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Home My WebLink AboutMOUNTAIN AIR ESTATES #1 BLK 6 LT 5Mountain Air Estates #1 Biock 6 Lot 5 #017-211-07 () Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 0sP101119 PID Number: 017-211-07 Name: Warren and Beth Jackson Wastewater System: [] New [] Upgrade Address: 6850 Cloudcroft Lane Anchorage, AK 99516 ABSORPTION FIELD Phone: Number of Bedrooms: 4 [~ Deep Trench [] Shallow Trench [] Bed [] Mound [] Other: Soil Rating: Total Depth from odginal grade: LEGAL DESCRIPTION .45 aPDmt2 13 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 6 5 Mtn. Air Estates No. 1 4 Ft. 9 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 3-4 Ft. 75 Ft. Well: [] New [] Upgrade arave~ width: Number of lines: Distance between lines: 4 Ft. 2 18 Ft. Classification (Private, A, B, C): Total Depth: i Cased to: Total absorption area: Pipe Material: Private 242 Ft. 242 Ft. 1,350 Ft2 ASTM D3034 PVC Ddller: Date Drilled: Static Water Level: Installer: Date Installed: Alpine Drilling 10/20/10 108 Ft. Sanders & Sanders 10/6-8/2010 Yield: 40 GPM PumpSetat:215 Ft. Casing Height Above Ground:2 Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T~ To Septic Absorption Lift Holding 3ublic/Private Manufacturer: Capacity: From~ Tank Field Station Tank Sewer Line Anchorage Tank 1,250 Gal. Material: Number of Compartments: Wea > 100' > 100' N/A N/A >25' Steel Two (2) Surface Water >100' , >100' N/A N/A ~ / LIFT STATION Size: Manufacturer: Lot Line >5' > 10' N/A N/A Gal. "Pump on" level at: "Pump off' level at: in. High water alarm at: Foundation >5' > 10' N/A N/A in. Pump Make & Model Electrical Inspections performed by: Curtain Drain None Noted Remarks: BENCH MARK Location and Description: Garage Slab Assumed Elevation: 100.0 Ft. Inspections performed by: A. Harala Dates: 1 10/6-7/10 2nd 10/7-8/2010 Development Services Department Approval Conditional Approval Date: Reviewed and approve ,l[.t.¢~i~ '[ ~// 7 Date:~ / (Re~ 04/06) .... ~ ' Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP101119 /- 95.1 Page 3 of 3 PID No. 017-110-70 95.0 V/Finished Grade/92.2 E~i~i~-Grade 88.5 Geotextile Fabric Drainfield Rock 79.4 "J 38' (Trench Length) 70,2 No Groundwater "~ 88,3 94.6 / Finished Grade /92'0 / EAST TRENCH Existing Grade Geotextile Fabric Drainfleld Rock 79,3 37' (Trench Length) WEST TRENCH PROFILE AS-BUILT No Scale 94.3 70.2 No Groundwater r'-- f,.) Permit Number: OSP101119 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 ~ 343-7904 o C7 ~ C5 Four Bedroom Home 4 ~) M2 O" C6 si S2 Page 2 of 3 PID No.: 017-110170 30.00 A B C S1 27.5' 22.9' S2 24,4' 30.1' C4 47.2' 15.1' C5 14.9' 35.1' M1 19.0' 28.8' C6 5%2' 34.9' C7 35.2' 44.9' M2 40.8' 38.6' PLAN AS 6 -BUILT SCALE 1' = 30' 30.00 Alternate Site 15' Lono x 3' Wide x 10' Effective Depth Absorption Trench w/Advantex Treatment System. Alpine Drilling & Enterprises Well Log Permit Number: #SWOSPI01119 Date of Issue: 7-21-10 Parcel Identification Number: 01721107000 Date Started: 10-16-10 Date Completed: 10-20-10 Is well located at approved permit location? x Yes [] No Legal Description: Mountain Air Estates #7 Blk 6 Lot 5 G:3739 Property Owner Name & Address: Warren M and Beth J Jackson 7937 Port Orford Drive Anchorage, Alaska 99507 Borehole Data: Depth (ft) 'Soil Type, Thickness & Water Strata From To Stick-up 0 2 Organics & silt 2 3 Cobbly silty gravel 3 19 gravelly silt 19 71 silty grave H20 2 gpm 71 73 gravelly silt 73 119 silt 119 135 gravelly silt 135 175 gravelly sandy silt w~ H20 175 229 silt 229 240 water sand & gravel 240 242 Method of Drilling x air rotary [] cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 242 feet Liner Type: __ Diameter: __ inches Depth: __ feet Casing stickup above ground: 2 feet Static water level (from ground level): __ Pumping level: 240 feet after 