HomeMy WebLinkAboutEAGLE PARK BLK 3 LT 1Engle Park
Block 3
Lot i
#050-782-15
Municipality of Anchorage
Development Services Department =�
Building Safety Division
On -Site Water 8 Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SWO80056 PID Number: 050-782-15
N0Te1STEVE WAKELAND
Wastewater System: ■ New ❑ Upgrade
Address:
ABSORPTION FIELD
20744 MELODY LANE a EAGLE RIVER, AK a 99577
Phone: No. of Bedrooms:
(907) 830-9246 Q
■Deep Trench O Shallow Trench O Bed O Mound 13 Other
LEGAL DESCRIPTION
Sag Re":
0.6
Tool Depth h«n orgmal weds:
10 MAX rL
GM/Sq. n
Block: Lot: Subdivision:
Depth to pipe nett" dam original prod•:
Gewl depth beneath pipe:
3 1 EAGLE PARK
3.62 R
6.05 R
Township: Ronge: Section: —
-
M odaee one.° anginal gree.;
Gowl le„ qth;
85
-
SEE DWG. R
r<
Gr v eidu:
Nunn« etNee:
Delonce ee ween finwr
WELL: ■ New [I Upgrade
2.5 FL
1
— rL
Ckwwfcown Prhale. A.B.L:
Tool Deplh:
322
Loeed To:
322
Tool ebe«ption or.a:
1028
pial eiot«w.
D 3034/ F-810
PRIVATE
In
n
so. r<
Glper:
SULLIVAN WATER WELLS
Dole MIW:
6/5/08
stole wot« t.ew:
219
Yioalbor:
GREEN GENERAL
Dote mooned:
9/15-16/2008
n
.ted:
"sem 30a
`w" "g 2� r
TANK
15 GpY
FL
n
SEPARATION
DISTANCES
■Septic 0Holding 0S.T.E.P. aether
io
Septic
Absorption
Lill
Holding
brw/Prhrob
Wn loct« .
ANCHORAGE TANK
Wpadtl' in sees:
1250
rrom
Tank
Field
Station
Tank
Well
100'+
100'+
-
-
25'+
IlWwiol:
STEEL
NumMr of aarp«lrr,enbo:
2
Surface water
100'+
100'+
—
—
—
LIFT STATION
Lot Line
5'+
10'+
—
—
—
Size In gwbm:
w«wfectwer
ump on bowl nL
off at:
Nigh wl« storm ot:
Foundation
5'+
10'+
—
—
—
7
Pwnp wake c
Ebo o e ep«tene penomwd W.
Curtain Drain
NONE KNOWN
BENCH MARK
Remarks:
Low6wi «.d D..di bon:
BOTTOM OF SIDING AT GARAGE/HOUSE CORNER
Ai*N Ebov : 100.00
it
ENGINEER? SEAL
Inspections performed by: GEG, Ltd. Dates: 1st 9/15/2008
aoo�o p
2nd 9/16/2008
3rd -
sDO
' ''•.•/r -ll
� .
0
Development Services Department Approval�:
9 •
....Op
Conditional approval: Date:
P .. •••• ••••••••••••0
J f rness.
P
�0 �� •. F 9113
�4p°ProreSeta^ao�
ODO��p00
Reviewed and approved by: v/� 4/ Date: - ' 0
(Rev. 4/06)
NUMBER: PARCEL ID NUMBER:
PERMfTSW0 AS—BUILT DRAWING I
SWO80056 050-782-15
F A -T-8 I
STI
68.53
27.74
ST2
73.05
35.55
DBL1
74.20
37.37
DBL2
75.01
38.71
C01
124.26
78.11
MT1
118.17
73.41
CO2
56.76
68.95
MT2
160.84
167.48
i
F A -T-8 I
STI
68.53
27.74
ST2
73.05
35.55
DBL1
74.20
37.37
DBL2
75.01
38.71
C01
124.26
78.11
MT1
118.17
73.41
CO2
56.76
68.95
MT2
160.84
167.48
EAGLE PARK S/D,
LOT 2, BLOCK 3
\
CSEPTIC
AREA- - - -
1_ — —
/
NEW 1250 GALLON v
SEPTIC TANK / \
I
NEW DRAINFlELD
MELODY LANE
/ 4 BNEW
EDROOM
HOUSE
A
1Sift \
ST2
080
MT1 �_ � — MT2
CO �-CONFlRMATION TEST HOLE ''IIII
TM,1 11
ALTERNATE SITE
EAGLE PARK S/D. EAGLE PARK S/D. 1- - 40•
LOT SA. BLOCK 3 LOT 5B. BLOCK 3
,0064
OF
GARNLSS LNGINLLRING GROUP, Ltd.
