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TIMBERLUX #3 BLK J LT 5
TI'*mberlux #3 Block J Lot 5 #018-271-73 • Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage,AK 99519-6650 •http://www.muni.org/onsite •(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP181362 PID Number. 018-271-73 Name: 0 New ®Upgrade WILLIAM HARBIN ABSORPTION FIELD NORTH/SOUTH Address: 0 Deep Trench ® Shallow Trench 0 Bed 0 Mound 4400 MANYTELL AVE*ANCHORAGE,AK 0 Other Soil Rating: Total Depth from original grade: Phone: No.of Bedrooms: (907) 227-6028 5 0.6 Gp ,Ft 8/8 Ft. LEGAL DESCRIPTION Depth to pipe invert from oginal grade Gravel depth beneath pipe SEE DWG. 4.03/4.04 Subdivision: Ft Ft Block: Lot: Fit added above original grade: Gravel length: TIMBERLUX#3 J 5 63/63 SEE DWG. IONTSf11P: Range: section: — FL Ft. Gravel width: Beds Number of lines: Distance between lines: SEPARATION DISTANCES 5/5 _ Ft Ft. TO Taal absorption area: Number of trenches: Dist.between trenches: Septic Absorption Lift Holding Public/Private 1260+ From Tank Field Station Tank Sewer Lines SQ.Ft 2 10+ Ft. Well 100'+ - - 25+ TANK 0 Septic 0 S.T.E.P. ❑Holding 0 Other Surface Water Manufacturer: Capacity 2O 100'+ _ - -nt.1G } S Gal Lot Line 10'+ N/A Matenal. Number of compartments: — Foundation 10'+ LIFT STATION Curtain Drain — NONE KNOWN Manufacturer C., Gal. Remarks: BOTTOM OF NORTH AND SOUTH TRENCHES INSPECTED BY MOA "Pump on'level at -Pump off level at: High water alarm at: ONSITE EMPLOYEE TIM ECKLUND. I Pump Make&Mod-• Electrical Inspections performed by: PIPE MATERIAL House to tank EXISTING Tank to D3034 Installer drainfteld ARM SERVICES Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 104.79 F, Dates: 1st 10/16/2018 2nd 10/17/2018 Location and Description' 3rd 10/17/2018 4th 10/18/2018 BOTTOM OF TRIM @ NW CORNER Community Development Department Approval oENGINEER'Spd0�•t •f Conditional approval: ..Pc,.. •• Date: -;`P. ' 1, '..1--A00 vAi /O, •.J, -y • Garn.ss: Q —z>,-----------7.7-- 1 e' ' . 'CE—179 • 00� Approved: 1. - Date: 1� _IS' 0�4!sa 10.�2Z I'� 'o��o LICENSE A JOfesslo�as #AECC884 O�QQO�0 Inspection Report_1-1-12.doc cPOSP181362 RECORD DRAWING PARCEL ID NUMBER: 1 018-271-73 BOTTOM OF NORTH AND SOUTH TRENCH ALL WELL RADAII SHOWN,NORTH AND SOUTH LOT INSPECTED BY MOA ONSITE EMPLOYEE LINE FLAGGED BY SHANE HOLT,PLS PRIOR TO \ TIM ECKLUND ON 10/16&17/18 CONSTRUCTION.DRAINFIELD MEASURED 100'+TO M A N YT E L L SURFACE WATERS ON THE DATE OF INSPECTION. 7 \ DRAINFIELDS • �. i A B CO.44,4044444 MT1 90.1 MT : : MT2 1:! 044, T2 • CO4 104.5 84.9 02 FS 77.6 90.8 • DBL1 22.9 57.4 •�.• :' DBL2 23.2 57.7 FD ••S . . �' ...-ay ''�.. ,.. FD 24.1 58.9 .. • DRIVEWAYL.;:.'. .% ''•.. • - \ DBL &2 i '•: •.. y.. J '. '�• \,/ / B EXISTING SEPTIC TANK • / , \ AND DRAINFIELD / EXISTING HOME .'•' • .a EXISTING FCO I / IC . . / 1p0‘1 .\-.‘..0006 •..'. ... :• Mfg • ^.. 4•� / • ' .iDRIVEWAY1. .4.: •:.; .•• \ / \ SCAIjI I I 1. 41 GARNESS ENGINEERING GROUP, Ltd .9 I" *�'• ENGINEERING.SALES•CONSULTING •••� 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE,AX 99507•PHONE)907)3376179•FAX(907)338-32.9•WEBSITE mvw games9ngneomg.com II• PREPARED FOR: 0 I PHONE NUMBER: PAGE NUMBER: e WILLIAM HARBIN 907-227-6028 2 OF 3 �j C1�s: • •••� � ' Games- LEGAL DESCRIPTION: DRAWN BY: 0.-d) ••. `' 95 •` �. = TIMBERLUX#3; BLOCK J, LOT 5 D.J.G. • . IO J 1'�:�• TYPE OF WORK: DATE: ♦* p••.'.••• . 4. SEPTIC SYSTEM RECORD DRAWING 10/23/2018 LICENSE 41,, ;U%' ' #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: RECORD OSP181362DRAWING 018-271-73 NORTH TRENCH SOUTH TRENCH FINAL GRADE=95.5-96.6 FINAL GRADE=96.1-96.6 TH#1 ORIGINAL GRADE @ MT CO ORIGINAL GRADE @ MT CO TH#1 HIGHEST POINT= B B HIGHEST POINT=96.17 B® 93.83 — _ Aii:ILTER FABRIC FILTER FABRIC _.. • fir ,I• :• • x•.1.4' a,. 'Vol ••••i INVERT OF PIPE=89.86 ' ••••O INVERT OF PIPE=92.21 ••••4 11 I• ••••l 4.03' a ••••� 4.04' • ••••I • • • 4 e,, • • l i• BOTTOM OF TRENCH=85.83 a •.•.. BOTTOM OF TRENCH • •���� 1° "el =88.17 10'+ I. RELATIVE ELEVATION(dl BOTTOM OF RELATIVE ELEVATION BOTTOM OF T.H.=79.33(G.W.AT 12.5 FEET T.H.=81.67(G.W.AT 12.5 FEET BELOW GRADE ON 10/15/2018) BELOW GRADE ON 10/15/2018) IIIIIIIPPIIIIIPPIIIIIIIIIIIIIIIIIIIIIOIIIIIII • .41 ��P�E, , �.i 41 4 GARNESS ENGINEERING GROUP, Ltd ; 4 4• 1. ,. ''* 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AN 99507•PHONE(907)337-6179.FAX(907)336-3246•WEBSITE mew gameaxnpm•mg con 0 •... / •0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �i+y • WILLIAM HARBIN 907-345-0123 3 OF 3 #0 yA. Games LEGAL DESCRIPTION: ##�J1•. E 7953 ....S' � DRAWN BY: TIMBERLUX#3; BLOCK J, LOT 5 D.J.G. #.♦.fr�•,'p••�1,,�Q�, t7r !��' ��: TYPE OF WORK:TRENCH PROFILE DATE: LICENSE* 1/;;;;;C,'4 10/22/2018 #AECC884 J IMINNOMMENEMENNIMMIIP • MUNICIPALITY OF ANCHORAGE / On-Site Water&Wastewater Program S PO Box 196650 4700 Elmore Road • .: Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite frfdg ; 1)ehartmk.nt R N cH O_p r�,E On-Site Wastewater Disposal System Permit Permit Number: OSP181362 Effective Date: 10/11/2018 Work Type: Septic Upgrade Expiration Date: 10/11/2019 Tax Code Number: 01827173000 Site Legal Address: TIMBERLUX#3 BLK J LT 5 G:3136 Site Mailing Address: 4400 MANYTELL AVE, Anchorage Owner: HARBIN WILLIAM G & GAIL A Lot Size in Sq Ft: 52483 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 5 This permit is for the construction of: D Disposal Field ❑ Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: lo / 1(/Ig Issued By: 13 Y./MA ( 2j./i.,Ct9 Date: COAT MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 018-271-73 Property owner(s) BILL HARBIN Day phone 907-345-0123 Mailing address 4400 MANYTELL AVENUE*ANCHORAGE,AK 99516 Site address 4400 MANYTELL AVENUE `ANCHORAGE.AK 99516 Legal description (Sub'd, Block& Lot) TIMBERLUX#3; BLOCK J, LOT 5 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Nall that apply) Initial ❑ Single Family (SF) Absorption Field ® Upgrade (w/wo ADU) Septic Tank Duplex(D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5'VI Waiver Fees: Date of Payment: JO I t0(1% Date of Payment: Receipt Number: OS(Lci(-7 Receipt Number: 0 Permit No. 519213(a Waiver No. (Rev 01111) • _f- Quanics GARNESS ENGINEERING GROUP, Ltd A4vmced Treatment System ENGINEERING SALES CONSULTING e Dealer October 9, 2018 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Timberlux#3; Block J, Lot 5 To whom it may concern: The existing 5-bedroom house is served by a private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to utilize the existing 1500-gallon steel septic tank, install a flow diverter after the existing septic tank, and install dual 5-wide shallow trench type drainfields. One testhole was excavated and the drainfield is designed within its 30-foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See attached 2018 testhole which shows, soil classification, percolation test and groundwater monitoring. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: Per the MOA wetlands mapping there are wetlands on the lot to the north. During the excavation of the testhole, ponded surface water was noted approximately 25' north of the road. Per the MOA grid maps and as-built survey, the proposed drainfield is approximately 90 feet from the north side of the road. In short, the proposed drainfield is 100'+ to surface water on the date of the testhole excavation, however, it may encroach on surface water seasonally. In the event of an encroachment the effluent would have to navigate across two road-ditches and the road in order to reach the surface water. The possibility of this occurring is extremely unlikely. 4. TOPOGRAPHY: There are no topography concerns. See attached design drawings for topography information. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. incerely effr !a -ss, P. ., M.S. Pres'• 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com /**- . / \ / / 1 TIMBERLUX#3; I APPROXIMATE 00' 1 BLOCK G,LOT 11 I WELL RADIUS I 1 I ----- \ / /� \N \ / / \ \ / / \ \ / // \\ N N /' 1 1 TIMBERLUX#3; APPROXIMATE 00' I BLOCK G,LOT 10 PROPOSED WELL LOCATION IN MOA WELL RADIUS I RECORDS;TO BE PHYSICALLY I CONFIRMED PRIOR TO CONSTRUCTION \ / \ / \ / \ /// MANYTELL — �+ •;: / _ s' TIMBERLUX#3; / N BLOCK J,LOT 6 ' \ // 7%.,Gz \\ ( • ••�' 10 M / VACANT I GS I / 4' . \\ 11 I \ \ ) •4+ \\ / I ...44E�k OS 1 \\ // I I \ / 1 . . I TIMBERLUX#3; \ ~f'''"• • / BLOCK J,LOT 4 \ / / — —� m KINGS;LOT 4 TIMBERLUX#3; / �r- BLOCK J,LOT 7 / N / / VACANT / \ / \ I N 1 I `Rpp1Us WE 1 100' I SCALE: \ 1"=10 ' \ / 401,11M it t 4 .....\>,4.:S.......9E...: 44.4., GARNESS ENGINEERING GROUP, Ltd * *'s• 4911• °* t% 111, •• ' ;, ENGINEERING SALES CONSULTING . i 0 0 3701 E.TUDOR ROAD.SUITE101•ANCHORAGE.AK 99507'PHONE(907)337.6179'FAX(907)338.3246'WEBSITE.www.gamessengineering.com •• • • PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • el y • Games W ai it BILL HARBIN 907-345-0123 1 OF 2 a�J,•••. E- '9 ,' PROJECT/LEGAL DESCRIPTION: DRAWN BY: W • TIMBERLUX#3; BLOCK J, LOT 5 D.J.G. 1,�; p_•-... ..•. .L...,* .4. TYPE OF WORK: DATE: LICENSE ��IIi%",��8 SEPTIC SYSTEM DESIGN UPGRADE 10/9/2018 #AECC884 .41 C ' 7 \ 1 DESIGN CRITERIA: GEG,Ltd.HAS A 8 PAGE SPECIFICATION NOTE:THE CONTRACTOR SHALL HAVE THE NORTH AND NUMBER OF BEDROOMS:5 LETTER THAT PERTAINS TO THIS DESIGN.TO WEST LOT LINE,ALL WELL RADII SHOWN AND SURFACE• — GALLONS PER DAY GPD OBTAIN A COPY OF THE LETTER CONTACT WATER SETBACKS FLAGGED BY A REGISTERED LAND '— GALL PERCOLATION DAY(GPD):0 750MIWINCH GEG.BY PROCEEDING FORWARD WITH THIS SURVEYOR PRIOR TO CONSTRUCTION PROPOSED APPLICATION RATE.0.6 GPD/BEDROOM INSTALLATION,THE ENGINEER,WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE MINIMUM DRAINFIELD SQ.FT.:1250 FT' THAT THEY HAVE READ THESE ~- DRAINFIELD DESIGN: SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. MAXIMUM DEPTH:8 FEET WII DTH:5 FEET (1-1 :D LENGTH:2 X 63 FEET(126 FEET TOTAL) EFFECTIVE:4 FEET / APPROXIMATE LOCATION OF ACTUAL SQ.FT.'1260 FT' PONDED SURFACE WATER I / (1 \":"?� \3"2 MANYTELL \ PROPOSED DRAINFII.D. / ut N y V D 0 OA F 10'+ T.H.#1 EXISTING 5-BEDROOM SYSTEM TO REMAIN IN PLACE FOR FUTURE USE •-,,, d iO . . C•k • N NEW SEWER LINE TO °A PROPOSED DRAINFIELD 12+ . dr •. - \ v. DRIVEWAYa° • • —. 9 D / ------ \` I / ° \ \ 1 '.e \ EXISTING 1500 GALLON STEEL SEPTIC / \ \A TANK INSTALLED IN 2007;INSTALL iii. . . FLOW DIVERTER AFTER TANK - a I / EXISTING : CONFIRM INTEGRITY OF FCO; 5-BEDROOM HOUSE INSTALL/REPAIR AS NEEDED • SCALE:\ v1 • 1"=40' / / '4 . *immix ■IRi4 • / yi c 410-,V ' •';•• ••I 9ravOj �.. 41 l GARNESS ENGINEERING GROUP, Ltd • 4'ii• - .:: ., ENGINEERING-SAI FS ,CONSULTING - ( 0 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE.AX 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE'www.gamessengineenn9 corn • • • k, 'PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦ - : A. ess '4/1 GAIL HARBIN 907-345-0123 2 OF 2 •OAll 0 •'•f. CE-795 •••' PROJECT/LEGAL DESCRIPTION: •DRAWN BY: .. 4 TIMBERLUX#3; BLOCK J, LOT 5 D.J.G. .. ♦ 'p�''.l,J.�� P., TYPE OF WORK: DATE: LICENSE40. "``M�•• SEPTIC SYSTEM DESIGN UPGRADE 10/9/2018 #AECC884 4. -......... ... 41. •-•" .. A .. /.r__• GARNESS ENGINEERING GROUP, Ltd : ..�' ENGINEERING SALES CONSULTING •• 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE AK 99507•PHONE(907)3376179•FAX(907)338-3246•V.EBSITE'wow garnesseng,nec-69 co, ^/ T : . SOIL LOG - PERCOLATION TEST 1°0- c :. A. Garn ss a V%� ' C - Z,. LEGAL DESCRIPTION: TIMBERLUX#3;BLOCK J.LOT 5 ♦♦ <<;P....'..1.0 �p 4)i PERFORMED FOR: BILL HARBIN DATE: 9/27/2018 ♦♦4,/-%FESSW"P•��• DEPTH --r��- #AECCae4 ,1,'�",'•• (feet) .����: ORGANIC • ~� TEST HOLE #1 1 - M f ! SOIL CLASSIFICATIONS SITE PLAN 2 •3 — ! * ` ;:�,, GP 1 ML I GM j0 CL 4 . • GC �� OL APs • r 000 SW j( MH �Q ▪ * •S5 SP CH �• � 5 — . 