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Home My WebLink AboutT12N R3W SEC 35 SW4NW4NW4NW4 PARCEL 33T12N R3W Sec 35 Parcel 33 #017-092-11 Municipality of Anchorage ; '' '° •. Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Boz 196650 AnClorage. AK 99519MSO Page of www.d.arlawage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SwoVO(L10 PIDNumber. 011-052- 11 Ark Ars Wastewater System: ❑New [9Upgrade .. 14,01 Gollyienp Drive. ABSORPTION FIELD Pilar Nodsoewoum tg DeW Tn.rlIDSM.ow hwial ❑Bse ❑uane ❑DeiK LEGAL DESCRIPTION so wmv �• (O Tom D.qn aipmwou eon GPTYFI' 1 FI. BbfJt WL tflD.Tn.ea� Z DWM*POetwean ll obp VMW 2 Gnw 0.7FI OIMMn PIPs "4.3 /Jw w w rC6 3 Fl. Ft TVwWW Rwb. t;.coai (2N 3W 35 FAWWO.Eonar"grm. 1-2 Gr.w1 Lw QM. (DD FI. fl. Well: }i ❑ New ❑ Upgrade GrM++Qtt 2 Nngraer. I a.l.A.-ma can n. FT C1n..raem lNM.Y.Ab.DL Tar 0mftC�.M b. ro11DivpW""" FI. FL FI' F$to A 303 DWer: 0." 0...e Suet Wow LM keU..r CAi �XCAJ4 Dns.�1...0 6 22 Ore R r Twq Pa Swa D�.w/aptAoo..C7 ANK GPY fl. FL SEPARATION DISTANCES IHSeptic []Holding ❑S.T.E.P. ❑Otner. TO From Septic Tank Absorption Field LM station HoldingrjP Tank to Sewer floeLAA —7^ O lank q Gr Zso w+ 100I+ IDo 4-— Zs r+ a Sfee Now. acaW. 2 /V. 0. N. D. — — LIFT STATION Lam 1011- to + fa1110Ma1 I0r} IDe� -p Mwr PwmP OT NyM1 son rrma „ n an.n Den N. D. N. O. — P1.W Mru a EMNcr IMpeagfM Iwlanre ey "'e'r"' BENCH MARK Laroa}n�.na o..aiPeal Sl�ln l7e s .r 100 FL OF AA 11111 LL1 Inspections performed by: Lam SO4rf�lnrl� Dates: 1r 6 zl Db 49TH 1 m I. ��/ LARS . S?�: Development Services Department Approval oo U>.Nvio Conditional Approval by: 1 .�<� I (l Date: \Ss`q� -� Reviewed and Approved by. Date: pt.. 12ao1 ' T12N, R3 V SEC 35 SW NW4 NW4 NW4 PARCEL 33 Aswa'OWD VZ7W SUM SWU PER CODE r NSTAIIJO EAP00N SIPTX: SYSTEM TN 125 SEPTIC TANK W/ DETP TRENCH NG1N 60 TEST 07DTH 2 TEST I DEPTN to TEST ROCK 7.J TMT 2' AWLAn N COM S MET —�- — — — — — — — — — — — — - - — — 10' GAS— EAST 142nd AVENUE I I I I I I I 0 25 1 50 75 109 125 150 SCALE, 1' = 50 FT. SPURKLAND ENGINEERINGT12A, R3, SEC 35, SII, INTI, NF4, NN, PARM 33 SEPTIC SYSTEM ASBU/LT 203 W 15TH. AVENUE ART AR/ANS DA Tr. ✓UN£ 22, 2006 ANCH. AK. 99501 14101 GOLDEN VIEW OR/V£ SHEET. 2/3 GRID: 3038 (907) 279-3916 11 I I PERMIT # SVO60140 PID # 017-092-11 T12N,R3V,S35,PARCEL332.DVG �., .. swiNcrrrs s .v.• A ( o tj c Well z I I E 74 A T 81 9, C 85 9. N 82 8± q A 1 87.5 8: NJ J 96 F" I I .l�dl• /I r NSTAIIJO EAP00N SIPTX: SYSTEM TN 125 SEPTIC TANK W/ DETP TRENCH NG1N 60 TEST 07DTH 2 TEST I DEPTN to TEST ROCK 7.J TMT 2' AWLAn N COM S MET —�- — — — — — — — — — — — — - - — — 10' GAS— EAST 142nd AVENUE I I I I I I I 0 25 1 50 75 109 125 150 SCALE, 1' = 50 FT. SPURKLAND ENGINEERINGT12A, R3, SEC 35, SII, INTI, NF4, NN, PARM 33 SEPTIC SYSTEM ASBU/LT 203 W 15TH. AVENUE ART AR/ANS DA Tr. ✓UN£ 22, 2006 ANCH. AK. 99501 14101 GOLDEN VIEW OR/V£ SHEET. 2/3 GRID: 3038 (907) 279-3916 11 I I PERMIT # SVO60140 PID # 017-092-11 T12N,R3V,S35,PARCEL332.DVG U Standard Trench: 2' Wide 60' Long 10' Beep 7.3' Sewer rL 2' Insulation 3' Cover NO SCALE Monitor Cleanouts - 3' Cover 2' Insula tion Silt Barrier ELEV.