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Home My WebLink AboutGREENBROOK BLK 2 LT 9Greenbrook Block 2 Lot 9 #017-431-17 rl&r FM Municipality of Anchorage c On -Site Water and Wastewater Section • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT JU` ®04? 2 4?0 Permit Number: OSP201061 PID Number: 017-431-17 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name NELSON PRIDDY ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ound Site Address 12700 VON SCHEBEN DRIVE *ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth original grade 907-350-4685 4 GPD/SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot GREENBROOK; BLOCK 2, LOT 9 Fill added above original gr Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 100'+ TANK ❑ Septic 9 S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1500 Gal. Surface Water 100'+ "Z Material Number of compartments Lot Line 51+ NA HDPE 2 Foundation 10'+ LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC GREER TANK 500 Gal. PER CONTRACTOR "SECOND COMPARTMENT OF STEP TANK Alarm location q� EXISTING Electrical installed by Installer PIPE MATERIAL House to tank D3034 Tankto D1785 A+ HOME SERVICES Drainfield EXISTING CO/MTEXIST6 inspector TIM ECKLUND AND DAVID GARNESS, PE BENCH MARK (Assumed elevation) 100.00 ft Inspection 151 6/15/2020 2�d - Location and description 3 I _ 4th _ TOP OF MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oo�Q Q•1 Conditional Approval: Date o� . '' TH 1p................� .... Vl...................� Septic System /� Approved ��,��/i, ('(.� Date S` r0�b 000 r_ 53rness.- 09'�f I; .:-� ,� _. ;coo Note: this approval does not include well permit requirements. �OQQQ��Oa #AECC884 O.y_4cd 0.S-bLL&t- 5Llj`WfA U Lira � -- wc,-Lvf -{-o 6-0-sp— O+w, f 4, 0-1, t.sfc�.c�,-Fed Cl ri oe � � r AJo PERMIT NUMBER: PARCEL ID NUMBER: OSP201061 RECORD DRAWING 017-431-17 APPROXIMATE LOCATION OF WATER KEYBOX - A B C MH1 1 16.8 14.8 19.9 MH2 1 20.9 1 18.5 1 20.7 NO SURFACE WATERS WERE NOTED WITHIN 100' OF THE NEW SEPTIC TANK SHED O tissy n �\ DRIVEWAY r r t;• . NEW 1500 GALLON ANCHORAGE TANK EXISTING 4 HDPE STEP TANK WITH ORENCO BEDROOM COMPONENTS. RE -USED EXISTING PANEL ---N I I HOUSE APPROXIMATE LOCAITON EXISTING DRAINFIELD DURING THE EXCAVATION OF THE IDSF, IT WAS NOTED BY THE CONTRACTOR, ENGINEER AND MOA INSPECTOR THAT IT IS NOT IN A STATE OF FAILURE. INSTEAD, THE HEADER HAD DISCONNECTED. IN SHORT, THE CONTRACTOR REPAIRED THE IDSF PIPING AND IT WAS NOT RE -BUILT GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 • PHONE (907) 337L179 • FAX (907) 338-3246 - WEBSITE: �. gamessengineenng.cam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: NELSON PRIDDY 907-350-4685 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: GREENBROOK; BLOCK 2, LOT 9 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK RECORD DRAWINGS 7/24/2020 GREENHOUSE N SCALE: ia 1"=40' PERMIT NUMBER: 0 PARCEL ID NUMBER: OSP201061 RECORD DRAWING 017-431-17 TOP OF MANHOLE = 100.00 FINAL GRADE = 99.5-99.9 MH1 MH2 TOP OF TANK AT INTLET = 95.97 INVERT OF BUNG AT INLET = 9523 NEW 1500 GALLON ANCHORAGE TANK HDPE STEP TANK WITH ORENCO COMPONENTS FOR IDSF TANK HOLE WAS DRY DURING EXCAVATION - GROUNDWATER WAS NOT ENCOUNTERED 2" INSULATION PER CONTRACTOR OF TANK AT OUTLET = 95.96 kxAjKNvr_'j1SS EN(.'41_wNrr_TRK_jw1NG Gj"xuu Ltd ENGINEERING - SALES � CONSULTING All 3701 E. TUDOR ROAD. SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907)337-6179- FAX (907)338-3246 -WEDSITE —games—gin-mg,com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: NELSEN PRIDDY 1 907-350-4685 1 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: GREENBROOK; BLOCK 2, LOT 9 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK PROFILE 6/25/2020 � 7F 0 0....•• .. . . ............... ...... 0 # r A. Gam ss _Q AV # # # 4ZAF c Ar L 41p 12 LICENSE %FESS\ #AECC8 4 %%%Isw& 06/24/2020 10:53 8686770 APLUS munici r, ality of Anchorage DevelOPIM Mt Services Department P-0- BOX 196650 - 4700 Elmore Road Anch( rage, Alaska 99s19-6650 Info j id Help. (907) 343-8211 .r" INSPECTIONS: Volce: (907) 343-8300 Fax: (907) 249-7777 6/23/2020 Inspe chtion Report License/AP#, RETROE201.,57 Parent AP#; Inspection #: 616877 'Type: DPRETRO Status: Closed Address; 12700 VON S MEBEN DR Parcel- 01743117000 Inspector: M -Green Project: Resp Party: Descr: Lift station rel lacement. Inspection Electrical (Eia stoical Inspection) Item: Evaluation: Approved Result Notes, Existing contr oiler and wiring inside. Only work w,?j to re -feed underground from house to new Septic system. Installation co nPlete and approved. ",spection Item Item Desc ption Evaluation PAGE 01 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201061 Work Type: Septic Upgrade Tax Code Number: 01743117000 Site Legal Address: GREENBROOK BLK 2 LT 9 G:2839 Site Mailing Address: 12700 VON SCHEBEN DR, Anchorage Owner: PRIDDY NELSON H II & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank. ❑ Privy Effective Date: Expiration Date: cnt 0 V f, v De parttnent Lot Size in Sq Ft: Total Bedrooms: 4/15/2020 4/15/2021 59411 ❑ Private Well ❑ 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 Special Provisions: If it is determined that the septic tank needs to be replaced, a change order shall be submitted. 