HomeMy WebLinkAboutMOUNTAIN AIR ESTATES #1 BLK 6 LT 4Mountain Air
Estates #i
Block 6
Lot 4
#017-211-06
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251102 PID Number: 017-211-06
Dwelling: 2 Single Family (SF) [] with ADU El Duplex (D) M Two Single Family Project: F-1 New M Upgrade
Name
MICHAEL & MARY GOOLIE
ABSORPTION FIELD
n Deep Trench E Wide Trench n Bed n Mound
Site Address
6800 CLOUDCROFT LANE ANCHORAGE
❑El Other
Phone7
Bedrooms
Soil Rating
Total depth from original grade
" 3
0.6 GPD/SF
4.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2.5 Ft.
Gravel depth beneath pipe
2 Ft.
Subdivision Block Lot
MOUNTAIN AIR ESTATES #1 6 4
Fill added above original grade
VARIES 0.5— 2.8 Ft.
Gravel length
105 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
',
Sewer ToSeptic Absorption Holding Sew
Total absorption area
Number of trenches
Dist. between trenches
Lift Station
l
Tank Field Tank Line
From T
750 Ft'
3
8+ Ft.
Well 100'+ 25'+
TANK 0 Septic 0 S.T.E.P. n Holding [3 Other
Manufacturer
EXISTING
Capacity
Gal.
Surface Water i 100'+
Material
Number of compartments
Lot Line 10'+ NA
Foundation i 10,+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks Lower 2 fields insulated per contractor. Removed &
replaced existing 2 fields adding MOA sand as needed &
installed additional trench.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank Tank to 3034
drainfield
Installer Mike N Anderson, PE (MNA)
Drainfield 3034 CO/MT 3034
Inspector MNA & FWC
BENCH MARK (Assumed elevation) 100 ft
Inspdates: ection 1" 2
4/30/25 Id 4/30/2025
Location and description
3rd 5/1/25 4h 5/1/25
MH TOP OF 3 -WAY SPLITTER
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
4:11IF A
Conditional Approval: Date
ok
,OW A
.... .. ... .........
Septic SysteO
Curtis Huffman
Approved'
Dat
% CE 128991
05/29/25.
X�
killl PROFESS0 -4`
Note: this approval does not include well permit requirement
NA,
(r 05/02118)
59.8
5
8
.
2
26.2
1
1
.
9
12.0
1
3
.
9
26.1
4
.
0
10.0
1
2
.
0
1
6
.
0
14.5
FIRST WATER CONSULTING
PID:017-211-06PERMIT:OSP251102
MOUNTAIN AIR EST. #1 B6, L4
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251102
Work Type: Septic Upgrade
Tax Code Number: 01721106000
Site Legal Address: MOUNTAIN AIR ESTATES #1 BLK 6 LT 4 G:3139
Site Mailing Address: 6800 CLOUDCROFT LN, Anchorage
Owner: GOOLIE MICHAEL T & MARY K
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
4/14/2025
4/14/2026
22057
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:L"C Date: _
Issued By: Date: ! '
3
ANCHORAGE
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-211-06
Phone- 907-343-7904
Property owner(s) MICHAEL & MARY GOOLIE Day phone
Mailing address 6800 CLOUDCROFT AVE, ANCHORAGE, AK 99516
Site address 6800 CLOUDCROFT AVE, ANCHORAGE, AK 99516
Legal description MOUNTAIN AIR ESTATES #1 BLOCK 6, LOT 4
Number of Bedrooms 3
Engineering Firm FIRST WATER CONSULTING
Building Permit Number
Not Applicable FNI
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Absorption Field
0 Initial D
Septic Tank
El Upgrade FxJ
Holding Tank
R Renewal El
Privy
0
Well
F
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
Permit/Rush Fees: L Waiver Fees:
Date of Payment: z" Date of Payment:
Permit No. 1 C) Waiver No.
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
April 11, 2025
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: MOUNTAIN AIR ESTATES #1 BLOCK 6, LOT 4
The property owner has requested we obtain a permit to upgrade the failed septic field of the
above referenced lot. We propose to remove all biomat material of the existing 2 trenches, add
MOA sand as needed, install three shallow trenches and confirm the integrity of the existing
1000-gallon tank to serve the existing 3 -bedroom residence.
The design is based on the MOA record test holes conducted by Jeff A. Garness, PE (GEG) on
July 24, 2012. No groundwater was observed at test hole excavation but was observed at 12’ at
monitoring. The soils rating of the percolation rate was 0.8 GPD/SF. To be more conservative, a
0.6 GPD/SF rate was used for this septic upgrade. Area lots show soil rates of 0.8 with greater
install depths than this proposed design.
The slopes are moderate at 0-10% at the proposed upgrade location. The lot and area are served
by private water. The design will not impact any of the neighboring properties. Please contact
us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251102, Curtis Townsend, 04/14/25
59 .8
5
8.
2
2 6 .2
1
1
.
9
1 2 .0
1
3.
9
26.1
4
.
0
1 0 .0
1
2
.
0
1
6
.