= 81.3' 7.3 ft of Septic Rock Effective 3 A 1250 gal Septic tank G3 2' Insulation 49th SPURKLAND 4' Cover 1250 gal. septic tank a 3 NO SCALE U £L_ Is 1--50 BENCH MARK BOTTOM SIDING ASSUMED ELEVATION 100' SPURKLAND ENGINEERING rM, MA, SEC 35SW 04 NF4 04 pARM 33 SEPTIC SYSTEM ASBUILT 203 W15th Ave ART AR/ANS DATE 1uroL 2a 2005 Anchorage Ak 99501 ?79-3915 11 14101 GOLDEN HEW DANC SHEETS 3/3 GRID, 3038 PERMIT I SWO60140 PARCEL ID f 017-092-11 T12NRJWS35PARC£L3JJ.OWG MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 07, 2006 Expiration Date: Jun 07, 2007 Permit Number: SWO60140 Parcel ID: 017-092-11 Legal Description: T12N R3W SEC 35 SW4NW4NW4NW4 PARCEL 33 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 014101 GOLDEN VIEW DR Owner Name: ART ARIANS Lot Size: 108900 SO. FT. Owner Address: 14101 GOLDENVIEW DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-0000 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. 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: r'I= Date: �/ O Date: _ fl /7 /0(1 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 6IP4-0qZ—I I Property owner(s) Arl kzry; Day phone Mailing address 14101 Gola11en View Drive Zip Code 9951(. Site address Not Gowen view Driyt. Zip Code 9951(a Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) TI1 V R3U SFL35 Swq JVw9 NWq Nwq Para) 33 Lot Size Ira klub Sq. Ft. THIS APPLICATION IS FOR (® all 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. (Signature of propirty owner or authorized agent) Permit/Rush Fees: `i60 ' 00 Waiver Fees: Date of Payment: 67,74o7 Date of Payment: Receipt Number. 9/ 9 Receipt Number: (Rev. 11/05) _ Environmental Consulting and Design �� SEPTIC SYSTEM DESIGN T12N, R3W, SEC 35, SW4 NW4 NW4 NW4 PARCEL 33 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 May 31, 2006 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water Encountered to a depth of 17 feet Use Septic tank and standard trench Soil Rating. From Testhole 05/23/06. 17 min/in = 0.6 gal per sq.N/day No. of Bedrooms 3 Required Area per Bedroom: 1501.6 -250 sq.11. Total area required: 250 x 3 = 750 sgft Bottom Rock Top Rock Rock Depth Total Bed Length USE 60 FEET 10 Feet 3 Feet 7 Feet 750/14 = 53.6 feet SYSTEM CONFIGURATION 1250 GALLON SEPTIC TANK W/ STANDARD TRENCH TOTAL LENGTH 60 FT TOTAL WIDTH 2 FT TOTAL DEPTH 10 FT ROCK DEPTH 7 FT INSULATION 21N. COVER 3 FT(MIN) The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.net E:1 I I I I � I �%12N, 5 R3 W, SEC 3- SN NV4 NV4 NV4 PARCEL 33 1 oil I I � I C.+'r •. I I Ivl I I-- l0'CASLiYT.--- --a:: -- -- ----III — EAST 142nd AVENUE — — — .•'E.�4 PCI) ., ` 49th• ' TDB N SPURKLAND••; No. CE -2225 0 SO IM !SO 2W ?SO 30P 4�1 ... SCALE+ 1' = 100 FT. ��hESS1i0 03 W 'TH. A YrN r c. TIM, R3ii,, 53C 35, SII, Mil, MIM,, MIl, PARCEL 33 SEPTJC SYSTEM DESIGN 103. 15TH AVENUE ART ARIANS DATE.