HomeMy WebLinkAboutRAVEN MOUNTAIN ESTATES #1 BLK 1 LT 5Raven Mountain
Estates #1
Block 1
Lot 5
#076 - 032 - 14
Permit
,.r
Number:
Municipality of Anchorage 4�!
Development Services Department , "iii�f:
il::
Building Safety Division t ���
On-Site Water and Wastewater Program, 4700 S. Bragaw St. ‘�
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
S W 0 Li 0 2. L loPID Number: 6 4 to - -2----
jl;,:.,
}I:::��
�:
all
of 3
03 .14
Name: _
Vi S�1 G-zu� m
Wastewater System:
!j
New ❑ Upgrade
Address
iP : ®, r o X \ S5 3 .— i} , 9 11
ABSORPTION FIELD
Phone: Number of Bedrooms:
3 1 1 —d% S
El Deep Trench Shallow Trench 0 Bed 0 Mound O Other-
therSoil
LEGAL DESCRIPTION
SoilRating _
1- ,.2, GPD/Fh
Total Depth from original grade
Block: Lot: Subdivision:��( `d
, C 1
I— .5 RNEA v 1,'((yy l.1. WI�GS * 1.
V
Township:
Depth to pipe bottom from original grade:
2 H.
FI.
Gravel depth beneath pipe
1
Range: Section:
Fill added above original grade:
FI.
3`lo44
fl.
Gravel Length:
Well: New 0 Upgrade
Classification
width:
5 Ft.
Number of llii(nes'
_JGravel
rl.
Distance between tines.
ri
(Private, A, B, C);
P R.% V A-N E:_.1-"3
Driller:
Total Depth: "� Y
5 ri.
Cooed to; q
d
' Fl.
Total abaaMeal eal
- 4-4 0 Ft}
Bier Malarial,
A 5-:I in D 3'3 --. ) F
\ i NAA -b R i LLi
Yield:
M ('
Dale Drilled:
(i., 5 043
Static Water Level
}4 Fl
Installer:
�,,ynca,, C.orAit-ac )R4l
4`.L
Dale Installed:
9-15 - z Go 19
3 GPM
Pump Set al:
) I /Y Pl.
Casing Height Above Ground:
2, rt.
SEPARATION DISTANCES
IA Septic 0 Holding • S.T.E.P. ■ Other:
To
From
Septic
Tank
Absorption
Field
Litt
Station
Holding
Tank
'ublic/Private
Sewer Line
Manufacturer:
\ TNchor 1<
Capacity:
is c)Q Gal
Well
1 t� O I--
100 y
1
--'
.�_
2.54 .
C�.r)
Material:
Sk.-,t_,
Number of Compartments
2_
Surface Water
1 00 4,
14® 4).
--
LIFT STATION
Lot line
`�
3.1: r
T OI 1 ✓
..__.
��
-size:
Gal.
Manulacturer;
Foundation
33
"Pump on" level at:
in
"Pump off' levet a .
High water alarm at.
in.
Curtain Drain
.------"
C3 N C.
N Cr
O
N
l ,1W pV
(
Pump Make &Model
Electrical Inspections performed by:
Remarks:
BENCH MARK
Location and Description: p
�d CS:S\ S lc%N.n� \ B.
To'lr\-�
Assurned Elevation
±00 rI
c vrryp,. pi
fir., ..• '� e.ti
Inspections performed by: � Dates: lSt °' t - Za4
Er �.,��,
e*
.®4
,;•..•`p
: a••.. 618961
S. odIp,
Chugiak ka 2nd 14--t-S 2-c dto
—,
;
,'
Development rvices • :art ant Appt oval
} ;
and approved ' /telc�-i Date: 0 9,� l()
7 is 57_: N .
=•.....
.Q.