0
1 4 .5
FIRST WATER CONSULTING
MOUNTAIN AIR ESTATES #1 B6, L4
DESIGN CALCS:
NO SLOPES >25% WITHIN 50'OF PROPOSED FIELD.
STAKE PROPERTY LINES, WELL RADII, ESMTS,
OR OTHER SEPARATIONS... PRIOR TO CONST.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251102, Curtis Townsend, 04/14/25
59.8
5
8
.
2
26.2
1
1
.
9
12.0
1
3
.
9
26.1
4
.
0
10.0
1
2
.
0
1
6
.
0
14.5
FIRST WATER CONSULTING
NO WELLS WITHIN
100' OF PROPOSED
SEPTIC TRENCHES.
DESIGN DETAILS:
MOUNTAIN AIR ESTATES #1 B6, L4
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251102, Curtis Townsend, 04/14/25
Municipality of Anchorage
Community Development Department Page 1 of 3
Onsite Water & Wastewater Program
4700 Elmore St. a P.O. Box 196650 Anchorage, AK 99519-6650 • httpJ/www.muni.org/onsite • (907)343-7904
ONSITE WASTEWATER INSPECTION REPORT
Permit Number: OSP121079
PID Number: 017-211-06 ® New ❑ Upgrade
Name
JOHN TUCKEY
ABSORPTION FIELD
❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound
❑ Other
Address:
13551 SPENDLOVE DRIVE *ANCHORAGE, AK
Phone:
(907) 351-8266
No. of Bedrooms:
3
Soil Rating:
0.8 GPD/Sq. Ft.
Total Depth Inc. anginal grade:
1 4.5 MAX FL
LEGAL DESCRIPTION
Depth to pipe invert from original grade:
Grovel depth beneath pipe:
SEE DWG. Ft.
2.11/2.13 Ft.
Subdivision:
MOUNTAIN AIR ESTATES #1
owns 1p: — .rigs:—
Block: Lot:
6 4
ec ion: —
Fill added be. original grade:Gravel
SEE DWG. Ft.
Gravel width:
length:
39.5/40 FL
ds Number of lines Distance between lines:
5/5
_ _
R.
SEPARATION
DISTANCES
Total absorption area:
564 SG. Ft.
Number of trenches:
2
Dist, between trenches:
1 0+ Fl.
To
From
Septic Absorption
Tank Field
Lift Holding Public/Private
Station Tank Sewer Lines
well
100'+
100'+
—
—
25'+
TANK ® Septic ❑ S.T.E.P. CHolding ❑Other
Surface water
100'+
100'+
—
—
Manufacturer:
ANCHORAGE TANK
Capacity:
1000 Gal.
Lot Line
5'+
10'+
—
_
N/A
Material'
Number of compartment.:
STEEL
2
Foundation
5'+
10'+
—
—
LIFT STATION
Curtain Drain
NONE KNOWN
Manufach, e.. capacity:
Gal.
Remarks: ML LAYER NOTED IN TH 3 WAS NOT FOUND
"Pump on" tevel at:
Rump off" heel at:
Hi toalamn a:
IN TRENCHES AND WAS CONFIRMED BY MOA
Pump Make &Mode•
ercaI Inspections perfomnad by:
JEFF POET
PIPE MATERIAL
House to tank D3034 Tank to D3034
drainfield
Installer
RED DOG
Drainfield F810 CO/MT D3034
Inspector GEG, Ltd.
BENCH MARK (Assumed elevation)
Ft.
Inspection
Dates: 1st 9/14/ 2
2nd 9/14/ 12
Location and Description`
3rd 9/17/12
4th —
Community Development Department Approval
ENGINEER%SEILL
000OF000���
Conditional. approval:
pP
Date:
v ��• �� d0
-.71�......... .... ...........
.....�
QO ••.J y G mess: .
Approved:
Date: —aC(p'
CE
���4°aa 1.fR
nofessiof` c�
��OOpOo��
PERMITNUMBER: AS—BUILT DRAWING PARCEL ID NUMBER:
OSPI
OSP121079 017-211-06
MOUNTAIN AIR
ESTATES#1; BLOCK 6,
LOT 3 III
1
\ \ AAT \ \
1
NEW 1000 GALLON
SEPTIC TANK.
i
RESERVE SITE, % .
WILL REQUIRE: ' '
ADVANCED �' •:.,
TREATMENT
TH#2
\J
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTCHRS
3701 E TIIQOIt XG•➢, SIOfE 101 • MONO . M 0950] • PHM( (007)0]]-0179 • FW{ (907)53 M- • YIEB911E: wm,gOm99NngMN„9y.COm
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN TUCKEY 351-8266 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4 PNB
TYPE OF WORK: DATE'
AS -BUILT DRAWING 9/19/12
(Rev. 01/05)
NEW 3
BEDROOM
HOUSE
NEW WELL
MOU AIR
ESTAT 1; BLOCK 6,
/ LOT 6
A
I B
ST1
8.70
131.68
ST2
18.16
31.23
DBL1
20.72
31.69
DBL2
22.22
32.31
FS
23.13
32.51
C01
22.70
37.94
MT1
25.16
39.76
CO2
63.55
64.96
MT2
62.25
64.96
CO3
53.83
65.47
MT3
52.49
45.11
C04
21.5
19.7
MT4
21.9
21.4
MOUNTAIN AIR
ESTATES#1; BLOCK 6,
LOT 3 III
1
\ \ AAT \ \
1
NEW 1000 GALLON
SEPTIC TANK.
i
RESERVE SITE, % .