2 hours pumping 4__Q gpm Recovery Rate: 40 gpm Method of Testing: air l~ft feet Well Intake Opening Type: x Open End [] Open Hole [] Screened Start feet [] Perforations Start feet Stopped __ Stopped __ feet feet Grout Type: bentonite granules Depth: Start 0 feet Pump: Intake Depth __ feet Pump size __ hp Brand Name __ Volume: 2 bgs Stopped ? feet Well Disinfected Upon Completion? x Yes [] No Method of DisinI'ection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 ~4nchorage AK 99511 Mark Begich Mayor Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmoce Stceet P.O. Box 196650 Anchocage, AK 99519-6650 www.muni.orq/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SWIOlll9 Date of Issue: 2-7-11 Parcel Identification Number: 017-211-07 Replacement Only: YES NO Legal Description Lot 5, Block 6 Mountain Air Estates Property Owner Name & Address: Wood Built Homes Pump Installation Date: 12/20/2010 Pump Intake Depth Below Top of Well Casing: 215 feet Pump Manufacturer's Name: Grundfos Pump Model: 15SQE10-220 Pump Size 1 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Name: Campbell Pitless Adapter Installer: N/A Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Recirc Comments: Pump Installer Name: Aarow Pump & Well Service LLC PO Box l10496,Anchorage, AK. 99511 (907) 346- 9355 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS SGS ReL# 1110251001 Client Name Anderson Engineering Printed Date/Time 02/03/2011 8:38 Project Name/# Private WW Bladder Tank in CS Collected Date/Time 01/24/2011 14:1 I Client Sample ID Private WW Bladder Tank in CS Received Date/Time 01/24/2011 16:05 Matrix Drinking Water Technical Director Stephen C. Erie PWSID 0 Saml~le Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 B (<10) 01/25/11 01/27/11 NRB Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F A (<10) 02/02/11 AYC SGS Reft# 1110251002 Client Name Anderson Engineering Printed Date/Time 02/03/2011 8:38 Project Name/# Private WW Bladder Tank in CS Collected Date/Time 01/26/2011 14:40 Client Sample ID Private WW Bladder Tank in CS Received Date/Time 01/27/2011 15:14 Matrix Drinking Water Technical Director Stephen C. Ede PWSID 0 Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Microbiology Laboratory E. Coli Negative I 100mL SM20 9223B A 01/27/11 SDP Total Coliform Negative I 100mL SM20 9223B A 01/27/11 SDP LOT § BLOCK 6 HAS ~O. 14§ '.FT, OF AREA !$ ao.oo · ~ ~ o FOR: WOODBUILT'HOMEs' ' ' ~te S0ale .... ~eg~l DeScriPUon LanMark , 9~0 Vanguard Drive. Suite 20~ ,. "~c~orafe~ ~aska 99507 Dra~ by 'Field Book ESTATES ~ (90~) 562-8o5o c'ef 237 SUBDIVISION [ hereby CertifY' ~at the property 'described ~refln has been su~eYed ~'OF ~y~,-'-or ~[-~--d~6~5[~ ~[d [h.~t 'the improvements Situated ~ereon are wi~in ~e proper[z lines and do not overlap or propert~ lying adjacent ~ereto unless 0the~se s~a~n. ~at no ~.' improvements on th~ Property lying adjacent th'e~:to encroach On ~e premises :in question and that there, are no rOadwaYs, transmiS~on li~ee or other easements on said property excep~ a$ sho~. ' It is the re~onsibi~ty of the o~er or builder, p~or' to eons~uctien, 'to verify proposed .'building grade .relative to fiaish grade and uti'lily c~nnec[io~s' 'and~ to determine ~e exi's~enee of any ~as'emen~, O~ restHcUons, which do not appear on the recorded ReProducU~n ma~ CauSe'distorUon. Permit Number: Tax Code Number: Work Type: On-Site Water & Wastewater System 0SP101119 01721107000 WellSeptic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Initial Permit Effective Dates: July 21,2010 to July 21, 2011 Design Engineer: ANDERSON ENGINEERING Subdivision: MOUNTAIN AIR ESTATES #1 Site Legal Address: MOUNTAIN AIR ESTATES #1 BLK 6 LT 5 G:3139 Owner/Address: JACKSON WARREN M & BETH J 7931 PORT ORFORD DRIVE ANCHORAGE AK 995076022 Permit Site Mailing Address: 6850 CLOUDCROFT