12/00)
„,____,
JroReviewed
'UZ
W,4-•(Rev,
/6,..„,,,
9:
PERMIT NO SW060266 PAGE 2 OF 3
lunicinaLtv o AncnoracE
DEPARTMENT OF 'HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
PE, Box 196650 •Anchorage. Alaska 99519-6650 • Telephone: 343-47x,
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
'_,EGAL LOT 5. BLOCK 1, RAVEN MOUNTAIN EST. #1 P.I.D. NO.
076-032-14
PERMIT NO SW060266
PAGE 3 OF 3
N/lunicipaUtv cp-r AnchoracE
DEPARTMENT OF 'HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,{J, Box 196650 •Anchorage, (Aasko. 99519-6650 • -1-eephone 340 -
ON -SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
'LEGAL LOT 5, BLOCK 1, RAVEN MOUNTAIN EST. 1 P.I.D. NO.
076-032-14
PINAL GRADE -7
OEWPR. CPS
NtV'•I E.)0
GALLON
SEPTIC TANK
FCC, ;1.0'
ST1 40.0' 35.5'
ST2 46,0' 41.5'
DBL1 48.0' 44.0'
DBL2 49.5'
001 96.0' 89.5
MT1 94.0 86.5'
* PONT B
'TM 0-F TiNK-1---
91.2'
=
NO WATER FOUND
?6.B' B 0 1-1.
OCT -30-2008 11:336A FROM:
Water wit' Drih/r
9in:dioranc. afv,k
a aTune Service
(907) 345.0593
T0:6941211 P.1
Well Log
Drilling Started: Oa 03 2008campteted:09/05 t2008
City/Borough:
subdivisi4:
BLOCK
LOT
Prupeny Owner Name &Addmss: Justin Gumm
P.O Box 112553 Site: NHN Annex Circle
Anchorage, AK 99511
Girdwood
Raven Mountain
Fst#1
1
5
Meridian 'Tounship_Range
Section__ __„ lit of_.t'ior_%nf_ ___.,Yu
BOREHOLE DATA(fr7nt
Material: T'ypc, Color BC
top of
aemcss
Casingpcpth
rota
To
Drilling method: (X 1 Air rotary. ( ) Cable tool. Other__.,_,
Well use: ( 1 Public supply. (x) Domestic. Other
stickup i
•
0
3
Depth of hole: 135 f. Casing stickup: 2 ft
Casing type: steel __ Thickness: _25(.1� laches
Casing diameter. 6 inches Casing depth:._ 70 R
silt / rock
•
3
12
Liner type: PVC Diameter. 4_5 inches Depth:55_to 135'
moist sift / rock i
12
18
Static water (from top of using): 74 Ron 992.022008
Pumping Icvcl & yield: fisa atter _ hours at _ _ gpm
_ .
Recovery rate: 3. gpm. Method of testing: airlift
dry silt / rock
i
18
55
Development airlift Duration: 1 hour
silt w/ coarse gral,ei
55
70
Well intake opening type: ( ) Open cnd.IX 1 Open holc.Other_
Screened: Start - ft. Stopped - R
bedrock w/ H2O i
70
72
Screen type: - Slotmcslt size: -
Pcrfoatcd: Start - R. Stopped: - R
bedrock w/ soft Ia
tors
72
135
Stan: - R. Stopped: - R
Note: _..-...
•
Grout type: Vutume -
_bentonitie ,
Dcpth; from around surface _iv 20 R
.
Pump intake depth: R
Pump site:_ hp. Brand name:
Was well disinfected upon completion? ( X) Yes. ( 1 No
Method of disinfection:CBICIUf.k{ypOChlOfite..(.ChIQflfle)...
Driller commcntsi disclaimers:
i
I
Well driller name- Johnny
Company name: Hefty Drilling, Inc.
Mailing address. 3540 Akula Dr.
City Anchorage State: a_k Zip 99516
'
Plano number : ( 907 345 - 0593 fa c345 4700
Drillers signature:
Municipality
Development Se
Building Sp
On -Site Water and
4700 South
P.O. Box 196650 An
www.m i
(907)
of Anchorage
vices Department
ety Division
Wastewater Section
Bregew St.
gage, AK 995I9-6650
org/onsite
3-7904
Attention: Property owner shall provide a well log to the
DSD within 60 days of well completion.