• MAY, 31, 2006 (.NCH. AK. 99501 (907) 279-39/6 11 14101 GOLDEN VIEW DRIVE SHUT 1/3 GRID. 3038 PERMIT #SV060XXX PID # XXX -XXX -XX T12N,R3V,S35,PARC£L331.DVG I T12N, R3 W, SEC 35 SV4 NW4 NW4 NV4 PARCEL 33 I I I I I I w�c,/ ta�c srvnc smrM oce Q I I I ZP�¢o I -(� Well WTALL T-BMMM SDW MRM 1250 GAL SEPTIC TANK W/ DEEP MOM 60 nu wnrrn z rccr IO IIET I2AVSFAAnON COWR J FEET — — — — !0' GAS ISiIT. — — — — — — EAST 142nd AVENUEp�E.............. I I I I I a 1 25 1 50 75 laa 125 150 SCALD I' = 50 FT. IV SPURKLAND No. CE -2223 . ivvocn SPURKLAND P.E. T12% 113 HC 3j, STI, NR 01, mi, PARCEL 33 SEPTIC SYSTEM DESIGN 103 W 15TH. AVENUE ART ARIANS DATE: MAY, 31, 1006 (NCH. AK. 99501 907 179-39/6 11 14101 GOLDEN VIEW DRIVE SHEET • 213 GRID: 3038 PERMIT k PID k T12N,R3V,S35,PARC£L332.DVG I '.,.. 4 •.. .. . � I •x. s -(� Well WTALL T-BMMM SDW MRM 1250 GAL SEPTIC TANK W/ DEEP MOM 60 nu wnrrn z rccr IO IIET I2AVSFAAnON COWR J FEET — — — — !0' GAS ISiIT. — — — — — — EAST 142nd AVENUEp�E.............. I I I I I a 1 25 1 50 75 laa 125 150 SCALD I' = 50 FT. IV SPURKLAND No. CE -2223 . ivvocn SPURKLAND P.E. T12% 113 HC 3j, STI, NR 01, mi, PARCEL 33 SEPTIC SYSTEM DESIGN 103 W 15TH. AVENUE ART ARIANS DATE: MAY, 31, 1006 (NCH. AK. 99501 907 179-39/6 11 14101 GOLDEN VIEW DRIVE SHEET • 213 GRID: 3038 PERMIT k PID k T12N,R3V,S35,PARC£L332.DVG Standard Trenchr 2' Vide 60' Long 10' Deep 7.0' Sewer rock 2' Insulation 3' Cover NO SCALE 2' Insulation SIl t 7.0 ft of Septic Rock Effective Monitor NO SCALE .�.,.• 49th SPURKLAND 1250 gal. septic tank 9 I Iunntn JYUKKLHIVU r.t. I I %% .�J, ��!� PAS I I SEPTIC SYSTEM DESIGN I 203 W15th Ave 33 Anchorage Ak 99501 ART ARIANS DATE, MAY 30, 2006 P?n_realK 14101 GOLDim HIEN coo SHEET, 3/3 GRID- 3038 PERmlT / SW0600XX PARCEL ID / Tl2NRJWSJ5PARCELJJJ.DWG 75' O O O 1250 gal Septic tank c d e a o ° O Monitor NO SCALE .�.,.• 49th SPURKLAND 1250 gal. septic tank 9 I Iunntn JYUKKLHIVU r.t. I I %% .�J, ��!� PAS I I SEPTIC SYSTEM DESIGN I 203 W15th Ave 33 Anchorage Ak 99501 ART ARIANS DATE, MAY 30, 2006 P?n_realK 14101 GOLDim HIEN coo SHEET, 3/3 GRID- 3038 PERmlT / SW0600XX PARCEL ID / Tl2NRJWSJ5PARCELJJJ.DWG Perfomred For. Municipality of Anchorage Development Services Department Bulking Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Boz 700850 Anchorage, AK 995706850 wwwdanchorage. ei.us (907) 347.7904 Art A Soils Log - Percolation Test Art r;An Date Performed: ' 5V2;/0(0 —7 Legal Description: T12A1 Q;kl S351504 A104 pj )4 PLJ4 Township, Range, Section: Slope PO'CA ,—r—rT—1 r---r—r— WAS GROt1ND WATER !O ENCOUNTERED? A IF YES, AT YNIAT DEPTH? DepthloWSW Albr Monhori"? Dote: 5/ O(o Reading Date Gross Time Net Time Depth to WaterENWetDrop5 2a b 10:33 O 21 3/ r111:03 30Mii, 2) =/e 20 t/g" N 1203 bO M:" 21 )61 191/3" 1► 12:33 40 PERCOLATION RATE 1-4 PERC HOLE DIAMETER � G TEST RUN BETWEEN 4 FT AND r FT PERFORMED BY: _Lams SDurM-AoA 1 CERTIFY THAT THIS TE PERFORMED IN ACCORDANCE HALLSTATE AND MUNICIPAL GUIDE INES IN EFFECT ON THIS DATE. DATE: 3O O Municipality of Anchorage Date Development Services Department Iry Building Safety Division t•. Onsite Water and Wastewater Program r;> 4700 South Bragaw SL P.O. L 4 Box 198850 Anchorage. AK 99519"8650 1 . r• wwwdanchorage.ek us ,''s.'