WILL REQUIRE: ' '
ADVANCED �' •:.,
TREATMENT
TH#2
\J
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTCHRS
3701 E TIIQOIt XG•➢, SIOfE 101 • MONO . M 0950] • PHM( (007)0]]-0179 • FW{ (907)53 M- • YIEB911E: wm,gOm99NngMN„9y.COm
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN TUCKEY 351-8266 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4 PNB
TYPE OF WORK: DATE'
AS -BUILT DRAWING 9/19/12
(Rev. 01/05)
NEW 3
BEDROOM
HOUSE
NEW WELL
MOU AIR
ESTAT 1; BLOCK 6,
/ LOT 6
PERMIT NUMBER: PARCEL
-
OSP 121079
AS -BUILT
INSULATION• •-
FINAL GRADE = 99.61-99.78
TOP • OF TANK
- - ,.
AT OUTLET = 96.50
AT INLET 56
E:::2CAT TCJ'
rNEW
0GALLON
OUTLETINVERT OF BUNG SEPTIC TANK INVERT OF BUNG
AT INLET = 95.91 AT
EAST TRENCH WEST TRENCH
MFINAL GRADE _FINAL GRADE
ORIGINAL GRADE INSULNION I.CONTRACTOR)ORIGINAL GRADE INSULATION y.
0 HIGHEST 0 HIGHEST
POINT- 97.75 F FILTER FABRIC POINT- 96.92 �IFILTER FABRIC Ti5 BOTOM OF 5' BOTTOM OF_
o
2.11 INVERT OF PIPE 2.13' INVERT OF PIPE
TRENCH TRENCH -
93.25 92.42
GROUNDWATER ON 9/14/12 0 87.25 -61- -
RELATIVE ELEVATION OF BOTTOM OF TESTHOLE 81.75 (GROUNDWATER ON 9/14/12 0 88,09)
MOA APPROVED 4.5' MAX EXCAVATION DEPTH.
• .TIRE
. • •�
�• ��V�/
PREPARED
FOR:
JOHN TUCKEY • ��l i
LEGAL DESCRIPTION:
O . i
MOUNTAIN• • ��1
Alpine Drilling & Enterprises
Well Log
Permit Number: #SWOSP111060 Date of Issue: 5-23-11 Parcel Identification Number: 01721106000
Date Started: 7-21-11 Date Completed: 7-22-11 Is well located at approved permit location? x Yes ❑ No
Legal Description: Mountain Air Estates #1 Block 6 Lot 4
Property Owner Name & Address: David W& Judith A Michael
15211 Snowflake Dr
Anchorage, Alaska 99516
Borehole Data:
Soil Type, Thickness & Water Strata
Depth (ft)
From To
Method of Drilling x air rotary ❑ cable tool
Casing type: steel
Stick-up
0
2
Wall Thickness:.250 inches
Organics & silt
Siltycobblygravel
2
9
9
55
Diameter: 6 inches Depth: 197 feet
Liner Type:
Diameter. inches Depth: feet
gravelly silt
55
79
Casing stickup above ground: 2 feet
Static water level (from ground level): 82 feet
silty cobbly gravel 79 161
silty gravelly sand
161
183
Pumping level: 197 feet after
sandy silt
water sand & gravel
183
193
193
197
_ hours pumping 50 + gpm
Recovery Rate: 50 + gpm
Method of Testing: air li t
Well Intake Opening Type:
x Open End ❑ Open Hole
❑ Screened Start feet Stopped T feet
❑ Perforations Start _ feet Stopped feet
Grout Type: bentonite granules Volume: 2brs
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? x Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller: Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99511
Development Services Department
Building Safety Division
*AE
On-Site Water & Wastewater Program4700 Elmore RoadP.O. Box 196650Mark Begich Anchorage, AK 99507
Mayor www.muni.org/ortsi
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW OSPI11060 Date of Issue: 5/23/2011
Parcel Identification Number: 01721106000
Legal Description
Block 6, Lot 4 y�
Mountain Air Estates -1 1
Pump Installation Date: 4/2712013
Pump Intake Depth Below Top of Well Casing: 164
Pump Manufacturer's Name: Goulds
Pump Model: 7SBO7412CL
Pump Size 314 hp
Pitless Adapter Burial Depth: NIA feet
Pitless Adapter Manufacturer's Name: NIA
Pitless Adapter Installer: NIA
Well Disinfected Upon Completion? Q Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Pump Installer Name: Aarow Pump & Well Service, LLC
P.O. Box 110496
Anchorage, AK 99511-0496
feet
Property Owner Name
David W. & Judith Michael
15211 Snowflake Dr.
Anchorage, AK 99516
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
On -Site Water & Wastewater System Permit
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
Permit Number:
OSP121079
Tax Code Number:
01721106000
Work Type:
WellSeptic Renewal
Permit Effective Dates: May 11, 2012 to May 11, 2013
Design Engineer:
GARNESS ENGINEERING GROUP LTD
Subdivision:
MOUNTAIN AIR ESTATES #1
q-1t(—t2 X /1:3-b
Site Legal Address: MOUNTAIN AIR ESTATES #1 BLK 6 LT 4 G:3139
Owner/Address: TUCKEY JOHN D
13551 SPENDLOVE DRIVE ANCHORAGE AK 995166915
Site Mailing Address: 6800 Cloudcroft LN, Anchorage Lot Size in Sq Ft: 22057
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.
