HomeMy WebLinkAboutT15N R1W SEC 5 LT 22T15N RIW
Sec 5
Lot 22
#051-032-18
Municipality of Anchorage
.r Development Services Department
Building Safety Division —r ;
\ On -Site Water 8 Wastewater Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW060333 PID Number. 051-032-18
Name: THOMAS WILLIAMS
Wastewater System: ❑ New ■ Upgrode
Address:
ABSORPTION FIELD
22433 MARGARET MIELKE STREET a CHUGIAK, AK 99567
Phone: No. of Bedrooms:
(530) 892-9812 2
O Deep Trench O Shoibw Trench Bad a 1Aound OOther
LEGAL DESCRIPTION
sea Reye:
0.7 WO/sq. r..
Tota Depth nam arlpaal e'aa•:
SEE DWG. rL
Block: Lot: Subdivision:
Depth to pqe bottom sem er{pa.I pees:
Gravel NOth berwoth pk.:
0.5
— 22 —
SEE DWG. rt
rL
Township: T15N Range: R1 W Section: 5
sal egad ekave erlpinal peas'
46
SEE DWG. rL
rt
Gro,a eieth:
ni.nee, of en..:
Distance set Sww
WELL: ❑ New ❑ Upgrode
10 Ft.2
.—
— Ft.
Cy fiaatyn weal., A9.0 . Total Dra
t:o..d Te:
Tota ab,,Vtbn ane¢
Ineterlal:
D 3034/ F-810
,% n.
r<
460 so. r
static weer Lw*:
W~
DL ENTERPRISES
We M~..
10/13/2006
prays \C�\\-� Dole praise:
EX 7
Pu'° W AL
Ga.,, ""ht Am greens`
TAN K
GaY
R
R
SEPARATION
DISTANCES
■Septic 0Holding 0S.T.E.P. ODther
7o
Septic
Absorption
Lift
Holding
Ec/Pdvote
Yaredoclw.r.
ANCHORAGE TANK
DapaaN' h tro+•^•:
1250
From
Tank
Field
Station
Tank
s..« ul.,
Well
100'+
100'+
—
—
25'+
Yat.na:
STEEL
thin*., a aamPw ta,2
Surface water
100'+
100'+
—
—
—
LIFT STATION
Lot Line
5'+
10'+
—
—
—
Sig. In eeoro:
Yawleelw,r.
an W.w aL
ump ell e:
Nigh ea.r ayrm e:
Foundation
5'+
10'+
—
—
—
pIInW Yate k
E40" ing;, iar. podo n ed br.
Curtain Drain
NONE KNOWN
Remarks: OLD SEPTIC TANK AND DRAINFIELD WERE
BENCH MARK
Lepetyn and Deevlptyn:
PUMPED, CRUSHED, AND COMPLETELY ABANDONED.
TOP OF CONCRETE SLAB ® BACK DOOR
•..am.a Ey.e.n. 100.00 pt
Inspections performed by: GEG, Ltd. Dates: 1st 10/11/2006
ENGINEER'S SELL
10/13/2006�-Uh
3rd
Development Services Department Approval
..........p
Reviewed and approved by: Date:
• ......• n••••
OQ •• f y rness:
p
CE -7953 `FSO
-.401 a o
�c�
lvI
Reviewed and approved by: Date: �'30"� C
4��oarafea
(R.r. 4/06)
��OOooO�
NUMBER: PARCEL ID NUMBER:
PERMrTSW0 AS -BUILT DRAWING I
SW060333 051-032-18
TOP OF TANK
AT INLET - 95.69
INVERT OF BUNG
AT INLET - 95.08
TOP OF SAND
. 94.00—
)
4.00—
) 0 87.48 ON
10/3/2006
RELATIVE ELEVATION OF BOTTOM
OF TESTHOLE - 85.48
INSULATION
r FINAL GRADE - 99.12-99.26
/ ST2
� TOP OF TANK
/ AT OUTLET - 95.69
NEW 1250 GALLON
SEPTIC TANK
—FINAL GRADE
- 99.00-100.03
2 FEET OF MOAt'.!
APPROVED SAND FILTER •taip
BOTTOM OF BED
91.98—
RELATIVE
1.98—
INVERT OF BUNG
AT OUTLET - 94.89
FABRIC
GARNESS ENGINEERING GROUP, Ltd. p
CONSULTANTS 6 GENERAL CONTRACTORS O
ani L neat fao, fort 101 • rciorvcr. r favor • wa.c (forpn�m • f•f (WrA :4• • fo92 ....w�+••4•�M••^
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q
THOMAS WILLIAMS 694-9125 3 OF 3
LEGAL DESCRIPTION: DRAWN BY:
T15N, R1W, SEC. 5, LOT 22 B.F.M.
