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HomeMy WebLinkAboutCAMPBELL POINT BLK 2 LT 5Campbell Point Block 2 Lot 5 #011-262-10 le 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 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW050009 PID Number. 011-262-10 Name: JOE DESJARLAIS Wastewater System: ■ New ❑ Upgrade Mantes: 14919 EVERGREEN STREET a ANCHORAGE. AK. 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 632-0865 4 N D«p Trench O Shcitow Trench Oiled O Mound OOMer LEGAL DESCRIPTION '" ft"� 1.2 Tatat °'"" """ ° °` 10 WO/54 Ft MAX R Stock Lot: SubdMsion: 2 5 CAMPBELL POINT Depth to PIPS sotmm Saar w%%d ram Warty depth aewath ripe SEE DWG. In. 6+ rt Township: — Range: _ Section: — FU added Peaty e,ph,r Vaae, p�e,w y„yoe L SEE DWG. n. �/ rl WELL: ■ New ❑ Upgrade °ra"""01 2.5 NwMer at Ns 1 awo,w. tow..., Nee — n R ciaeeebatb, AV.0 Twat De Wo e.wd Te Tod abeorWee ane: Ob eMenot PRIVATE 321 R 321 rt 540+ so. rt. D 3034/ F-810 ores: ALPINE DRILLING Date Dried: 14/29/05 istaw Mater hest 247 awto" LITTLE DIPPER Dab Pedalled 5/25/2005 rL rrle: wem tbt ft ceek,[ Ndyd ase- Qn _ 20 oru UNKNOWN FL 2 m TANK SEPARATION DISTANCES ■S.Ptk 13Hoieing 13S.T.U. DOther To Prates Sepik Tank AbwrpHon Fula Ult Station Haldinq Tank /►dra4 E.e.r lkrw llendaeooer. GREER �vedb h Vetere 1250 Well 100'+ 100'+ — — 25'+ � STEEL N�d� at ecervwur. t 2 Surface Water 100'+ 100'+ — — — LIFT STATION Lot tine 5'+ 100+ — — — 9'a VObOK eai'dao0"er` Foundation 5'+ 10'+ — — — as bow at ab Ken eebr Ston rt Curtain Drain NONE KNOW nerve td�. abeam ~°`W Pulte tr• Remarks: BENCH MARK Location ea DeeaegW : TOP OF CONCRETE PEDESTAL NEAR SOUTHWEST PROPERTY CORNER �wd Eleauen 100.00 rl [NDINElRe DEAL GEG. Ltd.Inspections performed by: Dates: 1st _5/25/2005 0 • ;; .. .................... 2nd 5/25/2005 3rd 5/25/2005 QO :. . A. GOme39. Developmen Services Department Approval 411 • C 953 .� Reviewed and approved b . o{e; `u0�f�i�� PERMITNULASBUILT DRAWING PARCEL NUMBER: SW0 SW050009 09 - 011-22 62-10 1 -------1--- EXISTING / CLAS "C• / WELL 1 � 1 I �♦ \ 1 I I ♦ `\I I I %, r GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS =I L ■WI 00y 0u1[ 101 • MOCMOf. At MOI • MOIL (10!) In • W C&Dr Y " • 0 w• M PREPARED FOR: PHONE NUMBER: PACE NUMBER: JOE DESJARLAIS (907) 632-0865 2 OF 3 LEGAL DESCRIPTION: DRAWN BY. CAMPBELL POINT SUBDIVISION; LOT 5. BLOCK 2. R.A.L TYPE OF WORK: DATE: AS—BUILT FOR NEW WELL AND SEPTIC SYSTEM I 6/27/2C ". Ulm) L/ I. I — - 7N I p t•..} .. �i �.. 1 A B I 31.77 33.51 34.46 EW wEu I ST1 51.14 ST2 59.09 DBL1 62.06 LOT LIRNATE 35.13 20.73 18.96 - PROPOSED I------ a BEDROOM / INEW HOUSE / / D81_2 63.94 C01 41.77 MTi 43.92 1 1 43.84 i / I DRAINFIELD I A j CO2 86.48 1 43.16 I ITH MT2 84.98 r GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS =I L ■WI 00y 0u1[ 101 • MOCMOf. At MOI • MOIL (10!) In • W C&Dr Y " • 0 w• M PREPARED FOR: PHONE NUMBER: PACE NUMBER: JOE DESJARLAIS (907) 632-0865 2 OF 3 LEGAL DESCRIPTION: DRAWN BY. CAMPBELL POINT SUBDIVISION; LOT 5. BLOCK 2. R.A.L TYPE OF WORK: DATE: AS—BUILT FOR NEW WELL AND SEPTIC SYSTEM I 6/27/2C ". Ulm) L/ I. - WACANZD I p t•..} .. �i �.. ILL 1 NEW 1250 KERI COURT (V N CALLON SEPTIC 11 LOT LIRNATE WANER GRANTED) TANK \� - r GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS =I L ■WI 00y 0u1[ 101 • MOCMOf. At MOI • MOIL (10!) In • W C&Dr Y " • 0 w• M PREPARED FOR: PHONE NUMBER: PACE NUMBER: JOE DESJARLAIS (907) 632-0865 2 OF 3 LEGAL DESCRIPTION: DRAWN BY. CAMPBELL POINT SUBDIVISION; LOT 5. BLOCK 2. R.A.L TYPE OF WORK: DATE: AS—BUILT FOR NEW WELL AND SEPTIC SYSTEM I 6/27/2C ". Ulm) L/ I. 0 -BUILT DRAWING PERMTTBER` AS PARCEL ID NUMBER: SW0 I SW050009 011-262-10 TOP OF TANK AT INLET - 94.71. WERT OF BUNG AT INLET - 94.13 RELATIVE ELEVATION OF OF TEST HOLE O 81.00 FINAL GRADE - 99.09 ST2 n -----fir-- U NEW 1250 GALLON SEPTIC TANK FINAL GRADE ORIGINAL GRADE 07.33-98.69 97.00 � ur rn HOLE :RT OF PIPE - 93.00 �-BOTTOM OF TRENCH - 87.00 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS m, L nca IdA qui[ ,m . MMMM w, W 00*v •w •X10 .... �. PREPARED FOR: PHONE NUMBER PACE NUMBER: JOE DESJARLAIS (907) 632-0865 3 OF 3 LECAL DESCRIPTION: DRAWN BY. CAMPBELL POINT SUBDIVISION. LOT 5, BLOCK 2, R.A.L. TYPE OF WORK: DATE: PROFILE AS -BUILT FOR NEW WELL AND SEPTIC SYSTEM 