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HomeMy WebLinkAboutDALZELL-SCHNEITER BLK 2 LT 1t)alzel I - chnei*ter Block 2 Lot 1 >#015-291-13 At I��dB'k"`Ise Inspection Report _1-1-1 .doc Municipality of Anchorage Community Development DepartmentOCT of On -Site Water & Wastewater Program 4700 Elmore St. a P.O. Box 196650 Anchorage, AK 99519-6650 a http://www.muni.org/onsite a (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141060 PID Number: 015-291-13 M New E] Upgrade Name: SCOTT DAHL ABSORPTION FIELD ■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: NHN DALZELL CIRCLE, ANCHORAGE, AK, 99507 ❑ Other Phone: No. of Bedrooms: sail Rating: Total Depth from original grade: (907) 317-3310 4 1.0 GPD/Sq. Ft. 10 MAX Ft. LEGAL DESCRIPTION Depth to pipe Invert from original grade: Grovel depth beneath pipe: 4 MAX F. 6 Ft. Subdivision: Block: Lot: Fill added above original grade: Gravel length: DALZELL—SCHNEITER 2 1 SEE DWG. 50 n. Ft. Township: Range: Section: Grovel width: Bed. Number of Imes: Distance between linea: — — — 2.5 Ft. I — R. SEPARATION DISTANCES Total absorption area,amber 600 of tranches: - Dist. between trenches: - To Septic Absorption lift Holding Public/Private From Tank Field Station -Tank Sewer lines so. Ft. Ft. Well 100'+ 100'+ — — 25'+ TANK ■ Septic ❑ S.T.EY. OHolding ❑Other Monufii. Capacity: Surface Water 100'+ 100'+ — — ANCHORAGE TANK 1250 Gal. Lot Line 5°+ 10'+ - - N/A Maleriol: STEEL Number of compartments: 2 LIFT STATION Foundation 5'+ 10'+ — — Curtain Drain - *25'+ - - Manufacturer: Gal. 'Pump on' level at: U off I High water alarm at: Remarks: *FOUNDATION DRAIN UPGRADIENT OF DRAINFIELD. Pomp Makes aectrical Inspections pe0...d by PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer Drainfield D3034 CO/MT D3034 A+ HOME SERVICES Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 n. Inspection Dates: 1st 8/4/2014 2nd 8/5/2014 Location and Description: 3rd 8/5/2014 4th TOP OF CONCRETE SLAB, SW CORNER ENGINEERI SM Community Development Department Approval Qoboo 0 Conditional approval: Date: F COQ T .... . ....... .... e f A. Cam ss, . Q� m '•, CE 7953 a/,/ — e�p� �4 Approved: Date: 3-1 pro{fesslono� ��40000�a Inspection Report _1-1-1 .doc PERMIT NUMBER: PARCEL ID NUMBER: OSP141060 AS -BUILT DRAWING 015-291-13 100' WELL RADIUS X, . C\J�JJJ J NEW WELL THAI+ �$1tE i BERN 1 00'WELL RADIUS I I I r r , , , , 7 7 7 A B ST1 \ NEW 1250 GALLON ST2 \ 1 SEPTIC TANK DBLI 1 �TH#2 DBL2 1 71.18 COI s 1 99.68 MTI 1 1 1 1 NEW GRAINFIELD J Lu 53.62 I I I MT2 J 56.58 U I � I U � I W F— w Z I 2 U -- — — — — — — — — — — - NEW WELL THAI+ �$1tE i BERN 1 00'WELL RADIUS I I I r r , , , , 7 7 7 A B ST1 25.58 59.86 ST2 25.98 67.23 DBLI 26.66 70.36 DBL2 26.83 71.18 COI 45.45 99.68 MTI 46.62 100.19 CO2 53.62 57.36 MT2 52.87 56.58 ------------ EPTIC ARE GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS PREPARED FOR: PHONE NUMBER' PAGE NUMBER: SCOTT DAHL (go317-3310 2 OF' LEGAL DESCRIPTION: DRAWN BY: DALZELL-SCHNEITER S/D; BLOCK 2, LOT 1 A.J.G. TYPE OF WORK: DATE: AS -BUILT DRAWING OF NEW SEPTIC SYSTEM 10/20/2014 /\ 1"=40' PERMT NUMBER OSP I141060 : AS -BUILT DRAWING RAVIN^ TOP OF TANK AT INLET =95.08 INVERT OF BUNG AT INLET =94.45 FINAL GRADE = RELATIVE ELEVATION OF BOTTOM - OF TESTHOLE = 79.71 (DRY) INSULATION PER CONTRACTOR r FINAL GRADE = 99.4759.96 NEW 1250 GALLON SEPTIC TANK ORIGINALGRADE = 95.71 @ .HIGHEST POINT FABRIC INVERT OF PIPE = 91.71 BOTTOM OF TRENCH = 85.71 - TOPOFTANK AT OUTLET = 95.00 