HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 24CEogle River
Vail
Y
Ranchettes
Lot 24C
#050- 2 2 3 - 11
Municipality
of
Anchorage
Development Services Department n,~ u~ ...~' ~
Building Safety Division
On-Site Water & Wastewater Pr°gram' 4700 Bragaw St' ~ 1
P.O. Box 196650 Anchorage, AK 99519-6650 ~ ~-
www.ci.anchorage.ak.us (907) 343-7904 0 P of
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 0SP1010`36 PID Number: 050-22,3-11
Name:
CHRIS PAULEY Wastewater System: [] New · Upgrade
Address:
18709 WHIRLAWAY DR, EAGLE RIVER, AK, 99577 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 694-2506 4 [] Deep Trench · Shallow Trench [] Bed E]Mound []Other
LEGAL DESCRIPTION so,, ,ating: 0.8 GPO/Sq. Ft. Tot°, Depth frOmsEEO,iginO,DwG.grade: Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
- 24C EAGLE RIVER VALLEY RANCHE-FFES SEE DWG. Ft. 4 Ft.
Township: Range: Section: ~ill added above orlginol grade: Grovel length:
- - - SEE DWG. Ft. 76 (57 & 39) rt.
J Gravel width: Number of lines: Dietanc~ between lines:
WELL: [] New [] Upgrade 5 Ft. 2 O+ Ft.
Classification (Private, A,B,C): Total Dept~b;~ Cased TO:(BEDROCK) Total absorption area: Pipe material:
? ~¢¥~-~/~ Ft. Ft. 760 SO. Ft. D 5054/ F-810
Driller;. Date Drilled: Static Water Level: Installer;. Dote installed:
Ft. PACIFIC SERVICES 6/1 6-18/2010
I Pump Set At: Casing Height Above G .... d:
cP.I rt. Ft. TAN K
SEPARATION DISTANCES · Septic [] Holding [] S.T.E.". [] Other*
T~.~'~-......~To Septic Absorption Lift Holding Public/Private Manufacturer;, Capacity in gallons:
Tank Field Station Tank Sewer Lines GREER TANK 1250
Material: Number of compar'[ments:
Well 100'+ 100'+ - - 25'+ STEEL 2
Sa.ace Water 100'+ lO0'+ - - - LIFT STATION
_ _ _ Size in gallons: j M~rl~
Lot Line
5'+
Foundation 5'+ 10'-{- -- -- -- "Pump on" level at: ~at: High water alarm at:
Curtain Drain = NONE KNOWN . Purnp~ Electrical Inspections performed by:
Remarks: BENCH MARK
Location and Description:
*WAIVER GRANTED #0SP101041. BOTYOM OF SIDING, SW CORNER OF HOUSE
NOTE: OLD 'FRENCH AND TANK WERE ABANDONED
A~sumed Elevation:
IN PLACE PER UPC. 100.00 Ft.
ENGINEER'S SEAL
Inspections performed by: GEG, Ltd. Dates: 1st 6/16/2010
3rd 6/18/2010 ~ ' ¢ ,~, '-.0-~.
r-, TU
Development Services Department Approval '*' '~:':' '% '~'~' '/J2
Conditional approval: Date: ~^~J//~r
'PERMIT NUMBER: AS BUILT DRAWING PARCEL ID NUMBER:
OSP1 01 0,56 - 050-22,5-11
NOTE: OLD TANK AND
TRENCH WERE ABANDONED EXISTING WATER MAIN
IN PLACE PER UPC.