6/27/20 (Rm. 01A5) TOP OF TANK AT OUTLET - 94.89 VERT OF BUNG AT OURET - 93.94 w°' of uFl ALPINE DRILLING & ENTERPRISES Permit Number: #SW050009 Date of Issue: 1-12-05 Parcel Identification Number: Date Started: 4-28-05 Date Completed: 4-29-05 Is well located at approved permit location? ® Yes ❑ No Legal Description: Campbell Point Block 2 Lot 5 Property Owner Name & Address: MargUiS Homes 14919 Evergreen St. Anchorage. Alaska 99516 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness:.250 inches silt 2 5 Diameter: 8 inches Depth: 321 feet sandy silt 5 51 Liner Type: Diameter: inches Depth: feet silty sand 51 130 Casing stickup above ground: 2 feet sandy gravel 130 152 Static water level (from ground level): 247 feet sandy silt 152 Y13 Pumping level: 320 feet after sandy gravel 213 241 2 hours pumping 20 gpm silt 241 248 Recovery Rate: 20 gpm. silty sand 248 260 Method of Testing: airlift Well Intake Opening Type: sandy gravelly silt 260 315 silty water sand & gravel 315 321 ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Startfeet Stopped feet Grout Type: bentonite granules Volume: 1 Depth: Start 0 feet Stopped 7 feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 995196650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW050009 Date Issued: Jan 12, 2005 Expiration Date: Jan 12, 2006 Parcel ID: 011-262-10 Legal Description`: CAMPBELLPOINT SUBDIVISION BLOCK 2 LOTb ^7 Design Engineer: 0855 Gamess Engineering Group, LTD Owner Name: MARQUIS HOMES Owner Address: NHN HEATHER CIRCLE ANCHORAGE. AK 99502 - Site Address: NHN HEATHER CIRCLE Lot Size: 15400 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of. ❑✓ Disposal Field E Septic Tank Holding Tank ❑ Privy 0 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: Date: i /W25 Issued By.r— � Date: r Y o r ' \ Municipality of Anchorage Development Services Department ct hrr!a: j 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 Parcel I.D. O I I — 21-0-2— 11) Permit Number Property owner(s) JOE DESJARLAIS w/ MARQUIS HOMES Day phone (907) 632-0865 �Mai�ling address (1) 14919 EVERGREEN STREET • ANCHORAGE. AK. w�au+sa9 jo ham_ p 2 address (2)�_i-IEF�T1�� %,Y.0 Eil Zi Code 9g95�te' Legal description (Lot, Block & Sub'd.) LOT 5. BLOCK 2. CAMPBELL POINT SUBDIVISON. Legal description (Section, Township & Range) N/A Lot Size )S, 400 Acr s/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well 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. GARNESS ENGINEERING GROUP, Ltd. (Signa!ufe of pfopefty owner or atitheriped agent) Permit Fees: ��l t X76 r. CJI i+�l Waiver Fees: I %J / �n % n2 Date of Payment: I I)nl(1s Date of Payment: / ho Receipt Number. i ( Receipt Number. 6A9I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS January 3, 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: Proposed Septic System for Lot 5, Block 2, Campbell Point S/D To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. The proposed well is to be drilled in the area shown on the attached site plan and design drawings. We are proposing that a new 1250 gallon septic tank and deep trench type drainfield be installed. Two test hole where excavated on the property. The drainfield will be designed around the 30 foot radii of these test holes. 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. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design the average slope in the area is approximately 1 to 5 percent running approximately north to south. In short, there are no slope concerns. 5. WAIVER REQUEST: We are requesting a 1 foot lot line waiver from the south lot line to the proposed alternate site. We are unaware of ny adverse impacts this installation would have on adjacent wells or septic systems. I�yonttave any ue tions, please contact us at 337-6179. Thank you for your assistance. P NOTE: Attached is a site plan drawing, a design drawing, a detail drawing, and one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamessengineering.com F----Lof I. BLOCK I: �� — I CAMPBELL POINT S/D I � i \\ I Lor 2, BLOCK 1; CAMPBELL POINT S/D 1 LOT 3, BLOCK 1; 1 CAMPBELL POINT S/O -T—_�\ 1 _ _LOT 4, BLOCK 1; CAMPBELL POINT S/D I I .N /_. r•• / BLO LOT S. CK i; --CAMPBELL POINT S/D LOT 9. BLOCK 2; CAMPBELL POINT S/D 1 C----3 I I C====? 