INVERT OF BUNG AT OUTLET = 94.22 GARNESS ENGINEERINGEGROUP, LtdCIVIL & ENVIRONMENTAL ENGINE ., PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SCOTT DAHL ( 907) 317-3310 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: DALZELL-SCHNEITER SID; BLOCK 2, LOT 1 A.J.G. TYPE OF WORK: DATE: PROFILE AS -BUILT OF NEW SEPTIC SYSTEM 8/7/2014 PARCEL ID NUMBER: 015-291-13 trey A. Glarfiess :?moi CE -795 It PROFESS\�:i•• 0 0 EXISTIN BUILDING GD by 1l 0 Q ,p 1� � o`. L N of N II LOT 1 39,915 S.F. E �1 r �la�, p �5 10r UTILITY ESM T. X42 S8E LOT 2 1 EXCLUSION NOTES: It la the owners' respon ilblity to determine LLGLND: btl tNU SCOTT aDAH L the existence of any easements, covenants, or restrictions 5/8'RB w/CAPD 5/6' RB O whleh do not appear on the recorded subdiMelan plat NOTE: It 5,25' AL.MON. �f MoxuNwi Is the contractor's respceeiblllly b chew top of foundalbn NUB n TACK a IMAM grade and building aetbacMa In relaUan to Iodines and eam't., FENCE- _x x — SUMY CERTIFICATION: SI -ANA has card..ted a C—HAND- SLANA SURVEYS INC. mill Ing ear ey of this tpropertyUr Mled an this tlrawing and to the beet of aur Mawlatlga and mill Ing MODCQHC EECKS- cpxcaElE- D all dimensions have been measured free d and eraet. ASPHALT - SEPTIC STANDPIPE ASBUILT SURVEY OF: fEGAL OESCRIPPON: US WATER UM77"- EIEC(ND DAT- IaG.G LAND & UCTION SURVEYORS 1200 E. 76th AVE., UNIT 1226 (fax) 929-3389 ANCHORAGE, ALASKA 99503 (907) 562-6103 LOT 1, BLOCK 2, wIXlK CIM! NUMBER: MTs: cuE Dui xus— 2U14-MISC ,"=4°' OCT. 17, 1'1--40- "-260 DALZELL-SCHNEITER SUBDIVISION s. MO.aWt® 2537 99899 Certified Drilling Log nnr nn an. OWNER OF LAND: Scott Dahl ADDRESS: 12641 Rya Street Anchorage, AK 99516 Bore Hole Data Depth From To LEGAL DESCRIPTION Dalzell-Schneiter Blk 2 Lot 1 DATE: 5-22-14 0 2 Casing Stickup -- PERMIT NUMBER: OSP141060 DATE OF ISSUE: 4-7-14 TAX IDENTIFICATION NUMBER 01529113000 Is well located at approved permit location:Yes No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 80 feet Casing Type: steel wall thickness 0.25 inches Diameter: 6 inches, depth 80 feet Liner type none Static Water Level: 45 feet Recovery Rate 20 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end Hopen hole ❑ Screened Start feet Stopped ❑ Perforations , Start feet Stopped Grout Type: Bentonite Volume: SO lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: Eyes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: 2 4 Overburden 4 12 Silt Sand & Gravel 12 55 Sand and Silt with Gravel _ 55 68 Silt and Sand 68 80 Sand and Gravel — Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99507-6650 www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW OSP141060 Parcel Identification Number: 01529113000 Legal Description Dalzell-Schneiter Bilk 2 Lot 1 Pump Installation Date: 6-7-14 Pump Intake Depth Below Top of Well Casing: 70 Pump manufacturer's Name: Goulds Pump Model: 1OSB07412CL Pump Size: 3/4 Pitless Adapter Burial Depth: 30 Pitless Adapter Installer: Martinson B10X Disinfected Upon Completion? ® yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Date of Issue April 7, 2014 Pump Installers Name: Cole Sullivan—Sullivan Water Wells Property Owner Name & Address Scott Dahl — PO BOX 110815 Anchorage, AK 99511 feet hp feet Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Well I Disinfected Upon Completion? 