I
WATER KEY BOX-x
EXISTING CRIB (APPROXIMATE ~ ~ :~.~..~ -- x~
LOCATION) RESERVE CONNECTED SITE AS] -'""~ ~ ~ ~ ~ \\\ II
\\
A B C
I
· \ ~ /-- D~BL4
FCO 14.89 5.25 55.27 ] 5' LOT LINE \ ~,4.'¢'-:DBL3
DBL1 13.60 7.46 37.90 WAIVER --.,- ~__',~M .... I
GRANTED - FD.SV'"~'X? I / I
DI~I/"II~ Tn / ~ ~ NEW 1250 GALLON
......... ST1
DBL2 14.43 6.72 37.65 :3 --CONSTRUCTION / X',o~ST1 SEPTIC TANK I
I
/-
ST1 23.24 15.06 49.14 J '~_~-"~'o,~ I
ST2 30.93 21.79 55.85 I' i~-c~", I
~ FCO~ I
DBL552.9423.6257.45 ]l__k~.~ 0o3 p q co1 B AL_____~i~]i]
DBL4 34.40 24.09 57,94 I: I I I
I~1 I I
FD ,35.05 24,54 58.26 '] I I I I
FS 44.93 24.20 42.90 I I I I EXISTING
f IMT2 b IMT1 4 BEDROOM
C01 _44.11 24.29 41.17 ! I.~ I I HOUSE
MT1 51.70 34.48 30.43~ TH#1 II I
I c
C02 60.54 47.52 25.79 I I I I rh ' '"~" "i ,;, '
I-"C04 L~,Ic02 T .' :. .. ·
CO5 59.53 ,39.80 50.90 ri ~ / .... I '"'? ' ":'" ":
MT2 64.97 46.49 44.41 / ~ ~ .' 2"'!~' '
NEW DRAINFIELDS~~'--FENCE LINE
WHIRLAWAY ROAD
I I
GARN'ESS ENGINEERING GROUP, Ltd.
PREPAREDCHRIsF°R:PAULEY PHONE 694--2506NUMBER: I PAGE2 N.MBER:oF ,5
LEGAL DESCRIPTION: DRAWN BY: IAI/ CE;-79,5,5 ..'
EAGLE RIVER VALLEY RANOHETTES; LOT 240 A,J,G,
DATE: less'
TYPE Of WORK:
AS-BUILT DRAWING OF NEW SEPTIC SYSTEM 6/28/2010
A B C
FCO 14.89 5.2,3 35.27
DBL1 1,3.60 7.46 `37.90
DBL2 14.4,3 6.72 37.65
ST1 25.24 15.06 49.14
ST2 50.95 21.79 55.85
DBL5 52.94 23.62 57.45
DBL4 54.40 24.09 57.94
FD 55.05 24.54 58.26
FS 44.95 24.20 42.90
C01 44.11 24.29 41.17
MT1 51.70 34.48 30.4,3
C02 60.54 47.52 25.79
C03 59.53 `39.80 50.90
MT2 64.97 46.49 44.41
C04 71.79 56.22 40.,37
(Rev. 01/05)
AS BUILT DRAWING
OSP1 O10,36 - 050-223-11
ST1 F FIN~2GRADE = 99.31-99.3,:7,
TOP OF TANK IN r=l I r=l /--- TOP OF TANK
WEST TRENCH
MT CO
/
EAST TRENCH
FINAL GRADE -- MT CO /--FINAL GRADE =
96.89-97.62 GRADE / 97.07-98.45
0 TH#I = 94.00
FABRIC TH# 1 FABRIC
INVERT OF PIPE INVERT Of PIPE
= 92.00 = 92.00
I 5' t OF BO~OM OF I'
TRENCH = 88.00 TRENCH = 88.00
RELATIVE ELEVATION OF Bo'FrOM
Of TESTHOLE = 82.00 (DRY)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 * PHONE (907)337-6179 * FAX (907)338-3246 * WEBSITE: www.gamm~Benginemitng.com
PREPARED FOr: I PhOne NUMBER: PAGE NUMBER:
CHRIS PAULEY I 907-694-2506 ,3 OF ,3
LEGAL DESCRIPTION: DRAWN BY:
EAGLE RIVER VALLEY RANCHETTES; LOT 24C A.J.G.
