The URL can be used to link to this page

Home My WebLink AboutBIRCH TREE ESTATES BLK 2 LT 13Birch Tree Estates Block 2 Lot 13 #017-141-36 Municipality of Anchorage Development Services Department �• `-r, Building Safety Division \ On -Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO30006 PID Number. 017-141-36 Nome: DICK DONOHOE Wastewater System: ■ New ❑ Upgrade Address: 5412 EAST 22ND d ANCHORAGE, AK 99508 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 350-5741 4 0 Deep Trench IN Shallow Trench 0 Bed 0 Mound 0Other LEGAL DESCRIPTION sw Ra": 0.8 Total Depth horn eryind grade: 9.0 MAX GPD/sq. rL rL Block: Lot: Subdivision: Depth to pzw bettor, hon, arty a eras.: Gave death beneath pipe: 2 13 BIRCH TREE ESTATES 4.98 MAX rt 4.02 rL Township: Range: Section: Til waded auovs "nol Erode: Grave Wroth: — — — SEE DWG. FL 75 rL WELL: ■ New ❑ Upgrade Grolwl width: 5 1lwnber of Wws: 2 Dietawe bN~ Ww: 10+ FL rL Cia.f.w (Prat.. A.B.0): Total Depth: Geed To, Total absorption one: awlabl: D 3034/ F-810 PRIVATE 80 n. 80 n. 750 EACH SG. ftl oral«: Dor Drava: stark waw Lw : Instar. GEG, Ltd. sot. Innm 4%18-23/2003 HEFTY DRILLING 5 9 2005 54 n. Ywld: pang Set a: Ca" Height Abwe Growtd: TANK 20 cm UNKNOWN n 2 FL SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. ❑Other Septic Absorption Uft Holding tel YonW«twr. ANCHORAGE TANK cal a ty n saeaw: 1500 Tank Field Station Tank sewer uneo Welltoo'+ 100'+ — — 25'+ Yates; FIBERGLASS Nww of e«enauww 2 rune 100'+ 100'+ — — — LIFT STATION 5'+ 10'+ — — — Sze n yasons: Yawfa: . Foundation 5'+ 10'+ — — — M wwal at: wit al: Kph water olwnn at: Curtain Drain NONE KNOWN P7 Yak. M: O«hlcal Inepealbne W*rmea by. Remarks: BENCH MARK Location and 0ow:Mtioo: BOTTOM OF TANK Mewrwa U.eolion: 91.13 r< ENGINEERS SEAL 0040 -`OF 0 �A 4 GEG, Inspections performed by: Ltd. Dates: list 4/18/2003 °.:.....I. ......... * D 2nd 4/21/2003 1 3b 4/23/2003 QO .Je Y,*.*** ess. 0 Development Services Department Approval 4Q �� • E-7es� .• ` Reviewed Date- 5-- 31'0 G `boa / D ��pe"Pr and approved by: fos to�ao� '%:' (Rev. 12/01) / �pO PERMTNUMBER: PARCEL ID UMBER: SW050109 AS -BUILT DRAWING 017-141-36 I NEW DRAINFIELD INSTALLED ALTERNATE SITE HOUSE A A FCO NEW 1500 GALLON 0 FIBERGLASS TANK ---------- GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTOR JAI L T ft� fort 101 (907W?IT - F" (907P =" PREPARED FOR: PHONE NUMBER: PACE NUI i70 '•l DICK DONOHOE 350-5741 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH TREE ESTATES SUBDIVISION; LOT 13, BLOCK 2, C.J.G. TYPE OF WORK: DATE: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM 5/26/2006 (R". OV05) 104 I., * .......... . . . ........ .. A ... F -A -F-B-- ST1 47.5 58.6 ST2 57.3 65.9 DBLI 59.6 65.6 DBI -2 59.9 64.2 FD 72.4 32.3 C01 60.7 51.1 MT1 63.2 51.1 CO2 117.2 61.8 loo' WELL RAD' US I MT2 117.2 62.5 CO3 110.6 51.5 MT3 110.2 51.6 INSTALLED FLOW D C04IVERTER 46.9 41.0 IVIT4 51.7 1 38.4 I NEW DRAINFIELD INSTALLED ALTERNATE SITE HOUSE A A FCO NEW 1500 GALLON 0 FIBERGLASS TANK ---------- GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTOR JAI L T ft� fort 101 (907W?IT - F" (907P =" PREPARED FOR: PHONE NUMBER: PACE NUI i70 '•l DICK DONOHOE 350-5741 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH TREE ESTATES SUBDIVISION; LOT 13, BLOCK 2, C.J.G. TYPE OF WORK: DATE: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM 5/26/2006 (R". OV05) 104 I., * .......... . . . ........ .. A ... GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTOR JAI L T ft� fort 101 (907W?IT - F" (907P =" PREPARED FOR: PHONE NUMBER: PACE NUI i70 '•l DICK DONOHOE 350-5741 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH TREE ESTATES SUBDIVISION; LOT 13, BLOCK 2, C.J.G. TYPE OF WORK: DATE: AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM 5/26/2006 (R". OV05) 104 I., * .......... . . . ........ .. A ... f SFT;,, DRILLING Phone(907)345-0593 ;i 10 Akita Drivv, Fax (907) 3454700 Ar6,xr je, ALnke 97516 Cell (907) 240-8911, STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & NATER WATER WELL LOG Drilling Started: _Q5/D1(2QQ5Complctcd:05'09 /2W5 Cits•Borough: Subdivision: I BLOCK: I LOT I Property Owner Name lh Address: Dick Donohoe 5412 East 22nd st. Anchorage, Ak. 99508 Anchorage Birch Tree Est 1 2 1 13 Meridian _ Township Range Section Yi or tai of % of Yi BOREHOLE DATA: (front T.O.C. ) Depth Drilling method: (X ) Air rotary, ( ) Cable tool. Other Material: Type. Color & wetness 1 From 1 To Wcll usc: ( ) Public supply, (X) Domestic, Other overburden 0 3 Depth of hole: 8_ ft, Casing stickup: 3 ft Casing type:cteel Thickness: 0,250 inches Casing diameter: _6 inches Casing depth: 80ft gravel 3 12 Liner type: - Diameter: _- inches Depth: ft wet gravel 12 18 Static water (fr6m top of cstshiq): 54 B on 05109 12005 Pumping level &yield: _ feet after _hours at _ gpm Recovery rate: 20 gpm, Method of testing: airlift gravel & sand 18 64 Development method: airlift Duration: 1 hour wet gravel 64 70 Well intake opening type: (X ) Open end. ( ) Open hole, Other Screened. Start: - R. Stopped - ft Screen type: Slot/mesh size: - coarse gravel w/ H2O 70 80 Perforated; Start: - ft, Stopped: R Stan: 0, Stopped: ft Note: .................. . ........................................ Grout type: hwnton'rte Volume _ Depth; from n fi, to 20 11 Putnp intake depth: ft Pump size: hp, Brand name: Was well disinfected upon completiori! (X) Yes, ( ) No Method of disinfection: ... Olt 0[II1e.................................................... Driller comments/ disclaimers: ............................................................ ............................................................................................................. ............................................................................................................. ............................................................................................................. Well driller name:..J.Ohnrly!.Kay.................................................... Company name: ... H@nY..pR111D9..................................................... Mailing address:. 3540.AkYl2,Dr:................................................ city: Anchorage State: AK zip 99516 Phone number : 907 ) 345 - 0593 i Drillers signature: (� Alaska state law requires that a copy of this well log be sent to the Dcpanment of Natural Resources within 45 days: fsxes arc accertahie. (AKstatutes38.05.020.38.05.035.41.08.020. .16.15.020 and AK regulations 1 I AAC 93,140). DNR+ Division of \lining. Land and \Vater. 550 \\' 7th Avcnuc. Suite 9e04 10'X* Anchorage. AK 99501 -?!-z7 Phone (907)269.8639 and fax (907)'-6921947 Within the City of AHchorage, A4Tf-equired that a copy of the well log be sent to the appropriate city office within 60 days and that another copy of the well log be sent to the wclVproperty owner within 30 days. Permit Number: SWO50109 Date of Issue: Parcel Identification Number.. 017 - 141 --36— Is well located at approved permit location? (X) Yes or ( ) No MUNICIPALITY OFANCHORAGE Development Services Department On-site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SWO50109 Legal Description: BIRCH TREE ESTATES BLK 2 LT 13 Design Engineer: 0855 Garness Engineering Group, LTD Owner Name: Dick Donohoe Owner Address: 5412 East 22nd St. Anchorage , AK 99508-3712 Date Issued: May 03, 2005 Expiration Date: May 03, 2006 Parcel ID: 017-141-36 Site Address: Lot Size: 24663 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well p 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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. Received By: Date: S/ O Issued By. Cr Date: . &� LeY— Municipa I,y"f oAnc iorage , -. Development Services Department Building Safety Division On -Site Water and 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. JUJ'3&Permit Number SW Property owner(s) 0_.c c 1L) 16 V G))q 1 A Day phone Mailing address '5Z11A / 11 Al oCr[ N� � �� l A Zip Code Site address f,/ ,f Zip Code Legal description (Lot, Block & Sub'd.) 6L� ail �'lU-L Legal description (Section, Township & Range) Lot Size 0�q&1o.3 Acre q.F Number of Bedrooms J4 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 ❑ 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. property owner or authorized agent) Permit/RushFees: 5'UD Waiver Fees: Date of Payment: 5/705 Date of Payment: Receipt