4 J r SQA is 2 w �e. re P ��c� d w -e'en 15 0 mg_v\ � o_, r i � U c o b,-\ �-o u v� . ; n — 12 -fn C (--/10' 2-) z_G Received By: 4 17 Date: Issued By: Date: r �N`IUKKIPALITY oF ANcHORAGE c,omminity DeveibpmOnt ,department 1Phone:. 907-343-7904 Developinnent Services 'Fax: 907- 343-7997 oa,clte W.; ter.. Wastewater Program mayor Dan Sullivan on-site Sewer/Well Permit Application For A Single Family Dwelling . , Parcel I.D, Property owlip(0 klall!ng address Bite address.l.i700 VCIN SCHEGEN DPlVE'ANQ+-)RAG.E-,, AK U :9- egal desc6pjion 'Sub'd� Block Z Lot ) GKENSROC K, BL -CK' 2, LOT Day phone 907-350-4885 Legal description (Township, SOIJon & Roge) I ,,ot Size :8q.Ft. Nurnt;Or of Bedropms 4 APPLICATION IS:f OR: ❑ all o"at apply) I At$6rptic�n Reld M Septic Tank ❑ Hoiding Tank ❑ ROW ❑ Private Well ❑ V -later storaqB F-1 APPLICATION IS AN; Initial ❑ Renewal TYPE OF, DEWELLING: Single Family (SF) (wM6 ADU' D'upldX (0) ❑ Multiple Dwellings (SF andlor D) THIS APPLICATION INCLUDES A—VNRIANCEi WAIVER REQUFST.FOR: 'Distance: I certify that the above ilifoi-mation is correct. I further certify that this is I s in accordance: With applicable Murliciral codes, nature of L%Wner or autnorized agent) fyermiVRush Fees, �v%!aiver Fees. Date of Payment. Date --.t Payment* Receipt Dumber. Receipt Number: 05P ZVO&t. waiver'Not Permit No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201061, Rebecca Carroll, 04/15/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201061, Rebecca Carroll, 04/15/20 DRAINFIELD 5 FT {VIDE 30 FT LONG I FT OF ROCK I FT TOTAL DEP1 3 FT OF COVER JO.00 N Sample Access. 8 -Inch Sump 707 1500 GAL STEP TANK �•. - .. ;�� MYTH 2 -INCHES Or INSULATION J NO SCALE J' Cover /— 4' Topsoil 94.7 94.010- -0-0?0?0?00 11' Sewer Rock — 4" Distribution Pipe Aliroli 140 - U0UQU 97 1 1 7/30/94 I 02 1500 rol STEP J BENCH MARK: BOTTOM SIDING ASSUMED ELEV. 100.00 FT 1088EN SPURKLAND P.E. LOT 9 FLOCK 2 GREENBROOK SEPTIC SYSTEM ASBUILT 203 V115th Ave11 DATE: OCTOBER 18, 1994 Ancho,o a Ak 99501 11700 VON SCHABEN 9f ERICKA KRAMER SHEET: 414 GRID: 2637 0 z L Q \C3 z LLJ \\\( § �� tZ LU I cl) z L z IntermittantSand Filters Manual SAND FILTER CONFIGURATIONS 2X4 e PLYWOOD BOX FROM S.LE.P TANK FROM AIR COMPRESSOR 40 PVG LATERAL VV 1/6"m ORIFIGE OR� SHIELD I I /' `� 1 I 1 I 1 I I I I I 1 I I 1 I I I I I I I I I I I I I I I I I 1 I 1 1 1 I I 1 I I I I I I I I I 1 I I I 1 I COIL BELOW i / I FLU5HING VALVE E ENCLOSE ----------------------- TOP VIEW 18 x 20 BOTTOMLESS SAND FILTER Municipality of Anchorage ,. Development Services Department E E`•; Building Safety Division On-Site Water & Wastewater Program. 4700 Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report 017-431-17 Permit Number. SW070183 PID Number. Name: Wastewater System: [3New ■ Upgrade THOMAS KRAMER Address: 2551 LOUSSAC DRIVE a ANCHORAGE, AK 99517 ABSORPTION FI Phone: No. of Bedrooms: 4 Cl Deep Trench ■ Shallow Trench O Bed a Mound a Other (907) 250-0090 LEGAL DESCRIPTION SW Ral'•q: Total a•pth Iran orfilnal pod•: 4 WD/se. rt SEE DWG. rt. Block: Lot: Subdivision: aplh f. p" bottom ban "lnal pod•: Gravel depth trd•aln pip. 0.5 2 9 GREENBROOK SEE DWG. rL rti Township: Range: — Section: — f7 odd•d •Care adpnal pod•: SEE DWG. In. Gravel tonal 30 ^. — uar.f waU,: NwMr a w.: Owlanp e.tw«n dn..: 15 WELL: ❑ New ❑ UpgL 5 rL 2 n ca..rca4on pdM., A.B.c : Tara/ G.p.1 Taal olwaptan onm 150 Plp• L 3034/ F-810 rt so. n pw..: oat. prYc wsla••r: ARCTIC MOUNTAIN DEVELOPMENT Dote was 8/21-24/2007 L rww: .wrw s.t AL d: TANK GPU r<L SEPARATION DISTANCES aseptic 0Holdinq ■S.T.E.P. 0Othere AbsorptiongUft1lTo,1dna/f'rlrot• karwloctanr. ANCHORAGE TANK eToSeptic 1500From Tank Field wer lYw•�,tefly,o F�-'aon�pavrenw: Well 200'+ 200'+25'+ STEEL 2 Surface water 100'+ 100'+— LIFT STATION slot Mq•••n . wonvfacta ..Lot Una 5'+ 10'+— 1500 ANCHORAGE TANK en wr ol: anp aft wvo •l: Kqh water darn dl: Foundation 5'+ 10'+ 5'+ — — TIMER TIMER 46 P.M Lia.. e[ Yadek tLaulad kwp•ctarw pwfamwd Ot: /a Curtain Drain NONE KNOwN /20 OSI 05 HHF I BENCH MARK Remarks: OLD S.T.E.P. TANK WAS PUMPED AND tacatan ons a.«rgtan: TOP OF ELECTRICAL CONDUIT ON HOUSE FILLED WITH SOIL. SOUTH WEST CORNER. A•.an.d Ewrakon: 103.50 n ENGINEER7e L Inspections performed by: GEG, Ltd. Dates: 1st 8/21/2007 ,moo o �F Op 2nd 8/21/2007 3rd 8/24/2007 .• X000 Development Services Department Approval ....:....• • ......•. .......00 D Conditional approval: Date: 0 .... f y . Gam ss: QQO yJ • • CCE— 53 Day oll, / — G�04 Date: d Reviewed and approved by: o �Op0000�oo� (R.. 4/oe) PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: 017-431-17 I SW070183 NEW 1500 GALLON S.T.E.P. TANK 100' POND SET BACK - GENERAL LOCATION OF FOUNDATION DRAIN (SOLID PIPE)7 DRAINFIELD PIPE FROM DRAIN DAYLIGHTS OUT IN THIS AREA. NO WATER FLOWING FROM PIPE. 1 EXISTING 4 BEDROOM HOUSE SERVED BY ALL CO AMUN7ITYSWATER SYSTEM FLOW SPUTTER EXISTING r /I X tB LSF SP EXISTING DRAINFIELD G_ARNGSS LNGINLLRING GROUP, Ltd. -•.., CONSULTANTS & GENERAL CONTRACTORS �-•� POI L 1110Ce IIYD. !A[ IOL • /WEAN.