HomeMy WebLinkAboutTHE TABLELANDS BLK 7 LT 5The Tabl
lands
Block 7
Lot 5
#051-801-37
Municipality of Anchorage
Development Services Department .-'~'"~'-~'~-=: _=~'" .~,-
Building Safety Division
On-Site Water & Wastewater Program, 4700 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: SW1 0001 8 PID Number: 051 --801 --37
Nome:
JOHN THOMSON Wastewater System: · New [] Upgrade
Address:
11404 JESSIE MAE CIRCLE*EAGLE RIVER,AK 99567 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 240-2020 4 E] Deep Trench [] Shallow Trench [] Bed IMound []Other
LEGAL DESCRIPTION Sol, Rating: 2.0 GPD/Sq. Ft. Tara, 0epth frOmsEEoriginOlDwG.grads: Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth beneath pipe:
7 5 THE TABLELANDS SEE DWG. Ft. 0.54 rt.
Township: Range: Section: Fill added above original grade: Grovel length:
SEE DWG. Ft. 32+ Ft.
Grovel width: Number of lines: Distance between lines:
WELL: [] New [] Upgrade 10+ rt. 2 5 Ft.
Classification (Private, A,B.C): ~.~ ¢ ~ Total Dep~..tJ;~.--"~ Cased TO:(BEDROCK Total absorpti ..... a: Pipe material:
3034/
F-810/SCH
40
Driller: ~ \('".'~'*--~t~ '~ Date Drilled: Statc Water Leve Installer:. Dote
CD GREEN GENERAL -4/19/2010
~ GPM ~ rt' I ~" TAN K
SEPARATION DISTANCES [] Septic U.oldin. · S.T..... [] Other*
T=.~'~.~To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
Tank Field Station Tank Sewer U,e, GREER 1500
Material: Number of comportments:
Well 200'+ 200'+ 200'+ - 25'+ STEEL- DEEP BURIAL 2
Surface Water 100'+ 100'+ 100'+ -- -- LIFT STATION
Lot Line 5'+ 10'+ 10'+ -- Size in gallons: Manufacturer.'
- 1500 GREER - DEEP BURIAL
"Pump on" level at: "Pump off" level at: High water alarm at:
Foundation 5'+ 10'+ 10'+ -- -- TIMER TIMER 44"
Curtain Drain " NONEi KNOWNi PUmpp_TE_50_PLUsMake 4. Model: Electrical Inspections performedM. OoA.bY:
Remarks: THIS IS A QUANICS AEROCELL SYSTEM BENCH MARK
Location and Description:
BO-I-FOM OF-TRIM NEAR POINT B
A~ .... d Flevation: 97.21 Ft.
ENGINEER'S SEAL
Inspections performed by: OEO, Ltd. Dates: 1st 5/24/2010
2nd 5/24/2010
Development Services Department Approval ~.-'~i"-,9/~/~' '""-~?~
Conditional approval: Date:
Reviewed and approved by: /z..;':.Z/C~.. ,-'"" ~/'// c-~'tL)ate: C/_/~..v/O
AS BUILT DRAWING
SW100018 - 051 -801 -37
1" = 40'
/
/
NEW 32' X
10' BED
A B
FCO 46.61 2.73
ST1 55.17 48.77
MH 62.87 58.46
JV 87.45 77.43
C01 90.24 77.49
MT1 96.96 81.85
MT2 109.72 104.18
C02 111.02 105.11
CO3 114.64 106.87
POD#1 96.10 85.71
POD#2 97.76 88.00
LOT 4, BLOCK 7;
TABLELANDS S/D
TH¸
C01
NEW 1500 GALLON
STEP TANK
FCO
KEY BOX
/
/
I
I
/
AEROCELL LOT 3, BLOCK 7;
UNIT TABLELANDS S/D
~IH
ST1 ~'~\
\ \
\ \
\\ \\ _~H#6
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\\\\ TOBBEN SPURK~ND
~ kkkk TEST HOLE·
IESI HOLE
LALTERNATE SITE
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GAI1NE$S ENGINEEIIING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3701 E. TUDOR ROAD. SURE 101 * ANCHOR~E, AK 99507 * PHONE (907)~7-6179 * FAX (907)~8-3246 * WE:~SITF-.: w~,~.g~me~i~ngln~rlng.com
PREPARED FOR: I PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON I(907) 240-2020 2 OF ,.3
LEGAL DESCRIPTION: DRAWN BY:
THE TABLELANDS SUBDIVISON; LOT 5, BLOCK 7, PNB
TYPE OF WORK: DATE:
ASBUILT DRAWING 6/16/2010
(Rev. 01/05)
LOT 6, BLOCK 7;
TABLELANDS S/D
mess.-
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DAT%.16.2010 ID*AW~3;:
THE TABLELANDS; BLOCK 7, LOt 5
AS-BUILT OF QUANICS AEROCELL SYSTEM 3701 [. mir R~. 5U~101 ~CHO~E.
PREPARED FOR I E NUMBER' i
PHON .
JOHN THOMSON I 2 o-2o2o I
nu~ uc cuiu l~:~bMn MISING SON ELECTRIC 90?-622-6??? pa~e I
(9o )
'August 2, 2010
C&.T Construction
At'm: John Thomson
11404 Jessie Mae Circle
Eagle River, AK 99577
Re: Lot 5 Block 7 Table Land Subdivision
Dear ]oh n:
The lift station at the above referenced property has been wired in accordance with NEC
and State/Local codes.
Thank you.
Sincerely,
Kevin S. Hornbuclde, Owner
Administrator Ucense Number 1284
Specialty Con~ractor Ucense Number 27285
Cc: file
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(gO7) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Mar 16, 2010
Expiration Date: Mar 16, 2011
Permit Number: SW1000t8 Parcel ID: 051-801-37
Legal Description: THE TABLELANDS SUBDIVISION BLOCK 7 LOT 5
Design Engineer: 0855 GARNESS ENGINEERING GROUI: Site Address: NHN FALLOW CIRCLE
Owner Name: JOHN THOMSON Lot Size: 40028 SQ. FT.