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: OSP141060 Tax Code Number: 01529113000 Work Type: WellSeptic Initial Permit Effective Dates: April 07, 2014 to April 07, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: DALZELL-SCHNEITER Site Legal Address: DALZELL-SCHNEITER BLK 2 LT 1 G:2537 Owner/Address: DAHL SCOTT B & SHARP-DAHL JULIE 12641 RYA ST ANCHORAGE AK 995160000 Site Mailing Address: Lot Size in Sq Ft: 39915 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. 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 Parcel I.D. 015-291-13 Property owner(s) SCOTT Mailing address 12641 On -Site Sewer/Well Permit Application For A Single Family Dwelling DAHL RYA STREET, ANCHORAGE, AK, 99516 Day phone 907-317-3310 Site address NHN, DALZELL CIRCLE, ANCHORAGE, AK Receipt Number: d -y?qW Receipt Number: Legal description (Sub'd, Block & Lot) DALZELL—SCHNEITER S/D; BLOCK 2, LOT 1 Waiver No. Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®an that apply) Initial ®' Single Family (SF) Absorption Field ® Upgrade ❑ (w/wo ADU) Septic Tank ® Duplex (D) El Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ® Water Storage El �UBMITT.A.! MAR 2 B 2014 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: Waiver Fees: / Date of Payment:/�/Li Date of Payment: Receipt Number: d -y?qW Receipt Number: Permit No. QSP/LI100 Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd -° CIVIL & ENVIRONMENTAL ENGINEERS ° •• March 27. 2014 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-7904 Ref: Proposed Septic System for Dalzell-Schneiter S/D; Block 2, Lot 1 To whom it may concern: The proposed three bedroom house will be served by a private well and septic system. Per the owner's request, the septic system is to be sized for 4 bedrooms. Two test holes where excavated on the property and logged by Lars Spurkland, P.E.. The drainfield will be designed around the 30 foot radius of Spurkland test hole #1. We are proposing that a new 1250 gallon septic tank and a deep trench type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. A sieve analysis was performed on the soil from test hole #I (see attached). Although the percolation rate is faster than 1 minute/inch, we are proposing to install a standard drainfield without a sand filter. We believe the insitu sandy soils (SP) will sufficiently protect the aquifer. 2. TRENCH DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100+ feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing & plot plan, the average topography in the area of the proposed drainfield is approximately 10-15% running north to south. In short, there are no slope concerns. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengincering.com I am 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. M.S. NOTE: Attached is a site plan drawing, a design drawing, a soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com DALZELL—SCHNEITER DALZELL—SCHNEITER S/D; S/D; BLOCK 2, LOT 9 BLOCK 2, LOT 8 \� IDISTANCE PRIOR TOC DALZELL—SCHNEITER S/D; BLOCK 2, LOT 7 ��—�\\ � \ �S a�S \ DALZELL-SCHNEITER S/D; \ BLOCK 2, LOT 13 1 DALZELL—SCHNERER S/D; BLOCK 2, LOT 14 c I 1 /I I `00' W LI RADJU FlOb' WELL xpUSE RADIUS / =TD ORDS, RTH OF ELL /ERIFYATIONILLING i DALZELL—SCHNEITER S/D; BLOCK 2, LOT 6 cs-EPTIC ARS I 00 WELL RAD 5 I I 1 n'.WcnenflK AREA DALZELL—SCHNEITER S/D; —_--_ BLOCK 2, LOT 2----- ------ 10'U!I( Esni -----MILROB AVE _-_-_-- DALZELL—SCHNEITER S/D; DALZELL—SCHNEITER S/D; BLOCK 1, LOT 1 BLOCK 1, LOT 2 A � SERVED BY PRIVATE WELLS AND SEPTIC SYSTEMS. 