[. X ~ • r1E1[ 1euf�vr-eIT • r" (902$L " • 11 - ew.eAerWr�Y+AA PREPARED FOR: PHONE NUMBER: PAGE NUMBER: THOMAS KRAMER 250-0090 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: GREENBROOK SUBDIVISION. LOT 9. BLOCK 2 DATE: K.D.M. TYPE OF WORK: 9/4/200 AS -BUILT DRAWING (Rev. 01105) . ... ...... A ...... Je f y . am ss. �Q°or -79 ' FFG A B C ST1 59.94 17.63 45.62 ST2 61.22 22.08 53.41 MH 62.54 22.73 54.98 SP 92.61 26.38 19.72 C01 107.18 38.72 68.97 MT1 105.42 36.51 66.97 CO2 129.03 53.45 69.82 MT2 127.84 52.35 68.38 CO3 125.46 49.80 57.23 MT3 124.28 48.61 56.68 C04 93.08 24.50 22.73 C05 94.35 126.051 22.65 NEW 1500 GALLON S.T.E.P. TANK 100' POND SET BACK - GENERAL LOCATION OF FOUNDATION DRAIN (SOLID PIPE)7 DRAINFIELD PIPE FROM DRAIN DAYLIGHTS OUT IN THIS AREA. NO WATER FLOWING FROM PIPE. 1 EXISTING 4 BEDROOM HOUSE SERVED BY ALL CO AMUN7ITYSWATER SYSTEM FLOW SPUTTER EXISTING r /I X tB LSF SP EXISTING DRAINFIELD G_ARNGSS LNGINLLRING GROUP, Ltd. -•.., CONSULTANTS & GENERAL CONTRACTORS �-•� POI L 1110Ce IIYD. !A[ IOL • /WEAN.[. X ~ • r1E1[ 1euf�vr-eIT • r" (902$L " • 11 - ew.eAerWr�Y+AA PREPARED FOR: PHONE NUMBER: PAGE NUMBER: THOMAS KRAMER 250-0090 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: GREENBROOK SUBDIVISION. LOT 9. BLOCK 2 DATE: K.D.M. TYPE OF WORK: 9/4/200 AS -BUILT DRAWING (Rev. 01105) . ... ...... A ...... Je f y . am ss. �Q°or -79 ' FFG INSULATION- FINAL GRADE - 101.23-101.77 STI ST2 MH TOP OF TANK Q q AT INLET - 98.08 -1 I I I I NEW 1500 GALLON INVERT OF BUNGS.T.E.P. TANK AT INLET - 97.48 - TOP OF TANK AT OUTLET - 98.08 MOUNDED DRAINFIELD FINAL GRADE - 100.32-100.44 TOPSOILED AND SEEDED INVERT OF PIPE - 97.62 LIT CO INSULATION LTER FABRIC TOP OF SAND - 96.98 r --ORIGINAL GRADE - 96.98 V DEEP MAX 2' TO H2O L S' WIDE �1 1' DEEP MAX I GARNES_S ENGINEERING GROUP, Ltd. ��` ,r. CONSULTANTS 6 GENERAL CONTRACTORS----rte--� "'• •" '• 3A1 G TAM 0010. RA[ 101 . N{1101400. M M001 �ttd[ (OOf)}0f" • LAI (907)3 N - � w�. PREPARED FOR: PHONE NUMBER: PACE NUMBER: E , •,J . e .... .. THOMAS KRAMER 250-0090 3 OF 3 QOo LEGAL DESCRIPTION: DRAWN 8: O r� E 5 09,•' GREENBROOK SUBDIVISION, LOT 9, BLOCK 2 K.D.M. �0 ,e • 9 ... • �o TYPE OF WORK: DATE: ��QO4p�OOOoc'� AS -BUILT PROFILE DRAWING 9/4/2007 (R.. 01M) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade F -a-1-0-4 10-" 8-,2.1-07 &, 3: 30 Date Issued: Jul 31, 2007 Expiration Date: Jul 30, 2008 Permit Number: SW070183 Parcel ID: 017-431-17 Legal Description: GREENBROOK BLK 2 LT 9 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 012700 VON SCHEBEN DR Owner Name: THOMAS KRAMER Lot Size: 59411 SO. FT. Owner Address: 2551 LOUSSAC DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99517 - 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/-m/o7 SKSAn C^&A in. Tnk Aas Fa �eA &J Wil( b- rV11 K. CJ:iecG Tor- elec.+.foal i1�s�peLf�bn, Received By. Issued By. Date: % 7 Date: —T3' J 7 Municipality of Anchorage Development Services Department Building Safety Division+ On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0/5 - t43) -%T Property owner(s) THOMAS KRAMER Day phone C/o Mailing address 2551 LOUSSAC D eD ASE AK Site address _14 ( fj� S&L -7262) Zip Code 99517 Legal description (Sub'd, Block & Lot ) _ G Legal description (Township, Section & Range) Lot Size 59. q/1 Sq.Ft. THIS APPLICATION IS FOR IS all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade S 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: Y (_9 - O Date of Payment: 7/.2 Receipt Number: <4C)a-57 (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. a _ CONSULTANTS & GENERAL CONTRACTORS � "' July 20,2007 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Drainfield Upgrade for Greenbrook Subdivision; Lot 9, Block 2, To whom it may concern: The existing 4 bedroom house is served by a community water system and private septic system. The septic system consist of a lined ISF with a secondary drainfield. The ISF is in good condition, but the drainfield is only capable of absorbing 225 gallons per day. We are proposing to install a 5 -wide trench type drainfield immediately downhill from the existing drainfield. The drainfield will be designed around the 30 foot radius of Toben Spurkland P.E.'s 1994 test hole. Comments regarding the design are summarized as follows: 1. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 2. SURFACE WATERS: There is a pond approximately 115 feet downhill from the proposed septic system. 3. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is a 9-10 percent slope running approximately northeast to southwest. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have apylquestions, please contact us at 337-6179. Thank you for your assistance. .E., M.S. NOTA 71 ttached is a site plan drawing, a design drawing, one soil log, which are all part ofthe 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' Fax: (907) 338-3246' Website: www.gamcsscnginccring.com CREENBROOK SUBDIVISION. LOT 6, BLOCK 4 CREENBROOK SUBDIVISION, LOT J, BLOCK 4 CREENBROOK/ SUBDSUBDIVISION.SIONSION.LOT V O,S. BLOCK 4 ^, P SUBDIVISION, BLOCCREENBRK OK NOTE: ALL PROPERTIES SHOWING ARE SEVERED BY COMMUNITY WATER SYSTEM GREENBROOK SUBDIVISION. LOT 10, BLOCK 2 \ CIS \ \ \ \ POND CREENBROOK SUBDMSION, LOT 12, BLOCK 2 I I I CREENBROOK SUBDIVISION. LOT 1, BLOCK 4 EXISTING 4 BEDROOM HOUSE SOUTH PARK [ Do' CREENBROOK SUBDIVISION, LOT ' • 7, BLOCK 1 PROPOSEDASEPTIC :PBC SYSTEM �� GREENBROOK SUBDIVISION. LOT 8, BLOCK 2 HPLC GARNGSS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTOR$ •""'. """' .......... Al E TAM IIo.D, AA[ f01 ••uA,APMi% IM roto 7aa2u • �- .... . 