Number. It qDn r �Receipt Number: (Rev. 09/04) J E�— GARNESS ENGINEERING GROUP, Ltd. -,-s-�� CONSULTANTS & GENERAL CONTRACTORS November 30, 2004 Municipality of Anchorage Development Services Department On-site Water R Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, Ak 99519- 6650 Ref: Well and Septic system documentation; Birch Tree Estates Lot 13, Block 2. To Whom It May Concern: The installation of the septic system on the subject property was completed on 4/23/03.We are unable to complete the asbuilt documentation until the owner provides us with an asbuilt survey and a well log. The owner has been notified of this and will provide us an asbuilt when the house and well ire complete. If you have any questions just give us a call and thank you for your time. 11 P.E., M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, Alaska 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 * Website: gamessengincering.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 I WATER SUPPLY PERMIT Initial 12:L9 Date Issued: Jan 08, 2003 Expiration Date: Jan 08, 2004 Permit Number: SW030006 Parcel ID: 017-141-36 tLegal Description: BIRCH TREE ESTATES BLK 2 LT 13j Design Engineer: 0041 AK Water & Wastewater Consultarc Site Address: Owner Name: Dick Donohoe Lot Size: 24663 SO. FT. Owner Address: 5412 East 22nd St. Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99508-3712 This permit is for the construction of: [1 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. Received By: Issued By: Date: ALASKA WATER & WASTEWATER CONSULTANTS, INC. January 9, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Birch Tree Estates Lot 13, Block 2. Permit number SW030006. Mr. Roth: According to the soil log included in the design package approved on January 8, 2003 the percolation test was performed between 8 and 8.5 feet. The SM soil type begins at 8.5 feet. Attached is a revised soil log showing the accurate location of the percolation test: 8.5 to 9 feet. If you have any)RAstions, please contact us at 337-6179. Thank you for your assistance. PA.. M.S. 6901 Debarr Road, Suite 2B' Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: akwwc.corn .......... xN * ALASKA NVATKR ZC N7AST , NNTATLR CONSULTANTS, INC. a 6901 ROW. 20 • AK 'A4 • R ONC 90 —6179 • iA%: 90 —]140 • WE86ffL e4�a.a•m SOIL LOG — PERCOLATION TEST ... ..... .... BIRCHTREE SUBDIVISION; LOT 13BLOCK 2 ; , , ••.J f rn ss:' LEGAL DESCRIPTION: pp o 7953 e0 PERFORMED FOR: DICK DONOHOE DATE: 10/8/2002 0�4�'•. �c o� eypf °� DE ��40oo��oQo (feet) TEST HOLE #11 1 (PAGE 2 OF 2) SOIL CLASSIFlCATIONS 2 r� >y _o; GW- - ORG GP - - - ML GM CL 4 O GC OL •°. o SW MH ••:•.t SP CH 5 W sc OH SEE SITE PLAN 6 Q (PAGE 1 OF 2) 7ODEPTH TO v GROUNDWATER DATE 8 (n , OF rt Z s O PPGE 10 Q U_ 11LL TIME (MINUTES) READING (INCHES) 12 V) 13 U 14 J_ 15 p 7 6:17 - 6• 16 W 17 W 18 PERCOLATION RATE 4.4 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 8.5 FT. AND 9.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: KELLY HEITSTUMEN PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: TME PERCOLATION TEST WAS PERFORMED IN THE SM LAYER. PERFORMED BY AKWWC. INC. I, JEFFREY A. GARNESS. CERTIFY THAT THIS W �RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL CUIDEUNES IN EFFECT ON THIS DATE: DATE READING CLOCK NET TIME WATER LEVEL NET DROP V)10/15/2002 1 5:47 - 6� - 2 5:57 10 3' 3� 3 5:57 - 6• - 4 6:07 10 3 3 4• 2 1 4• 5 6:07 - 6• 6 6:17 10 3 3 4• 2 1 4• - - 8 6:27 10 3 3/4• 2 1 4� 9 627 - 6• - 10 6:37 10 3 3 4• 2 1 4' In 11 6:37 - 6 - 12 6:47 10 3 3 4• 2 1 4• Municipality of Anchorage r•, • Development Services Department:i%i 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. 017-141-36 Permit Number 5WO3000C Property owner(s) DICK DONOHOF Day phone 350-5741 Mailing address (1) 5412 EAST 22ND STREET • ANCHORAGE AK Mailing address (2) Zip Code 99508-3712 Legal description (Lot, Block & Sub'd.) LOT 13 BLOCK 2• BIRCH TREE ESTATES SVBDIMISION: Legal description (Section, Township & Range) N/A Lot Size �? L16& Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well E 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. ALASKA WATER & WASTEWATER CONSULTANTS INC. Permit Fees*50 - t 400_- J5_T - DateofPayment: 01-06-03 Receipt Number. 