1 DGK 2; I f \\ r \ IT S/D x I �`\ � \ LOT B. BLOCK 2; \� CAMPBELL POINT S/D LA LOT 7, BLOCK 2; LCI LOCK 2: \\ I iAIPBELL POINT S/0 / POINT S/D \ J I U / CAMPBELL IHT S. ID ITMI � 1 1 LQT 2. BLOCK CAMPBELL POINT LOT 3. BLOCK CAMPBELL POINT 1LTMf2i - JK-ER+=£OUR — 7 PENDING ON EtIVATION OF Q GRINDER PUMP'_0M. _0 I( J� OR LIFTSTAION -F \\\ MIGHT BE TRACT 1, BLOCK 3: LOT 6. BLOCK 1; LOT 7, BLOCK 1; CLI REQUIRED \ CAMPBELL POINT S/O CAMPBELL POINT S/D I I CAMPBELL POINT S/D \ ZI \ \\ 7/--�-L_ WEST DIMON WELL ON BLVp, S LOTS 1. . GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS �••••:• •. .. .... ... :... 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907).737-0179 • Fu (907).539-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER:......••••• DO '' ......•• LOT 2, BL / (907) 632-0865 1 OF 3 CAMPBELL YOI i —� � � I L) U� DATE:0� h � � ' I SITE PLAN CCIU 1 , / LOT 3, 8 CAMPBELL wl \ / 14 VKUFU�LU QI I\ 4 BEDROOM 1 \ HOUSE ( LOT 4. BLOCK 2; PBELL PoIHT S rAUHT) 1 \� PROPoSEO L SEPTIC SYSTEM LOT 9. BLOCK 2; CAMPBELL POINT S/D 1 C----3 I I C====? 1 DGK 2; I f \\ r \ IT S/D x I �`\ � \ LOT B. BLOCK 2; \� CAMPBELL POINT S/D LA LOT 7, BLOCK 2; LCI LOCK 2: \\ I iAIPBELL POINT S/0 / POINT S/D \ J I U / CAMPBELL IHT S. ID ITMI � 1 1 LQT 2. BLOCK CAMPBELL POINT LOT 3. BLOCK CAMPBELL POINT 1LTMf2i - JK-ER+=£OUR — 7 PENDING ON EtIVATION OF Q GRINDER PUMP'_0M. _0 I( J� OR LIFTSTAION -F \\\ MIGHT BE TRACT 1, BLOCK 3: LOT 6. BLOCK 1; LOT 7, BLOCK 1; CLI REQUIRED \ CAMPBELL POINT S/O CAMPBELL POINT S/D I I CAMPBELL POINT S/D \ ZI \ \\ 7/--�-L_ WEST DIMON WELL ON BLVp, S LOTS 1. . GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS �••••:• •. .. .... ... :... 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907).737-0179 • Fu (907).539-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER:......••••• DO '' ......•• JOE DESJARLAIS (907) 632-0865 1 OF 3 p e r y .Corn ss. LEGAL DESCRIPTION: CAMPBELL POINT DRAWN BY: SUBDIVISION; LOT 5. BLOCK 2, J.L.M. Qaga •, /O�FG �I]4e�e�•7I�e4do TYPE OF WORK: DATE:0� �0; esc�o'� �40po SITE PLAN 1/3/2005 (Rw OCAS) DESIGN • � � � — — T � ` I EXISTING 'C' of NUMBER OF BEDROOMS:4 CLASS GALLONS PER DAY (GPD): 600 \ WELL // i PERCOLATION RATES: 1.5-2.5 MIN./INCH 1 I PROPOSED APPLICATION RATE: 1.2 PROPOSED �\ 1250 GALLON MINIMUM DRAINFIELD $O.FT.: 500 I DRAINFIELD DESIGN: \ \ MAXIMUM DEPTH: 10 FEET I I / WIDTH: 2.5 FEET \ \ \ I I LENGTH: 45 FEET M.OA APPROVED SAND FILTER: N/AEFFECTIVE: 6 FEET REDUCTION FACTOR: N/A ACTUAL SO.FT.: 540 TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER. WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND \ PROPOSED DRAINFIELD `I NOTE: DEPENDING ON ELEVATION OF HOUSE A GRINDER PUMP OR LIFT 11 STATION MIGHT BE REOUIRED 11 k I PROPOSED WELL 1� (SEE NOTE) Li7Y•iq PROPOSED 4 BEDROOM / HOUSE / THI 1 of / T� // Li7Y•iq PROPOSED 4 BEDROOM / HOUSE / THI 1 V LOT UNE WAIVER REOUESTEDJ (INSULATE UNDER DR AY W/ 4INCH INSULATION 4 FEET WIDE' KERI COURT ALTERNATE SITE (WILL REQUIRE LOT \ UNE WAVER) - \ NOTE: 1. PROPOSED WELL LOCATION I \ NEEDS TO BE STAKED. 2. ALL WELL IE_ _ _ 7 I RADII AND THE WEST, SOUTH, AND \ ST, LOT LINES SHALL BE FLAGGED BY A REGISTERED SURVEYOR PRIOR \ \ TO CONSTRUULQN. — _ o GARNESS ENGINEERING GROUP, Ltd. p°O4'?• CONSULTANTS & GENERAL CONTRACTORS i sm L T DMO. T 101 • MIDOWL m M 7 . F1101[ (007WYJ 1T • Fm (907) ". et>mIL• ewgslr.Yy.wvpmll PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••••• .••••• JOE OESJARLAIS (907) 632-0865 2 OF 3 A '• f A. ess: CE—753 NF1 LEGAL DESCRIPTION: DRAWN BY: Oho• '• / CAMPBELL POINT SUBDIVISION: LOT 5, BLOCK 2, R.A.L. Op ewe {I,7Qy '��A� t� TYPE OF WORK: DATE: 0o4pO4�p%00' DESIGN FOR PROPOSED WELL AND SEPTIC SYSTEM 1/3/2005 (Rev. OIM5) / / // II.._ _/ PROPOSED ` O 1250 GALLON SEPTIC TANK V LOT UNE WAIVER REOUESTEDJ (INSULATE UNDER DR AY W/ 4INCH INSULATION 4 FEET WIDE' KERI COURT ALTERNATE SITE (WILL REQUIRE LOT \ UNE WAVER) - \ NOTE: 1. PROPOSED WELL LOCATION I \ NEEDS TO BE STAKED. 2. ALL WELL IE_ _ _ 7 I RADII AND THE WEST, SOUTH, AND \ ST, LOT LINES SHALL BE FLAGGED BY A REGISTERED SURVEYOR PRIOR \ \ TO CONSTRUULQN. — _ o GARNESS ENGINEERING GROUP, Ltd. p°O4'?• CONSULTANTS & GENERAL CONTRACTORS i sm L T DMO. T 101 • MIDOWL m M 7 . F1101[ (007WYJ 1T • Fm (907) ". et>mIL• ewgslr.Yy.wvpmll PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••••• .