HomeMy WebLinkAboutSKY MANOR LT 1 SKY MANOR5
ky Manor
Lot 1
#051-193-40
Municipality of Anchorage
Community Development Department ,JUN P*LL 4,f 3
On -Site Water & Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite • (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP131381 PID Number: 051-193-29 ® New ❑Upgrade
Name:
JOHN THOMSON
ABSORPTION FIELD
❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound
❑ Other
Address:
11404 JESSIE MAE CIRCLE, EAGLE RIVER, AK 99577
Phone: Na. of Bedrooms:
(907) 240-2020 *6
Soil Rating:
1.2 GPD/Sq. Fl.
Total Depth from original grade:
7.5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert fora original grade:
Crovel depth beneath pipe:
SEE DWG. F.
4 Ft.
Subdivision: Block: Lot:
SKY MANOR - 1
Township: — Range: — Section: —
Fill added above original grade:
SEE DWG. Ft.
Grovel width :
Gravel length:
80' (2 @ 40') FI.
eetla Number of lines: Distance between linea:
5 FI.
— Ft.
SEPARATION DISTANCES
Total absorption arca:
800 Sa. Ft.
Number of trenches:
2
Dist. between trenches:
10+ Ft.
To Septic Absorption qHolding Public/Private
From Tank Field STank Sewer Lines
well
200'+
200'+
-
25'+
TANK ® Septic ❑ S.T.E.P. OHolding ❑Other
Surface Water
100'+
100'+
-
-
ManafaGlurer:
ANCHORAGE TANK
Capacity:
2000 Got.
Lot Line
5'+
,o'+
-
-
Malarial:
Number of Compartments:
N/A
STEEL
2
Foundation
5'+
10'+
—
—
LIFT STATION
Curtain Drain NONE KNOWN I
Monufocturer.
*THIS IS A DUPLEX.
Pump
Inspections
PIPE MATERIAL
House to tank D3034 Tank to D3034
nstaller drainfield
GREEN GENERAL CONTRACTING Drainfield D3034 CO/MT D3034
nspector GEG, Ltd. BENCH MARK (Assumed elevation)
nspection
Dotes: 1st 4/21/14 2nd 4/24/14 Location and Description:
3rd 4/24/14 4th 4 25/14 BOTTOM OF SIDING AT POINT "A"
ENGINEER'S SEAL
Community Development Department Approval EOE oL
Conditional approval: o C
pp Date: ooP'`•..• ...�
IApproved: _��t�%/�ii�� 49:�✓0-4 Date:6-1.3'1
Inspection Report _7-1-12.dac
PERMIT NUMBER:
OSP131381
AS -BUILT
DRAWING
PARCEL ID NUMBER:
051-193-29
ALTERNATE
NEW
6BEDROOM
DUPLEX
FCO
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON (907) 240-2020 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
SKY MANOR SUBDIVISION; LOT 1 J.L.M.
TYPE OF WORK: DATE:
�_ AS -BUILT OF NEW SEPTIC SYSTEM 6/5/2014
DRAINFIELDS
FLOW SPLITTER (FS)
W 2000 GALLON
SEPTIC TANK
JEW WATERLINE
(APPROXIMATE
LOCATION
�OFESS���i
PERMIT NUMBER: PARCEL ID NUMBER:
OSP131381 AS -BUILT DRAWING 051-193-29
TOP OF TANK
AT INLET = 95.0
INVERT OF BUNG
AT INLET = 94.45
EAST TRENCH
INSULATION
,FINAL GRADE = 98.1-98.7
NEW 2000 GALLON
SEPTIC TANK
FINAL GRADE NOTE: 3 TO FEET OF
SOIL COVER WAS ADDED ABOVE
ORIGINAL GRADE, MOSTLY ON THE
SOUTH END OF THE DRAINFIELDS.
AT OUTLET = 95.05
- INVERT OF BUNG
AT OUTLET = 94.27
WEST TRENCH
RPKA
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
JOHN THOMSON
(907) 240-2020
3 OF 3
LEGAL DESCRIPTION:
DRAWN BY:
SKY MANOR SUBDIVISION; LOT 1
J.L.M.
