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HomeMy WebLinkAboutKENO HILLS #6 BLK 2 LT 6Keno Hills #6 Block 2 Lot 6 #020-171-36 Municipality of Anchorage Development Services Department ° Building Safety Division On -Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage. AK 99507 Page of www.ci.onchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW070086 PID Number 020.171-36 N.n. Kevin Brandon Wastewater System: ❑� New ❑ Upgrade AEa s 17500 Spain Drive Anchorage, AK 99516 ABSORPTION FIELD Pnorr Nl a9ameenn 4 O Ds.p Trod 51 Smioe'r oo O BW O Mane O Doan LEGAL DESCRIPTION SWR&Wa Tar Dem can m'nr a.w 1.2 Gpwe 10.0 F, Bl 2 la 6 Sw Vw Keno Hills No. 6 D.pm m Pp. txRXx eenl alp.w Tao. Gnw m o op...m Fps 6.0 Ft. 4 Ft Torwp Rope stie FA a mcl aeo.. onanal Wom Gnnl Lopm 0-1 Ft. 50 Ft. Well: ©New ❑Upgrade Grnowam Ol.ana eMw.. Mrs s Ft. Fl cia.rK+lp^ (Pr Me A e. C) TOM" DSM. Cale w Tcxei w arpaal oae Pp Mstom Private 226 F, 57 FL 500 Ff IASTM D3034 PVC Dro4r Dae D w sac wait, L. Imaw q1. IbWlq Alpine Drilling 5/29108 54 FL Red Dog Excavating 10/18/07 Ylao 4 PWV SMa c"ng mgntA Grua TANK GPM 210 Ft. 2 FL SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LM Holding lubiePrivite °1 y From Tank Field Station Tank sewer Uta Anchorage Tank 1,250 GM Maim Nu V cwrf 1.nIF w.a >100' >100' >100' N/A >25' Steel Two (2) 5ur.cawow >100' >100' >100' N/A LIFT STATION Sze W" La LM >5' >10' >5' N/A GM 'P.mp W. iay.l K 'Puny ar I a Hpl..W M.m al Foumoan >5' >10' I >5' N/A w w in Caton bran None Noted Puny MaeA Moen Ei. Inp. ,pM pr Ramous Additional Grading Required In the Spring of 2008 Over _ BENCH MARK 1=11MA ole D..alPscn the Septic Tank and Absorption Trench. _ Lowest Level Concrete Slab. wnlaa vaLal Fl Inspections performed by: A. Harala : 1 .,. Dates: ,1" 10/18/2007+'� y�10,0..�0 QF _ ��3e�, 'ft.....e.., ,., •'4s�O,, 2ne 10/1812007 a r\p`a•• ` Development Services Department Approval : 49� ';* *,: Conditional Approval Date: ......».... ....... .. WO MICHAM E ANDERSON: v - Plcf� t�-4381 11114A ,� ..•���'� RReeviie�wed and approved by: ( Date: 0 N O f7 Q O Z N � N �t . ,Z9'*Lt M.Sf,t0.00 N •.c9,oE:j v OOi �7 n 2 , W� J m yQo: aLU s pq y Y < L) i I a tLj ! /1 mint M W C W a H U a M Z W d Z Z ��R 3nmr w o N Q. O W Oy o ' N z Y G r) U S® p OL: 00 n �HW NW V / n v xo x= J (D s �� to a O QnA • •..� , N O J -- .. ----------------------- 1— • ins3 -iun .o: ••• Yt �1 z •96'60Z 3.62,90.00 N : • . �'••.•i�1� L: L.L. � z 0:a e� Z o�? �• �i o• I alms Permit Number. SW070086 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report 4.3 88.9 ry UU f0 N 1,250 Gallon Septic Tank 841 Page 3 of 3 PID No. 020-171-36 n s U No Groundwater 10/13/07 PROFILE AS -BUILT No Scale ' 49th MICHAEL E. ANDERSON 796 1- 2- 3- 4- 6- 7- 8- 9- 10-. 1.1- 12- 13- 14- 15- 16- . 17- .18- 19- 20 - COMMENTS WAS GROUND WATER I ENCOUNTERED? N s IFYES, AT WHAT DEPTH? Depth to Water After o q P Monitoring? E Dater Reading Date Gross Time Net Time Depth to Water I Net Drop Municipality of Anchorage � y�NCtraE� Development Services. Department'~•':.i,��,•, - w 4 g Building Safety Division4 g:TH� 13.5- On -Site Water and Wastewater. Program 4700 South 6ragaw St. q;. ,',°°•� •,,, ;:e.... iy:Zv P.O. Box 196650 Anchorage, AK 99519-6650 wvAw.ci.anchorage.ak.us °°.'e •.......�...........