TYPE OF WORK: DATE'
PROFILE DRAWING FOR SEPTIC SYSTEM UPGRADE 1 10/18/2006
(R..0iM5)
ORIGINAL GRADE
99.98
DISTRIBUTION
- 94.50
y•.���•�nessl
CE 79 3
fo�?3/O� cc�o�O
PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER:
—
SW060333 051-032-18
NOTE: MEASURED DISTANCE FROM
EDGE OF WELL TO EDGE OF STI
WITH A TOPCON TOTAL STATION AT
104.46'. ROBERT JOHNSON 11/6/06
SURVEY INCORRECTLY SHOWS THE
DISTANCE TO BE 100 FEET.
ALTERNATE SITE
�1—
GARI,GE NEW O
GALLON
SEPTIC TANK \ \
DBL 1k2_
NEW
DRAJNFIELD
II •' 1% : ' ? DBL 3h4
. •. .... •+. •. A \ \ G0' \
/ I •', '.f i �,
EXISTING 2 \ i
BEDROOM HOUSE \
C \
,•f NEW tU 1
>'.' •a: ,.. WELL 1
L— -------------------
— I
I
•,'•. /
GARNESS ENGINEERING GROUP, Ltd. 4 '.�¢
CONSULTANTS E GENERAL CONTRACTORS O" •....... ' ""'
3"' L n AWA fort 101 • .MHCMoc M N501 • Hat (007W?- '" • ru, (907)�o • t w 4w"sw4.'r+Va••, O
PREPARED FOR: PHONE NUMBER: PACE NUMBER: • • • • • ...... • ....... • • •
THOMAS WILLIAMS 694-9125 2 OF 3 Q 15 '•• rness.•
LEGAL DESCRIPTION: DKAWN BY: Qr E-7 53 •' \FG
T15N, R1W, SEC. 5, LOT 22 B. M.
00/ss''11�.q�46 X00
TYPE ID
F WORK: DATE: �QOOPrOQsslot,
AS—BUILT FOR SEPTIC SYSTEM UPGRADE 11/9/2006
(Rw. OV05)
ISD O C(D 0353
051- 03,P-- IS
(907) 357-7987 fax
ACE IVA TER HELL DRILLING
A subsidiary ojACE Ventures, Inc.
P.O. Box 520090
1167 N. Knapp Dr
Big Lake, Ak. 99652
(907) 376-7987 (907) 354-1398 cell
Well (Tuner: Thomas Williams
Use of Well: Domestic
Location: B.L.M Lot 22, within 15NIW15 A.IGA 22433 Margaret Mielke
Date of Completion: 11/03/06 Job N 06-117 Drilling Method: Air Rotary
Size of Casing: 6" Depth of hole: 101 feet Cased to: 101 feet
Static Water Level: 18 feet below land surface.
Finish of Well ( ) Open End (X ) Grout/Seal ( ) Screen/Liner ( X ) Perforated
Describe screen, seal, or perforation: Perforated 62 to 67 feet. Bentonite lop dump grout seal.
Well Pumping Test at 10 Gallons per ( ) hour (X ) minute.
Suggested Pump setting depth: 90 feet from lop of casing.
Method of disinfection: Chlorine tablets
Depth in feet from casing
.to
Details of Formations/size/color/ etc
0 to 2 feet
Casing stick u
2 to 35 feet
Silty ravel cobbles
35 to 45 feet
Sandy silty ravel — dam
45 to 60 feet
Silty clayey ravel
60 to 72 feet
Sandy silty ravel
72 to 101 feet
Silty clayey ravel
/ 1v%� I zI
07 06 02:36p Jim Sullivan
907
ARCTIC PUMP & WELL INC.
Jim Sullivan
PO Box 770197
Eagle River, AK 99577
(907) 688-2510
November 7, 2006
Gamess Engineering
FX 338-3246
R.E. T15NR1 WSEC5LT22
On 11-4-06 and 11-07-06 We abandoned 2 wells on this property We also
installed MOA well sea] on the new well.
Please feel free to contact me with any further questions.