TYPE OF WORK:
DATE:
AS -BUILT OF NEW SEPTIC SYSTEM
6/5/2014
f)?OFESS\Ct'ki
On -Site Wastewater Disposal 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: OSP131381
Tax Code Number: 05119329000
Work Type: Septic
Permit Effective Dates: October 23, 2013 to October 23, 2014
Design Engineer: GARNESS ENGINEERING GROUP LTD
T
Subdivision: rvrvrnvIL1BR.�
�c-JEw"'EL ri-�ivcn
Site Legal Address: Sky MA,?c r I-ot
Owner/Address: THOMSON JOHN E
11404 JESSIE MAE CIR EAGLE RIVER AK 995770000
Site Mailing Address: Lot Size in Sq Ft: 307098
Total Bedrooms: 6
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N 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.
Received By:
Issued By:
W�aia
Date: Z
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. C15 i- ia3' ao�
Property owner(s) JOHN THOMSON W/ CT CONSTRUCTION Day phone 240-2020
Mailing address 11404 JESSIE MAE CIRCLE * EAGLE RIVER, AK 99577
Site address NEEDELS LOOP * CHUGIAK, AK
Legal description (Sub'd, Block & Lot )
Legal description (Township, Section & Range)
Lot Size
APPLICATION IS FOR:
(® all that apply)
Absorption Field
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Sq.Ft. Number of Bedrooms 6
APPLICATION IS AN: TYPE OF DEWELLING:
Initial ® Single Family (SF) ❑
Upgrade ❑ (w/wo ADU)
D
Renewal El Duplex (D)
Multiple Dwellings ❑
(SF and/or D)
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 530
Date of Payment: In 11`4I I s cJ
Receipt Number: C &t,,3 qCA
Permit No. 05V l 31 �5h
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 09/12)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
October 10, 2013
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 System for Sky Manor Subdivision; Lot 1
To whom it may concern:
The proposed 6 bedroom duplex is to be served by a community water system and a private
septic system. We are proposing to install a new 2000 gallon septic tank and a dual 5 -wide
trench type drainfield. Two test holes were excavated on the property. The primary drainfield
site will be designed around the 30 foot radius of RPKA TH#1 and the alternate site will be
designed around the 30 foot radius of TH#13. Comments regarding the design are summarized
as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPHY: As can be seen on the attached site plan and design drawing, the
topography is shown. In short, there are no slope concerns with this installation and there are no
cutbanks such as road ditch with 50 feet that will impact the installation of the septic system.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
P.E., M.S.
ttached is a site plan drawing, a design drawing, two soil logs, which are all part of the design
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.gamessengincering.com
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010
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LOT 281' I LOT 29
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OT JO A LOT X ! LOT 32
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CIASS 'c• WELL
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1'b• LU1551b' LL EIS
.. _.. _..,.. _ I. _.. _.. _.. _.. _.. _..1.. _.. _.. _.. _..
NEEDELS LOOP
WEL SUBp
1UNpRP JLOT 7
1
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EXIM0
CHUKXURCH I 1
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GARNESS ENGINEERING GROUP, Ltd-
CONSULTANTS B GENERAL CONTRACTORS • • • • . • • ' • .. ' " • •' • •' • • • • • • • •
701 E. TUDOR R . SURE 191 • NW:HOMU. M 99607 • PHONE (907)337-6119 • FM (9V)336-3246 • WE85RE: �vr. or YWehy.c9m 0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••• •••
JOHN THOMSON 907-240-2020 1 OF 2f A. G rness.-
LEGAL DESCRIPTION: DRAWN BY: oOOs CE- 3
SKY MANOR SUBDIVISION; LOT 1 J.L.M. ODP ''•!��!Q f1• ' ��ao
TYPE OF WORK: DATE: �Q4a pro fessio0\
SITE PLAN FOR PROPOSED SEPTIC SYSTEM 10/10/2013 040000��
NUMBER OF BEDROOMS: 6
GALLONS PER DAY (GPD): 900
PERCOLATION RATE/S: 1.25 3.33
PROPOSED APPLICATION RATE: 1.2
MINIMUM DRAINFIELD SQ.FT.: 750
MAXIMUM DEPTH: 10 FEET (11' FOR ALT.)
WIDTH: 5 FEET
LENGTH: 80 FEET TOTAL (2 0 40 FEET)
M.O.A. APPROVED SAND FILTER: N/A
EFFECTIVE: 4 FEET
REDUCTION FACTOR: 0.5
ACTUAL SQ.FT.: 800
NOTE: THE CONTRACTOR SHALL HAVE
THE EAST AND NORTH PROPERTY LINES
FLAGGED PRIOR TO CONSTRUCTION.