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • trer THOMAS KRAMER C/0 1 OF 2 e y rness: DRAWN BY: Qpp, . �• LEGAL DESCRIPTION: K.D.M. p�� 1zb/�`l O GREENBROOK SUBDIVISION, LOT 9. BLOCK 2 cgp TYPE OF WORK: DATE: 4OQO4Ofessl c� PROPOSED SEPTIC SYSTEM DESIGN 7/20/2007 1R�.01,05) NUMBER OF BEDROOMS:4 GALLONS PER DAY (CPD): 600 PERCOLATION RATE/S: 10 MIN./INCH PROPOSED APPLICATION RATE:4 GPD/S MINIMUM DRAINFIELD SO.FT.: 125 DRAINFIELD DESIGN: MAXIMUM DEPTHA FEET WIDTH:5 FEET LENGTH:30 FEET M.O.A. APPROVED SAND FILTER:1 FEET EFFECTIVE:0.5 FEET .REDUCTION FACTOR:N/A ACTUAL SO.FT.:150 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND EXISTING 1500 S.T.E.P. TANK WILL BE INSPECTED FOR STRUCTURAL INTEGRITY DURING CONSTRUCTION 100' POND SET BACK' EXISTING 4 BEDROOM HOUSE u Y \ EXISTING \\ � \ �DRAINFIELD NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH LOT UNE AND 100' POND SET BACK MGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. NOTE: ALL PROPERTIES SHOWN ARE SERVED BY COMMUNITY WATER SYSTEM MOUNDED ORAINFIELD SMALL BE TOPSOI FD AND SEEDED EXISTING 20X 16 ISF i (7SEPTIC AREA (:�SEPTIC ARE 3 GARNESS ENGINEERING GROUP, Ltd. p°( "4 :: — CONSULTANTS d GENERAL CONTRACTORS "' gni L nua Aow, furta• woa�•cc wway • wat l•o�W�-�» • nx Lb�}vs-at•a . �osic ....w�.••M•..•+a� 0 ... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O .•� r y rness- THOMAS KRAMER C/0 2 OF 2 CE -7953 LEGAL DESCRIPTION: DRAWN BY: OO r `ipG GREENBROOK SUBDIVISION, LOT 9, BLOCK 2 K.D.M. ��ado DATE: 4�D000000��6� TYPE OF WORK: 00% 7/20/2 PROPOSED SEPTIC SYSTEM DESIGN (R.. 01105) y' Gon±t�ut I I I I I GREENS K GREENSROOK I I SUBDIVISION LO SUBOMSION. LOT I I 8. BLOC 4 J. BLOCK 4 I I I I CREENBROOK SUBDIVISION. 0 4 y S. BLOCK I I GREENBR00 I I sue SION. T 2. BLOCK / NOTE: ALL PROP T �\ n SHOWING A E S R D Y COMMUNI WATE S ST I I \ I I I GREENBROOK I BO 9LIOCK L20T GREE ROOK Q $USD 1. LOCK 40T I I I G C e,2 ISTING 4 I EDROOM OUSE \ \ LITH PAR R POND \ Too, \\ \ I GREENBROOK I SUBDIVISION, LO \ 7, BLOCK 1 1 A ncPoSPROPOSED mT CFE EA EDE ARI 1 GREENBROOK REE ROOK SUBDMSION, LOT 5 DM [ON. LOT t\ 12. BLOCK 2 B K 2 I S I I I I I 1• 100 I I I I I I I I _ _o �4 F • �F "' '9S�� GARNI?'SS ENGINEERING GROUP, Ltd- p; 4 :�e�p _...... _...__- CONSULTANTS 6 GENERAL CONTRACTORS �••�'��•-� ^-""^' �""""' 101 L TAOR IIGO. f1IR 101 . IMOgMO[. YI Nl01 1110MC (Y011111-�1A ra M PREPARED FOR: ONE NUMBER: PAGE NUMBER: •'•': THOMAS KRAMER PHC/0 1 OF 2 QQ o y A. Gar ess: DRAWN BY: 0 E-79753 \�Ov LEGAL DESCRIPTION: / '•.�I . 0,0 GREENBROOK SUBDIVISION, LOT 9, BLOCK 2 K.D.M. �� e�e� `7 -.0.9 DATE: TYPE OF WORK: ��O�Ooo��oo. TOPO 7/20/2007 (Rev. 0IM5) (ENGINEER'S SEA4).. Municipality of Anchorage DEPARTMENT OF HEALTH &HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: ER ,Q< '/ .A �`'�RSAMr-- V, DATE PERFORMED: LEGAL DESCRIPTION: L. b+� Q� a � I -- - U Township. Range. Section: sl nPP SITE PLAN - Loa.,- i 1 2 3 S; It 7 7: -5 4`! z 4 •' Sorer 5 Si �- 7 -i 130 iio•..v1 -'E- �io �e 8- 91011 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- 20 21314151617181920 COMMENTS WAS GROUND WATER T ENCOUNTERED? �I IF YES. AT WHAT DEPTH? Depth to Water After 37 $ o Nnnilnrinn7 O71C I PERCOLATION RATE I r) (mmutes/imh) PERC HOLE DIAMETER b TEST PUN BETWEEN -.91-L FT AND .3 I -T PERFORMED BY: 1 S I �I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: `P., e,. 30.9 Y 72-008 (Rev. 4/85) Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION ��/ZJ P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: c—k (l 4q V I I V PID Number: 011— 4 5" 11 Name: Wastewater System: ❑ New �pgrade l/. Rs�a M — O S Address: ABSORPTION FIELD Phone: No. of BleId''rooms: L ��¢¢ O Deep Trench Shallow Trench ❑ Bed M Mound Av&her LEGAL DESCRIPTION Soil Rating: Total OeDln from original grade: GPD/Sq Ft Lot: Block: Subdivision:m Depth to pipe bottom f ooriginal grade: Gravel depth beneath Pipe (o r, t"6Y%,e I- Ft. Ft. Township: Range: Section: Fill added above Original grade: ?j t Gravel length: 3 O Ft Ft. WELL: [3 New ❑Upgrade Gravel width: _ Number of lines: Distance between fines: I S FL I Ft. Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: Fl. I Ft. I t7 SO. Ft. F 63 1 0 Driller: Date Drilled: sUbc Water level: Installer: C_/lir(_tom Date installed: y./3a 4 Fs. Yield: Pump set at: Casing Height Above Ground. TANK GPM I Ft I Ft. SEPARATION DISTANCES �/ 0Septic OHolding yt,S.T.E.P. To septic Abaorplion Lift Hotding ubhc/Prlvala Manufacturer: 7-At11L Capacity In gallons: l.aJ V'a From Tank Fiald stabon Tank sewer Linea ArAe,il- _ Material: ' n s Number of Compartments: Well N o AM f Cfi 1 FeGX SurfaceLIFT I3�— STATION Water lZ D LotSize in gallons: Manufacturer: Line too 1.5— "Pump on" level at: "Pump off' level at: High water alarm at: Foundation 15 Z.O _ 4: Curtain Pump Make B Model Electrical Inspections � gerformed by: . Drain L) 1"I c_n BENCH MARK Remarks: ��/s s C7.airX a ✓ ��C Location and Description: sem/ a 1l Assumed Elevation: 610 SEAL _„ENGtNEER'S ls Inspections performed by: S Dates:21 Department of Healand H an Services approval ='° • . v Date: A_ Reviewed and approved by: 72-013 (Rev. 411( MOA 25 SWING TIES: AC 16 r 53 1300 GAC A£ 27 BC 19 -LEV, 100.00 N OF SIDING AF 38 1 BF 14r !8 X 10 SAND FILTER AD 49 � 1 BD 37 — 5 X 30 ABSORPTION BED or o'7� 1•lx /�1 �C7 %fir .