DATE:
TYPE OF WORK:
PROfILe AS-BUILT OF NEW SEPTIC SYSTEM I 6/28/2010
(Rev. 01105)
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: OSP101036
Tax Code Number: 05022311000
Work Type: Septic Upgrade
Permit Effective Dates: May 27, 2010 to May 27, 2011
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivlslon: EAGLE RIVER VALLEY RANCH[-. I ~ ES
Site Legal Address: EAGLE RIVER VALLEY RANCt-lt: i 1 ES LT 24C G:0054
Owner/Address: PAULEY RICHARD E & PATRIClA L
18709 WHIRl. AWAY RD EAGLE RIVER AK 995778334
Site Mailing Address: 18709 WHIRLAWAY RD, Eagle River
Lot Size in Sq Ft: 17955
Total Bedrooms: 4
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 dudng 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:
FINISH GRADES SHALL PROVIDE POSITIVE DRAINAGE AWAY FROM THE DRAINFIELD.
Permit includes waiver OSP101041 allowing the drainfield to be 5 feet from the west proper~
line.
Munic a of Anchorage ,~.a ~,.
P,O. Box 196(~50 · 4700 ~lmore Road ~~"-
· IJepar tment
Anchoraqe, Alaska 99519-6650 · (g07) 343-7904 · Fax {907) 343-7997
htr p:l/www.munLorg/O nslte
Development ,Services Department
On-Site Water and Wastewater Proqram
**** VARIANCE/WAIVER REVIEW ****
WP~: OSP101041 HA#:~ Permit~: OSP101036
PID#: 050-223-11
Legal Description: Eaqle River Valley Ranchettes, Lot 24C
Engineer: GEG
Applicant: Chris pauley
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 5 feet.
This waiver approval applies to the existing absorption field to property line separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
Waiver is Granted: ~ Waiver Is not Granted:
Date' ~7/2010 Approved by:
+'~Na m~e of Reviewer
Rec#: (~61727 Amount: ~;200.00 Date Paid: 5119/2010
**** VARIANCE/WAIVER REVIEW ****
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERI'lIT APPLICATION
FOR ~, SINGLE FAHILY DWELLING
-
Property owner(s) CHRIS PAULEY
Day phone 694-2506
Mailing address
18709 WH1RLAWAY ROAD. EAGLE RIVER. AK
Site address Zip Code 99577
Legal description (Sub'd, Block & Lot ) EAGLE RIVER VALLL='Y RANCHETTE$: LOT 24C
Legal description (Township, Section & Range)
LotSize 1'7~, ¢~55 Sq. Ft.
N/A
Number of Bedrooms
4
THIS APPLICATION IS FOR ( []all that apply):
Absorption Field
Septic Tank
Holding Tank
PriW []
Pdvate Well []
Water Storage []
THIS APPLICATION IS AN:
Initial
Upgrade
[] Renewal
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
CARNESS ENGINEERINC CROUP, Ltd.
Permit/Rush Fees:
Date of Payment:
Receipt Number.
(Re',,. 11/05)
Waiver Fees:
Date of Payment:.,.~//"J / / o
Receipt Number:,
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS-
May 17,2010
MunicipalRy of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic Upgrade for Eagle River Valley Ranchettes S/D; Lot 24C,
To whom it may concern:
The existing 4 bedroom house is served by public water and a private septic system. The septic system is in a state
of failure and needs to be upgraded. We are proposing that a new 1250 gallon septic tank and dual 5-wide trench
type drainfields be installed. One test hole was excavated on the property. The drainfield will be designed around
the 30 foot radius ofthis test hole. Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows thc 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 ofthe proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing, the test hole was excavated in a Iow area on
the propen3t. The average topography in thc area is a 5 to 15 percent slope running generally east to west. There are
no cutbanks within 50 feet downhill from the proposed drainfields. Since the test hole was excavated in a Iow lying
area, we are proposing to base the drainfield elevation on the original grade at the test hole. See Ihe attached detail
drawing for the proposed drainfields elevations. In short, there are no slope concerns.