UCL , LIU. nM / / C J
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
PROPOSE -U'--
6 BEDROOM
DUPLEX
-/ —_
ALTERNATE SITE
�'0
'0
r � i
\
C�
i i I
i
Le
CLEANOUTS
POSED
0 GALLON
/SEPTIC TANIf-'
LOCATION
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS Q .. • • . • • • . • • • . • " - ""' •' ' •
3701 E. T0009 R . SURE 101 • MCHOWE. M 9950! • PHONE (907),337-61)9 • FU (907)336-3346 • WE841E: vcgom un is r,ng.com 0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••.••
JOHN THOMSON 907-240-2020 2 OF 2 DOQn� GO ess;'
LEGAL DESCRIPTION: DRAWN BY: J0,4-,
SKY MANOR SUBDIVISION; LOT 1 J.L.M. Off 'A.P .
TYPE OF WORK: - DATE: 404�4p�OsQo\ �
DESIGN OF PROPOSED SEPTIC SYSTEM 10/10/2013
�t
II
RPKA
/
/
/
C
NOTE: THE CONTRACTOR SHALL HAVE
THE EAST AND NORTH PROPERTY LINES
FLAGGED PRIOR TO CONSTRUCTION.
UCL , LIU. nM / / C J
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
PROPOSE -U'--
6 BEDROOM
DUPLEX
-/ —_
ALTERNATE SITE
�'0
'0
r � i
\
C�
i i I
i
Le
CLEANOUTS
POSED
0 GALLON
/SEPTIC TANIf-'
LOCATION
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS Q .. • • . • • • . • • • . • " - ""' •' ' •
3701 E. T0009 R . SURE 101 • MCHOWE. M 9950! • PHONE (907),337-61)9 • FU (907)336-3346 • WE841E: vcgom un is r,ng.com 0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••.••
JOHN THOMSON 907-240-2020 2 OF 2 DOQn� GO ess;'
LEGAL DESCRIPTION: DRAWN BY: J0,4-,
SKY MANOR SUBDIVISION; LOT 1 J.L.M. Off 'A.P .
TYPE OF WORK: - DATE: 404�4p�OsQo\ �
DESIGN OF PROPOSED SEPTIC SYSTEM 10/10/2013
RPKA
jMT
C
CO 0
NOTE: THE CONTRACTOR SHALL HAVE
THE EAST AND NORTH PROPERTY LINES
FLAGGED PRIOR TO CONSTRUCTION.
UCL , LIU. nM / / C J
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
PROPOSE -U'--
6 BEDROOM
DUPLEX
-/ —_
ALTERNATE SITE
�'0
'0
r � i
\
C�
i i I
i
Le
CLEANOUTS
POSED
0 GALLON
/SEPTIC TANIf-'
LOCATION
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS Q .. • • . • • • . • • • . • " - ""' •' ' •
3701 E. T0009 R . SURE 101 • MCHOWE. M 9950! • PHONE (907),337-61)9 • FU (907)336-3346 • WE841E: vcgom un is r,ng.com 0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •••.••
JOHN THOMSON 907-240-2020 2 OF 2 DOQn� GO ess;'
LEGAL DESCRIPTION: DRAWN BY: J0,4-,
SKY MANOR SUBDIVISION; LOT 1 J.L.M. Off 'A.P .
TYPE OF WORK: - DATE: 404�4p�OsQo\ �
DESIGN OF PROPOSED SEPTIC SYSTEM 10/10/2013
DEPTH TO
GROUNDWATER
DATE
DRY
6/5/2007
DRY
Qo600pp4
DRY
2/6/13
DRY
5/29/2013
6"
—
2
—
7.5
0"
6"
3
GARNESS
—
ENGINEERING
GROUP,
Ltd.
4
—
3701 E. TUDOR
ROAD. SUITE
CONSULTANTS & GENERAL CONTRACTORS
101 • ANCRORAOE, M. 99507 • RHONE: (90))33)-8179 • FAX: (907)338-3248 • WEB E: "a gng.00d,q.com
• •
• D
—
—
SOIL
LOG - PERCOLATION TEST
6
—
LEGAL
DESCRIPTION:
SKY MANOR SUBDIVISION, LOT 1
-A '.J A.
....�
Go ness;.