\ �.,, �� r^p`•� ip Fr r.t-.s:u•4�ond 25 0 25 50 75 100 125 150 SCALE: 1' = 50 FT ITOBBEN SPURKLAND P.E. LOT 9 BLOCK 2 GREENBROOK SEPTIC SYSTEM AS8UILT 203 W 15TH. AVENUE 12700 Von Scheben DATE: OCTOBER 18, 1994 ANCH. AK. 99501 £rlcko Kromer 11 SHEET: 2/4 GRID: 2839 From STEP SANFL Air Line FINAL GRADE SLOPE 5+1 `--- 21 Insulotlon all sides, top and bottom TOP VIEW TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 111x20 SAND FILTER LOT 9 BLOCK 2 GREENBROOK ERICKA KRAMER SEPTIC SYSTEM ASSUILT DATE: OCTOBER 9, 1994 SHEET: 3/4 GRID: 2839 PEA GRAVEL I -o=o'o 0-.!oro':oro=o�oYo':oro':o�oYo':oto'o�o'o':o�o': opo_ j 5, •'• Fll ter ZaiA%' ` SOV O�O�O�O�O�O�O�O�O�OVO�O�O�O�O�O�O�O�O�OV O�O�O�OVO rte�---- FEA GRAVEL •.. a •" ••• ^; r t % C c„1• Tul! .n S;:a:N and SIDE VIEWt�. ". "':`' '>>d TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE ANCH. AK. 99501 111x20 SAND FILTER LOT 9 BLOCK 2 GREENBROOK ERICKA KRAMER SEPTIC SYSTEM ASSUILT DATE: OCTOBER 9, 1994 SHEET: 3/4 GRID: 2839 L. 50.00 /I of DRAINFIELD 5 FT WIDE 30 FT LONG 1 FT OF ROCK 1 FT TOTAL DEPT 3 FT OF COVER 1500 CAL STEP TANK WITH 2 -INCHES Or INSL D Sample Access. 8—Inch Sump NO SCALE J, Cover /— 4" Topsoil 94.7 94.0 �U�U�UUUOU�U U 12" Sewer Rock 4" Distribution Pipe Miro/i 140 1021 J 94.7 b OVOVOV 94.0 92 I �? 7/30/91 . - .. . 97.4 1500 Cal STEP J BENCH MARK.• BOTTOM SIDING ASSUMED ELEV. 100.00 FT I TOBBEN SPURKLANO P.E. LOT 9 BLOCK2 GREENf1R0OK SEPTIC SYSTEM ASBUILT 103 W15th Ave 12700 VON SCHABEN 11 DATE: OCTOBER 18, 1994 Anchorage Ak 99501 ERICKA KRAMER SHEET. 4/4 GRID: 1637 . _ r. �'f,•.;...,: 1..,. X1.1. "f tl:i '�.f :'-.. � {i.� �I1;; ii�l:l 1. f, 11•tii.' - _ � .. .. t: •' TNSf'TCTIi)N:: li S[(..• S(.� 'l:l.11:(S• fOtr 07)7x;(,- tfF.: 1.LARRY.l1tSi ;'1. Ir7'f NA #: n4 8A('4 NAME: LAI^.700 t'A'!, t!F:1^t: I:T'!r p{'••tli, is 344-51x0 LOT: 0 1:1.0cl.. ., ;Jr•,: : i Nfrrrn0l ifal'C: ]p/ 4lIO�a COMMENT: PLS CONTACT f;il'd:. AT .."``^^O F/4 - - - - -...--- _.. - TYPE OF INSPECTION: ELECTRICAL P.OUGFI 0 0 0 0 ---------------------------------------------------------------- 9-S NO NONCOMPLIANCE OBSERVED C ] CORRECTIONS ESSENTIAL AS �. EXPLAINED BELOW C ] WILL REEXAMINE AT NEXT INSPECTION C ] DO NOT CONCEAL UNTIL REINSPECTED --------------------------------------------------------------------------- COMMENTS: _ INSPECT --:DATE , - l�-_ / ------------------------------ - - WHEN COkkECTIONS AkE MADE. PLEASE CALL FOR INSPECTION DO NOT REMOVE THIS NOTICE PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE + Sr 9 ►Li Cz ►b o a DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940310 DATE ISSUED: 8/22/94 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 8/22/95 OWNER NAME : KRAMER THOMAS K OWNER ADDRESS:12700 VON SCHEBEN DR ANCHORAGE, AK PARCEL ID:01743117 LEGAL DESCRIPTION: GREENBROOK BLK 2 LT 9 LOT SIZE: 59411 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE SAND USED IN THE FILTER SHALL BE CENTRAL PAVING PRODUCTS ROAD SAND WITH LESS THAN 1t PASSING THE #200 SIEVE AND LESS THAN 3% PASSING THE #100 SIEVE. THE ATTACHED HOMEOWNER'S AGREEMENT SHALL BE PART OF THIS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PERMIT. FOUR MANDATORY INSPECTIONS BY DHHS PERSONEL WILL BE CONDUCTED DURING CONSTRUCTION. THESE WILL OCCUR AT: Al WHEN THE FILTER IS FRAMED AND THE UNCOVERED LINER IS IN PLACE. B) AFTER THE AIRLINE IS INSTALLED, BUT NOT COVERED. C) AT THE TIME OF THE PRESSURE TEST OF THE DISTRIBUTION LINES. n D) AFTER FINAL GRADING. RECEIVED BY: ISSUED BY M PAGE 2 OF 2 DATE • �! z i R DATE • 2 3 9 T.SPURKLAND P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 9 BLOCK 2 GREENBROOK ERICKA KRAMER Ground Water at 3 ft. Use ORENCO Sand Filter with 5 -wide absorption trench Insulate all components. Soil Rating. From test 2/17/94 10 min/in = 4 gal/sq. ft Required Area per Bedroom: 150/4 - 37.5 sq.ft.. Number of Bedrooms 4 Length of Trench 407.5 /5 = 30 [feet] SYSTEM CONFIGURATION ORENCO SAND FILTER 1500 GAL STEP 5 -WIDE TRENCII TOTAL LENGTH 30 FT. TOTAL WIDTH 5 FT. TOTAL DEPTH I FT. ROCK DEPTH .5 FT. COVER 3 FT. . %9 c:-.225 The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Septic System Design Lot 9 Block 2 Greenbrook Municipality of Anchorage " DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: ERICA DATE : (ENGINEERS SEAL) .. a' .•........•. ••. - r TcL:.r, F •,r(Un� • • wok CE 2225 LEGAL DESCRIPTION: I—O} 9 Q V1'eZ ecw l - e k Township, Range, Section: SLOPE SITE PLAN rET LG W7+1 1 2 / z 3- 4- 6" 6' V O T70'+�•�. 4 U e'l_ 7 8- 9- 10- 11 91011 12 13 14 15 16 17 18 19 20 COMMENTS WAS GROUND WATER —- ENCOUNTERED? y' IF VES, AT WHAT DEPTH? Mani to Water After Mnniln' —s rino? � 07IC j 009 E� 7=�=-M�MNOM ... ��t�51i�l►1J�� PERCOLATION RATE _1.0.