2 901 Waiver Fees* Date of Payment: Receipt Number. ALASKA WATER & WASTEWATER CONSULTANTS. INC. December 19, 2002 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 13, Block 2; Birch Tree Estates Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. Two test holes were excavated on the property during a torrential rainstorm. Due to the storm surface runoff caused mud to slide into the bench of test hole #2. Rather than have the excavator come back to the property and re -dig the bench out with his machine a new bench is to be dug and a confirmation percolation test is to performed at the time of construction. The soils in both test holes visually looked similar. The drainfield will be designed around the 30 foot radii of these test holes. We are proposing that a 1250 gallon septic tank and a 5 -wide type drainfield 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. It is our opinion that an application rate of 0.8 gallons/day/112 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 4.4 & 8.6 minutes/inch b. Proposed Application Rate: 0.8 gallons/day/ftZ c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ft2 f. Total Depth: 9 feet (max.) g. Effective Depth: 4 h. Width: 5 feet i. Reduction Factor: 0.5 j. Minimum Length: 75 feet long k Effective absorption area = 750 f12 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246' Website: akwwc.com 3. SURFACE WATERS: There is a creek running on the north lot line. The proposed septic system is to be 100+ feet from the creek. 4. TOPOGRAPHY: 'The average topography in the area on the proposed drainfield is a 5%- 10% slope running approximately east to west. The proposed drainfield is to be placed on a bench in the slope. There is a slope to the north of the proposed drainfield that is greater than 25%. The slope from 2 feet above the drainfield will be less than a 25% slope and will not daylight from the side of the hill 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. I Cz .E., M.S. NOTE: A site plan, a design drawing, two soils logs, and a 7 page constnrction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com 1 1 -- EAST 145 AVENUE LOT 3. BLOCK 2 I LAT 2. BLOCK 2 BIRCH TREE ESTATES BIRCH TREE ESTATES b ----------- __'c___ PROPC % \\ 4 BE01 LOT 12. BLOCK 2 HOU BIRCH TREE ESTATES `-VACANT .m• wFI( RADIUS—� 71 � I 1 1 \ C K\\ LOT 24� BLOCK 1 BIRCH TREE ESTATES 1 I I I LOT 1, BLOCK 2 BIRCH TREE ESTATES qEPTIC I LAD I I I I LOT 18. BLOCK 1 BIRCH TREE ESTATES 1 r —ice'RA_ 1 I % 1 \ / LOT 20. 8 BIRCH TREE I 1 I I I I I I 1 I I I \ I I I I I I I I � I 1 —_EAST 147 AVENUE ROPOSED SEPTIC SYSTEM \ \ 1 I ALTERNATE ISITE (SEE DESIGN PAGE 2 OF 2) \ 1 1 I � AREEAA �IEiRGC LOT d BU06K 1 LOT 22`BLOCK 1 BIRSH TREE ESTATES BIRCH TREE ESTATES LOT 21, BLOCK 1 I BIRCH TREE ESTATES i 1 ALASKA R'ATL'R & WASTE NVATER CONSULTANTS, INC. 6001 DFRARR ROAD, SLXTF M • ANCN AGF. AX 9950L • P MF (007)S5I-0179 • FAX (907)559 -Mb REPARED FOR PHONE NUMBER: DICK DONOHOE (907) 350-5741 EGAL DESCRIPTION: BIRCH TREE ESTATES S/D; LOT 13, BLOCK 2 rPE OF WORK: SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 12/20/2002 kwN BY: C.J.G. 'I 1~ = 100. :... ;E NUMBER: 1 OF 2.J a A. Gar ss - NOTE: THE SURVEYOR SHALL HAVE THE 100 F00T CREEK SETBACK THE WEST LOT UNE AND THE SOUTH LOT UNE APPROXIMATE LOCATION FLAGGED BY A REGISTERED LAND I / OF CREEK SURVEYOR PRIOR TO CONSTRUCTION. - � —_— _ — —_/ -- — _- --_-- - 10' UTILITY EASMENT / �• - - — — — — —— 4- — — — — — — _ _ _ _ _ 15' CREEK EASMENT _ } _ _ _ _ _ _ — — 8 ' STI PROPOSED Eili WELL 1 I CONFIRMATION PERCOLATION ` 1 TEST TO BE PERFORMED PRIOR \ TO TME OF CONSTRUCTION. \ \ PROPOSED \ A 4 BEDROOM PROPOSED DRNNFIELD. EXCAVATE HOUSE \ TRENCH THAT IS 9 FEET DEEP WIDE BY 75 MAXIMUM BY 5 FEET FEET LONG. ADD 4 FEET OF CLEAN \ WASHED SEWER DRAINRDCK.-L \ \ ALTERNATE SITE - - A -------- I `_INSTALL FOUNDATION / \ CLEANOUT r-------------------� L -------------------J INSTALL DOUBLE / CLEANOUTS ALASKA WATER S WASTEWATER CONSULTANTS, INC. 6001 DFRARR ROAD. SUITF TR • ANCNORAGF. AK ORS" • MONF (007)337fi170 • FAX (007)339-37L6 PREPARED FOR: PHONE NUMBER: DICK DONOHOE (907) 350-5741 LEGAL DESCRIPTION: BIRCH TREE ESTATES SUBDIVISION; LOT 13, BLOCK 2, PROPOSED 1250 GALLON / - / - SEPTIC TANK LTE: Qgo0dC00 12/16/2002 0 7AWN BY: C.J.G. 11" = 30 . :..., AGE NUMBER: 2 OF 2 fr y . mes QQ�. 