200'+ FROM PROPOSED UPGRADES. CARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 701 E. TVWR R . SURE 101 • PNCHOME, M 99507 • PHONE (907)33]-61R • FM (907)336-3246 + WEMM www.g.mm nglnewin .00 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SCOTT DAHL 907-317-3310 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: DALZELL—SCHNEITER S/D; BLOCK 2, LOT 1 1 A.J.G. TYPE OF WORK: SITE PLAN FOR SEPTIC UPGRADE (Rev. D1105) 3/27/2014 ,j ] effrey A. arness; —7953 0� . c�4 4�pro f e s sion000 e ' 00' WE RADIUS I LOCATION BASED UPON EN SPURKLAND SITEFOR BLOCK 2, LOT 6.RACTOR *PRIOR SHALL HAVERADIUS FLAGGED BY ATH#2 TERED PROFESSIONALSURVEYOR PRIOR TO PROPOSEDNSTRUCTION. WELLSEPTIC SYSTEMER TO CONFIRM 100' ATION TO SEPTIC ON PRIOR TO DRILLING AREA DALZELL—SCHNEITER S/D; —_--_ BLOCK 2, LOT 2----- ------ 10'U!I( Esni -----MILROB AVE _-_-_-- DALZELL—SCHNEITER S/D; DALZELL—SCHNEITER S/D; BLOCK 1, LOT 1 BLOCK 1, LOT 2 A � SERVED BY PRIVATE WELLS AND SEPTIC SYSTEMS. 200'+ FROM PROPOSED UPGRADES. CARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 701 E. TVWR R . SURE 101 • PNCHOME, M 99507 • PHONE (907)33]-61R • FM (907)336-3246 + WEMM www.g.mm nglnewin .00 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SCOTT DAHL 907-317-3310 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: DALZELL—SCHNEITER S/D; BLOCK 2, LOT 1 1 A.J.G. TYPE OF WORK: SITE PLAN FOR SEPTIC UPGRADE (Rev. D1105) 3/27/2014 ,j ] effrey A. arness; —7953 0� . c�4 4�pro f e s sion000 LETTER THAT PERTAINS TO THIS DESIGN. NOTE: CONTRACTOR SHALL HAVE NUMBER OF BEDROOMS: 4 TO OBTAIN A COPY OF THE LETTER THE PROPOSED 100' WELL RADIUS, GALLONS PER DAY (GPD): 600 CONTACT GEG. BY PROCEEDING FORWARD WELL RADIUS FOR BLOCK 2, LOT 1 PERCOLATION RATE/S: <1MIN/IN WITH THIS INSTALLATION, THE ENGINEER, AND THE EAST LOT LINE FLAGGED PROPOSED APPLICATION RATE: *1.0 GPD/FT' WELL DRILLER, CONTRACTOR AND MINIMUM DRAINFIELD SO.FT.: 600 PROPERTY OWNER AGREE THAT THEY BY A REGISTERED PROFESSIONAL *SEE ATTACHED SIEVE ANALYSIS HAVE READ THESE SPECIFICATIONS AND LAND SURVEYOR PRIOR TO TO ACCEPT THE TERMS AND AGREE n R01 NIFIFI n nFCIr.NI• ................. ... ._, ,.,�.. CONSTRUCTION MAXIMUM DEPTH: 10' WIDTH: 2.5' LENGTH: 50' M.O.A. APPROVED SAND FILTER: *N/A EFFECTIVE: 6' REDUCTION FACTOR: N/A ACTUAL SQ.F.: 600 U) C) mzm II m Z7 l EOR O��o 5� 0 ss SPU ND N TH#2 �o m PROPOSED DRAINFIELD I / WELL RADIUS m I / PROPOSED 1250 GALLON — —SEPTIC TANK G � , 0 ALTERNATE SITE 0 9 m GARNESS ENGINEERING GR©jU Ltd. 4(. p CONSULTANTS & GENERAL CONTRACTORSp' 3701 E NDOR ROAD, 60RE 101 • ANCHORAGE. AR 99507 * PHONE (907)33)-61)9 * M (90 336-3246 * Men, www gameav4nglne4tlnq.com NOTE: WELL DRILLER MUST CONFIRM 100' SEPARATION TO SEPTIC SYSTEM ON BLOCK 2, LOT 7 AND BLOCK 2, LOT 2 PRIOR TO DRILLING 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ((• SCOTT DAHL 907-317-3310 2 OF 2Qo .13 LEGAL DESCRIPTION: DRAWN BY: s' DALZELL—SCHNEITER S/D; BLOCK 2, LOT 1 A.J.G. VQO TYPE OF WORK: DATE: DESIGN OF PROPOSED SEPTIC SYSTEM 3/27/2014 (Nev. uvus) )CE -79 3, 1171 Profess PTI C ARED o � i 0 10( / WELL RADIUS m I / PROPOSED 1250 GALLON — —SEPTIC TANK G � , 0 ALTERNATE SITE 0 9 m GARNESS ENGINEERING GR©jU Ltd. 4(. p CONSULTANTS & GENERAL CONTRACTORSp' 3701 E NDOR ROAD, 60RE 101 • ANCHORAGE. AR 99507 * PHONE (907)33)-61)9 * M (90 336-3246 * Men, www gameav4nglne4tlnq.com NOTE: WELL DRILLER MUST CONFIRM 100' SEPARATION TO SEPTIC SYSTEM ON BLOCK 2, LOT 7 AND BLOCK 2, LOT 2 PRIOR TO DRILLING 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ((• SCOTT DAHL 907-317-3310 2 OF 2Qo .13 LEGAL DESCRIPTION: DRAWN BY: s' DALZELL—SCHNEITER S/D; BLOCK 2, LOT 1 A.J.G. VQO TYPE OF WORK: DATE: DESIGN OF PROPOSED SEPTIC SYSTEM 3/27/2014 (Nev. uvus) )CE -79 3, 1171 Profess PTI C ARED Municipality of Anchorage Development Services Department p� Building Safety Division j 2, C2 On -Site Water and Wastewater Program '4,C 4700 Elmore Road / , , P.O. Box 196650 Anchorage, AK 99507. www.ci.anchorace.ak.us (907) 343-7904 ,�/ �•• Soils Log - Percolation Test III�M Performed For. SCOT DAHL Date Performed: 5/1AT Legal Description: DALZELL-SCHNEITER BLK 2 LT 1 Township, Range, Section: Tv"l Slope Site PI Dept Depth i 1 1 1 1 ORGANKS rW�t1 cc6�¢N✓ JD�h� D5W) &DA WAS GROUND WATER NO ENCOUNTERED? 5 IF YES, AT WHAT DEPTH? - L Depth to Water After rl 0 Monitoring? VrX_ P E Dale: SPURKLAND: Lc� f1 0 ,'rV, Reading Date Gross Time Net Time Depth to Water Net Drop 5/1/13 0 MIN 0 MIN 6.00" 0.00" 5/1113 3 MIN 3 MIN 6.00" 6.00" 0.00" 511/13 7 MIN 4 MIN 6.00" 6.00" 0.00" 511113 12 MIN 4.5 MIN 6.00" 6.00" 0.00" 5/1/13 16 MIN 4.3 MIN 6.00" 6.00" PERCOLATION RATE <1 (Mhu ag'rc) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 4 Fr AND 4.5 FT PERFORMEDBY: ANSONMOXNESS I G yQyV1J4i7�YX� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPALYUD INES IN EFFECT ON THIS DATE. DATE: 5/1/13 f t J 3 0 O1 N u 0 W w U � w J fn C7Q W W C7 D � H M_ O N c O Y 0 J OOZ# 0OW 08# OS## 04# 0£# °' w OZ# •a 9W c N 08N 3 V � b# T 0 U. %s a z O R N C Z U w r 0 O M N A m 0)0 m W 0 0 0 N N Lo `n 0 rn M O to N T � O O m Y N _ Q Im E N T L m Q N co V � t T {Q m a � W a c N O a T E Y ui .0 l0 2 O O O1 'y r ami U O 0 0 O O a d0' 0 0 Or O C V 0 346leMAg6uissed;UGDJGd W li In Municipality of Anchorage On -Site Water & Wastewater Program (9 t 07)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL - Q z" r Parcel I.D. 015-291-13 Expiration Date: c?Fzi .Y, t�ssll / 1. GENERAL INFORMATION L/' d "Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent DALZELL SCHNEITER S/D; BLOCK 2, LOT 1 5596 DALZELL CIRCLE, ANCHORAGE, AK, 99507 SCOTT DAHL P.O. BOX 110815, ANCHORAGE, AK, 99511 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Day phone Day phone 317-3310 4 TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ -- WaiverNariance request for: N/A Distance: - Received COSA to be re COSA Fee $ 046 Date of Payment1100115 p Receipt Number COSA # 0 3 C l5/�33 the engineer. 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 Engineers 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 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 owing 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. 6. DSD SIGNATURE System #1 Approved forte bedrooms System #2 Approved for Disapproved. Conditional approval for bedrooms bedrooms, Phone 337-6179 Date ( 1-2-abs— OF AA16, -2-afs— OFAA16, f'ff r _ ON-SiTE m with the following stipulations WATER ANS Z^ moo. WASTEWATER o^ Original Certificate Date: a q' A The AVnicyiity ®r )gage 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 Septic System Advisory Well Flow Advisory (Fee. 10112112) 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: A. WELL DATA Well type PRIVATE Date completed 5/2 Total depth 80 ft. DALZELL SCHNEITER SID; BLOCK 2, LOT 1 If A, B, or C provide PWSID# N/A 2/2014 Sanitary seal (Y/N) YES Cased to 80 ft. FROM WELL LOG Parcel ID: 015-291-13 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION Date of test 512212014 Static water level 45 ft. NES ft. Well production 20 g.p.m, g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate -3' Z b mg./L. Collected by: GEG, Ltd. Arsenic: ug./L. Date of sample: 1/16/2015 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/4-5/2014 Tank size 1250 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) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA eE ow riNAr cRAOE Date installed 8/4-5/2014 Soil rating .p.d./ or ft2/bdrm) 1_0 System type DEEP TRENCH Length 50 ft. Width 2.5 ft. Gravel below pipe 6 ft. Total depth "9.7-10.7 ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) 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 >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Size in gallons Manhole/Access (Y/N) "Pump off"level at wa er alarm level at in. Cycles tested Meets alarm & circuit requirements? 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 NIA Public sewer manhole/cleanout NIA 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'+ Wells on adjacent lots 100'+ Surface water. 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 G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date IIIQ/ 1.5 (Rev. 10/12112) - LOT 7 /" r 0 06 i ,II �V1�'p- ._ ---- \\� . �0 10' UTILITY LSMT 110 112 S 89151': i ��pJE� ROpu EXISTING BUILDING 'k 6 56.47 s 'T yg!� W g LOT 2 LOT 1 39,915 S.F. OF A �....:............ .........:... ) D...... . . ...' OQ s Mark E. Davis �o p Q LS -7338 ORDERED BY: EXCLUSION NOTES: it Is the owners responsibility to dbterrnine 36.B7' SCAT I 3AHL the existence of any easements, COVennnte, or restrictions which do not appear an the recorded subdivision plot. NOTE It 5/8"Rn w/CAPQe 5/6" RB Q a.zs' AL.MGN, MVNuuENr N� ry 3s the contractor's ress{pronaibility to check to offoundption building grpde and setbaa in "I'I'lon to latiines and eam'ta. Hue TACK L7 SURVEY CERTIFICATION: SIANA has conducted a 44.86' U) INC. phrinoi surveyg and to of the the tpropertyour kn shown on this drawing and to tha beat of our knoW,edge and CWOODONC DECKS CVNCRETE- , z ASBUILT SURVEY OF: LEGAL DESCRIPTION: S WATER WELL - ELEV.(NO DATUM)- DD.D 5 1200 E. 76th AVE., UNIT 1228 (fax) 929-3369 ANCHORAGE, ALASKA 99503 (907) 562—^0103 I/ LOT 1, BLOCK 2, cta Qt JAN. 19. 2075 u"�=4a0�' N X11 (.R DALZELL--SCNNEITER SUBDIVISION N II 0 06 i ,II �V1�'p- ._ ---- \\� . �0 10' UTILITY LSMT 110 112 S 89151': i ��pJE� ROpu EXISTING BUILDING 'k 6 56.47 s 'T yg!� W g LOT 2 LOT 1 39,915 S.F. OF A �....:............ .........:... ) D...... . . ...' OQ s Mark E. Davis �o p Q LS -7338 ORDERED BY: EXCLUSION NOTES: it Is the owners responsibility to dbterrnine LEGEND: SET FIND SCAT I 3AHL the existence of any easements, COVennnte, or restrictions which do not appear an the recorded subdivision plot. NOTE It 5/8"Rn w/CAPQe 5/6" RB Q a.zs' AL.MGN, MVNuuENr 3s the contractor's ress{pronaibility to check to offoundption building grpde and setbaa in "I'I'lon to latiines and eam'ta. Hue TACK L7 SURVEY CERTIFICATION: SIANA has conducted a FENCE- _%_ X OVERNANG- SLANA SURVEYS INC. phrinoi surveyg and to of the the tpropertyour kn shown on this drawing and to tha beat of our knoW,edge and CWOODONC DECKS CVNCRETE- obilitiss, all dimensions have bean meoaured true and correct. ASPHALT -• • SEPTIC STANDPIPES ASBUILT SURVEY OF: LEGAL DESCRIPTION: S WATER WELL - ELEV.(NO DATUM)- DD.D U ON SU ':YORS 1200 E. 76th AVE., UNIT 1228 (fax) 929-3369 ANCHORAGE, ALASKA 99503 (907) 562—^0103 I/ LOT 1, BLOCK 2, KtlHK (HOER NUMBER: JAN. 19. 2075 u"�=4a0�' 177m7 -2m602014—mise DALZELL--SCNNEITER SUBDIVISION MD. 2537 ggg/gg