HomeMy WebLinkAboutPRATOR BLK 9 LT 1Prator Block 9 Lot 1 #017-091-32 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131057 PID Number: 017-091-32 ❑ New ®Upgrade Name: ESTATE OF TIMOTHY SPERNAK ABSORPTION FIELD ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound Address: 14520 PRATOR STREET *ANCHORAGE, AK ❑ Other Phone: No. of Bedrooms: Sail Rating: Total Depth from anginal grace: (907) C/O AGENT 3 0.8 GPD/Sq. R. 9 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. Ft. 4.00/4.01 Ft. Subdivision: Black: Lot: FlII added above original grade: Gravel length: P RATO R 9 1 SEE DWG. 37.5/37.5 Ft. pt, owns o: anger Section: — — —1 Gravel width: Beds Number of lines: Distance between lines: 2.5/2.5 Ft. I — Ft. SEPARATIONDISTANCES Total absorption area:umber 600 o/ trenches: 2 Dist. between trenches: 10 To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SQ. Ft. Ft. Well 100'+ 100'+ — — 25'+ TANK ® Septic ❑ S.T.E. P. ❑Holding ❑ Other Manufacturer: Capacity: Surface Water 100'+ 100'+ — — ANCHORAGE TANK 1000 Gal. Lot Line 5'+ ,o'+ - - N/A Material: Number of compartments: STEEL 2 LIFT STATION Foundation 5'+ 10'+ — — Curtain Drain NONE KNOWN Manufacturer: Capacity: cal. Remarks: OLD TANK WAS DECOMMISSIONED PER UPC. "Pump on" level at: 'Pump off" level at: Hi er alarm at: ADDITIONAL UNDOCUMENTED OLD TANK WAS PUMPED &ical pumv Maka &Moder ctrInspections performed by: REMOVED & UNDOCUMENTED CRIB WAS PUMPED & FILLED PIPE MATERIAL WITH ROCK. House to tank EXISTING Tank to D3034 drainfield Installer NORTHERN EXCAVATION Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Location and Description: Dates: 1st 5/15/13 2nd 5/15/13 3rd 5/16/13 4th — DOOR THRESHOLD, BACK OF HOUSE (LEFT DOOR, LOWER LEVEL) ENGINEER'S SEAL Community Development Department Approval 00600000 OF Conditional approval: Date: ................0 y J,._. Gar ess: 0009 G CE 7953f1,, Approved: c 7 Date: �' 4�4paP'Dfesela°°o _ �00000i� PERMIT NUMBER: ASL KILT DRAWING PARCEL ID NUMBER: - OSP131057 017-091-32 A B SEPTIC ST1 65.65 48.30 AREA ST2 67.93 52.45 DBL1 70.06 55,82 DBL2 70.49 56.38 FD 90.40 85.58 FS 91.24 86.56 601 102.38 91.24 / \ MTi 103.34 92.23 / y \ CO2 78.00 75.50 / PRATOR; BLOCK 9, \ MT2 78.99 76.00 // LOT 4 x \\ / \ 003 90.14 89.97 MT3 89.10 88.62 C04 110.75102.04 / \ / MT4 110.50 101.55 r r � i - - --- - - U \\ Ey\SOM OLD DRAINFI4D TO BE / \ ( 1 USED AS RE$�ERVE ��\\ NEW 1000 GALLON \\ SEPTIC TANK (` 0 HCPMT3 CO2 k.'.. MTi; Z FS 22, DELI &2 .— ,� ST2 St1 \ N III TH#1 A\ W i'M"'TM4T� \ LL \`'NEW DRAINFIELDS SCALE:Col\\ EERNHILL Ave ------ ------- F - - 0f Coo44 -� ,yy o q 4 -GARNESS ENGINEERING GROUP, Ltd. *u) 4 T CONSULTANTS & GENERAL CONTRACTORS - .. - ..... .. . ... .. .. a 3701 E. WMR ftOM, SUM 101 • MCHOPACE, M 99507 • PHONE (90)337-6179 • FM (907)538-3246 • NE n: nwv.9omaeaengl,reenn9Cam PREPARED FOR: IPHONE NUMBER: PAGE NUMBER:O�' 0. ..... ESTATE OF TIMOTHY SPERNAK C/O AGENT 2 OF 3 F CE—79 n '. p LEGAL DESCRIPTION: DRAWN BY: 3 exp PRATOR; BLOCK 9, LOT 1 PNB �R"P.(t�.13'. c°o� TYPE OF WORK: DATE: 4�oOOO��Q000 AS—BUILT DRAWING 5/22/13 (R., 01105) PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: — OSP131057 017-091-32 FINAL GRADE = 101.38-101.44 ST1 ST2 TOP OF TANK TOP ET TANK AT INLET = 96.33 AT OUTLET = 96.33 NEW 1000 GALLON INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT INLET = 95.69 AT OUTLET = 95.22 �3Mjj��gg FINAL GRADE = 99.62+ ORIGINAL GRADE ®HIGHEST POINT FINAL GRADE = 96.94+� R -ORIGINAL GRADE ® HIGH = 97.97 TER FABRIC FABRIC OF PIPE = 92.98 OF PIPE = 92.14 BOTTOM OF TRENCH = 88.97 OF TRENCH = 88.14 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 82.47 (DRY) RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 81.64 (DRY) .H�r GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS,,.... 