Owner Address: 11404 JESSIE MAE CIR Total Bedrooms: 4 Permit Bedrooms: 4
EAGLE RIVER, AK 99567-
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail 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.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERHIT ,b, PPLICATION
FOR ~, SINGLE FAHILY DWELLING
Parcel I.D.
Property~ner(s) ,,,JOHN I'HOUSON ('BUILDER)
Dayphone ~40-2020
Mailing address
Site address
11404 JESSIE MAE CIRCLE '~ EAGLE RIVER. AK
Zip Code
99577
Legal description (Sub'd, Block & Lot) 1'HE TABLELANDS S/D: BLOCK 7. LOT 5
Legal description (Township, Section & Range)
Lot Size /~0, 07-~ Sq. Ft.
N,/A
Number of Bedrooms
4
THIS APPLICATION IS FOR ( [~all that apply):
Absorption Field []
Septic Tank []
Holding Tank ~n
Privy
Pdvate Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade ~
Renewal
I certify that the above information is correct. I further certify that this application is being made fora
Single Family Dwelling and is in accordance with applicable Municipal codes.
CARNESS ENGINEERING CROUPI Ltd.
PermitJRush Fees: ~
Date of Payment: ~),/,i~,o3, / ./~
R~iptNum~er. C~ 7G'7;1y
(~ev. ~ ~/05)
Waiver Fees:
Date of Payment:
Receipt Number.
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS · GENERAL CONTRACTOR~
February l#, 2010
Municipality of Anchomge
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic System for Lot 5, Block 7; Tablelands Subdivision
To whom it may concern:
A previous permit was issued for the referenced properly that expired on July 8, 2006 (permit #
SW050214). A new house design has been developed by the builder and we have redesigned the septic
system to show the proposed location of the house. Due to the shallow groundwater table in the area, we
are proposing that a 1500 gallon S.T.E.P. tank with Quanics controls, a Quanics Aerocell treatment
system, and a bed type drainfield be installed on the referenced property. Several test holes have been
excavated on the property and similar soils condition over the entire lot. We are proposing that the
primary drainfield be installed around the 30 foot radius of GEG test hole #5 which is located by the
property line between Lots 4 and 5 (see site plan and design drawings). It is our opinion that this is the
best location for an on-site disposal system. The ahemate drainfield site is designed around the 30 foot
Radius of GEG test hole #6. Comments regarding the design are summarized as follows:
I. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the
percolation test results.
2. SURFACE WATERS: There are no surface waters within 100 feet ofthe proposed septic system.
3. TOPOGRAPIIY: The area around the proposed drainfield is relatively fiat (see design drawing) with
a gradual slope, 1 to 3 percent slope from approximately northeast to southwest over the entire property.
In short, there are no slope concerns.
We are unaware o/~ any adverse impacts this installation would have on adjacent wells or septic systems.
If you have any qt]e~tions, please contact us at 337-6179. Thank you for your assistance.
NO~ .4 site plan drawing, a design drawing, ~vo detail drawing, four soils logs, and a 7 page
construction specification letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite I 01 * Anchorage, AK 99507
Ph: (907) 3374179 * Fax: (907) 338-3246 * Website: gamessengineering.com
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JOHN THOMSON J (907) 240-2020
DESIGN 'CRITERIA: ' ~' ALTERNATE DRAINFIELD DESIGN: J GEt. ttd. HAS A 7 P~;[ SPEOnC*TION
L~TTER THAT PERTNNS TO THIS DESIGN.
~LONS PER ~Y (GPO): ~ (REM~ ~L OR~) CO~T GEG. ~ P~[EDI~ FO~D
PERCO~T~N ~T[/S: ~ MIN~[/~NCH WIDTH: ~ F[~ WITH THIS INST~TtON.
~A~NrlF/~ fir~ RN. ,~,,,, e~ ~n AGREE TO ~CEPT THE TERMS
WIDTH: 10 FEET ~ LOT 3. BL~K 7;
LENGTH: ~2 FEET LOT 4. BL~K 7; ~ T~L[~DS S/D
~.0~ ~PR~O ~D F[TER: 2 FE~ T~L[~OS S/D ~
GARNESS ENGINEERING GROUP, Ltd. ·
JOHN T~OUSON I (907) 2~0-2020 I 2 Or ~' ~ lt~J'~""?, ~"/
THE TABLE,NOS SUBOIVISON; LOT 5. BLOCK 7. J.L.M.
DESIGN FOR PROPOSED SEPTIC SYSTEM / / ~
~ O 4' MONITORING ~US[ ~ 2 '
CL~OUT/'
Z~ NOTE: THE MOUND I$ REQUIRED TO /~ILTER F~R~
GAaNESS ENGINEERING GROUP, Ltd.
~n~ T~nM~nN I g907~ 240 2020 I 4 OF 4 ~
DETAIL DRAWING OF PROPOSED DRAINrlELD 2/18/2010
'~..~..:."
GARNESS ENGINEERING GROUP, Ltd.
,,o, ~ ~ ,~. ~,~ ,0, . ~ ~ ,,~, .~ ,~,,,,.,,,, .,~ ,~,,,~_,~ . ~ ~,.~_ ..-':-:'/~u~..~ .......... :....~
ISOIL LOG - PERCOLATION TESTJ
LEG~ DESCRIPIION: IA~LE~DS SU~SI0U: LOT ~, 8LOC~ 7,
'0~:".~
DEPTH ~
(fT~OROANIcs ITEST HOLE
~ GP HL
GH CL
GC 50L
% , SW MH
· ·, SP CH
SH 0H
SC
7dJlUIIIII SM/ML DEPTH TO
ItlUIIIII ~/souE GROUNDWATERDATE
· 10.5' 1/29/04
~ 3.s' ~/~/o~ ~'"--. I sF~ f_~
q.o' ~l~/~ X"'--.. I~oo'
10
11 D~IE RE~ING CL0C~ ~EI II~E W~IER LEVEe ~EI ~ROP
TI~E (~NUlES) ~E~DING (INCHES)
12 1/22/2004 1 14:16 -
2 14:46 30 5" 1"
13 3 14:46
4 15:16 30 5"
14 5 15:16 - 6- _
6 15:46 30
15
16
17
18
19 PERCOLATION RATE 30 ~HIN./INCH) PERC. H~E DIA. 6 (INCHES)
TEST RUN BETWEEN 4.5 FT, AND 5.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORHED: I YES ~ NO
SOILS LOGGED BY:, JOOY MAUS PERCOLATION TEST PERFORHED BY: RICK LYON
COHHENTS: *MAY BE INFLUeNCeD BY SNOW MELT RUNNING INTO B~NCH.