5 SM ,/ ,/ / OH O 6 + . f7 p SC s` PG 7 DEPTH TO DA I b Q� GROUNDWATER• ��, N + ( M Gj 80 13' 9/27/2018 • 12.5' 10/4/2018 SCALE: 9 f . • I 10 1).A FE READING CLOCK NET TIME WATER LEVEL NET DROP 11 - . * TIME (MINUTES) READING (INCHES) 12 ' M 9/28/2018 1 10:55 - 6" F • 2 11:25 30 4-6/8" 1 -2/8" t 0 13 3 11:25 6" M• . 4 11:55 30 4-4/8" 1 -4/8" 14 • 5 11:55 - 6" • • B.O.I L 6 12:25 30 4-4/8" 1 -4/8" 15 7 12:25 - 6" - 16 8 12:55 30 4-4/8" 1 -4/8" 17 — 18 PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 4 FT. AND 5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES 1.1 NO SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF9 RM}D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /V ie/i € / . :SGSH SGS Ref.# 1185120001 Client Name Garness Engineering Group,Ltd Printed Date/Time 09/14/2018 11:16 Project Name/# Timberlux#3;BJ,L5 Collected Date/Time 09/10/2018 13:30 Client Sample ID Timberlux#3;BJ.L5 Received Date/Time 09/10/2018 16:58 Matrix Drinking Water Technical Director Stephen C.Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date lnit Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 09/12/18 09/13/18 VDL Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM21 4500NO3-F B (<10) 09/11/18 AYC Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 09/10/18 NRO Total Coliform Negative I 100mL SM21 9223B A 09/10/18 NRO Municipality of Anchorage Development Services Department Building Safety Division E On -Site Water 8 Wastewater Program, 4700 Bragaw St. — P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us(907)343-7904 Page 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW070081 PID Number: 018-271-73 Name: ESTATE OF RICHARD GREER Wastewater System: ❑ New ❑ Upgrade Address: 4400 MANYTELL AVE. a ANCHORAGE. AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: C/O AGENT 5 O Deep Trench ■ Shallow Trench O Bed Olbund O a Other 5v4 "° ° LEGAL DESCRIPTION aPa/Sy. R ,( Q� R Deal to PM bottom hem Nlglma grade: Q \� Block: Lot: Subdivision: J 5 TIMBERLUX #3 �Sp� R FIX odd.e chow o.tyrw prede:G P Garel Mrgln: GarU .ten: �I�S�\� R Township: — Range: — Section: WELL: ❑ New ❑ Upgrade R R pyo nMrbh Closml'�ca,wl Pdgls. AB.G : \\ To:c..eao -v,`1�v n. R so. R DNhr: G e weld: slak War Level: ewtmlK. GEG Ltd. pole Mabel: I\5'(\\`\rL � C"ng heght Abere Ground. GPU R R TANK ■Septic 0Holding 13S.T.E.P. 0Othere SEPARATION DISTANCES T° Septic Absorption Ult Holding bsc/Prhate � � in t•Pa From Tank meld Station Tank 5". unn GREER 500 well too'+ — — — 25'+ haw/: STEEL h,mmbe. a eumprtmeas:2 Surface Water 100'+ — — — — LIFT STATION Lot Line 5'+ — — — — Sze In gabs: Uanut«torr: Foundation 5'+ — _ _ _ On INN a: Vmp ON a: hqm wOlr obrm 01: Curtain DrainNONE KNOWN P'""P hO"' Eharka bwPsotiwo prbrmed br. Remarks: OLD TANK WAS ABANDONED PER UPC BENCH MARK Leoauan w Dwcdpuon: BOTTOM OF CORNER TRIM ON NORTH—WEST SIDE OF HOUSE AqumW EUrauon: 100.00 R GEGr Ltd. Inspections performed by: Dates: 1st s/1/2o07 ENGINEERS SEAL 00000 2nd 6/5/2007 3rd O�Cij�. Development Services Department Approval .- p Conditional approval: Date: •• ••....•• DO P .J r G ness.- �O v• E-7 3 �O Reviewed by: and approved ate:��04p°dProfe rO reg Ston \ (RN. 4/0e) 4 �OO0000� PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: - SW070081 018-271-73 GARNLSS ENGINLLRING GROUP. Ltd p;'�' •--- ��--- ••---• CONSULTANTS 3 GENERAL CONTRACTORS ••---- ' • • • • 5M1 L TAM 0010. 9 101 • ARCHOPAOL AM O • F (001 ]!-41]4 • FAR (90r)5M " • s0l9R: Yw.ys. wYymn PREPARED FOR: IPHONE NUMBER: PACE NUMBER: ESTATE OF RICHARD GREER C/O AGENT 1 OF 1 OQ LEGAL DESCRIPTION: DRAWN BY: O� v TIMSERLUX SUBDIVISION #3t LOT 5. BLOCK J J.N.T. TYPE OF WORK: DATE: �01 AS—BUILT FOR SEPTIC SYSTEM UPGRADE 6/6/2007 (Rev. 01105) S'�001 ..ytr y A. Gar ss:' E 95 •bja .off' ��qa Of .91 tlo / t•• EXISTING ::• .'/. 43' X 3'I• ORAINFIELD----\ A B C ` STI 10.36 34.71 54.24 .•', t. •• ; ST2 20.393 38.74 156.215 MT • • " OBl1 23.22 3650T 33.04 // T•• Cr••••� DBL2 24.23 36.45 52.37 ..",.M1 T,:•''' •: ri NEW 1500 GALLON •i'�: .••. ;;•'+: i.^. SEPTIC TANK %' •' r' I ' INSTALLED DOUBLE • '- �'•..f•• CLEAN CUTSi�� �� 1 EXISTING A FOUNDATION / CLEANOUT \ / EXISTING S BEDROOM \ HOUSE \ .'y !Y � . •'.�� X00 � I I rye' ~:', 1 r•: �: � GARNLSS ENGINLLRING GROUP. Ltd p;'�' •--- ��--- ••---• CONSULTANTS 3 GENERAL CONTRACTORS ••---- ' • • • • 5M1 L TAM 0010. 9 101 • ARCHOPAOL AM O • F (001 ]!-41]4 • FAR (90r)5M " • s0l9R: Yw.ys. wYymn PREPARED FOR: IPHONE NUMBER: PACE NUMBER: ESTATE OF RICHARD GREER C/O AGENT 1 OF 1 OQ LEGAL DESCRIPTION: DRAWN BY: O� v TIMSERLUX SUBDIVISION #3t LOT 5. BLOCK J J.N.T. TYPE OF WORK: DATE: �01 AS—BUILT FOR SEPTIC SYSTEM UPGRADE 6/6/2007 (Rev. 01105) S'�001 ..ytr y A. Gar ss:' E 95 •bja .off' ��qa Of .91 tlo / INUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: SW0 — SW070081 018-271-73 TOP OF TANK AT INLET = 94.10 INVERT OF BUNG AT INLET = 93.64 FINAL GRADE = 98.94-99.48 ST1 ST2 /— TOP OF TANK 1 —, /AT OUTLET = 94.07 NEW 1500 GALLON SEPTIC TANK INVERT OF BUNG AT OUTLET = 93.32 GARNLSS ENGINEERING GROUP, Ltd. 4 y*� d -=mss••*• CONSULTANTS 6 GENERAL CONTRACTORS • •• •• ••••••• ••••••••• =1 L Il.WO FOV. 11FiC 101 • MCHORC.L Mf IF]01 . II[1( (907)=x'" • IMI (W)O ". 110511[ �pw.wwplwwMpean PREPARED FOR: PHONE NUMBER: PACE NUMBER: ••••••• ••••• ESTATE OF RICHARD GREER C/0 AGENT 3 OF 3 f G Hess:' LEGAL DESCRIPTION: DRAWN BY:O °O, C —195 •Q TIMBERLUX SUBDIVISION #3: LOT 5. BLOCK J J.N.T. TYPE OF WORK: DATE: �ODdPlo /aaefo�°ao AS—BUILT FOR SEPTIC SYSTEM UPGRADE 6/6/2007 �4000��0 (R.AIM5) MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW070081 Legal Description: TIMBERLUX #3 BLK J LT 5 Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: ESTATE OF RICHARD & BARBARA GR Owner Address: 4400 MANYTELL AVE ANCHORAGE. AK 99516-4117 Date Issued: May 30, 2007 Expiration Date: May 29, 2008 Parcel ID: 018-271-73 Site Address: 004400 MANYTELL AVE Lot Size: 52483 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 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. 