Permit Number. SW080180
Date of Issue: 0tIg/ 76 /7008
Parcel Identification Number. 0 6 —032 —14
Is well located at approved permit location?! X) Yin Of ( ) Nu
Mark Begich
Mayor
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Pump Installation Log
Date of Issue:
Replacement Only: YES NO
Well Drilling Permit Number: SW
Parcel Identification Number:
Legal Description
Lot 5, Block 1, Raven Mountain Estates #1
Pump Installation Date: 10/21/2009
Property Owner Name & Address:
Justin Gumm
185 Annex Circle
Girdwood,AK
Pump Intake Depth Below Top of Well Casing: 113 feet
Pump Manufacturer's Name: Myers
Pump Model: 12NFL50
Pump Size 1/2 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name: Maas
Pitless Adapter Installer: Aarow Pump&We1ISVC
Well Disinfected Upon Completion? ® Yes Q No
Method of Disinfection: Recirc
Comments:
Pump Installer Name:
Aarow Pump & Well Service LLC
PO Box 110496,Anchorage, AK 99511
(907) 346- 9355
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
07/13/2009 10:32
SCS R<LN
Client Name
Prefect Name//4
Climes Sample ID
Maris
Sample Remarks:
Pamcelet
9076941211
1093015001
S & S Engineering
L5,131 Raven Mtn Esc in
L5,131 Raven Mtn Est Ml
Drinking Water
Metals by 2CP/)/9
Arsenic
Maters Department
Tota! Nittare/Nititc.N
Ari erobdol Laborato
Colony Count
Total Coliform
Fecal Coliform
Remits
ND
0.521
0
0
0
PQL
5.00
0.100
SNSENGINEERING
Priote4 Dsttatme
Collected Dateffime
Received DatN(ime
Technical Director
Vat Method cooaunerw Limits Dam Date
PAGE 02/03
07/092009 13:42 '
06252009 0:00
06252009 15:30
Stephen C. Ede
Allowable Prep Anyytyt
mg/ EP200.8
Tot
C (<10) 07/06,09 07/08/09 NRB
mpg Skin 4500NO3•F B (<10)
co1/100mL 55120 922213
col/100m1. SN120 9222E
eoli100mt $M20 92229
0s3a09 LCE
0625/09 SDP
06/25/09 SDP
06/25,9 SDP
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water B Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Renewal
Date Issued: Aug 26, 2008
Expiration Date: Aug 26, 2009
Permit Number: SW080180 Parcel ID: 076-032-14
Legal Description: RAVEN MOUNTAIN ESTATES #1 BLOCK 1 LOT 5
Design Engineer: 0000 ZZ - NONE NEEDED Site Address: NHN ANNEX CIRCLE
Owner Name: JUSTIN GUMM Lot Size' 70080 SO. FT.
Owner Address: PO BOX 112553 Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE . AK 99511 -
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date: 8/P7(C)6
Issued By: bLe iJlgr€6th S,1 _- Date:
Municipality of Anchorage
- Development Services Department : 4
Building Safety Division .,
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AIC 99519-6650
www.muni.orglonsite
(907) 343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O14-62- tea- 14
Property owner(s) • (--
-h 4 u m m Day phone 317- 0841
5
Mailing address %�''z &�$ n' Alt` Zip Code 99671
4
Site address ••"'5 ia ii'/' Zip Code
Legal description (Sub'd, Block &Lot Di
��.h X1 3/ I-5
Legal description (Township, Section & Range) 3
Lot Size leCgo Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR (®all that apply): THIS APPLICATION IS AN:
Absorption Field 0 Initial
Septic Tank 0 Upgrade
Holding Tank 0 Renewal
Privy 0
Private Well cd
Water Storage 0
certify that the above information is correct. 1 further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
ow/ _.
