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Home My WebLink AboutCAMPBELL CANYON LT 3Campbell Canyon Lot 3 #041-011-05 Municipality of Anchorage `\y Development Services Department ,; a=' Building Safety Division _ On -Site Water 8 Wastewater Program, 4700 South Bragaw St. ,,, , , T P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 or 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW060048 PID Number. 041-011-05 Name: PEPPERS CONSTRUCTION Wastewater System: ■ New ❑ Upgrade Address: 10224 FRONTAGE ROAD a EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 250-8348 3 0 Deep Trench ■Shallow Trench O Bad aMound 00ther Remarks: BENCH MARK towlron end DeocTl,on: TOP OF CONCRETE ELECTRIC PEDESTAL LOCATED ® SOUTHWEST PROPERTY. CORNER. AmK~1 Ewvawn. 100.00 rt ENGINEEWS SlJ Inspections performed by: GEG, Ltd. Dates: 1st 6/27/2006 000�o O 2nd 6/27/2006 3rd Development Services Department Approval p: ............. . Reviewed and approved by: IReviewed and approved by: (B«. a/as) Date: Date: 4 LEGAL DESCRIPTION SW Ito": 1.2 Tad Depth from anginal goer. 10 MAX GPD/S4 TL n Block: Lot: Subd,vlsion: Depth b ppe been, Iron, artprd grow.: CmM depth bemah pipe: — 3 CAMPBELL CANYON 5.9 MAX rt 4.06 n Township: Range: Section: rel added gene "r grade: onwol wvh: - - - SEE DWG. n 47 n coves width: NumbN ofarwc Orlarc. beween anew: WELL: ❑ New ❑ Upgrade 5 r< 1 — n Cbwlcewn Pinole. AB.d . Woed T. Tad abeorptbn ano: 470 V" wwt~ D 3034/ F-810 ,, so. s< wpSER slain Maar Lea: Dr .Od MdNr. e IrwIW.2 6/27/2006 n WHITTERS EXCAVATION TANK Ylere: CSM Prirr,p set At: Cawing Height Above Droved: CPU rt n. SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. DOther To Septic Absorption Uft Holding baa/invate Y°"'"°"1e" ANCHORAGE TANK cOpOC� ~ gay° ' 1000 from Tank Field Station Tank seww Unca Well 200'+ 200'+ — — 25'+ STEEL llw eo a co npo n»a,. 2 Surface water 100'+ 100'+ — — — LIFT STATION sae In W� Lot Una 5'+ 10'+ — — — an wrel a: ump al ol: eph weer alarm e: Foundation 5'+ 10'+ — — — ►lerw Yate Decukol Ywpocuono weaned W.. Curtain Drain NONE KNOWN Remarks: BENCH MARK towlron end DeocTl,on: TOP OF CONCRETE ELECTRIC PEDESTAL LOCATED ® SOUTHWEST PROPERTY. CORNER. AmK~1 Ewvawn. 100.00 rt ENGINEEWS SlJ Inspections performed by: GEG, Ltd. Dates: 1st 6/27/2006 000�o O 2nd 6/27/2006 3rd Development Services Department Approval p: ............. . Reviewed and approved by: IReviewed and approved by: (B«. a/as) Date: Date: 4 PERMITNUMBER: PARCEL ID NUMBER: SWO AS -BUILT DRAWING I SW060048 041-011—OS /-TOP OF SLOPE NEW TH/1 APPROXIMATE WATER `J LINE LOCATION PER ' WNITTERS IXCAVATON NEW GALLON SEPTIC TANK I A A � Yo. .Y \ E2 00 / B GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3"1 L O OMR ll I 101 . N4"DWL MI 90!01..11090[ (901)11)-01" . INf . WMM' �wgvwwynwYyaan PREPARED FOR: PHONE NUMBER:PAGE NUMBER: SCOTT PEPPERS 907-694-9680 2 OF 3 CAMPBELL CANYON SUBDIVISION: LOT 3- : OF WORK: DATE 50 SCALE AS—BUILT 1 IR". DIMS) B.F.M. iF7 26.77 32.12 36.27 41.08 m 42.00 35.83 58.3.1 98.69 97.8 � Yo. .Y \ E2 00 / B GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3"1 L O OMR ll I 101 . N4"DWL MI 90!01..11090[ (901)11)-01" . INf . WMM' �wgvwwynwYyaan PREPARED FOR: PHONE NUMBER:PAGE NUMBER: SCOTT PEPPERS 907-694-9680 2 OF 3 CAMPBELL CANYON SUBDIVISION: LOT 3- : OF WORK: DATE 50 SCALE AS—BUILT 1 IR". DIMS) B.F.M. iF7 PERMITNUMBER: BUILT DRAWING PARCEL ID NUMBER: SW0 AS -BUILT 041-011-05 TH/1 6: TH/2 /r FINAL GRADE - 103.58 STI / qST2 TOP OF TANK ('� I I TOP OF TANK AT INLET 97.58 11� ^ / AT OUTLET - 97.58 NEW 1000 GALLON INVERT OF BUNGSEPTIC TANK AT INLET - 97.08 ORIGINAL GRADE - 102.50 O HIGHEST POINT -INVERT OF BUNG AT OUTLET - 96.73 GRADE - 102.64-104.81 -FILTER FABRIC INVERT OF PIPE - 95.56 BOTTOM OF TRENCH - 92.50 RELATIVE ELEVATION OF BOTTOM OF \1 TESTHOLE 86.00 (NO H20) O Cr.' O 0 GARNESS ENGINEERING GROUP, Ltd. p �: CONSULTANTS & GENERAL CONTRACTORS Q• 3701 L TIO(M IGD. 11.1R 101 MLlprAO[. III 0N01 AO[ (907)037-017/ • rM (i0y) I =N • U ' w..ywnwrpv�Yy.—w O PREPARED FOR: PHONE NUMBER: PACE NUMBER: SCOTT PEPPERS 907-694-9680 3 OF 3.-P LEGAL DESCRIPTION: DRAWN BY: � CAMPBELL CANYON SUBDIVISION; LOT 3 B.F.M. D��e TYPE OF WORK: DAI : S 2006 �C PROFILE DRAWING FOR NEW SEPTIC SYSTEM (R9v. 01105) Vlll"h� A. Drness: E— ,/3 Oct -30. 2006 2:06PM Gmess Eosineerind Group Ltd Wo- h-6001 P. I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS — — —•• FACSIMILE TRANSNUITAI. DATE: , IM30 NUMBER OF PAGES: (INCLUDING COVER) Id16— Inn ERAW: &Aq� A Gmxne3s F.,oPN�eli REF: 0—Jer k4e- Locak,'�,4 its: pb-w-/ �)Ml � t t I�Qct Cctil�l yOu PieASe- pawl IA !�� -cyf "irm wa&c lint- 10M+16n %an i'he. Kai 6x 1--0 tha, hoase,. AAcA send. j' - it k. f/lAof►ss, 3701 E. Tudor RoacL Suite 101 A=herage, AK 99507-1259 Ph: (907) 337-6179' F= (907) 338.3246Wcbsite: www.gamen-ngin=ing.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 / WATER SUPPLY PERMIT Initial Permit Number: SWO60048 Date Issued: Apr 03, 2006 Expiration Date: Apr 03, 2007 Parcel ID: 041-011-05 Legal Description: CAMPBELL CANYON LOT 3 Design Engineer: 0855 Gamess Engineering Group, LTD Site Address: NHN SHIVALIK CIRCLE Owner Name: PEPPERS CONSTRUCTION Lot Size: 43046 SO. FT. Owner Address: 10224 FRONTAGE ROAD Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 10i ate 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 Bye / Date: r5 Date: Y I t Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. r)L41-Di -05 Property owner(s) P PPERS CONSTRUCTION Day phone 250-8348 Mailing address 10724 FRONTAGE ROAD * EAGLF RIVER, ALASKA Site address klIA&I 5W, I I k ( 1 r/i A� Zip Code 94577 Legal description (Sub'd, Block & Lot ) CAMPBELL CANYON D• LOT 3 — Legal description (Township, Section & Range) N/A — Lot Size 41041n Acres/Sq.Ft. THIS APPLICATION IS FOR ( ®alt that apply): Absorption Field Septic Tank Holding Tank Privy Private Well .