PERFORMED BY GEG, Ltd. I, J~R~ A. G~NESS, CERTI~ THAT THIS WA~RFORMED IN ACCORD~CE
WITH ALL STAT~ ~D MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
GARNESS ENGINEERING GROUP, Lt
· '//F-'/ ~...I ........ l~ ....... ................. ~ ......
ISOIL LOG- PERCOLATION TESTI
LEGAL DESCRIPTION: TABLE.DS SUBDMSION; LOT 5. BLOCK 7, voh~J'J.
DEPTH ~
Oeet)====~ ORGANICS JTEST FtOLE ~6J
~ LOWER BENCH
LOAM $OTL ~LASSIFICATIONS
:'~'.:,~ , GW ~ ORG I
~ GP ~ HL
GC 0L ~ ~
SW HH
SP CH
SH OH
SC
SM/ML DEPTH TO DATE
w/ SOME GROUNDWATER
GRAVEL SEEPS ~ 9'&12' 1/21/04
· 8.5' 1/29/04
4' 5/10/2005
11 D~TE RE~DING CLOCK NEI TIHE WAIER LEVEL NET DROP
TIHE (~INUTES) RE~DING (INCHES)
12 1/22/2004 1 14:13 - 6- -
2 14:45 30 5 1/2" 1/2"
15 5 14:45 - 6- -
4 15:13 30 5 1/2' 1/2'
14 5 15:13 - 6- -
6 15:43 50 5 1/2" 1/2'
16
17
18
PERCOLATION RAIE 60 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 4.5 FI. ~D 5.5 FI.
2 A FO~ HO~ PRESOAK WAS P/RFORHED: I YES ~ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION lEST PERFORHED BY: RICH LYON
COHHENTS: ,uAY BE INFLUENCED ~ SNOW MELT RUNNING INTO BENCH.
PERFORMED BY CRC. Ltd. I. JEFFR~ A. ~RNESS. CERII~ THAI THIS WAS PERFORMED IN ACCORDANCE
WITH ALL SIAl[ AHD ~UNICIPAC GUIDELINES IN [FF[Cl ON THIS DATE:
~t~ ~____~-=._:~ ........... , '"..Z
GARNESS ENGINEERING GROUP, Ltd. ~." 49J"-
....
ISOIL LOG - PERCOLATION TESTI ~.~.../.I,~.~ ..... ~....I
LEGAL DESCRIPTION: TaBL[~NDS SUB¢~SlON: LOT 5, BLOCK t,~h~g~.
PERFORmeD fOR: ao~N ~NO~SON DATE: 1~(~004
DE~TH ~
("~O~OAN,CS ITEST HOLE ~SI
~,~LOAM UPPER BENCH
~01L C~SSIFICATIONS
~ GP ~ ML
,~ GM CL
GC OL
SW MH
SP , CH
SM OH
SC
~IIIIIII1 SM/ML DEPTH TO DATE
lJlIIIIJ w/so E GROUNDWATER '
Jl{JJJJ GRAVEL SLIPS ~ 9'~12' 1/21/04
'8.5' 1/29/04
11' 4/8/04
10
READINGj, CLOCK NET TIME WATER LEVEL NET DROP
DATE
TIME (MI~TES) READING (INCHES)
1
1
12 7/6/2005 1 2:~5 - 6- _
2 2:45 10 ~ 1/2' 2 1/2"
1~ ~ 2:45 - 6- _
4 2:55 10
14 5 2:55 - 6"
6 5:05 10
15 7 5:05 6" -
8 5:15 10
16 9 5:15 6" -
17 10 3:25 10
11 3:25 - 6" -
18 12 3:35 I0
PERCOLATION RATE 3.5 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST R~ BETWEEN 1.5 FT. AND 2.0 FT.
2 A FOUR HOUR PRESO~ WAS PERFORHED: ~ YES ~ NO
SOILS LOGGED BY: JOOY MAUS PERCOLATION TEST PERFORHED BY: RICK LYON
COHHENTS:
PERFORMED BY CEG, Ltd. I, JEFFR~ A. CARNESS, CERTI~ THAT THIS WA~ P~RFORMED IN ACCORDANCE
WffH ALL STATE AND MUNICIPAL CUIDELINES IN EFFECT ON THIS DATE:
·
,;.
GARNESS ENGINEERING GROUP, Ltd. i~.*..:']..~.~j~...~... .....
......... - .......... · " CONSULTANTS & GENERAL CONTRACTORS ....
rSOIL LOG - PERCOLATION TEST1
LEGAL DESCRIPTION: TA~LEIJ~NDS SUBDMSION; LOT 4, BLOCK ?,
1:
PERFORMED FOR: ~ONN I~tOMSON DATE: 1/21/2004
~EPTH ~
ORGANICS EST HOLE
.~~ LOAM SOIL CLASSIFICATIONS -
-. ~'~'~ GP ~]]]~ML
GM CL
GC OL
,, ,~ SW HH
· ,, SP CH
SFI OH
SC
7-1t]JIIIIII SU/ML DEPTH TO
DATE
GROUNDWATER
I~lJ[lllll w/soul
i~tJJlJll ~RAVEL SEE. ~ I~.S' 1/2V04
* 1 O' 1/29/04
4/8/04
4' 5/~0/2005
10
JREADING CLOCK NET TIHE WATER LEVEL NET DROP
DATE
11
TIHE (HINUTES); READING (INCHES)
12 -. 5/18/2005 I 3:44 - 6- _
2 4:14 30 O" 6"
13 3 4:14 -- 6- _
4 4:44 30 O' 6'
14 5 4:44 -- 6- _
6 5:14 30 O' 6'
15
16
17
18
19 PERCOLATION RATE <1 (MIN./INCH) PREC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 1.5 FT. AND 2.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORP1ED BY: RICK LYON
COHHENTS: *MAY BE INFLUENCED BY SNOW MELT RUNNING INTO BENCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS, ~ERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: '3~[~;
DEPTH TO
GROUNDWATER DATE
SEEP = 13.5' 1/21/04
'10' 1/29/04
12.5' 4/8/04
4' 5/~o/2oo5
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 190650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Date Issued: Jul 08, 2005
Expiration Date: Jul 08, 2006
Permit Number: SW050214 Parcel ID: 051-801-37
Legal Description: THE TABLELANDS SUBDIVISION BLOCK 7 LOT 5
Design Engineer: 0855 Garness Engineering Group, LTD Site Address: NHN FALLOW CIRCLE
Owner Name: JOHN THOMSON Lot Size: 40028 SQ. FT.