(Signal re of prop owner or authorized agent)
Permit/Rush Fees:/ 105Waiver Fees:
Date of Payment:/025708 8 Date of Payment:
Receipt Number. 10 / 43 Receipt Number:
(Rev. 11/05)
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 WATER SUPPLY PERMIT
Renewal
Date Issued: Aug 24, 2007
Expiration Date: Aug 23, 2008
Permit Number: SW070215 Parcel ID: 076-032-14
Legal Description: RAVEN MOUNTAIN ESTATES #1 BLOCK 1 LOT 5
Design Engineer: 0003 S & S ENGINEERING
Owner Name: JUSTIN GUMM
Owner Address: PO BOX 112553
ANCHORAGE , AK 99511 -
Site Address: NHN ANNEX CIRCLE
Lot Size: 70080 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well p Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A PRIVATE WATER WELL". IT IS THE
BURDEN OF THE PROPERTY OWNER TO DETERMINE THAT THE PROPOSED WELL WILL NOT HAVE ANY
ADVERSE IMPACTS ON ADJACENT WELLS OR SEPTIC SYSTEMS AND DETERMINE ANY EXISTING
WASTEWATER PERMITS EFFECT THE LOCATION OF THE PROPOSED WELL. IF THERE ARE ANY
QUESTIONS, PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT
907-343-7904.
Received By.
Issued By: pile 4.-ti"ii
Date*
Date: 0i/07
Municipality of Anchorage
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.orglonsite
(907) 343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. elYWA-Gt3P"- /4
0
Property owner(s) •n v LLD/i12 Day phone s6/q- cogq..5�
Mailing address APC /B Y 11,R6-3 .. Ala Zip Code /167/
Site address NHn% ration (_ur& , Zip Code
'J1) 7]�A,u.ngrtu't.. 6_4#/ 3/ 4.5
-
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
Lot Size 9'a) AQ Sq. Ft. Number of Bedrooms 3
THIS APPLICATION IS FOR (®ali that apply): THIS APPLICATION IS AN:
❑ Initial 0
Upgrade ❑
❑ Renewal
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
certify that the above info
Single Family Dwelling a
ect. I further certify that this application is being made for a
pplicabie Municipal Codes.
accordance
(Signature of property owner or authorized agent)
Permit/Rush Fees: /15 - Waiver Fees:
Date of Payment: VD -0 /6 Date of Payment:
Receipt Number. / a16 a Receipt Number:
(Rev. 11/05)
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
Date Issued: Aug 17, 2006
Expiration Date: Aug 17, 2007
Permit Number: SW060266 Parcel ID: 076-032-14
Legal Description: RAVEN MOUNTAIN ESTATES #1 BLOCK 1 LOT 5
Design Engineer: 0003 S & S Engineering Site Address: NHN ANNEX CIRCLE
Owner Name: JUSTIN GUMM Lot Size: 70080 SQ. FT.
Owner Address: PO BOX 112553
ANCHORAGE , AK 99511 -
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank D Holding Tank ❑ Privy ❑.r 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 catling
(907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date. st7/0(,
Date: d��/4
Municipality of Anchorage
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
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ble -o '-- 4
Property owner(s)(p 5 c u ii 1 V • Day phone 317-0315
Mailing address PO.B°x 11.3 Ancc4o,' nn,,l/Zip Code 9957/
Site address MO Aft.bUc*' aCr e Lam- Zip Code
Legal description (Sub'd, Block & Lot) aWaLkf /t/OLLr)+aifl LdaTe'S
Legal description (Township, Section & Range)
Lot Size r 0 20 Sq. Ft. Number of Bedrooms 3
411
THIS APPLICATION IS FOR (gall that apply): THIS APPLICATION IS AN:
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
El Initial
Upgrade
0 Renewal
0
0
certify that the above informatiois correct. I further certify that this application is bein
Single Family ' welling and is i. accordance with applicable Municipal Codes.