eoD ✓'ev-.5 s tie drx, „ Aeld
y-lz tT�° Sew ha m�/ j
ldy�v' �� �l�'�iN.G4-s r'Xt�✓!vim jhS�2Gqr.k
/o B x p� ey-f lr s ',o us �i.S f�eA-t' 7 r�,G�l�. /h., V -c f f
/v' (iiasev �o Glo,4 cv---I` L0.vl 2 �bev
Received
Issued By
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
On -Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 0 17-21 1 –06
Property owner(s) JOHN TUCKEY Day phone 345-9841
Mailing address NHN CLOUDCROFT LANE *ANCHORAGE, AK
Site address NHN CLOUDCROFT LANE *ANCHORAGE, AK
Legal description (Sub'd, Block & Lot )
Legal description (Township, Section & Range) MOUNTAIN AIR ESTATES #1: BLOCK 6. LOT 4
Lot Size Sq.Ft.
THIS APPLICATION IS FOR:
( ® all that apply)
Initial
Absorption Field
Upgrade
Septic Tank
Renewal
Holding Tank
❑
Privy
❑
Private Well
Water Storage
❑
Number of Bedrooms 3
THIS APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: I Waiver Fees:
Date of Payment:
Receipt Number: —
Permit No. 6s0ial0`-'Xq
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 01/11)
On -Site Water & Wastewater System Permit
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
Permit Number: 0SP111069
Tax Code Number: 01721106000
Work Type: WellSeptic Initial
Permit Effective Dates: May 23, 2011 to May 22, 2012
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: MOUNTAIN AIR ESTATES #1
Site Legal Address: MOUNTAIN AIR ESTATES #1 BILK 6 LT 4 G:3139
Owner/Address: MICHAEL DAVID W & JUDITH A
15211 SNOWFLAKE DR ANCHORAGE AK 995164435
Site Mailing Address: 6800 Cloudcroft LN, Anchorage
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy
All construction must be in accordance with:
Lot Size in Sq Ft: 22057
Total Bedrooms: 3
Y Private Well N Water Storage
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.
Received E
Issued By:
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
On -Site SewerMell Permit Application
For A Single Family Dwelling
Parcel I.D. 017-211-06
Property owner(s) JOHN TUCKEY
Mailing address NHN CLOUDCROFT LANE *ANCHORAGE, AK
Site address NHN CLOUDCROFT LANE *ANCHORAGE, AK
Legal description (Sub'd, Block & Lot )
Day phone 345-9841
Legal description (Township, Section & Range) MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4
Lot Size
Sq.Ft. Number of Bedrooms 3
THIS APPLICATION IS FOR:
( Z all that apply)
Absorption Field
Septic Tank
■
Holding Tank
❑
Privy
❑
Private Well
Water Storage
❑
THIS APPLICATION IS AN:
Initial
Upgrade ❑
Renewal ❑
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
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.
(Signature of property owner or authorized agent)
P_e mi Rush Fees:
Date of Payment: 51
,, 8- I ��
Receipt Number:
Permit No. CD5 (11 U
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No
(Rev. 01/11)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS mm
May 17, 2011
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Initial Septic System for Mountain Air Estates 91; Block 6, Lot 4
To whom it may concern:
The referenced property is currently vacant. The owner is proposing to build a 3 bedroom house that will
be served by a private well and septic system. We are proposing to install a 1250 gallon S.T.E.P. tank and
dual deep trench type drainfield. Attached are a site plan and a design drawing showing the proposed
septic system. Two test holes were excavated on the property. The drainfield will be designed around the
30 foot radius of test hole #2. Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which show 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 water concerns.
4. TOPOGRAPHY: As can be seen on the attached topography drawing there are no slope concerns.
We are unaware ofAy adverse impacts this installation would have on adjacent wells or septic systems.
If you have any qutstl9ps, please contact us at 337-6179. Thank you for your assistance.
MAN
NOTE: Attached is a site plan drawing, a design drawing, two detail drawings, and two soil logs, 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.gamessengineering.com
RPgg�
MOUNTAIN AIR
ESTATES#1; BLOCK
5, LOT 2
O1
CD1
I ,
I
' / I
/ I
MOUNTAIN AIR
ES OT
BLOCKI
GR
AREAC 1
— / I p
MOUNTAIN AIR I 1 lo
/ ESTATES#OT 3 BLOCK I /' I \
4ly\ WEL FtA
\ le�( 3•.