— (minutesimch) PERC HOLE DIAMETER b TEST RUN BETWEEN —&21— FT AND —3 FT PERFORMED BY: �r_ S 1 �7_7 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 30,9L4 72-008 (Rev. 4,85) \\ / Lara S I LOT 2 � I LOT 10 o .l \' \ LOT 1 O � i \ souI P Rte — 9 1 i 1 I FF \v V� LOT 8 N v 50 0 50 100 150 200 250 300 LOT 7 Tj,b sp 7kI ce- 'is :c SPURKEAND P.E. LOT O BLOCK 2 CREENQROOK SEPTIC SYSTEM DESIGN ITOBBEN 203 W 15TH. AVENUE 11700 Von Schehen DATE: 11 June 8, 1994 ANCH. AK. 99501 Ericka Kromer SHEET: 1/4 GRID: 2839 8 / /9955.9 / EXIST. TRENCH Pat J 9- 5 ,? /977 6 : EXIST. TANK ,9 94.1 / 1500 GAL ST 18X20 ORENCO FIL T R • B 95,rn A 5X30 DRAIN FIE_ LEGEND: 0 EXISTING SEWER STANDPIPE » »» EXISTING DRAINFIELD $ WATER KEY BOX 98.6 SPOT ELEVATION ♦ 00 0o 00 00 °0 00 00 00 10 0o ` 00 TB. i ELEV. 100.00 \ B ETON OF SIDING �6. 4 1 'o PROPOSED FINAL CONTOURS 1 o - t� 1 ' 25 0 25 50 75 100 125 150 SCALE. 1' = 50 FT. ITOBBEN SPURKLAND P.E. LOT 9 BLOCK 2 CREEN1ROOli SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE 12700 Von Seheben DATE: July 31, 1994 ANCH. AK. 99501 Erieko Kromer I I SHEET: 2/4 GRID: 2839 From , r 3/4' Washed Rock SIDE VIEW 6" Hol/pipe PVC, Holes Pointing Vp bW� Lateral and Orfi/ice Shield TOBBEN SPURKLAND P.E. 111x20 SAND FILTER SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE LOT 9 BLOCK 2 ORMVGR00K DATE: JULY 30, 1994 ANCH. AK. 99501 11 fRICKA KRAMfR 11 SHEET: 314 GRID: 2839 f I30.00 /I 1 I o J■- DRAINFIELD 5 FT WIDE 30 FT LONG 1 FT OF ROCK 1 FT TOTAL DEPTH 3 FT OF COVER 1500 GAL STEP TANK WIM 2 -INCHES OF INSULATION Sample Access. 8 -Inch Sump .--T- 5.00 lI I 8" Sump 8' Tee 4- To Rele4' From filler e SAMPLING PORT NO SCALE 3' Cow /— 4" Topsoil 0V OVOVOVOVOV 12" Sewer Rock — 4" Distribution Pipe Miroli 140 - 71JO194 2 FT. MIN J 1500 Go/ STEP J BENCH MARK: BOTTOM SIDING ASSUMED ELEV. 100.00 FT TOBBEN SPURKLAND P.E. LOT 9 BLOCK 2 GREENTROOK(I SEPTIC SYSTEM DESIGN I 203 W151h Ave 12700 VON SCHASEN DATE: ULY 17, 1994 Anchorage Ak 99501 FRICKA KRAMER SHEET. 4VII GRID: 2637 to G U-5 c"o 0 0 ca ca C3ca z -0-0 Ll > CL Po \)R a: w > 0. Z'I. LU —:3 Cl) \\ Lu q . of IM \\ 2 E C) 14 r z A" tnEn M cc en o Enz n 5.0 cc ca(tix �U— cz :3 UL] O xny cl LC \ ) Ix LLI ![ƒ �[ ( > tu V'. O -j < .91 0 (n — L) :1tnz cc rg�[=Ui= �i :3 C:3 OW u 0 CC LL � cc C3.'-' a t: z z LU A IV cc�' Lu to 9 Lij CD cc En LU Lk uj 5; m LL, §b2 Vi cn P F- cn b cu x bi K - N a: w 0. Z'I. 9 Lij CD cc En LU Lk uj 5; m LL, §b2 Vi cn P F- cn b cu x bi K - N oiuncc slum 1/Y ou. scit eo ry rout. tirnt {/ DIA. DWIiCL"S OjG ACCO 0/4* DIA. CLx 3 200 PVC UANIfOLD i Dt..Clue 150 olott#4 PVC pipe (Cut 1/4' Vida $lots 2-1/Y deep .nd. of c' O C.) _� _ _ Illll IIIIIII1111111111 111111111111111111111111111111111111111111111 —410IA. rvc c r 1TItA1fS('OR7 LINE ''00 PVC` 11/4 die, Class . \ '—TIU.11jtT10N to t' air difuvice 1' or 1 -1/4 -DIA. PVC HOOT The boot flange li bonded to 0� 0�0 rte` lincA N 0' a 50mit rye Unca—i at oath corner clean—out O 11111IIIIII 1141111111111111�1IIII 1111111111 CL 200 rye INC UNC -- eDIA. FLUSIII14C VALVE x/8 -PVC acccss riser and fiberglass cover \—Z- SLOTTED PVC PIPE (cut 1/4 2' i11SULATION AROUtiO wide slots 4 O.C.-orlon! slots PERIMETER OF FILTER down to dcofn) K p!5M)8L) hWJ /flR W/Ul� r✓ >'qjj r o!/(z-o(osF� 0A) �V. .TUL.—'1Z-9A WED 10:09 DHHS P.05 oiuncc slum 1/Y ou. scit eo ry rout. tirnt {/ DIA. DWIiCL"S OjG ACCO 0/4* DIA. CLx 3 200 PVC UANIfOLD i Dt..Clue 150 olott#4 PVC pipe (Cut 1/4' Vida $lots 2-1/Y deep .nd. of c' O C.) _� _ _ Illll IIIIIII1111111111 111111111111111111111111111111111111111111111 —410IA. rvc c r 1TItA1fS('OR7 LINE ''00 PVC` 11/4 die, Class . \ '—TIU.11jtT10N to t' air difuvice 1' or 1 -1/4 -DIA. PVC HOOT The boot flange li bonded to 0� 0�0 rte` lincA N 0' a 50mit rye Unca—i at oath corner clean—out O 11111IIIIII 1141111111111111�1IIII 1111111111 CL 200 rye INC UNC -- eDIA. FLUSIII14C VALVE x/8 -PVC acccss riser and fiberglass cover \—Z- SLOTTED PVC PIPE (cut 1/4 2' i11SULATION AROUtiO wide slots 4 O.C.-orlon! slots PERIMETER OF FILTER down to dcofn) K p!5M)8L) hWJ /flR W/Ul� r✓ >'qjj r o!/(z-o(osF� 0A) �V. PROPERTY OWNER AGREEMENT INTERMITTENT SAND FILTER WASTEWATER DISPOSAL SYSTEM This agreement, dated 8, l .CJA4 , 1994, is made between the Municipality of Anchorage Department of Health and Human Services (DHHS) and the property owner(s) of DI' TYYt(1�1_`� �� k�?CY7✓ This agreement is made for the purpose of designing, constructing and testing an intermittent sand filter on-site wastewater disposal system on the subject property. The property owner(s) agree to the following: 1. The property owner(s) will allow DHHS and its representatives access to the subject property as required during the design, construction and testing of the wastewater system. 2. The property owner(s) agree to bear all costs involved in a testing program which will sample the effluent from this wastewater system for a period of one year. Th's testi g program will involve the engineer on this project, j'op��/_, sampling the effluent every other month for 12 months for: total suspended solids, BOD5, fecal coliform, nitrates, and total kjeldahl nitrogen. Also determined on the same sampling schedule will be the septic tank effluent temperature and the sand filter effluent temperature. The property owners will pay all engineering and laboratory costs involved. All data will be furnished to DHHS in a timely manner. ,l�Yit L,Prop rty Owner Name Property/owner Name (Notarize Here) t e ��st, q .- . 