(Signature
ow er or authorized agent)
made for a
Permit/Rush Fees: 9&o QU fi /TS"
Date of Payment: �l 1 ¥1 Cp
Waiver Fees:
Date of Payment:
Receipt Number: My 1 ? 8 Receipt Number:
(Rev. 11/05)
. deak._..,
,/t:*•$&$
gzneeR(11G
tiv
ITEALTHAUTTORTY
APPROVALS
SEWER & WATER
MAN DRENSIONS
SEWER& WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
&FLOW TEST
SITE PIANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL 11
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
D6POSALSYSTEM
DESIGN
ROBERT C. COWAN, P.E.
August 7, 2006
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 5, Block 1, Raven Mountain Estates Subdivision
CML ENGINEERS
(907) 694-2979
FAX (907)694-1211
It is requested that you issue a permit to install a new well and a new septic system to
serve the proposed three bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation 6/24/06, ground
water was not found. After monitoring ground water for 7 days, the test hole was dry.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage pattems by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you req
Sincerely,
ire ad
tional information, please contact us.
rt A. Shafer, P.E.
/bjj
nclosure
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA99577
0
W Z 0
.1\NZ l 0
DU J -pY
•py o_Z
2
pf W W .'
NZV
n▪ ►• v 4T o 0 rciwyy
LUN n�
/21 • lMojJ
. a .
U
0
W
tri
O
L0Ls -
0
0
0
N
s
0
r
f
0
0 0
W
K
o F 1
<<
W 0 U
¢ O x
W
N y �
0 W <
or
,u00
z,_otz
uoa3O
CD
0
W
fn 2
0C)
CL z
OW
[Yee
D
<
O
0
OW
� Y
0z
w 1-
O1-
cQW
a_ O V)
N.
M
0
0
w
cc
0 O LI-
•
II N
o
co —10
5 i
M N V
•
> •
�..
d w w O
Lei Z
L—
o1w3o
0 003
00l in in
NVId-31IS
NJIS30
'vi',
z
Nn
z
doz
0 0
8
8
sF►u
.03 = ,.l
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchoraoe.ak.ug
(907) 343-7904
Soils Log - Percolation Test
Performed For. °STf>u Lvmm Date Performed:
ere WW A trtJ FiRan
Legal Description: Ler(.E,Cr l S SA) /pOtJ Township, Range, Section:
Slope Site Plan I
Depth
(Feet)
�55�3
—012b4? 1 t CS
7-
8-
9-
10-
11-
12-
13-
14
15-
16-
17-
18-
19-
20-
0
.O•
COMMENTS
LoLTF- t.tvstt '
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT DEPTH?
Depth to Water Alter
Monitoring?
Dale:
�l7 s
sre
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
6/Zl /cb
3:30
—
(r1 1
0
01,1- T
3:Li0
(D
II1/2:41
i0Vf,"
5%41
—
l" 1
—
Fiw---
3.SI
ib
Il" 1
lo
3:53
—
1Yir
e-
4:03
10
11Y:
ID
1
PERCOLATION RATE Ie 0 (nndesMchi ^PERC HOLE DIAMETER
TEST RUN BETWEEN y 1 FT AND r r ,FT
PERFORMED BY: I CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
ti
S & S
nglneerinq
w
/EALTNALAN CAGY
APPRCNAL4
SEWER & WATER
MAIN DCENSIO S
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
t ROW TEST
SITE PIANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURALS
1AECNNIICAL
INSPECTIONS
CPI SITE
WASTEWATER
DSPOSALSISTEM
OESIGN
ROBERT C. COWAN, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 5, Block 1, Raven Mountain Estates Subdivision
August 7, 2006
GENERAL:
1. The scope of this project includes the installation of a new 1000 gallon HDPE
septic tank a septic trench to serve the proposed three bedroom residence
located on the referenced property.
2. Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
utility locates.
4. Unless specifically agreed otherwise, the property owner shall beesponsible
for final grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Development Services Department or ADEC if required, for
system installations. Owners installing their own systems must also receive
prior approval from the respective agency.
