3 —
—
6-
4 —
7
0•
6-
5 —
—
6-
6 —
7
0'
6•
19� PERCOLATION RATE 1.2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASER�P FpR D IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: —w 8�0
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS —�
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 13, BLOCK 2: SKYLINE NEW SUBDIVISION
PERFORMED FOR: PREFERRED CUSTOM HOMES DATE: 8/6/2DO3
DEP
(fea ORGANICS TEST HOLE 2
1
7
8
9
10
11
12
13
14
15
16
17
18
GP/SP
W/ LARGE
COBBLES AND
BOULDERS. MORE
SP W/ DEPTH.
TOP 4 TO 5
FEET HAD THE
MOST BOULDERS
DEPTH TO
GROUNDWATER
�•�
SOIL CLASSIFICATIONS
8/6/2003
DRY
<� �•:
,
i
2—
a•�.
GW
n
MLGM
3
.:
CLGC
4
OL
>>;:u
kGP
SW
MH
SP
CH
5
>o...
•;.•:
SIM
OH
��••.
,:.
SC
0
7
8
9
10
11
12
13
14
15
16
17
18
GP/SP
W/ LARGE
COBBLES AND
BOULDERS. MORE
SP W/ DEPTH.
TOP 4 TO 5
FEET HAD THE
MOST BOULDERS
DEPTH TO
GROUNDWATER
DATE
DRY
8/6/2003
DRY
8/20/2003
,
i
...............
•eQQ,
19 I I PERCOLATION RATE 1.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
I�JI TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASPERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: G111MA,
• • aaa��a
,
i
...............
•eQQ,
19 I I PERCOLATION RATE 1.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
I�JI TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASPERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: G111MA,
• • aaa��a
,
i
Lu
I r1l
ILL.I
1
I SITE PLAN
(~/)��'
�� �
1•=100'
19 I I PERCOLATION RATE 1.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
I�JI TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASPERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: G111MA,
• • aaa��a
19 I I PERCOLATION RATE 1.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
I�JI TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASPERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: G111MA,
Municipality of Anchorage •>,
Development Services Department
Building Safety Division
Onsite Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.enchorage.ak.us
(907)343-7904
Ll IJc o-rcli f itNh t.
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-192-14 HAA# _14A 05 COST
1. GENERAL INFORMATION Expiration Date: IO/Zr 1 aS
Complete legal description SKYLINE VIEW SUBDMSION: LOT 13, BLOCK 2.
Location (site address or directions) 19345 STARFLOWER CIRCLE • CHUGIAK. AK. 99567
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
PREFERRED CUSTOM HOMES
Day phone 376-9136
P.O. BOX 875910-172 • WASILLA. AK. 99687
Day phone
BROOKE STILTNER W/ REMAX PROPERTIES Day phone
696-0214
16600 CENTERFIELD DRIVE • EAGLE RIVER, AK. 99577
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
E
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Weil
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
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, I 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. 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 alt applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Finn 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 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time ofthe test, and separation
distances measured to readily ldentiriable 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 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 _� bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Phone 337-6179
Date of
Maintenance Agreements
Supplemental Engineer's Report
Other
`ti OFf ANCy�,
ON-SITEP1 AND
WpSTEWA ER
no0r,
By. Original Certificate Date: 7&11 o'i
UU
(Rev. 12101)
Municipality of Anchorage
Development Services Department
Building Safety Division
On,Sko Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 1OW50 Anchorage, AK 995194WW
www.ci.anchomge.ak.us
(907) 3437904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: SKYLINE VIEW SUBDIVISION; LOT 13, BLOCK 2, Parcel ID: 051-192-14
A. WELL DATA
Well type PRIVATE If A. B, or C provide PWSID# N/A
Date completed 11 / 17/2004 Sanitary seal (Y/N) YES
Total depth 305 ft. Cased to 149.5 ft.
FROM WELL LOG
Date of test 11/17/2004
Static water level 125 ft,
Well production 2.5 g.p.m.