--,= CONSULTANTS S GENERAL CONTRACTORS •••••••••• ••• ......••••
=I E T.1M1 � AIR 101 twy) P In • r" (YO)ullJiM � 1,USI,R �w.,s�wwyaw,
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• •••••• ......••••
STEVE WAKELAND 830-9246 2 OF 3 OQ m .� i r y rness:
LEGAL DESCRIPTION: DRAWN BY: QOy. ' •., CE -79
EAGLE PARK SUBDIVISION, LOT 1, BLOCK 3 K.D.M.
TYPE OF WORK: DATE: ppQProfesl
4pO0�
AS -BUILT DRAWING 11/4/2008
PERMffNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
SWO -
SWO80056 050-782-15
TOP OF TANK
AT INLET = 96.73
INVERT OF BUNG
AT INLET = 96.10
ORIGINAL GRADE = 9!
0 HIGHEST POINT
FINAL GRADE - 99.12
ST2
�- TOP OF TANK
/ AT OUTLET = 96.73
NEW 1250 GALLON
SEPTIC TANK
FINAL GRADE =99.07+
--yr, FILTER FABRIC
INVERT OF BUNG
AT OUTLET = 95.94
INVERT OF PIPE = 95.51
BOTTOM OF TRENCH = 89.46
ELEVATION OF BOTTOM OF TEST HOLE-82.96(DRY)
GARNL•'SS LNGINLLRING GROUP, Ag
CONSULTANTS6 GENERAL CONTRACTO]]01 L TIOLM IO D. 111[ 101 • MCMOWL M1 N 7 RIGS (101).U1-61" • 11[ (WW7nAY-03M 1L• �.p�wPREPARED FOR: PHONE NUMBER: PACE NUMBESTEVE WAKELAND 830-9246 3 OF
LEGAL DESCRIPTION: DRAWN BY:
EAGLE PARK SUBDIVISION. LOT 1. BLOCK 3 K.D.M.
TYPE OF WORK: DATE:
PROPOSED WELL AND SEPTIC SYSTEM DESIGN 5/19/2008
(R., 01105)
GARNESS ENGINEERING GROUP, Ltd.
.:....:.--...-.. ,..: CONSULTANTS 6 GENERAL CONTRACTORS --y+- "
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: EAGLE PARK LOT 1, BLOCK 3
PERFORMED FOR: STEVE WAKELAND DATE:
DEPTH ORGANICS
(feet) CONFIRMATION TEST HOLE
1 2-
4-
5 4
5
6
7
8-
s10119-
10-
11
12-
13-
14-
15-
16-
17—
B.O.H.
21314151617B.O.I I.
18
19
& LOAM
SM W/GRAVEL
�Gn tr- SM)
•
CLOCK
TIME
NET TIME
(MINUTES)
11
NET DROP
(INCHES)
9/15/2008 1
12:00
am
6.
—
2
12:30
30
4.
2-
iiie
12:30
—
6.
—
4
1:00
30
4.
2-
5
1:00
—
6.
—
6
1:30
30
2 -
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
9/15/2008 1
12:00
—
6.
—
2
12:30
30
4.
2-
3
12:30
—
6.
—
4
1:00
30
4.
2-
5
1:00
—
6.
—
6
1:30
30
4.
2 -
PERCOLATION RATE 15 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4 FT. AND 5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA PE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: lofz7.0
MUNICIPALITY OF ANCHORAGE r !�
Development Services Department
On -Site Water & Wastewater Program \ K
4700 South Bragaw Street O
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SW080056
Legal Description: EAGLE PARK BLK 3 LT 1
Design Engineer: 0855 GARNESS ENGINEERING GROUF
Owner Name: STEVE WAKELAND
Owner Address: 20744 MELODY LANE
EAGLE RIVER. AK 99577-0000
Date Issued: May 22, 2008
Expiration Date: May 22, 2009
Parcel ID: 050-782-15
Site Address: 020744 MELODY LN
Lot Size: 40903 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑,/ Disposal Field ❑,/ Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
THE ENTIRE SUBSURFACE DISPOSAL FIELD AND ALTERNATE IS NOT WITHIN A 30 FOOT RADIUS OF A
PERCOLATION TEST. THE ENGINEER NEEDS TO DO AN ADDITIONAL PERCOLATION TEST PRIOR TO THE
CONSTRUCTION OF THE SEPTIC FIELD. PLEASE SUBMIT STAMPED AND SIGNED RESULTS WITH THE
AS -BUILT INSPECTION REPORT. IF THE RESULTS REQUIRE A DESIGN CHANGE, CONSTRUCTION OF THE
SYSTEM WILL STOP PENDING ON-SITE REVIEW AND APPROVAL.
