HomeMy WebLinkAboutTHE LANDINGS BLK 1 LT 4The Landings
Block 1
Lot 4
#020-061- 1 1
Municipality of Anchorage
e Development Services Department e
Building Safety Division
Onsite Water & Wastewater Program, 4700 Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us (907) 343-7904 Page 1 3
of
Onsite Wastewater Disposal System and/or Well Inspection Report
Permit Number: OSP101224 PID Number: 020-061-11
Name:
WAYNE ELLIS
Wastewater System: ■ New ❑ Upgrade
Address:
16045 HYANNIS CIRCLE *ANCHORAGE, AK 99516
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) N/A 3
[]Deep Trench ❑ Shallow Trench ■ Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating:
2.0
Total Depth from original grade:
GPD/Sq.
Ft. 1 FOOT ABOVE O.G. Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
1 4 THE LANDINGS
SEE DWG.
0.52
Ft, Ft.
Township: Range: Section:
—
Fill added above original grade:
(ravel length:
— —
4+
Ft. 20 Ft.
WELL. ® New ❑ Upgrade
Gravel width:
15
Number a lines:
3
Distance between lines:
5
Ft.
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:teEMiadc)
Total absorption area:
Pipe material:
PRIVATE
380 Fl
55 n
300 so.
Ft. D 3034/ F-810/SCH 40
Driller.
HEFTY DRILLING
Date Drilled:
4/28/11
Static Water Level:
83
Installer.
WILCO CONTRACTORS
Dote installed:
6/24-28/11
F
Yield:
Pump Set At:
Casing Height Above Ground:
3
350
2
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
0Septic EI Holding MS.T.E.P. ❑Other*
TO
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer.
GREER
Capacity In gallons:
1500
Well
100'+
100'+
100'+
—
25 +
Material:
STEEL
Number of compartments:
2
Surface Water
100'+
100'+
100'+
-
-
LIFT STATION
Lot Line.
5'+
10'+
10'+
—
—
Size in gallons:
Monufacturer:
1500
GREER QUANICS
Foundation
5'+
10'+
10'+
—
—
"pump on level at:
"Pump air level at:
1
High water alarm at:
TIMER
TIMER
46
Curtain Drain
NONE KNOWN
Pump Make & Model:
I Electrical Inspections performed by.
P—FE-41T
M.O.A.
Remarks: THIS IS A QUANICS AEROCELL SYSTEM
BENCH MARK
Location and Dexription:
moqetabd. 4 1: vl 11-
BOTTOM OF SIDING NW SIDE OF HOUSE
Assumed Elevation:
100.00
Fr
Inspections performed by: GEG, Ltd. Dates: 1st 6/24/11
ENGINEEWS SEAL
006000
2nd 6/27/11o
OF
�F . • ......... qs�0
3rd x/27/1 1
�0 Q . �0
Developmept Servi s D partment Approval
o
� 49
p..............
..... 0
/ D
Conditional approval: _ Date: 1144 / D
D
/
6
eff A. ness. Q
O�O
w { G /S
y, '. E-7153 � �O
ce0
few f•I'
�d�4"°
Reviewed and approved by: Date: I -i 9' 1
(Rev. 4/06)
��d
Prof
�4 ressiorl \
000006
PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
OSP101224 020-061-11
i
SEPTIC PIPE
Y
/
D'
10 x
FATR�
FCO
24.47
16.53
ST1
15.71
48.71
MH1
24.13
56.56
POD 1
36.19
68.69
POD 2
35.00
68.79
MT1
39.39 177.10
C01
38.67 176.26
CO2
39.51 174.54
CO3
41.081
73.31
C04
60.72
93.62
MT2
59.19
92.49
C05
59.91
94.71
C06
59.05
95.80
C07
42.30
78.59
LOT 3, BLOCK 1
THE LANDINGS S/D
� v
NEW BED /
C04
•r �� C052 \ 03
f650 AEROCELL
�•� I C2 UNIT
�
:. NEW 1500
GALLON STEP
MT 1 MH TANK
ST1
FC
V.
USE OF RESERVE
DRAINFIELD WILL REQUIRE
9 \ RE-ROUTING OF DRIVEWAY.
O `Al`
LOT 5, BLOCK 1 N \
THE LANDINGS S/D
PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
-
OSP101224 020-061-11
FINAL GRADE =
99.19-99.54
TOP OF TANK
INLET = 94.19
INVERT OF BUNG
INLET = 93.59 -
1500 GALLON 10 GAUGE STEEL -
DEEP BURIAL S.T.E.P TANK
4" INSULATION
- FINAL GRADE
100.22-100.23
ORIGINAL GRADE
= 96.13
HIGHEST POINT
650 AEROCELL POD W/
INTERNAL JANDY VALVE
- TOP OF TANK
OUTLET = 94.17
2" INSULATION
-FILTER FABRIC
TO DRAIN
FIELD
TO BE TOPSOIL AND
VEGETATED IN SPRING OF
2012.