PERFORMED
FOR:
JOHN THOMSON
DATE:
6 5/2007
CE
9!' CE
e
2,3. r3 oAo
DEPTH
6"
e
0
��pp000��
___
(feet)
____
ORGANICS
RPKA TH#1
—
7.5
0"
6"
11
—
—
6"
—
12
LOAM
SOIL CLASSIFICATIONS
0"
6"
2
ei,:0 0 iv
- __ORG
3
.•: ••••
•: ?: GP ML
•1••,
�•r�i�t+
GM CL
GC OL
SW MH
5
•i•••••
.•; ••••
r•••
. • • . SP CH
�•«:t
a!•i'�i
,
SM ' � . OH
Sc SC
SEE ATTACHED DRAWINGS
6
rani+i•
7
••••
r�.y+;•
•.� Wit.
SP WITH GP
r� �•� �•
THOUGHOUT.
8
M.�+i,�
(MORE SAND
i••i
WITH DEPTH
9
••' ••�•
r••••••10
.••••.•
11
•• :_�+
0060
.i...•a
o
.a • r.
•lgi%i
13
••:
e,• ri.
•. 6' i_
14
••' ••••
R.lrr+.•�•.
♦♦•'411.+.
15
••• ••••
�.�,,••
i.! i%'
•� i
is—
B.O.H.
17
18
PERCOLATION RATE 1.25 (MIN./INCH) PERC. HOLE DIA.
6 (INCHES)
19
TEST RUN BETWEEN 4 FT.
AND 5
FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ONO
SOILS
LOGGED
BY: JODY MAUS PERCOLATION TEST PERFORMED BY:
JODY
MAUS
COMMENTS:
PERCOLATION
READINGS WERE WITHIN 1/16 OF INCH.
PERFORMED BY GEG, Ltd.
I, JEFFREY A. GARNESS, CERTIFY THAT
THIS WAS �jERFO MED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: %17/2.3
f.3
DEPTH TO
GROUNDWATER
DATE
DRY
6/5/2007
DRY
1/31/13
DRY
2/6/13
DRY
5/29/2013
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
10/7/2013
1
—
—
6"
—
2
—
7.5
0"
6"
3
—
—
6"
—
4
—
7.5
0"
6"
5
—
—
6"
—
6
—
7.5
0"
6"
7
—
—
6
8
—
7.5
0"
6"
10
—
7.5
0"
6"
11
—
—
6"
—
12
—
7.5
0"
6"
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: SKY MANOR SUBDIVISION, LOT 1
PERFORMED FOR: JOHN THOMSON DA
DEPTH —_--
(feet ORGANICS TEST HOLE #131
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
LOAM
SOIL•
DRY
1/30/13
DRY
GW
DRY
2/6/13
•'
5/29/2013
3 — —
6" —
IIIIIIIII
4 — 10
2-3/4" 3-1/4"
IIr11N11
6" —
3" 3"
7 — —
6" —
8 — 10
0000 .0
SwIIIIIIII
9 — —
6" —
10 — 10
'
6" —
IIIIIIII�
12 — 10
•
Sc
SP WITH GP
THOUGHOUT
(MORE SAND
WITH DEPTH)
DEPTH TO
GROUNDWATER
DATE
DRY
1/30/13
DRY
1/31/13
DRY
2/6/13
DRY
5/29/2013
1/30/2013
SEE ATTACHED DRAWINGS
DATE
READING CLOCK NET TIME
TIME (MINUTES)
WATER LEVEL NET DROP
READING (INCHES)
1/31/13
1 — —
6" —
2 — 10
2-3/4" 3-1/4"
3 — —
6" —
4 — 10
2-3/4" 3-1/4"
5 — —
6" —
6 — 10
3" 3"
7 — —
6" —
8 — 10
3" 3"
9 — —
6" —
10 — 10
3" 3"
11 — —
6" —
12 — 10
3" 3"
19 PERCOLATION RATE 3.33 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4 FT. AND 5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS: PERCOLATION READINGS WERE WITHIN 1/16 OF INCH.
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: f
Municipality of Anchoraga
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-193,2r Expiration Date:'r �Q
r �
1. GENERAL INFORMATION
Complete legal description SKY MANOR S/D; LOT 1
Location (site address) NHN NEEDELS LOOP, CHUGIAK, AK, 99567
Current Property owner(s) JOHN THOMSON (C&T CONSTRUCTION) Day phone 240-2020
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
11404 JESSIE MAE CIRCLE *EAGLE RIVER_*
❑ Single Family (w/wo ADU)
Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY:
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class A Well
®
Community On-site
❑
Public Water System
❑
Public Sewer
❑
WaiverNanance request for: ivcH Distance:
Received by: c 1./ UI / Date: v
COSA to be released to the engineer, unless otherwise requester) by the engineer.