3701 E. NDOR ROAD. SURE 101 • ANCHORAGE• AN 99507 • PHONE (907)337-819 I FAN (907)3]8-3M • WE95RE g gineeHng.can PREPARED FOR: PHONE NUMBER: PAGE NUMBER ESTATE OF TIMOTHY SPERNAK C/O AGENT 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: PRATOR; BLOCK 9, LOT 1 PNB TYPE OF WORK: DATE: PROFILE AS—BUILT DRAWING 5/22/13 IKq, Ulm) /o OF UOOa� 4 .T ,j f Icay A:,-Garness. P�'4 CE77953 d� el 4 af'rofes&i o\ 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: OSP131057 Tax Code Number: 01709132000 Work Type: Septic Permit Effective Dates: April 24, 2013 to April 24, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: PRATOR Site Legal Address: PRATOR BLK 9 LT 1 G:3039 S/1I '//3 Io?: �o �4 1 • ca Owner/Address: SPERNAK 2008 TRUST SPERNAK TIMOTHY XTRUSTEE 209 E 23RD AVE ANCHORAGE AK 995032011 Site Mailing Address: 6701 Fernhill AVE, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 43351 Total Bedrooms: 3 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 Issued Bi C6_1 � �� <`s�� of t^ (Li �� I a MUNICIPALITY OF ANCHORAGE Community Development DepartmentPhone: 907-343-7904 • Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site SewerNVell Permit Application For A Single Family Dwelling Parcel I.D. ,,,-3A Property owner(s) ESTATE OF TIMOTHY SPERNAK Day phone N/A Mailing address 6701 FERNHILL CIRCLE *ANCHORAGE, AK Site address *ANCHORAGE AK ILA 15 0-110 ft^ or 3`t - Legal description (Sub'd, Block & Lot) PRATOR; BLOCK 9, LOT 1 Legal description (Township, Section & Range) Lot APPLICATION IS FOR: ( Pall that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq.Ft. Number of Bedrooms 3 APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: OD to O � Waiver Fees: Date of Payment: Receipt Number: Permit No. Date of Payment: Receipt Number: Waiver No (Rev. 01/11) GARNESS ENGINEERING GROUF, Ltd. CONSULTANTS & GENERAL CONTRACTORSMMMMMOMMMMM April 3, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Prator; Block 9, Lot 1; To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system is in a state of failure and needs to be upgraded. We are proposing to install a new 1000 gallon septic tank and a dual deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log 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 topography drawing the topography around the drainfield runs east to west at a 10-15% slope. In short, there are no slope concerns. 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. .E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengincering.com I I \ I --------------------- PRAT R; BLOCK 9, PRATOR; BLOCK 9, \LOT 3 C— LOT 4 I ARL � I 1 J. ecce I nnennni _ / F I i'�� PRATOR; BLOCK 9, LOT 2 1o / x I tttVII tttt J����� 111111 0 PRATOR; BLOCK 18, PRATOROT 3; BLOCK 8, (`� \1 LOT 4 I APPX LOCATION \JZ I I 00 WI WELL RADIUS rREa \ o° 1 � \ \ PRATOR; BLOCK 8, W \ LOT 1 1 I 1 / \ i — — — — — — — — — — — — — — — — — — � I HOFFBECK LOT 1 I 1S PRAIFOR; BLOCK 2, \ W2 yIII I / I jI y� I I\ r \ I � I I I 1 I / I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS 3)01 E i000R ROM, SUITE 101 • NICHOMOE, M NW7 • PHONE (907)337-8179 • FM (907)}]8-3246 • MBSn, ww .aamww gjlm V. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ESTATE OF TIMOTHY SPERNAK N/A 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: PRATOR; BLOCK 9, LOT 1 PNB TYPE OF WORK: DATE: SITE PLAN 3/21/13 I I APPX LOCATI 00 WELL RADIUS PRATOR; BLOCK 1, LOT 1 \ \ PRATOR; BLOCK 1. LOT 2 A. Gar ess.• G J CRITERIA: NOTE: THE CONTRACTOR OF BEDROOMS: 3 SHALL HAVE THE SOUTH & PER DAY (GPD): 450 GPD SEPTIC WEST LOT LINES, AND ALL NON RATE/S: 6.67 MIN/INCH WELL RADII FLAGGED BY A D APPLICATION RATE: 30.8AREA REGISTERED LAND SURVEYOR oRAINFIELo sQ.Fr.: s63 sD.Fr. PRIOR TO CONSTRUCTION. MAXIMUM DEPTH OF EXCAVATION: 9 FEET WIDTH: 2.5 FEET LENGTH: 2 O 37.5 FEET — 75 FEET EFFECTIVE: 4 FEET ACTUAL SO.FT.: 600 SO.FT. 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 F-17 1 U LI I / PRATOR; BLOCK 9, / LOT 4 / / BE \ PROPOSED 1000 11 \ GALLON SEPTIC 1 \ \ TANK 1 1 IN PBL C/OSS 1 MT OM O T I ST25T7 TH 1 1 T EXISTING 1000 // EERNHILL Ave GARNESS ENGINEERING4 GROUP, Ltd. ]101 C TIAIX! 