5. LOT LINE WAIVER REQUEST: We request that a .5 foot lot line waiver be issued from the west property
line to the proposed drainficld. We are unaware of any adverse effects on the neighboring property with the granting
of this waiver.
We are unaware Rfany adverse impacts this installation would have on adjacent wells or septic systems.
any qci~Stions~t~Te contact us at 337.6179. Thank you for your assistance.
~ Jamess//~ P.E., M.S.
NOTE: dttached is a site plan drawing a design drawing a detail drawing, and one soil log. which are all part of
the design package for this septic system. (Contact G.E.G. Ltc~ for 7 page construction specification letter.)
Ifyou have
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Wcbslte: www.gamcsscnginccring.com
/[ ./ /.C ..................................................................................
/.~.. ........................................................................ ~, r ..........
,I //
(/' I ALL LOTS SERVED BY PUBLIC WATER.I J J
I ALL LOTS SERVED BY PUBLIC WATER.J J J
(~[ OESIGN. P~ 2 Or 3)
~ _J~"-" ~ ~ v~ ~ ~ v~ , J
~R
~TH/I
WHIR~WAY ROAD
I ALL LOTS SERVED BY PUBLIC WATER.I J, J,
~. EZZ ...................................................................... ,~ .........
EAGLE RIVER VALLEY RANCHE~ES,' LOT 24C J.L.M.~~X'~h'~ff~* ~Hq I¢ ~/. '..lYD.{ "~/
SlIE P~N FOR PEOPOSED S[PIIC UPGRAD[ 5/19/2010
I
~ '~ I
~~////~
~T~ I HO~
I
WHIR~WAY ROAD
GARNESS ENGINEERING ~ROUP, Ltd: [~~
, CONSULTANTS & OENEUL CONTUCTORS
CHRIS PAULEY 694-2506 2 OF 5
EAGLE RIVER VALLEY RANCHETTES; LOT 24C J.LM.
~gK OF PROPOSED SEPTIC UPGRAO[
FROU SEPTIC TANK ~ .
~KST. a, LX. FLOW SPU1TEJ
I .xS' LONC I
/, -/-"'
~4' CLE~NOUT
ONITOR~NG TUBE
I 38' LONC I
I
O.[ANOUT Z~
OUT
ONITORIND TUBE
BENCHMARK IS TOP OF DECK
AT NORTHWEST CORKER OF
HOUSE w t00,OO
4' OF
tO'
O.O.H. - 82.00
NO GROCSNDWAT[R
GARNESS ENGINEERING GROUP, Ltd. ~gJ~ ~."l zj
CHRIS PAULEY 694-2506 3 OF' 5 · CE-7955 .."~.'~'-/~/
~ - ~[~CO~ON ~S~ ,
PERfORmED FOR: CHRIS PAUL~ DAIE:~~$t "-.~]~
~EPIH ~
I IFI ATI N
~ ~w ~ o~
~GH ~ CL
GE OL
SW HH
i SP CH
~ s. o. SEE ~TT~CHED
1[1111 DEPIH TO D~IE
GROUNDWATER
D~ 5/12/2010
D~ 5/13/20~0
~ ~/~/,~
11 DAlE READING CLOCK NET IIHE WATEE LEVEL NET DEOP
IIHE (HINUTES) READING (INCHES)
5/1~/20~0 ~ ~:27 - 6- -
12 HARDPAN 2 1:57 30 2' 4'
1~ 5 1:57 -- 6- -
4 2:27 30 2' 4'
14 5 2:27 - 6" -
6 2:57 50 2' 4'
15
16
17
18
19 PERCOLATION RATE 7.5 (MIN./INCH) PERC. H~E DIA. 6 .(INCHES)
TEST RUN BETWEEN 4.0 FT, ~D 5,0 FT,
20 A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES D NO
SOILS LOGGED BY: ROB ~MPBELL PERCOLATION TEST PERFUMED BY: JODY MAUS
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFR~ A, ~RNESS, CERTI~ T~T THIS W~/PE~ORMED IN ACCORD~CE