LN, Anchorage Lot Size in Sq Ft: 20145 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: This permit includes Change Order #1, which changes engineers and the design. Special Provisions: Permit includes waiver OSP101127 allowing the drainfield to be 40 feet from a slope _> 25% and to be 1 foot from the west property line. Col ip lity Munie a of Anchorage~~~ P.O. 8ox 496650 · 4700 Elmom Road ~ ~ Alaska 99549-6650 · (907) 343-7904 · Fax (907) 343-7997 . . : http:ffm.muni.orq/Onsite Development Services Department On-Site Water and Wastewater Pro,qram **** VARIANCE/WAIVER REVIEW **** WP-ag: OSP101127 HA#:__ Permit~: OSP101119 PID#: 01721107 Legal Description: Mountain Air Estates #1, Block 6, Lot 5 Engineer: Anderson Engineering Applicant: Warren & Beth Jackson Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the slope > 25% has been approved. The approved separation distance is 40 feet. Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the existing absorption field design only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Name of Reviewer mm m m mm m mm lmm mm m mm mmm m mmm m mmmmmmm-m mmm mm lmm mmmm.-mlmmmmmm mmmmmmmm mmmm mmmmmmm mm mmm m lmm m ! Rec#: 062818 Amount: $200.00 Date Paid: 7/19110 **** VARIANCE/WAIVER REVIEW **** 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 PERIVllT APPLICATION FOR A SINGLE FAHILY DWELLING Parcel I.D. Property owner(s) WARREN & BETH JACKSON Day phone 346-3118 Mailing address NHN CLOUDCROFT LANE *ANCHORAGE, AK Site address Zip Code Legal description (Sub'd, Block & Lot ) MOUNTAIN AIR ESTATES#I; BLOCK 6, LOT 5 Legal description (Township, Section & Range) N/A Lot Size Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR ( [] all that apply): THIS APPLICATION IS AN: Absorption Field [~ Initial Septic Tank [] Upgrade Holding Tank [] Renewal Privy [] Private Well [] Water Storage [] 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. Permit/Rush Fees: Date of Payment: --7/ , ~) / O Receipt Number: 0 (Rev. 11105) Waiver Fees: Date of Payment: Receipt Number: ¢OJ. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) September 23, 2010 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Subject: Lot 5, Block 6, Mountain Air Estates Subdivision, Addn. No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Permit No. OSP101119 Change Order No. 1 Dear Onsite Services Engineer: The owner of the subject property has requested a design for a standard gravity flow septic system rather than the Nitrate Reducing System previously permitted. We are therefore requesting the permit be revised to allow for placement of a 1,250 gallon septic tank and absorption trenches in the configuration shown on the site plan. The Site Plan shows the location of the new system and alternate site along with the proposed location of the well. Also identified on the plans are the locations of the adjacent lots with their respective wells and adjacent septic systems. Protective radii are shown to the adjacent wells. Drainage arrows are also shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. Several test holes were recently placed on the lot with varying results. The test hole placed by Garness Engineering encompasses the majority of the new absorption system. Their percolation rate indicates silty gravel with an absorption rate of 30 minutes per inch. An additional test hole was placed to 22' with slower percolation results, but less than 60 minutes per inch. We are proposing to place a new 1,250 gallon septic tank and 2 - 34' long x 10' effective depth absorption trenches. Total depth of the trenches will be 13'. The alternate site will continue to be a Nitrate Reducing Category III System. A minimum of 3' of cover will be placed over the absorption trenches and 4' over the septic tank. The ground surface on the lot slopes