Received By:
1"4"-t w
M
Date: f I L015
Date: S2 O8
Municipality of Anchorage
Development Services Department
Building Safety Division 41
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. oj�D— q99--15
Property owner(s) STEVE WAKELAND Day phone 830-9246
Mailing address rZ 19526 jTTRRAI�L i DAY DRIVE • EAGLE RIVER, AK
Site address �� 7 Y4 1 r J� ld(ti`l L&M—e Zip Code 99577
Legal description (Sub'd, Block & Lot EAQLF PARK SUBDIVISION. OT 1. BLOCK 3
Legal description (Township, Section & Range) N/A
Lot Size 4o, q Q:b Sq. Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
Septic Tank
❑
Holding Tank
❑
Privy
Private Well
❑
Water Storage
❑
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.
Permit/Rush Fees: -1 L (0 +- 17S
Date of Payment: rJ 110 O g
Receipt Number: o'�fio'l3 J
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
GARNIESS ENGINEERING GROUP, Ltd.
--� CONSULTANTS 8 GENERAL CONTRACTORS --1 �_.,
May 19, 2008
Municipality of Anchorage
Development Service Department
On -Site Water R Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Well and Septic System for Eagle Park Subdivision; Lot 1, Block 3,
To whom it may concern:
The proposed 4 bedroom house is to be served by a private well and septic system. We are proposing to
install a 1250 gallon septic tank and a deep trench 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 arc 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 within 50
feet of the proposed drainfield is flat.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems.
Ifyou have any estions, please contact us at 337-6179. Thank you for your assistance.
$llcerely/
N itached 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.gamessengiiieeriiig.com
i i it
/ \\
LOT 3. BLK 1: // LOT Y. BLK 1; \` LOT 1. BLX 1;
EAGLE PARK S/0, EAGLE PARK S/D .,EACLE PARK S/D
---------------
6e2 ccg i
—---------------------------- I
I
----- MELODY LANE -----
LOT
- _LOT 2. BUc 3:
LOT 3. BLK 3: I EAGLE PARK S/D \\ I
EAGLE PARK S/D
I �I
C - w -- - ----I" I
--- . I
------ —J I
---------- -----I I
/ I \\ I
LOT 4. BLK 3;
EAGLE PARK S/D I 1 I
I I I I
i I ��' EAGLE P BK 53D I
/ I
\\\ I �• // LOT SB. BLK 3: I
EAGLE PARK S/D I I
I
\ O�LEI CTIE PARK S/O
I
I
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS S GENERAL CONTRACTORS • ru • •
Ml E • ..T �""'•
nun ono. fort .oi oKiaax. W w r.uor por)zn-o�w Tfo>)sa-n.a o\sva- ... 0
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
STEVE WAKELAND 830-9246 1 OF 2 Qp ••,
LEGAL DESCRIPTION: DRAWN BY: QO
EAGLE PARK SUBDIVISION; LOT 1. BLOCK 3 K.D.M. Opo
TYPE OF WORK: DATE:
SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM 5/19/2008
TRACT A
SWAY S/D
HOUSE
64ee,2
MAXIMUM DEPTH: 10 FEET
WIDTH: 2.3 FEET
LENGTH: 85 FEET
M.O.A. APPROVED SAND FILTER: N/A
EFFECTIVE: 6 FEET
REDUCTION FACTOR: N/A
ACTUAL SO.R.: 1020
NOTE: THE CONTRACTOR
SHALL HAVE THE SOUTH &
WEST LOT LINES, AND ALL
WELL RADII FLAGGED BY A
REGISTERED LAND SURVEYOR
PRIOR TO CONSTRUCTION.
EAGLE PARK S/D,
LOT 2, BLOCK 3
CSEPT/c qR ---
_I
LETTER THAT PERTAINS TO THIS DESIGN.