1 Municipality of Anchorage 1 Development Services Department j Building Safety Division ° On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite T (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING /�] Parcel I.D. 017-431-17 COSA# Q % C' 3 LF 1. GENERAL INFORMATION Expiration Date: I I — 7 — / 0 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GREENBROOK S/D; BLOCK 2. LOT 9 12700 VON SCHEBEN DRIVE • ANCHORAGE. AK * 99516 BAXTER BURTON Day phone 644-3966 12700 VON SCHEBEN DRIVE • ANCHORAGE. AK • 99516 Day phone BOB BAER W/ DYNAMIC PROPERTIES Day phone 261-7506 110 W. 38TH AVE, N100 • ANCHORAGE, AK 4 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class A Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site N 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 Finn 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 B 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 ofthe 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 solo benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for --Y— bedrooms. Disapproved. 337-6179 Date t o Z lb Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other oy OFq , ON-SITE WATERAND ; M= WASTEWATER PROGRAM c . is ••.._..•'.c4o`.i\� 'hi By hl Q Original Certificate Date: 1 I 1 (Rw. 11105) -� '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 CHECKLIST Legal Description: GREENBROOK S/D• BLOCK 2 LOT 9 Parcel ID: Ii/7- q 3 1 -/ 7 A. WELL DATA Well type CLASS "A" If A. B, or C provide PWSID# 210346 Well Log Date completed Sanitary seal /N Total depth ft. Date of test Static water level Cased to ft. FROM WELL LOG Well production WATER SAMPLE RES Coliform colonies/100 ml. enic: ug./L. B. SEPTIC/HOLDING TANK DATA Wires properly protected Casingheight (ab rc ATI CTION ft. in. g.p.m. 9 -P.M. Nitrate mg./L. Other bacteria colonies/100 ml. Date of sample: Collected by: Tank Type/Material _ S.T.E.P./STEEL Date installed 6/21-24/2007 Tank size 1500 gal. Number of Compartments? Cieanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) YES Date of pumping _ 3/2_0/2009_ pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA 9/30/1994 E W %ISTING GRADE Date installed -9ZZ7-24/2007 Soil rating p.d./ r ft%drm 4 4 LINED ISF/ ) System type DUAL TRENCH Length _30/30 ft. Width_ 5/5 +3.5/ -- --ft Gravel below pipe 0.5 0.5 ft. Total depth !�ft. Eff. absorption area 300 ft' Monitoring tube YES Depression over field NO Date of adequacy test "`t%2009 20/Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 In. Water added 615 gal. New depth 0 in. Elapsed Time: min. Final fluid depth 0 in. Absorption rate >= 600+ Any rejuvenation treatment (past 12 mo.) (Y/N &g p d type) NONE KNOWN If yes, give date "TESTED 2007 TRENCH ONLY. 1994 TRENCH WAS FULL. D. LIFT STATION Date installed —8z2 1 --24 2007 Size in gallons 1�— "Pump on" level at TIMER in. Datum BOTTOM OF TANK off" level atTIMER in. Manhole/Access (YIN) YES High water alarm level at_ .461n. Pump YES Cycles tested 3 Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot �— Absorp:ion field on lot Public sewer main COMMUNITY WELL On adjacent On adjacent lots manhole/cleanout Sewer (septic service line Holding tank ontainment areas— Manurelanimal excrete storage areas ;_---- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: g'+ Absorption field Building foundation 5+— Property liner 10'+ Surface water 100'+ Water main 10'+ Water service line— Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 10'+/10'+ Property line t o� Building foundation 10'+ t o'+ Water main Water service line 101+ 1 o'+ Surface water 100 0 ± Driveway, parking/vehicle storage Curtain drain NONE N Wells on adjacent lots 200'+�00 + F. COMMENTS G. E Se Waiver Fee $ COSA Fee A � ��O Date of Payment Date of Payment 1 u Receipt Number Receipt Number (Rev. 11/05) 10/19/2009 14:43 8686770 APLUS A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER Lot WW INVOICE # 35987 DATE DESCRIPTION AMOUNT I.sp—# qeptic luk $55.00 TOTAL REkARKS i. ry Gallons Septic Leach Area Holding Tank —Standpipes Time ❑ PROBLEM AREA—CALL FOR MORE INFORMATION ❑ NEEDSTO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ sludge buildup on bottom ❑ Floater on top ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground ❑ Needs Septictrine needs replacing 10/19/2009 14:43 8686770 APLUS PAGE 02 At HOME SERVICES, INC. CUSTOMER Block 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 12700 VonScheben Drive AnKiMorage,7M M16 Lot INVOICE# 35986 DATE DESCRIPTION AMOUNT 320-cP[ Nmv sgzic & Lift $150. DO � A itself R er-7*tke,%0 bfback to inspect in ao days after tank has refill Tank locgteA- I' bQX, ON NW '. S I DIF PE! KOL66 TOTA L O eo i.1REAAKS 5rA-n0AA rvtt- I VV7TT�Nje >=59 15_4allonS Septic Leach Area Holding Tank 2- Standpipes — Time ❑ PROBLEM AREA —CALL FOR MORE INFORMATION El NEEDSTO BE DONE AGAIN IN 6 MONTHS C1 Good Shape 0 sludge buildup on bottom 11 Floater on top 0 Jim cap missing or 0 Cut standpipe to Vabove ground 0 Needs Septictrine needs replacing ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND NPknr� (tri.uc, I THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this :L(O— Day of O t_ 4 oh e l of 200, by and between tJ t< 0 • & I" a( herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as T ? f s located //'' at I T re en bu o% ADL L t p, , Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of O (S -a.00), .