0V0, 6011E 101 • N HORNN6: M 66601 • p10NE (607)W-6110 • pill (607)00 V" • w6e6R[: ....yomgxna�-,6w.cp^ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ESTATE OF TIMOTHY SPERNAK C/O AGENT 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: PRATOR; BLOCK 9, LOT 1 PNB OF WORK: SEPTIC DESIGN UPGRADE 4/2/13 GALLQN _ , — — , rAl n — PER ' \ i" = 40' \ ,044_ o O.F. v �P�F...... H v�0� >*: ........... ........ *� i ' m A. ss.;'..G —79053 DATE READING CLOCK NET TIME WATER LEVEL NET DROP 4/1/13 1 4:30 — o 0 — 2 5:00 30 .......... g6N 3 5:00 — 6.00" `.ydp0 GARNESS 4 5:30 ENGINEERING GROUP, Ltd. 9T 4.50" 5 CONSULTANTS & GENERAL CONTRACTORS - - 101 • N1°10R•GE M. 99W1 • WE (907)M7 -Gln • M (907)3W 2" • 1NEHSRE: gwnnxn9lroerirg.com — D 3101 E 10009 R01D. SURE 6 6:00 30 1.50" 4.50" SOIL LOG — PERCOLATION TEST .............. LEGAL DESCRIPTION: PRATOR; BLOCK 9, LOT 1 ••,J A Games;.....0 53 •`Qp PERFORMED FOR: ESTATE OF TIMOTHY SPERNAK DATE: 3/29 13 sr • •, / •'• �c°o0 DEPTH Pro es9100o� (feet) _= TEST HOLE #1 40000 1 = ORGANICS/FILL =_ SOIL CLASSIFICATIONS I 2 ' J G W ORG p GP ML •41-, GMCL 4 K;".• GC OL N ;5.. 000.0 SW MH 0,00 SP CH 5 'd:y SM e : OH 6 SC SEE ATTACHED SITE PLAN 7 ^' i•°i° DEPTH TO DATE GROUNDWATER g ' DRY 3/29/13 GM TO GP DRY 4/6/13 g rs� -. SCALE: +, c r = 100' 10 " 'els; 11 '>`.` TIME (MINUTES) READING (INCHES) .�`. 12 13 $_ 14— .j �. 15 :-: B.O.H. 16 17 18 PERCOLATION RATE 6.67 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 5 FT. AND 6 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERCOLATION RESULTS ARE WITHIN 1/16TH OF AN INCH PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RRFIRMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I DATE READING CLOCK NET TIME WATER LEVEL NET DROP 4/1/13 1 4:30 — 6.00" — 2 5:00 30 1.50" 4.50" 3 5:00 — 6.00" — 4 5:30 30 1.50" 4.50" 5 5:30 — 6.00" — 6 6:00 30 1.50" 4.50" 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW .}, ,in /tet c5 pe, Ali f- 3e/S' /�il'1� -UPGRADE_ MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS te Well ? '�'G Absorption area Dwelling S S PERMIT NO. / ¢ `/G DISTANCE TO: ii 1 `' Uy H z Manufacturer Materials No. of compartments W rn Liq. capacity in gallons Inside length Width Liquid depth IF HOMEMADE: Well Dwelling PERMIT NO. ply DISTANCE TO: O Z Q Manufacturer Material Liquid capacity in gallons S H Well Foundation Nearest lot line /�� PERMIT NO. DISTANCE TO: Z�+�{ %Z( w= W u. Z No. of lines 44 Length of each line Total length of lines Trench width Z/ 16 Distance between Ijnes 6 Z w J^ 3 Z /1-- /-Z e inches H Q Top of tile to finish grade Material beneath the Total effective absorption area inches 2 c-' la 0 Length Width Depth PERMIT NO. w Q I- Type of crib Crib diameter Crib depth Total effective absorption P area n. a w w Well Building foundation Nearest lot line DISTANCE TO: CI s Depth Driller Distance to lot line PERMIT NO. _j _j C LU Building foundation Sewer liner Septic tank .o Absorption area(s) DISTANCE TO: 1a j�; oPc 1 y toone:- OTHER Y 11 PIPE MATERIALS PVc f U p}� &e SOIL TEST RATING INSTALLER - B114P gt. ?, REMARKS y ry enc /ilSfig*i/1'nJs %71e sySje,�g� The duy d•epv- {cs" S,`s ¢ ��'r o%' C j, t r + e.- r' l�'c✓ / ii S /76�U�rI v �c�cte,- abke /0rut..Ss Ly / n I've e' tC,ei iM /1 5 t �� l�l.$ I �/�eGl� i7C •%Y1J SS 1 w7,i� "77U/�1 - % 1 . .S •ZS u.� (J,�wu /f ..� r✓YI [' Z .� ,''.s J� /-(UIY��y I��c'!s. /� C7 e Se'��i iuc't8 E':c/ViSC`�S /a,�s,,�f,CK � y 107 loop APPROVED DATE LEGAL `u &V . pry A., 4- 7, / ✓S i�� /� q r v —20 72-013 (Rev. 3/78) / -[ ary ' '^ CD F= FA 14 Q FA C�ik FA C3 EE: �--------DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, HK 99501 264-4720 PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: 840466 06/15/84 TIMOTHY SPERNHK 6701 FERNHILL CIR. ANCHORAGE, HK 99516 ]451867 SUBDIVISION: TOR SECTION: 35 ( TOWNSHIP: 12N 4]]51 (SQ.FT' OR ACRES) ] LOT:� 1 RANGE: 3W BLOCK: 9 LISTEDBELOW ARE THE OPTIONS AVAILABLE TO ** YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSECHOOSETHE OPTION ________________________________________ THAT BESTBESTFIFITSY|YOURSITE. 