NUMBER OF BEDROOMS: 4
TO OBTAIN A COPY OF THE LETTER
GALLONS PER DAY (CPD): 600
\
CONTACT CEG. BY PROCEEDING FORWARD
PERCOLATION RATE/S: 15 MIN./INCH
WITH THIS INSTALLATION, THE ENGINEER,
PROPOSED APPUCAT10N RATE: 0.6
WELL DRILLER, CONTRACTOR AND
MINIMUM DRAINFIELD SO.FT.: 1000
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
MAXIMUM DEPTH: 10 FEET
WIDTH: 2.3 FEET
LENGTH: 85 FEET
M.O.A. APPROVED SAND FILTER: N/A
EFFECTIVE: 6 FEET
REDUCTION FACTOR: N/A
ACTUAL SO.R.: 1020
NOTE: THE CONTRACTOR
SHALL HAVE THE SOUTH &
WEST LOT LINES, AND ALL
WELL RADII FLAGGED BY A
REGISTERED LAND SURVEYOR
PRIOR TO CONSTRUCTION.
EAGLE PARK S/D,
LOT 2, BLOCK 3
CSEPT/c qR ---
_I
INSTALL >\
DOUBLE
C4l
MELODY LANE
PROPOSED �TA / �� WLLON SEPTIC TANK
PROPOSED
DRAINFIELD
CONFORMATION TEST HOLE TO BE
DUG PRIOR TO CONSTRyCDON
1 TMT _ I
____ -- —�
ALTERNATE SITE
_____T
EAGLE PARK S/D, EAGLE PARK S/D. L�
LOT SA, BLOCK 3 LOT SB, BLOCK 3 1
". �'>,1�_ _• .OF• •• X95, 0
GARNLSS�ENGINEERING GROUP, Ltd.
p..... ... ..
3MI L nnas sou, aFl[ 101 • WWRI M s 7 . w 000WAIIn • FM (m>)av ".some
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• ••• ••••••••••
STEVE WAKELAND 830-9246 2 OF 2'•J A. Garness
LEGAL DESCRIPTION: DRAWN BY: OQ °p, GE 79 eG
EAGLE PARK SUBDIVISION, LOT 1, BLOCK 3 K.D.M. �20O°,��A�a
0 �dProfassio�oV c�
TYPE OF WORK: DATES 19 2008
PROPOSED WELL AND SEPTIC SYSTEM DESIGN
(H. VIM)
11
\
I1
PROPOSED
/
4 BEDR
INSTALL
H USEOM
)UNDATION ,
INSTALL >\
DOUBLE
C4l
MELODY LANE
PROPOSED �TA / �� WLLON SEPTIC TANK
PROPOSED
DRAINFIELD
CONFORMATION TEST HOLE TO BE
DUG PRIOR TO CONSTRyCDON
1 TMT _ I
____ -- —�
ALTERNATE SITE
_____T
EAGLE PARK S/D, EAGLE PARK S/D. L�
LOT SA, BLOCK 3 LOT SB, BLOCK 3 1
". �'>,1�_ _• .OF• •• X95, 0
GARNLSS�ENGINEERING GROUP, Ltd.
p..... ... ..
3MI L nnas sou, aFl[ 101 • WWRI M s 7 . w 000WAIIn • FM (m>)av ".some
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• ••• ••••••••••
STEVE WAKELAND 830-9246 2 OF 2'•J A. Garness
LEGAL DESCRIPTION: DRAWN BY: OQ °p, GE 79 eG
EAGLE PARK SUBDIVISION, LOT 1, BLOCK 3 K.D.M. �20O°,��A�a
0 �dProfassio�oV c�
TYPE OF WORK: DATES 19 2008
PROPOSED WELL AND SEPTIC SYSTEM DESIGN
(H. VIM)
GARNESS ENGINEERING GROUP, Ltd.
- -•• - CONSULTANTS 6 GENERAL CONTRACTORS .�+�-+••�•_--..••�•_•+
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: EAGLE PARK LOT 1, BLOCK 3
PERFORMED FOR: STEVE WAKELAND D)
DEPTH
(feet) ORGANICS
1 dt LOAM
2
3
4
5
8—Bitit1t11 SM W/GRAVEL
9-
1011 10-
11
12
13
14
15
16
17 11.0.11.