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: _1 u-j_i (d /q Ll eccx C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWW IFS are codified in AMC 14.60. \T D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way ¢ffect the validity of the Memorandum of Understanding or any part hereof, or the right of such parry thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: `, �Ttq ),,----,—Owner: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNF.� Y: Date: Date: t-Od STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoing instrument was acknowledged before me this Oday of ,f/nrr, ,her , 20_6, by `jelsoi, /l Pri d� r= C(KML1C NO BLIC FOR ALASKA M mmissionexpires: Nov Z zv/1 municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Prol 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907) 343-7904 0` CERTIFICATE OF ON—SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. (�1'� -L431- l COSAff 00359 1. GENERAL INFORMATION Expiration Date: Complete legal description GREENBROOK SUBDIVISION, LOT 9 BLOCK2 Location (site address) 012700 VAN SCHEBEN DRIVE • ANCHORAGE AK Current Property owner(s) THOMAS KRAMER Day phone 250-0090 Mailing address 2551 LOUSSAC DRIVE • ANCHORAGE AK 99517 Day phone Lending agency Mailing address CLAIR RAMSEY w/DYNAMIC PROPERTIES Day phone 261-7554 Real Estate Agent Mailing address 3111 C STREET SURE 100 •ANCHORAGE AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 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. TYPE OF WASTEWATER DISPOSAL: 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual On-site N Individual Water Storage ❑ Individual Holding tank O Community Class A Well N Community On-site ❑ Public Water System ❑ Public Sewer . The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water 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 axed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificale of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SURE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineers Comments: In conducting this evaluation, GEG, LtO. 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 tho conditions encountered at the Gime of the test, and separation distances measured to readilyldentifiable 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 ownerlisted above. Anyreliance upon oruso of this report by any other person or party Is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE f/ Approved for _q bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist (/ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other By: Original Certificate Date:_ (Rm. 11005) • C WA WAS PR • • Q V -SITE 'ER AND TWATER )GRAM �. J 13 y A. Go ess:' ' a,. CE -779 .�� Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist (/ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other By: Original Certificate Date:_ (Rm. 11005) • C WA WAS PR • • Q V -SITE 'ER AND TWATER )GRAM Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bregaw Street P.O. Box 196850 Anchorage, AK 99519.6650 www.muni.org/onaite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Parcel ID: O 17- 4 3 / / Legal Description: GREENBROOK SUBIDMSION IAT 9 BLOCK 2 A. WELL DATA COMMUNITY WATER Well type H A, B, or C provide PWS1O# k 103 H % wen Log (Y/N) Date completed Sanitary seal (Y/N)_ Wires properly protected (Y Total depth ft. Cased to ft. Casing height a ground) in. FROM WELL LOG Data of test Static water level Well production g'P'm' WATER SAMPLE S: rWie,m, _ colonies/100 ml. Nitrate mg./L. ft. 9— p.m-o ther bacteria colonies/100 ml. nic: ug./L. Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA g/21 _24/2007 STEP./STEEL Data installed Tank Type/Material YES Tank size 1500 gat. Number of Compartments E Cleanouts (Y/N) Foundation deanOut (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping �— Pumper C. ABSORPTION FIELD DATA 8MMEffiNZ= Spyy TRENCH 9/30/1994/ 4 4 System type Date installed 8/21/2007 Soil rating .p.d ft /bdnn)-L 5/5 ft. Gravel below pipe __15/0-5 ft. Length30_ /_ 30 ft. Width 150/ ft. Eft. absorption area 150 fe Monitoring tube YES Depression over field NO Total depth*AA � 41 Date of adequacy test NEW Results (PasslFail) PASS For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Tune: = min, Final fluid depth In. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date – D. UFT STATION Date insWiled8/21-24/2007 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump ofP level at TIMER in. High water alar level at 48 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alar 8 circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY AVvNITY VATER Septic tank/lift station on lot On adjacent Absorption field on lot On adjacent Public sewer main Sewer /septic service areas sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ 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 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION Of I cerW 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. .. .. ............ •.Je A. aes� Engineer's Printed Name JEFFREY A GARNESS y7 A. Data rj/S�b� �,r COSA Fee S `Z 30 c,o 4 176 g us N Waiver Fee $ _ Date of Payment 2.1,S/ U 7 Date of Payment Receipt Number 7 9 Receipt Number (Rev. 1 IM)