Sincer ly,
Vin Sullivan
p.l
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water b Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Renewal
Permit Number: SWO60353
Legal Description: T15N R1 W SEC 5 LT 22
Design Engineer: 0000 NONE NEEDED
Owner Name: ESTATE OF THOMAS WILLIAMS
Owner Address: 22433 MARGARET MIELKE STREET
CHUGIAK , AK 99567-0089
Date Issued: Oct 30, 2006
Expiration Date: Oct 30, 2007
Parcel ID: 051-032-18
Site Address: 022433 MARGARET MIELKE ST
Lot Size: 108900 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
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 specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907)343-7904( 24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IF
THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER
PROGRAM AT 907-343-7904.
Received By:
Issued By. I I &
Date: v rj
Date:
71 1
-� Municipality of Anchorage
Development Services Department
Building Safety Division
Or -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. 051 032 18 000
Property owners) Estate of Laurence Williams, Thomas Williams per rep Day phone (530) 892-9812
Mailing address 14 Westminister Ct Chico CA Zip Code 95928
Site address 22433 Margaret Mielke Zip Code 99567
Legal description (Sub'd., Block & Lot) LOT 22
Legal description (Township, Range & Section) T1 5N RIW SEC 5 LT22
Lot Size 108,900 Sq. FL
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
❑
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well M
Water Storage ❑
Number of Bedrooms 2
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.
Craig Nagunst / Great Land Realty Cs.4k.A- 4- L 9 - S1 Z5 525 - 9 U �z{
(Signature of property owner or authorized agent)
Permit[Rush Fees:
Date of Payment:
Receipt Number.
(Rw.1 VMS)
Waiver Fees:
Date of Payment:
C? "Z- r % 0 (e Receipt Number.
9 7 S77
� A
2,:5
y
7-a.
t
F
r
6 I f' e
_ j 1
G a'_ � � I i 5 � '� f -r• � � P
Ic
1��• � �. <_, a.r r- 1.
366
j f i •
I
i 33v.
VA CA rs- LoT- u 0 sf PT lc,
AS -BUILT
I hereby certify that I have surveyed the following described
property; P, L . M, L c7' 2. L.
S.a c`l �o^ 5-, -r 1 SIJ , K t w, -�-t,
•,,; , . .yAnchorage Recording Precinct, Alaska, and that the improve -
merits situated thereon are within the Property lines and do not
Or A
r,,..,•�4•76 Gs P� overlap or encroach on the property lying adjacent thereto, that
no improvements on property lying adjacent thereto encroach
Q4;, �f • 9 N on the premises in question and that there are no roadways,
h p;,'(,�' transmissan lines or other visible easements on said property
„i ry• ••4P except as indicated hereon.
�.� Dated at Eagle River, Alaska
cwrr^ this 21 �r ay of c c 7. Zpp(o
r — ftasun ��'!'
:0. 880.5 '�'.-: e, this
ROBERT C. JOHNSON '.r�•
SCALE: Registered Land Surveyor No, 880•LS
1 ' - s -O' Box 77-0456, Eagle River, Alaska 99577
r Kt Phone (907) 6942543
Cu J.r•!-,ye
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
Date Issued: Oct 11, 2006
Expiration Date: Oct 11, 2007
Permit Number: SW060333 Parcel ID: 051-032-18
Legal Description: T1 SN Rt W SEC 5 LT 22
Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 022433 MARGARET MIELKE ST
Owner Name: ESTATE OF THOMAS WILLIAMS Lot Size: 108900 SO. FT.
Owner Address: 22433 MARGARET MIELKE STREET Total Bedrooms: 2 Permit Bedrooms: 2
CHUGIAK , AK 99567-0089
This permit is for the construction of:
Q Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907)343-7904(24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Date: O b C
Date:
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
Parcell.D. O5l-n'PL- Ig
Property owner(s) ESTATE OF THOMAS WILLIAMS (C/O AGENT CRAIG NAGUNST) Day phone 694-9125
Mailing address
Site address 22433 MARGARET MIF KF STREET • CHUGIAK AK Zip Code 99577
Legal description (Sub'd, Block & Lot ) T15N R1W SECTION 5 LOT 22
Legal description (Township, Section & Range) N/A
Lot Size '�� Sq.Ft.
THIS APPLICATION IS FOR ( ®all that apply):
Absorption Field
❑
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
❑
Upgrade
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP Ltd.
-d egent)
Permit/Rush Fees: J�7 6 d •C -C)
Date of Payment: I O C` k
Receipt Number. C^L��+ r'
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number.