[ (907)343.7904 30vnin Soils Log - Percolation Test 5;16" 11 Performed For. Art Ariane) Date Performd: Range. Section: (ENGINEER'S WL), n ;_r 49•} Reading Date Gross Time Net Time Depth to Water Net Drop $23D% 11105 203161 lqyq 035 30vnin b'lar' 5;16" 1t Iq 31f3 11 12,C)s 6o ; ID ' S,/0a 151/q" It 12'35 90 #iitew5 5 PERCOLATION RATE 5,5 (�) FERC HOLE DIAMETER TEST RM BETM/EEN�FT Arg Cp FT COMMENTS P(p SO2 ID -.30 Arn PERFORMED BY: LAPS S42r{Zl ztl,A I l CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIT11 ALLSTATE AND MUNICIPAL GUIDELt ES IN EFFECT ON THIS DATE. DATE: .514 O% Municipality of Anchorage • Development Services Department Building Safety Division _ On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 / www.muni.org/onsite y ✓�` (907)343-7904 / CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING cy Parcell.D. ��-Oqa- I I COSA# 0`40.336 1. GENERAL INFORMATION Expiration Date: i a — a S - 0 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T12N R3W SECTION 35• SW4, NW4, NW4, NW4, PARCEL 33 14101 GOLDENMEW DRIVE • ANCHORAGE. AK * 99516 ART ARIANS Day phone 360-770-8649 14101 GOLDENVIEW DRIVE ' ANCHORAGE. AK • 99516 Day phone BOB BAER W/ DYNAMIC PROPERTIES Day phone 261 7505 3111 C STREET #100 • ANCHORAGE. AK • 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply systeh 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 engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date q�3 09 Engineers Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines d Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily idontiflable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3— bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other q By; Original Certificate Date: ac: ON-SITE WATER AND - ; WASTEWATER PROGRAM ' on JR. 111051 Municipality of Anchorage ° `—•1 Development Services Department -�` Building Safety Division On-Site Water &Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description:T12N, R3W, SECTION 35: SW4, NW4, NW4, NW4, PARCEL 33 Parcel to: 0 17— 0 172,-11 *BASED ON SURROUNDING WELL LOGS. SEE ATTACHED. A. WELL DATA **WELL TEST PERFORMED BY SPURKLAND ENGINEERING 6/12/2008. Well type MATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1966 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth UNKNOWN ft. Cased to '40'+ ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 006/12/2008 L 8 Static water level ft. **l 18 ft. U Well production 9-13. M. '"2.1 —9-13-m- WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate NO mg./L. Other bacteria 0 colonies/100 ml. Arsenic: NO ug./L. Date of sample: 9/16/2009 Collected by: GEC Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type /Material SEPTIC/STEEL Date installed 6/22/2006 Tank size ' 1250 gal Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9/18/2009 Pumper ISAACS PUMPING C. ABSORPTION FIELD DATA F-BELOW EXISTINr GRADEI Date installed 6/22/2006 Soil rating OEr ft'/bdnn) 0_6 System type TRENCH Length 60 ft. Width 2 ft. Gravel below pipe 7.3 ft. Total depth +10.1 ft. Eff. absorption area 876 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9/18/2009 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 470 gal. New depth 5 in. Elapsed Time: 285 min. Final fluid depth 2 in. Absorption rate >= • 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level High water alarm level at In. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ 100' On adjacent tots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 50+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and Q eA ! review of Municipal records that the above systems are inQ "conformance with MOA COSA guidelines in effect on this Qdate. Ga nesa:' Engineer's Printed Name JEFFREY A. GARNESS QQ; �Fa Date CI / / g1 °rP._, _. n n COSA Fee $ t t Waiver Fee $ Date of Payment f O % Date of Payment Receipt Number Receipt Number (Rev. 11/05) SGS RcLN 1095005001 Client Name Garness Engineering Group, Ltd Project Name/p 14101 Goldenview Client Sample ID, 14101 Goldenview Matrix Drinking Water P%% SID 0 Sample Remarks: Printed Date/Time 09232009 8:33 Collected Date/Time 09/162009 11:00 t Receired Datc/fime 09/162009 11:45 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units hledtod Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND Waters Department Total Nitratc/Nitritc-N ND Microbiology Laboratory (<10) Colony Count 0 Total Coliform 0 Fecal Coliform 0 5.00 ug/L EP200.8 C (<10) 0921/09 0922/09 NRB 0.100 mg/L S%1204500NO3-r 11 (<10) 09/17/09 LCE col/IOOmL SM209222B A (<200) 0946/09 DLC col/IOOmL SM209222B A (<I) 09/16/09 DLC col/I(X)mL SM20922211 A (<I) 0916/09 DLC EHooMew05TCO Environmental Consulting and Design RESIDE TIAL NVELL INSPECTION LEGAL: T12N R3\\' SrC35 SW4 N\C4 N\\'4 N\\'4 PARCLL 33 O\\'NER: Art Arians LOCA'17ON- 1.1101 GoWenview• Drive TYPE, OF WELL: I'm ate, Single Fancily Rcsidcncc N\'ELL LOG AVAILABLE: No INSTALLATION REQUIREVENT 'SNIET: Yes R'AI VERS GRANTED; None \\'FL1, YIELT) FRO %I \\Tl.l. LOG: urAnown Gallons per minute (611\1) WELL YIELD FROM 'IES'r: 2.1 Gp11 DATE OF INSPEC" 1'ION: lune 11. 12, 2008 TEST PROCEDURE: The well was pumped ata constant rate of 5.5 gpn: w hike the draw down was monitored with an a:oustic probe. At the beginning of the test water feecl was found at L" --fist from the top ofcasing. The water was shut otfwllcn the water level in the ca+m_! reached 174 tict. A totat of 150 gallons was pum, cd. The well was ailowrd to recover fi,r 60 minutes. An additional 80 gallons were recovered. 'The well ss as aL'vwetl to recuscr to 1 I R diet and then an additional 100 gallons was recocrrrtt. A" ell production rate of 2.1 cations per minute was observed against zcm head (i.e. schen the well casing was cmpn). A cord of 330 gallons was pumped TI'ST FOR TOTAL COLIFORM, NITRAT-F. NITROGEN, AND ARSENIC: \\'acre Sanll)IC] wrrC COIICCIed On h^_1;C RESULTS: I 'ial CotilinYrt 0 eol100 nil Other Fiacteria 0 06.1100 ml Total Nitrate -N 0 n1gA Arsenie U tial. Istax. allo\vable Total Coliform U col' 100 in]. 