••••• JOE OESJARLAIS (907) 632-0865 2 OF 3 A '• f A. ess: CE—753 NF1 LEGAL DESCRIPTION: DRAWN BY: Oho• '• / CAMPBELL POINT SUBDIVISION: LOT 5, BLOCK 2, R.A.L. Op ewe {I,7Qy '��A� t� TYPE OF WORK: DATE: 0o4pO4�p%00' DESIGN FOR PROPOSED WELL AND SEPTIC SYSTEM 1/3/2005 (Rev. OIM5) --------------------------- /-,UT ORIGI FROM TANK 21C GARNESS ENGINEERING GROUP, Ltd. pp, CONSULTANTS & GENERAL CONTRACTORS .. Sr01 C T1ttV1 00M, TIIR 101 • mo okm m 00!07 • "E 007)]tr-0110 • r" (001)0.M- " • 11®IC• w�ga. qn 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• .... ............ JOE DESJARLAIS (907) 632-0865 3 OF 3T A. Gorness.: LEGAL DESCRIPTION: DRAWN BY: CAMPBELL POINT SUBDIVISION; LOTS 5. BLOCK 2. R.A.L. �� e ' •.� .o S' ��AdG TYPE OF WORK: DATE. QOO4OpOOQao DETAIL OF PROPOSED DRAINFIELD 1/3/2005 o GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3M L TUDOR RM°. SUrtE 101 • AHCHDK a, w "507 • PHONE, (W)W-Gln • FA (W7)]. M4 • wE85RL ,em.wwpYrwwyow• SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: CAMPBELL POINT SUBDIVISION; LOT 5, BLOCK 2. PERFORMED FOR: JOE w/ MAROUIS HOMES DATE: 12/10/2004 DEPTH (feet) ____ ORGANICS ITEST HOLE #1 2 .• NET TIME (MINUTES) WATER LEVEL READING SOIL CLASSIFICATIONS ORG 2:32 GW _..c 3 ••• 2 2:42 1ft. GP ML SP—SM �:• .. 6- — GM CL 4 �• 10 �; 2:52 GC OL — �� •. 3:02 10 SW MH °° .�° a 5 �; 6' — '••• ' .•.. SP CH 2- 4- 9 3:12 — SM X OH 6 3:22 10 2- 4' SC 13- 3 7 CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 12/13/2004 1 2:32 — B ••• 2 2:42 10 2- 4- SP—SM 9 .. 6- — 4 2:52 10 2- 10 �; 2:52 — 6- — 6 3:02 10 2- 4- 7 3:02 — 6' — 1t ; 10 2- 4- 9 3:12 — 12 ; 10 3:22 10 2- 4' 11 13- 3 — 6' — 12 3:32 10 2- 14 14 ••• 15—.... 16 • B.O.H. 17 IGROUNDWATTH ERI DATE '• f^ .5:... .J 3/ r i' \ \ i ice♦ / �S ,C^ / ♦♦ i TH11 i •: ;TH1:2it _ i � •' I KETRI COURT I - ♦ I SITE %PLPLAO 'N 1% DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 12/13/2004 1 2:32 — 6- — 2 2:42 10 2- 4- 3 2:42 — 6- — 4 2:52 10 2- 4- 5 2:52 — 6- — 6 3:02 10 2- 4- 7 3:02 — 6' — 8 3:12 10 2- 4- 9 3:12 — 6' — 10 3:22 10 2- 4' 11 3:22 — 6' — 12 3:32 10 2- 4' 19 PERCOLATION RATE 2.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: CALEB CALL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1 7 jor GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b GENERAL CONTRACTORS rol RNA w¢ im • w.owcL Z ••5°7 • ha'w: •0 7-!1l• • Fn ' •°1 320 • •EBLfL •vn.r..r..yo.m SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: CAMPBELL POINT SUBDIVISION; LOT 5. BLOCK 2. PERFORMED FOR: JOE w/ MARQUIS HOMES DATE: 12/10/2004 DEPTH (feet)ORGANICS ITEST HOLE 2 tp-I'Llililil 2 .�. •.• NET TIME (MINUTES) SOIL `d o` CLASSIFICATIONS GW ccc_ ORG 3 6' - ? :a+'.•: GPML 9 0. •:• 3 0 10- GM CL 4 •.• 2:48 9 GC OL 5 2:48 - 6. SW MH 5 �•• : iRaw 0' "•• ' SP CH .0 SM � � : OH SC 14 14 8 :; NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 12/13/2004 1 2:30 SP—SM 6' - 2 2:39 9 0. 6. 3 0 10- - 6- - 4 2:48 9 0. 6' 5 2:48 - 6. - 6 2:57 9 0' 6. 14 14 ' 15 t6 .. ;. • B.U.{ I. 17 18 DEPTH TO DATE GROUNDWATER DRY 2/10/200 DRY 2/20/200 // \ \ I Imo♦ / \ / •----ter _ / uro. KERI COURT SITE PLAN 1'=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 12/13/2004 1 2:30 — 6' - 2 2:39 9 0. 6. 3 2:39 - 6- - 4 2:48 9 0. 6' 5 2:48 - 6. - 6 2:57 9 0' 6. 19 PERCOLATION RATE 1.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY GEG. Ltd. I. JEFFREY A. GARNESS, CERTIFY THAT THIS WA P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: OS • Municipality of Anchorage 4 On -Site Water and Wastewater Program (907) 343-7904 s .A r E T r Certificate of On -Site Systems Approval Parcel I.D. 011-262-10 Expiration Date: 1. GENERAL INFORMATION: Complete legal description CAMPBELL POINT; BLOCK 2, LOT 5 Location (site address) 8520 WALKER CIR *ANCHORAGE, AK Current Property owner(s) KATY GREEN Mailing address Real Estate Agent 8520 WALKER CIR *ANCHORAGE, AK 2. TYPE OF DWELLING: Z Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 931-801-1623 Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Fl Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 14 1 �' SD(cc) V I D- 1 �l Date of Payment 71,� 7 02 Receipt Number 7 99 G COSA# 03C n �� 1 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 1 Engineer's Printed Name: Jeffrey A. Garness Date: 6, T -� 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 system/s on the datels 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 guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding 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. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, 0F�1. �TH l' *I i. .. ....... 9; CE 170,53 P, o f e s s-1on�pc� #AECC884 o�°�S�TF yob �,gsTTFR AND m with the follow sti dtioFi�q rF s5 g7 Original Certificate Date: K— 3 -Z6 Z 0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other CC SA blue sheet 10-10-12.doc q3 COSA Checklist Legal Description: CAMPBELL POINT; BLOCK 2, LOT 5 Parcel ID: 011-262-10 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 4121/05 Total depth 321 ft Cased to 321 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7110/20 Static water level at beginning of test 256.5 ft Comments B. TANK DATA Age of tank(s) 15 years Tank type/material '.Fw 1M Measured operating fluid level in septic tank 49" ❑ Standpipes/foundation cleanout per record drawing Date of pumping 9/18/19 D. ABSORPTION FIELD DATA Which system tested (date installed) 2005 ❑® ALL standpipes present per record drawing Total measured depth from grade *11.8 ft (max) Measured depth to pipe invert from grade 5.1+ ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced n/a gallons Comments/Deficiencies: `AT EAST MONITORING TUBE COSA Checklist yellow sheet Well production at time of test4.5+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No © Coliform bacteria is Negative Nitrate mg/L © Nitrate less than MRL (ND) Arsenic 6.99 ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 7/10/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material CommentS. Adequacy test date 7/10/20 Results R Pass For 4 bedrooms Fluid depth prior to test 31 in Water added 621 gal New depth 46 in Elapsed time 120 min Final fluid depth 35 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) no If yes, enter date n/a E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ Yes if No Community Sewer Manhole/Cleanout > 100' M Yes if No ft F/7I Yes if No ft Neighboring Tank > 100' P� Yes if No ft Private Sewer/Septic Line > 25' Fv� Yes if No ft Absorption Field on Lot > 100' R� Yes if No ft Holding Tank > 100' P/1 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' El Yes if No ft P/1 Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' -❑✓ Community Sewer Main > 75' Rl Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' 121 Yes if No ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100' QQ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' FV7I Yes if No ft Water Service Line > 10' 0✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10'✓❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' [I✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Service Line > 10' Yes if No ft. Community Wells > 200' 0 Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS 10 c *MANMADE POND APROXIMATELY 69 FEET TO DRAINFIELD & APROXIMATELY 78 FEET TO SEPTIC TANK G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet r (. .......... QO p •J y Ggrn�ss;• CE -x795 �L �3('�. •� .�ceG 40 dprofesslo�, #AECC884 �D�Op�OQo 141 • �� b5 6 7 e 9 GE 8v, Municipality of Anchorage On-Site Water and Wastewater Program ....al air (907) 343-7904s" 'i'Y APR042018 i Certificate of On-Site Systems Approve ,. Parcel I.D. 011-262-10 Expiration Date: �� 1. GENERAL INFORMATION: Complete legal description CAMPBELL POINT; BLOCK 2, LOT 5 Location (site address) 8520 Walker Circle*Anchorage 99502 Current Property owner(s) Erik Fox Day phone 242-6178 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: I ./g COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 5Q(0. Waiver Fee $ Date of Payment yl a/(� Date of Payment Receipt Number 0a` 'M6 Receipt Number COSA# 6-66./3 /1g9 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 91 LS6 0000p0�`4 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o� 4 in accordance with the guidelines and regulations established by the Municipality of Anchorage and o industry practices. The reported results describe the condition of the system/s on the date/s of the G ' F evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �' • ►'� lr(] encroachments may exist that were not identified during the evaluation. The operational life of all wells (/ *.