7953 :� DESIGN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATION SENT BY: KEN BRADY CONSTRUCTION; 9072456618 ; DEC -16.02 2:31PM; PAGE 2/2 W LOT 12 CARPORT :PrC STAND Pint I N00'16'16ow u LO 13 METZ I 1 1 iN0 5/e' REB�a JO 1 l \I Lor z I , (sq 1 l 1.—� '----•--•��r t VJ •--+ *�RCC (TVP) — \ we LOT 12 CARPORT :PrC STAND Pint I N00'16'16ow u LO 13 METZ 0 n I ' 100' w[LL 1f I AA01VS (irP) II I 1 I: 1 1. 1 ' SURVEY DATE: NOVEMBER 26. 2002 Site PIOn: LOT: 13. BLOCK 2. BIRCH TREE ESTATES SUDDIVISION. ANCHORAGE, ALASKA 1 Guy Greer, hereby Certify that 1 have performed a physical survey of this lot and r Dcl Norte Survrv(n . Inc I have found or set the lot corners os shown hereon and to the best or my knowledge and abilities, all dimensions hove been measured true and correct. It is the responsibility of the owner to determine the existence of any easements, rswaosss rwry..er. snn covenants, or restrictions which do not appear on the recorded subdiwsiW' plot. (tort s.s-CowR. -(wg145-wotW Under no circumstances should any data hereon be used for eslobtishing boundary or fence fines. Drown G. Grecr Grid .3037 Scole 1"-30' Dote Dec. 16, 2002 Zile No. BirchTree.DWG I 1 1 iN0 5/e' REB�a JO \ 1 I Lor z I, s/e' eE9AP lit W n *�RCC (TVP) 0 n I ' 100' w[LL 1f I AA01VS (irP) II I 1 I: 1 1. 1 ' SURVEY DATE: NOVEMBER 26. 2002 Site PIOn: LOT: 13. BLOCK 2. BIRCH TREE ESTATES SUDDIVISION. ANCHORAGE, ALASKA 1 Guy Greer, hereby Certify that 1 have performed a physical survey of this lot and r Dcl Norte Survrv(n . Inc I have found or set the lot corners os shown hereon and to the best or my knowledge and abilities, all dimensions hove been measured true and correct. It is the responsibility of the owner to determine the existence of any easements, rswaosss rwry..er. snn covenants, or restrictions which do not appear on the recorded subdiwsiW' plot. (tort s.s-CowR. -(wg145-wotW Under no circumstances should any data hereon be used for eslobtishing boundary or fence fines. Drown G. Grecr Grid .3037 Scole 1"-30' Dote Dec. 16, 2002 Zile No. BirchTree.DWG - 00��0 oaC �F pp4 ALASKA'"'ATKR & WASTENIVATLR �' 4 6:18 30 CONSULTANTS, INC. 4' ....0 3 (907W7-6179 • FAX. 90 se • WESSM 0k. — 6" — SOIL LOG - PERCOLATION TEST .. .. ...... ... 0 LEGAL DESCRIPTION: BIRCHTREE SUBDIVISION; LOT 13, BLOCK 2, QQ u • of e 7 04'� ' 53 ess� eQol� PERFORMED FOR: DICK DONOHOE DATE: 10/8/2002 •. e^��4p0000 �Nk# DEPT Q pp dp�ofess,006 (feet) =_ ORGANICS TEST HOLE 1 2 7 2 ' 3 1 2" 1 (PAGE 1 OF 2) SOIL CLASSIFICATIONS - GM CL - 4 GC OL °. •°. o SW MH I 5 GM • SP CH SM : OH 1 6 SC TH/1 TH 2 \\ 7 DEPTH TO DATE >C GROUNDWATER \ 8 16' 10/8/2002 14.5' 0/15/200 —1�— ------- 9 SITE PLAN I I f 1. too' 10 CLOCK NET TIME WATER LEVEL NET DROP 11 DATE READING TIME (MINUTES) READING (INCHES) 10/15/2002 1 5:48 — 6" 12 SM 13 14 15 16 , SP/SM 17 • d U.H. 18 PERCOLATION RATE 8.6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 3.5 FT. AND 4.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES [:]NO SOILS LOGGED BY: KELLY HEITSTUMEN PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY AKWWC• INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: v 2O� — 2 6:18 30 2' 4' 3 6:18 — 6" — 4 6:48 30 2 1 2" 3 1 2" 5 6:48 — 6" — 6 7:16 30 2 7 2 ' 3 1 2" 000aoppp =Y+ , z` , , QDv ��,: •...... r s�o�� ALASKA WA7 LR & WASTLWATE, R CONSULTANTS, INC. 4901 DEBARR RW. SWE 2,HPHONE (907)331-6179 • A%: YO • - "Y"•ao•m SOIL LOG — PERCOLATION TEST .. ...... .... LEGAL DESCRIPTION: BIRCHTREE SUBDUISION; LOT 13, BLOCK 2, 000 s' a re A. G m s:• E PERFORMED FOR: DICK OONOHOE DATE: 10/8/2002 795 O�4�e^ p4og ��40000 (fet TEST HOLE 1 i (PAGE 2 OF 2) SOIL CLASSIFICATIONS 2 GW =__= ORG 3 i, •_ GP1 ML LL GM CL 4 O GCFTTTTT OL "• •°• o SW MH SP CH 5 SM : OH 6 0 sc SEE SITE PLAN (PAGE 1 OF 2) 7 Q DEPTH TO DATE GROUNDWATER 8 V) OF 2 s O PPG 1 I-- Ll-� I 10 -- 10 Q U_ 11 LL TIME (MINUTES) READING (INCHES) (/7 12 (n 13 U 3 14 V) 15 7 6:17 - 6" - 16 W 17 W 18 PERCOLATION RATE 4.4 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 8.0 FT. AND 8.