Owner Address: NHN FALLOW CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4
CHUGIAK, AK 99567-
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail 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 free~ing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:. ~f~'~ ~//~/~
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.anchorag e.ak.us
(907) 343°7904
Parcel I.D.
ON-SITE SEWER/WELL PERHIT APPLICATION
FOR A SINGLE FAHILY DWELLING
Permit Number
Property owner(s)
Mailing address (1)
JOHN THOMSON
17343 SANTA MARIA DRIVE * EAGLE RIVER, AK.
Day phone-.~.~.=.~.~Z0~
Legal description (Lot, Block & Sub'd.)
~'~ ¥'T_ L~,, Zip Code
LOT 5 BLOCK 7:.TABLI[LANDS SUBDMSION
Legal description (Section, Township & Range)
Lot Size ~ Acreage)
THIS APPLICATION IS FOR:
Sewer Only ~
Sewer and Well
Sewer Upgrade []
Number of Bedrooms
99577
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Well Only
Water Storage
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further certify that this application is being made fora
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP~ Ltd.
(Signe! ..... · ........................... '~ .....
Permit Fees: ~'~) '~)
Date of Payment: ~/~/¢~.~
Receipt Number;, ~'~)
Waiver Fees;
Date of Payment:
Receipt Number:
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
July 6, 2005
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 South Bmgaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic System for Tableland Subdivision; Lot 5, Block 7,
To whom it may concern:
Your department issued a permit for a 3 bedroom septic system on the referenced property (SW040083). The
owner requested that we re-design his septic system to accommodate 4 bedrooms. We are proposing that a
new 1500 gallon S.T.E.P. tank, a M.O.A. approved recirculating trickling filter (sized for 4 bedrooms), and a 5
wide type drainfield be installed. One test hole was excavated on the property. The drainfield will be designed
around the 30 foot radius of the test hole. 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 drawing the average area around the proposed
drainfields is relatively flat. In short, there are no slope concerns.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If
you have any~uestions, please contact us at 337-6179. Thank you for your assistance.
Jeffi M.S.
Pres
NOTE: dttached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.)
3701 E. Tudor Road, Suite 101 * Anchorage. AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com
T~BLD. A~Z~ S/D
~ \ \ LOT 5. BLOCK B;
~ LOT e. BLOCK 8; ~ T~31.D.~DS $/D / ~'"~"'~ .....
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i X .,'Y ,/
G A R N ES S E N G I N E E ~I N G G RO U P, L t d.
· , · ·
~"~ ~": I.~.~ .u.~: I "~ "~ ~, ~'1" · 'Ld:l ....... :'"'Ih
e r ~y C,mess
JOHN THOMSON I (907) 240-2020
~ .~,~: ~ ~: X'~d~. ~i'~?~,.'",/~/
rA.~.DS SUBmWS~O.: LOT ~..LOC~ ~. ..A.U
NUh4BE]~ 0[r BE:~ROOMS: 4
M.O~ ~ ~D RL~2 ~1
'-~
~U
GARNESS ENGINEERINGG~OUeLtd. ~ ~~r;3~....,..
CONSULTAN~&GENERALCONT~CTORS
~ ~ PHONE NUM~:
~OH~ ~HO~SO~ (907) ~0-~0~0
~z ~ ~: ~REVISED
DESIGN FOR PROPOSED SEPTIC SYSTEM 7/6/2005
JOHN THOMSON (907 240-202D ~ OF~.~.'~nes..s.-'~,~/
TABLELAND
DETAIL FOR PROPOSED DRAINFIELD
GARNESS ENGINEERING GROUP, Ltd.
JSOIL LOG - PERCOLATION TESTJ )
LEGAl_ DESCRIFqlON: TABLELANDS SUBDMSION; LOT 5~ BLOCK 7~ :E--7.95J~
PERFORMED FOR: JOHN 11-101dSON DATE:: ¥2,/2(X)4
~,~I ofo,,~.~
f OROANICS ITEST HOLE
~j~t~jj LOAM ~
· . . GP ML I ~
J GM CL
GC OL
" SW i MH
' "'l SP CH
7--ItltlIIIII SM/ML DEPTH TO J
Itl~IIIIIIw/ SOME OROUNDWATERj DATE
ilJJJJJJJJ C~VE:L SEEPS o 9'~12' V2VD4
*..S'
1.1' 4/~/04 "~?e,,, '~
lO
11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
12 7/6/2005 1 2:35 - 6- -
2 2:45 lo
.13 3 2:45 - 6' -
4 2:55 10
14 5 2:55 - 6- -
6 3:05 10 3"
15 7 3:05 -- 6- --
16 8 3:15 10 3'
g 3:15 - 6- --
17 10 3:25 10 3' 3'
11 3:25 - 6- -
18 12 3:35 10 3' 3'
'19 PERCOLATION RATE 3.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 1.5 FT. AND 2.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORHED: · YES [] NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: RICK LYON
COMMENTS:
PERFORMED BY GEO, Ltd. I, JEFFREY A. GAYNESS, CERTIFY THAT THIS WAS PJ[RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL CUlDEUNES IN EI'~LCT ON THIS DATE: "7/'-t
DEPTH TO
GROUNDWATER DATE
SEEPS o ~'~,12' V2V04
· 8.5' 1/29/04
1.1' 4/e/04
4' 5/'~ 0/2005
(
of Anchorage
Municipalit5
I'.0. l~,x 19C~1 · ~h~chomgc, Alaska ~194~k~1 · Telephone
Mayor Mark B(~ich Building S~cly Dis~ston
24 Mar 05
John Thomson
17343 Santa Maria Drive
Eagle River, AK 99577
Subject:
Expired On-Site Water and/or Wastewater Permit.