GARNESS ENGINEERING GROUP, Ltd.
sv CONSULTANTS & GENERAL CONTRACTORS
September 29, 2006
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 Septic Upgrade for T15N, RIW, SEC. 5, LOT 22
To whom it may concern:
The existing 2 bedroom house is served by a private well and septic system. The septic system currently
does not meet MOA standards and needs to be upgraded. We are proposing to install a new 1000 gallon
septic tank and a bed type drainfield. One test hole was excavated on the property. The drainfield will be
designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as
follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography around the
drainfield is generally flat.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems.
If you have any guestions, please contact us at 337-6179. Thank you for your assistance.
P.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259
Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessenginecring.com
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IXISTINC SEPTIC
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I Zti 'R � � K'�'. • �I
T15N. RIGA SEC. 5. LOT 35
6W
W I
P•
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/
715N, RIGA SEC. 5, LOT 20
Cs��C
-SEPTIC
ARE�D
715N. R1W, SEC. 5. LOT 23//
/
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\
T15% R1W. SEC. 5, LOT 30
NO CONCERN WELL AND SEPTIC
ON SOUTHSIDE OF LOT
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS • • • •
»i [ nioa wn. wrt poi • utiwra. w� Nw� . wd[ bonsn-��» . �u M1o�sx-uu . �cesm:.... m,�
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O
THOMAS WILLIAMS 694-9125 (AGENT) 1 OF 1
LEGAL DESCRIPTION:
T15N, RM SECTION 5, LOT
TYPE OF WORK:
(R.. 01A5)
C.J.G. \7Q0v v••
LI
Ld
1
/
N
I
W
1 T15N, R1;. SE;. 5, LOT 21 \�\
T
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IXISTINC SEPTIC
SYSTEM
I Zti 'R � � K'�'. • �I
T15N. RIGA SEC. 5. LOT 35
6W
W I
P•
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/
715N, RIGA SEC. 5, LOT 20
Cs��C
-SEPTIC
ARE�D
715N. R1W, SEC. 5. LOT 23//
/
I
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\
T15% R1W. SEC. 5, LOT 30
NO CONCERN WELL AND SEPTIC
ON SOUTHSIDE OF LOT
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS • • • •
»i [ nioa wn. wrt poi • utiwra. w� Nw� . wd[ bonsn-��» . �u M1o�sx-uu . �cesm:.... m,�
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O
THOMAS WILLIAMS 694-9125 (AGENT) 1 OF 1
LEGAL DESCRIPTION:
T15N, RM SECTION 5, LOT
TYPE OF WORK:
(R.. 01A5)
C.J.G. \7Q0v v••
LI
' """ ""^'
LEITER THAT PERTAINS TO THIS DESIGN.
OF BEDROOMS:2
TO OBTAIN A COPY OF THE LETTER
PER DAY (GPD): 300
CONTACT GEG. BY PROCEEDING FORWARD
nON RATE/S: <1 MIN./INCH
WITH THIS INSTALLATION. THE ENGINEER.
D APPLICATION RATE: 0.7
WELL DRILLER. CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
DRAJNFIELD SO.FT.: 428.5
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
MAXIMUM DEPTH:8 FEET
WIDTH: 10 FEET
LENGTH:45 FEET
CONTRACTOR MUST HAVE THE
M.OA APPROVED SAND FILTER:2 FEET
WELL RADIUS FLAGGED BY A
EFFECTIVE: 0.5 FEET
REGISTERED LAND SURVEYOR
REDUCTION FACTOR: N/A
PRIOR TO CONSTRUCTION
ACTUAL SOTT.: 450
r EXISTING UNDOCUMENTED
TANK TO / DRNNFIELD
HED. AND
annum
INSTALL DOUBLE ALTERNATE SITE
CLEANOUTS
Gg"E /` \
CRY/
\
PROPOSED
',.: A ; .T.Y y.: y�.. \ \ \ \4,• / DRANFIELD
:',•.'•-�•;^^;`�•'•-2 PROPOSED \
Y •:::. r:' : EXISTING OUSE 1000 GALLON \
•;`••:`'�.;':�•� �" •+��. F:• BEDROOM N SEPTIC TANK \
Y \ \
'/iii �. .•7 i.�;.`•.1••�.. \`
• °.• �, 100' WELL RADIUS
GARNESS ENGINEERING GROUP, Ltd.L
CONSULTANTS& GENERAL CONTRACTORS(Yo
"""'
IML TD011 OOU. SMI 101 • ANHIGCMIL MI M 7 Y MGIC (901W7 170 • 7wv (007)334 7M • UOSIIG Y 4al �pM1/YyrY
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
THOMAS WILLIAMS 1 694-9125 1 2 OF 2
LL DESCRIPTION:
T15N. RiW, SEC. 5, LOT 22
TYPE OF WORK:
PROPOSED SEPTIC SYSTEM UPGRADE
(Rsv.0107
B.F.M
15
101911
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 3 GENERAL CONTRACTORS
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: T15N, R1W, SECTION 5, LOT 22
PERFORMED FOR: ESTATE OF THOMAS WILLIAMS DI
DEPTH
(feet) ORGANICS TEST HOLE 1
1 7�
2
3
4
5
6
7--P�?-91 GW TO SW
8
9
10
11
12
13
14
15
16
17
18
•Lem
filLIR
1
•�
"
II1111111
31191
19,
VZZZ041
Mo.