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577
Page 2
Lot 5, Block 1, Raven Mountain Estates Subdivision
August 7, 2006
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) orches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Page 3
Lot 5, Block 1, Raven Mountain Estates Subdivision
August 7, 2006
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installa ions in the
Municipality of Anchorage:
Tyne of Pine Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the 11200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
Page 4
Lot 5, Block 1, Raven Mountain Estates Subdivision
August 7, 2000
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before' the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
CosA# f)S C, 1 / l I /,5' 3
Expiration Date: % 2 -
Parcel1.D. 0 76-0 3 2-1 4
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
RAVEN MOUNTAIN ESTATES; BLOCK 1, LOT 5
185 ANNEX CIRCLE *GIRDWOOD AK
NANCY SMITH
185 ANNEX CIRCLE *GIRDWOOD, AK
Day phone
C/O AGENT
Day phone
BRIAN EPLEY W/ REMAX OF ALYESKA Day phone
223-9799
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
•
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
ti
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 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 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
Engineer's Comments:
In conducting this evaluation, GEG, LED. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system undo.' 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.
5. DSD SIGNATURE
By:
Approved for
3 bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations: � PROGRAM s.
) sER`A�N\
))l)))))l�l
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11105)
Pe
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: — — / 2_
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
MOUNTAIN ESTATES; BLOCK 1, LOT 5
Legal Description: RAVEN
A. WELL DATA
Well type PRIVATE
Date completed 9/5/08
Total depth
135 ft.
Date of test
Static water level
Well production
If A, B, orC provide PWSID# N/A
Sanitary seal (Y/N) YES
Cased to 70
FROM WELL LOG
9/5/08
74
3
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml.
Arsenic: ND ug./L.
B. SEPTIC/HOLDING TANK DATA
ft
ft.
g.p.m.
Parcel ID: 076-032-14
Well Log (Y/N) YES
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
11/10/11
60
8.08
Nitrate 0 46 mg./L.
Date of sample: 11/11/11
*PUMPING CANNOT BE DONE UNTIL SPRING
WHEN IT IS ACCESSIBLE TO A PUMP TRUCK.
ft.
g.p.m.
YES
24 in.
Collected by: GEG, Ltd.
Tank Type/Material SEPTIC/STEEL Date installed 9/15/06
Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES
Date of pumping *NOT YET
C. ABSORPTION FIELD DATA
Depression over tank (Y/N) NO
Pumper
High water alarm (YIN) N/A
I*BELOW EXISTING GRADEI
Date installed 9/15/06 Soil rating (g.p.d./ft2ort/bdrir)) 1_2
Length 44
ft. Width 5 ft.
Total depth *9.91 ft. Eff. absorption area 440 ft2 Monitoring tube
Date of adequacy test "11/11/11 Results (Pass/Fail) PASS
Fluid depth in absorption field before test 0 in Wateradded 11
System type TRENCH
Gravel below pipe 4 ft.
YES Depression over field NO
For 3 bedrooms
New depth 2 in.
40
_gal.
Elapsed Time: E min. Final fluid depth E in Absorption rate >= 450+
g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
**DRAINFIELD WAS PRESOAKED WITH 2000 GALLONS OF WATER ON 11/10/11.
D. LIFT STATION
Date installed Size in gallons
"Pump on" level at in. "Pump off" level
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
Septic tank/ltft station on lot
Absorption field on lot
Public sewer main
100'+
N/A
Sewer /septic service line 25' +
Manhole/Access (Y/N
High water alarm level at in.
Meets alarm & circuit requirements?
On adjacent lots
100'+
On adjacent lots 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 5'+ Property line 5'+ Absorption field
Water main N/A Water service line 10'+ Surface water
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Properly line 10'+ Building foundation 10'+ Water main
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN
F. COMMENTS
*PER INSPECTION REPORT.
