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HomeMy WebLinkAboutGOLDEN HILLS BLK 3 LT 1Golden Hills Block 3 Lot 1 #015-122-32 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211498 PID Number: 015-122-32 Dwelling: X Single Family (SF) X with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Blake &Connie Beemer ABSORPTION FIELD 0 Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 10000 Grover Circle ❑ Other Phone Number of Bedrooms Soil Rating JTotal depth from original grade 907-727-5259 5 0.8 GPD/SF 11.0 / 13.2 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0/6.2 Ft Gravel depth beneath pipe 7.0/7.0 Ft. Subdivision Block Lot Golden Hills 3 1 Fill added above original grade 0.0/0.0 Ft. Gravel length 2 @ 7 Ft. Township Range Section Gravel width 2.5/2.5 Ft. Beds: Number of Lines Distance between lines 17 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 196 Ft2 2 Ft. Well >100' >100' N/A N/A >25 TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1500 Gal. Surface Water >100' >100' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >1 0' >1 0' N/A N/A LIFT STATION acturer Capacity Remarks *upgraded for an extra bedroom in an ADU Gal. Alarm location cal installed by PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Northern Excavation Drainfield D3034 CO/MT D3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspeon cti 15` 2/28/22 3/1 /22 Location and description dat2nd Threshold of garage man door 3°' 4'h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp -=' of k ®ll Conditional Approval: Date low A S',f.��� 49 TH ® . .... ...::^ �/� �F, Ben' rr>'9 9hillerCE 125•�� j ' Septic System Approved Date / 7 22 r • . s/��/22 . • • � ,., 1 lllF� PROFESSIONP�'.''�' Note: this approval do not include well permit requirements. trcev u5iuzn 6) I FT I Foo U) LLJ F- w C\j X w r--: (Y) C f) 0 0 W, C\l U) -j C) N w z C\i D L x ct LO C0 LL Z :01 C) C/) F - w Co CD � r--, -j: I Foo U) LLJ F- w > X w r--: Of C f) 0 0 W, Cj o z C\i D L x ct W\, C0 LL Wo ZZ w X W C,4 Co CD � r--, -j: CL w ow Z w o 01. ;� w F- cj Z--- - > Z Lo m co w - C0 p o W �"x p W F- CV MCV W LL Z, ci of C.0 < ol 0 CL C14 N lc"lcj -Tw (L C<a < (� ` U) Cl) . m c t I I " I Lq Cq o r--: LO CR CURVI STREE/I rn 'd- m co 00 Lo 4- j- r--: M U-3 ct I Co CD � r--, -j: cj m co CV MCV C-5 ci of C.0 cli C14 N lc"lcj Cl) . m c t I I " I Lq Cq o r--: LO CR cq rn 'd- m co 00 Lo 4- j- c') N cli C11 LO C.0 Co tQ—) > �7- 0 0 C) LL U -) U- GOLDEN HILLS, BLOCK 3 LOT 1 PERMIT # OSP211498 w cD DUE TO THE NATURE OF TYING INTO PRE-EXISTING DEEP TRENCHES, IN-SITU MATERIAL WAS LEFT IN PLACE AS A DIVIDER IN ORDER TO MAINTAIN THE INTEGRITY OF THE EXISTING TRENCHES EAST TRENCH 93.2 ORIGINAL/FINISH GRADE P I D # 015-122-32 PROFILE AS -BUILT (NO SCALE) 87.0 87.0 of: At ®k .11-A 48 7H ; • • Benja • ' Schiller P}�Fc •. CE 125927/2912022 !�l\��PROFESSIONP�'�.o. � Ferelgi-TUN. PERMIT # OSP211498 ENGINEERING PID # 015-122-32 PROFILE AS -BUILT (NO SCALE) *: 49 TM •. .. �� .. � --,. .......... ' • • Benja•• • 'n Schiller ' CE s2z592 PROfESSIONP�'.®"®' PLAT NO. 76-306 GOLDEN HILLS SUBDIVISION 42,938 S.F. S 89056'40"E 334.66' 80.0' T _ -- M N 36.0 47 rn EY'15tING o wa N � GpNr"" o 30' SEPTIC 5�(STEM 3 so `m7"{ O • 0 t SY5 V 5EpT1C . 10' Uf1UTY ES�IT. - - A.C. DRI% 22.2' U o g 51 qg.0' �EcK DECK W N N 80"4630° GOLDEN "143t.pNE OF AC A Pe •°•pe.•eeo, Goo * ; 49TH jo 00 0.000...00.0000..0 . .. ...... oo*4111 m m Jeffery A. Gastaldi : o LS -6091 : �� AIF mr °s 7/13/2022 e°AV 4 10 VA luk ILS _ _ rOfessional L°� 82.5' 0 WELL Ono W 9 030' io o o Z C9I r�I HEREBY CERTIFY THAT I HAVE SURVEYED TH--j PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTAL.DI, R.LS. DETERMINE THE EXISTENCE OF ANY EASEMENTS t008 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPS ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW2539 7/13/2022 ESTABUSHING BOUNDARY OR FENCE UNES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB _ N0. GHS13 NOTE: NO CORNERS SET THIS DATE. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211498 Work Type: Septic Upgrade Tax Code Number: 01512232000 Site Legal Address: GOLDEN HILLS BLK 3 LT 1 G:2539 Site Mailing Address: 10000 GROVER ST, Anchorage Owner: BEEMER CONNIE & BLAKE Design Engineer: FORGE ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank Holding Tank Privy Effective Date: Expiration Date v 1 n f Department Lot Size in Sq Ft Total Bedrooms: 1/24/2022 1/24/2023 42938 Private Well Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (9 07) 343-7904 (24/7). 4. From October 15 to.April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: q4 -z - 1/24/2022 Z 5 MUNICIPALITY OF ANCHORAGE Community Development Department rY Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-122-32 Property owner(s) Blake & Connie Beemer Day phone 727-5259 Mailing address 10000 Grover Circle, Anchorage, AK 99507 Site address Same Legal description (Sub'd., Block & Lot) Golden Hills, Block 3 Lot 1 Legal description (Township, Range & Section) Lot Size 42,938 Sq. Ft. Number of Bedrooms J� APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑x Septic Tank ❑X Upgrade FX] (w/wo ADU) Holding Tank ❑ Renewal ElDuplex (D) ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 1-15q C�- Waiver Fees: Date of Payment: /2�30�Z 1 Date of Payment: Receipt Number: 0/372 TD Receipt Number: Permit No. 05PZ I I y 9B Waiver No. Permit App_'- : :c; December 22, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 12/22/21 Subject: Golden Hills, Block 3 Lot 41 – 10000 Grover Street Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 1-bedroom ADU on the property, so we are submitting this permit application for the upgrade of the existing septic system. The attached site plan identifies the location of the home as well as the proposed ADU, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes toward the northwest gradually between 15-20%. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench extensions will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 14’ away. Please refer to the attached plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211498, Deb Wockenfuss, 01/24/22 NOTE:NO SLOPES >25% ARE WITHIN 50' OF THE PROPOSED SEPTIC SYSTEM. NO SURFACE WATER WITHIN 100' OFTHE SEPTIC SYSTEM.ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITHWELLS OR SEPTIC SYSTEMS.CO - CLEANOUT2CO - DOUBLE CLEANOUTFCO - FOUNDATION CLEANOUTFS - FLOW SPLITTERMH - MANHOLEMT - MONITORING TUBESV - SEPTIC VENTTH - TEST HOLELEGEND1"=40'4-BDRM HOMETH1-GEGGOLDEN HILLS, BLOCK 3 LOT 1FEET04080Benjamin SchillerCE 12592REGISTEREDPROFESSIONALENGINEER GOLDEN HILLS LANEGROVER STREETCURVI STREET10' UTILITY EASEMENTPROPOSED1-BDRM ADUEXISTING WELLSw/ 100' RADIIEXTENSION FOR EACH TRENCH:7' LONG x 2.5' WIDE x 7' EFFECTIVE DEPTHALTERNATE SITECAT III SYSTEM:12' LONG x 3' WIDE x 7'EFFECTIVE DEPTHABSORPTION TRENCHAPP RATE 5.0 GPD/SFINSTALL NEW 1500 GALLONSEPTIC TANK w/ 20" MANWAYCOMTFS2CODECOMMISSIONEXISTING TANK &OLD FIELD PER UPC635630625620COMT10.0NOTE: BUILDING MUST BE PLACED AT LEAST10' FROM EDGE OF EXISTING TRENCH1/26/2021FCO10.0PROPOSEDWATER LINE GOLDEN HILLS, BLOCK 3 LOT 1 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 2' 6" 6" 6" 7' DESIGN FACTORS:SYSTEM REQUIREMENTS: 750 GPD PEAK FLOW PERK RATE: 15 MIN/IN APPLICATION RATE: 0.8 GPD/SF DEEP TRENCH SYSTEM 1500-GAL SEPTIC TANK BOTTOM OF TRENCH: MATCH EXISTING BOTTOM OF TRENCH ELEVATION FLOW LINE ELEVATION: MATCH EXISTING INVERT ELEVATION TOP OF TRENCH: 6" ABOVE GRADE 750 GPD / 0.8 GPD/SF / 7' EFF DEPTH / 2 SIDES = 67 LF TRENCH REQUIRED (68 LF SPECIFIED) 12/22/21 GEOTEXTILE FABRIC Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211498, Deb Wockenfuss, 01/24/22 Inspection Report _1-1-12.Eac 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://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161034 PID Number: 015-122-32 ❑ New ®Upgrade Nome: IAN PARKINSON ABSORPTION FIELD WEST & EAST ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 10000 GROVER STREET *ANCHORAGE, AK 99507 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 522-1300 4 0.8 CPD/Sq. Ft. 10.5 Ft. LEGAL DESCRIPTION Depth to pipe Invert from original grade: Gravel depth beneath pipe: SEE DWG. Ft. 7.02 & 7.02 Ft. Subdivision: Block: Lot: Fill added obave oaghid grade: Gravel length: GOLDEN HILLS 3 1 SEE DWG. FL 27 & 27 Ft. township: anger — — section: — Gravel width: Beds Number of lines: Distance between lines: 2.5 & 2.5 pt. — — Ft. SEPARATION DISTANCES To al absorption2area: 756 Numbs of trenches: 2 Dist. between trenches: 14+ To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer lanes sa. Ft. Ft Well too'+ too'+ 100'+ — 25'+ TANK ® Septic ❑ S.T.E.P. OHolding ❑Other Manufacturer. Capacity: Surface Water 100'+ 100'+ too'+ — ANCHORAGE TANK 1250 cal. Lot Line 5'+ 10'+ 5'+ - N/A Material: STEEL Number of compartments: 2 LIFT STATION Foundation s'+ 10'+ 5'+ — Curtain Drain NONE KNOWN Manufacturer: Capacity: Gal. Remarks: OLD TANK DECOMMISSIONED PER UPC Pump on' level at: "Pump o le el o: H'ter alarm at: Pump Make & Modeh clrical Inspections performed by: PIPE MATERIAL House to tank EXISTING Tank to D3034 drainfield Installer A+ HOME SERVICES Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Location and Description; Dates: 1st 3/17/2016 2nd 3/22/2016 3rd 3/23/2016 4th BOTTOM OF TRIM NW CORNER OF HOUSE ENGINEEWSSEAL Community Development Department Approval _oo�0000 Conditional approval: Date: ' y A. Garness: O C 7953 l0 °°4d Approved— Date:3— PFofessianoo �40000�� Inspection Report _1-1-12.Eac PERMIT NUMBER: PARCEL ID NUMBER: OSP161034 RECORD DRAWING 015-122-32 GARNESS ENGINEERING GROUP, Ltd TOP OF TANK AT INLET = 96.21 FINAL GRADE = 100.9-101.04 5T1 ST2 TOP OF TANK AT OUTLET = 96.20 3701 E. MOOR ROAD. SURE 101 . ANCHORAGE. AI( 99507 . PHONE (907) 337-6179 • FAC (907) 339-3296 • KWE: NEW 1250 GALLON PREPARED FOR: PHONE NUMBER: INVERT OF BUNG SEPTIC TANK T)��AT INVERT OF BUNG 522-1300 AT INLET = 95.60 ## J OUTLET = 95.41 WEST EAST DRAWN BY: GOLDEN HILLS; BLOCK 3, LOT 1 D.J.G. FINAL GRADE = 95.09-95.11 TYPE OF WORK: RECORD DRAWING PROFILE VIEW DATE: 3/29/2016 T.H.#1 ORIGINAL GRADE AT ORIGINAL GRADE AT HIGHEST POINT = 93.19 HIGHEST POINT = 93.04 FINAL GRADE = 93.94-94.13 d T.H.#1 FILTER FABRIC FILTER FABRIC INVERT OF PIPE = 89.71 INVERT OF PIPE = 89.56 7.02' 7.02' BOTTOM OF TRENCH = 82.69 BOTTOM OF . TRENCH = 82.54 RELATIVE ELEVATION OF vl(T.H. BOTTOM OF T.H.=76.54 14'+ RELATIVE ELEVATION OF DRY ON 3/17/16) BOTTOM OF T.H.= 76.69 (T.H. DRY ON 3/17/2016) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. MOOR ROAD. SURE 101 . ANCHORAGE. AI( 99507 . PHONE (907) 337-6179 • FAC (907) 339-3296 • KWE: PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ?3, IAN PARKINSON 522-1300 3 OF 3 ## J LEGAL DESCRIPTION: DRAWN BY: GOLDEN HILLS; BLOCK 3, LOT 1 D.J.G. #i TYPE OF WORK: RECORD DRAWING PROFILE VIEW DATE: 3/29/2016 PERMIT OSP161034 RECORD DRAWING VONS SUBDIVISION; LOT 2A ' I I 10' UTILITY EASEMENT RESERVE SITE \ / U PARCEL ID NUMBER: 015-122-32 VONS SUBDIVISION; LOT 4 A B FCO 20.1 14.4 ST1 26.5 31.9 ST2 33.5 38.8 DBL1 36.2 41.4 DBI -2 36.8 42.1 FD 37.4 42.6 FS 130.4 133.3 C01 128.5 131.9 MT1 129.7 133.0 CO2 120.6 130.4 MT2 119.9 129.6 CO3 144.0 149.7 MT3 145.5 150.9 C04 138.9 150.1 MT4 138.1 149.4 I \ FCO BEDROOM EXISTING \ \ Po\r / I / / GOLDEN HILLS S/D; GRPT �\ / LOT 5, BLOCK 1 GARNESS ENGINEERING GROUP, Ltd :,--- CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. T R R040. SURE 101 • ANWpR0.0E. W 99W7 • PHONE (907) 337-6119 • FM (907) 339-3246 • ME96RE: w�. onM n~ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: IAN PARKINSON(907) 522-1300 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: GOLDEN HILLS; BLOCK 3, LOT 1 D.J.G./L.K.B. TYPE OF WORK: DATE: RECORD DRAWING 3/29/2016 CE/ -/'M 3(2k .ASBUILT r ti • d r�.vrc to -we9'aYd.; o.. a la e- V `•' 1 zlse SEWARD & ASSOCIATES SCALE• SURVEYING I HEREBY CERTIFY THAT I HAVE SURVEYED THE / � rp�Q•W' ulx% FOLLOWING DESCRIBED PROPERTY; ,�' OF A( tr�c DATEc AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 3��z INDICATED. IT IS THE RESPONSIBILITY OF THE 48TH } r...:. . OWNER 3'0 DETERMINE THE EXISTENCE OF ANY GRID EASEMENTS, COVENANTS, OR RESTRICTIONS ZS3�" �' �� •-.