• 4 T �0 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 2 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 guarantee future performance of the / - f! A.—Tl ess: system/s; therefore, GEG makes no warranty(express or implied)regarding the future performance of V0' •' CE-79 3 '• `per the well or septic system. GEG makes no representation whether an alternative well or septic system , yep can be installed on the property in the event either of the current systems fail to perform adequately in �� Pre •••. .••���.�� the future. The content of this report is for the sole benefit of the person/party that retained GEG to �Q 01P, ss o�°qo perform the evaluation. Reliance upon the information provided in this report by any other person or �0040 =• party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for y bedrooms System #2 Approved for bedrooms Disapproved Conditional approval forbedrooms, with the followi -tipulatio yp I ON_S11-E , WATER ANS VVAS�EWRTER o: PROGRAM =�J `04 ¢rp\i\C' By: 1 1^^^1=-rid Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other cOSA blue sheet 10-1O.12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: CAMPBELL POINT; BLOCK 2, LOT 5 Parcel ID: 011-262-10 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 4/29/05 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 321 ft. Cased to 321 ft. Casing height(above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 4/29/05 3/30/18 Static water level 247 ft. 237.6 ft, Well production 20 g.p.m. 4.7+ g.p.m. WATER SAMPLE RESULTS: Coliform NEC colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: 6.35 ug./L. Date of sample: 3/27/18 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 5/25/05 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y//N) NOc High water alarm (Y/N) N/A Date of pumping y/ y/ i g Pumper Ag J.ecL k`C e C. ABSORPTION FIELD DATA BELOW FINAL GRADE Date installed 5/25/05 Soil rating �q.p.d./�or ft2/bdrm) 1.2 System type DEEP TRENCH Length _ 45 ft. Width 2.5 ft. Gravel below pipe 6+ ft. Total depth *11.8+ ft. Eff. absorption area 540+ ft2 Monitoring tube YES Depression over field NO Date of adequacy test 3/30/18 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 41 in. Water added 643 gal. New depth 58 in. Elapsed Time: 120 min. Final fluid depth 51 in. Absorption rate>= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date — C01 HAS A SMALL BALL AT THE BOTTOM. INVERT ELEVATIONS BETWEEN CO1 AND CO2 ARE STILL WITHIN 1 INCH OF EACH OTHER. EAST MT EXTENDS APPROXIMATELY 6 FEET AND WEST MT EXTENDS APPROXIMATELY 6.16 FEET INTO EFFECTIVE DRAINROCK D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at _in. "Pump off' level at '• wa er alarm level at in. • _ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 5'+ Absorption field 5'+ Water main 10'+ 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 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS o6oOp�i G. ENGINEER'S CERTIFICATION o,`� 9F A j��4p off ' .'� 0 I certify that I have determined through field inspections and * 4 TH �� SOD review of Municipal records that the above systems are in 0 0 conformance with MOA COSA guidelines in effect on this date. i ••, of r: A. Game s,• Q Engineer's Pri ted ame JEFFREY A. GARNESS QQ09� • '. — 9 \c0OO• O L ii, �g 4►ez. • Ly�t,, .lvc,cooO Date f� 4 ' Pr—otfesston o \\OOoo�� >rd, cG38.11- (Rev. 11/05) PLAT NO. 66-78 CAMPBELL POINT SUBDIVISION LOT 5, BLOCK 2 15.400 S.F. N 90°00'00"E 110.00' • 10' UTIL. ESMT. WELL ftgl I I I I I a I w J ~ 1 O I DECK I II 40.D' b I _ ' - ip CD I � r 6 x-2.0' X 7.3' O I x Z i F.P. CANT 0 0 I w o 10.0' r 15.5"W 0 I ^,, EXISTING BUILDINGa b I o O O O o I a S z I Z8 c z I 19.0' 11-1 o o 1 D.o 15.4' . 21.0' Nj I — r. �r ,�/ I xFS 1 " = 2C I SEPTIC SYSTEM I A.C. DRIVE in I a • I . . I I I • I - • N 90°00'00"E 110.00' cV WALKER CIRCLE NOTE: LL4ITS OF A.C. PAVING ARE SHOWN APPROXIMATELY DUE TO SNOW AND ICE AT THE TIME OF THIS SURVEY. AS - BU I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ����1� ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING. LLC IT IS THE RESPONSIBILITY OF THE OWNER TO ��•� OF..q( ,. JEFF A. GASTALQI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS. ,`P: 41. 