••.. -.MICHAEL E, ANDeRSCN (907) 343-7904 Q rr . CE - 4381 Souls Lo Percolation Test 9 - 74 Mrd Ft p°°•°° tN, �' FESSS ��� Performed For. /2. ;�Q• Date Performed: Legal Description:/'�151�Q f L�N Township, Range, Section:, _ l�,9T&I Pt 'L Slope,- pthet) F �— 1- 2- 3- 4- 6- 7- 8- 9- 10-. 1.1- 12- 13- 14- 15- 16- . 17- .18- 19- 20 - COMMENTS WAS GROUND WATER I ENCOUNTERED? N s IFYES, AT WHAT DEPTH? Depth to Water After o q P Monitoring? E Dater Reading Date Gross Time Net Time Depth to Water I Net Drop 0 1 o.-1<, I - w 4 g 13.5- iy:Zv 30 q: 55 3,0 /2. PERCOLATION RATE 5•cV (minuleslnch) PERC HOLE DIAMETER TEST RUN BETWEEN . 0 FT 'AND r% FT PERFORMED 6'1': I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAU GUIDELINES IN EFFECT ON THIS DATE. DATE: Depth (Feet) 1- O (� 3- 4- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- . 17- 18- 19- 20- COMMENTS ®l/ WAS GROUND WATER I ENCOUNTERED? jV s IF YES, AT WHAT DEPTH? L Depth to Water After o Monitoring? 00 PE Date: IO IL 01 P I Reading Date Gross Time Net Time Depth to Water Net Drop Municipality of Anchorage Development Services. Department ••� zg.5 Building Safety Division x$ .4.9T;-1=';� ' ® a� On -Site Water and Wastewater Program 4700 South Bragaw St. V... . ... ..... 1A Z7,-7 P.O. Box 195650 Anchorage, AK 99519-6650 `"� : MICHAEL E. Www.ci.anchorage.ak.us (907) 343-704 ANDERSON :� • CE 4381 ' rl ,• _� 1Y;5 C,b �m /Z ►2 Soils Log - Percolation Test �,�'•°•''•�ti:`� FESS1 a Performed For. w145. Date Performed: Qj � t b Legal Description: V- / O ��'� A17-1 t2 tel Township, Range, Section:, 11 4P / �L1� Slope Siie Plan Depth (Feet) 1- O (� 3- 4- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- . 17- 18- 19- 20- COMMENTS ®l/ WAS GROUND WATER I ENCOUNTERED? jV s IF YES, AT WHAT DEPTH? L Depth to Water After o Monitoring? 00 PE Date: IO IL 01 P I Reading Date Gross Time Net Time Depth to Water Net Drop v tai 13=23 f•3 :34 �2L zg.5 Z.2 y G � 1A Z7,-7 9 1Y;5 C,b 24'.1 /Z ►2 S � PERCOLATION RATE(minutesfinch) PERC HOLE DIAMETER , TEST RUN BETWEEN & FT 'AND —(,,S FT cs PERFORMED BY: I 'CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:. MwA7RON :Alpine Drilling FAX NO. :907 345 0202 Nov.12 2008 03:5GPM P1 In - L I11"NIE DRILLING& ENTERPRISES Permit Number: #SW070086 Date of Issue: 5-31-07 Parcel Identification Number: 020020 Date Started: 5-28-08 Date Completed: 5-29-08 Is well located at approved permit location? ® Yes ❑ No Legal Description: Keno Hills #6 Block 2 Lot 6 Property Owner Name & Address: Kevin Brandon 200 W. 340 Ave. #232 Anchors e, Alaska 99503 Borehole Data: Depth (ft) Method of Drilling-® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .025 inches gravelly silt 2 49 Diameter: 6 inches Depth: 57 feet silty gravel 49 bedrock 52 52 226 Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 54 feet Pumping level: 226 feet after 2 hours pumping 4 gpm Recovery Rate: 4 gpm Method of Testing: airlift Well Intake Opening Type: ❑ Open End ® Open Hole WATER QLJALITY TESTING ❑ Screened Start feet Stopped feet F1Perforations Start feet Stopped feet Golifbrrr: Me rA Gol/100mL Nitrates lUD mgJL Arsedc NP gag/L Grout Type: bentonite granules Volume: 2 — Depth: Start 0 feet Stopped ?feet Pump: Intake Depth feet Pump size _ _ hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises P.O. Box 910496 Anchorage, AK 99511-0496 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Development Services Department within 60 days of completion. MEN 11/13/2008 09:45 FAX 