013 10 colMoll, Tvtal Nitratc-N 10 mgt, Arsenic advisoryissued if alx)ve I o u. 1 ND- none Detmictl TEST RESULTS: Pending Acceptable water quality results this uell meets the minimum code requirements of theNI unicipality of Anchorage. The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceeds dik requirement. The assessment of the condition of the well applies mtlyto the conditions as of the day tested. The flow rate map change clue to subsurface conditions that tray not he observed from the surf ice, and c h:mgcs in the land use and who factors that may impact the aquifer feeding the well. 203 West 15'h Avenue Suite 203,Anchoragc. AFC 995111, Phone: (907) 279-3916 Fax: (866) 354-1597. Lspurkland a'geLnet STATE OF ALASKA OF NATURAL RESOURCES ION OF WWATER Mil waL RECORD LOCATK11/ OF WELL .wwwLOTow .,.pMear r ..mat ,cola. am w+r TOW kra9 o.,ouq oM VAR/OiV OF WATER ON OW LGU AKA I IVER ALASKA LOCATION) MCH: WELLOWmft DEPEIft MEmm f#OMIOaaalry top OQraud curfew WELL Dwm: DATE OF COMPLETION SOR@IOIt DATA: Optll Depth of hft It . Depth of tmmirv: M ; h r ,�_/�,17-1 Me "Type and Color from To MI TO STATIC WATER LEVSL: _V_htWow O top of udno O round anew METHOD OF Ds2UWM' 'mak rotary O aElo 2001 O other USE Of WELL• Rf *mme rdc O Mrkmlion O monitor O pueEc supply O odw CASEW STIac u. h Diem: G trl- W-5,Oh Cookv type: Mt to h WELL imms Gram TYPE O-prl and • O acresow -AaO O performed M span Iola Deptlla of open inp : _to_ft _ SptEHE TY►E:_drn: 4t SbLumA�a•:�; Lwwft h GRAVEL fAStr . Volune umd: Depth to top: - GROUT Tym,-� VaNne: Depth: tram tt to h DEVELOPMENT METHOD: ovriort.Kee fl1MfSE0VEL AND YELlk h afar M Qpm FAME► INTAKS DWM It Horsepower WELL Onw&CTED UPON Countroma O YES O NO .,,viii._ , REMARKS: PLEASE MAIL WHITE COPY OF L00 TO: ONRIOIVISIOM OF WATER ro sox 77211a EAGLE RIVER AK 99577211E 9 lL !10 /!off Qitwl.� Z 0 to Location (address � � c 1 J Size of casing r N O -- Static water leve b FW— Screen ( ) Z — V) Describe screen I ,ter,..._._...., I.IOS W 4 •111 SII1Ef 1 ANCHORAGE. 1LASKA 99503 PHONE 272.9343 Range, Section,,if of Hole ('?uI e,t+jcasedt� ft rI eet rpt .,. Eelo ) land surface. Finis ell (check one) open end ( f—); Well pumping test a per (hour)�( rLltnute for_L2 nourz w,cn C-) C) CO of drawdown fro tic level. NW u ,(ti N kyr SO. O Date of completion�� 43-- 1R �7 g�� f(t �a1{{i 'fo �` 191 tZe 91 J tot WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 1 t 9{t�Ir[1� P' Kot.�C ,.S—TO—S.L_ — ,r �L—TOs^ I1 illi( (D0 /I+LL�� _ 611: T01DCI �JlrfCt c% �: r LtQQ TO 1 I It ULL—T TO TO TO TO TO TO TO Ar, \t•I Li 1• • L_)l •. /.�i.• �t l') 1 hi �`+1.. 1LlQ� tl e r .. � �.4t' . i .,_.. �3 ni:lTf s, .r-�'tt�•�'1..,,�..,� rl fin �il ll tl 1 . 53 ALASKA 5R o(7 �!! URAL RESOURCES �j�, L , f Of WATER LOCATION of wELL T GI m li N0. 