Wells on adjacent lots 100'+
*6'
100'+
N/A
Driveway, parking/vehicle storage
0'
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems ate in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date fl /Vie/
oo6��pO
H a0
VA
ey A. mess:
m! CE -79 3
..fl'zl ��.•''�co,�p
DOOcfpro f e0on o�
�00`ss�
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11105)
�gb(0C X07 hiei
Wai Fee $
ii/ai/i i
°32 3c
Date of Payment
Receipt Number
bap uz IL u0.❑oa Dili IVI[Lul IdIU
kov,) wr •vow
fl2c.l0,u R d Pt.tn pinci Service
7500 Beluga Circle
Anchorage, Alaslca 99504
(907) 338-4476 •(907) 830-1421 •(907),830-1911
Tnvoicc;<; 8 3 0 7
sow Taw)n;v
ke •y
�g. n:me of S.rv;c::
#.4:/A -1.4.5(-x/1 ,Q,�
pi,m, y? y/�/uS
7 Cmmcr l'.0.. Number:
C ml; I F'.,,xuu
fA,+!
7r3 -'/,J117
price: pc, ann
Amount
Description
Septic rank pumped
Sludge in tank
Leach treatment
Bio -mat in leach
Water level in leach
Cap on Stand Pipes
9
Other:l,r7ei•wc.ipAet05JCA
1
Recommendations:
)
Total
i275-34 ,
2°'u interest will be clrorged .Ditira.\ly ort Unpaid bills unril paid.
'
elev.=110'
L=78.20'
R=50.00'
A=89°36'27"
0
2 Story
House
elev.=130'
N 89°21'15" E
N 89°21'15" E
158.19'
376.86'
CHUGACH NATIONAL FOREST
NOTE: 1) Bearings and distances are as per Plat No. 66-143 and measured data.
2) Elevations are assumed.
As.
CI IN-
remy A. Hurst
No.
#,1�1�'eatES'NA
SENTEC
Surveying • Engineering
2525 Gambell Street, Suite 200, Anchorage, Alaska 99503
Tele: (907) 563-3835 Fax: (907) 563-3817
PLOT PLAN / AS BUILT OF: LEGAL DESCRIPTION
Lot 5, Block 1, Raven Mountain Estates
Subdivision, Girdwood, Alaska
ORK ORDER MASER:
09-5315
Nov. 7, 2011
DRAWN RY
JAH I MJH
SCALE:
4
111
c
ei
607/26-28
0
SURVEY CERTIFICATION: SENTEC has conducted
a physical survey of this property as shown on this
drawing and that the improvements situated thereon are
within the property lines and no encroachments exist
other than noted.
EXCLUSION NOTES: It is the owners responsibility
to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded
subdivision plat. NOTE: Under no circumstances
should any data hereon be used for the construction or
for the establishing of property lines.
LEGEND
QW Well
0 Septic vent
• Found Property Cor.
Drainage direction
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
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
Parcel I.D. 076-032-14
1. GENERAL INFORMATION
Complete legal description
Location (site address) 185 ANNEX CIRCLE *GIRDWOOD, AK
Current Property owner(s) NANCY SMITH Day phone C/0 AGENT
Mailing address 185 ANNEX CIRCLE *GIRDWOOD, AK
Lending agency Day phone
Mailing address
Real Estate Agent BRIAN EPLEY W/ REMAX OF ALYESKA Day phone 223-9799
Mailing address
COSA#
cx.5C111453
a1a3/l�,
Expiration Date:
'C\
RAVEN MOUNTAIN ESTATES; BLOCK 1, LOT 5
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 Water Storage
Community Class Well
Public Water System
Individual On-site
❑ Individual Holding tank
❑ Community On-site
❑ Public SewerEl
•
El
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage 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. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD, attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & 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.
5. DSD SIGNATURE
Approved for
Disapproved.
_XConditional approval for .�
bedrooms.
MA 5i --
Date (ltZli//
004000�0�0
_o
c L
•
••� OQ
A. Ga Hess; 0
Il�21 .11 •��AF
Da�ofessionoQ`�
��O000�4
bedrooms, with the following stipulations:
Q� pur' PFS rn�
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitre AdvisoryBy: wwto ;
j
(Rev. 11/05)
?FOG" = 0`
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
ZONENT S!!\\N`,
Original Certificate Date: 1 I /,.,)J )1 /
v //
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type PRIVATE
Date completed
RAVEN MOUNTAIN ESTATES; BLOCK 1, LOT 5
9/5/08
Parcel ID: 076-032-14
If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Total depth 135
ft.
Sanitary seal (Y/N) YES
Cased to
70 ft.
FROM WELL LOG
Date of test 9/5/08
Static water level 74 ft.
Well production 3
WATER SAMPLE RESULTS:
g.p.m.
Wires properly protected (Y/N) YES
Casing height (above ground) 24 in.
AT INSPECTION
11/10/11
60 ft.
8.08
Coliform 0 colonies/100 ml. Nitrate 0.46 mg./L. Collected by:
Arsenic: Date of sample: 11/11/11
ND ug./L.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size 1000 gal.
SEPTIC/STEEL
g.p.m.
GEG, Ltd.
Number of Compartments 2
Foundation cleanout (Y/N) YES Depression over tank (YIN) NO
Date of pumping - 'ET Pumper
C. ABSORPTION FIELD DATA
Date installed 9/15/06
Cleanouts (Y/N)
YES
High water alarm (Y/N) N/A
I*BELOW EXISTING GRADE
Date installed 9/15/06 Soil rating (g.p.d./ft2or
Length 44 ft. Width 5
1.2
ft.
System type.
TRENCH
Gravel below pipe 4 ft.
Total depth *9.91 ft. Eff. absorption area 440 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test "11/11/11 Results (Pass/Fail) PASS
For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 1 140
gal. New depth 2 in.
Elapsed Time: 0 min.
Final fluid depth 0 in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
**DRAINFIELD WAS PRESOAKED WITH 2000 GALLONS OF WATER ON 11/10/11.
450+
g.p.d.
D. LIFT STATION
E.
Date installed
"Pump on" level at in.
Datum
Size in gallons Manhole/Access (Y/N
"Pump off" level - High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
100'+
N/A
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank
N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+
Water main N/A
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 5'+ Absorption field *6'
Water service line 10'+ Surface water
Property line 10'+
100'+
Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 0'
Curtain drain NONE KNOWN
F. COMMENTS
*PER INSPECTION REPORT.
Wells on adjacent lots 100'+
G. ENGINEER'S CERTIFICATION
I certify that 1 have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date 11/Z1/1/
OF A
ooboOOp
000
vA
ey A. mess:
CE -79 3 • CO
a pro OzPI
f essio��o�
0400004
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
gb d(P0 c l W- aiver Fee $
it/ter/i
Date of Payment
Receipt Number
LOT 7
L=78.20'
R=50.00'
0=89°36'27"
LOT 2
LOT 6
LOT 3
N 89°21'15" E
158.19'
CHUGACH NATIONAL FOREST
NOTE: 1) Bearings and distances are as per Plat No. 66-143 and measured data.
2) Elevations are assumed.
OF At,
emy A. Hurst
No. L 1 796
fl,irl� ..
Surveying • Engineering
2525 Gambell Street, Suite 200, Anchorage, Alaska 99503
Tele: (907) 563-3835 Fax: (907) 563-3817
SENTEC
PLOT PLAN / AS BUILT OF: LEGAL DESCRIPTION
Lot 5, Block 1, Raven Mountain Estates
Subdivision, Girdwood, Alaska
WORK ORDER NUMBER;
09-5315
607.
SURVEY CERTIFICATION: SENTEC has conducted
a physical survey of this property as shown on this
drawing and that the improvements situated thereon are
within the property lines and no encroachments exist
other than noted.
EXCLUSION NOTES: It is the owners responsibility
to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded
subdivision plat. NOTE: Under no circumstances
should any data hereon be used for the construction or
for the establishing of property lines.
LEGEND
Qw Well
O Septic vent
• Found Property Cor.
Drainage direction