/ I
L RADIUS
/ I
mvvniniry ni MOUNTAIN AIR
ESTATES#1; BLOC 6, / ' ESTATES#1; FLOCK
LOT 3 / / 6, LOT, 6 Cll
1 I'MOUNTAIN AIR
MOUNTAIN AIR /
----- 6,
MOUNTAIN AIR
ESTATES#1;
BLOCK 6, LOT
9
BLOCK ESTATES 1; BLOCK
B 6,
J
MOUNTAIN AIR
ESTATES#2; TRACT
A-1
GARNESS ENGINEER. ING GROUP, Ltd_
CONSULTANTS & GENERAL CONTRACTORS
3101 E. N00R ROAD, S191E 101 • "WRM,E, M( 99507 • PHONE (907)331-8179 • FAX (907)335-3218 • MSRE: we .9arneuen9lmann9•oo
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN TUCKEY 345-9841 1 OF 3
LEGAL DESCRIPTION: DRAWN BY:
MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4 oseizX71 A.J.G.
TYPE OF WORK: DATE:
SITE PLAN 5/2/11
1"= 1
I
J
i
RPgg�
MOUNTAIN AIR
ESTATES#1; BLOCK
5, LOT 2
O1
CD1
I ,
I
' / I
/ I
MOUNTAIN AIR
ES OT
BLOCKI
GR
AREAC 1
— / I p
MOUNTAIN AIR I 1 lo
/ ESTATES#OT 3 BLOCK I /' I \
4ly\ WEL FtA
\ le�( 3•.
/ I
L RADIUS
/ I
mvvniniry ni MOUNTAIN AIR
ESTATES#1; BLOC 6, / ' ESTATES#1; FLOCK
LOT 3 / / 6, LOT, 6 Cll
1 I'MOUNTAIN AIR
MOUNTAIN AIR /
----- 6,
MOUNTAIN AIR
ESTATES#1;
BLOCK 6, LOT
9
BLOCK ESTATES 1; BLOCK
B 6,
J
MOUNTAIN AIR
ESTATES#2; TRACT
A-1
GARNESS ENGINEER. ING GROUP, Ltd_
CONSULTANTS & GENERAL CONTRACTORS
3101 E. N00R ROAD, S191E 101 • "WRM,E, M( 99507 • PHONE (907)331-8179 • FAX (907)335-3218 • MSRE: we .9arneuen9lmann9•oo
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN TUCKEY 345-9841 1 OF 3
LEGAL DESCRIPTION: DRAWN BY:
MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4 oseizX71 A.J.G.
TYPE OF WORK: DATE:
SITE PLAN 5/2/11
1"= 1
NUMBER OF BEDROOMS: 3
GALLONS PER DAY (GPD): 450
PERCOLATION RATE/S: 8
PROPOSED APPLICATION RATE: 0.8
MINIMUM DRAINFIELD SQ.FT.: 563
MAXIMUM DEPTH: 6.0'
WIDTH: 5'
LENGTH: 2039.5'=79'
M.O.A. APPROVED SAND FILTER: N/A
EFFECTIVE: 2.0'
REDUCTION FACTOR: 0.70
ACTUAL SQ.FT.: 564
GEG, Ltd. HAS A 7 PAGE SPECIFICATION 1
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER, 1
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
NOTE: THE CONTRACTOR
SHALL HAVE THE WEST LOT
LINE, AND ALL WELL RADII 1
FLAGGED BY A REGISTERED
LAND SURVEYOR PRIOR TO
MOUNTAIN AIR
ESTATES#1; BLOCK 6,
LOT 3
NUMBER OF BEDROOMS: 3
GALLONS PER DAY (GPD): 450
PERCOLATION RATE/S: 20
ALLOWABLE APPLICATION RATE:
4.0
MINIMUM GRAINFIELD SQ.FT.: 112.5
RESERVE, DRAINFIELD
DESIGN:
MAXIMUM DEPTH: 6.0'
WIDTH: 5.0'
LENGTH: 16'
M.O.A. APPROVED SAND FILTER:
N/A
EFFECTIVE: 2.0'
REDUCTION FACTOR: 0.70
ACTUAL SQ.FT.: 114
Lol
CLOUOCRO�
TH#2
TH#3\
MT\°moi i
REVISED 8/8/121
A_
Y
TH#1
PROPOSED 3
BEDROOM
HOUSE
LOCATION
RESERVE SITE
WILL REQUIRE
ADVANCED
TREATMENT
-PROPOSED 1000 GALLON SEPTIC TANK. IF GRAVITY
FLOW CANNOT BE ACHIEVED, INSTALL A 1250 GALLON
STEP TANK PROVIDE TEN (10) 1/4" HOLES (SPACED
EVENLY) PER LATERAL. TWENTY (20) HOLES TOTAL.
/
/
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3]01 E TUDOR RORD, SUITE 101 _-= M 99307 • PHONE (907)337-6179 • FM (907)3]6-3216 - WE650£ WNN.�nt®Mn991N15n9.991!
,PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN TUCKEY 345-9841 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
MOUNTAIN AIR ESTATES#1; BLOCK 6, LOT 4 05P121o19 PNB
TYPE OF WORK: DATE:
INITIAL SEPTIC DESIGN 8/8/12
aS
N AIR
BLOCK 6,
6
MJI� ,�•I � Ali
y A. Gayness.