slightly to the west in the area of the absorption trench. The trench will be placed parallel to the contours of the ground as much as possible and in conformance with design criteria. A steep bluff occurs on the lot Lot 5, Block 6, Mtn. Air Estates No. 1 September 23, 2010 Page Two approximately 40' from the end of the trenches. The bluff slope will be flattened during construction to minimize the slope to as close to 25% as possible. A minimum of 100' will be maintained between all components of the septic system and the proposed well and from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments ANDERSON ENGINEERING P,O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677'7766 {FAx) September 23, 2010 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 5, Block 6, Mountain Air Estates Subdivision No. 1 Absorption Trench to Slope Waiver Dear Onsite Services Engineer: The ground slope on the subject lot is relatively flat in the area where the primary absorption trench will be constructed. Approximately 40' from the end of the slope however the grade breaks at a 40% slope to the south at a grade approximating 38%. We therefore request a slope waiver allowing the trenches to be placed at the planned location. The 25% slope from 2' above the top of the absorption trench when extended does not daylight. In addition, the 38% slope will be flattened during construction with excessive excavated material to nearly 25%. The alternate site is a Category III System and will be placed approximately 20' from the slope. The 25% slope from 2' above the top of the absorption trench when extended downward will not daylight. A cross section of the finished slope will be submitted with the as built documentation of the constructed system to verify the slope has been flattened and the separation distance has been maintained. Sincerely, Michael E. Anderson, P.E. ~'. -~m~O'L~ _, ~ AN D ERS ON ENGINE ERIN G P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) September 15, 2010 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 5, Block 6, Mountain Air Estates Subdivision No. 1 Separation Distance Waiver Absorption Trench to Lot Line Dear O[~ Site Services Engineer: The surface area to place a septic system on Lot 5, Block 6, Mountain Air Estates No. 1 is restricted by several protective well radii on this and the surrounding lots. A bluff at the midpoint of the lot also restricts the available area. We are therefore requesting a lot line waiver to allow the placement of the absorption trench within 1' of the west property line. Soils at this location are gravel with silt and some sand which is normally effective in the absorption and treatment of septic effluent. Placement of the absorption trenches within 1' of the western lot line will not adversely affect the neighboring lots. We hereby recommend a lot line waiver be issued allowing placement of the absorption system within 1' of the western lot line. Sincerely, Michael E. Anderson, P.E. SNOW FLAKE \ ?/ \ Well X / VACANT / / / / / AREA MAP SCALE 1' = 100' MOUNTA N A R ESTATES BLOCK 6, LOT 5 20,145 S.F. NO. 2-34' x 3' Wide xl0' Absorptior ® TH4 G.F. ELEV. 97.5 Four Bedroom House NOTE: Well Radii and West Property Line to be Stoked by Registered Land Surveyor Prior to Construction. 1,250 Gallon Septic Tank / Alternate Site 15' Long x 3' Wide x 10' Effective Depth Absorption Trench w/Advontex Treatment System. SITE PLAN SCALE 1' = 30' 80.00 30.00 LOT 5, BLOCK 8, MOUNTAIN AIR ESTATES SUBDIVISION NO. 1 DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Deep Trench System Perc. Rate: 31-60 Min./Inch 1,250 Gallon Septic Tank Application Rate: .45 GPD/SF 10' Drainfield Rock 4 Bedrooms X 150 GPD/.45 GPD/SF (Application Rate) = 1,333.3 SF Absorption Area 1,333.3 SF/20 SF/LF -- 66.67 LF Trench Length THEREFORE: Construct 2 - 34' Long x 3' Wide x 10' Effective Depth Absorption Trenches at the Location Shown. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth to be 13' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain 100' Separation from Wells in the Area. Place Splitter Valve to Insure Even Flow to Each Trench. 10'0 Natural Backfill Geotextile -- Fabric 4" Perforated PVC (Holes Down) Drainfield Rock TYPICAL DEEP TRENCH SECTION ~NO SCA,~ ,._f~5....O..~...~.. NOTE: Grade Area Over Trench to Drain Away. ."~ / · · , - ~. : 49th Min~mum 6 Separation From Bedrock. ...:..~.., ...... . ....... ,, ........ ,,,.....:......~_ Minimum 4' Separation From Groundwater. .~//-//~.-~ce~.,. Minimum 100' Separation From Wells in the Area. ~.A\ M,CHAELE. A'"'""'"'"'"'""'--'~ERSO'"m"~--:.'--'~'. Minimum 100' Separation From Surface Wateror Streams:~:~o'% No. &700 DEPTH (feet) 1 2 3 4 5 6 7 8 9 11 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT BRAGAW STREET ANCHORAGE, AK 99519-(}650 / SOILS LOG - PERCOLATION TEST LOT 5, BLOCK 6, MTN. AIR EST. SUB. NO. I LEGAL DESCRIPTION: PERFORMED FOR: DATE: 9/15/2010 PARCEL ID#: WOODBUILT HOMES PROIECT No.: TECHNICIAN: I TEST HOLE A 0B/0G SILT WITH GRAVEL ML/GM A. HARALA I SLOPE WAS GROUND WATER ENCOUNTERED? NO IF YES ~ WHAT DEPTH.'?.__ DEPTH OF WATER AFTER MONITORING: NONE DATE OF MONITORING: 6/08/2010 SITE PLAN SEE SITE PLAN 5-8% ~ MOIST BOH @ DEPTH TO DATE READING GROSS TIHE NET TINE WATER NET DROP (MINUTES) (MINUTES) (INCHES) (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 9/16 1 7:16 3.38" 2 7:46 30 4.00" 0.62" 3 7:48 3.50" 4 8:18 30 4.06" 0.56" 5 8:19 3.38" 6 8:49 30 3.88" 0.50" PERCOLATION RATE: 60 (MIN/INCH) PERC. HOLE DIA. 6" .(rNCH~S) TEST RUN BETWEEN: 4.5 FT. and 5.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THiS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 6/8/2010 SS ENC;INEERING GROUP, CONSULTANTS & GENERAL CONTRACTORS IS01L LOG - PERCOLATION mEsml 0~CAN~CS HOLE GARNESS ENGINEERING GROUP, Ltd. 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK. 99507 * PHONE: (907)337-6179 * FAX: (907)338-3246 * WEBSiTE: game~aengineering.com LEGAL DESCRIPTION: PERFORMED FOR: GM SOILS LOGGED BY: COMMENTS: TEST #1 SOIL CLASSIFICATIONS GW ~ ORG GP ML G ["'1 CL GC OL SW MH SP CH Sfl OH SC DEPTH TO DATE GROUNDWATER DRY 6/1/2010 DRY 6/9/2010 DRY 7/8/2010 DATE READING CLOCK NET TINE WATER LEVEL NET DROP TIME (I'41NUTES) READING (INCHES) 6/2/2010 1 00:00 - 6- _ 2 00:00 30 5" 1" 3 00:00 - 6- _ 4 00:00 30 5" 1" 5 00:00 - 6- _ 6 00:00 30 5" 1" PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASj PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: '7/Cl]10 ' ~ ~..~C~7~i~._CE 7955 .".~,~ PERFORMED FOR: WARREN ,JACKSON DATE: 6/7~2010 ,~, .-' O~N~CS ~ ~25o ~ GARNESS ENGINEERING GROUP, Ltd. ISOlL LO(3 - PERCOLATION TESTI GM ITEST //21 SOIL CLASSIFICATIONS GW ~ ORG GP ML GM CL GC OL SW MH SP CH SM OH SC DEPTH TO DATE GROUNDWATER DRY 6/7/2010 DRY 7/8/2010 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TINE (MINUTES) READING (INCHES) 6/8/2010 1 2:10 - 6- _ 2 2:40 30 5 1/4" 3/4" 3 2:40 - 6,, _ 4 3:10 30 5 1/4" 3/4" 5 3:10 - 6,, _ 6 3:40 30 5 1/4" 3/4" PERCOLATION RATE 40 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAtS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7! ~//~ ness...' ORGANICS H 0 LE GARNESS ENGINEERING GROUP, Ltd. ;5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE. AK. 99507 * PHONE: (907)557-6179 * FAX: (907);~58-5246 * WEBSR'E: gomesaengineering.com LEGAL DESCRIPTION: PERFORMED FOR: GM TEST SOIL CLASSIFICATIONS GW ~ ORG GP ML GM CL GC OL SW MH SP CH SM OH SC DEPTH TO GROUNDWATER DATE DRY 6/22/2010 DRY 7/8/2010 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 6/2,'3/2010 1 2:50 - 6- _ 2 2:40 10 1 1/2" 4 1/2" 3 2:40 - 6- _ 4 2:50 10 2 5/4" 5 1/4" 5 2:50 - 6- _ 6 3:00 10 2 3/4" 3 1/4" 7 5:00 - 6,, _ 8 3:10 10 2 3/4" 3 1/4" 9 3:10 - 6,, _ 10 3:20 10 2 5/4" 3 1/4" 11 5:20 - 6- _ 12 5:50 10 2 5/4" 3 1/4" PERCOLATION RATE 5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 6.