01o01-1 K^A' Us F_* n][U~s DEPTH TO PIPE BOTTOM � (FT. ) � 4 0 4 0 . 4.0 GRAVEL DEPTH (FT.) 3.5 0.5 3.5 TOTAL DEPTH (FT.) 7.5 4.5 7.5 GRAVEL WIDTH (FT.) 2.5 27.0 5.0 GRAVEL LENGTH (FT.) 185.0 ** 54.0 140.0 ** GRAVEL Y8LUME.(CU.YDS. ) 68.5 54.0 103.7 TANK SIZE (GALS) 1,000.0 ** 11000.0 ** 10000.0 ** SOIL RATING (5Q FT /BR) 431 324 431 GRAVEL LENGTH } 75 FT REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT EACH) ** TANK.MUST HAVE AT LEAST TWO COMPARTMENTS I CERTIFY THAT: 1 I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOH) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOH CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. . ]. J WILL ADHERE TO ALL MOR AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCESFROM ANY EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LO. 4. I UNDERSTAND THAT THIS PERMIT IS VALID -FOR H MAXIMUM OF 3 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF LIFT STATION IS INSTALLED IN AN AREA COVERED BY M-' � BUILDING CODES � THEN (1) AN ELECTRICHU PERMIT AND INSPECTION MUBE OBTAINED; (2) HS-B'ILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT/ AND (]) THE ELECTRICAL WORK MUST BE -DONE BY 8 LICENSED ELECTRICIAN. � SIGNED DATE: APPLICANT:~ � !ISSUED BY DATE: � ��---��~~��� r•l i 1 r-4 I I F 41 I —r 0-0 C, F!"' 1=f r -J a==M=1 w:3 E 1 DEPARTMENT 0—HEALTH AND EP•dVIR:ONMENTAL 'F7C.ITEC:TICIP•d 825 L :STREET: ANCHORAGE: AK _99501 264-4720 PERMIT NO: 8404.14 GATE ISSUED: APPLICANT: TIMOTHY EF ERNAK ADDRESS: C- 01 FERNH I LL C: I R. ANCHORAGE, AK 99516 CONTACT T PHONE : 45-18 LEGAL GESC:R I F : SUBDIVISION: PRATOR S EC T I ON :. 5 TOWNSHIP: 122 LOT SIZE: 43':3:51 f i-!. FT. OR ACRES MAS , BEDROOMS: ti LOT: 1 BLOCK: S RANGE: =.W LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION _ _ _ _ _ _ _ _ _ _ _ _ _ THAT BEST FITS __'B— _ __n Y SUR ,`ITE. g_ _— — — — —C __- _ _ __ ____ ___ _ _ @ 0 -1=:W 3E r ■ DEPTH TO F'IF'E BOTTOM e FT. ::, 4. 0 4. 0 4. GRAVEL DEPTH ' FT. :, 2.0 0. f' 2. 0 TOTAL DEPTH f.FT. ) 6. tit 4. 5' t---,. 0 GRAVEL WIDTH (FT.) 2.5 • 19.0 5.0 GRAVEL LENGTH (FT. :{ 120.0 :+:}: -38. 0 67. 0 GRAVEL VOLUME ( C U. 'T DS.) 27. 7 21 . 7 =1. Lei TANK SIZE (GALS) 1.-000.0 :}::}: 1. 000. o :}::}: 1.000.0 SOIL RATING ( Sri!. FT. /BR) 159 159 159 GRAVEL LENGTH > 5 FT. REQUIRES MULTIPLE RUNS NOT EXCEEDING 75 FT. EACH TANK MUST HAVE AT LEAST T140 COMPARTMENTS I C=ERTIFY THAT: 1. I AM FAMILIAR:. WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE ( MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. 3. I WILL ADHERE TO ALL MOA AND STATE C ►F ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL.- WASTEWATER - G I SP ESAL SYSTEM C �R PUBLIC SEWERAGE SYSTEM ON THIS 1 +R ANY ADJACENT � R NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF 2 BEDRO IMS AND ANY ENLARGEMENT WILL REQUIRE AN . ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOR BUILDING CODES: THEN 1 ' AN ELECTRICAL PERMIT AND INSPECTION MUS..T BE OBTAINED, (2.'. AS—BU I L.TS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND 3 THE ELECTRICAL WORK K MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNE's DATE: -/ __ ___________ A P P L I CANT : T I MCI 'ERN ISSUED By .�� �� DATE: SOILS LOG MUNI1bI5ALIFY OF ANZ01wE s DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGINVIRONMENTAL PROTrg"ONERCOLATION y„E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 M 12198A I SOILS LOG - PERCOLATION TEST RECEIVED' PERFORMED FOR: TII)1 CU H ELKnocK DATE PERFORMED: LEGAL DESCRIPTION: �T�` �il b��V ;S teq 13 1 J -DT �C)iyCxnSLOPE SITE PLAN + S lV 2-M i 1 I(Cjm) 9011 s-' 1 c%'-AJtI 3 4 5 6 7 8 9 10 11 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT 12 }t51t� �t�7ey DEPTH? 13 �1-e�r� ply 14 15 16®(C[irl) Deanvav�l 17-06 , r S i i Ir FnLl«�' 18 ' fjvci{t J rc:keA i�0rval 19- 20-, 21 LZ ° ,v COMMENTS_ S ® L O P E Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT e< A,* fL PERFORMED BY: r W i S `(� m�(+ �r81oz T CERTI FI ED BY: 72-008 (6/79) DATE: / I/2 -e/ lc -4 a SOILS LOG a MUNICIPALITY OF ANCHORAGE y„E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATIONTEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR:1{'Yl,�>��ls DATE PERFORMED:/�l9 LEGAL DESCRIPTION: �jj SLOPE SITE PLAN A&I tCt�� 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: C�w Wi bvlal 'i 72-008 (6/79) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? S L 0 P E PERG&ATION RATE '? 4� (minutes/inch) / f It// -r col 7 `(� -7 =gD.1. Gross Time Net Time Depth to Water Net Drop 1 a 13,30 — :69 .) 1 C� r 6j PERG&ATION RATE '? 4� (minutes/inch) / f It// -r col 7 `(� -7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: --7—,-)-n 3D -e -le -)o-,t DATE PERFORMED: LEGAL DESCRIPTION:_ � � � Z-6 r=== lY JP" r< �j . S L E 1 2 3 4 5 6 7 r Oft C,N1C&by c�y IS(LT ue ftT ;3evur''i DN��� Cf- tc) 'l►'1L) SA- (Dq aupttv S1 CT Y. Ll 0 ftF 1390k mors COMMS r f0c,�HW s rgoww y sILTy 9wao 11 12 N4 13 h4l 14 15 16 17 18 19- 20- COMMENTS 920 COMMENTS QRQE' ■■RIM IMMI"M 1001110 NOME ■■N■ MEIN EMISM MEMO IMw,E XSOI LS LOG PERCOLATION TEST tyZocA-k r WAS GROUND WATER S ENCOUNTERED? L /J 6 O P IF YES, AT WHAT DEPTH? i Reading Date Gross Time Net Time Depth to Net Water Drop %5=bV /v aj© ad: s, i— Zs -2-30 -.4-1: 23 - • �� �- PLHGULA I IUN HAI I= C ( un muiesinium TEST RUN BETWEEN. FT AND ` �r—FT PERFORMED BY: /� CERTIFIED BY: % lox _57- 72-008 (6/79) - DATE: MEMORANDUM DATE: October 2, 1984 To: Laura Crow FROM: Environmental Health Division SUBJECT: Request for Refunds Account #2460 Please make arrangements for the following refunds - individuals chose to have private engineers perform the inspections in lieu of this Department. Timothy Spernak Receipt # 288156 Star Route A Box 442 Amount: $115.00 Anchorage, Alaska 99507 Account # 2460 Lot 1 Block 9 Prator Subdivision - Sewer Permit # 840414 Daniel Warnock Receipt # 275455 3605 Arctix #1810 Amount: $145.00 Anchorage, Alaska 99503 Account # 2460 Lot 3 Block B Pollock Homestead Subdivision Sewer and Well Permit - no permit number issued S & S Engineering Receipt # 298134 Star Route B 196-X Amount: $10.00 Eagle River, Alaska 99577 Account # 2460 Lot 7 Block 1 Colonial Park Subdivision Sewer and Well Permit #840688 - refund of well permit only Colonial Park Subdivision is served by community water. Laura J. Ward Office Associate LJW attachments 91-010 (4/76) REDIFORM ® 4S 472 SEND PARTS 1 AND 3 WITH CARBON INTACT - ear raK iso sers� 4P472PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP ALASKA Ci O1ROn MAL COWROL SffivICCS, InC. Cngineerinq & Cnuironmental Studies June 27, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99503 Dear Keith, MUNICIPALITY OF ANCHopgGE DEPT OF HEALTH & ENVIRONMENTAL PROTECTIOU PEC 121..QR,1 RECEIVED On June 7, 1984, AECS performed a soils test on Block 9, Lot 1, Prator Subdivision. A small backhoe was used which only could dig 11.5 feet. ' f The soil was GM and perked at 324 sq. ft./bd.. (A copy of this soil log is attached.) A permit was issued based on this test. Not realizing the lot is on a steep slope, an option for a bed was included in the permit, to be 27 x 52 in size. The owner and his excavator had erroneously but understandably begun building the bed in such a manner that the end that would be lowest on the lot would be 5 feet below ground level, as the permit called for. This, however, made the bed at the upper part of the lot to be at 11 feet, due to the great slope of the lot. I pointed out that at this end, they were now potentially only 6 inches from a water table and would have to dig down another 4 feet to find out whether or not it was dry. To my horror, at 11.5 feet the QK ended and a terrible clay began --they had effectively removed all of their good G4 and were building a bed on clay without realizing it. Fortunately, the excavator had a huge backhoe that could dig deep, so I told him to keep digging. At 15 feet, we hit gravel, and it continued to 22 feet, with no water. The gravel was coarse with occasional sand seams. There were small scattered pockets of silt and a few inch -thin layers of silt. The gravel was clean enough to rate at 85 sq. ft./bd., but I could not do this, because of the silt. On the other hand, if I tried to perk the soil, the perk hole would unavoidably have so much gravel in it that it would erroneously appear to perk at 85 sq. ft./bd.. Therefore, I rated the soil at 150 sq. ft./bd. to compensate for the minor silt. I also had the excavator use his backhoe to break up the strata so that no silt layers in the gravel could form a barrier to septic effluent. I explained these things to Susan Oswalt over the phone on June 23, 1984, the day I inspected the system, and she granted me permission to re -design the bed provided I turn in a new log and a letter of explanation. Sincerely, Darcy ens Engineering Geologist 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (907) 561-5040 ALASKA 0-01ROMMAL COnTROL Zi US, InC. 6ngineerinq & 6nuironmental Studies June 25, 1984 Susan Oswalt Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99503 03AI 3d N01dJ3iodd 1biN3WNo2tfAN3 I H11V-9H do ad3Q 20Vd0HZ)NV do �1.1.11bd0INnw Subject: Prator Subdivision, Lot 1, Block 9, in 25 words or less. Dear Susan: Too deep! Too steep! Wrong soil! Bad clay! Went deep! Found gravel! No water! Redesigned! 18 x 40! Sincerely, Darcy Bvens Your Favorite Geologist 1200 West 33rd Auenue. Suite B • Anchorage. Alaska 99503 • (907) 561-5040 P O L,, i 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #:840832 January 31, 1985 TO: Permit Applicant s 6 j� C� SUBJECT: Lot.-Z"'Block 9 Prator Subdivision A permit issued Iby this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as -built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, Supe visor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS:, CONTACT PHONE: LEGAL DESCRIP: - ��J PJ 1' 1E.-, JE FA in a— T -r -vr 9-1 C 3 F. -c C -Ii IE� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 840832 10/01/84 . TIMOTHY SPERNAK 6701 FERNHILL CIRCLE ANCHORAGE, AK 99516 345-1867 SUBDIVIqION: PRATOR SECTION: 35 TOWNSHIP: 12N 1 LOT: Z' BLOCK: 9 RANGE: 3W ^ LOT SIZE: 43351 (SQ.FT. OR ACRES) ` I certify that: 1. I am familiar with the requiremehts for on-site sewersand wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. SIGNED DATE: .� ------�.p~--�------------------------- APPLICANT: TIM9TJ ISSUED BYAN%,�'^- > DATE: ti 6 n n e M , t M �p �4 3 3 n i Nar(h 3161/' (MeaaJ (North 66000 R{°POB/OJ NO°00't3"W 659..G9'(Me°>J (Nalµ - 3P65BHrm.PBT/9BJ 7040— (N°rrh 3PB, P5 Att. P>B'FO) —�d49ea rvetl ROW C mf. foA+"oge c,mr ° �•`,'n a "' %.y M� 515 ry a M g °WW '.b Q m W t WW ° /pe ® iiai'er-ry ,9S SSI h N•f6,b4"IN W SO•JB'PO"E 3099q' _ b a..tz.ts=eos 46'b%9 9 c sox/ 41 n A 0� n ?n< ➢¢fib P� m'b w n T O 2mro�� �,(tw��O�a� 2"w'�O°Q tri <nc �p rydOR Pm D W 9 i 1 W d g n w MY 0 a O A o y S° iIa v b< a O Q \ m 'i ld M°Cy� m Sb'Fy � pp g 0 O V 0 0 4 O p V Q 0� n ?n< ➢¢fib P� m'b w n T O 2mro�� �,(tw��O�a� 2"w'�O°Q tri <nc �p rydOR Pm D W 9 m w MY 0 a O A o y S° iIa v b< a o I 'i ld M°Cy� <Qry Sb'Fy � pp 0� n ?n< ➢¢fib P� m'b w n T O 2mro�� �,(tw��O�a� 2"w'�O°Q tri <nc �p rydOR Pm D 9 m w MY 0 a O A o y S° P 'i ld M°Cy� <Qry Sb'Fy � pp g 0 O V 0 0 4 O p V Q 0� n ?n< ➢¢fib P� m'b w n T O 2mro�� �,(tw��O�a� 2"w'�O°Q tri <nc �p rydOR Pm D P 0� n ?n< ➢¢fib P� m'b w n T O 2mro�� �,(tw��O�a� 2"w'�O°Q tri <nc �p rydOR Pm D 'i ld M°Cy� <Qry Sb'Fy � pp Parcel I.D. 01709132 Municipality of Ancho On -Site Water and Wastewater Prol (907)343-7904 Certificate of On -Site Systems "s��\ ..E MG 0 h LJ113 Expiration Date: ( - d 10 1. GENERAL INFORMATION CorrSpletelegal description PRATOR BLOCK 9 LOT 1 Location=(site address) -14520 PRATOR ST Current Property owners) CHRISTOPHER JOHNSON Mailing address 14520 PRATOR Real Estate Agent QUESTA LOCKE 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 360-2337 Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received bDate: S/3///C. COSA to be released to the engineer. unless otherwise requested by the engineer. COSA Fee $ 52 Date of Payment 191z"/� Receipt Number bG.AQD COSA# 050l0132� Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT Cl P ION 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 C+M ENGINEERING SERVICES Address 30840 PRUDHOE BAY AVE Engineer's Printed Name CHARLES BALZARINI Phone 854-5558 6. DSD SIGNATURE 0jo Charles G. Balzartni 00. ; System #1 Approved for bedrooms 0�N%,• CE -13854 System #2 Approved for bedrooms 39£b. ��•` Disapproved Conditional approval for bedrooms, with the following stipulations Original Certificate Date: ' �I The Municipality of Anchorage Development 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 engineers work. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA bWesheat [ - . c X Nitrate Advisory -. Arsenic Ac�.,visery 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 PA foz &'9c r' q t'o i 2 Parcel ID: W7 0ql ':L2� Well type 0VATE If A, B, or C provide PWSID # A//ft Well Log Date completed .� i✓ k Sanitary seal Q9N) 5— Wires properly protected &N)2-`5 Total depth —(?2 ft. Cased to 40 ft. FROM WELL LOG Date of test /V 0 w� 1.0 Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: "//1, Coliform, colonies/100 mL Nitrate II mg/L Casing height (above ground) /.2 in. AT INSPECTION tr9te 1611,;2-116 1c)_© ft. +5,0 g.p.m. Arsenic ug/L Date of sample: Collected by: G'f-IP'1�6 €�QTNb $/ail/68fb C i3�+ct-�Rs� B. SEPTIC/HOLDING TANK DATA C Tank Type/Material l8P rTGKS%-C6L Date installed `�,•16I�t9'� Tank size) COO gal. ����``Number of Compartments .� Cleanouts (!9N)t� 5 Foundation cleanout/N) r// Depression over tank (YO (vQ High water alarm (Y(p Nfl Date of pumping Y/✓_21,? )A Pumper_ /V©RTH(_+Vt> C. ABSORPTION FIELD DATA Date installed A�« I Soil rating (.p.d./ orR?fbdrrn) _ System type h/c} ta,/ I I2� LH Length 3ZL37,5 ft. Width 2.5 _ft. Gravel below pipe ft. Total depth a ft. Eff. absorption area &919 f12 Monitoring tube Xa Depression over field V Date of adequacy test YDaDib Results s Fail)_ For 3—bedrooms Fluid depth in absorption field before test! in. Water added �© gal. New depths in. Elapsed Time: tQ140I min. Final fluid depth L(4, 1 q_ in. Absorption rate >= 4 0 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N&JE 'sg '�`r If yes, give date A<,f il�_ ■ D. LIFT STATION /VO LSr Date installed Size in gallons "Pump on" level at — in. "Pump off' level at _ Datum E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested f Septic tank/lift station on lot t (t9O Absorption field on lot + (60r Public sewer main +tom Sewer /septic service line 4 �Z Si Animal containment areas -70 SEPTIC/HOLDING TANK ON LOT TO Manhole/Access (Y/N) in. High water alarm level at= Meets alarm & circuit requirements? On adjacent lots +C60 i On adjacent lots Public sewer manhole/cleanout lam' Holding tank 'i- 7S Manure/animal excrete storage areas ((� Building foundation S Property line { � /I Absorption field 'I' S Water main tI D Water service line 4 6 V Surface water t([9d Wells on adjacent lots +(©O� ABSORPTION FIELD ON LOT TO i Property line 1 (o � Building foundation +tQ Water main tlp Water Service line ttO Surface water 4100 Driveway, parking/vehicle storage + (Dr Curtain drain 1't7o� Wells on adjacent lots F. COMMENTS # i7ag, �Eil3 Ca'iA + ?Ga JVr- c'c7?&A✓ gRPOAT 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 tC14ARe s 5PiG36PX/-L Date COSA canary sheet_2-E-15.doc Charles Mizerini 138,54 CG,. •��co 11 �.; Municipality of Anchorage g < On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 017-091-32 Expiration Date: 1. GENERAL INFORMATION Complete legal description PRATOR; BLOCK 9, LOT i Location (site address) Current Property owner(s) Mailing address Real Estate Agent 14520 PRATOR STREET *ANCHORAGE, AK ESTATE OF TIMOTHY SPERNAK Day phone C/O AGENT 14520 PRATOR STREET *ANCHORAGE. AK RAMSEY TEAM Day phone 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: 242-9993 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: r'r' COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 6v (.k0 Date of Payment —7 12 113 Receipt Number DoA'03 G COSA# &�/—i31-33 (,e, Date:' %! j 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, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with 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, 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 tight whatsoever 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following 337-6179 Date F i i j ON-SITE WATER AND .cTr-WxTER n= Original Certificate Date: :7' a 3 ° .1 -3 ThsJYt(nir ty pr rage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the repres natation 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: PRATOR; BLOCK 9, LOT 1 A. WELL DATA Parcel ID: 017-091-32 *PER GEG INSPECTION **PER SURROUNDING WELL LOGS Well type PRIVATE If A, B. or C provide PWSID# N/A Date completed PRE -11 /84 Sanitary seal (Y/N) YES Total depth *139 ft. Cased to **40+ ft. FROM WELL LOG Date of test NO WELL LOG Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: Q ug./L. B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) �[a] Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 3/12/13 119 ft. 5.40 g.p.m. Nitrate(L mg./L. Collected by: GEG. Ltd. Date of sample: ( 3 Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments E Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping NEW Pumper Date installed 5/15-16/13 Cleanouts (Y/N YES High water alarm (Y/N) N/A C. ABSORPTION FIELD DATA *BELOW FINAL GRADE WEST/EAST 11/20/84 150 BED Date installed 5/15-16/13 Soil rating (. r /bdrm 0.8 System type SHALLOW TRENCH p.d./ft 10.5 1 0.5+ Length 2 Q 37.5=75ft. Width 2.5 ft. Gravel below pipe 4.00/4.01 ft. 720 Total depth *1 1.9+/*8.8+ ft. Eff. absorption area 6002 ft Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: — min. Final fluid depth in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at in. "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100'+ On adjacent Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots Public sewer manhole/deanout 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 Feld 5'+ Water main N/A Water service line 104 Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 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 PrintJ29d N me JEFFREY A. GARNESS Date �' 1/i3 (Rev. 11/05) -� cn ol m K =Z m OCD z o -� Z 'n " OM Z Z O �+ m;a mP n0 Oy �m v� m� v= D Z ?vCD''aCIL CIL I 3n W =>N '..QO .O. 3' d N�'J CL -0 O t�pp ''. O. O N O A j w O m, =3 ,ol N rJ OL CD A N 0 »O-pN N N y0 0 0 N y. p N C �. ii= Q -f7i N fd CL d i�•m�O:O5v 4i acL C a N 7 N n m v � y N (C O N tll e�' uy�Mf,nxi a �y.F;- `� — fD gO Q n N 7 N 'd 7 N (D ID W N = O fDCD .D v0 ' W W O N O -8 (D 3 N(D CD 0 +1 '�, N O .2 n v m 'a �` m FERNHI 7999 CIRCLE N O o �� N N00 03;00 E 144.138 CD 20 I x m T cn r (D m 73 0 c Cl m cu M. X 0 m r - N � .n Z M 00 O Xcso s � W C?O rnga2 NN I � C m X11 N z co m p pcc r 9 m T cn r (D m 73 0 c Cl m cu M. X N) r - N � CD O l CO -► rnga2 NN O m L'ZZ N I N � rnga2 NN m L'ZZ N pcc r 9 m v m n op62 � o d G `o me m o 4 _' Nm c CA t d Y3O \ C n ® Q Z , -- A m co O yF co im co I m � N w N N00°03;00"E 145.00 �, m � O PRATOR STREET CO cfl "