•� "� Water Storage Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade Renewal I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. A agent) Permit/RushFees: + ( '� Waiver Fees:_ Date of Payment: 3 I� �� Date of Payment: Receipt Number. �O 3 Receipt Number: (Rev. 11/05) GARNESS ENGINEERING GROUP, Ltd. xc—a --- -- CONSULTANTS & GENERAL CONTRACTORS r === � = March 28, 2006 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 Campbell Canyon S/D; Lot 3, To whom it may concern: The proposed 3 bedroom house will be served by a community water system and a proposed septic system. One test hole was excavated on the property by Michael Anderson, P.E. and two additional test holes were excavated on the property by our firm . The drainfield will be designed around the 30 foot radii of these test holes. We are proposing that a 1000 gallon septic tank and a deep trench type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 1.0 gallons/day/ft' should be used and that the insitu sandy soils will act as a sand filter. 2. TRENCH DESIGN: a. Percolation Rate: <1 & 1.25 minutes/inch b. Proposed Application Rate: 1.0 gallons/day/ft' c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 f. Total Depth: 9 feet (max.) g. Effective Depth: 5 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 45 feet long total k. Effective absorption area = 450 3.SURFACE AYATERS: There are no surface waters within 100+ feet of the proposed septic system. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: garnessengineering.com 4.TOPOCRAPIIY: As can be seen on the attached design, the average topography in the area of the proposed drainfield is approximately 5 to 10 percent slope running northeast to southwest. There is a slope steeper than 25 percent slope north/northeast of the proposed drainfield. The proposed drainfield will be installed 50 feet from the top of the slope. I am 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. .E., M.S. NOTE. Attached is a site plan drawing, a design drawing, a topography site plan, a soils log, and a 7 page construction specification letter which are all part of the design packagefor this septic system. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337.6179' Fax: (907) 338-3246' Website: gamessenginccring.com I I I I I I I I I I I L I , I , I I I , R In n lu y u I I I I CAMPBELL CANYON I i S/D; LOT 1. /— .----- \ ` 100' STREAM SETBACK TRACT A ___== I -- PI ATTEn ALTERNATE I ALTERNATE CAMPBELL CANYON S/D; LOT 2. PROPOSED OF SLOPE ROPOSED 3 BEDROOM HOUSE k CARAGE ' GARNESS ENGINEERING GROUP, Ltd. CONSUL TANTS B GENERAL CONTRACTORS�� "•"" "" int G tuoalt foo. fort tot • AtIPtM1Lr. M f 7 • Nttlttr (,T)Sll� lt• • V" (,0115x-57" • fce9tL` . ...'. a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 • • • • • • • """" PEPPERS CONSTRUCTION 907-250-8348 1 OF 2 Q'';� r y Gar ess: LEGAL DESCRIPTION: DRAWN BY: 0 E-79 .' • `MPG CAMPBELL CANYON SUBDIVISION; LOT 3 B.F.M. UQ� 3lysj ol+' c°v TYPE OF WORK: DATE: �OPOro(eeeloo SITE PLAN FOR PROPOSED SEPTIC SYSTEM 3/29/2006 (Rev. 011051 G\r / G\F' ,- I l V`' CAMPBELL CANYON S/D; LOT 4. I I l CAMPBELL CANYON S/D; LOT S, 20' TRAIL EASEMENT / \\\ Y ,D0 \ GARNESS ENGINEERING GROUP, Ltd. CONSUL TANTS B GENERAL CONTRACTORS�� "•"" "" int G tuoalt foo. fort tot • AtIPtM1Lr. M f 7 • Nttlttr (,T)Sll� lt• • V" (,0115x-57" • fce9tL` . ...'