-_ WHICH DO NOT APPEAR ON THE RECORDED SUBDI- q Duarte Me:'r. Sews: p VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD Fg` t},'• �s, 5 s C''� ANY DATA HEREON BE USED FOR CONSTRUCTION eAV OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: ARY. LINES. Permit Number: Tax Code Number: Work Type: Permit Effective Dates: 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 OSP161034 01512232000 Septic Upgrade March 15, 2016 to March 15, 2017 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: GOLDEN HILLS Site Legal Address: GOLDEN HILLS BLK 3 LT 1 G:2539 Owner/Address: PARKINSON IAN S 10000 GROVER ST ANCHORAGE AK 995077032 Site Mailing Address: 10000 GROVER ST, Anchorage This permit is for the construction of: 3-17-1G 1 2 (Sd H Lot Size in Sq Ft: 42938 Total Bedrooms: '-3-' 14 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: PRIOR TO CONSTRUCTION: Confirmation that the disposal field is oriented parallel to the original grade contours shall be submitted with the inspection report. 0 1116 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 On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-122-32 Property owner(s) IAN PARKINSON Day phone 522-1300 Mailing address 10000 GROVER STREET *ANCHORAGE AK Site address 10000 GROVER STREET *ANCHORAGE AK Legal description (Sub'd, Block & Lot) GOLDEN HILLS; BLOCK 3, LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (PLall that apply( Absorption Field ® Initial ❑ Single Family (SF) Upgrade Z (w/wo ADU) Septic Tank ® Renewal r_1 Duplex (D) ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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: Date of Payment: Receipt Number://��GXI_�Jo1(�` Permit No. Osp/k/4 z 7 Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) Colo GARNESS ENGINEERING GROUP Ltdoe pper�^ �. - - --- -- - CIVIL& ENVIRONMENTAL ENGINEERS L March 18, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Golden Hills; Block 3, Lot 1 To whom it may concern: Per your request, we are writing this letter in regards to the discrepancy between the MOA on- site topography map and what was visually observed by us in the field. It is apparent that several feet of fill has been added over a large portion of the lot. It is our belief that the fill material increases in depth as you head north, past the testhole. By orienting the new trenches south of the testhole we believe this will ensure that 100% of the effective depth is in native material. If you have any questions, "e contact us at 337-6179. Thank you for your assistance P.E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com -------------- LOT 1, BLOCK 2 GOLDEN HILLS S/D CSEPTIC AREA --------- F RFAE � ; LOT 2, BLOCK 2, GOLDEN HILLS S/D LOT 3; BLOCK 2 GOLDEN HILLS S/D LOT 2A, VONS SUBDIVISION; LOT 4, VONS SUBDMSION; 6 .."r. A2 CSEPTTIIC 1 C n�ii-�L rPTI i ---------- 94 LOT 5, BLOCK 1 GOLDEN HILLS S/D - -----l- - 1 \\ LOT 4, BLOCK 1 �1 1 GOLDEN HILLS S/D I I I 1 ki GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E i1" AY40, WIN 101 • MlCX01NFiE, M !IMM • P E (807) 007-9189 • FM (907) ]59 fi • W850E: m.9pn,wl�npiMxY,9,c9m FRE-ARED FOR:PHONE NUMBER: PAGE NUMBER: iAN PARKINSON 907)522-1300 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: GOLDEN HILLS; BLOCK 3, LOT 1 D.J.G./L.K.B. TYPE OF WORK: DATE: , 4 BEDROOM SEPTIC SYSTEM DESIGN UPGRADE 2/25/2016 LOT 1, BLOCK 1 GOLDEN HILLS S/D LOT 2, BLOCK 1 GOLDEN HILLS S/D LOT 3, BLOCK 1 GOLDEN HILLS S/D A. OF BEDROOMS: 4 PER DAY (GPD): 600 rION RATE/S: 15MIN/INCH D APPLICATION RATE: 0.8 GPD/FT' DRAINFIELD SO.FT.: 750 F(' J DEPTH OF EXCAVATION: 10.5 FEET 2.5 FEET 2 0 27 FEET EACH - 54 FEET JE: 7 FEET SO.FT.: 756 FT' 10' UTILITY EASEMENT C LETTER THAT PERTAINS TO THIS DESIGN. yV V v VV •may MAXIMUM DEPTH OF EXCAVATION 10.5 FEET TO OBTAIN A COPY OF THE LETTER NUMBER OF BEDROOMS: 4 CONTACT GEG. BY PROCEEDING FORWARD WIDTH: 2.5 FEET GALLONS PER DAY (CPD): 600 WITH THIS INSTALLATION, THE ENGINEER, I PERCOLATION RATE/S: 15MIN/INCH WELL DRILLER, CONTRACTOR AND WEST LOT LINES, AND ALL PROPOSED APPLICATION RATE: •5.0 GPD/Fr PROPERTY OWNER AGREE THAT THEY MINIMUM DRAINFIELD SO.FT.: 120 Fr HAVE READ THESE SPECIFICATIONS AND .CAT III ADVANCED TREATMENT AGREE TO ACCEPT THE TERMS AND 1 PRIOR TO CONSTRUCTION. RESERVE SITE 9• PROPOSED 1250 5-%Q% LINSTALLDIVERTER TIC TANK INSTALLAFTER TANK 11 V 5-1jHE TANK FS T.H.O1 EXISTING TRENCH EXISTINGI HOMEJS EXISTING SEPTIC TANK TO \ \ \ \ 14'+ BE ABANDONED PER UPC y" Noo PROPOSED DRAINFIELDS INSTALL FOO IF ONE IS NOT PRESENT \ / GOLDEN HILLS 1 j ! 1 / 1 / GOLDEN HILLS S/D; CSEPTIC 1` / LOT 5, BLOCK 1 AR� GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. 111009 RM0. WR 101 • MILX991LE, M 98307 • P1pIE (907) 337-Bt70 • F" (90)1 ]]8-32K • BF&49E: �.9um�prgiiwiiiq.mn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: IAN PARKINSON 1 (907)522-1300 2 OF 2 BLOCK 3. LOT 1 E OF WORK: DATE: SEPTIC SYSTEM DESIGN UPGRADE 1 3/17 MAXIMUM DEPTH OF EXCAVATION 10.5 FEET NOTE: THE CONTRACTOR I WIDTH: 2.5 FEET SHALL HAVE THE NORTH & I LENGTH: 15 FEET WEST LOT LINES, AND ALL I EFFECTIVE: 7 FEET So.FT.: 2t0 FT' WELL RADII FLAGGED BY A ?EGISTERED LAND SURVEYOR 1 PRIOR TO CONSTRUCTION. 1 RESERVE SITE 9• PROPOSED 1250 5-%Q% LINSTALLDIVERTER TIC TANK INSTALLAFTER TANK 11 V 5-1jHE TANK FS T.H.O1 EXISTING TRENCH EXISTINGI HOMEJS EXISTING SEPTIC TANK TO \ \ \ \ 14'+ BE ABANDONED PER UPC y" Noo PROPOSED DRAINFIELDS INSTALL FOO IF ONE IS NOT PRESENT \ / GOLDEN HILLS 1 j ! 1 / 1 / GOLDEN HILLS S/D; CSEPTIC 1` / LOT 5, BLOCK 1 AR� GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. 111009 RM0. WR 101 • MILX991LE, M 98307 • P1pIE (907) 337-Bt70 • F" (90)1 ]]8-32K • BF&49E: �.9um�prgiiwiiiq.mn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: IAN PARKINSON 1 (907)522-1300 2 OF 2 BLOCK 3. LOT 1 E OF WORK: DATE: SEPTIC SYSTEM DESIGN UPGRADE 1 3/17 GARNESS ENGINEERING GROUP, L CIVIL & ENVIRONMENTAL ENGINEERS woom 3701 E. TUDOR ROAD. SUITE 101'PNCHORhOE. PH BBSN' PHONE(BO]) S3]81iB' FRI(18PJ T96J3<e • WE66rtE: w.vn.Pmaenpmaennp.mm SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: GOLDEN HILLS; BLOCK 3, LOT 1 PERFORMED FOR: IAN PARKINSON DEPTH (feet) TEST HOLE #1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 PRGANICSIFILL SOILCLASSIFICATIONS NET TIME (MINUTES) WATER LEVEL READING NET DROP GIN 12:50 ORG 2 1:20 GP 4" ML 3 1:20 6" CIL 4 1:50 GC 4" •MH 5 ��J f.YY-0 ;YYY{{1Lsp - �'I"'�� CH 6 2:20 SM7IH�OH 4" /�y��pp�i IL't!SC GM/ML SILTIER WITH DEPTH DEPTH TO DATE GROUNDWATER DRY 2/16/2016 '.DRY 2/23/2016 2 /1 612 01 6 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP 2/17/2016 1 12:50 6" 2 1:20 30 4" 2" 3 1:20 6" - 4 1:50 30 4" 2" 5 1:50 - 6" 6 2:20 30 4" 2" 19 PERCOLATION RATE 15 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: LANDON BRUCE COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BYGEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF RM D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: «'J /6' GARNESS ENGINEERING GROUP, Ltd �,.�_.��'' CIVIL & ENVIRONMENTAL ENGINEERS--�--- �,: March 14, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Golden Hills; Block 3, Lot 1 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to install a new 4 bedroom septic system with a 1250 gallon septic tank and deep trench type drainfield. One testhole was excavated on the property and the drainfield is designed within the 30 foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 2016 log which show 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 water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is 5%. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you ]lave any questions, please contact us at 337-6179. Thank you for your assistance. / /j P -E, M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineedng.com Permit Number: SW020075 MUNICIPALITY OF ANCHORAGE Development Services Department On-SiteWater& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Apr 23, 2002 Expiration Date: Apr 23, 2003 Parcel ID: 015-122-32 Legal Description: GOLDEN HILLS BLK 3 LT 1 Design Engineer: 0041 AK Water & Wastewater Consultan• Site Address: 010000 GROVER ST Owner Name: Julie Wolfe Lot Size: 42938 SQ. FT. Owner Address: 1000 GROVER Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-0000 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: y C) (9 Date: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 o p� www.ci.anchorage.ak.us (907) 343-7904 V N AP COO V 60 -T(s..nA- 1,.ic-rwo�c+To�1 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-122-32 Permit Number SLv020075' Property owner(s) JULIE WOLFE Day phone 227-6764 Mailing address (1) 10000 GROVER DRIVE Mailing address (2) ANCHORAGE. AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 1 BLOCK 3• GOLDEN HILLS SUBDIVISION Legal description (Section, Township & Range) N/A Lot Size t%;� qZ-ZAcres/Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: SD you ,00 Date of Payment: I-/- 17 -Oa Waiver Fees Date of Payment: Receipt Number. 018 li 9 7 Receipt Number. Municipality of Anchorage Development Services Department Building Safety DivisionOn-Site w Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 2 On -Site Wastewater Disposal System and/or Well Inspection Report 57WO200%S 015-122-32 Permit Number: PID Number. Name: Wastewater System: ❑ New ❑ Upgrade JULIE WOLFE Address: 10000 GROVER DRIVE " ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 227-6764 3 ODeep Trench OShollow Trench 09ed ClMound OOther LEGAL DESCRIPTION Soil its"!Tota Dpn spial grade: R GPD/Sa. M1 Block: Lot: Subdivision: Depth b pip. bottan, Iron, odgi grade: GMQ depth lomoolh Pipe: 3 1 GOLDEN HILLS IL Township: Range: Section: — Fe cases abase edpinal grade: Growl 1"ft a Groe,l width: Numbs of En.e: Dwtonc. bat-wm iwe: WELL: ❑New [I Upgrade s,. n. QeMml"w Pdval., Ae.C): Total De cased To: Tad arca: pip. rrialeria: A, n. 50. R. QiWr. Data Drilled: static water Level: Yat~.. Dot. Installed: 8/1996 R, AK BUILDING CONTRACTORS ,Held:Pump Sal Al: Ca«p Movant ADW. Ground: TANK lip. R SEPARATION DISTANCES ■septic 0Holding 0S.T.E.P. OOther To Septic Absorption Lift Holding ubr./Privote YOnaoctura: ANCHORAGE TANK Capocity w golkn.: 1250 From Tank Feld station Tank sewer Line. too'+ — — — 25'+ lMed.l: STEEL Numw l comportrwnle: 2 Well Surface water 100'+ — — — — LIFT STATION size N gelbne: Yanlacaar.r Lot Line 5'+ — — — — ump M Nva at: Limp oll at; Nph wolH farm el: Foundation 5'+ — — — — Pump YOM. Electrical M p.e"om pwla br. Curtain Drain NONE KNOWN BENCH MARK Remarks: SEPTIC TANK WAS INSTALLED BY OWNER Leeai and oewdp"on: IN 1996 WITHOUT A PERMIT. UNAPPROVED BOTTOM OF GARAGE MANDOOR THRESHOLD DRAINFIELD WAS INSTALLED AT SAME TIME WITH A.eaned D«alion: 109.00 DIVERTER VALVE. VALVE WAS SWITCHED TO sl. ENGINEER'S SEAL DOCUMENTED FIELD AND FILLED WITH CONCRETE ON 4/15/02. 00000 sQ�o vo �(� ecce. 4�0 Inspections performed by: AWWC, INC. Dates: 1st 3/5/2002 ....:.............. ..... 0 f e G.... ss:.. c 7"; Development rvicg part ent pproval s ., �%'evprafegeta'° �� Reviewed and approved by: Dater Q��O�OOO (Rw. 12/0t) PERMIT NUMBER: AS -BUILT DRAWING 015'122-32 / I I� ----------------L - — — — — — 10' UTILITY EASMENT — — — — EXISTING DBL 4 GOLDEN HALLS e1VERT OF BUNG AT INLET - 92.32 CALCULATED ----------� NUL CME . 97.06 t/ - TOP OF TANK AT \ OW EII . 92.94 A 7 B STI_ NEW 1250 GALLON ST2 SEPTIC TANK DBLI A48.534.6 DBL2 CALCULATED lO:0%T ANK92.90AT\ N GOLDEN HALLS e1VERT OF BUNG AT INLET - 92.32 CALCULATED ----------� NUL CME . 97.06 t/ - TOP OF TANK AT OW EII . 92.94 NEW 1250 GALLON SEPTIC TANK µERT OF BUNG AT OUTLET - 92.19 CALCULATED 4/16/2002 DRAWN DRAWN BY: ALASKA `MATER & WASTE NVATER SCALE: C.J.G. ---- CONSULTANTS. INC. 11" = 40 Al DFRAPP "AD SUITF 2P • ANCNOPAGF. AK 00301 • PNONF (007)337--6670 • FAX (007)338.3?4A :PARED FOR: PHONE NUMBER: PACE NUMBER: JULIE WOLFE (907) 269-1039 2 OF 2 AL DESCRIPTION: GOLDEN HILLS SUBDIVISION; LOT 1, BLOCK 3 E OF WORK: AS -BUILT DRAWING OF UNDOCUMENTED SEPTIC TANK UPGRADE (( Y .. f^ . 5:... i 953 "` 4' �v 4�edPro l essto .__-_---__--- I ASEPTIC I ARLAD ____ _ -I LOT 1. BLOCK 2 ',OLDEN HILLS S/D Cs-EPnc R BLOCK 2 HILLS S/D LOT 3, BLOCK 2 GOLDEN HILLS S/D LOT 2A, VONS SUBDIVISION: (-'SEPTIC ARS VALVE WERE INSTALLED 81 1996 WITHOUT A PERMIT. VALVE WAS SWITCHED TO fED FIELD AND FILLED WITI ---------------- EXISTING SEPTIC SYSTEM. SEE PAGE 2 OF 2 FOR DETAILS C EXISTING FOUR - BEDROOM HOUSE A2 LOT 1, VONS SUBDMSION; D f<l kc; I i I � 1 I I , LOT 1, BLOCK 1 GOLDEN HILLS S/D , 3 I ON I LOT S. BLOCK 1 pROX. LOCI` I GOLDEN HILLS S/D I 1 , I LOT 2, BLOCK T GOLDEN HILLS S/D AR 1 i i d -------------------- -----, i ------3 ---------- T LOT 1, BLOCK 1 a\ T I LOT 3, BLOCK 1 GOLDEN HILLS S/D i i GOLDEN HILLS 5/D ALASKA WXIT'R S WASTEWATER SCALE: K.D.W. CONSULTANTS, INC. 1" = 100 6001 DFRARR ROAD, SW TF PA ' ANCHORAGF. AK 90504 ' PNONF (901)33)-609' FAX (907)319.374, PREPARED FOR PHONE NUMBER: PAGE NUMBER: JULIE WOLFE 269-1039 1 OF 1 LEGAL DESCRIPTION: GOLDEN HILLS, LOT 1, BLOCK 3 TYPE OF WORK: SITE PLAN FOR DOCUMENTATION OF SEPTIC TANK .. 5. 5A • vi MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \\� 825 LStreet -Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANIS/OR WELL INSPECTION REPORT NAME / PHONE . ❑UPGRADE MAILING ADDRESS��� LEGAL DESCRIPTION LOCATION / / NO. OF BEDROOMS vY Well DISTANCE TO: fit) .�- Absorption area Dwelli g �� PERMIT NO. l0�4/,� F_ Z LLJ F- Manufacturer Material No. of compartments r N Liq. capacity in gallons Inside length Width Liquid depth IF HOMEMADE: Ct v _j�z DISTANCE TO: _ Well Dwelling PERMIT NO. 2 z a __ Manufacturer Material Liquid capacity in gallons O w T DISTANCE TO: Well ® 4- Foundation le) Nearest lot line PERMIT NO. _W.1 LL z 2 No. of lines Length of ea�h lligy / Total length of inPs Trench width ©� Distance between lin s A� ~ F.. — J�� _inches_ Material beneath file Total effective absorption area _. __.__-1�✓ Top of file to finish grade ® — y — Length Width Depth PERMIT NO. W Q F Type of crib Crib diameter Crib depth Total effective absorption area LU DISTANCE T0: Well Building foundation Nearest lot line J Clns Depth Driller Distance to lot line PERMIT NO. , W DISTANCE TO: Building foundation Sewer line — Septic tank Absorption area(s) OTHER - PIPE MATERIALS / SOIL -TEST RATING INSTALLER REMARKS 1 e 1 © 1 APPROVED - DATE LEGAL �u �.e— 1 ����R�­�x IFtepq - . DEPFI RTMENT HEALTH HND ENVIF.ONMENTHL �OTECTION 825 J01 /] 264 CA J%A q��� //uw PERMIT NO ( 810145 ) Q'�/l APPLICANT PHTRICK & JULIE WOLFE 704B FISCHER FIVE LOCHTION LEC'lHL L1 G01 -DEN HILLS S/D LOT "-,"I "..:.T, 1HRE FEET TYPE OF SO1*L RBSORPTION SYSTEM IS� TR�N�H MHXI'M UM NUMBER OF BEDROOMS SOIL RF)TING J.55 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM PS,� ������3� � �K������� ���� �������� ��IF":-­l­j­j= � THE LENGTH DIMENSIOH IS THE LPNGTH (IN F�ET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFRCE OF THE GROUND HkID TAE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRE�CHES. THE GRH�EL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE OF THE EXCf"IVHTION (IN FEET). U 1.�EE P" �IE- IF: I - 1 IF��4 1.... �5 1, 1". U:-.,7.= C-0 f_ F"I 9---- ll� P-11�� PERMIT HPPLICRNT HHS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS THE NUMBER OF RESIDENCES THAT THE WELL WILL SEFVE. �Ir4 F:�E- IC V IC6 F ��Ll 1 P., V, -'n-. 11 BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECT�ON FIND APP�OVHL BY THIS D�PH�T��NT WILL �E' �UBJECT TO P�O�ECUTI�� M�N�MUM DI�T�NCE BETWF"PN H AND A�� ON-:'. -,ITE DI,­:PO,_�:,'f"jL IS 100 FEET FOR R PFlfVHTE WE'LL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUL -LIC HELL MINIMUM �I�Ti4ICE FROrl H PRIVATE WELL TO H PRIVATE SEWER IS 25 FEET �ND TO H 1.1 MMUNITN' LINE I� 75 FEET. OTHER REQUIREMENTS MHY HPPLY� SP�CIFIcAT­ONS ANF,CONSTRUCTION DIH8RHMS HRE HVHILHBLE TO INSURE PROPF-"R INSTALLATION. ������ ����I��� �����7 P����� ����� I CERTIFY THAT 1: I HM FHMILIFIR WITH THE FOR ON-SITE At -11) QELLS H5 SET FORTH BY THE MUNICIPALITY OF' HNCHORHGE 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. ]� I UNDERSTHND THAT THE ON�SITE SEWER �YST�M MHY ��QUIRE ENLHRGEMENT IF T�E � ������ �� RESIDENRUNiCICIELED FCJ INCLUDE MORE THHN ] BEDROOMS. FjPPLICRNT KJ OIJ-7E SSUED B9������._L��� `'~-- I-___DHTE__��_l-�-�����L'� � /~�-� ~/wu v�~`/ L�u nem L-_r�nisu�inn�-�s, mtc. cen .. - LNC.IIV[=Gfi!i r �nrvNEns Li IIII V EI. ns September 3, 1980 R&M No. 051001-69 Mr. Pat Wolfe 704B Fisher Avenue Anchorage, Alaska 99502 Subject: Subsurface Soil Investigation for Sanitary Sewer System, Lot 1, Block 3, Golden Hills Subdivision, Anchorage, Alaska Dear Mr. Wolfe: At the request of Gary Fredrick of Earthwork Inc. on August 26, 1980. R&M Consultants, Inc. conducted a subsurface soils investigation at the proposed location of the sanitary sewer drain field on the subject lot. The test procedure complied with those required by the Municipality of Anchorage, Department of Health and Environmental Protection. The site topography is gently sloping. At the time of the investigation the site had vegetation consisting of sparse spruce and birch with grass and low shrub undergrowth. Field activities were performed on August 27, 1980. Excavation was accomplished with a track mounted backhoe supplied by Earthwork Inc. Two adjacent test holes were excavated. One to a depth of 11 feet below original existing ground surface and the other was excavated into the proposed effluent acceptance stratum. The test holes were sited according to your instructions and the location is shown on the attached soil log. The surface soils were inspected at the time of excavation by Phil Baldner a technician from our office. Grab samples were taken to the laboratory and were visually classified. The description of the soil encountered is shown on attached soils log. No bedrock was encountered to the depth excavated. At the time the test hole was excavated seasonal frost was not present and permafrost was not encountered. At the time the test hole was inspected, slight seepage water was encountered at a deptb—of—severn44--feet—b iQw tbP wdg:in,L_Qround surfacer_ The seepage was slight and due mainly to the silty layer at this depth.__No ground water table was encountered at the time of the inspection. It should be noted that the information given in this report displays specific conditions encountered on the date of the investigation. Subsurface condi- tions may vary on other parts of the lot without any apparent superfical nrvc 11 OR n aF I A I R0 an r.s J1,1l.i Mr. Pat Wolfe September 3, 1980 Page 2 evidence of the change. Groundwater level may fluctuate both seasonally and from year to year. A percolation test was performed at the depth indicated on the soils log below the ground surface. The average infiltration in the stratum tested was measured over seventy-six (76) minutes. The measured percolation rate was 8.33 minutes per inch. We appreciated this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of additional service. Sincerely, R&M CONSULTANTS, INC. !Ham J."'? ompson, P. E. Senior Engineer WJT/atsi/kyl Enclosures H H H H H H W W H H H W H W H H W H H H H O N N N N N N N H H H H H H H H H H H H H H O O In In A4� W w W W W w N N O In O to O In O In O In O In .P w IV H 0 IO W r 0 rt 0 O IA t -A Ln� H ^fir F, I IP In In In In In In In In In Vl W H H H H H H O M W r d O �t 0 Y H W H H W F -I W w w W H H W H W W H z d .LI 41 N N N In N N N N N LTJ b Cl) l� O N N N H W N W W W H H W N W W W W H .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. H H O O In In .«^ .P- w W N N H O In O In O In O In O In O In .- W N W O L� r ON O O L�1 ` rt H � x "`S v "J I Vi In In In In In In Ln In In In H W H H H O [iY Cron N r C=i H rt d W O O !n V� `� W W W W H W W H H 0 N• \\\\\\\ W W N W \\H W W O 'S,' O 7 A F N N N F F \ \ N N\\ Cl) b fD !n H W w w w w w w w W N N N N N N N FV H O H H -f-I W w N N H H 0 0 In In .� � •P, A P, O to O In O In O In O In O In J--- W N H O 0 0 rt F-3 N :7• I In In In In In In In In Ui Ln Un H H H H H O X b cn W td Y OW in O N h n H H P.N -�Z.,� UJ b �• A N cn � n O O, H fD r ca M, M, 6 SOILS LOG MUNICIPALITY OF ANCHORAGE \i DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATIONTEST Pouch 6.650, Anchorage, Alaska 99502 276.2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Pat Wolfe DATE PERF=ORMED:_ 8-27-80 LEGAL DESCRIPTION: Lot 1 Block 3 Golden Hills Subdivision, Anchorage, Alaska kbel-rY ORGANICS MIXED WITH SILT 1 -BROWN SILT WITH SMALL ROOTS 2 = 3 4 GREY BROWN 5 SANDY GRAVEL WITH COBBLES AND SOME SILT 6 - F." SLIGHT WATER SEEPAGE 8 LIGHT GREY BROWN 9 SILTY SAND WITH FEW STONES 10 j. ° ? WAS GROUND WATER ENCOUNTERED? NO BEDROCK 12 IF YES, AT WHAT DEPTH? 13- SLOPE 14 15 16 17 18 19 SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop 8-27-80 Hole - 0 — — 0 o " I 46 10 c 8 nolle 56 rn_ 0.7' 9 b .10:46 rt 1.25' 0.95' 10 " 10:56 76 1.35' Casing rt Golden! Hl.lsi Lane Reading Date Gross Time Net Time Depth to Water Net Drop 8-27-80 REFILLED 7 " 10:26 46 0.30 0 8 10:36 56 1.00 0.7' 9 " .10:46 66 1.25' 0.95' 10 " 10:56 76 1.35' 1.05' 20 �__j ?, min PERCOLATION RATE 8.33 A 1nGh"'_�".;:- (minut�„s/, ch) =r r rt q r TEST RUN BETWEEN 2 2 FT AFUD MMENTS Very slight seepage noted at 7'. VV PERFORMED BY:CERTIFIED BY L; ;711x- e, ono ea °moo o /. r, 72-008(7/76) �!•�,') "°eecn•'yO,� �''7 T At n -1 C. /tic' c4AI 1-14 �7G eGi ® Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s E T Y Certificate of On -Site Systems Approval Parcel I.D.015-122-32 Expiration Date: �u_j,)2 3 0) 1. GENERAL INFORMATION: L L S Complete legal description GOLDEN L�j: BLOCK 3, LOT 1 Location (site address) 10000 GROVER STREET *ANCHORAGE AK Current Property owner(s) JAMES BURTON Day phone 907-322-4010 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 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 for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. $550 COSA Fee $ Waiver Fee $ Date of Payment S 2. Date of Payment Receipt Number VGi 1t 7p Receipt Number OSC211131 COSA # Waiver # N 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systemis. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE ,/ System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following s #AECC884 Original Certificate Date 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 engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 13 COSA Checklist Legal Description: GOLDEN HILLS; BLOCK 3, LOT 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 2/1978 Total depth 206 ft Cased to UNK ft OR Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 3/10/21 Static water level at beginning of test 97.3 ft. Comments B. TANK DATA Age of tank(s) 5 years Tank type/material SEPPCISTEE Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 3/9/21 D. ABSORPTION FIELD DATA Which system tested (date installed) 3/23/16 ❑ ALL standpipes present per record drawing Total measured depth from grade 12.08 ft (max) Measured depth to pipe invert from grade 4.25 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 015-122-32 Structure served by this system Well production at time of test 5.0+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No [Coliform bacteria is Negative Nitrate �Jga/L ❑ Nitrate less than MRL (ND) Arsenic S X�- ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 3/9/21 C. LIFT STATION ❑ Required maintenance com Age of lift station ye Lift station material Comment Adequacy test date 3/10/21 Results Q Pass For 4 bedrooms Fluid depth prior to test 38 in Water added 907 gal New depth 68 in Elapsed time 135 min FW Code -required soil cover over field Final fluid depth 52 in Absorption rate 600+ gpd ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: TESTED WEST TRENCH ONLY; 63" OF LIQUID IN EAST TRENCH BEFORE & AFTER TESTING; SUMP FOR 1981 TRENCH IS DRY COSA Checklist yellow sheet D E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Q Yes Community Sewer Manhole/Cleanout > 100' ✓v7 Yes if No ft Q Yes if No ft Neighboring Tank > 100' M✓ Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' M✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' F Yes if No ft 0✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F/ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0✓ Yes if No ft Private Wells > 100' ❑✓ Yes if No. Water Main > 10' 0 Yes if No ft Community Wells > 200'✓Q Yes if No. Water Service Line > 10' Q Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' F-1 Yes if No ft If absorption field is under driveway comment below Property Line > 10'✓Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' ®✓ Yes if No Water Service Line > 10' Q Yes if No ft Community Wells > 200' Q Yes if No Surface Water > 100' Q Yes if No ft F. ENGINEER'S 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. COSA Checklist yellow sheet ac6�OC�n,00� 4 ..�`.... .. .. . d. . . I J fA. Ga ness.* Q� V E �ofes, s�o�� •tio�G _c> #AECC884 ft ft ft ft 03/25/2021 14:00 8686770 APLUS PAGE 01 OF' I ART p4 , &,P"� '00 111) � "4 0 0 k' A+ HOME SERVICES INC 750 1 E. 140th Avenue Anch. irage, Alaska 99516 j45-1890 CUSTOMER lames 16r�ton Anchoi age, �AK 99507 11 507 Block Lot. DATE T- 03-25-2 SW tch -!d drA nfief ds per, j — ------------------ INVOICE # 62486 na AMOUNT -1d ----------- TOTAL Gallons S Vic —Leach Area Holding Tank ❑ PROBLEM A FIFA — CALL FOR MORE INFORMATION ❑ NEEDS TO E E DONE AGAIN IN 6 MONTHS C1 Good Shape ID Sludge buildup on bottom ❑ Jim cap mist bg or El Cut standpipe to V above ground needs replac ng Standpipes — Time ❑ Floater on top ❑ Needs Septictrine A Arctic Effluent Services 1221 Huffman Park Dr. #110192 -Anchorage, AK 99515 Phone: 907-865-3249 - Email: Alaska.AES@Gmaii.com INVOICE NO. 085 TDCUSTOMER'S # ATE 1 NAME ADDRESS 017Y, STATE, ZIP 4 A v<_ I .1v 4, It I LJ Cash Check#.- - Q cc# 7> Authorized Signature (Open Amt. Onf) I—, LID, OPEN ACCOUNTS ONLY By signing this invoice the above named account agrees to pay this invoice based on the lotloMng terms. Payment is due in full upon receipt of statement. Any invoice unpaid 30 days after statement date will be considered delinquent and account suspended, Interest may be accrued at 1.5% per month. In the event that payment in not made, all reasonable collection fees, attorneys fees, court or other collection costs will be assessed as permitted by law. Returned checks charged a $25,00 fee. _.._ .. _......._...... .......... ............. . . .... --- _------ ...._.._.. _ .ter • a ` ' � ° • `"�. lie .�t i �+ ''"; rAr 0. v ' 1 UJ too CA LL 1l a a 1 � r - ru t l 4 n 1 it 41 lb NiNe _.._ .. _......._...... .......... ............. . . .... --- _------ ...._.._.. _ .ter • a ` ' � ° • `"�. lie .�t i �+ ''"; rAr 0. v ' 1 UJ too CA LL 1l a a Parcel I.D. 015-122-32 pality of Anchorage Water & Wastewater Program (907) 343-7904 IFICATE OF ON-SITE SYSTEMS APPROVAL 1. GENERAL INFORMATION Expiration Date: 6 l' Co — Complete legal description GOLDEN HILLS; BLOCK 3, LOT 1 Location (site address) Current Property owner(s) Mailing address 10000 GROVER STREET *ANCHORAGE. AK IAN PARKINSON Day phone 10000 GROVER STREET *ANCHORAGE, AK Real Estate Agent TERESA BELL 2. TYPE OF DWELLING:. 1M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: y 4. TYPE OF WATER SUPPLY: Day phone A -N 522-1300 240-2248 TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ 5 ,. ['T•Y Public Sewer ❑ WaiverNariance request for: N/A IFICATE OF ON-SITE SYSTEMS APPROVAL 1. GENERAL INFORMATION Expiration Date: 6 l' Co — Complete legal description GOLDEN HILLS; BLOCK 3, LOT 1 Location (site address) Current Property owner(s) Mailing address 10000 GROVER STREET *ANCHORAGE. AK IAN PARKINSON Day phone 10000 GROVER STREET *ANCHORAGE, AK Real Estate Agent TERESA BELL 2. TYPE OF DWELLING:. 1M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: y 4. TYPE OF WATER SUPPLY: Day phone A -N 522-1300 240-2248 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 ❑ WaiverNariance request for: N/A Distance: — Received by: Date: J I l COSA to be released to the engineer, unless otherwise requested by the engineer. q �a COSA Fee $ n� �o�' "3" q f• Waiver Fee $ Date of Payment �J �%� ` Date of Payment Receipt Number ob�G}� Receipt Number COSA # osc'l `P �b `5 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. 1 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 Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systemis on the datels of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE System #1 Approved for qAE<__��Ibedrooms. System #2 Approved for bedrooms. Phone 337-6179 Date 3 %z q )l U Disapproved. Conditional approval for bedrooms, with the following stipulations,�"���{ OF,Ii ,CG3 J� ON -51 I L: INPTFR AND =© WASTEWATE4? Original Certificate Date: The Municipality or Anchorage Develop, emit Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12112) 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: GOLDEN HILLS; BLOCK 3, LOT 1 Parcel ID: 015-122-32 A. WELL DATA *PER SURROUNDING WELL LOGS - SEE ATTACHED Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 2/1978 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 206 ft. Cased to *40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test 2/1978 Static water level 96 Well production WATER SAMPLE RESULTS: 15 ft. AT INSPECTION 12/29/2015 98 2.4+ ft. g.p.m. Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: 5.31 ug./L. Date of sample: 12/29/2016 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 3/17/2016 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 *BELOW FINAL GRADE EAST WEST DEEP TRENCH Date installed 3/22-23/2016 Soil rating kEpvor ftz/bdrm) 0.8 System type DEEP TRENCH 27 2.5 7.02 Length 27 ft. Width 2.5 ft. Gravel below pipe 7.02 ft. *11.6 Total depth *12.4 ft. Eff. absorption area 756 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 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) NONE If yes, give date - D. LIFT STATION Date installed "Pump on" level at in Size in gallons Manhole/Access (Y/N "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 tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main — 75'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ 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 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ 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 1 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 (Rev. 11/05) ........ ... . . ... ......... .J f A. Gar ss. QO9� CE_ 7953 �Zq lb <A Q'pro f e s slog°� 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 FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-122-32 COSA# bSC )i P 1. GENERAL INFORMATION Expiration Date: / 0 Complete legal description GOLDEN HILLS S/D; BLOCK 3, LOT 1 Location (site address) 10000 GROVER STREET * ANCHORAGE, AK * 99507 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MARK SCHMELING Day phone 10000 GROVER STREET * ANCHORAGE, AK * 99507 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: 3 Day phone Day phone 360-1382 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 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 CeriitlaC) by n"iy 3eai aff,`zed herci0 and as Oftlie validation dal.c ahlvdvll ayclvdr, { verify that ...y 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. 1 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 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date �7111 Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. 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 right whatsoever. 5. DSD SIGNATURE _AZ Approved for bedrooms. Disapproved. * 11'ov f eyA. arness; CE— 3 ere y�?�`� �doG �O��pro f e s sion moo' Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist ✓ Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Al:trat,. A.J. :......, I V IU Ct-e Add Soiy Other By: Original Certificate Date: (Rev. 19/05) i :z ga Id,. �i ",:�xl'✓�� 'm""Yw� r*... f ,v s �q '�.g�.,R° .;,� �.v vac. s- + r: al I 1 u I 1 r I� r Y� , 1 r , H al. ' 1'. W�'-. WaU'• Sent By: RE/MAX OF EAGLE RIVER, INC.; 9076960214; Mar -15-02 2:53PM; ASBUI LT 0 a :A •Y,t' r Page 2/2 .TES LAND SURVEYING 6 9 4 - HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE:m► 'a."va%% FOLLOWING DESCRIBED PROPERTY: r. O F R C �S ! GGSG E� 61l .�/G'� AND THAT NO ENCROACHMENTS EXIST EXCEPT AS DATE,r Q - 4 INDICATED. IT 1.3 THE RESPONSIBILITY OF THE -- * 4 OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDt i ...... EASEMENTS, COVENANTS$ OR RESTRICTIONS WHICH DO NOT.APEEAR ON THE RECORDED, SUBDI- '. ovine Mirk s.werd is / VISION PLAT. UNDER NO CIRCUMSTANCES. SHOULD F& i ; •., LS -5919 ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWNP ARY LINES. �f Municipality of Anchorage • Development Services Department Building Safety Division OnZte Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-122-32 HAA# HA020/13- 1. GENERAL INFORMATION Expiration Date: 223 Oz Complete legal description GOLDEN HILLS SUBDIVISION; LOT 1. BLOCK 3 Location (site address or directions) 10000 GROVER DRIVE " ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JULIE WOLFE Day phone 227-6764 10000 GROVER DRIVE • ANCHORAGE. AK 99516 Day phone JOE PERROZZI w/ REMAX PROPERTIES Day phone 16600 CENTERFIELD DRIVE • EAGLE RIVER, AK 99577 Unless otherwise requested, HAA will be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well i Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 694-4200 TYPE OF WASTEWATER DISPOSAL: Individual On-site is Individual Holding tank ❑ Community On-site . ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid S at, or prior to closing for the engineering services provided. 4. 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 Health Authority 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 riles 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address. 6901 DEBARR ROAD, SURE 2B ' ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, AWWC, inc. 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. AWWC, Inc. 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. 5. DSD SIGNATURE Approved for _ 3 bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory bedrooms, with the flowing . WASTE"ANO : m Manitenance Agreements Supplemental Engineer's Reort Other 10"-, 0 02 By: r Original Certificate Date: (R.. 12101) Municipality of Anchorage • i" Development Services Department Building Safety Division On.Slte Water & Wastewater Program 470D South Bregaw St. P.O. Box 19WW Anchorage, AK 995198650 wwwxLenchorage.alr.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: GOLDEN HILLS SUBDIVISION; LOT 1. BLOCK 3 Parcel ID: D15-122-32 A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID# N/A Data completed 2/1978 Sanitary seat (YM) YES Total depth 206 ft. Cased to 208 ft. FROM WELL LOG Date of test 2/1978 Static water level 98 ft. Well production 15 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 nil. Nitrate 0.2 mgA. Well Log (YIN) YES Wires properly protected (YM) YES Casing height (above ground) 12+ in. AT INSPECTION 2/26/2002 97 ft. 3.5+ 9 - p.m - Other bacteria 0 colonies/100 ml. Arsenic: N/A mgJL. Date of sample: 2/26/2002 Collected by: AWWC. INC. B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date installed 1996 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES Foundation deanout (YM) YES Depression over tank (YM) NO High water alarm (YM) N/A Date of pumping2222 Pumper A06w- s_rfyic.tc C. ABSORPTION FIELD DATA Date installed 8/1/1961 Soil rating (g.p.d.fft°or band 155 System type TRENCH Length 60 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth 7A ft. Eff. absorption area 460 fe Monitoring tube YES Depression over field NO Date of adequacy test 2/26/2002 Results (Pass/Fall) PASS Forbedrooms Fluid depth in absorption field before test14 in. Water added 857 gal. New depth 31 in. Elapsed Time: 1170 min. Final fluid depth19 in. Absorption rate >- 450+ g.p.d, Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date - 0. LIFT STATION Date installed Size in gallons. "Pump on' level at _in. "Pump:: E. SEPARATION DISTANCES High water alarm level at ln. Cycles tested__ Meets alarm & circuit requirements?. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manholeldeanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main N/A Water service line /0'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingtvehide storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION -v r ry I cer* that I have determined through field inspections and 4 review of Municipal records that the above systems are In conformance with MOA HAA guidelines in effect on this date. Engineer's Printed am JEFFREY A. GARNESS 'V:� 1'C$—p953 Date q-rb of 40 HAA Fee $ 3 m U Date of Payment / '/-0-? Receipt Number O f 4 Y oZ 7 (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number N ,10 wK t Z ff L 1 U !.2 IT SIAU L': In; K;"".:?IAUITY OF T.cc L)mTjLR G11 G]111C� IJ 1"ci;vZL LAStI•Ii.fIy M3CII:rj4N6. COvUtw•cTS w':C RCSTRIC ✓r: :ir.rr- T,J%S Vrn104 00 1101 A"M" ON TI•r 1 ' !/G.:oN 770.4 w tccxutv) 3UN01vmbc'h Ml Awl IIt\Ln"r, rf %r W bUILWNU Go;ADC "LAT1S Tu 11N�,,11 Oel� MO UII►11Y CW+I+CL 11J!1a AS 3full ��' �� •., •,•� ori LOT SURVEY CERTIFICATION L t r , l3locit "' :t� Arva Sq. Fl.' ewi File No.=6----.--A26f7oning District—" Al ko L L ( &k d ovaar cap a low% rive • 1t1�a1 w r My 11Ya a 1"16 I ;,, cnoroqu Rowrding Olytrlct, wo I}- . Ido,(0 �, ��..' !� DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPT. OF HEIALIH u DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTrONFav IRONMENTAL PROTLCTION 825 L Street - Anchorage, Alaska 99501 _ • C1L,r1- e3 RC1 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER - PHONE C>` {r I J�) Lam) C., -,-I L3..> .3 MAILING ADDRESS - - PROPERTY RESIDENT (If different from above) - PHONE 2. BUYER MAILING ADDRESS - 3. LENDING INSTITUTION PHONE 1 st N'aio,,, k a MAILING ADDRESS 4. REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION -- - Lot ) 03 ock Ly 61C[en 14 1)s STREET LOCATION 1 D`fer d & e) 6. TYPE OF RESIDENCE_ NUMBER OF,BEDROOMS ®` SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY �.-� "Three GJ Six 7. WATER SUPPLY - U-- fNDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 1Lj"-INDIVIDUAL/ON-SITE** / a—YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. —C- -- � ; 72-010 (Rev. 6/79) �� THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED - LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: -/(000 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS tT APPROVED FOR _j BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE i \ BY PC <� � 11 nen 1o..., 9"01