NNN
•
MY
111111111
%//p%
!111111
�id.B.
•
DEPTH TO DATE
GROUNDWATER
12.5' 9/26/2006
SEE ATTACHED SITE
PLAN
19 I I PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
--{jl —JII TEST RUN BETWEEN 3.5 FT. AND 4 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ®NO
SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA $ PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: �� 3IDb
MUNICIPALITY OF ANCHORAGE
Pagel of 2
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519 650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Garness_Engineering Group
Legal description: 115N R3_W Sec_5._Lot_22
The attached paperwork has been reviewed and is being returned for the following reasons:
Original signature or stamp missing on
Calculation error in design.
Additional soils information needed.
Water monitoring results inadequate. _.
Discrepancy in information submitted.
Topographic information missing or inadequate. The -site -plan, -shall _have _a description of
the topography, areas_of excessive_ slope,_ and extent o{_slopes and surface_ drainage
patterns within _100 -feet of_any_part of the system or portion of -the lot intended for use
for on -site, disposal AMC 15.65.030_b._Please -provide this information on the
site_plan.,
Incomplete; missing _
Incomplete; missing _
Additional adequacy test information needed.
Water sample unacceptable. —
Measured/proposed distances/dimensions missing.
Locations of all soils, percolation and water monitoring tests not shown..__
Proposed system too deep for soils information submitted.
Well log required.
Omission in narrative.
Insufficient fill over tank or field._
Other. The well_is_located in a_ ROW_ easement. Please_provide_a letter of_non_objection
from the ROW rt
depament,. NAi
Name of reviewer: Deb Wockenfuss
ate: 10/5/06
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
http://gamcss/pliprojekt/mail/mail.php?mode=view&action=showhtml&.I D=61180 10/6/2006
January 10, 1986
TO: Permit Applicant
k
P.O. BOX 6650
ANCHORAGE. ALASKA 99502 0650
(907) 264-4111
TONY hhr,WLrS.
%'Arra
DEPARTMENT OF HEALTH 6 HUMAN SERVICES
Subject: Permit A 850489
T15N R1W Section 5 Lot 22
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as -built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
i &41C&7
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
MUM I C I FOAL I TY OF= AMCHOFRAGF=
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ��
825 L STREET, ANCHORAGE, AK 99501
264-4720
OM—E3I TF= SEWF=Fi F}ERM I T
PERMIT NO: 850489
DATE ISSUED: 08/12/85
APPLICANT: LARRY WILLIAMS
ADDRESS: P.O. HOX 89
CHUGIAK, AK, 99567
CONTACT PHONE: 688-2366
LEGAL DESCRIP: SUBDIVISION: NA
SECTIONS 5 TOWNSHIP: 15N
LOT SIZE: 10857 (SQ.FT. OR ACRES)
MAX BEDROOMS: 2
r;LOT: 22 BLOCK: NA
RANGE: R1W
Listed below are the options available.to you in designing your septic
system. Choose the option that best fits your site.
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I Will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or pdblic
sewerage system.on this or any adjacent or nearby lot.
4.'I understand that this permit is valid for a maximum of 2 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT? AND (3) THE
ELECTRICAL WORK MUST BE DANE BY A LICENSED ELECTRICIAN.
S I GNI
APPL
I SSU'.
DATE:
DATE: �(/
TFREMCH
FSE=D
W _ DF<A I M
DEPTH TO PIPE BOTTOM (FT.)