WITH ~L STATE ~D MUNIClP~ CUIDELINES IN EFFECT ON THIS DATE:
DEPTH TO DATE
GROUNDWATER
DRY 5/12/2010
DRY 5/13/2010
o~-~ ¢/~/,o
CPRE:A'~Efl ;LT~U-~ZOflAG~. A.~I~A BOflOTtl~IJ~.~R ANCHORAGE AREA BORO~-G~.~i
Departmn~,.t of Env~on~ental Qual~t~ I ~ ...... "
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTE~
NAME Jlnel y' izo~ ~.s ADDRESS II
LOCATION...k)hf~:Zn~fl/ ,,.~'~' ~O~;l~ ~1'lN'r'- LEGAL DESCRIPTIONE~.~ ~!'l,~v'" ~._/~/,,j ~/,..~//~7'/~,3 ~7' ,~'~/d
SEPTIC TANK:
NUMBER OF
DISTANCE FROM WELL ~l:~'~m(4 ~l~ MATERIAl, ,,~'~'~/Z ,S"ZZ.,~rL COMPARTMENTS
LIQUID
LIQUID CAPACITY j~O GALLONS. INSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER ~ OR WIDTH ,~--.~
, DISTANCE FROM WELl ("/~'I~'/~/'fl.
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH, .,~,ff !
, DEPTH
· BUILDING FOUNDATION,~ '"f'.
,SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
TOTAL LENGTH
., FOUNDATION, . NEAREST LOT LINE :O~'~INES. .,
NUMBER OF LINES
ABSORPTION AREA
TRENCH WIDTH
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE~
WELL:
DISTANCE FROM WATER
TYPE-- ~''C~4~ DEPTH ,BUILDING FOUNDATION.~SAMPLE . NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE .. SEWER LINE ,TANK . SYSTEM · CESSPOOL, /~r,~/~; . SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
~L.
GREaTE~ ANChOragE ArEA BOruU~h
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279.8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
.NSTALLAT.O. LOCAT,O.
INSTALLATION OF: ~EPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
COMPL~ION DATE ANTICIPATED
SEEPAGE PIT ~ DRA~N PIELD
OTHER
TO BE INSTALLED BY
FINAL INSPECTION; 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION ElY THE
HEALTH DEPARTMENT AUTHORI"rY WILL ElE EIUEIJECT TO PROSECUTION.
./
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK ,
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
DRAIN FIELD
/
/
SEPTIC TANK _~l
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
, SEEPAGE PIT
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
~'"'~EpAGE AREA SIZE TYPE
DIAGRAM OF SY~TE:M
, SEEPAGE PIT ~
ALSO CONSIDER AREA WELLS,
SEEPAGE PIT
SEPTIC TANK, SEEPAGE pit
TO RIVER, LAKE. STREAM.
, . DRAIN FIELD
CAST IRDN INTO AN~ ~H't' m; ;Fr~:[[~K AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 It~-~HrF. T~.~ ~l I~U~ =~tPNON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WIT~ AIRTIGHT REMOVABLE CAPS. ._~..__..----------
G~ R A V E_L,___EI_A C K F:'_.l L L
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF (:~REATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
327 EAGLE STREET
ANCHORAGE, ALAgKA'99501 . ''
Feet Soil Characteristics 'Loeatiun Sketch
{~as Ground Watex, 'Encoun~,e~-ed? ~.~ ~)
%"es, At W~ Depth ........