4�.1. 2000 E. DOWLING RD.. SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT a �;*491H ' ANCHORAGE. ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. ./ PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA ,a GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR A : Jeffery A. Gosloldi : o li SW2322 3/28/2018 ESTABLISHING BOUNDARY OR FENCE LINES. ♦♦:s0� L$-6091/ 1 g •�J` 4 ANCHORAGE RECORDING DISTRICT, ALASKA • aA •••...••-- d F.B. JOB NO. NOTE : NO CORNERS SET THIS DATE ♦�+1151.1co f �►r�•� 06-02 CPS52 , Municipality of Anchorage Development Services Department r4 • �i Building Safety Division On -Site Water 8 Wastewater Program j 4700 Bragaw Street P.O. Box 196650 .114A Anchorage, AK 99519-6650 / /! ✓✓✓ www.muni.orglonsile (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 011-26-210 COSA# 1. GENERAL INFORMATION Expiration Date:S— Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address CAMPBELL POINT BLOCK 2. LOT 5 8520 WALKER CIRCLE *ANCHORAGE, AK 99502 LARRY do BEVERLY RHYMER Day phone 339-9355 8520 WALKER CIRCLE 'ANCHORAGE. AK 99502 _ Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 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, I verify that my investigation, based on procedures outlined In the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles 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 Address 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers 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 d Regulations. The reported results described The performance of the system under the conditions encountered at the time of the rest, and separation distances measured to readily Identifiable features. The operational life ofall 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 ofthe 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 benerit 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 I- bedrooms. Disapproved. 337-6179 Date Z 23 t o Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other rrrla I tYYAI tK PROGRAM �' - -- .O By: Original Certificate Date: (Ray. 11N5( 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 CHECKLIST Legal Description: CAMPBELL POINTBLOCK 2, LOT 5 Parcel ID: 011-26-210 A. WELL DATA Well type PRNATE If A. B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 4/29/05 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth 321 ft. Cased to 320 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 4/29/05 2/11/10 Static water level 247 fL 240 ft, Wellroduction 20 . 9 . .. _ . . p p.m. 6.40 g.p.m. WATER SAMPLE RESULTS: ColiformU colonies/100 ml. Nitrate -�0, t mg./L. Other bacteria ' coloniesll00 ml. ArsenicOJ_',)_ug./L. Date of sample: 2/11/10 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 5/25/05 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping *2-111 201 o Pumper DENALI SEWER & IDRAIN C. ABSORPTION FIELD DATA ow EXISnNG GRADE Date installed 5/25/05 Soil rating [g.p.d.IWoW1bdnn1_2 System type TRENCH Length 45 ft. Width 2.5 ft. Gravel below pipe 6 ft. Total depth • 11.75 ft. Eff. absorption area 54_0+ fe Monitoring tube YES Depression over field NO Date of adequacy test 2/11/10 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 17 in. Water added 1 140gal. New depth42 in. Elapsed Time: 120 min. • Final fluid depth 34 in. Absorption rate >- 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump oft" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ 10'+ Absorption field on lot 100'+ On adjacent lots 100'+ 10'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line P 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 59+ Property line 59+ 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 tine 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ 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 review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date z1zZJ/0 COSA Fee U Date of Payment 2-23-40 Receipt Number E -a2 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 0.). •. S�0 I . p t r y A. Gar ess. E-79 3 .`� 2f .2 2..1D '«400G ■ ■ 03/22/2006 10:51 FAX i ■ ■e i CAMPBELL LOT 66-78 POINT SUBDIVISION. 