5. The following special provisions. - (EMERGENCY TANK REPLACEMENT) - SEPTIC TANK INSTALLATION MAYBE LOCATED NO LESS THAN FIVE FEET FROM ANY PROPERTY LINE OR BUILDING FOUNDATION; TEN FEET FROM ANY WATER SERVICE LINE; ONE HUNDRED FEET FROM ANY SURFACE WATER; AND ONE HUNDRED FEET FROM ANY PRIVATE WELL: AND THE SEPARATION DISTANCES REQUIRED BY 18AAC72 FROM WATER SUPPLY WELLS. Received By. Date:t 3 Issued By. X 1C Date: Z7 ° \ Municipality of Anchorage • -•1 Development Services Department Building Safety Division ` On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www 907) 343-7 e.ak.us �•' v� (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 01 - (- 4 3 Property owner(s) ESTATE OF RICHARD & BARBARA GREER Day phone C/AGENT Mailing address 4400 MANYr LL Site address Zip Code 99577 Legal description (Sub'd, Block & Lot) TIMBERLUX SUBDNISION 03, LOT 5. BLOCK J Legal description (Township, Section & Range) N/A Lot Size 59_, UN J Sq.Ft. Number of Bedrooms 5 THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ 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. Permit/Rush Fees: 4- 1 %Jr SL�s l+ Waiver Date of Payment: 5 1 2n i o7 G Receipt Number: / k -763 (Rev. 11/05) Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. - ---". CONSULTANTS & GENERAL CONTRACTORS May 29, 2007 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Tank Upgrade for Lot 5, Block 1, Timberlux Subdivision To whom it may concern: An un -documented 1500 -gallon septic tank currently serves the existing 5 -bedroom house. We inspected the tank and confirmed it was 6 inches out of level. We are proposing to install a new 1500 -gallon septic tank in accordance with municipal standards. There are no surface waters within 100 feet of the proposed upgrade. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. ,.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Far: (907) 338-3246' Website: www.gamcsscngincering.com I I I I I I I 71MBERLUX S/D 13. LOT 12, BLOCK G I I I I I I 71MBERLUX S/D 13, LOT 11, BLOCK G TIMBERLUX S/D /3, LOT 10, BLOCK G 64? TIMBERLUX S/D #3, LOT 9, BLOCK G CSW ----------- MANYTELL --------------1----- 1 I I I I} I I AR� Vii; 0 ' C CPQ � m TIMSERLUX I/ I TIMBERLUX 4S/DOCK 13, \\ / }j ` �\ TIMBERLUX S/0 /3, I r S/OD 33, { I 1 �,. \ LOT G, BLOCK J BLOCK J I Iod-,Wim" / _-\ R►DNS I I I BEDROOM-/, I \ I i HOUSE / / --------- --------1 r— =------------ ' -- \ \ I I ^/ \\ \\ I I 64 \ \ I I �AERLA / \ \ I I TIMBERLUX S/D !3. N KINGS, LOT 4 \\ \\ i i LOT 7. BLOCK J I 1 100' WELL RADIUS \ \ I I I I S E: 6006 Oo4 JAI P�� gsppo GARNGSS LNGINGL'RING GROUP, Ltd. � .-.,--.v,.+......�-.CONSULTANTS30ENERAL CONTRACTORS �......•• • • . ••••• ......••• Al C TIOOR •]b. PIR 101 MC.dVLS. M• 10]01 I111.WC -�li F" (00 "" RMII[: mow. Yw„ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• •• •••• ••••••; ESTATE OF RICHARD GREER C/AGENT 1 OF 1 QQ a -.Je f E A. rness: a�0 LEGAL DESCRIPTION: DRAWN BY: 0 a TIMBERLUX SUBDIVISION 03, LOT 5. BLOCK J K.D.M. TYPE OF WORK: DATE. 4OQO4pOOOopo� DESIGN FOR SEPTIC SYSTEM UPGRADE 5/29/2007 (R.. 01W) GARNLSS ENGINEERING GROUP, Ltd. .. —�—... CONSULTANTS 3 GENERAL CONTRACTORS �•. •'"' """' """ [. ]MI G 110011 IN'O. }IR 101 • NIC1,011I M *VW7 • F.D.0 (907J55) I)l • I" (p,)SY " • X1 ' w..pn•ryYrY,asn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • •••• ......• ......•• ESTATE OF RICHARD GREER C/AGENT 2 OF 2Q y ., ff y Gar ess: LEGAL DESCRIPTION: DRAWN BY: CE -7 `Fo TIMBERLUX SUBDIVISION #3, LOT 5, BLOCK J K.D.M. TYPE OF WORK: DATE: �0�0�0of as 000��60 DESIGN FOR SEPTIC SYSTEM UPGRADE 5/29/2007 IRsv. 01N5) EXISTING •" •'•' '�••.• 43• X 3• t DRAINFIELD / .l:..•�.. Wr REMOVE EXISTING •;, �.�', •" ' 1300 TANK AND ;�; �,. ' •" ' ' REPLACE WI .: - �: ! '•' ; •. NEW 1500 GALLON / ': iSi••: s :: ��: .`y,', '�••: SEPTIC TANK ••' INSTALL DOUBLE i • '!,::; ' CLEAN OUTS, :., f, • ; EXISTING •. �.[•. \ FOUNDATION : •: •; \ ,.� CLEANOUT :.'1 • :, \ BEDROOM EXISTING S HOUSE �,,` • �w'� led If .r ' • . .i.•.- \ / I- - 40' GARNLSS ENGINEERING GROUP, Ltd. .. —�—... CONSULTANTS 3 GENERAL CONTRACTORS �•. •'"' """' """ [. ]MI G 110011 IN'O. }IR 101 • NIC1,011I M *VW7 • F.D.0 (907J55) I)l • I" (p,)SY " • X1 ' w..pn•ryYrY,asn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • •••• ......• ......•• ESTATE OF RICHARD GREER C/AGENT 2 OF 2Q y ., ff y Gar ess: LEGAL DESCRIPTION: DRAWN BY: CE -7 `Fo TIMBERLUX SUBDIVISION #3, LOT 5, BLOCK J K.D.M. TYPE OF WORK: DATE: �0�0�0of as 000��60 DESIGN FOR SEPTIC SYSTEM UPGRADE 5/29/2007 IRsv. 01N5) NAME LOCATION SEPTIC TANK: y.. GREA I .:R ANCHORAGE .AREA BORt .JIGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ILING ADDRESS DESCRIPTION PHON6/� / /_ 4.r/ DISTANCEc NUMBER OF FROM WELL_/O_e 7MANUFACTURER Re 6P- MATERIAL ^� a COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITVf'sd`GALLONS. p ' TOTAL LENGTH DISTANCE FROM WELL �rSL`L_FOUNDATION NEAREST LOT LINE �p� OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE _ ! �� r /�,,L DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE _EZ_ MATERIAL BENEATH TILE. iZ IN. ABOVE TILE IN. i WELL: // TYPE tlIfi CONSTRUCTION�SC'« C ,uC- DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION . LOT LINE . SEWER LINE_. TANK !Xfi SYSTEM Ila 6 / CESSPOOL OTHER SOURCES APPROVED// DISAPPROVED REMARKS DISTANCES: / .--- INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL:�'�`� LOT SLOPE: S REMARKS: Fo,m EQ -032 MI AC on RA nr CVCTCIU PERMIT NO. _10 a fD ,M LJr4I C I F"79 L_ I TY OF F=1 r-4 FA i` F Ci EE DEPARTMENT Ov HEALTH AND ENVIRONMENTAL F..JTECTION 2510 E. TUDOR RD., ANCHORAGE, AY,. 