Net Time
Reading Date
Gross Time
Depth To H20 leer Drop
Proposed 2nstal-l~tion{-Seepage Pl~ I/ Drain Field
Depth'Of Inle~ ~' De-~h T~ -Boy .......... - ' '
Test Pcrfor~d Bj,t ' *' ·
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS
FoR A
Parcel I.D. 050-225-11
1. GENERAL INFORMATION
APPROVAL
SINGL'E'"FAHILY DWELLING
cos^ o 1/
Expiration Date: ~
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
EAGLE RIVER VALLEY RANCHE'FrES S,/D; LOT 24C
18709 WHIRLAWAY DRIVE * EAGLE RIVER, AK * 99577
CHRIS PAULEY Day phone 694-2506
18709 WHIRLAWAY DRIVE * EAGLE RIVER, AK * 99577
Day phone
BARBERA CRITTENDEN W/ PRUDENTIAL Day phone 689-1802
16655 CENTERFIELD DRIVE * EAGLE RIVER, AK * 99577
Unlessotherwiserequeste~ COSAwillbeheldbyDSD ~rp~kup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well [] Individual On-site ·
Individual Water Storage [] Individual Holding tank []
Community Class Well [] Community On-site []
Public Water System · Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wasteWater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat 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. Phone 557-6179
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Date
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a tttorough,
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 MQA 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.
DSD SIGNATURE
}.<~Approved for
Disapproved.
Conditional approval for
bedrooms.
~,~- WATERAND :m.'E
== W STEWATE :'
bedrooms, with the fllowing stipulation~ ~ PROG~M .- ~'
~ ~] ~ ~ ) ), "~ Il )~~ '
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
/-1,1 S~;;I IlL/ /-~U V |~:~UI ~
Maintenance Agreements
Supplemental Engineer's Report'
Other
Original Certificate Date:, '/"//,- / ,.~ / /
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
CHECKLIST
Legal Description: EAGLE RIVER VALLEY RANCHETTES S/D; LOT 24C Parcel ID: 0~'~ ~..'2, ~,.~3-//
A. WELL DATA
[PUBLIC WATER ]
Well type If A, B, or C provide PWSID# __ Well Log (Y/N)
Sanitary seal (Y/N) Wires properly protected (Y/~...-~
Cased to ft. Casing he__round) in.
FROM WELL LOG AT I.~CTION
ft. ~ ft.
~~O~p.m. g.p.m.
Date completed
Total depth
Date of test
Static water level
Well production
cWo::oEr: SAMP~
~ ug./L.
Nitrate __ mg./L. Other bacteria __
Date of sample: Collected by:
colonies/100 mi.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
SEPTIC/STEEL
Date installed 6/16-18/2010
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
Co
ABSORPTION FIELD DATA [*BELOW FINAL GRADEI
Date installed 6/16-18/2010 Soil rating ~or ft2/bdrm), 0.8 System type DUAL TRENCH
(37 & 39)
Length 76 TOTAL .ft. Width 5 ft. Gravel below pipe 4 ,ft.
*8.9-9.6/
Total depth *9.1-10.s ft. Eft. absorption area 760 ft2 Monitoring tube YES Depression overfield NO
Date of adequacy test NEW
Results(Pass/Fail) PASS For - bedrooms
Fluid depth in absorption field before test - in. Water added - gal. New depth - in.
Elapsed Time: - min. Final fluid depth - in. Absorption rate >= - g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed
"Pump on" level at
Size in gallons Manhole/Access ~ ~
in. "Pump off" leveJ.~-~ High water 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 lot
Public sewer main
Sewer_/s~
Ap, imat-C'Sntainment areas.
On adjacent lots
On adjacent lots
~eanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *5'+ Building foundation. 10'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
Water main. 10'+
Driveway, parking/vehicle storage 10'+
COMMENTS
*WAIVER GRANTED, #0SP101041.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date
COSA Fee $ ,,-~
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
ASBUILT
HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
IND!CAT'ED. IT IS THE RESPONS!r-51LITY OF THE
OWNER TO DETERMINE TH,E EXISTENCE OF ANY
EASEMENTS, COVENANTS., OR REf)TRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSf'r'RUCTION
OF FENCE LINES, OR FOR ESTABLISHING BEYJND-
ARY LINES.
SCALE:
DATE,
GRID: