HomeMy WebLinkAboutSKY MANOR LT 5 SKY MANOR5
ky Manor
Lot 5
#051-193-44
Ah■ 111110ftm �_
Inspection Report _T-1-W.daLf !/
Municipality of Anchorage
Community Development Department Page 1 of 3
On -Site Water 8 Wastewater Program NOV 10 2014
4700 Elmore St. • P.0
Sox 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite - (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP141208_
PID Number: 051-193-44 ® New ❑Upgrade
Name:
JOHN THOMSON W/ CT CONSTRUCTION
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ® Bed ❑ Mound
Address: ,---"
11404 JESSIE MAE CIR. * EAGLE RIVER, AK 99577
❑ Other
Phone:
(907) 240-2020
No. of Bedrooms:
6 (DUPLEX)
Soil Rating:
0.7 GPD/sq. Fl.
Total Depth from original grace:
SEE DWG Fl.
LEGAL DESCRIPTION
Depth to pipe invert from original grotle:
SEE DWG. F.
Grovel depth beneath pipe:
0.60 Ft.
Subdivision:
SKY MANOR
Block: Lot:
N/A 5
Fill added above original grotle:
SEE DWG. Ft.
Grovel length:
86 Ft.
owns Ip: — Doge:_
ec ion: —
Gravel width:
Reds Number of lines:
Distance between Imes:
15 Ft.
3
5 Ft.
SEPARATION DISTANCES
Total absorption area:umber
1290 50. Ft.
of Trenches:
Dist. between trenches:
Ta
From
Septic
Tank
Absorption,
Field
Lift
I Station
Holding
Tank
Public/Private
Sewer Lines
Well
200'+
200':.
—
—
254
TANK ® Septic ❑ S.T.E.P. CHolding ❑Other
-
Manufacturer:
Capacity:
Surface water
100'+
100'+
—
—
ANCHORAGE TANK
2000 Go].
Lot Line
5'+
u),+
-
-
N/A
Material:
Number of compartments:
STEEL
2
Foundation
s'+
10'+ i
-
-
LIFT STATION
_I
Curtain Drain
NO"r'_ KNOWN
Manufacturer:
y:
Gal.
Remarks:
"Pump on- level at:
ump off" le
High water olorm at:
Pump Make 4 al:
Electrical Inspections performed by:
PIPE MATERIAL
House to tank D-3034 Tank to D-3034
drainfield —
•
Installer
GREEN GENERAL
Drainfield D-3034 CO/MT D-3034
Inspector GEG, Ltd.
BENCHMARK (Assumed elevation)
101.21 Ft.
Inspection
Dates: 1st 7/14/11
2nd 7/15/14
Location and Description:
3rd 7/16/14
4th 7/22/14
FINISH FLOOR ELEVATION NEAR POINT "A"
•�
Community Development Department Approval
Conditional approval: _-- Date:
ENGINEER'S S
FX04
O.F.
�....:........ ..... ...... *.
�........... .................0
P '.Jef r Gorn s. ,
OQ a '•• E-79 •' e„p
edprofessla^Oar
4Oo0����6
Approved:
Date:
Inspection Report _T-1-W.daLf !/
PERMIT NUMBER:
OSP1'41208
AS -BUILT DRAWING
i H#6
8 BEDROOM {�}
DUPLEX
APPROXIMATE LOCATION
OF NEW WATER LINES
(PER CONTRACTOR) �
TH#5 Lot 4
#_________I
�I
TH#5�r_______ -___i
L___________J
rAIa1
FCO
57.4
22.8
ST1
57.7
26.1
ST2
60.9
35.3
DBL1
61.6
37.2
DBL2
62.1
38.6
MT1
32.6
73.1
C01
32.6
74.6
CO2
37.0
77.2
CO3
41.6
80.2
MT2
42.8
79.6
MT3
99.3
39.2
C04
100.7
40.3
C05
102.2
44.9
C06
104.0
49.7
MT4
103.1
50.1
W
6BEDROOM
j O
DUPLEX
�U
F�
30
A
+
w
u' a NEW 2000 GALLON
L.. SEPTIC TANK
/C01'lt- OE
CO21
Civil
ALTERNATE
PARCEL ID NUMBER:
051-193-44
--- __ _ IFIA/H
I l
I I��_____
NEW
2AINFIELD I
ALTERNATE SITE _/
CONFIRMATION PERK TEST
(SEE ATTACHED RESULTS) '
EXISTING WATER MAIN
20' E$y MTS
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS -
_PARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON W/CT CONSTRUCTION 240-2020 2 OF 3
AL DESCRIPTION: DRAWN BY:
SKY MANOR SUBIDIVISION; LOT 5 J.L.M.
'E OF WORK: DATE:
AS -BUILT DRAWING 9/22/2014
C -79 3 °moi
pROFES51��i♦♦
PERMIT NUMBER: PARCEL ID NUMBER:
OSP141208 AS -BUILT DRAWING 051-193-44
TH#7
TOP OF TANK
AT INLET = 94.6
INVERT OF BUNG
AT INLET = 94.01
OF INSULATION (PER CONTRACTOR)
FINAL GRADE = 98.62-98.88
a
NEW 2000 GALLON
SEPTIC TANK
SAND
FINAL GRADE
= 98.56-99.35
-TOP OF TANK
AT OUTLET = 94.62
INVERT OF BUNG
AT OUTLET = 93.83
ORIGINAL GRADE AT
HIGHEST POINT
= 102.00
NOTE: MAJORITY OF PROPERTY,
INCLUDING HOUSE PAD,SEC
AREA PTI
RE-GRADED.DRIVEWAY
RRENO LS
TER FABRIC DEPRESSION OVER SEPTIC
SYSTEM AREA.
INVERT OF DISTRIBUTION
LINES = 93.67 (AVG.)
`TOP OF SAND FILTER = 93.07
RELATIVE ELEVATION OF BOTTOM OF TEST HOLE -TH#7 - 85.00 (TEST HOLE DRY)
..41111101
GARNESS ENGINEERING GROUP, Ltd
• CIVIL & ENVIRONMENTAL ENGINEERS
VM E. TUOORR D. SUITE 101'ANCHORGE.Mfflp- PHONE M7)33)41]X'FPX(W)3%.3M8'WEOSITE'WIM'.gm099FgYMBIlg.IXT
'REPAIRED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON W/CT CONSTRUCTION 240-2020 3 OF 3
.EGAL DESCRIPTION: DRAWN BY:
SKY MANOR SUBDIVISION; LOT 5 J.L.M.
YPE OF WORK: DATE:
PROFILE AS -BUILT DRAWING 9/22/2014
BOTTOM OF EXCAVATION
= 91.00 (AVG.)
A.
PROFESS
Contractors Statement for Water Main and Water Service Lines
October 6, 2014
To whom 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 drainfields.
Dan Green, Owner
Green General Contracting
15939 Division Street
Chugiak, AK 99567
Phone: (907)696-1805
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
3]01 F,TUDDR MAD. SMITE 101 •AMMMGE.AI( W507 • %WNE (60n 33)8179 • FAX (904 3383VV MBSITE: Hwx.Omrennpi,em6q.a
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION' SKY MANOR SUBDIVISION: LOT 5
PERFORMED FOR: _
DEPTH
(fee
1
1s —1 W
20
JOHN THOMSON WI CT CONSTRUCTION
TEST HOLE #7A
Mo
DEPTH TO DATE
GROUNDWATER
PEROCLATION TEST ONLY
7115/2014
DATE READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
••
•
I�
IIIIIIIII
%IMAN
"
flIZ11,10mil
<5
O"
6"
Mo
DEPTH TO DATE
GROUNDWATER
PEROCLATION TEST ONLY
7115/2014
DATE READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/15/2014 1
6"
"
2
<5
O"
6"
3
6"
4
<5
0"
6"
5
6'
6
<5
0"
6"
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 10 FT. AND 11 FT.
A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO
SOILS LOGGED BY: JODYMAUS PERCOLATION TEST PERFORMED BY: JODYMAUS
COMMENTS: PERCOLATION READINGS ARE WITHIN 1116 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FO MED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 9.1 2
A 0=1111 T
t
��,G�z1 Goof✓
I HE'P.EBY CERTIFY THAT i HAVE SURVEYED THE SCALE:
FOLLOWING DESCRIBED PROPERTY= OF A� ®®8
s� rio.PGo>S DATE_• / ° ( ... ¢ a
AND PRAT NO F%c&dACHMENTS EXIST EXCEPT AS ��yr a �� •' `rf q
INDICATED. IT IS THE RESPONSIBILITY OF THE; T
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID:
EASEMENTS, COVENANTS* OR RESTRICTIONS
.....,.
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB` /�y6�; •. LS _
ANY DATA HEOFOR CONSTRUCTION
OF FENCE LIINNESNOR FORBE USDESTABLIISHING BOUND-
ARY
OUD-ARY LINES. DRAWN:��
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: OSP141208
Tax Code Number: 05119344000
Work Type: Septic Initial
Permit Effective Dates: June 30, 2014 to June 30, 2015
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: SKY MANOR
Site Legal Address: SKY MANOR LT 5 GA 159
Owner/Address: THOMSON JOHN E
11404 JESSIE MAE CIR EAGLE RIVER AK 995770000
Site Mailing Address: Lot Size in Sq Ft: 40000
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.
Special Provisions:
The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation
test. The Engineer needs to do an additional percolation test prior to the construction of the septic
field. Please submit stamped and signed results with the As -built Inspection Report. If the results
require a design change, construction of the system will stop pending On -Site review and
approval. AMC 15.65.060.B.3
Received B)
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. 651- kol" i
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 99567
Legal description (Sub'd, Block & Lot ) SKY MANOR; LOT 5
Legal description (Township, Section & Range)
Lot Size
Sq.Ft. Number of Bedrooms 6
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DEWELLING:
(N all that appy)
Initial N Single Family (SF)
❑
Absorption Field
® Upgrade ❑ (w/wo ADU)
Septic Tank
® Duplex (D)
Renewal ❑
❑
El
Holding Tank
U B M
(Sli lhil' f D)
El
S
Private Well
❑ JUN 17 2014
Water Storage
❑
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: 5ia�l
Date of Payment:
Receipt Number: Oght24
Permit No. O`)e 1i12V9
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 09/12)
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS' — -
June 12, 2014
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650,
Anchorage, Alk 99519-6650
(907) 343-7904
Ref: Proposed Septic System for Sky Manor Subdivision; Lot 5
To whom it may concern:
The proposed 6 bedroom duplex is to be served by a community water system (under
construction) and a private septic system. We are proposing to install a new 2000 gallon septic
tank and a bed type drainfield. Two test holes were excavated on the property. An additional
confirmation test hole is to be excavated prior to construction. The primary drainfield and
alternate site will be designed around the 30 foot radii of TH#7 and this new test hole.
Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPHY: 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. IA
.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, two soil logs, which are all part of the design
package for this septic system. (Contact G.E.G. Ltd. for 8 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
r
••v.:a..:: ....
• GEG, Ud. HAS AS PAGE SPECIFICATION
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 CONDITIONS
OUTLINED
NEW
6BEDROOM
DUPLEX
(UNDER
CONSTRUCTION
TH#5
-W SEPTIC
SYSTEM
ALTERNATE
NUMBER OF BEDROOMS:6
GALLONS PER DAY ( GPD) : 900
PERCOLATION RATE/S: <l MIN/INCH
PROPOSED APPLICATION RATE: 0.7
MINIMUM DRAINFIELD SQ.FT.: 1286
MAXIMUM DEPTH: 11 FEET
WIDTH: 15 FEET
LENGTH: 86 FEET
M.O.A. APPROVED SAND FILTER:2 FEET
EFFECTIVE: 0.5 FEET
REDUCTION FACTOR: N/A
ACTUAL SQ.FT.: 1290
V=40'
INSTALL
DOUBLE
CLEANOUTS
PROPOSED
6BEDROOM
DUPLEX
15' T&E ESMT.
2000 GALLON
SEPTIC TANK
... .... _._..._..../ALTERNATE
...r PROPOSED /
GRAINFIELD /
SITE
I
PROPOSED
WATER LINE
LOCATION
">/
� ................
' 1
..._.............,-
EXISTING KEY BOX 1
NOTE: THE CONTRACTOR SHALL HAVE THE I
EAST AND WEST PROPERTY LINES AND THE 1
200 FOOT WELL RADIUS FLAGGED PRIOR T I ..
CONSTRUCTION. J-""-
GARNESS ENGINEERING GROUP, Ltd ,
CIVIL & ENVIRONMENTAL ENGINEERS
3701 E.I RR MSUI 101'AN HOP E. M 9950]•PWW (9091 .1398179'FM (9B0 M3 46'MBSIIE:—w mmmngkmM1gmn
'REPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON (907) 240-2020 2 OF 3
AL DESCRIPTION:
DRAWN BY:
SKY MANOR SUBDIVISION; LOT 5
J.L.M.
E OF WORK:
DATE:
DESIGN OF PROPOSED SEPTIC SYSTEM
6/12/2014
.____
I
I
T
'
•''••------------------
Ilo-
' •r
/
ri
•
y
r
rY
PROPOSED
6BEDROOM
DUPLEX
TEST HOLE. TO BE DUG PRIOR
TO CONSTRUCTION.
I f
I ( /
, f
Q
A.
i
U
4" PERFORATED PIPE
ROM SEPTIC TANK
�2
O 2.5'
3" SOLID PIPE
5'
15'
0__226.
2.5'
i
82
88 FEET LONG
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
3]01 EI RMA0.BNIIE 101'ANCIp E,AK99507'P NE (9M 3378179'FM (9011 33B 49'MRSNE:w mmeargiw ftg
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JOHN THOMSON 1 (907) 240-2020 3 OF 3
LEGAL DESCRIPTION: DRAWN Sr.
SKY MANOR SUBDIVISION; LOT 5 J.L.M.
TYPE OF WORK: DATE:
� DETAIL DRAWING OF PROPOSED DRAINFIELD 6/12/2014
DEPTH TO
GROUNDWATER
READING
DRY
a�OF �44op
DRY
6/12/2007
_
2/6/13
DRY
5/29/2013
6"
-
2
GARNESS
<i
ENGINEERING GROUP, Ltd.
6"
•..
3)01 E. TUDOR
ROAD, SUITE
CONSULTANTS & GENERAL CONTRACTORS
R
101 • ANCHORAGE, AK. 99601 • PHME: (907)337-6179 • EAK: (907)338-328 • WERSa:'
q°rrwveengiiwering.com
k :• `� -H
• ""' • • • • "
�0000
• "' " " •' •' .O
4
SOIL LOG — PERCOLATION TEST
<1
0"
LEGAL
DESCRIPTION:
SKY MANOR S/D, LOT 5
••, ff e A,
ess.. p
6"
-
P-7053
'•..
epp
PERFORMED
FOR:
JOHN THOMSON DATE: 6/5/2007
s�, k'(S
(.,. �c°o0
PTHOQ��o
(f (feet)
ORGANICS
TEST HOLE #7
(esstoo
40000
�
t
—
p
LOAM SOIL CLASSIFICATIONS
2
c ';'o ^ GW ORG
3
GP ML
GM CL
4
+ •:
GC OL
0 MH
5
�: • .
•::•.: SP CH
SM OH
a"•
SC SEE ATTACHED
DRAWINGS
6
a `,''•
7
a `';. •?
GP W/ SOME DATE
+ '• -SILT
AND LARGE
6
:COBBLES/BOULDERS
10
a ?
+ :•,:
12
13
:'•
a
14
+
15
a,;.,•..
.r:
is
B.O.H.
17
18
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA.
5 (INCHES)
19
TEST RUN BETWEEN 4.5 FT. AND 5.5
FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ONO
SOILS
LOGGED
BY: JODY MAUS PERCOLATION TEST PERFORMED BY:
BENNY
MAUS
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE �ORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Ce E
DEPTH TO
GROUNDWATER
READING
DRY
6/5/2007
DRY
6/12/2007
DRY
2/6/13
DRY
5/29/2013
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
6/5/2007
1
-
-
6"
-
2
-
<i
0"
6"
3
-
-
6"
-
4
-
<1
0"
6"
5
-
-
6"
-
6
-
<1
0"
6"
76 N
GARNESS ENGINEERING GROUP, Ltd. T y
CONSULTANTS & GENERAL CONTRACTORS Tt 4 — i}
3701 E. TUDOR ROAD. SURE 101 • AKCHOR60E. AK. 9950) • PI E: 90])331-61]9 • FM: (90))36-3206 • WE65RE: gary enginmeiingxom "' "" "' " '
SOIL LOG - PERCOLATION TEST ...... ...................
LEGAL DESCRIPTION: SKY MANOR S/D. LOT 5 ••.J f y A. ess.,
PERFORMED FOR: JOHN THOMSON DATE: 6/5/2007 ,osr•. CE-1�f�,•'`O�
DEPTH ea P, o f es slonG\
(feet) ORGANICS TEST HOLE #8 �DO0000��
1
:i
7
8
9
10
11
12
13
14
GP W/ SOME
SILT AND LARGE
COBBLES/BOULDERS
DEPTH TO
GROUNDWATER
:IIGW
ImiIIII�11111
LOAM
SOILCLASSIFICATIONS
DRY
6/12/2007
ORGML
CIL
OIL
•
GC
Sc
IIIIIIIIIMH
//%CH
5/29/2013
II�III!II
—
2
E-0-
3!111111SM�'�.�
6"
3
—
7
8
9
10
11
12
13
14
GP W/ SOME
SILT AND LARGE
COBBLES/BOULDERS
DEPTH TO
GROUNDWATER
DATE
DRY
6/5/2007
DRY
6/12/2007
DRY
2/6/13
DRY
5/29/2013
SEE ATTACHED DRAWINGS
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
6/5/2007 1
-
-
6"
-
2
—
2
0"
6"
3
—
—
6"
—
4
—
2
0"'
6"
5
—
—
6"
—
6
—
2
0"
6.1
19� PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.5 FT. AND 5.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED. ❑ YES ENO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS
r'0MMFNTQ-
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA5 P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 10 !S !
Municipality of Anchorage
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL_ -
Parcel I. D. 051-193-44 Expiration Date: l `( / (;
1. GENERAL INFORMATION
Complete legal description SKY MANOR S/D; LOT 5
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
NHN NEEDELS LOOP CHUGIAK AK 99567
_ JOHN THOMSON (C&T CONSTRUCTIOM _ Day phone
11404 JESSIE MAE CIRCLE *EAGLE RIVER, AK
❑ 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
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class "A" Well
=
Comrhunity On-site
❑
Public Water System
❑
Public Sewer
❑
240-2020
WaiverNariance request for N!A
Disiance: -
Received by: 4/li Zl V (I Date: 7' 6
COSA to be released to the engineer, unless othemise requested by the engineer.
COSA Fee $ &q • Lo
Date of Payment�3/S
Receipt Number �'J t' ae
COSA # ds C' /610,26
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 JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, UD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTO. 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
A
X System #1 Approved for _�_ bedrooms.
System *2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
Phone
337-6179
Date �Z /
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Original Certificate Date: Z 4ZE
The Municipality or Anchorage De lop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenata[ions give 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 Advis c ry
Iao„ aims
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 COMMUNITY
Date completed
Total depth ft.
SKY MANOR SUBDIVISION; LOT 5
Parcel ID: 051-193-44
COMMUNITY WATER SYSTEM
If A, B, or C provide PWSID# -< Well Log (Y/N)
2 I $907 191''AV 1ler 6EG
Sanitary seal (Y/N)_ Wires properly protected
Cased to ft. Casing height (abqyR-q'r
FROM WELL LOG
Date of test
Static water level ft.
Well production g. p. m.
WATER SAMPLE RESU
Coliform cclonies/100 mi. Nitrate mg./L.
A Ic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL
Tank size 2000 gal. Number of Compartments 2
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO
Date of pumping NEW Pumper
C. ABSORPTION FIELD DATA VBELOW EXISTING GRADE
Date installed 7/14-22/2014 Soil rating (.p.d./ft r ft /bdrm) 0_7 System type BED
Length 86 ft. Width 15 ft. Gravel below pipe 0.60 ft.
Total depth '5.5-6.3 ft. Eff. absorption area 1290 ft2 Monitoring tube YES Depression over field No
Date of adequacy test NEW Results (Pass/Fail) - For 6 bedrooms
Fluid depth in absorption field before test in. Water added =gal. New depth in.
Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 900 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
M
Collected by: _
Date installed _
Cleanouts (YIN)
7/14-22/2014
YES
High water alarm (Y/N) NIA
in.
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump ofr level atwa 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
Absorption field on
Public sewer main
Sewer /septic service
On adjacent
On adjacent lots
Holding tank
COMMUNITY WELL
manhole/cleanout
cnxnarcomammemr areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 51+ Property line 5'+ Absorption field 51+
Water main 101+ Water service line "10'+ Surface water 100'+
Wells on adjacent lots 209+ Pu r; u, c 'i lou'* t'a ve
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 101+ Building foundation 101+ Water main 101+
Water service line "104 Surface water 10o'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 200'+ N 3 L.; c. � lour+ ft 2 Svc E
F. COMMENTS
'SEE ATTACHED LETTER FROM GREEN GENERAL CONTRACTING.
G. ENGINEER'S CERTIFICATION
1 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.
Engineers Printed Name JEFFREY A. GARNESS
Date
(Rev. 10112112)