56 400 B SOCK 2 al N KERI COURT ` AC -.011 1 1 T 11 uccwcw 0%�7 AJ . CAc- TALDI LAND SURVEYING, LLC JEFF A. GASTALDI. R.L.S. 4726 WEST 88TH AVENUE ANCHORAII=, ALASKA 99502 PHOP E 248-5454 Eel, 2322 1 3/16/2006 F.& I JOB NO. Os -D: 1 CPS52 PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS COVENANTS OR RFSTR1CT10NS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT. ALASKA NOTE- NO CORNERS SET THIS DATE to t N 1 11=201 : .w P�� OF•••q�� �.. ar 9T11 : f . ..............ease..., i 0....... ............0.0.49 . • or a GO31dd i •• w Aire ♦ ��• Ls-ca91 r is ^pop••.......••• 6' �1 1O' UTA. ESMT. WUL �4 -- — I I — — – -- — — — — — — — — — — — — — — — — — I 1 I I A 1D I i o I 40.0• I 0 2.0' K 7.7 I x F.P. qWT 7? I M I CaSI NG BUILDING t0a 15.5' I b I " I b b 15.4' O 21.0' N I 0 I SEM SYSTE„ GRAVEL DRIVE Is. oia Y • I I , al N KERI COURT ` AC -.011 1 1 T 11 uccwcw 0%�7 AJ . CAc- TALDI LAND SURVEYING, LLC JEFF A. GASTALDI. R.L.S. 4726 WEST 88TH AVENUE ANCHORAII=, ALASKA 99502 PHOP E 248-5454 Eel, 2322 1 3/16/2006 F.& I JOB NO. Os -D: 1 CPS52 PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS COVENANTS OR RFSTR1CT10NS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT. ALASKA NOTE- NO CORNERS SET THIS DATE to t N 1 11=201 : .w P�� OF•••q�� �.. ar 9T11 : f . ..............ease..., i 0....... ............0.0.49 . • or a GO31dd i •• w Aire ♦ ��• Ls-ca91 r is ^pop••.......••• 6' �1 Municipality of Anchorage !� Development Services Department• i / Building Safety Division — Onsite Water & Wastewater Program 4700 Bragaw Street P.O. Box 16650 Anchorage, AK 99519.6650 www.muni.org/onsite � I (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. II-gto,'ACOSA# l � 1. GENERAL INFORMATION Expiration Date: t o Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MARQUIS HOMES Day phone 632-0865 14919 EVERGREEN STREET • ANCHORAGE. AK 99516 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles 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 ofinstallation. 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 _ 3/2 -1oL 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 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 confor any legal right whatsoever. 5. DSD SIGNATURE Approved for __1,L bedrooms. Disapproved. WWAVNIArnV Conditional approval for bedrooms, with the flowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other ON-SITE WATER AND WASTEWATER —PR90sAA4 /0 By: 02 Original Certificate Date: 3-30-06 1Q_ I'mt Municipality of Anchorage • "' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519 -WW www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: CAMPBELL POINT; LOT 5, BLOCK 2, Parcel ID: D 11 -oZ 62 - 10 A. WELL DATA Well type PRWATE If A, B, or C provide PWSID# N/A Data completed 4/29/2005 Sanitary seal (Y/N) YES Total depth 321 ft, Cased to 320 ft. FROM WELL LOG Data of test 4/29/2005 Static water level 247 ft. Well production 20 — 9 -p.m - WATER SAMPLE RESULTS: ColHorm 0 colonies1100 ml. Nitrate <1.0 mgJL. Well Log (YIN) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION S OLO g.p.m. Other bacteria 0 colonies/100 ml. Arsenic: 5.26 ugJL. Date of sample: 3/2/2006 Collected by: AAROW PUMP B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Date installed 5/25/2005 Tank size 1250 gal. Number of Compartments E Cieanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 5/25/2005 Soil rating (g.p.d./ft'or(o� 1-2 System type DEEP TRENCH Length 45 ft. Width 2.5 ft. Gravel below pipe 6 ft. Total depth '1a•u-++•0911. Eft. absorption area 540+ ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = In. Absorption rate >= 600+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION Data installed Size in gallons 'Pump on" level at _in. E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements?. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 100'+ On adjacent Absorption field on lot 100'+ Public sewer main 100'+ On adjacent lots Public sewer manhole/deanout 100'+ 100'+ Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING 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/vehicle storage 10'+ Curtain drain 50'+ 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 in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name JEFFREY A. GARNESS Date 3 f 2-144 COSA Fee , Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ Date of Receipt Number