WATER SAMPLE RESULTS:
Well Log (Y/N) YES
Wires property protected (YM) YES
Casing height (above ground) 24+ In.
AT INSPECTION
R.
g.p.m.
Coliform 0 colonies/100 ml. Nitrate 1.4 mg./L. Other bacteria 0 colonies/1GO ml.
Arsenic: N/A mg./L. Date of sample: 1/12/2005 Collected by: GEG. LtD.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL Date installed 9/23-27/2004
Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (YM) NO High water alarm (YM) N/A
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA
Date installed 9/23-27/2004 Soil rating .p.d. R'/bdrm) 1_2 System type SHALLOW TRENCH
Length 48+ R. Width 5.0 ft. Gravel below pipe 3.76 ft.
Total depth •a.r - r r.a R. Eft. absorption area 462 ftr Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) For 3
Fluid depth in absorption field before test _ in. Water ad New depth _in.
Elapsed Time: _ min. F' p _ in. Absorption rate >= g.p.d.
An treatment (past 12 mo.) (YM & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at _in.
E. SEPARATION DISTANCES
Size in gallons
High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAitt station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer /septic service line 25'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage N/A
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field Inspections and
review of Municipal records that the above systems are /n
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name JEFFREY A. GARNESS
Date%lSf o�
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12'01)
Waiver Fee E
Date of Payment
Receipt Number
exn. tr)arnesa:
CE �
a
�e ...•' ..ASG
`I Municipality of Anchorage •• •.,
A+`e
Y. '•` Development Services Department
Building Safety Division .. ..
t Onsite Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorage.sk.us LOn�� Ii_.'o'na\
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 051-192-14 HAA# 05m"Sej-)
1. GENERAL INFORMATION Expiration Date:
Complete legal description SKYLINE VIEW SUBDIVISION: LOT 13. BLOCK 2.
Location (site address or directions) , t- STARFLOWER CIRCLE • CHUGIAK. AK. 99567
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
PREFERRED CUSTOM HOMES Dayphone 376-9136
P.O. BOX 875910-172 • WASILLA. AK. 99687
Day phone
BROOKE STILTNER W/ REMAX PROPERTIES Day phone
696-0214
16600 CENTERFIELD DRIVE ' EAGLE RIVER, AK. 99577
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
10
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
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 alrxed hereto and as of the validation date shown below, I 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.. I further verify thafbased on the
Information obtained from the Municipality of Anchorage rites and from my investigation and Inspection, the
on-site water supply and/or wastewater disposal system Is(am) 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
Engineers Printed Name JEFFREY A. 6ARNESS. P.E.
Engineer's Comments:
In conducting this evaluation, GEG, Ltd. atiempted to provide a thorough,
conscientious englneedng analysis of the system In accordance with ADEC and MOA
DSD Guidelines 8 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 Identsable 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 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 bedrooms.
'Disapproved.
xx Candiiional approval for 1 bedrooms, with the following
FUNDS MUST BE ESCROWED FOR FINAL GRADING WORK IN THE SPRING OI
Phone
337-6179
Data dd-21105-
By:
2t oS
ON-SITE ;
WATER AND :
WASTEWATER :
PROGRAM
Money in the amount of 1.5 times the high bid of a minimum of three bids fr�►eetlFV�'v
contractors shall be put in escrow to finish final grading work for new wastewater i 'sal
system. Money in escrow shall not be released until this office has given final approval.
ne to, 2005.
Attachments:
HAA Checklist ✓ Maintenance Agreements
Septic System Advisoiy Supplemental Engineers Report
Well Flow Advisory
Other
By: Original Cedi-fificate Date:
Municipality of Anchorage
• Development Services Department
BLming Safety Division
On -Site Water & Wastewater Program
47W Sotto Bragaw SL
P.O. Box 1966 W Anchorage, AK 995196650
www.ci.anchorsge.ak.us
(907)343.7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: SKYLINE VIEW SUBDIVISION: LOT 13, BLOCK 2. Parcel ID: 051-192-14
A. WELL DATA
Well type SATE It A, B, or C provide PWSID# N/A
Date completed 11 /17/2004 Sanitary seal (YIN) VES
Total depth 305 ft. Cased to 149.5 ft.