C 9 3451
I I
I I
I I
I I
��— — 6, LOT 8
MOUNTAIN AIR
ESTA 9E5#i;
BLOCK 6, LOT
\ TA
AIR
I v
� I I
� I
/ M UNTAIN AIR I
EST S91 BLOCKI
69�
\ V
I
I
N a I V ■,Nall
TA # B CK �
LT `�
i"= 100'x\
GARNESS ENGINEERING GROUP, Ltd. p * :' 4
_.. CONSULTANTS& GENERAL CONTRACTORS _.. �......... . ........... .....
701 E. NOOK 9 . Wn 101 • M1g10RROE, M 99607 • PHONE (907)337-6179 • FM (907)336-3216 • W n: wx.9omme•n99peNn9.wm
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O eff GOED 5.:
JOHN TUCKEY 345-9841 3 of 3 p
DRAWN BY: y 9 CE -795
LEGAL DESCRIPTION:
MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4 PNB Otte P '•s/.o.�. ��''��avo
TYPE OF WORK: DATE: 444�D fess%O oo
SITE PLAN 5/2/11
0o1
oo6o0pp0
7/24/2012
t2'
w..,
7/28/2012
1
1:35
GARNESS
6"
ENGINEERING GROUP, Ltd.
2
CONSULTANTS & GENERAL CONTRACTORS. tr 4
101 • MWOWE• M. 99307* PHONE: 907 337-6179 • 111 (907 306—M" • WEHSOE: g 9.rglneefln9.com • • • • . • . • . . • • . .D
V01 E. NOOR
RI SN
4 i/8"
SOIL LOG - PERCOLATION TEST „.O
LEGAL
DESCRIPTION:
MOUNTAIN AIR ESTATES #1 S D; BLOCK 6, LOT 4 P •. f ey A Gamess•.
PERFORMED
FOR:
JOHN TUCKEY DATE: 7 24 2012 °s e^ . CE� 9J 0,
2:35
30
2 1 /4"
DEPTH
(feet)
_
ORGANICS DedPr�f es^°o
sl°
PEAT TEST HOLE #3 °D�ppoo��
___=
-
6"
-
6
3:05
30
2 1 /4"
3 3/4"
GM SOIL CLASSIFICATIONS
2s'..'
GW ORG3
GP ML
ML VARIES FROM GM CL -T(1
6-18" THICK 1 1 TH 3*
GC OL
4
N I i
°o o°° o SW MH I ----
5
•:::' SP CH i
SM OH
6
SC
/ LOT 4
7DEPTH
TO DATE MOUNTAIN ' 100' WELL RADIUS,
GROUNDWATER AIRI ( OPOSEDy � '
8
ESTATES#1;
HEAVY BLOCK 6, ( MOUNTAIN AIR
LOT 3 ESTATES}fi; ALOCK
6, LOT 6
9
GM W/ MIXED - <
S LE:
POCKETS OF ML ��
=too'
10
'
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
it
12
13
14
15
16
B.O.H.
16.16'
17
18
PERCOLATION RATE 8 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
19
TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS
LOGGED
BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS:
PERCOLATION RESULTS ARE WITHIN 1/16TH OF AN INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PRF RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1a !2
WEEP ® 14'
7/24/2012
t2'
7/31/12
7/28/2012
1
1:35
-
TIME
(MINUTES)
READING
(INCHES)
7/28/2012
1
1:35
-
6"
-
2
2:05
30
1 7 8"
4 i/8"
3
2:05
-
6"
-
4
2:35
30
2 1 /4"
3 3 4"
5
2:35
-
6"
-
6
3:05
30
2 1 /4"
3 3/4"
C of
GARNESS ENGINEERING GROUP, Ltd_
CONSULTANTS & GENERAL CONTRACTORS
101 E. t OOR ROAD. SURE 101 • ANCHORAGE, M. N!W • PHONE: (90])137-61]9 • FM: (907).138-3216 • W M- gam .gin..,
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4
PERFORMED FOR: DAVID & JUDY MICHAELS DATE: 7/6/2010
DEPTH =:=:=::=
__ ORGANICS
(feet) ---- TEST HOLE #2
t
9
10
11
12
13
14
15
JU
16 B.O.H.
17
18
DEPTH TO
GROUNDWATER
DATE
DRY
7/6/2010
DRY
SOIL CLASSOCATIONS
DRY
4/15/11
13.5'
7/31/12
6"
2
3:05
30
4 1/2"
1 1/2"
GW•.