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: KELLY HEITSTUMEN PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DATE READING CLOCK NET TIME WATER LEVEL NET DROP 10/15/2002 1 5:47 - 6" - 2 5:57 10 3" 3" 5:57 - 6" - 4 6:07 1 D 3 3 4" 2 1 4" 5 6:07 - 6" - J 6 6:17 10 3 3 4" 2 1 4" N 8 6:27 10 3 3 4" 2 1 4" 9 6:27 - 6" - 10 6:37 10 3 3 4" 2 1 4" N 11 6:37 - 6" - 12 6:47 10 3 3 4" 2 1 4" pF��oo '.oo �� ......... Sapasp ALASKA WATL'R &; WASTEWATER � 0 CONSULTANTS, INC. *,;„ ., ,.. .. ..�.. . •oROOD, SWE kCHOPAM TZ - n%; uo ..mow,., SOIL LOG - PERCOLATION TEST ..... ....... LEGAL DESCRIPTION: SIRCHMEE SUBDMP SION: LOT 13, BLOCK 2, OO . •., If y orne s. p • — 9 :o PERFORMED FOR: DICK DONOHOE DATE: 10/8/2002 04'r •,.•'' ��°�� 0 •ms�o DE et)N ORGANICS ��s��40000��4 TEST HOLE 2 SOIL CLASSIFICATIONS 2 GMof GW _c- ORG 3 ; GP ML -------------- — ---------- — ---- � GM CL - 4 GC OL °..°. o SW MH I ••• : SP CH 5 SM : OH 11 6 GM/SM SC TH11 TH 2DEPTH 7 GROUNDWATOER DATE g 16' 10/8/2002 14.5' 0/15/200------- 9 1 1 / SITE PLAN I I 1'x100' 10 11 DATE READING 12 SM 13 14 15 VNG LAP 16 , '•'• "= SP/GW 17 6.0.11. 18 PERCOLATION RATE — (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN — FT. AND — FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: KELLY HEITSTUMEN PERCOLATION TEST PERFORMED BY: — COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W P FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: O CLOCK NET TIME TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) v F��MMv� QER OF N� QER g�NGN Municipality of Anchorage o g° On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-141-36 1. GENERAL INFORMATION Expiration Date: / - oC - 13 Complete legal description BIRCH TREEE ESTATES: BLOCK 2, LOT 13 Location (site address) 5160 METZ COURT *ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Real Estate Agent DICK DONOHOE Day phone 5160 METZ COURT *ANCHORAGE. AK 99516 350-5741 CODY KEIM W/ DYNAMIC Day phone 261-7600 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. 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 ❑ Received by: 4L,,;e COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA# QCIclN15 Date: Zas 4e� 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, t 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. 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 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. 6. DSDSIGNATURE ` � System #1 Approved for —3 --bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date Ib Its Z bedrooms, with the following stipulations: OF ON-SITE WATER AND WASTEWATER PROGRAM The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other By: Original Certificate Date: 10 - '12— .2-- LZ 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: BIRCH TREEE ESTATES; BLOCK 2, LOT 13 Parcel ID: 017-141-36 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/9/2005 Sanitary seal (Y/N) YES Total depth 80 ft. Cased to 80 ft. FROM WELL LOG Date of test 5/9/2005 Static water level 54 ft. Well Log (YIN) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 9/20/12 Well production 20 —9-13 M. 5.55 g,p,m, WATER SAMPLE RESULTS: Coliform d colonies/100 ml. Nitrate 1-31 mg./L. Collected by: GEG. Ltd. Arsenic: N Oug./L. Date of sample: 9/20/12 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/FIBERGLASS Tank size 1500 gal. Number of Compartments 2 Foundation cleano�utt. (Y/N) YES Depression over tank (Y/N) cNO 1 Date of pumpingPumper On G C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 4/18-23/2003 Cleanouts (Y/N) YES High water alarm (YIN) N/A Date installed 4/18-23/2003 Soil rating (g.p.d./ft`or /bdrm 08 System type SHALLOW TRENCH Length 2 @ 75 = 150 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth *9.58 ft. Eff. absorption area 1500 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **9/20/12 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 5 in. Water added 670 gal. New depth 14 in. Elapsed Time: 120 min. Final fluid depth 1 11 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE TESTED SOUTH TRENCH ONLY BECAUSE IT WAS THE ACTIVE TRENCH. If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level at —' . High water alarm level 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 Sewer/septic service line 25'+ Public sewer manholetcleanout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ 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: Properly line 10'+ Building foundation 10'+ Water main N/A Water service line 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 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 Printed Name JEFFREY A. GARNESS Date 10/1&/x2 (Rev. 11105) OFA 1� CE -73M5. 