Permit Number: SW040083
Legal Description: The Tablelands Block 7 Lot 5
Dear John Thomson:
An On-Site Water/Wastewater Permit, number SW040075, issued by this office for a single-family
system, expires on 27 April 05. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation ofthe installation and to close the permit.
If this permit was for a wastewater disposal system, an original as-built inspection report must be
sent to this office for review, approval and documentation. This as-built inspection report must be
signed by the licensed Professional Engineer who inspected the installation of the system. As-built
inspection reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. When applying for a new permit,
the fees are: $460.00 for a wastewater permit and $175.00 for a well permit.
if you have any questions, please call this office at 343-7904.
Sincerely,
Daniel J. Roth
Manager
On-Site Water and Wastewater Program
Eno: Copy ofpermit
Community, Security, Prosperity
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
[907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW040083 ~'#~.
Legal Description: GL;-;,;;; ',,';~.*; ~ST.".TES ;.'~P. TH TP. F
Design Engineer: 0041 AK Water & Wastewater Consultan~
Owner Name: JOHN THOMSON
Owner Address: 17343 Santa Maria Drive
Eagle River, AK 99577-
Date Issued: Apr 27, 2004
Expiration Date: Apr 27, 2005
Parcel ID: 051-g01~?
Site Address: 23210 WHISPERING BIRCH DRIVE
Lot Size: 40000 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for t~e construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
AIl construction must be in accordance with:
1. The attached approved design.
2. AIl 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.
5. The following special provisions.
THIS PROPER~Y IS CURRENTLY CALLED GLENN VIEW ESTATES NORTH TRACT F BUT HAS BEEN
OFFICIALLY SUBDIVIDED TO THE TABLELANDS SUBDIVISION BLOCK 7 LOT 5
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
v,~w.ci.a nchorage.ak.us
(907) 343-7904
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number $~/O~'o0 83'
Prope~y owner(s)
Mailing address (1)
4OHN THOMSON
17343 SANTA MARIA DRIVE * EAGLE RIVER, AK.
Day phone~
Mailing address (2)
Zip Code 99577
Legal description (Lot, Block & Sub'd.) LOT 5 BLOCK 7: TABLELANDS SUBDMSION
Legal description (Section, Township & Range) N/A
Lot Size ~n/~:~ Acres~T') Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Well Only
Water Storage
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Jacuzzi ~r~
Water Softening Unit
I certify that the above information Is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
CARNESS ENGINEERING GROUP, Ltd.
Permit Fees:
Date of Payment:
Receipt Number:.
Waiver Fees;
Date of Payment:
Receipt Number:.
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
April 19, 2004
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 7; Tablelands Subdivision
To whom it may concern:
The proposed 3 bedroom house will be served by public water and private septic system. We are
proposing to install a 1000 gallon septic tank and a dual 5-wide trench type drainfields. Three
test holes have been excavated on the property. The drainfield will be designed around the 30
foot radii of GEG test hole #6 and Tobben Spurkland's test hole for Lot 20, Block 8. 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 0.45 gallons/day/ft2
should be used.
2. TRENCII DESIGN:
a. Percolation Rate: 20 & 60 minutes/inch
b. Proposed Application Rate: 0.45 gallons/day/R:
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 1000 ft2
f. Total Depth: 4.25 feet (maximum at anypoint)
g. Effective Depth: 1 foot
h. Width: 5 feet
i. Reduction Factor: 0.87
j. Minimum Length: 176 feet total len~h (2@ 88 feet long each)
k Effective absorption area = 1010
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineefing.com
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPIIY: The area around the proposed drainfields is relatively flat. In short, there
are no slope concerns.
We are unaxvare 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.
Sincerely,
Presi¢ .n
!~E., M.S.
NOTE: A site plan drawing, a design drawing, three soils logs, and a 7 page construction
specification letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com
\ \ ~ tOT ~. emc. e; \ ZAetZ~'~BS S/O
~ \ LOT ~. "L~K 8; ~ T~"~ S/O ~ ........
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GAYNESS ENGINEERING G~OUP, Ltd. ,~: .'
CONSULTAN~ & GENE~L CONT~CTOR$ ~
~REP~EO FOR PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON 240-2020 1 OF 2
TABLE~NDS SUBDIVISION; LOT 5, BLOCK 7.
SITE P~N FOR PROPOSED SEPTIC SYSTEM
NOTr.: '11'tE COt~'l'OR SHALL HArt: \
/ 11-1E SOUTH EAST AND NOR1~ EAST
/ LOT UNES F~AGGED BY A REG~:aH~.~:D
lAND SURV~EYOR PRIOR TO
CONSTRUCTION. / ~ ?A~L~.ANDS S/D
I / \ ~--PROPOSED ORNN~LD. EXCAVAT~
/ /
/~ / \ I DE:~'
Ir / ~ ~ ~ W~D~' BY ~8 FEET LONG F..~CH
/ /
J / I \ TOBBEN SPURk'LAND
/ / N.T~RN~ sr~ I \ i~ HOt~
~ -'* /%__, ............ z__~
/
/ / ~ ~. ,~m*/_~ / %INSTN'L FLOW
'" ~7 ,c. -- ~<d ~ox - / ~ ~".......
-. ~ NOTE: DEP£NDING OF THE \
~ ~ E~'-~'£~O~ O~THEHOUSE. ^
'-. ~ o.i. DE. PUU. o. ~urr
!'GARNEsS E~q-~INEERING GROUP, Ltd.
'"~"==""m~"=~eCONSULTANT~&GENERALCONTRACTOR$~'mmmm"m~aam=~ 1" -- 40' ..............................
JOHN THOMSON 240-2020 2 OF 2
'o&".t. ~ ~-~ ....".,,~
~[GAL 13E~aCRIPTION:
TABLELANDS SUBDIVISION; LOT 5, BLOCK 7,
rYP£
DESIGN OF PROPOSED SEPTIC SYSTEM
CONSULTANTS & GENEI~AL CONT~CTORS ' .
[SOIL LOG - PERC0~TION TESTI ........................