3:05
—
6"
—
4
3:35
30
5"
_
IlillllllML
5
3:35
—
6"
M
6
II�III!11GM
30
5"
1"
GCNNN
•
IIIIIIIIIMH
y
SP
IIIII!�III
p%CH
7//Y�
•
SC
9
10
11
12
13
14
15
JU
16 B.O.H.
17
18
DEPTH TO
GROUNDWATER
DATE
DRY
7/6/2010
DRY
7/8/2010
DRY
4/15/11
13.5'
7/31/12
rcjE�vIs�
(IELF—� Wap ari 7131112
"OF
fr y A. Qc ss:
P CE -79 9 3,•'`�O
��n°tee �i�•3�i�1.1.2'F�ovp�
I
N
{ TH#3.0
I �
100' WELL RADIUS - -
1 ( OPOSED)% I
1 LE:
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/7/2010
1
2:35
—
6"
—
2
3:05
30
4 1/2"
1 1/2"
3
3:05
—
6"
—
4
3:35
30
5"
1"
5
3:35
—
6"
—
6
4:05
30
5"
1"
19 PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS: SOILS OVER ALL APPEARED TO BE IN THE 30-60 MIN/INCH PERK RATE.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 3/ /2
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS... _...
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES #1; BLOCK 6, LOT 4
PERFORMED FOR: DAVID & JUDY MICHAELS DATE: 7
DEPTgqORGANICS(feeTEST HOLE #1
DEPTH TO
GROUNDWATER
,rSOIL
DRY
7/6/2010
DRY
7/8/2010
CLASSIFICATIONS
4/15/11
6"
—
2
TH#2
TH#1 \
3 1/2"
2 1/2"
3
3:05
OR
6"
—
r r
3:35
30
3 1/2"
Ilylh
-
,
ML
CL
6"
r
6
4:05
30
bSi'S'.Y.Y.SY
GC
W
N/N�.
IIIIIIIIIMH
•
Sp
CH
7//7/�OHSC
DEPTH TO
GROUNDWATER
DATE
DRY
7/6/2010
DRY
7/8/2010
14'
4/15/11
6"
—
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/7/2010 1
2:35
—
6"
—
2
TH#2
TH#1 \
3 1/2"
2 1/2"
3
3:05
—
6"
—
4
3:35
30
3 1/2"
2 1/2"
100 WELL RADIUS
,
( ROPOSED,-
6"
1
6
4:05
30
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/7/2010 1
2:35
—
6"
—
2
3:05
30
3 1/2"
2 1/2"
3
3:05
—
6"
—
4
3:35
30
3 1/2"
2 1/2"
5
3:35
—
6"
—
6
4:05
30
3 1/2"
2 1/2"
19 PERCOLATION RATE 12 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.0 FT. AND 5.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY
COMMENTS: SOILS OVER ALL APPEARED TO BE IN THE 30-60 MIN/INCH PERK RATE.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 4/1
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251208
Parcel ID 017-211-06 Expiration Date:
Legal description MOUNTAIN AIR ESTATES #1 BLK 6 LT 4
Site address 6800 CLOUDCROFT LN
Current property owner(s) GOOLIE MICHAEL T & MARY K
X The On-site system(s) is/are approved for 3 bedrooms
0
4/2/2026
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date:
6/5/2025
Thi
eC4iificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
Sys m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
D velopment Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Phone:907
Department -343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 017-211-06
Complete legal description MOUNTAIN AIR ESTATES #1 BLOCK 6, LOT 4
Location (site address) 6800 CLOUDCROFT LANE, ANCHORAGE, AK 99516
Current property owner(s) MICHAEL & MARY GOOLIE
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: FN� Private Well serving # 1 dwelling units
El Other Non-public well as regulated by MOA R Water Storage
F1 Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: RN Private Septic F Private Septic serving 2 dwelling units
F Holding Tank El Community Septic or Public Sewer
5. SEPTIC TANK: nN Steel n Plastic n Concrete n Fiberglass
Age 13 _ See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS E] Bed F-1 Deep Trench RN Wide Trench F Seepage Pit
Waiver request for:
Expedited review requested: F
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee 1A €�'o
Date of Payment 0 1 d.
COSA # n3c 5-19 0 1�r
Waiver Fee $
Date of Payment
Waiver #
COSA Application _Apr2025.doc
COSA Checklist_May2025 copy.docx
COSA Checklist
Legal Description: MOUNTAIN AIR ESTATES #1 BLOCK 6 LOT 4 Parcel ID: 017-211-06
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 7/22/2011 Total depth 197 ft
Cased to 197 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 24+ in.
Date of flow test for COSA 4/2/25
Static water level at beginning of test 77 ft.
Well production at time of test 4.5+ gpm
Water storage tank volume None gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic *13.8 ug/L Arsenic less than MRL (ND)
Collected by Date 4/2/25
Comments *Initial arsenic sample results appear to be an anomaly, and arsenic samples were retaken on 4/22/25 at the
same outside spigot & also the interior sink. See attached secondary arsenic sample analysis.
B. TANK DATA
Measured operating fluid level in septic tank 49"
Date of pumping 10/15/2024
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed) NEW
ALL standpipes present per record drawing
Total measured depth from grade 7.3 ft (max)
Measured depth to pipe invert from grade 3 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date NEW FIELD
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – NEW DISPOSAL FIELD
Effective depth (per record drawings) 24 in
Effective depth used 0 in
Effective depth remaining 24 in
Comments/Deficiencies:
COSA Checklist_May2025 copy.docx
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Disposal Field on Lot > 100’ Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10’ Yes if No *5+ ft
Field to Foundation > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main/Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*Met code at time of install.