. a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 • • • • • • • """" PEPPERS CONSTRUCTION 907-250-8348 1 OF 2 Q'';� r y Gar ess: LEGAL DESCRIPTION: DRAWN BY: 0 E-79 .' • `MPG CAMPBELL CANYON SUBDIVISION; LOT 3 B.F.M. UQ� 3lysj ol+' c°v TYPE OF WORK: DATE: �OPOro(eeeloo SITE PLAN FOR PROPOSED SEPTIC SYSTEM 3/29/2006 (Rev. 011051 NUMBER OF BEDROOMS: 3 GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S: <1 / 1.25 MIN./INCH PROPOSED APPLICATION RATE: 1.0 MINIMUM DRAINFIELD SO.FT.: 450 MAXIMUM DEPTH: 9 FEET WIDTH: 2.5 FEET NOTE: THE CONTRACTOR SHALL LENGTH: 45 FEET HAVE THE NORTHWEST LOT LINE M.O.A. APPROVED SAND FILTER: N/A AND WATER LINE FLAGGED BY A EFFECTIVE` 5 FEET REGISTERED LAND SURVEYOR REDUCTION FACTOR: N/A ACTUAL SO.FT.: 450 1 PRIOR TO CONSTRUCTION. -� Z --TOP OF SLOPE LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT CEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER. WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND ACRFF TO ACCEPT THE TERMS AND , PLATTED- ALTERNATE SITES PROPOSED DRNNFIELD \\� X50' S K 10' TE ALTERNATE SI0. \ \ \ CO 4 \ \ WATER KEY BOX \10' UT \ \ PROPOSED \ \ o 14 \� DBLz - OOL1 / GALLON C TANK ` moo$ P N Yp r$4 09 L — _ - \-PROPOSED WATER UNE. WATER UNE MUST BE 10'+ FROM ANY PORTION OF THE SEPTIC SYSTEM. AEL ANDERSON / j� TEST HOLE l GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 3 GENERAL CONTRACTORS 1»I L TIOCfI flow. I 101 • AMCMYMfI. m 1M.07 • w,o.t (001)157-4172 • FNf (1077)US.,124 � . ,gmmmwqLm�bwa PREPARED FOR: PHONE NUMBER: PAGE NUMBER: PEPPERS CONSTRUCTION 907-250-8348 2 OF 2 DHAWN BY: LEGAL DESCRIPTION: B.F.M. CAMPBELL CANYON SUBDIVISION; LOT 31 OF WORK: DESIGN OF PROPOSED SEPTIC (R4v.0IM5) 3/28/2006 47 QF. A qs 00 or . yr ..-- ..1 . ...... ......... GARNESS ENGINEERING GROUP, Ltd. ,,.. CONSULTANTS b GENERAL CONTRACTOR SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: PERFORMED FOR: PEPPERS CONSTRUCTION DEPTH (feet) F THE: ORGANICS TEST HOLE 1 7 ••' moll CI ASSIFICATIONS 3/14/ 006 R`I ta 2 fit:•:: -`d` o`. GW =__= ORG rri.a;:; :Y,••� GP ML 3 r�-3 ; : GM CL :1;3•� 9— a-�•; • GC OL 4 •� •°° a SW MH to- i��:••: •. ••.: SP CH ,� Sm OH :;• . ••' .a.:.: SC 6 7 1,.-•� DRY 3/14/ 006 R`I ta fr y ess: CE -79,53 '��•.,''3�3. O\'F,coo 8- :Y,••� :1;3•� 9— to- .; �... •�:::• 12 .• ;•� .� 13 •' SP 14 �'s. 1516 •::.;• ��:.••• e.oJl. 17 18 19 DEPTH TO GROUNDWATER DATE DRY 3/14/ 006 R`I ta fr y ess: CE -79,53 '��•.,''3�3. O\'F,coo re e .• " ryTH/J 1 �;` THg2 uwecu uxra+ Sp. LOT 4, �•'� ' G ANDERSON TEST HOLE DATE READING CLOCK I NET TIME (MINUTES) W READ NG ATER EL INCHESNET ) PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. o tINLNCJJ TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 1 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENJAMIN MAUS COMMENTS: INSITU SANDY SOILS WILL ACT AS A SAND FILTER WITH ALLESTATE AND MUNICIPAL GUIDELINESAINNESS, CERTIFY THAT THIS EFFECT ON THIS DATE: WRMED IN ACCORDANCE Z/Z3 0L G 7; T „tel . .. ................ fr y ess: CE -79,53 '��•.,''3�3. O\'F,coo re e .• " ryTH/J 1 �;` THg2 uwecu uxra+ Sp. LOT 4, �•'� ' G ANDERSON TEST HOLE DATE READING CLOCK I NET TIME (MINUTES) W READ NG ATER EL INCHESNET ) PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. o tINLNCJJ TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 1 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENJAMIN MAUS COMMENTS: INSITU SANDY SOILS WILL ACT AS A SAND FILTER WITH ALLESTATE AND MUNICIPAL GUIDELINESAINNESS, CERTIFY THAT THIS EFFECT ON THIS DATE: WRMED IN ACCORDANCE Z/Z3 0L GARNESS ENGINEERING GROUP, Ltd � CONSULTANTS & GENERAL CONTRACTORS SOILPERCOLATION TEST LEGAL DESCRIPTION: PERFORMED FOR: PEPPERS CONSTRUCTION DEPTH---- (feet) 1;;;;;;l ORGANICS TEST HOLE 2 1 ;P/SP DEPTH TO DATE GROUNDWATER DRY 3/14/2006 2`t 3 Zl or y,'4 CE--'7�953 . FG e101 TH#1 TH#2 r " c -'/rte s/u: LOT 4. IN ANDERSON TEST HOLE DATE READING CT MEK (MINUTES) NET TIME W READ NG TER ELI NET DROP I INCHES) PERCOLATION RATE <1 (MIN./INCH) PERC. HULt UTA. v \IIVI.nG 19 TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENJAMIN MAUS COMMENTS: INSITU SANDY SOILS WILL ACT AS A SAND FILTER PERFORMED BY GEG. Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z� • - II11�11111 II.111!11 //% • 4#1111111111 'I��li�;� �ilyB • DEPTH TO DATE GROUNDWATER DRY 3/14/2006 2`t 3 Zl or y,'4 CE--'7�953 . FG e101 TH#1 TH#2 r " c -'/rte s/u: LOT 4. IN ANDERSON TEST HOLE DATE READING CT MEK (MINUTES) NET TIME W READ NG TER ELI NET DROP I INCHES) PERCOLATION RATE <1 (MIN./INCH) PERC. HULt UTA. v \IIVI.nG 19 TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENJAMIN MAUS COMMENTS: INSITU SANDY SOILS WILL ACT AS A SAND FILTER PERFORMED BY GEG. Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z� 11111111111111103/29/ 2006 10:40 FAX 907 343 7997 ON SITE r ■� MUNICIPALITY OF ANCHORAGE ■� DEVELOPMENT SERVICES DEPARTMENT/BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM 4700 SOUTH BRAGAW ANCHORAGE, AK 99519 SOILS LOG — PERCOLATION TEST 121001 PROJECT #: PERFORMED FOR: Southcentral Timber Development DATE PERFORMED: 5/8/2004 LEGAL DESCRIPTION: Lot 3 Campbell Canyon 2 3 4 5 .r 6 nt 7 9 5: 14 ' 15 '" �• 16- 18 6 la TEST HOLE # _e OG/OL/PT GP GP/GW Silt to 10% WAS GROUNDWATER NO S ENCCUNTERED? NET DROP Start 5/9/04 2:05 L IF YES. WHAT DEPTH? 1 0 DEPTH OF WATER IJ 0 ,4r P AFTER MONITORING: 2:16 E DATE: 1 Clean, Sloughing 10 Dry BOH 18' SITE PLAN N See Site Plan See Site Plan READ'NG DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 5/9/04 2:05 8" 1 2:15 10 Dr 8" Recharge 2:16 8" 1 2:26 10 Dry 8" Recharge 2:27 8" 3 2:31 10 Dry PERC RATE: 1.2S MIN./INCH PERC. HOLE DIAMETER; 6w TEST RUN BETWEEN 50 FT. AND 6.0 T. COMMENTS: Test Hole Pre Soaked Prlor to Percolation Test. TEST PERFORMED BY: AH I, MICHAE, F. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH All STATP ANn MIINIrIPAI ri mclINF-. Ow THIS nATF: 5/13/2004 Parcel LD. 041-011-05 L� 8� Municipality of Anchorage On -Site Water and Wastewater Program = 3, (907)343-7904 r+ Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 2-6,-)7 Complete legal description Campbell Canyon, Lot 3 Location (site address) 10747 Shivalik Cir. Current Property owner(s) Allen Family Trust Day phone Mailing address 5993 E Chuckwalla Tr. Cave Creek, AZ 85331 Real Estate Agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well 11 Comm El Public Water System 0 Public Sewer ❑ WaiverNadance Received by: /�! " U WV Date: COSA to be released to a ngineer, unless otherwise requested by the engineer. - COSA Fee $ 52-4— Waiver Fee $ Date of Payment OW15 Date of Payment Receipt Number 05-70,:K Receipt Number COSA # 05C.('3 W 31 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 fime of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE _Aln�System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Date 8/6/2015 Seven nnone M. CE -8149 �.*& Conditional approval for bedrooms, with the following stipulations: By: %�.t—;�/� / // Original Certificate Date: TheI�icipantp�or Aage 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r ., . If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Campbell Canyon, Lot 3 parcel ID: 041-011-05 A. WELL DATA Well type Public If A, B, or C provide PWSID # AWWU Well Log (YIN) Date completed _ Total depth ft. Date of test Static water level Sanitary seal (Y/N) Cased to ft. FROM WELL LOG 0 Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: B. SEPTIC/HOLDING TANK DATA yTankType/Material Septic/Steel Wires properly protected (YtN) Casing height (above ground) in. AT INSPECTION ft. 9.p -m. Collected by: Date installed _6/27/2006 Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 876/2015 Pumper Northland Pumping C. ABSORPTION FIELD DATA Date installed 6/27/2006 Soil rating (g.p.61`1:2 or ftz/bdrm) 1.2 GPDISF System type Shallow Trench Length 47 ft.: Width 5 ft. Gravel below pipe 4 ft. Total depth 12.8 ft. Eff. absorption area 470 fe Monitoring tube Y Depression over field N Date of adequacy test8/6/2015 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 482 gal. New depth 0 in. Elapsed Time: 90 min. Final fluid depth 0 in. Absorption rate >= 450+ . g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at _ Datum Size in gallons in. "Pump offlevel at E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Cycles tested Public sewer main Sewer %septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N)_ in. High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent tots 100+ ABSORPTION FIELD ON LOT TO: Property line 1 Ot Building foundation 10+ Water main 10+. Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION t certify that t 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 Steven R. Pannone Date 8/6/2015 COSA canary sheet 2-6-15.doc -0_T tom o0— r, RLm=.man+p1a a.oR irnm W�-I p0m � mm 0�a m=Z �D a o3 z0N Z2.m izo mf cnoX "_ m S'3mo SOZM =mom Ao vam m �0O o 5 \ Z m _ ? n m_ I co N D D Z W T W .G M 0. yS. 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