'INVERT OF DISTRIBUTION
LINE = 97.65
TOP OF SAND =
97.13
15' WIDE
BOTTOM OF BED EXCAVATION BOTTOM OF BED
INSPECTED BY MOA (JEFF POET) = 94.13-93.52
- RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 80.13
(GROUNDWATER @ 92.13 ON 6/24/11)
'f 2-feJrffing, enc.
Well Log
Waren Well Dri(ring andTu"!p Set -re
/%'1Cr0r4ge, %&44 007) 45-05;93.
Drilling Started.04 r 21,2011 Cotnpleted: 04/2812011
Subdivision:
BLOCK
I LOT
Property Owncr Name & Address: Wilco Contractors
rite:Hyannis Cir. 16701 Ransom Ridge
,City/Borough.
Anchorage The Landings
1
1 4
Anchorage, AK 99516
Meridian Township Range Section _ _ hof _ _ _ '/4of %a ort/a
BOREHOLE DATA(from top of casing)Depth
Drilling method: (X) Air rotary. ( ) Cubic tool, Other
Material; Type, Color & wettim From To
Well usc: ( ) I'ublic su 1
PP Y• (X) Uomcstic; Other __
stickup
0
2
Depth ofhole: 380 tt, Casing stickup: 2 It
Casing type: sten_) _ _ 'rhickness: _250 inches
Casing diameter: 6 inclics Casing depth: 55 ft
overburden
2
4
Liner tvpc: FVC Diameter: 4.5 inches Depth: 20' to 380'
sand $ gravel
4
20
Static water (from top of casing): 83 ft on 04 !28 /2011
Pumping level & yield: f4et atter _.. hours at .. _ gp n
Recovery rate: 3 gpnt, Method of testing: airlift
rocky
20
22
Development method: airlift Duration: 1 hour
bedrock
22
380
Wcll intake opening type: ( ) Open end. (X ) Open hole, Other ._
Scrccucd: Start: _ - li. Stopped . - _ ft
Scrcen type-. „ _ - Slot/mesh size: -
Performed. Start: R, Stopped: _ ft
Stan: y ft, Stopped: li .
Note: .......... .................................. -------------------------------------------------
Grout type._ bentonite volume -
Dcpth; from ground surface to 20 It
Pump intake dept[: �.. ft
Pump size:._ hp, Brand name:
Was well disinfected upon completion? (X) Yes, ( ) No
Method of disinfcction:CialCiUM.H ochlorite.(Chlorins)...
Dri Her comment.V disclaimers-.Drilled.overSlZe..into.bedt:ock....
to set .casing-_and,-.grout,.per-muni,code....................... _....•._
Water entering well thru fractures ctures at d_e_ pths of
.
120' and 300' for a total of 3 gpm.
...--- I......................................................................................................
Welldriller name: _ Johnny
Company name: hefty
Marling address:....hag InC
3.540 Akula Dr.
..............................................................
city; Anchorage_ State: AK zip 99516
Phone number : ( 907 .) 345 - 0593 fax: 345-4700
Drillers signature: j
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Section
4700 South Biagaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.tnuni.org/onsite
(907)343-7904
T " d 9t722822: 01
kttention: Property owner shall provide a well log to the
SSD within 60 days of well completion.
Pcrmit trumbcr: OSP101224
Date of Issue: Oct / 21 /2010
Pared Identification Number:
Is well located at approved permit iucation? (X) Yes or ( )No
: WO�:U HG2 *0 T T02 -2-n1
NOV-3-2011 09:29A FROM: TO:3383246 P.2
Pum Installation � � LAS ",5� b'
,
NAit
0;-Ga���g
ABOVE GROUND DATE: L% 1
CASING
(�t)4V.-
T Pitless Adapter Manufacturer's Name: ) V �M j�r, 6 0 X
Pitless Adapter Installer:
I
1 1
v i PUMP TVPE
t`
o J
t-=. J MAKE ��Ln
�
o 1j)i ,� MODE. /0
r(� SERIAL f Pmnp — -
f/ Motor
DROP TYPE: Ty" TY C � I 0 Sko I
� � aondttten P
BL
P01" CAE: Tyll I G� 6 k e d— Su. I l hal,
a w
Condition iV ttll
� '11
e l ELECTRICAL: vat. `� V
AnVs
I WATER TANK:
�.