9075625449 Alaska Pump & Supply fdj001 on Kov.l?. 2008 9:44AM anderson engineering NO -6468 P. 3 %E Development Services Deportment Building Safety Division On -Site Water & Wastewater Program *AC 4700 Elmore RoadP.O. Box 196650A4vrkBegkhAnchorage, AK 99507yor waw mun--°"°/°roue . (907)343-79N Pump Installation Log Well Drilling permit Number: 5a' 07601 5= 3/ro 7 Date of Issue: Parcel Identification Number:.Q't - 36 Lot G, [3/O c KPr opera rNameStAddrcs3: # Pump ]nstanatioa Date:fla 0-2/0 9-- Pump Intake Depth Below Top of Well Casing::1) Q feet Pump ISfaaufaeturer's Name: (�-/ 5 ru H CLfo Pump Model / s .SQ E /0 _A 5-0 Pump size / hp Piths Adapter Burial Depth: // feet Pidess Adapter Manufacturer's Name: C IJ --b 19-0-475 Pitless Adapter InslaDern ;TQroc,✓ Auk 9 ��ll S'eral(le- WeD Disinfected Upon Co pletion7Z ye, �] No Method of Disinfection: 7P� rc Comments: Pump Installer Name: /to ro W f 41v 9 W,6 9072-31/6-1355- Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 )\II�o \'\pk�4p V ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: May 31, 2007 Expiration Date: May 30, 2008 Permit Number: SW070086 Parcel ID: 020-171-36 Legal Description: KENO HILLS #6 SUBDIVISION BLOCK 2 LOTTO Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 17700 SPAIN DRIVE Owner Name: KEVIN BRANDON Lot Size: 104043 SO. FT. Owner Address: 200 W. 34TH AVE #232 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99503 - 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. 9�,desS N P4 JE 1) &1 ( I Zoo -4 2Cvieviecl attic/ AJCrR"Ued VV/ vvV — Rcej.-, w. (;a1;0 �t , (lip W , zit , PievvewCD EN'D llpfQWCo U Received LI � Date: S �� Issued By. Date: 1 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020.171-36 Property owner(s) Kevin Brandon Day phone Mailing address 200 W. 34th Avenue No. 232 Anchorage, AK Zip Code 99503 Site address 17500 Spain Drive Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Lot 6, Block 2, Keno Hills Subdivision Addition No. 6 Legal description (Township, Range & Section) Lot Size 104.043 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field Septic Tank (] Holding Tank ❑ Privy ❑ Private Well El Water Storage ❑ Number of Bedrooms Four (4) THIS APPLICATION IS AN: Initial Upgrade ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: X6460 44175 Waiver Fees: Date of Payment: 97AS/(%7 Date of Payment: Receipt Number. a y%301 )DAMI Receipt Number. (Rev. 11)05) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX May 18, 2007 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 6, Block 2, Keno Hills Subdivision Addition No. 6 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 6, Block 2, Keno Hills Subdivision Addition No. 6 intends to construct a new four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new well and septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the proposed well and septic system along with the alternate site. Existing wells and septic systems in the area are also shown on the attached plans. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test holes placed on the lot in the area of the absorption trench and alternate site were placed in May of 2005 at the wettest time of the year by Steven R. Pannone, P.E. These holes indicated poorly graded gravel with silt (GP) material. The percolation rate of the soil was determined to be 2 minutes per inch. No groundwater was found during the placement of the test holes but was noted at 13' below the surface during the monitoring period. The owner has requested an Advantex Treatment System be installed on the lot. An application rate of 4.0 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new four-bedroom Advantex Treatment System with an add on lift station and a 25' long by 5' wide by 2' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 4.0' below the surface and the total depth will be 6.0'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. The ground surface on the lot in the area of the absorption trench slopes to the west at 10%. The new trench will be constructed parallel with the slope as much as possible in Lot 6, Block 2, Keno Hills No. 6 May 18, 2007 Page Two conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' from the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments 4 2 2 �O ` 5 r, r rr Y 1 6 D Z I✓/ O Y. < ROSEMONT 10 7 �= �• � AREA ........ • 49th MAP SCALE V = 100' ..'...�- r... .......1 r" : MICHAEL L ANDERS@I:: � SPAIN DRIVE N 00 04' 45" W 114.82 L = 30.63 197.60 i L = kS. € Lo g$g$ jEg GI \ S2 d 5 3 _ l "y 61f0 Z N J u + �- Z Y .. n �U� Qh L) 3 J W V Q m " O • N F_- o to o N (/� J J CO " � col/ � O .� p z O O Lil s V 2 - ______ J ------------ L_________________aRii 3. Ol ••••fir \\\', 66'60Z 3 "6Z 00 N •• • : • !� 4�.. ,90 �jL� • •�16- v •'' e 2 LOT 6, BLOCK 2, KENO HILLS SUBDIVISION ADDITION NO.6 DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home 5' Wide Pressurized Trench System Perc. Rate: 2 Min./Inch Four Bedroom Advantex Treatment System Application Rate: 4 GPD/SF 2' Drainfield Rock 4 Bedrooms' 150 GPD/Bedroom = 600 SF Absorption Area 600 SF/4 GPD/SF/5 SF (Width)'.7(Red. Factor) = 21 LF Trench Length THEREFORE: Construct A 25' Long x 5' Wide x 2' Effective Depth Absorption Trench. Flow Line Elevation in Trench to be at 4' Below Original Ground Surface. Total Depth to be 6' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. NOTE: Natural Backfill 3'6" 6" p 2- 51 Geotextile Fabric 1" Perforated PVC (Hales Down) 3/16" Holes @ 1.0' Spacing Drainfield Rock CAL 5r WIDE TRENCH SECTIO"t Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 200' Separation From Public Wells in the Area. Minimum 1 00'Separation From Surface Water or Streams. Minimum 10' Separation From Water Services. SOILS LOG - PERCOLATION TEST ... ............�0 PANNONE ENGINEERING SERVICES . �j. P.O. BOX 102954 ANCHORAGE, AK 99510 i •••• ••• •• • ••••••••••••i•••••� (907)272-8218 _• • Steven R. Pannone PERFORMED FOR: Kevin Brandon �j CE 8149 DATE PERFORMED: 5-11-05 ��+L'z��••••�•�,�� LEGAL DESCRIPTION: Lot 6 Block 2 Keno Hills SID \I4�1C3'� TEST HOLE 2 SLOPE SITE PLAN 1 OR Organics i 2 3 BROWN SILTS 4 i i S � �TX2 i C 7 6 GP Gey Silty 8 GRAVEL BM i SAND with TH I 9 cobbles TEST 10 HOLE L-_ 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N BOH 15 IF YES, AT WHAT TH 2 16 DEPTH? -0'- 17 DEPTH TO WATER AFTER MONITORING? •3' 18 DATE: 5-20.05 19 READING DATE CLOCK WATER 20 PEROLATION RATE 2.1 (minAnch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 6 FT AND 7 FT COMMENTS: Test hole excavated by Dave mauery. Test Hole was presoaked before perc test PERFORMED BY: Scott Crowther P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND hlUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. U TIME NET TIME LEVEL NET DROP READING 1 51111005 12:]5 —� e• p 2 1295 10 MIN 1 1N' 1 314*] 12:15 � 6• p 1 12:55 IO MIN 1111• 1y1' s 12:55 8• p 6 1]:05 10 MIN 1 1/1• 1 yP U SOILS LOG - PERCOLATION TEST �` \\\\��• PANNONE ENGINEERING SERVICES ��P • �j. P.O. BOX 102954 tL; TN ANCHORAGE, AK 99510 00•••••. •••.