18
TEST HOLE 1 vA or00S
wellwai•
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
4/7/2008 1
I
• .
6'
'
2
IIIlillll
30
111191
1'
3
WZZ/4
—
rA
—
4
NUN
•
4'
2-
5
IIIIIIIII
—
6'
—
6
1:30
30
4-
I
tl�or
m
•
k7n&
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
4/7/2008 1
12:00
—
6'
—
2
12:30
30
5'
1'
3
12:30
—
6"
—
4
1:00
30
4'
2-
5
1:00
—
6'
—
6
1:30
30
4-
2"
19� PERCOLATION RATE 15 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5 FT. AND 6 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERF RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ZZ O ,
Municipality of Anchorage
' Development Services Department i 1
Building Safety Division
\ On -Site Water 8 Wastewater Program
4700 Bragaw Street / i/•►/ "
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ()-57)- - / COSA# ORb38
1. GENERAL INFORMATION Expiration Date: _� ` 6 O 1
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
EAGLE PARK BLOCK 3 LOT 1
20744 MELODY LANE • EAGLE RNER AK 99577
STEVE WAKELAND Day phone 830-9246
20744 MELODY LANE • EAGLE RIVER, AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
Day phone
Day phone
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
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 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 verity 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. 1 further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system !stare) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm _-'E" ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 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 d 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
that t
results do not guarantee future performance of the system, nor do they guarantee
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 iance
other person or party s not afit of the owner listed above. Any uthorized, nor will it Iconferanyegal right whatsoe er. or use of this port any
5. DSD SIGNATURE
�/ Approved for _L bedrooms.
Disapproved.
Phone 337-6179
Date U 3 I u •
4000 004
o* 91 ....
f rnessys.-
QQ ° E— 3
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
\QQ,.. ;..... �y,
ONSITE
WATER AND
WASTEWATER
PROGRAM
Original Certificate Date:
By:
)R". 11W)
Municipality of Anchorage
I' 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: EAGLE PARK BLOCK 3 LOT 1 Parcel ID:0_�;"g.:2-r5
A. WELL DATA
Well type PRIVATE If A. B, or C provide PWSID# N/A
Date completed 6/5/2008 Sanitary seal (Y/N) YES
Total depth 322 ft. Cased to 322 ft,
FROM WELL LOG
Date of test 6/5/2008
Static water level 219 ft
Well production 15 9 -P.M.
WATER SAMPLE RESULTS:
Coliform �_ colonies/100 ml.
Arsenic: roug,/L•
Nitrate Ala mgJL.
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 24 in.
AT INSPECTION
ji
15g.-P-m.
Other bacteria (_ colonies/100 ml.
Date of sample: 10/22/200 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed__ 9/15-16/2008
Tank size '1250 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping NEW Pumper _
C. ABSORPTION FIELD DATA •eELow FiNA� cRAOE
Date installed 9/15-16/2008 Soil rating .p.d./ or ft'/bdrm) 0_6 System type DEEP TRENCH
Length 85 ft, Width 2.5
ft.Gravel below pipe 6.05 ft.
Total depth •9.61 ft. Eff. absorption area 1028 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For E bedrooms
Fluid depth In absorption field before test= in. Water added = gal. New depth =in.
Elapsed Time: = min. Final fluid depth= In. Absorption rate >= 600+ d•
9•p•
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed
'Pump on" level at in.
E. SEPARATION DISTANCES
Size in gallons
"Pump off"
Manhole/Access
water alarm level at In.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
100'+
Absorption field on lot
100'+
Public sewer main
N/A
Sewer /septic service line 25'+
Animal containment areas 50'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manholelcleanout N/A
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line
5'+ Absorption field 5'+
Water main N/A Water service line
10'+ Surface water 100'+
Wells on adjacent lots 1004
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation
10'+ Water main N/A
ter 100'+ Driveway, parking/vehicle storage 10'+
Water service line 10'+ Surface wa
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date I O I Li)—a
a
Waiver Fee $
COSA Fee
Date of Payment t 0 �1 Date of Payment
Receipt Number r Lo 13 Receipt Number
(Rev. 77/05)
f
9
:.'.
'--':•,le
. rn .......
A.
e '•
a
7953 e G
Waiver Fee $
COSA Fee
Date of Payment t 0 �1 Date of Payment
Receipt Number r Lo 13 Receipt Number
(Rev. 77/05)
SGS RefB
1085788001
Client Name
Garness Engineering Group, Ltd.