609 30153 ' C i - 7 R�ORO sowWaH sasoNmoal L� k Nfl/ IE RIVE AKA krovm~ ON ICAO E OE µ rI�G 3 OS ❑w LOCATIONISKETCH: OWNER: A1chae.l LA>✓ row �c%r6 DEPTHS MEASURED FROM:Oamkv top Oground surface WELL DEPTH: DATE OF COMPLETION Depth of holIft -Depth of eaaMp��tt" BOREHOLE DATA: Depth Material Type aM Color From To r DEPTH 0 STATIC WATER LEVEL: J 4 ft Dhow Mtop ofcasing❑ ground surface • ate: � � /_/_2 or METHOD OF DRILLING: �L sir rotary ❑ cable Pod / /7 O other .. .. USE OF WELL. )D domestic O Irrigation O monitor ❑ public supply O otfar • CASING STICKIELtt- Dbm: -6 ;m to t 69 Culrq 11kr. to t WELL MAKE OPENING TYPE: ❑ open end O screened 0 perforated Xopen fab 1171 Depths of openings: to 1t SCREEN TY�:`LDam• In. SbtMesh gc It GRAVEL PAC / &O Vohxns used: Depth to top: GROUT TYPE: Volute: Depth: from ft to ft . DEVELOPMENT 1lOD 7z t- _ PUMPING LEVEL ANDY . It after Ms pumping�_gpm PUMP INTAKE DEPTH: It Horsepower. WELL DISINFECTED UPON COMPLEn DN7 q YES ❑ NO CONTRACTOR NFOIIMATION: REMARKS: PLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVISION OF WATER PO BOX 772116 EAGLE RIVER AK 99577.2116 L, S, Municipality of Anchorage °� a4 • � Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ParcelLD.. 01-f - oqz - I► COSA #_ ~ Expiration Date: -la. - OR 1. GENERAL INFORMATION Complete legal description TiIN R3W SEc35 Sw4Nw4 1VW4 NW4 PAR -cal 33 Location (site address) 14101 GoIXer, view Drive. Current Property.owner(s) ARS Aat AN5 Day phone 3 4 5 - 14 , Mailing address Lending agency Mailing address Day phone Real Estate Agent 134, iae r Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site 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 sample results. (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, 1 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 Address )hone Z -4q- 5J UP Engineer's Printed Name LABS SovrW an6 5. DSD SIGNATURE —XzApproved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:oOriginal Certificate Date: 65) (Rev. 71A5) Municipality of Anchorage Development Services Department `. Building Safety Division =1r4 liv On -Site Water rf, Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: S\2N R3W 5Ec3S 5w4 NWA NW4 NWA ParcellD: A. WELL DATA PA(LW 33 - Well type _ Ly)Nt If A, B, or C provide PWSID # — Well Log (Y/N) / l/ Date completed _ Sanitary seal (YM) Wires property protected (Y/N) _ y Total depth _ u8 ft. Cased to Ly0 fL Casing height (above ground) 4 12 in. FROM WELL LOG AT INSPECTION Date of test U n Lnow n (0 12 0$ Static water level M n krkow m ft. I t o ft. Well production %Av%2nuw/1 g.p,m, S. 9— p.m-WATER SAMPLE RESULTS: Coliform _01—colonies/100 mL Nitrate _ mg/L Other bacteria _9 coloniies/10'O/mL (� Arsenic: -0--mg/l Date of sample: Collected by: f! A¢S JDunMa�r7- B. SEPTICIHOLDING TANK DATA Tank Type/Material _AnAo.-,,�e Ts..% S{2e.1 Date installed (0 2'110(, Tank size 1150 gal. Number of Compartments 2 Cleanouts (Y/N) y Foundation cleanout (Y/N) 7 Depression over tank (Y/N) At High water alarm (Y/N) N Date of pumping 13 06 Pumper T S5vLS 1 V wi pjn� J, t v j c e. C. ABSORPTION FIELD DATA Date installed 6 ZI OG Sodratin ( d./ftz r ft2/bdrm) Ogle System type Dc -&D T�tnc� Length too ft. Width , 2ft. Gravel below pipe _+.3 ft. Total depth 10� ft. Eff. absorption area ±3G ft= Monitoring tube Depression over field N Date of adequacy test Nevi Results (Pass/Fail) Nr 0 For — bedrooms Fluid depth in absorption field before test O 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) NO If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) 'Pump on ley _ in. 