•..•i.....� (907)272-82180 .... i ............ ..... ........ .Steven R. Pannone •�j E 8149 PERFORMED FOR: Kevin Brandon DATE PERFORMED: 5.11-05 ��"Ca;•$�����••',,� LEGAL DESCRIPTION: Lot 6 Block 2 Keno Hills SID ♦�4441LF'���•� TEST HOLE 1 SLOPE SITE PLAN .1 1 OR Organics 2- 3- 4 3 I I i 5 TN2 g 6 7 I g GP Gray Silty/Sandy i GRAVEL with I cobbles b ; rN 7 9 Solders TES? I 10 OLE I 11 L_, 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N BOH 15 IF YES, AT WHAT TH 1 16 DEPTH? -0.' 17 DEPTH TO WATER AFTER MONITORING? - 13' t8 DATE: 5.20.05 19 READING DATE CLOCK WATER 20 READING PEROLATION RATE 2_(min4nch) PERC HOLE DIAMETER 6Inches TEST RUN BETWEEN 4.5 FT AND 5.5 FT COMMENTS: Test hole excavated by Dave Mauery. Test Hole was presoaked before perc test PERFORMED BY: Scott Crowther P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. TIME NET TIME LEVEL NET DROP 7 SI11A5 17:52 � S• o- 2 2 12:02 10 MIN 11N' SLP 7 72:02 � T p � 12:12 10 MIN 1 iN' � 314* S 12:72 � T p S 12:12 70 MIN 1 1/1- � yP Municipality of Anchorage s.. On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 0 2.0 -111- 3S. Parcel I.D.-044-49-1--;�Expiration Date: 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent KENO HILLS #6; BLOCK 2 LOT 6 17500 SPAIN DRIVE *ANCHORAGE 99516 ROB STEINSON Day phone 903-8016 17500 SPAIN DRIVE *ANCHORAGE 99516 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site E Individual Water Storage LJ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ COSA Fee $ 610 Date of Payment 12j 1 l ( N i Receipt Number o55(ZA COSA# 6�C I'T I�o2l Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 watersupply 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, SUITE 101 * ANCHORAGE, AK 99507 337-6179 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date it 26 ry 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 otherperson or party is not authorized, nor will it confer any legal right whatsoever. 6.DSSDD SIGNATURE , - _ System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for 0 bedrooms. bedrooms, with the following 49*I JJ fr- A Ga ness.. CE— OF A/6 tr J= ON-SITE -� WATER AND WASTEWATER T PROt�KHiv Original Certificate Date: 12--1r) _ i The W i*614fjr or Arf rage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory iaav 1t0S1 Nitrate Advisory Arsenic Advisory Other EOq (tie P ✓ e/ fef �Laif c� 4) Lim Ger /0/ v/tic 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: KENO HILLS #6; BLOCK 2, LOT 6 Parcel ID: 020-171-36 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/29/2008 Sanitary seal (Y/N) YES Total depth 226 ft. Cased to 57 ft. FROM WELL LOG Date of test 5/29/2008 Static water level 54 ft. Well production 4 g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 11/18/2014 55 ft. 3.5+ g.p.m. Coliform Ci colonies/100 ml. Nitrate i7. ILVmg./L. Collected by: GEG. Ltd. Arsenic: Mug./L. Date of sample: 11/18/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 10/18/2007 Tank size 1250 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 11/14/2014 Pumper MCDONALD'S PUMPING SERVICE C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 