P/RFORUED FOR: JOHN m0USON DA~: 1/21/2004
* oRo~UlCS ITESl HOLE
~I~LOAM ~
~ GP ML
GM ~L
G~ OL
~ · SW MH
SP CH
SM OH
7~I~11111 Su/UL DEPTH TO DATE
gltlIIIIl / soME OROU DW TER
: ~H[I~[ GmVEL SEEPS O 0'~12' 1/21/04 ....
.s,s'
~ ~' 4/~/o~ , ~-.
11 D~TE READING CLOCK NET TIM~ WATER LEVEL NET DROP
TIME (MINUIES) R~DING (INCHES)
12 1/22/2004 1 14:13 - G- -
2 14:43 ~0
13 - 3 14:43 - 6" -
4 ~s:~3 ,o
14 5 15:13 -- S' --
6 15:43 30 5 1/2' 1/2"
15
16
17
18
PERCO~TION RATE 60 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19 '
TEST R~ BETWEEN 4.5 FT. ~D 5.5 FT.
2 A FO~ HO~ PRESO~ WAS PERFORHED: ~ YES ~ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: RICH LYON
COHHENTS: *MAY BE IN~UENCED ~ SNOW MELT RUNNING I~0 B~CH.
PERFORMED ~ GEG. Ltd. I, JE~ ~ ~N~S. CE~ ~T ~IS W~ ~/R~RMED IN ACCORD~CE
W~ ~ ~ATE ~D MUNIClP~ GUIDEMNES IN E~L~ ON ~IS DA~: ~/~,/0~
DEPTH TO DATE
GROUNDWATER
SEEPS 0 9'&12' 1/21/04
'8.5' 1/29/04
~1' 4/B/04
Municipality of Ahchorage
Developmenl Services Department
~¢lding Safely (~wlsion
On-Sile Waler end Wastewaler Program
4700 SOUlh 8rag;lw SL
P.O. Box 195550 A~0~e, AK 9~$t9-6~50
(90T) 34~-7904
Soils Log - Percolation Test
-:;,' :,,.'-:,o,
D
I
Gol"T'D ~ o F
~oL_~.
WAS GROUNO WATER
ENCOUNTERED?
iF YES. AT WHAT 0£PTH?
· Reading Date Gross T~me Net Time
I
r'E=;":="!ED$' _. '~t ~'~ I ~. ~ CERTiFvT,.,...T.,i$.E$o ...:..:.
:'~ ::: ~ :- '.'EL3 t, A :~OROANCE WITH ALL STATE AND MUNICIP~ GUIDELINES IN EFFECT ON TH~S DATE 3;,T~ ' ~-] ~ .~ ~
Municipality of Anchorage
Developrnenl Se~,ices Department
eu(Iding Safely Division
On-Sile Water and Wastewaler Program
4700 $oulh Bragaw SL
P.O. Box 195650 A~cho~ge. AK 99519-6550
(907} 343-7904
Soils Log - Percolation Test
A~.(..Tt ¢ '~E ~.'C 6>
~" Z E'hl
~,~0 I~'~ Tev~ship. Range. Seclion:
Slope Sile Plan
Ii
WAS GROUND WATER
ENCOUNTERED?
$
YES. AT WI-UI.T DEPTH? t
0
jI : :
I
;'{' = ~'¢: '.'ED ;~ ~ .~CO..~DANCE W~TH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE D;,;F ~-!'~'-O 7.._
® Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I. D. 051-801-37 Expiration Date: (o-17-2_02!1
1. GENERAL INFORMATION:
Complete legal description THE TABLELANDS; BLOCK 7, LOT 5
Location (site address) 23625 FALLOW CIRCLE CHUGIAK AK 99567
Current Property owner(s) JOHN THOMSON Day phone 240-2020
Mailing address
Real Estate Agent
14211 HAROLD LOOP, EAGLE RIVER, AK 99567
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
[i
Individual
IE
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
®
Public Sewer
❑
Waiver/Variance request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
• ' Fee _550- $
Date of Payment 7�,6' �Z I
11
Receipt Number c}68 BOG
COSA # 05G2\ 1 uO2
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: Gayness 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: j Z
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 date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not 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 _y_ bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for
Cee A
r'
Jcif r
ey A.
CE/ 679.53
/(r((r
46
t4
WATER AND
m WAST - VATER oz
�G PROGRAM G,
%000� BOJ\\�
r�JiJ Nr SER\JO-�,
bedrooms, with the following stipulations: /))))))W)1
kw M I^/ � Oli y h f" k4—
Original Certificate Date:—Z�
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 10-10-12.doc
Legal Description:
THE TABLELANDS; BLOCK 7, LOT 5
Parcel ID: 051-801-37
If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1
A. LL DATA
Well log I ' d with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) In.
Date of flow test for CO
Static water lgy4c� beginning of test
B. TANK DATA
Age of tank(s) `11.5 years
Tank type/material STEEL
PUBLIC WATER
in
Measured operating fluid level in septic tank '46.5
❑ Standpipes/foundation cleanout per record drawing
Date of pumping SEE AWWTS MAINTENANCE LOG
D. ABSORPTION FIELD DATA MOUNDED BED (QUANICSAEROCELL)
Which system tested (date installed) 3/24/10
❑ ALL standpipes present per record drawing
Total measured depth from grade *3.3 ft (max)
Measured depth to pipe invert from grade *2.6 ft (min)
❑ N/A — pressurized field
* ❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
Well production at time of test
Water storage tank vol gallons
Well disinfecr coliform test? ❑ Yes ❑ No
:ati�orm bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Ars ug/L ❑ Arsenic less than MRL (ND)
Collected by"�
Date of Sample
C. LIFT STATION
❑ Required maintenance completed
Age of lift station `11.5 years
Lift station material STEEL
Comments: THIS IS A QUANICS AEROCELL
SYSTEM.
*IN ST1 (SEE MAINTENANCE LOG).
Adequacy test date 6/17/21
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 607 gal
New depth 0 in
Elapsed time 0 min
❑ Code -required soil cover over field Final fluid depth 0 in
❑ System presoaked Absorption rate 600+ and
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies: 'ELEVATIONS TAKEN ON BED AND IT APPEARS TO HAVE SHIFTED SLIGHLTY SINCE 2010 RECORD
DRAWINGS (MAY HAVE BEEN INFLUENCED BY NOVEMBER 2018 EARTHQUAKE). BASED UPON RECORD DRAWING TOP OF SAND
ELEVATION SHOULD BE 96.50. MTS ARE CURRENTLY 97.01 AND 96.70 BASED UPON RECENT ELEVATION SHOTS.