30 a .... �pc� '• Y GRE€R c •°'i LS -8033 �i� �'•. S 2S—o6 J�-S r- 0 O CARPORT N Do _ W to — O W o O A O A A V J 140.00' D I m M Z C M a .... �pc� '• Y GRE€R c •°'i LS -8033 �i� �'•. S 2S—o6 J�-S r- 0 O CARPORT N _ m — _� S�,SEPTIC STAND PIPE N (b o N00'16'16"W 140.00' I m r i l m O I I n I I Na cl a I W RI�1 FI �I ym I Do s ml m I w O at Z ml 21 z m �I > I IA I I I I I i I I 59.1' I I I I I DECK z I N I I Co O p p m L N m A I p O O W 1 P al 6.0' A al >3 TWO STORY .o v3 FRAME HOUSE I I O 7.N PD J I I p. I l 1 I I I I v DRIVEWAY at S00'16'16"E 90.00' METZ COURT (GRAVEL) U O Zone R-6 Nonconforming Setback Front 25' Sides 1D' Bock 20' FINAL STRUCTURE AS—BUILT LOT 13, BLOCK 2, BIRCH TREE ESTATES SUBDIVISION, ANCHORAGE, ALASKA I Guy Greer, hereby certify that I have performed an As -Built survey of Del Norte Surveying, Inc. the foundation located on Lot 13, Block 2, Birch Tree Estates Subdivision, Plat 71-215, within the NE 1/4, Sec. 34, Township 12 P.O. an 110553 ,bm,> North, Range 3 West, Seward Meridian, Anchorage Recording District, �°'7)us_ Alaska. Dimensions and other information shown hereon ore true and (907) 3 -45 -SM Pha,a - (907) 349 -ow ru no encroachments exist unless shown otherwise. Dated : May 25, 2006. Survey Date: May 25, 2006. Drawn G. Greer Grid 3037 Scale 1"=30' fDate May 25, 2006 File No. BirchTreeFS.DWG eh. Municipality of Anchorage WIL-N o Development Services Department ? �: Building Safety Division - On -Site Water & Wastewater Program 4700 Bragaw Street RUSHP.O. Box 196650519 `i I7 Anchorage, AK 99519-6650 650 LO www.muni.org/onsite �j (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 2,F -OR A SINGLE FAMILY DWELLING Parcell.D. �� ' Ll 1-&P COSA# pIn�211 1. GENERAL INFORMATION Expiration Date: 9— 31 _0160 Complete legal description - BIRCH TREE ESTATES SUBDIVISION: LOT 13, BLOCK 2. Location (site address) 5160 METZ COURT • ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DICK DONOHOE Day phone 350-5741 5412 E. 22ND AVENUE • ANCHORAGE. AK 99508 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone 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, 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 bedtQomg ad type of structure indicated herein. I further verify that based on the information obtained from they unicipality 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, Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B 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 sole benefit of the owner listed above. Any reliance upon or use of this report by any other porson orparty is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for _�_L_ bedrooms. Phone 337-6179 Date 9/31/06 Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory Other By: Original Certificate Date: 7 — 31 — OG M. 11R 1 .•-10 Gtr'•.• ON-SRE-- • -�A�7EriPATER WATER AND. ' PROGRAM By: Original Certificate Date: 7 — 31 — OG M. 11R 1 i a ? Municipality of Anchorage ,,... Development Services Department Building Safety Division On -Sita Water 8 Wastewater Program , 4700 Bragaw Street P.O. Boa 196650 Anchorage, AK 99519-6850 j www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: BIRCH TREE ESTATES S/D: LOT 13, BLOCK 2, Parcel ID: A. WELL DATA WOO type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/9/2005 Sanitary seal (Y/N) YES Total depth 80 ft. Cased to 80 ft. FROM WELL LOG Date of test 5/9/2005 Static water level 54 ft. Well production � 20 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 047 mg./L. Well Log (Y/N) YES Wires properly protected (YM) YES Casing height (above ground) 18+ in. AT INSPECTION