COSA Fee $ b . go Waiver Fee $
Date of Payment W.16 Date of Payment
Receipt Number f//�1� ��JQo� Receipt Number
COSA # f / t7L� / J lUc7� Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
6.
As certified by my seal affixed hereto and as of the validation date shown below, t 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. t 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. Thereportedresults 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.
Original Certificate
Phone 337-6179
Date -2121-151—
ON-SITE
WATER AND
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
(R>� 11M
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:
A. WELL DATA
Well type COMMUNITY
Date completed
Total depth ft.
Date of test
Static water level
Well production
WATER SAMPLE
SKY MANOR SID; LOT 1
Parcel ID: 051-193-29
COMMUNITY WELL
If(A) B, or C provide PWSID# 218807 Well Log (YIN) _
_ Sanitary seal (Y/N)_ Wires properly protected
Cased to ft. Casing height (above-g�r(
FROM WELL LOG
Coliform � colonies/100 ml. Nitrate mg./L.
ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 2000 gal. Number of Compartments 2
Foundation cleanout (YIN) YES Depression over tank (YIN) NO
Date of pumping NEW TANK Pumper
AT
Collected by:
fill
Date installed 4121-25/2014
Cleanouts(Y/N) YES
High water alarm (YIN) NIA
n.
v. A00VKr11V1Mr1CLUUAIA LBELOW FINAL GRADE
EAST/WEST
Date Installed 4/21-25/2014 Soil rating 0 .p.d./ Oor ft2/bdrm) 1_2 System type DUAL TRENCH
2@40 FT
Length 80' TOTAL ft. Width 5/5 ft. Gravel below pipe 4 ft.
`8.3-10.8
Total depth •8.2-11.5 ft. Eff. absorption area 800 ftZ Monitoring tube YES Depression over field NO
Date of adequacy test NEW SYSTEM Results (Pass/Fail) _
Fluid depth in absorption field before test = in. Water add
Elapsed Time: = min. Final fluid depth _ in.
Any rejuvenation treatment (past 12 mo.) (YIN & type)
For=bedrooms
=gal. New depth =in.
Absorption rate >= 800 g.p.d.
If yes, give date -
D. LIFT STATION
Date installed Size in gallons Manhole/Access
"Pump on" level at in. "Pump oft" level
E. SEPARATION DISTANCES
level
Cycles tested Meets alar & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot
Absorption field on lot—
Public sewer main
Sewer /septic service lines
areas
COMMUNITY WELL
On adjacent
On adjacent lots
manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
5'+
Property line 5'+ Absorption field g+
Water main 101+ Water service line '19+ Surface water 100'+
Wells on adjacent lots 200'+ PFJ6'-%0 k lot) 1{- PvT
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 101+ Building foundation 19+ Water main 101+
Water service line "10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 200'+ Q'4 c" Ir (ppfy P4T"
F. COMMENTS
'SEE ATTACHED LETTER FROM GREEN GENERAL CONTRACTING.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date 7,14
(Rev. 10112112)
John and Jackie Thomson 907-696-5072 p.4
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ASSUILT
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SCALE:
FALLOWING AESCRIBED PROPERTY:/��yo
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.4ND THAT NO EN6 ACHMENTS EXIST
DATE -_�
ED(CEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
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OWNER TO DETERMINE THE EXISTENCE OF ANY
GRID:
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUSDI_
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
FB:
ANY DATA HEREON BE USED FOR CON9TRUCTION
OF FENCE LINES, OR FOR ESTABLISHING FUND-
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ARY LINES.
DRAWN:
OF A4
Quarts Me:k waa �•�
rT. •. �$ - � �A31
OR
Contractors Statement for later Main and {dater Service Lines
October 6, 2014
To whorn it may concern:
1, Dan Green, Owner of Green General Contracting, hereby certify that all water mains
and water service lines for Sky Manor Water System that were installed by Green
General Contracting, are ten (10) feet away from all septic tanks and drain8elds.
of Owner
Dan Green, Owner
Green General Contracting
15939 Division Street
Chugiak, AK 99567
Phone: (907) 696-1805