Project Name/0
Eagle Park B3,L1
Printed Daterrime
10/30/2008
15:59
Client Sample ID
Eagle Park B3,L1
Collected Date rime
10/222008
8:40
Alatri:
Drinking Water
Recehed Datefrime
10222008
15:05
Technical Director
Stephen C. Ede
P%% SID
0
Sample Remarks:
Paramcttt
Results PQL
Allowable Prep
Units
Analysis
Method Container ID Limits
Date
Date
Init
Metals by ICP/Ms
Arsenic
ND 5.00
u8/L EP200.8 C (<IO)
10/29/08 10/30/08
NRB
Platers Department
Total Nitrute/Nitritc-N ND 0.100
-
mg/L SM2045OONO3-F B
(<IO)
1024/08
1DZ
Microbiology
Laboratory
Colony Count
0
Total Coliform
coVIOOmL S,\4209222D A (I)
1022/08
DLC
0
coUl00mL SM2092228 A (<I)
Fecal Coliform
0
1022/08
DLC
coV100mL SN1209222B A (<I)
1022/08
DLC
--- ----------------------�
a
a
0
LOT 2
— — —I— — —
LOT SA LOT 5B
I
PLOT PLAN_
AS BUILT X SCALE 1*.-
40'
GRID SW 0056 Project No. 08-047
Lang &
Associates, Inc.
11500
Daryl Avenue, Anchorage, Alaska
R 1 a
(907)
99515-3049
522-647
eg s ered Land Surveyors 6 Phone
y (907) 522-4625 Fax
kplanpl•Oaloeko.net / JelonglsOaiasko.net 2
I hereby certify that I have surveyed the following do
ertbed p )ro)perty G Q�
Anchorafli RecordinCK g DI tAMEAGLE PAlaska,ARK BandsthatION (thu tmpror•menfi situated }hereon are �j
within the properly Imes and do not encroach onto thero
P tarty adjacent thereto, that FK
no Improvements on the
Property lying adjacent thereto encroach an the surveyed
Premises and that then are no roadways, transmission lines or other visible
easements on sold property except as Indicated hereon. 0 a
Dated this the '2 Day of
e' ->r QQQ��
. ,Oxy, at Anchorage, Alaska Vn�Cj
N Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
491B
KENNETH
OWNER OF LAND:
ADDgESS:
LEGAL DESCRIPTION:
907 688 2759
Certf f feb orlfttllug 3.og
by
OOC CO. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUCIAK, ALASKA 99S67 -TELEPHONE 688-2759
El
DATE: 10
PERMIT NUMBER: Off -09-z— Date oflssueM4 li
TAX IDENTIFICATION NUMBER: f5.5(7
Is well located at approved permit loca!ion?,KYes J No
Method of Drilling: ;r rotary U cable tool
Depth of well �
Casing Type , Wall Thickness • � 5� inches
Diameter_ inches, depth feet
Liner Type:
Casing Stickup Above Ground: feet
Static Water Level: d 19 feet
Recover Rate: —197
Method of Testing: _ t 11T
Weil Intake Opening Type: 6Yopen end O open hole
Cl Screened; Start /` feet Stopped feet
U Perforations Start feet Stopped feet
Grout Type: [U t plume �3
Depth: from n feet, to -11–D— feet
Well Disinfected Upon Compl tion? tf Yos :)No
Metnod of Disinfection: -M ri K P '451) I
Comments:
P.1
Driller's Name
ATTENTION: It is the responsibiliy of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health 3 Human Services and/or Department of Environmental Conservation. Matsu Borough:
Department of Environmental Conservation.
a ma 9 as t mnE'
t atm
ARCTIC PUMP & WELL INC.
Jim Sullivan, CPI
PO Box 770197
Eagle River, AK 99577
(907)688-2510
(907)258-2510
(907)745-2510
Pump Installation Log
Well Drilling Permit Number: SIV080056
Parcel Identification Number: 050-782-I5
Date oflssue:5-22-08
Legal Description:Eagle Park 99:M
me &Address:Lot:l Block:3 eC77
Pump Installation Date: 9-9-08
Pump Intake Depth Below Top of Well Casing:
Pump Manufacturer's Name: Dempster
Pump Model: 10420
Pump Sizc:11/2 hp
Pitless Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer: UK
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
Arctic Pump d Well. Inc.
Page / oft
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