10/18/2007 Soil rating (g.p.d./*r /bdrm 1.2 System type SHALLOW TRENCH Length 50 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth * 10.7 ft. Eff. absorption area 500 ft' Monitoring tube YES Depression over field NO Date of adequacy test 11/18/2014 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 37.5 in. Water added***776 gal. New depth **49.5 in. Elapsed Time: 170 min. Final fluid depth **48.5 in. Absorption rate >= 600+ g,p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date **THE MONITORING TUBE EXTENDS 51" BELOW THE C/O; THEREFORE NO STANDING WATER WAS IN THE C/O DURING OR AT THE END OF TEST. ***THE LAST 116 GALLONS INTRODUCED ONLY CAUSED A RISE OF 0.5 INCHES IN DRAINFIELD. TWENTY—SIX(26) HOURS LATER, LEVEL HAD DROPPED 7.5 INCHES —RESIDENCE WAS OCCUPIED D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' levelHigh water alarm level at in. Cycles tested Meets alarm & circuit requirements?_ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N A Holding tank N/A Manuretanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100' Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water mrin N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle stora4,3 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through held 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 11126114 (Rev. 11/05) GARNESS ENGINEERING GROUP, Ltd -- n------_::= CIVIL & ENVIRONMENTAL ENGINEERS December 10, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Attn: Jeff Poet Ref: Keno Hills #6; Block 2, Lot 6 Mr. Poet, Per your request, this letter has been drafted to explain the septic adequacy test. On November 18, 2014 a total of 776 gallons were introduced into the drainfield between 9:00am and 11:30a.m. During the test the liquid level in the monitoring tube rose from 37.5" to 49.5". However, the liquid level only rose 0.5 inches when the last 116 of the 776 gallons were introduced. A liquid level reading was taken at 2:20pm (170 minutes after introduction of water was ceased) showing a drop of 0.5 inches (L.L. of 49"). Based on this reading, it was determined that the system absorbed at least 116 gallons between 11:00 A.M. & 2:20pm (200minutes). It should be noted that the system was —100% full prior to starting the recovery period, but no water appeared in the distribution line. In short, the system is "sluggish", but still meets the minimum absorption requirements. '.E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179' Fax: (907) 338-3246 * Website: www.garnessengineering.com 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 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 02x171-36 1. GENERAL INFORMATION Complete legal description Location (site address) COSA # OS C 19, 1150 Expiration Date: 2 _� 6 / �7 Lot 6, Block 2, Keno Hills Svbdi� 6 17500 Spain Drive Anchorage, AK 99507 Current Property owner(s) Kevin and Kathleen Brandon Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 17500 Spain Drive Anchorage, AK 99516 __ __ - --_Unless_otherwise_requested,_COSA will be held by DSD forpickup._____ 2. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: Individual Well ✓❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone Day phone 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 sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 5/14/2012 F IL I& �PO ��••....:QC,Qshdd it w :"uaina 6 ANDWON 5. DSD SIGNATURE Oh"Pj, O CE@4381 ✓/ Approved for _� bedrooms. �4�F'pFp 0, ;,; � �j p�esso.4Ha . Disapproved. tWto+�� Conditional approval for bedrooms, with the following stipulations: Httacnments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Report Nitrate Advisory Other By: Original Certificate Date: 5 t t (Rev. 11M) Municipality of Anchorage e • Development Services Department =p' Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lots, eiock 2, Keno Hills-ean�6 Parcel ID: 028171-36 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Well Log (Y/N) Y Date completed 5/29/2008 Sanitary seal (Y/N) Y Total depth 226 ft. Cased to 57 ft. FROM WELL LOG Date of test 5/29/08 Static water level Well production WATER SAMPLE RESULTS: 54 ft. 4 WM Wires properly protected (Y/N) Y Casing height (above ground) >18 in. AT INSPECTION 5/4/2012 58 ft. Coliform 0 colonies/100 mL Nitrate .679 mg/L Arsenic: NID mg/I Date of sample: 5/4/12 Collected by: MEA B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/steel Date installed 10/18/07 Tank size 1,250 gal. Number of Compartments TWO Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 5/5/2012 Pumper Around The Clock Pumping C. ABSORPTION FIELD DATA Date installed 10/18/07 Soil rating (g.p.d./ft2 or felbdrm)1.2 GPD/SF System type 5' wide Trench Length 50 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 10-11 ft. Eff. absorption area 500 ftz Monitoring tube 2 Depression over field N Date of adequacy test 517/2012 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 30 in. Water added 655 gal. New depth 34.5 in. Elapsed Time: 1,440 min. Final fluid depth 30 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at _ in. "Pump off' level at _ in. High water alarm level at Datum 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 NIA Public sewer manhole/cleanout Sewer /septic service line >25' Holding tank NIA Animal containment areas >50' Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >6 Property line >5 Absorption field >6 Water main N/A Water service line >10' Surface water >100' >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/vehide storage >25' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: G. ENGINEER'S CERTIFICATION kPi'' ! certify that I have determined through field inspections and s 1F; 49MJ review of Municipal records that the above systems are in /'• conformance with MOA COSA guidelines in effect on this date. p. Engineer's Printed Name Michael E. Anderson, P.E. Date 511412012 I� !B ..,, COSA Fee $ Q Waiver Fee $ _ Date of Payment S�/S 'I/� Date of Paymen Receipt Number QY r� YQ �� Receipt Number (Rev. 11/05) D o A Z O D m o C7 o m a a=m w O=O' m�0 rn m O D ED N Z D Z r 4,D nOp C m D o D F— U) o �� N g n z m No D C 0 m N � r O J o m z -u C-) m� Z 70= 0 z Dmmmmmn;U z��O z0mm=D rn O z z Z m 0 D :LcoOO�m 2� 0 O ZO '�' OCM-LMmann Zm� x 0mOm -0 --q O O O O O zpK e)omx_ zmm� p m p D� D O m r� D 70 z z 70 O z C5> -i (n G7 OO p -A O m0 - p O N m p m x< 70U)U�N Om Om MDD -� 70 zCOOJ:ED= p (n O -1r -(7-t m U) -AC M 0 p Fn S m 0->< D D r z D O O D z p m M D m O< Z 0 m m n z m V7 Zlp mz m�>Op D m D r 0 m (D D z O p = 70 ) m N oo`n6'7q"F 9nq oR' D z O J J W co / L=30.63' N 00'04'45"W 114.82' R=270.00' o I SPAIN DRIVE Y 40 •=� iqa• :moo 'TFC♦ 1_ �. / v • fN ••��♦ N oo`n6'7q"F 9nq oR' D z O J J W co / L=30.63' N 00'04'45"W 114.82' R=270.00' o I SPAIN DRIVE Y