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 05/29/2025
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
05/29/25
GRID 3 139
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN
HEREON ( UNLESS INDICATED)
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
)D FENCE
��kq
�4
,0.. 49 TH*
VO s SHANE A. HOLT .' w,
Q� LS -6914 5J�
• SEWER SYSTEM PIPE �� ry
AS -BUILT SURVEY i" =301
���O0000���o
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 4, BLOCK 6, MOUNTAIN AIR ESTATES NO. 1
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE,ALASKA THIS _7 th DAY OF
_MAY , 2025
11972, FB 158-14 241-36
HOL T LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
907.223.8615
!� Municipality of Anchorage
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-211-06 Expiration Date: lO V 1
1. GENERAL INFORMATION
A l fy
Complete legal description MOUNTAIN &R ESTATES S/D #1; BLOCK 6, LOT 4
r50
Location (site address) �NHN CLOUDCROFf LANE, ANCHORAGE, AK, 99516
Current Property owner(s) JOHN TUCKEY
Mailing address
Real Estate Agent
Day phone
13551 SPENDLOVE DRIVE, ANCHORAGE, AK, 99516
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
Day phone
351-8266
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ (OJT
Date of Payment
Receipt Number O$ 1 a14
COSA #S('�ja�p D
Date
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. 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
Engineer's Comments
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, GEG, Lf). attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MGA
DSD Guidelines B Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family befog seared by the system.
These conditions are outside the control of the evaluator of the system. Satsfactory 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.
6. DSD SIGNATURE
L-"'� System #1 Approved for 3 bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
M
bedrooms.
Phone 337-6179
Date 2a ( 3
oob��
4
ovoP�� OF....�gsVT-2�o
.4 T •`.y*00
1
� ', J. • y rness. G
Qa 9 CE_ •• dpG
0
4�ndpr,.,,.-donor o
bedrooms, with the following stipulations:
ON-SITE
WATER AND
WASTEWATER
Original Certificate Date: & - 2 (" - /;
The Muhicip0Uy orTAnctf6riage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations 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
Septic System Advisory
Well Flow Advisory
(Rev. 11105)
Nitrate Advisory
Arsenic Advisory
Other
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: MOUNTAIN AIR ESTATES S/D #1; BLOCK 6, LOT 4 parcellD: 017-211-06
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 7/22/2011 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 197 ft. Cased to 197 ft. Casing height (above ground) 24+ in.
Date of test
Static water level
FROM WELL LOG
7/22/2011
82 ft.
Well production 50+ n
WATER SAMPLE RESULTS:
AT INSPECTION
NEW
Coliform 0 colonies/100 ml. Nitrate ND mg./L.
Arsenic: 6.82 ug./L. Date of sample: 5/24/2013
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 1000 gal. Number of Compartments E
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO
Collected by: GEG, Ltd.
Date installed 9/14-17/2012
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
Date of pumping NLw Pumper —
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE EAST TRENCH/WEST TRENCH
Date installed 9/14-17/12 Soil rating .p.d./ r ft2/bdrm) 0_8 System type DUAL TRENCH
Length 79.5 TOTAL ft. Width 5/5 ft. Gravel below pipe 2.11 /2.13 ft.
*5.3+/
Total depth *5.1+ ft. Eff. absorption area 564 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For=bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
Elapsed Time: — min. Final fluid depth — in. Absorption rate >= — g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
NOTE: DRAINFIELDS WERE INSULATED. 2'+ SOIL COVER ACHIEVED.
D. LIFT STATION
Date installed
"Pump on" level at in.
E. SEPARATION DISTANCES
Size in gallons
"Pump off' level at
Manhole/Access
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 manhole/cleanout 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 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+
Buildingfoundation
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
G. ENGINEER'S CERTIFICATION
i certify that t 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 Prirntedame JEFFREY A. GARNESS
Date % 1� 0k.3
(Rev. 11/05)
OFq\%%
c 49
—THC
VOS 'SHANE A. HOLT
f LS -691 4.'
9f1FL STRUCTURE
AS-BUILTSURVEY V =30'
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
GRID 3139 OF THE FOLLOWING DESCRIBED PROPERTY
LOT 4, BLOCK 6, MOUNTAIN AIR ESTATES NO- I
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
THE INFORMATION HEREON ISFOP THE USE OFLENDING INSTITUTIONSLINES SPECIFICALLY EASEME T SHOW ANY VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
CONFLICTS BETWEEN OSITI G STRUCTURESNINGADDITIO AND PLATTSTRUCTURES,
IMPROVEMENTS, OR FENCTS:AND IS THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
NOT TO BE USED EOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR NOT S I WN EXIST OTHER THAN NOTED.
HEREON
EASEMENTS ON(UNLE RECORD(UNLESS INDICATED)
THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN DATED AT ANCHORAGE,ALASKA THIS _20th DAY OF
NO EON ( CELIN I THAT ED) ]UNE 2013.
NOTE: TY LIN I OR THAT IMAYON APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. HOLT LAND SVRVEYING
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. 600 HIGHVIEW DRIVE
11972, FB 158-14 ANCHORAGE,AK 99515
345-5513