g.p.m. Other bacteria 0 colonies/100 ml. Arsenic: _&D-ugA. Date of sample: 5/22/2006 Collected by: GEG, Ltd. B. SEPTIC/HOLDINO TANK DATA Tank Type/Material FIBERGLASS Date installed 4/18-23/2003 Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (YM) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA NELOW FINAL GRADE Date installed 4/18-23/2003 Soil rating .p.d. ft%drn) 0_8 System type TRENCH Length 2 0 75 ft. Width A- .S ft. Gravel below pipe 4 ft. Total depth *7.9-9.5 ft. Eff. absorption area 1500 fe Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - 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 >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) - If yes, give date - ALTERNATE SITE INSTALLED. 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 tank1 ift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots t 00'+ Public sewer manhola/deanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 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 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S I ceRNy that 1 have determined through field inspections and7,77 review of Municipal records that the above systems are in ' • ''' • • • conformance with MOA COSH guidelines in effect on this date. f rey A. arness: Engineer's Printed Name JEFFREY A GARNESS •, CE -7953 I1 Date s�3tloto 4 b••••�4``� COSA Fee S dS Date of Payment 3 U G Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 119:!h A" -4k SGS Rei. M Client Name: Project Name: Client Sample ID: Matrix: PWSID 1062551 Gamess Engineering Group Birch Tree Est S/D, L13, B2 Birch Tree Est SID, L13, B2 Drinking Water SGS Environmental Services Inc 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 All datesAimes are Alaska Standard Time Printed DateTme: 05/30/06 16:20 Collected DateMme: 0522176 11:46 Received DateTme: 0522106 12:45 Technical Director... te�pphen Released By�.7,.,,..U Parameter Results PGIL Units Method Allowable Limits Prep Date Analysis Date [nit Bacteria 0.00 9222B 0524/06 0524/06 tit Nitrate 0.47 0.10 mglkg EPA 300.0 10.00 0522106 0522/06 air Arsenic ND 5.00 ug/L 200.8 10.00 0523106 0524106 sct r- 0 CARPORT _,{_SEPTIC STAND PIPE N ED (7� O- N0016'16'W 140.00' 30 DECK a 0 rn TWO STORY FRAME HOUSE o P U — z.o• I ' v DRIVEWAY OF ,A�f, tso�s,. QsA ' . 1. S0016'16'E I I I II iI va r i l 1 O I _ C-1v,N I $1 cl 1 I I' , i OREER • . . •� o S LS -8033 METZ COURT (GRAVEL) zone R-6 Nanconlanrliny Setback Front 25' Swell 10• Bock 20' FINAL STRUCTURE AS—BUILT LOT 13, BLOCK 2, BIRCH TREE ESTATES SUBDIVISION, ANCHORAGE, ALASKA I Guy Greer, hereby certify that I have performed on As—Built survey of Del Norte Surveying. Inc. the foundation located on Lot 13, Block 2, Birch Tree Estates Subdivision, Plat 71-215, within the NE 1/4, Sec. 34, Township 12 VA ev I'M howem Nae* Mil North, Range 3 West, Seward Meridian, Anchorage Recording District, "M US-- t Fh"Q - W) X5 -em W Alaska. Dimensions and other Information shown hereon are true and no encroachments exist unless shown otherwise. Doted : May 25, 2006. Survey Dote: May 25, 2006. Drown G. Greer Grad 3037 Scale 1'=30� Date ay 25, 2006 File No. BlrchTreeFS.DWG s s I N V• O A to O A O . A � r— A _4 � Ia a N I C c IIII IZ to -• c s ' I7 I u, m DECK a 0 rn TWO STORY FRAME HOUSE o P U — z.o• I ' v DRIVEWAY OF ,A�f, tso�s,. QsA ' . 1. S0016'16'E I I I II iI va r i l 1 O I _ C-1v,N I $1 cl 1 I I' , i OREER • . . •� o S LS -8033 METZ COURT (GRAVEL) zone R-6 Nanconlanrliny Setback Front 25' Swell 10• Bock 20' FINAL STRUCTURE AS—BUILT LOT 13, BLOCK 2, BIRCH TREE ESTATES SUBDIVISION, ANCHORAGE, ALASKA I Guy Greer, hereby certify that I have performed on As—Built survey of Del Norte Surveying. Inc. the foundation located on Lot 13, Block 2, Birch Tree Estates Subdivision, Plat 71-215, within the NE 1/4, Sec. 34, Township 12 VA ev I'M howem Nae* Mil North, Range 3 West, Seward Meridian, Anchorage Recording District, "M US-- t Fh"Q - W) X5 -em W Alaska. Dimensions and other Information shown hereon are true and no encroachments exist unless shown otherwise. Doted : May 25, 2006. Survey Dote: May 25, 2006. Drown G. Greer Grad 3037 Scale 1'=30� Date ay 25, 2006 File No. BlrchTreeFS.DWG