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
PUBLIC WATER
Froate Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift StaMCrr.Qa Lot > 100'
❑✓
Yes
Community Sewer M k7Cleanout > 100'
ft
Yes
if No
ft
❑ Yes if No ft
Neighboring Tank > 100'
❑ Yes
if
ft
ate Sewer/Septic Line > 25' ❑ Yes if No ft
Absorption Field on Lot > 100'
❑ Yes
if N
ft
ing Tank > 100' ❑ Yes if No ft
Neighboring Absorption Field
_ IAnimal
Water Main > 10'
M
Conta> > 50' ❑ Yes if No ft
if No
❑ Yes
if No
ft
Water Service Line > 10'
0✓
Yes
if No
ft
Manure/Animal Excreta Storag _ 0'
Com Sewer Main > 75'
❑ Yes
if No
ft
❑ Yes i o 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'
Yes if No ft
Property Line > 5'
✓v
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
✓/
Yes
if No
ft
Private Wells > 100'
0 Yes if No ft
Water Main > 10'
M
Yes
if No
ft
Community Wells > 200'
E] 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'
✓0
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
F✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
[✓
Yes
if No
ft
Community Wells > 200' Yes if No ft
Surface Water > 100'
✓0
Yes
if No
ft
F. ENGINEER'S COMMENTS
NOTE: SEE ARM SEPTIC SERVICES QUANICS INSPECTION REPORT REGARDING CONDITION OF FOAM CUBES.
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.
COSA Checklist yellow sheet
#AECC884
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MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this _L�_ Day of ,L L,! of 20_!2:L, by and between
L r✓y e.S�� �l < Et r` YY14,- (,I___, herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants pernvssion to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as.,. -9 S 54d1r)W Circ k,Cl�rc};ic! r LI -L-
located at (legal description)y
1 hela1�Le)iLt.ilr rG
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
'SWI Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider appr med by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
V}\ It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically S400 to S600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
'V1�1 Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage back -Lip and costly repairs or drainfreld
replacement.
(rev. 05/18/2018) Page 1 of 3
-rM Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
't Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
7VI Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On-Site Systems Approval.
T Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
" GrV\ Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any tune to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Thud Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
By: _ i (signature) Date: ! 9 a
(print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this day of rI ,
20 21 , by QA-
n -,LL r �
c^.
i TARY PUBLIC FOR ALASKA
My Commission expires:JESSICA REED
Notary Public
Slate of Alaska
My Commission Expires Aug 10, 2022
MUNICIPALITY:
Z;*�B (signature) Date: �2
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
ARM Scptic Services, LLC
Maintenance Checklist: Advanced Treatment System
Operational Checklist: Advanced Treatment System
Legal Description:
Street Address:?
� c—J -(..
Service provided on' Date: i -fit(-"Tt Time;
Service provided by Company: Employee:Jam"'
Date of last service:__ -'*- r tc B" You 'Other: —
1. Type of Aerocell Treatment System:
Cat II -AeroCell Treatment System
Cat III - AeroCell Treatment System
2. Conditions at media filter: Acceptable � Unacceptable
a. Evaluate presence of odor within 10 ft of perimeter of system:
None Mild Strong _� Chemical D Sour
b. Source of odor, if present %.(
3. Manhole Risers and Pipe Caps:'Acceptable Unacceptable
a Coverts intact. >'es No
b. Method of securing coverCt�Cy�
c. Insulation present on all lids?).s'yes _I No
d. Any plumbing leaks or water intrusion: 11 Yes -E,No
e. Surface water/infiltration into components: L Yes E*No
4. Venting/Air supply: 3ACceptable V Unacceptable
a.
Air supply unit operating properly. -�d Yes i. i
No
b.
Venting appears operable. 5-- Yes 11 No
5. Media
surface: ❑ Acceptable unacceptable
a.
Biomat on surface. ❑ Yes
7—*No
b.
Uniform spray pattern. [t'Yes
,J No
d.
Ponding in/on media._! Yes
o
e.
Plugging/clogging of nozzles. _ Yes
<No
f_
Media appears to be settling. =Yes
-1I No
g.
Appropriate maintenance performed. „'Yes " No
h.
Pest activity at surface Ll Yes
> . No
6. Effluent quality
a.
Effluent odor after passing through media filter:
PKNone
b.
Effluent color after passing through media filter:
Stelear
❑ Mid ❑ Strong
El Brown ❑ Black
r'
Enpt96tr! n":Wetar.Bomuohr
17933 Old Glenn Highway `Chugiak, AK 99567
office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 1 of 3)
ARM Septic Services, LLC
7. Tasks for recirculating/discharge flows: ,Acceptable
!! Unacceptable
a.
If applicable, Jandy valve functioning: Yes
`] No [_ N/A
b.
If applicable, Jandy Valve basin dry: Yes
u No _; N/A
c.
Cleaned collection system in Aerocell unit: IL'Yes
_ No Not Necessary
d.
Design recirculation ratio: 80 ;
20
e.
Actual recirculation ratio (Estimated)
20
acceptable
f.
8. Pump System: L ';Unacceptable
Fes
a.
Control panel in Auto: &1s" ;`] No
Last Date Tank pumped.-
umped:
b.
Timer settings IFS Panel (No Override timer): Li Yes
ON: ' ?)C': we. OFF:
Override ON: Override OFF: � ❑ N/A
c.
Floats in correct placement: LYes
L__� No
d.
Floats working properly: ~Yes
u No
e.
High water alarm operational: ; l Yes
L No
f.
High water alarm count:
g.
Pump Run Counts:
h
Pump Run Time:�.
i.
Float Error Counts:__._N/A
I .
Total Override CountsN/A
k.
Effluent Filter serviced: js'1es
'L No
1.
Tank lids secured after inspection: X�Yes
L✓ No
m.
Weep hole functional: � es
❑ No
9. Primary Tank: acceptable ❑Unacceptable
a.
10.