99507 5 276-2221 c) r4 I TE SEWER PERMIT C 76076 ) l5 APPLICANT LL"LLLI 7010 SHERWOOD ST 337-5922 LOCATION MR&P LEGAL L5 E:LY, J TIMBERLUX S/D#3 LOT SIZE 52489 SQUARE FEET TYPE OF SOIL ABSORBTIOM SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS = 5 SOIL RATING <50 FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: (. GEF lFh4= 14 L_EFdCiThF= Z12" CiFZFi%fEL E?EPTh1= ED THE LENGTH DIMENSION IS THE LENGTH (IFJ FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IFJ FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIFJ FEET). F<:EQU I RE[7 SEPTIC TFIM1IK iMf=lL_ _OMS BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERh1 I T k?FAL_ I I7 F= QR (DNC: VEFFR F= RCM I S�=IJE I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. E` I GREATER ANCHORAGE AREA BOROUGii W Departs nt of Environ-crtal Quality 3330 "C" Street n hnchorage, Alaska 99503 Performed for Mr. Art Mangenelli Date performed April 9, 1976 Legal Description This form reports: S 1 s og erco ation test y Depth Feet " 10 12- 13 2_13 - 14 — Has'ground water encountered? " " If yes, at what depth? Reading Date 65MK Time Net Time 27.56' ' ' 30.81 34.38 37.94 42.88 4D. Jb 47.38 49.25 51. l9 'Yerc01aL10n rate 22/3 minutes per inch Proposed installation: Seepage Pit''' " " Drain Field " Depth of Inlet Depth to bottom of pit or trench CWVINTS: Soil Analysis Drgviousl-v aerformed by another firm Performed By: Richard A. Drahn. P.E. Certified By: Richard A.Drahn Date: April 9, 1916 2- 3— 4_ .6_ ' 10 12- 13 2_13 - 14 — Has'ground water encountered? " " If yes, at what depth? Reading Date 65MK Time Net Time 27.56' ' ' 30.81 34.38 37.94 42.88 4D. Jb 47.38 49.25 51. l9 'Yerc01aL10n rate 22/3 minutes per inch Proposed installation: Seepage Pit''' " " Drain Field " Depth of Inlet Depth to bottom of pit or trench CWVINTS: Soil Analysis Drgviousl-v aerformed by another firm Performed By: Richard A. Drahn. P.E. Certified By: Richard A.Drahn Date: April 9, 1916 r-1 Lf rf I C I Q01 L_ ITV OF Rr4CT44COF4RGFEE DEPARTMENT 0 HEALTH AND ENVIRONMENTAL F ITECTION 2510 E. TUDOR RD., ANCHORAGE. AK 99507 276-2221 F.lELFL F" I T PERMIT NO.<78070) APT MRNGINELLI 7010 SHERWOOD 3375922 LUCH11UN MANYTELL LEGAL L5 BJ TIMBERLUX #2 LOT SIZE 0 SQFT MINIMUM DISTANCE FROM WELL TO ANY SEPTIC TANK/PACKAGE PLANT OR SOIL ABSORPTION SYSTEM IS 100 FT FOR A PRIVATEWELL AND 200 FT FOR A PUBLIC WELL. WELL LOGS MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR OM -SITE SEWERS AND WELLS AS SETFORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IN ACCORDANCE WITH THE CODE. _ "z S IONE................. ISSUED B........ DATE.. S. LEGAL DESCRIPTION r Lot 5 Block J Timberlux MUNICIPALITY OF ANCHORAGE \\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Androraee, Alaska EE501 ❑ Two XMt Five • 1 ❑ Three ❑ Six r ENVIRONMENTAL ENGINEERING DIVISION *ATTACH WELL LOG. A well log is required for all wells drilled Telephone 2644720 ❑ PUBLIC UTILITY REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on PON 1. Intwrnplau nx"mu will not be Proewasd. Pleese allow ten (10) days for processing. 1. PROPERTY OWNER � INDIVIDUAL/ON-SITE" PHONE n el i by this Department. 344-2839 MAILING ADORE83 PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE Richard Greer MAILING ADDRESS 12th Avenue 99504 Wat NDINOI STIT ION PHONE gage an 279-0665 MAILING ADDRESS 51 l REALT011lAOENT Doris Me Clurez- 6 3404 MAILING ADDRESS Century 21/Krenik Realtors S. LEGAL DESCRIPTION Lot 5 Block J Timberlux Subdivision #3 BEET LOCATION IL TYPE OF RESIDENCE NUMBER ❑ One ❑ Four ❑ Other 30 SINGLE FAMILY ❑ Two XMt Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY XZXX INDIVIDUAL' *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM individual/on-site, 197E � INDIVIDUAL/ON-SITE" If system is over two (2) years old an adequacy test is required If ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY • DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME 3 DATE DATE DATE C INSPECT14 INSPECTOR INSPECTOR DIRECTIONS- IRECTIONS:1. 1.TYPE OF RESIDENCE NUMBER OF BEDROOMS `}r7 SINGLE FAMILY ❑ ONE ❑ THREE 'R FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ry % Co 07 0 ,,,,,�CC C KNDIVIOUAL/ON -SITE DATE INSTALLED .g. ❑PUBLIC UTILITY Connection Verified INSTALLER I.DBeptic Tank or ❑ Holding Tank Size: 15 O O If Tank is homemade SOILS RATING give dimensions: O 0 TYPE OF TANK MANUFACTURER ,,TC^E I 2Ef.2 TOTAL ABSORPTION AREA MATERIAL 4911" 1 -r 2ahc,N 4. DISTANCES Septic/Holding Tank Absorption Area Siiiiiiiiiiir Linar Lootth� i WELLTO: 1t0 �q Absorption Are% to rwwast Lot Line _y t� N 5. COMMENTS p (� A cI1 J' ❑ APPROVED FOR _� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) /'7 P LEGAL DESCRIPTION l IFI MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274A561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: fie77fu e Mailing Address: — Day Phone C/ 3. Name of Buyer: le/GNA,2D . Mailing Address: 593 Id 7// Day Phone 4. Name of Lending Institution, C U"-) / iL4 / U - f --v ' 0"a30X /0200 3C7F! At 995/0Phone y(oS c=)%C/_O( Mailing Address:—QA)C,,Z1QE �o2/ CAJ7u�y Z kVCAlik 06�e/J ,ue 0 5. Name of Realtor or Agent: Phone 71� `370 Mailing Address: Z D7 Jr iii %/ /77 Qty L LC.K3 6. Legal Description: Location: 7. Type of Facility to be inspected: �.S/'V ULC 1:;9777/C No. Bdrms. 5 8. Water Supply Type of Supply: Public Utility Y Individual If Individual, number of dwellings presently served 0Ne5_ If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation lq-l& rAIM Individual (on-site) M;; ICIPALITy OF ANCHORAGc DEPT. OF HEALTH & tNVIRONMENTAL PROTECTION EQ -037 OnM f.i.4Y j 1976 RECEIVED v Qf Anchorage E�(tfnicipaEity ;; r t � •. Development Services Department >.,. Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street 1 SSU P.O. Box 196650 Anchorage. AK 99519-6650 \f ^ www.muni.org/onsit/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING j Parcel I.D. R Expiration Date: 7. GENERAL INFORMATION TIMBERLUX SUBDMSION 3 LOT 5 BLOCK J Complete legal description 4400 MANYfELL AVE •ANCHORAGE AK 99516 Location (site address) Current Property owner(s) ESTATE OF RICHARD k BARBARA GREER Day phone 4400 MANYTELL AVE • ANCHORAGE AK 99516 Mailing address Day phone Lending agency Mailing address JACK WHITE Day phone 762-5863 V Real Estate Agent SHARI BOYD w/PRUDENTIAL • ANCHORAGE AK 99503 3801 CENTERPOINT DR. 1200 Mailing address COSA will be held by DSD for pickup. Unless otherwise requested, 2. NUMBER OF BEDROOMS: 5 TYPE OF WASTEWATER DISPOSAL: 3. TYPE OF WATER SUPPLY: Individual On-site Individual Well Individual Holding tank ❑ Individual Water Storage community On-site Well ❑ Community class Public Sewer O Public Water System given in paragraph 4 by an independent professional civil The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of on -Site Systems Approval (COSA) based only upon the representations g' Approval are required for the transfer engineer registered in the State of Alaska. Certificates of On -Site Systems of title (except between s em. DSD also issues COSAs upon request que tby a i to homeowners. nglet Certificates of On Systems water supply sy a private or Class C well and may Approval are valid for 90 days from the date of Issue may properties for a period of up to one year with valid water be reissued with new water samples. (Certificates may professional engineer's work. samples.) Certificates asible for errors or omissions in the p re valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not respon 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify he t 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) sale, functional and adequate for the number of bedrooms and type of structure Indicated herein. l further verify that based on the information obtained from the Municipality of Anchorage (les and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SURE 101 t 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 idonlifiable 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 systom. Satisfactory fest results do not guarantee future performance of the SYS or nor do they guarantee that there are no hidden detects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the systom 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 conlorany legal right whatsoever. 5. DSD SIGNATURE Phone 337-6179 Date Q/I(. c>� Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the Mowing stipulations: Attachments: ................... A. Gayness, f79�3 f Y O01 . �:• ON-SITE • •• �v WATER AND m= WASTEWATER o: PROGRAM COSA Checklist L/ Septic System Advisory Arsenic Advisory Well Flow Advisory Maintenance Agreements Nitrate Advisory Supplemental Engineer's Reort Other By: Original Certificate Date:= (Rev. I IM5) — , 1 i � • III Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the Mowing stipulations: Attachments: ................... A. Gayness, f79�3 f Y O01 . �:• ON-SITE • •• �v WATER AND m= WASTEWATER o: PROGRAM COSA Checklist L/ Septic System Advisory Arsenic Advisory Well Flow Advisory Maintenance Agreements Nitrate Advisory Supplemental Engineer's Reort Other By: Original Certificate Date:= (Rev. I IM5) Municipality of Anchorage Development Services Department Budding Safety O"Im On-Ske Water & Wastewater Program 4700 Bragaw St- P.O. P.O. Box 1965M Ar4hMV, d 9519650 AK 9 www.d.andwM (90T) 343-71104 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: TIMBERLUX SUBDIVISION 3 LOT 5 BLOCK J Parcel ID:�1– 73 A. WELL DATA Well type PRNA "BASED UPON SURROUNDING WELL LOGS. (ATTACHED) Well Log If A. B. or C provide PWSID# _NJA Date completed1-�— Sanitary seal (YIN) YES Total depth 91 + ft. Cased to 040+ ft. FROM WELL LOG Date of test _ 130 Static water level .I1��'� ft' NO Well production g p m Wires properly protected (YIN)!E_S Casing height (above ground) 12+ In. AT INSPECTION 5/1/2007 80 ft. WATER SAMPLE RESULTS: Nitrate O.l l mg./L. Coliform — colonies/100 ml. Date of sample: _9Z 10 2007 Arsenic: ND ugJL. B. SEPTICIHOLDING TANK DATA Tank Typelaterial STEEL M Tank size 1500 gal. Number of Compartments 2 Foundation deanout(Y!N) YES Depression over tank (YIN) NO Date of pumping -- NEWPumper__� azsT2906ci I C. ABSORPTION FIELD DATA 1 � Soil rating (g.p.d.�'o�-- Date installed �-- Width 3 ft. Length —ft Total depth 8.3 g.p.m. Other bacteria __Q_—c0l0nies/100 ml. Collected by: GEG Ltd. Date installed 6/1/2007 Cleanouts (YIN) YES High water alarm (YIN)N_ 1� System type TRENCH Gravel below pipe Eff. absorption area 500 fe Monitoring tube YES Date of adequacy test 5/3/2007 Results (PasslFail) PASS Fluid depth in absorption field before test 14.5 in. 160 n Water added 625 gal. Final fluid depth 33.5 in. Depression over field NO For 5 bedrooms New depth 40.5 in. Absorption rate >= 7�—g.p.d. Elapsed Time: _ mr NONE KNOWN If Yes, give date -- Any rejuvenation treatment (past 12 Mo.) (YIN & type) NOTE: PRESOAKED WITH 1600 GALLONS ON 5/1-2/2007 I D. LIFT STATION Data installed "Pump on' level a Datum E. SEPARATION DISTANCES Size in gallons Manhole/Access (y/ii!11,11 "Pump ofP leHigh water alarm level at in. Cycles tested_ Meets alarm 8 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank lift station on lot1 Q0+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line2� 5 + Animal containment areas 50 + On adjacent lots 100'+ On adjacent lots Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 + _ Property line 5'+ Water main N/A Absorption field 5'+ -� Water service line 10'+ surface water ---___l 00'+ Wells on adjacent lots 100'± SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage '0' Curtain drain --NONE KNpWN Wells on adjacent lots 00'+ F. COMMENTS ASSUMED G. ENGINEER'S CERTIFICATION �.F •.. I Certify that 1 have determined through field jimpact/ons and review of Municipal records that the above systems are in i• • • • .... • conformance with MOA COSA guidelines in ef/ect on this 9 .. .... date. Engineers Printed Name JEFFREY A. GARNESS p f . ... . ... Date s.. . 79 • • r S �26 %� A+,� Aj a' 4s a II - pror•..wod COSA Fee S Waiver Fee $ Date of Payment Data of Payment Receipt Number (Rev. I I/X) Receipt Number. 