FROM WELL LOG
Date of test 11/17/2004
Static water level 125 ft.
Well production 2.5 g.p.m.
WATER SAMPLE RESULTS:
Coilfor 0 colonies/100 ml. Nitrate 1.4 mgJL.
Well Log (YM) YES
Wires property protected (YM) YES
Casing height (above ground) 24+ in.
AT INSPECTION
ft.
O.P.M.
Other bacteria 0 colonies/100 nil.
Arsenic: N/A mg./L. Date of sample: 1 /12/2005 Collected by: GEG, LtD.
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEEL Date installed 9/23-27/2004
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alar (YIN) N/A
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA MENKM
Date Installed 9/23-27/2004 Soil rating Ct.p.d fttWffn) 1_2 System type SHALLOW TRENCH
Length 48+ ft. Width 5.0 ft. Gravel below pipe 3.76 ft. ;
Total depth 's.s-9•0 ft. Eff. absorption area 462 fe Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Feiq For 3 roorft�
Fluid depth in absorption field before test _ In. Water ad New depth _in.
Elapsed Time: —min. F _ In. Absorption rate >= g.p.d.
n treatment (past 12 mo.) (YIN & type) If yes, give data
D. LIFT STATION
Date installed Ske in gallons
"Pump on° level at _in.
E. SEPARATION DISTANCES
High water alarm level at
Cycles tested Meets alar & circuit requirements?.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING WANK ON LOT TO:
Building foundation 59+ property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent kits 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 100+ Water main N/A
Water service line 10'+ Surface water low+ Driveway. parking/vehicle storage N/A
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that 1 have determined through field inspections and * y#
review of Municipal records that the above systems are in """"' . """"""""'
combanance with MOA HAA guidelines in effect on this date.
...... .......`
eas.�
Engineer's Printed Name JEFFREY A GARNESS .. 7953
Date
HAA Fee S —a—
Date of Payment ZS oS
Receipt Number OG 302/ s>.�
(rw.lvo1) cccAk
Waiver Fee $
Date of Payment
Receipt Number
1-16-05: 6:17PM:
Sur
$—
;907 6616301 a 2/ 3
:CS Ref.M
1050239001
All Dates/rimes are Alaska Standard Time
;Ilent Name
Garness Engineering Group, Ltd.
Printed Date/Time
01/18/2005
13:40
sroject Name/H
Skyline View S/D Lot 13, Bk 2
Collected Date/Time
01/12/2005
11:00
:tient Sample ID
Skyline View S/D Lot 13, Bk 2
Received Datelrime/e
01/12/2005
15:25
4atrix
Drinking Water
Technical Directoy Stephen C. Ede
(�nJD
Released By
ample Remarks:
Allowable prep
Analysis
arameter
Results PQL
Units Method Container ID
limits Nte
Date Inil
raters Department
Nitrate -N
1.40 0.100
m&jL EPA 300.0 B
(<-10)
01/12/05 XM
licroblology
Laboratory
'Total Coliform
0
coVi00mL SM209222B A
(<-I)
01/12/05 DKC
ar
.vB9`•r"9 w
i,fo�ac . arra...
.CfG. d!
ASBUILT SOIARD S ASSOCIATES I= SURVEYING 684=082!
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE:�
FOLLOWING DESCRIBED PROPERTY+� OF At
DATE;. r Q S 0
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
r.... arra..
OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDS
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- oven. Mark sward M
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB /06 f� `. LS -6918 ANY DATA HEREON BE USED FOR CONSTRUCTION,'
OFFENCE LINES, OR FOR ESTABLISHING BOUND- DRAWNt A1,�*f j
ARY LINES. oirf
i
Z0/Z0 39Vd 83 XW13a 83N1-IIIS 8 886CD69L06T 9T:0T S00Z/ET/Z0