4.0
4.0
4.0
GRAVEL DEPTH (FT.)
4.0
0.5
3.5
TOTAL DEPTH (FT.)
8.0
4.5
7.5
GRAVEL WIDTH (FT.)
2.5
14.0
5.0
GRAVEL LENGTH (FT.)
32.0
27.0
27.0
GRAVEL VOLUME (CU.YDS.)
13.4
14.0
20.0
TANK SIZE (GALS)
1,000.0 **
1,000.0
1,000.0 **
SOIL RATING (SQ.FT./BR)
125
125
125
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I Will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or pdblic
sewerage system.on this or any adjacent or nearby lot.
4.'I understand that this permit is valid for a maximum of 2 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT? AND (3) THE
ELECTRICAL WORK MUST BE DANE BY A LICENSED ELECTRICIAN.
S I GNI
APPL
I SSU'.
DATE:
DATE: �(/
n X SOILS LOG
MUNICIPALITY OF ANCHORAGE
\ ❑ PERCOLATION
1r`1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
625 L Stmt, Anchorage, Alaska 99501 2640720
Q SOILS LOG - PERCOLATION TEST
PERFORMED FOR: �I W1 Ro%IIQ �8u� y0 /-? DATE PERFORMED: 5--30-5s-
LEGAL DESCRIPTION: L .. t' .2 ?/Vv .SECOrEPTM�$—
SLOPE SITE PLAN
• �CGA1.IICS - ---
2-
3-
4-
5-
6-
7-
6-
9-
10-
11-
12-
13-
14-
15-
16.
17•
18•
19•
20-
COMME
PERFORMED
72.008 (6/79)
Gi>
IAZ5 +16(4-
�pT-�cew� OG
i-lu L.E
WAS GROUND WATER
ENCOUNTERED? - D
IF YES, AT WHAT
DEPTH?
i■iiiiiiii
■■■■■■■■■■
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
mmmmm
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
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.orglonsite
(907) 343-79(4
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 05H)EA-12 COSA# b[Ofl5�
1. GENERAL INFORMATION Expiration Date: 2 1 121 0;t -
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
T15N R1W SEC 5 LOT 22
22433 MARGARET MIELKE STREET • CHUGIAK AK 99567
THOMAS WILLIAMS Day phone (C/O AGENT)
Day phone
CRAIG NAGUNST w/ GREATLAND REALTY Day phone 694-9125
11411 OLD GLENN HWY. • EAGLE RNER AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 2
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
0
❑
Individual Water Storage
❑
Individual Holding tank
Community Class Well
❑
Community On-site
❑
❑
Public Water System
❑
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may
be reissued with new water 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 ceffirred 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 ofAnchorago riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. CARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LID. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines Q Regulations. The reported results described the performance ofthe
system under the conditions encountered at the time of the test, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG. LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person orparty is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for Z bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fllowing
337-6179
Date It if 00f.
�<<ttttYtO F1 t0rc
Q�� ...
� nN-SITE__ ��c=
WATER AND
—A TER
r ".WM'cuw.
COSA Checklist Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Reort
Nitrate Advisory Other
By: Original Certificate Date: if171 LOU
(R". 11105)
Municipality of Anchorage
• '� Development Services Department
Building Safety Division
on -Site Water & Wastewater Program
4700 Bragaw Street
P.O. SO 196850
Andwrage, AK 995196850
www.muni.wyonalte
(9D7)343.79M
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: T15N R1W. SEC. 5. LOT 22 Parcel 10:
A. WELL DATA
Well" PRIME If A, B, or C provide PWSID# N A
Date completed 11 /3/2006 Sanitary seat (YIN) YES
Total depth 101 ft. Cased to 101 ft.
FROM WELL LOG
Date of test 11/3/2006
Static water level 18 ft.
Web production 10 g.p.m.
WATER SAMPLE RESULTS:
Well Log (YIN) YES
Wires properly protected (YIN) YES
Casing height (above ground) 18+ in.
AT INSPECTION
Coliform __Q_ coloniesM00 ml. Nitrate 19a-nVJL. Other bacteria Qcolonies/100 ml.
Arsenic: WD_ug.IL. Date of sample: 11 /7/2006 Collected by: GEG Ltd.
B. SEPTICIHOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 10/13/2006
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (YIN) YES Depression over tank (YM) NO High water alarm (YIN) N/A
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA
Qetelobed io/i3/2we Soil rating .pA 'or ft'lbdrm) 0_7 System type BED
Length 46 ft. Width 10 ft. Gravel below pipe 0.5 ft.