8 9 Municipality of Anchora r 8�'�o On-Site Water and Wastewater Program ffOCT 2 2 2018 \ (907) 343-7904A F ET Y Certificate of On-Site Systems Approv °i 6 e L,9 C.>h Parcel I.D. 018-271-7Q Expiration Date: ( r; 1. GENERAL INFORMATION: Complete legal description Timberlux#3: Block J, Lot 5 Location (site address) 4400 Manytell Ave*Anchorage,AK 99516 Current Property owner(s) Bill Harbin Day phone 345-0123 Mailing address Real Estate Agent Day phone • 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) [ RfirtciJ/jr ❑ Duplex a ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System 7 0 Public Sewer ❑ %I WaiverNariance request for. ,7 / Distance: / Received by: Date: 10 ia le COSA to be released to the ertgin4e/unless otherwise requested by the engineer. COSA Fee $ (lag .(oD Waiver Fee $ Date of Payment /6(20/ Date of Payment Receipt Number 6.9-53g5 ) Receipt Number COSA# oar 1?16L4 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gayness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road,Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: Y, In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o V r C 4pN in accordance with the guidelines and regulations established by the Municipality of Anchorage and ` . �,.••• 111.......1 industry practices. The reported results describe the condition of the system/s on the date/s of the a P••• j .•s��l evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �� 8._ -► UVA encroachments may exist that were not identified during the evaluation. The operational life of all wells / 1 * • lig-�r& •f v0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, (g /, v groundwater levels (that may fluctuate during the year), quality of construction (materials and \4 / VA workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the y, -ff ey A. Gar ess; G system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of k/Alg 9' •• CE-79 ;3 G� the well or septic system. GEG makes no representation whether an alternative well or septic system a 0(s e. ��/ /c. •..A�c�G can be installed on the property in the event either of the current systems fail to perform adequately in , the future. The content of this report is for the sole benefit of the person/party that retained GEG to ��� 0pr�`ess on°ao perform the evaluation. Reliance upon the information provided in this report by any other person or \OOOOoo= party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for __ bedrooms System #2 Approved for bedrooms \�Y 0I '`QVC Disapproved C .' 'SU for bedrooms, =�` Conditional approvalON-SITE ��; with the foll�vincf��IRty� o WASTEWATER oz ".ice PROGKAMfi: ���SER\I\c' By: \ t^- 'Iq Original Certificate Date: / 0 " '--[S) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: TIMBERLUX#3; BLOCK J, LOT 5 Parcel ID: 018-271-73 `PER GEG INSPECTION A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1976(?) Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *91.2+ ft. Cased to UNK ft. Casing height(above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 9/10/2018 Static water level �E� �\-OG ft. 86 ft. NO Well production g.p.m. 4.9+ g.p.m. WATER SAMPLE RESULTS: Coliform NEGATIVE colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: `5 ug./L. Date of sample: 9/10/2018 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 6/1-5/2007 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9/25/2018 Pumper ISAACS PUMPING C. ABSORPTION FIELD DATA `BELOW FINAL GRADE NORTH & SOUTH Date installed 10/16-18/2018 Soil rating •.p.d./ •r ft2/bdrm) 0.6 System type SHALLOW TRENCH Length 2 @ 63 (126 TOTAL) ft. Width 5&5 ft. Gravel below pipe 4.03&4.04 ft, Total depth *7.9+ ft. Eff. absorption area 1260+ ft2 Monitoring tube YES Depression over field NO NEW Results (Pass/Fail) PASS For 5 bedrooms Date of adequacy test Fluid depth in absorption field before test - in. Water added - gal. New depth - in. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) NEW If yes, give date• - INFORMATION ON 1976 TRENCH (CONNECTED AS RESERVE SITE) IS IN MOA RECORDS D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at '• wa er 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 lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 5'+ Absorption field 5'+ Water main 10'+ 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 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage *10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *1976 TRENCH MAY BE UNDER PARKING AREA .•••%%%aviI, • G. ENGINEER'S CERTIFICATION • * : I certify that I have determined through field inspections and • . • �• \*•�• review of Municipal records that the above systems are in •• • conformance with MOA COSA guidelines in effect on this -. . • • date. ...• • : of r= • ess::�� Engineer's Printed Name JEFFREY A. GARNESS • CE/-795 : Date i4a2 1 - D�"%t' Z • • LICENSE II „S`��4,4•• #AECC884 (Rev.10/12/12) MANYTELL - AVENUE �►s1s OF BEARING \ 0 589.56'36"W 175.00' 0 MB R'.�;; LOT 5 c•-•I F nn/h^1nA1 1.205 Acres JV�L/IYIJ/V111 ipnccrl A"Mr-rink, T�c OT Z No. J \ 1d /1T jI �T h L. • v I 'r pAVEO DRryEWAY -� \ L.LI r ,J WALK 3. o 0i 2nd $ <., m OVERHANCR2.0' ® 5 •6,/ m DECK P1 CX1517NC _3J ' �I. 5/NCLE STORY Z ^x/42..9' �• IiP,�PORCH ; WOOD FRAME is / ro HOUSE 17.4 /,as IN f LEGEND W/&15EMENT „9.2' ,Oh� "a K it 0 v FND/SET 5/8" REBAR of DECZ a* eb UTILITYPOLE a WALK 8 TELEPHONE PEDESTAL ; DECK 2NEWAY es SEPTIC RISERS • • P 28.9' r �� ^�Ep p w i o e SEPTIC CLEANOUT o c„Illy . © WELL z 0 ie ves c Cy1RACC I �i e. dr VEL L us .�•.. oE— OVERHEAD ELECT. 4• •+ GUY ANCHOR CRCCNHOU5C DECK ,_ ----- -10' —10' WIDC X- WIRE FENCE ^ unary CASMENT EASEMENT —ere ) I— — — S89.57'11W 175.00' o I i 10' W10C UTl1JTY CASEMENT : I /1T _ L.VY /r AS BUILT SURVEY --,,, I hereby certify that I hove, or someone under my supervision ..._ A44 1''♦ hos, surveyed the property described os: • • •• s LOT 5, BLOCK J, TIMBERLUX SUBD ADDITION No. 3 /�,`P' • „f�•''•�yj SW 1/4 SEC. 34, T12N, R3W f* ;491a A` •• *0j SEWARD MERIDIAN, ALASKA /71,4.4-.1•40/4414,40-0 I ANCHORAGE RECORDING DISTRICT / 1,4.4.1•40/ ,.A+w—/ / MiCHEAL P FRAME / Monuments hove been found and/or set os indicated. The 0.6").• LS 6093 improvements siluoted thereon ore within the property lines and ,;/ (D-2-f$•.'� 4 do not encrooch or overlap onto odjocent properties, nor do ony $.Y8y �� • improvements from adjacent properties encroach or overlap onto �, ss�to.•• this property, except as indicated hereon. ,11110116— Th• property dwnensens shown n parenthesis ore Iron, the record plot end ore not necessarily Oe we may have measured Additional data shown hereon should not be construed to 'raptor Or resubdmda any properly end is shown for information only Drafting and reproduction 0 25 50 75 100 may produce graphic econsrstencies, therefore scaling should not be attempted to determine unmown Ornensicns Only easements from the I I I I 1 recorded subdnw vn plot noted above ore shown nereon and it is the t t 1 1 1 responsibility of the owner to determine if any other easements, SCALE covenants, or restrictions exist This document is outhorlied to be used for one real properly tronsoction Micheal„f Q Fie or project only My copy•s to be considered unauthonied unless it P. aeras on aped surveyor.$signature (usually in blue ink) or a stomp P.O. Box 770417 Shoeing recorder s office data Lending institutions may moire odditionol EAGLE RIVER, ALASKA 99577 copies for tinea own records nobility to 1richee P Frome,P1.5 is limited (907) 444-6077 to tees received for this project. FIELD w0r1X DATE. Sept. 22. 2010 PARTY()REF. 1IPF FIELD BO((: NA PLOT SCALE_ 1'•50' MeyerOAT( 0c1 71 7n1A MAIM ee slot Merl. N• nee u•ur. A.I0..11, 1110 un IS.nn, Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE-FAMILY DWELLING Parcel I.D. o1 _ 2_:N- -=y3 COSA# OU R l 12 1. GENERAL INFORMATION Expiration Date: 1 -a I - 0 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address TIMBERLUX SUBDMSION 43 LOT 5. BLOCK J. 4400 MANYTELL AVE • ANCHORAGE. AK 99516 ESTATE OF RICHARD k BARBARA GREER Day phone 4400 MANYTELL AVE ' ANCHORAGE. AK 99516 Day phone SHARI BOYD w/PRUDENTIAL JACK WHITE Day phone 762-5863 3801 CENTERPOINT DR. 4200 ' ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: S 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional 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 Address 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. 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 & 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 idontifiable features. The operationallife 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 lost 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 otherperson or party is not authorized, nor will it conferany legal right whatsoever. 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory bedrooms. 337-6179 Date 6/11/07 bedrooms, with the fllowing stipulations: Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other By: 0=. — � �� Original Certificate Date: ra.,.. nosl PROGRAM R . • 's Municipality of Anchorage •. • Development Services Department Building Safety Division ,. On -Site Water 8 Wastewater Program j 4700 Bragaw Street P.O. Box 19WW Anchorage. AK 9951986W www.muni.orglonske (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description; TIMBERLUX SUBDIVISION #3, LOT 5, BLOCK J, Parcel ID: d 1$ -2 7 I -79 A. WELL DATA 'BASED UPON SURROUNDING WELL LOGS. (ATTACHED) Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) NO Date completed ^1976 Sanitary seal (YIN) YES Total depth 91 + ft. Cased to '40+ ft. FROM WELL LOG Date of test OG L Static water level O *00- ft. Well production N g.p.m. WATER SAMPLE RESULTS: Coliform _ 0 oolonies/100 mi. Nitrate 0.122 mg./L. Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 5/1/2007 80 ft. 8.3 g.p.m. Other bacteria 0 eolonies/100 mi. Arsenic: ND ug./L. Date of sample: 5/1/2007 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Materiel STEEL Date installed 6/1/2007 Tank size 1,500 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 6/8/1976 Soil rating (g.p.d./tt'ort t /bd100 System type TRENCH Length 43 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 8 ft. EfF. absorption area 500 ft' Monitoring lube YES Depression over field NO Date of adequacy test 5/3/2007 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 14.5 In. Water added 625 gal. New depth 40.5 in. Elapsed Time: 180 min. Final fluid depth 33.5 In. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 8 type) NONE KNOWN If yes, give date NOTE: PRESOAKED WITH 1600 GALLONS ON 5/1-2/2007 D. LIFT STATION Date installed "Pump on" level at —in. Datum E. SEPARATION DISTANCES Size in gallons Manhole/Access (Y/N "Pump off" High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property lure 10'+ Building foundation 10'+ Water main N/A Water service fine 10'+ Surface water 100'+ Driveway, parking/vehicle storage '0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *ASSUMED G. ENGINEER'S CERTIFICATION I certify that I have determined through Held inspectkm 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 e1„/I COSA Fee s `fes -UO Data of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number R r I 71-240 TIMBERLUX SUBDIVISION, ADDITION NO. 3 LOT 51DSBALOCK J AIANYTELL AVENUE A S —tl U I L I ' HERa'r CMIFY THAr I WtK SURVEYED THE PROPU M DD'ICMD AB7+E AND 7W NO CASTALDI IAND ENCROACHMENTS DaST EXCEPT AS mDKATED. SURVEYING. LLC R 6 THE RM-ON98Rftr OF TI¢ WNCR 70 Jur A GISTALDI. R.LS OETERUmE M Dm7ecE Of Amy EISEMENTS. 4716 NMT BBTH AVENUE =jL, A.IIs OR RCSTRICT*MS WWCH DO )CT ANCHORADE. ALASKA 00502 Appm ON rNE RECORDED susoN* dl MT. PHONE 2b-5454 UNDER NO COKMMSTANQS SHOULD AMY DATA Op9 y,R HER -R RE USED rOR CONSTRUCrON OR rOR 3136 4/1 qrt MABUSM40 BOImDAT' OR MICE UNEi ANCHCRACE REXROINC DtM'-T. XAS" ra- NDTE: 00 coRNo+s scr T1U5 DATE ��, 49LY 6toast** 4 ,SO 1