�.
HELL CASOM 51n DRL TV9
ICASED NM& Freon rr� � To
{� WTAKE STRUCTUR$: Two
I Fran U0, To �Dy�
OPEN NOIF: From J To V 0 /
�Vc. go,
well was disinfected upon completion,
method: calcium hypochlorite.
JI ��`1-Cefty Drung, CCiInc
Water Weffand Pump Service
Anchorage, Alaska
(907) 345-0593
On -Site Water & Wastewater System Permit
Permit Number: OSP101224
Tax Code Number: 02006111000
Work Type: WellSeptic Initial
Permit Effective Dates: October 21, 2010 to October 21, 2011
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: THE LANDINGS
Site Legal Address: THE LANDINGS BILK 1 LT 4 G:3235
Owner/Address: ELLIS WAYNE E
5700 LAKE OTIS PARKWAY #C-56 ANCHORAGE AK 995071754
Site Mailing Address: 16045 Hyannis CIR, Anchorage Lot Size in Sq Ft: 26270
Total Bedrooms: 3
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: Permit includes waiver OSP101225, allowing the well to be a minimum of 50
feet from the AWWU public sewer force main and manholes.
Received
Issued By
J
L LQ% Z
Date: v Z
Date: G� c�
MUNICIPALITY OF ANCHORAGE.
Development Services Department
On -Site Water & Wastewater Program
-
4700 Elmore Road, PO Box 196650�r
��z3rPT�aat
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP101224
Tax Code Number: 02006111000
Work Type: WellSeptic Initial
Permit Effective Dates: October 21, 2010 to October 21, 2011
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: THE LANDINGS
Site Legal Address: THE LANDINGS BILK 1 LT 4 G:3235
Owner/Address: ELLIS WAYNE E
5700 LAKE OTIS PARKWAY #C-56 ANCHORAGE AK 995071754
Site Mailing Address: 16045 Hyannis CIR, Anchorage Lot Size in Sq Ft: 26270
Total Bedrooms: 3
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: Permit includes waiver OSP101225, allowing the well to be a minimum of 50
feet from the AWWU public sewer force main and manholes.
Received
Issued By
J
L LQ% Z
Date: v Z
Date: G� c�
Mul
Anchorage, p
C
Wehorage
!0 Elmore Road
7904 0 Fax (907) 343-7997
Insite
:es Department
_ . awater Program
men r cS ,
4
Department H
* * * * VARIANCE/WAIVER REVIEW * * * *
WR#: OSP101225 HA#: Permit#:OSP101224
PID#: 020-061-11
Legal Description: The Landings, Blk 1. Lt 4
Engineer: GEG
Applicant: Wilco Contractors
Your request for a waiver of the required 75 feet horizontal separation from the
public sewer trunk to the private well has been approved. The approved separation distance is,5AK
feet. 41-5 14 rl T(,'
Your request for a waiver of the required 100 feet horizontal separation from the
public sewer manhole to the private well has been approved. The approved separation distance
is.5�feet. P
e,1
This waiver approval applies to the existing public sewer trunk and manholes to private well
separation only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
■ MEMEMNENNNNN MEN ENE MEN MOENonNoBEENE0MENNEENNEMEREEN NNEEM■NNMMNNNMNMNMNMNNMMNE■.
Waiver is Granted: X Waiver is not Granted:
Date: 10/21/2010 Approved by ,
Name of Reviewer
...............................................................................
Rec#: 071420 Amount: $1,050.00 Date Paid: 9/29/2010
**** VARIAN C E/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 PERMIT APPLICATION
Uurianc� �rj- PJD /22.5 FOR A SINGLE FAMILY DWELLING
D5►��012Z. y
Parcel I.D. 020-061-11
Property owner(s) WILCO CONTRACTORS Day phone 345-6288
Mailing address 16701 RANSOM RIDGE * ANCHORAGE AK * 99516
Site address 16045 HYANNIS CIRLCE * ANCHORAGE. AK Zip Code 99516
Legal description (Sub'd, Block & Lot ) THE LANDINGS S/D: BLOCK 1, LOT 4
Legal description (Township, Section & Range) N/A
Lot Sizes 27b 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.
Permit/Rush Fees:. 5 --� O -i- 0 U Waiver Fees: 1,(250
Date of Payment: 17 — —�_) 1 / L) Date of Payment: I I / c`
Receipt Number:
p (J 2 1 % Receipt Number: 7
(Rev. 11/05)
.1
Co I
GARNESS ENGINEERING GROUP, Ltd.
mawmawAns CONSULTANTS & GENERAL CONTRACTORS
October 19, 2010
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road,
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Septic Upgrade for The Landings S/D; Block 1, Lot 4,
To whom it may concern:
The proposed 3 bedroom house will be served by a private well and septic system. We are
proposing to install a new 1500 gallon S.T.E.P. tank with Quanics controls and floats, 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: The topography in the area of the proposed drainfield is relatively flat. In
short, there are no slope concerns.
5. WAIVER FROM WELL TO SEWER FORCE MAIN: Due to site constraints limiting the
available space to put a well on this property, we are requesting you waive the distance from the
proposed well to the existing AWWU public sewer force main and manholes. We are requesting
that the allowable separation distance be waived (from the required 75 feet and 100 feet) down to
feet. Justification for the waivers is as follows:
� Q. � r
so"Q'-
� • sS
Attached are the AWWU records showing the location and description of the sewer force
main. The main is constructed of ductile iron, pressure tested with corrosion control
provisions.
See attached logs from surrounding wells and past water sample results. This area is not
problematic for nitrates or bacteria in the groundwater.
There is a swale between the force main and the proposed well that would intercept and
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
divert any wastewater (away from the well) that might inadvertently be released via the
air relief vents on the AWWU force main.
Based upon the aforementioned facts, we believe there is minimal risk associated with granting
this waiver.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you love any questions, please contact us at 337-6179. Thank you for your
assistance.
Jeffrey YrnP.. ., 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.garnessengineering.com
00' WELL RADIUS I
( LOT 1, BLOCK 1 LOT 2, BLe(CK 1
THE LANDINGS S/D HE LANDAGS S/D , �>
` \ / LOT 3, BLOCK 1
\ / THE LANDINGS S/D
PROPOSED
100' WELL RADIUS / \\ 1
100' RADIUS
L T 1, BLOCK 2 \ � lb
TH� LANDINGS S/D \'10 ' WELL U `�
PROPOSED /4 0' W L RADIUS
BUILDING /
-PROPOSED
SEPTIC\ \ /
\ \ STEM
Vn LOT 5, BLOCK 1 /
THE LANDINGS S/D
LOT 6, BLOCK 1
LOl/ 2, BLOCK 2 j ti ���y� / / THE LANDINGS S/D
THE/ LANDINGS S/D1 0' WELL US �ti ` L
I
\ I 1 ELL RADI
\ LOT 7, BLOCK 1
_ \ l t'• �� \ �1�,� THE LANDINGS S/D
LOT 3, BLOCK 2
THE LANDINNGSS/D
/ 0
\ \ \ LOT 8, BLOCK 1
\THE LANDINGS S/D
LOT 4, BLOCK 2
THE LANDINGS S/D \ • ' \��\ \\ SCALE:
,. • `� \
1" = 100'
•\ 0006�O�O
,q Op
GARNESS ENGINEERING GROUP, Ltd. 4 :• 4-)Q�*
CONSULTANTS & GENERAL CONTRACTORS • • • . • • • • ; • •'• ` • • . • • •
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3248 WEBSITE: w gomeseengineering.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: a.✓~ I
WILCO CONTRACTORS 345-6288 1 OF 3 O ME—
THE
O .JefA. Gayness.LEGAL DESCRIPTION: DRAWN BY: LANDINGS BLOCK 1. LOT 4 A.J.G.
TYPE OF WORK: DATE: �pppO'10 a\o
SITE PLAN 10/13/2010
ipe mm�e
c v)
**MAXIMUM DEPTH: 2'
WIDTH: 15'
LENGTH: 20'
M.O.A. APPROVED SAND FILTER: 3'
EFFECTIVE: 0.5'
REDUCTION FACTOR: N/A
ACTUAL SQ.FT.: 300
NOTE: CONTRACTOR SHALL
HAVE EASEMENT FLAGGED BY A
PROFESSIONAL LAND SURVEYOR
PRIOR TO CONSTRUCTION
**EXCAVATION WILL BE LIMITED TO TWO L
FEET. THREE FEET OF SAND WILL BE TH
PLACED IN THE BED, THE TOP OF SAND
WILL BE ONE FOOT ABOVE O.G.
ELEVATION SHOTS WILL BE TAKEN IN THE
v FIELD TO ENSURE THAT THERE WILL BE A
MINIMUM OF 5 FEET OF SEPARATION
BETWWEN THE BOTTOM OF THE FIELD
AND GROUNDWATER.
REVISED
/ /APPROXIMATE LOCATIONIX \ /
/ OF NEW WELL 1 /
\\`� Pa��O�-te \ MATE 7 / PROPOSE
PROPOSED BUILDING
PROPG�ED 650 \
AyE,�.Rfd ELL IT
INTERNAL
\� SANDY VALVE \ 1
\ \0 / /PROPOSED \ 0
\ � \
\r0� /\ GALLON S.T.E.P. TANK \
0.
e
a\
e \ ��EDGE OF \� LOT 5, BLOCK 1 7' FROM N \
\ PAVEMENT THE LANDINGS S/D
\ PER AWWU
\ I \\ RECORDS SCALE:
a
v \\� 1" = 40,
0006�p 0
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p
GARNES'>�° EENGINEERING�GRIa�JF Ltd. �* -� 4 ..... .........:..�
o
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 ° PHONE (907)337-6179 • FAX (907)336-3246 ' WEBSITE: www.gom engineering.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: a . ••• • •••••.
4_
WILCO CONTRACTORS 345-6288 2 OF 3 e A. Gayness: li
LEGAL DESCRIPTION: DRAWN BY: oOo 9 CE \
THE LANDINGS BLOCK 1, LOT 4 A.J.G.
ap��I o0
�O000���o
TYPE OF WORK: DATE: 4
DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM 6/24/11
LETTER THAT PERTAINS TO THIS DESIGN.
NUMBER OF BEDROOMS: 3
TO OBTAIN A COPY OF THE LETTER
GALLONS PER DAY (GPD): 450
CONTACT GEG. BY PROCEEDING FORWARD
PERCOLATION RATE/S: 40
WITH THIS INSTALLATION, THE ENGINEER,
PROPOSED APPLICATION RATE: *2.0 GPD/FT'
WELL DRILLER, CONTRACTOR AND
MINIMUM DRAINFIELD SQ.FT.: 225
PROPERTY OWNER AGREE THAT THEY
*ADVANCED TREATMENT SYSTEM
HAVE READ THESE SPECIFICATIONS AND
AGREETO ACCEPT THE AND
DRAINFIELD DESIGN:
CONDITIONSOUTLINED.
**MAXIMUM DEPTH: 2'
WIDTH: 15'
LENGTH: 20'
M.O.A. APPROVED SAND FILTER: 3'
EFFECTIVE: 0.5'
REDUCTION FACTOR: N/A
ACTUAL SQ.FT.: 300
NOTE: CONTRACTOR SHALL
HAVE EASEMENT FLAGGED BY A
PROFESSIONAL LAND SURVEYOR
PRIOR TO CONSTRUCTION
**EXCAVATION WILL BE LIMITED TO TWO L
FEET. THREE FEET OF SAND WILL BE TH
PLACED IN THE BED, THE TOP OF SAND
WILL BE ONE FOOT ABOVE O.G.
ELEVATION SHOTS WILL BE TAKEN IN THE
v FIELD TO ENSURE THAT THERE WILL BE A
MINIMUM OF 5 FEET OF SEPARATION
BETWWEN THE BOTTOM OF THE FIELD
AND GROUNDWATER.
REVISED
/ /APPROXIMATE LOCATIONIX \ /
/ OF NEW WELL 1 /
\\`� Pa��O�-te \ MATE 7 / PROPOSE
PROPOSED BUILDING
PROPG�ED 650 \
AyE,�.Rfd ELL IT
INTERNAL
\� SANDY VALVE \ 1
\ \0 / /PROPOSED \ 0
\ � \
\r0� /\ GALLON S.T.E.P. TANK \
0.
e
a\
e \ ��EDGE OF \� LOT 5, BLOCK 1 7' FROM N \
\ PAVEMENT THE LANDINGS S/D
\ PER AWWU
\ I \\ RECORDS SCALE:
a
v \\� 1" = 40,
0006�p 0
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p
GARNES'>�° EENGINEERING�GRIa�JF Ltd. �* -� 4 ..... .........:..�
o
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 ° PHONE (907)337-6179 • FAX (907)336-3246 ' WEBSITE: www.gom engineering.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: a . ••• • •••••.
4_
WILCO CONTRACTORS 345-6288 2 OF 3 e A. Gayness: li
LEGAL DESCRIPTION: DRAWN BY: oOo 9 CE \
THE LANDINGS BLOCK 1, LOT 4 A.J.G.
ap��I o0
�O000���o
TYPE OF WORK: DATE: 4
DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM 6/24/11
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK. 99507 " PHONE: (907)337-6179 " FAX: (907)336-3246 - WEBSITE: gamessengineeris
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: THE LANDINGS S/D; BLOCK 1, LOT 4
PERFORMED FOR: WILCO CONTRACTORS DATE: 8/19/2010
DEPTH
(feet) ORGANICS TEST HOLE #11
1
2 SOIL CLASSIFICATIONS ��"\ THE LALu I NDINGS S/D
GW ORG
3 :::..:.:, GP ML ,–
GM CL
4 G C OL
N OPOSED
o°a o SW MH I /
00 °,/ELL RADIUS /
5 SP CH
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1�
6 SC �.` �.° // `` PROPOSED
BUILDING
7 DEPTH TO
GROUNDWATER DATE \`���
8 GM DRY 8/19/2010'^LOT 5\BL®QK ,
8' 9/27/2010 AIC \ v % THE LANDINGS S/a
9 FA
10 �� \ �Ey t " = loo,
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
11 TIME (MINUTES) READING (INCHES)
12 8/20/2010 1 2:40 – 6" –
2 3:10 30 5 1/4" 3/4"
13 3 3:10 – 6" –
4 3:40 30 5 1/4" 3/4"
14 5 3:40 – 6" –
15 6 4:10 30 5 1/4" 3/4"
16—B.O.H.
17
18
19 PERCOLATION RATE 40 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5.5 FT. AND 6.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 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 WAS P RFOR ED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: C 2-S
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DATE: DRAWN BY: Q .•D
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LEGAL DESCRIPTION: / •: ,le�.uu..,�� ,... .. , . .....�..�.. ,, oo.� ' .J ffr A.. G..... S....
THE LANDINGS S D; BLOCK 1, LOT 12 �.x[�R�:ESS ENGINEERING GROUP, Ltd. Q �� ° �195TYPE OF WORK: CONSULTANTS&GENERALCON'TFACTOFS SDESIGN OF QUANICS AER0CELL SYSTEM3701 E TUDOR ROAD SUITE 101. ANCHORAGE �• ��, �0 (R07) ,37_q,�iF : (qo,) „8 axle • WEBSRE a ww.gomeuent
PREPARED FOR:4p P °\
WILCO CONTRACTORS PHONE NUMBER: PAGE: p�4p�OOoOo
907-345-6288 3 OF 3
Municipality of Anchorage _
. r On -Site Water & Wastewater Program n x
(907)343-7904
9 e-- t S S"Au,-1
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I. D. 020-061-11
_ Expiration Date:
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
16045 HYANNIS CIRCLE *ANCHORAGE,
SHARON SKELTON
16045 H,AKimc
Day phone 552-5731
LINDA HOPP N1 PRUDENTIAL
Day phone 351-5399
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single F- mily and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
individual Weil ---
Individual Water Storage
Community Class_ _Well
Public Water System
3
TYPE OF WASTEWATER DISPOSAL:
❑ Individual On-site
❑ Individual Holding tank ❑
❑: Community On-site ❑
Public Sewer ❑
Received by: Z��
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee
Date of
Receipt Number
COSA # O 5 Gs j j l tit tf
Date: 3A7 /
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. 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. /further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with at/ applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name
Engineer's Comments:
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC a W MOA
DSD Guidefires & 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 me y
fluctuate during ti -e year, and the water usage of the family being served by `Le system.
These conditions e.re outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guara 1:ee 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 or party is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms.
System #2 Apprcved for bedrooms.
_D_1sapproved - -
Conditional approval for
bedrooms, with the following
Phone 337-6179
Date 3 ( �7 /13
O_S`������ tOF (((fe��/
`
�= ON-SITE -
WATER AND
Ab+Gv4" --- U.^ —
PROGRAN
The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory /-,Other
By: �d L
(Re v. 1....
Original Certificate Date: :� -,-q / ���
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: THE LANDINGS; BLOCK 1, LOT 4 Parcel ID: 020-061-11
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 4/28/11 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 380 ft. _Cased to 55 ft. Casing height (above ground) 24 in.
Date of test
Static water level
FROM WELL LOG
4/28/11
ft.
AT INSPECTION
NEW WELL
ft.
Well production 3 g.p.m. 9-P M.
WATER SAMPLE RESULTS:
Coliform�0 colonies/100 ml. NitrateN0 mg./L. Collected by: GEG. Ltd.
Arsenic:o. 10 ug./L. Date of sample: 3/19/13
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 6/24-27/11
Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping Pumper NOT NEEDED PER QUANICS SERVICE PROVIDER
C. ABSORPTION FIELD DATA]*BELOW EXISTING GRADE QUANICS AEROCELL SYSTEM
Date installed 6/24-27/11 Soil rating (g.p.d./ftor /bdrm)2.0 System type BED
Length 20 ft. Width 15 ft. Gravel below pipe 0.52 ft.
Total depth *3.09+ ft. Eff. absorption area 300 ft2 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 >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date —
D. LIFT STATION
Date installed 6/24-27/11 Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at 46 in.
Datum BOTTOM OF TANK Cycles tested NEW Meets alar & circuit requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
100'+
On adjacent lots 100'+
Absorption field on lot
100'+
On adjacent lots 100'+
Public sewer main
*45'+
Public sewer manhole/cleanout *45'+
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 N/A
Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Building foundation
10'+ Water main N/A
Water service line 10'+
Surface water
100'+ Driveway, parkingivehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*WR#OSP101225
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.
Engineers Print Y
Na Te JEFFREY A. GARNESS
Date 31 IN
(Rev. 11/05)
Municipality of Anchorage &,
• '� Development Services Department °_
Building Safety Division 1 s E r
On -Site Water & Wastewater Program
4700 Elmore Road
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. 020-061-11 COSA# L"5L.
1. GENERAL INFORMATION Expiration Date: _� 1,2 t 11R
Complete legal description THE LANDINGS; BLOCK 1 LOT 4
Location (site address) 16045 HYANNIS CIRCLE *ANCHORAGE AK
Current Property owner(s) WILCO CONTRACTORS Day phone
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
16701 RANSOM RIDGE *ANCHORAGE, AK 99516
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY^
Individual Well
Individual Water Storage
❑
Community. Class Well
❑
Public Water System
❑
Day phone
Day phone
345-6288
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 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, l verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
M
Approved for bedrooms.
Disapproved.
Conditional approval for
Attachments:
COSA Checklist
l�
Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
NitrataAdvisory f/ Other
By
(Rev. 11105)
Phone 337-6179
Date 11 IS7 / 0
t%11111,x'"
WAtAWATER
Original Certificate Date:
i
Municipality of Anchorage �F........
...::::::::.:::::::
Development Services Department
; a`
• ; x
Building Safety Division
On -Site Water & Wastewater Program ' A ` ` T'
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: THE LANDINGS; BLOCK 1, LOT 4 Parcel ID: 020-061-11
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N A
Date completed 4/28/1 1 Sanitary seal (Y/N) YES
Total depth 380 ft. Cased to 55 ft.
FROM WELL LOG
Date of test 4/28/11
Static water level 83 _ft.
Well production 3 g.p.m.
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 24 in.
AT INSPECTION
NEW WELL
ft.
g. p. m.
WATER SAMPLE RESULTS:
Coliform ® A colonies/100 ml. Nitrate �mg./L. Collected by: GEG, Ltd.
Arsenic. -I. g 9 ug./L. Date of sample: Id (�
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 6/24-27/11
Tank size. 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA *BELOW FINAL cRAOE
Date installed 61 24-27/1d./ftzor m 2.0 System type BED
/ Soil rating (g•p• /bdr
Length
20 ft. Width 15 ft. Gravel below pipe 0.52 ft.
Total depth *3.09+ ft. Eff. absorption area 300 ft2 Monitoring tube YES Depression over field NO
NEW Results Pass/Fail PASS For 3 bedrooms
Date of adequacy test ( )
Fluid depth in absorption field before test - in. Water added - gal. New depth - in.
Elapsed Time: - min. Final fluid depth - in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed 6/24-27/11 Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 46 in.
Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main *45'+ Public sewer manhole/cleanout *5V S f —
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manuretanimal 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 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, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots '100'+
F. COMMENTS
*WR OSP101225
4otS�0 4
G. ENGINEER'S CERTIFICATION o
I certify that/ have determined through field inspections and p * 9 T �D
review of Municipal records that the above systems are in . • • • ..... Q
conformance with MOA COSA guidelines in effect on this Q 11
date. Je rey . Gar ess. Q
Engineer's Printed Name JEFFREY A. GARNESS QQO� CE—
0
Date 11 f 1511f 4��� Il,! ... A,�oo
�e(Y'°rofess-W' G\
essi 'G\
lk 4l
WE
COSA Fee $ 11 EW3�)bWk c) (cO Ptpe Waiver Fee $
Date of Payment Date of Payment
Receipt Number_ n 0 (,o Receipt Number
(Rev. 11/05)
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Municipality of Anchorage ,
On -Site Water & Wastewater Program -
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 020-061-11 Expiration Date: m 1 y
1. GENERAL INFORMATION
Complete legal description THE LANDINGS; BLOCK 1, LOT 4
Location (site address) 16045 HYANNIS CIRCLE *ANCHORAGE. AK
Current Property owner(s) SHARON SKELTON Day phone 552-5731
Mailing address 16045 HYANNIS CIRCLE *ANCHORAGE. AK
Real Estate Agent LINDA HOPP W/ PRUDENTIAL Day phone 351-5399
2. TYPE OF DVKELLING:
0 Sim l a Family (w/wo ADU)
❑ Dup!ex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Ccai.'nunity Class Well
❑
Community On-site
❑
Punoc Water System
❑
Public Sewer
❑
Receiveo by: / < Date:
COSA to be re' rased to the engineer, unless otherwise requested by the engineer.
COSA Fee F$
Date of
Receipt Number
COSA# ._ I ( I�4 -7
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat affixed hereto and as of the validation date shown below, Iverify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation: .
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 1Z. 1/./ 12-
Engineer's
Z
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
;y
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following
ON-SITE
WATER AND
WASTEWATER
PROGRAM
))))3)1111
The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) bascxl only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska..
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System L.dvisory Arsenic Advisory
Well Flow Advisory Other
By: /j %�Q Original Certificate Date:
(Rev. IM)
If more than 1 septic system is on the lot:
COSA Checklist # _of_
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: THE LANDINGS; BLOCK 1, LOT 4
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 4/28/11 Sanitary seal (Y/N) YES
Total depth 380 ft. Cased to 55 ft.
FROM WELL LOG
Parcel ID: 020-061-11
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 24 in.
AT INSPECTION
Date of test 4/28/11 NEW WELL
Static water level 83
Well production 3 g.p.m. 9 -
p.m -WATER SAMPLE RESULTS: n �,�'/n
Coliform 0A colonies/100 ml. Nitrate%mg./L. Collected by: GEG. Ltd.
Arsenic :Lug./L. Date of sample: 11/16/12
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
STEP/STEEL
Date installed
6/24-27/11
Tank size 1500 gal.
Number of Compartments E
Cleanouts (Y/N)
YES
Foundation cleanout (YIN) YES
Date of pumping
Depression over tank (Y/N) NO High water alarm (YIN) YES
Pumper bar eeVtAui"
rw l r
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADEf QUANICS AEROCELL SYSTEM
Date installed 6/24-27/11 Soil rating (g.p.d./ftor /bdrm 2_0 System type BED
Length 20 ft. Width 15 ft. Gravel below pipe 0.52 ft.
Total depth *3.09+ ft. Eff. absorption area 300 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date -
D. LIFT STATION
Date installed 6/24-27/11 Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump on" level at TIMER in. "Pump of level at TIMER in. High water alarm level at 46 in.
Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on
Public sewer main
100'+
*45'+
Sewer /septic service line 25'+
On adjacent lots 100'+
Public sewer manhole/cleanout *45'+
Holding tank
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Properly line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Properly line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parkingtvehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*WR#OSP101225
Moo'Y'A 6n4-�zaefn.Ez�.-
G. ENGINEER'S CERTIFICATION
I car* 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.
Engineers Printed Name JEFFREY A. GARNESS
Date
(Rev. 11/05)
EC -12-2012 04:27 AM P.01
a( ..
Around the Clock Pumpingg
Anchorage Ala�aSpruce
99516 rive
907-345.9126 Unit # /
Legal Description: Z (QD c> �
Hoare Owners Name:
Billing Address:
Phone #1
Phone #2
Phone #3
Start up date:
Dates of Service
Timer -ON min
Timer -OFF min
Override -ON min
Override -OFF min
Pump Run Time min
o
High Level Count
Low Level Count
1
Orfice Clogged Y/N
Orfice Cleaned Y/N
Phone Line Checked
Tank Levels Checked
Pumping__ Needed
Floats Checked NMIv
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND
TI IIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
Day of /Vwtryt6e! of 20A by and between ers,c
herein the "OWNER," and the Municipality of Anchorage, herein the
`MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (A W WTS), described
/aas Or trl,.t i L 5 located
at ' h t _ CL nC1 S Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an A W 4V IS that
Includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
Fhese approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an A W WTS that were included in
the original design which Would allow the A W WTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an A W WTS. upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of
($ U.00), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWTS.
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the AW WTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
5. Alterations. Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the A W WTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. 'Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AW WTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further. Owner agrees to comply will all applicable ordinance. laws, regulations.
rules and orders for the A W WS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's A W WTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's A W WTS
Operating Permit is:
C. Owner acknowledges that the tine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
A W WTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certifi ;ate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for A W WTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's A W WTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terns and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
Anchorage: Purc,iasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER:
By:! --
Date: 12 — 7
STATE OP ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
}
ss.
The foregoing instrument was acknowledged before me this -A day
20_�L, by
•tom) � � ���_
NOTARY PUBLIC FOR ALASKA
My Commission expires: `
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