'Pump off level _ in. High water alar lev In. Dat Cycles ed Meets ala vcuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot I0r + Absorption field on lot )CC + Public sewer main -A4L Sewer /septic service line 2S 1+ Animal containment areas 1001+ On adjacent lots too, F On adjacent lots too 1 +- Public sewer manholeldeanout Holding tank Manurelanimal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I 1 Building foundation 504 Property line IC 4 Absorption field 5 Water main t O + Water service line O�+ Surface water Al, 0 Welts on adjacent lots 100 >- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line t0.t Building foundation 10'* Water main to, r Water Service line 10 1 Surface water /V.O. Driveway. parking/vehicle storage lo'r r t Curtain drain 6 . Wells on adjacent lots _100 F. COMMENTS: G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in e'ffe'ct on this date. Engineer's Printed Name LABS Sp r121anJ Date COSA Fee $ Date of Payment 6 �y3 Og Receipt Number (Rev. 11/05) Waiver Fee $ G9TH �'�'."��i•''C11•\D. Biu% Date of Payment Receipt Number E3 r m O r v Z m L R nano 011l'7IIC m^l rl ctrl ME 10' OAS [A•[MCNT I GOOK 623, PAGE 740 1 ------------------------- ------------------------- SOS CHYOACH [L[OTRIC CA•[M[NT 1 NOOK Ifo, PAG[ 222, S 89'59'51"E 330.5 CL EAST 142ND AVENUE THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. NOTE: SECTION LINO CANEMEMT INFO. TAKEN IRON CITY 6010 '03 AND IS NCT VKRUHCO •Y•UPPLEMCNTAL INFORMATION FROM THE STAT[ OR S.LM. THE OWNCR SHOULD VERIFY SCLTON GS C HENT INFORMATION WITH THE N.L.M. AS -BUILT SURVEY NO CORNERS SET THIS DATE SCALER. 40' 1 HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. SW 114 OF NW 1/A OF NW 114 OF NW 114, SECTION 35. T 12 N. R3 W SM ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON. I DATED AT ANCHORAGE. ALASKA THIS 18TH_ DAYOF _MAY 2008_ NOTE ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES MOLT LAND SURVEYING 10756.08132-10 OR LOCATE STRUCTURES. TEL 3+5-5513 I /: II / p / ° D[OK / I I /I 1 ■ • � I I II ' I •M[D I I I II I • II I II I I I ll I H•1C1YFR4LS__—_--------- ------------------------ I �- -- COO[ Or ORAVCL ROAD - -- ME 10' OAS [A•[MCNT I GOOK 623, PAGE 740 1 ------------------------- ------------------------- SOS CHYOACH [L[OTRIC CA•[M[NT 1 NOOK Ifo, PAG[ 222, S 89'59'51"E 330.5 CL EAST 142ND AVENUE THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. NOTE: SECTION LINO CANEMEMT INFO. TAKEN IRON CITY 6010 '03 AND IS NCT VKRUHCO •Y•UPPLEMCNTAL INFORMATION FROM THE STAT[ OR S.LM. THE OWNCR SHOULD VERIFY SCLTON GS C HENT INFORMATION WITH THE N.L.M. AS -BUILT SURVEY NO CORNERS SET THIS DATE SCALER. 40' 1 HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. SW 114 OF NW 1/A OF NW 114 OF NW 114, SECTION 35. T 12 N. R3 W SM ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON. I DATED AT ANCHORAGE. ALASKA THIS 18TH_ DAYOF _MAY 2008_ NOTE ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES MOLT LAND SURVEYING 10756.08132-10 OR LOCATE STRUCTURES. TEL 3+5-5513