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERFORMED BY GEE;, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA~ P/ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL E;UIDELINES IN EFFECT ON THIS DATE: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-211-07 Expiration Date: jA'"_ / ~ -//' GENERAL INFORMATION Complete legal description Mountain Air Estates Subdivision No. 1, Block 6, Lot 5 Location (site address) 6850 Cloudcroft Lane Anchorage, AK 99516 Current Property owner(s) Warren and Beth Jackson Mailing address 6850 Cloudcroft Lane Anchorage, AK 99516 Day phone Lending agency Mailing address Day phone Real Estate Agent Mailing Address Day phone Unless otherwise ~quested, COSA will be held by DSD for pickup. NUMBER OF'BEbROOMS: Four (4) TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DsD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a priVate or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER o 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 vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable MuniciPal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Approved for { Disapproved. Conditional approval for bedrooms. Date 2/16/2011 OFAL · · bedrooms, wi~h ~he following stipulations: : Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory 1/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other /~?~/~ O~iginal'Certificate Date: ~,~-.--- / C'~ ""// Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 AnchOrage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type Private Date completed 10/20/10 Total depth 242 ft. Lot 5, Block 6, Mountain Air Estates No. 1 IfA, B, or C provide PWSID #~ Sanitary seal (Y/N) Y Cased to 242 ft. FROM WELL LOG Parcel ID: 017-211-07 Date of test 10/20/10 Static water level 108 Well production 40 WATER SAMPLE RESULTS: Coliform O colonies/100 mL Arsenic: N/D ug/I B, SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,250 gal. Foundation cleanout (Y/N) Date of pumping New Const. C, ABSORPTION FIELD DATA Date installed 10/6-8/10 Length 75 ff. Total depth 12-13 ft. Well Log (Y/N) Y Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION g,p.m. g.p.m. Nitrate N/D mg/L Date of sample: 1/24/11 Y Number of Compartments Two Y ' Depression over tank (Y/N) Pumper >18 in. Other bacteria 0 colonies/100 mL Collected by: A. Harala Soil rating (g.p.d./ft2 or ft2/bdrm) 045 GPD/SF Width 4 ft. Eft. absorption area 1,350 ft2 Monitoring tube Date installed 10/6-8/2010 Cleanouts (Y/N) Y High water alarm (Y/N) N System type Deep Trench Gravel below pipe 9 ft. Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail)_ For ~ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth Elapsed Time: ~ min. Final fluid depth in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date in. g.p.d. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at ~ in. "Pump off" level at ~ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >1oo' On adjacent lots >100' On adjacent lots >100' Absorption field on lot >100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service' line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorption field >5' Water main >1o' Water service line >1o' Surface water >1oo' Wells on adjacent lots >1oo' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Fo Property line >1o' Water Service line >1o' Curtain drain None Noted COMMENTS: Building foundation >1o' Surface water >1oo' Wells on adjacent lots >lOO' Water main >1o' Driveway, parking/vehicle storage >25' G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 2/16/2011 COSA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number (Rev. 11/05)