Total depth 5'-e•0' ft. Eff. absorption area 460 fe Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fall) PASS For 2 bedrooms
Fluid depth in absorption field before test = In. Water added =gal. New depth =in.
Elapsed Time: = min. Final fluid depth = in. Absorption rate >m 300+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YM
"Pump on" level at _in. 'Pump ofP lays High water level at in.
Cycles tested Meets alarm 8 circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/1111 station on lot *100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A
Sewer /septic service line 25'+
Public sewer manhole/deanout N/A
Holding tank N/A
Animal containment areas 500+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 59+ Property line 5'+ Absorption field 5'
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 1008+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS *MEASURED WITH TOPCON TOTAL STATION FROM EDGE OF WELL TO EDGE
OF ST1 AT 104.4 FEET. ROBERT JOHNSON SURVEY INACCURATE.
G. ENGINEER'S CERTIFICATION Ur
I certify that ► have determimW through Geld inspections and + 49 T�
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in affect on this
ate.y ................
'• A. a ass. -
Engineer's Printed Name JEFFREY A. GARNESS �A 7953
Date lllfb%DL OQ+rb�da�l6l�d�c4
COSA Fee S`f Waiver Fee E
Date of Payment I IIIo� �Q(P Date of Payment
Receipt Number b 1-4 Receipt Number
(Rwv. t 1106)
SGS RcEN
1066698001
Client Name
Gamess Engineering Group, Ltd.
Project Name/a
T15N RI W Sec 5 Lot 22
Client Sample ID
T15N RI W Sec 5 Lot 22
Matrix
Drinking Water
Sample Remarks:
All Dates/rimes are Alaska Standard Time
PrintedDaterrme
11/157006 17:01
Collected Daterrime
11/07/2006 8:15
Received Datdrime
11/07,7006 14:00
Technical Director
Stephen C. Ede
Paramcmr
Results
POL Units
Method
Conutner ID
Allouuble
Limits
Prep Analysis
Date Date
Init
Metals by ICP/MS
Arsenic
ND
5.00 ug.'L
EP200.8
C
(<10)
11,10(),'06 11/13/06
TK
Waters Department
Nitrate -N
1.90
0.100 mg/L
EPA 353.2
D
(<10)
1 U07/06
ALR
Microbiology Laboratory
Total Coliform
0
col/IOOmL
SN1209222B
A
(<I)
11/07/06
Dlrr
Municipality of Anchorage
• j Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonshe
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 651-6 3 � - /9 COSAtt D Ci 3 3
1. GENERAL INFORMATION
Expiration Date: / — so—oz
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
T15N R1W SEC S. LOT 22
22433 MARGARET MIELKE STREET • CHUGIAK AK 99567
THOMAS WILLIAMS Day phone (C/0 AGENT)
Day phone
CRAIG NAGUNST w/ GREATLAND REALTY Day phone 694-9125
--Mailing address:--------- -11411 OLD GLENN HWY. • EAGLE RIVER AK 99577 -- -
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 2
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
Investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure Indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage riles and from my Investigation and inspection, the
on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone
Address 3701 E. TUDOR ROAD, SUITE 101 + ANCHORAGE, AK 99507
337-6179
Engineer's Printed Name JEFFREY A GARNESS, P.E. Date t 0 Z3/ob
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
o4!
DSD Guidelines Q 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
O�
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. Satislactory test
results do not future
guarantee performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. therefore
.Je
OQ
can not provide
any Arturo
°vim
warranty or estimate of how long the system will continue to meet the ._.____._
operational requirements of the ADEC or MOA DSD. The content ofthis report is for
the sole benefit of the owner/isted Any
above. reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal tight whatsoever.
5. DSD SIGNATURE
Approved for �_ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the Illowing stipulations:
Attachments:
ODoo���,uuu,,
J�:• •
ON-SITE.•
-g WATER AND
WASTEWATER
PROGRAM
COSA Checklist
Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineers Reort
Nitrate Advisory Other
By: / Original Certificate Date: �" 7
(Rft. 11A5(
Municipality of Anchorage
" Development Services Department
Building Safety OWlsion
On-Ske Water & Wastewater Program
470D Bragaw Street
P.O. Banc 19655D
Anchorage, AK 99519650
www.muni.ohglonslte
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description' T15N. R1 W. SEC. 5. LOT 22 Parcel ID:
A. WELL DATA 'SEE
ATTACHED WELL LOGS " ORAWDOWN
TO 39' BTC DURING
WELL TEST
Well type PRIVATE
If A. B. or C provide PWSID# N A
Well Log (YM)
NO
Date completed —1972 Sanitary seal (YM) YES
Total depth '040'+ ft. Cased to 040'+ ft,
FROM WELL LOG
Date of test
��y V
Static water level N� :-P.m.