Sludge and scum level checked:
t r�-`1, 'es
C No
b.
Sludge/Scum levels: 1 st:h_ i _ 2nd:
�� 3rd:
c.
Tank needs to be pumped:
'F Yes
oto
d.
Water softener backwash discharging on system? El Yes
C No
e.
How many people live on the system?:
f.
Tank lids/caps secured after inspection:
Fes
L-1 No
g.
Last Date Tank pumped.-
umped:
10. Drainfield:
a. Type of Drainfield (circle one): Bed 5 -wide Deep Trench
b. Design Effective depth: lL' the eet
c. Checked Liquid Levels in Drainfield: (_'Yes ❑ No
MT#1 Liquid Level:.___a Inches
MT#2 Liquid Level: Inches
MT#3 Liquid Level: Inches
MT#4 Liquid Level: _ Inches
d. Is there any surfacing effluent?: 71 Yes (,� 0
17933 Old Glenn Highway *Chugiak, AK 99567
office/fax: (907) 688-9433 Email: ARMServicesAK@outlook.com (PAGE 2 of 3)
Yes
11,|ethe remote monitoringf d i ? (if no, describe in comments)
a. Type of Mmmmxe,ys='
b.Phone line working? 0veu '_�<mo m'^
) Y� Yes ��q 0
12. Does this system receive an advisory notice/warning? (if so, describe in t
13.|ethesys\ominaatiafaotoryoondition/pasoinopootion?<ifno.d000rihoinoommanca
Service Provider:/
179]3 006ienn Highway ^[hugiak.4K9V567
office/fax: (qO7)688'94]3Email: ARMSrrviceuiK@oudook.com(PAGE 3o(3)
ARM Services, LLC
Media Advisory
23625 Fallow Circle
During ARM's last inspection the Quanics system, the media level was observed to be
10"-14" below the spray nozzles and the media appeared to be firm. According to
manufacturers specifications, the media level should be 4-6" below the tip of the
nozzles, and soft to the touch. The media is 11+ years old, and may be reaching the end
of its useful life. The media may be in need of replacing soon, as it is showing signs of
aging.
In addition to the media condition, one of the monitoring tubes appeared to be
frostjacked and sewer rock had filled the monitoring tube, reducing the effectiveness of
a visual inspection.
Signature of Buyers:
Date:
17933 Old Glenn Highway *Chugiak, AK 99567
office: (907) 688-9433 Email: ARMServicesAK@outlook.com
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
470~ B~ag~w. s.~;re, et
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF 0N-SITE SYSTEHS APPROVAL
FOR A SINGLE FAHILY DWELLING
Parcel I.D. 051-801-57
1. GENERAL INFORMATION
COSA# O,~'~ / O ! ~ / O
Expiration Date: / /
Complete legal description
Location (site address)
Current Property Owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
THE TABLELANDS S/D; BLOCK 7, LOT 5
25625 FALLOW CIRCLE *CHUGIAK, AK 99567
dOHN THOMSON Day phone
11404 dESSIE MAE CIRCLE * EAGLE RIVER~ AK *
240-2020
99577
Day phone
Day phone
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
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.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat affixed het~to and as ~' '~ .... '"~"~- "~'~ ~' ..... below, I ....
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 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS; P.E,
Phone 537-6179
Date
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system inlaccordance 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.
DSD SIGNATURE
'~,?'~ Approved for ~ bedrooms.
Disapproved,
Conditional approval for
.~.,. ~,.. .... ..
~'~" ON-SITE
~ : WASTEWATER
: ' PROGRAM
bedrooms, with the following stipulations:
~. '.. ,.'
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
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,rnuni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Legal Description:
WELL DATA
THE TABLELANDS S/D; BLOCK 7, LOT 5
PUBLIC WATERI
CHECKLIST
Parcel ID: O,.~'/'" oO 0/- ..~ 7
Well type IfA, B, or C provide PWSID# __ Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly prote
Total depth ft. Cased to_ ft, casing he__round) in.
Date of test FROM WELL LOG ~CT_ION .
Static water level .ft. _ .ft.
WATER SAMPLE RES .'t.JJ,~~'~
Coliform ies/100 mi, Nitrate mg,/L. Other bacteria colonies/100 mi.
~ ug./L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S,T,E,P,/STEEL
Tank size 1500 gal. Number of Compartments 2
Depression over tank (Y/N) NO
Pumper
~*BELOW FINAI~ CEAD[I
Foundation cleanout (Y/N) YES
Date of pumping NEW
ABSORPTION FIELD DATA
Date installed '3/24/2010
Date installed 5/24/2010
Cleanouts (Y/N) YES
High water alarm (Y/N)
YES
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 & type) NONE .KNOWN If yes, give date -
NOTE: DRAINFIELD WAS INSULATED. **QUANICS ADVANCED TREATMENT SYSTEM.
Soil rating ~r ft2/bdrm)**2.0 System type
Length 32+ ft. Width 1 O+ .ft. Gravel below pipe 0.54 ft.
Total depth *5.66+ ft. Eft. absorption area 320+ ft2 Monitoring tube YES Depression over field NO
Date'of adequacy test NEW Results (Pass/Fail) PASS For - bedroOms
MOUNDED BED
LIFT STATION
Date installed 5/24/2010
"Pump on" level atTIMER in.
DatUm BOTTOM OF TANK
Size in gallons 1500
"Pump off" level atTIMER in.
Cycles tested NEW
Manhole/Access (Y/N) YES
High water alarm level at 44
Meets alarm & circuit requirements?
YES
in.
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot.
Public sewer main
I PUBLIC WATER I
Sewer/septic service line
On adjacent lots
On adjacent lots
~eanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ PrOperty line 5'+
Water main 10'+ Water service line, 10'+
Wells on adjacent lots 200'+
Absorption field 5'+
Surface water~ 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water service line 10'+
Curtain drain NONE: KNOWN
Building foundation 10'+
Surface water 100'+
Wells on adjacent lots. 200'+
Water main. 10'+
Driveway, parking/vehicle storage 10'+
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
COSA Fee $ ~;~
Date of Payment
Receipt Number 0 ~ ~ L~'~"7
(Rev. 11/05)
Waiver Fee $
Date of Payment,
Receipt Number~