Well production
WATER SAMPLE RESULTS:
Coltfonn a colonies/100 ml. Nitrate 2.02 mgJL.
Wires Property protected (YIN) YES
Casing height (above ground) 1 S+ in.
AT INSPECTION
9/15/2006
23 ft.
6.1 g.p.m.
Other bacteria 0 colonies/100 ml.
Arsenic: ND ugA. Date of sample: 9/15/2005 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Typa(Matertal SEPTIC/STEEL Date installed 10/13/2006
Tank size 1250 gal. Number of Compartments 2 Cleanouts (YM) YES
Foundation deanout (YM) YES Depression over tank (YM) NO High water alarm (YIN) N/A
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA
Date Installed 10/3/2006 Soil rating(.p.d 'or ft9bdnn) 0_7 System type BED
Length
46 ft, Width 10 ft. Gravel below pipe 0.5 ft.
Total depth 5'-6.03' ft. Elf. absorption area 460 fe Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fait) PASS For 6 bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
Elapsed Time: = min. Final fluid depth = In. Absorption rate >= 300+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN if yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N
"Pump on' level at _in. "Pump off" High water alarm level at in.
Datum Cycles tested Meets alarm ti circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot 100,+ On adjacent lots 100'+
Absorption field on lot 100,+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/deanout N/A
Sewer /septic service Ilse 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLOING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent Iota 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage 10'+
Curtain drain NONE KNOWN Wens on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I ced fy that I have deterrnfned through Weld inspecitons 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 1 101 t 1 /o `
COSA Fee S Y 32. DO
Data of Payment 0 Off.
Receipt Number Q4 %
(Rev. 11M5)
Waiver Fee E
Date of Payment
Receipt Number
a Iffllfia
..I.oJAA
9MA
SGS ReLM
1065533001
Client Name
Gamcss Engineering Group, Ltd.
Project Name/N
T15N Rl W Sec 5 Lot 22
Client Sample ID
T15N RI W Sec 5 Lot 22
Matrix
Drinking Watcr
All Dates/rimes are Alaska Standard Time
Printed Date/Time 10/192006 11:33
Collected Date rime 09/152006 11:00
Received DateRime 09/152006 15:13
Technical Director Stephen C. Ede
Satanic Remarks:
Allowable Prep Analysis
Parameter Results PQL Units hlcdwd Contain" ID Limits Date Date Inn
Metals by ICP/143
Arsenic
Waters Department
Nitrate -N
Microbiology Laboratory
Total Coliform
ND
2.02
u
5.00 u8/L EP200.8
0.100 m8/L EPA 353.2
C (<10) 0922/06 10/09/06 TK
D (<10)
col/IOOmL SN1209222D A (<I)
09/15/06 ALR
09/15/06 TLF
10/23/2006 13:02 FAX 9076943093 CREAT LAND REALTY
of
17
M
O •' • •. t,
x .I. a � 'Hwr.. •tQ . . SC.✓t.r r.
. l
se
it
;v ,
Efri•it::,
.' �?. fN
.y
d11h
00 •w •• .. ..
0. Robert C.
z".' NO. 880.5
-11
AS -BUILT
1 hereby certify that 1 have surveyed the following'described_
propeKy; S. L, M, LoT 2. Z. .
Sr-rr•f-r.n 5',TI SN ; R l•W, 5i•1, '
Anchorage Recording, Precinct, Alaska. -and that the improve•
rc
ments situated thereon awithin the property lines and do nor'
overlap or encroach on the property lying adjacent thereto, that.
no improvements on property lying adjacethereto. encroach
on the premises in question and that therent are no roadways,
transmission lines or other visible easements on maid -property
except as indicated hereon.'
Dated at Eagle River, Alaska'
this 21. Lr• way of epG• 2006
ROBERT C. JOHNSON CA:
SCALE: Registered Land Surveyor No: i5
1' • S'a Box 77.0456, Eagle Rivet, Alaska 99577.
Phone (907) 694-2543 •