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HomeMy WebLinkAboutTHE TABLELANDS BLK 5 LT 8The Tablelands Block 5 Lot 8 #051-801-22 Municipality of Anchorage • Development Services Department s Building Safety Division On -Site 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 3 On -Site Wastewater Dis osal System and/or Well Inspection Report Permit Number: SW040044 PID Number: 051-801-08 Name' MIKE QUINN stewater System: ■ New ❑ Upgrade Address: 23833 WHISPERING BIRCH DRIVE ABSORPTION FIELD Phone: No. of Bedrooms: (907) 229-4966 4 ■ Deep Trench O Shallow Trench O Bed O Mound 0Other LEGAL DESCRIPTION S°g Rating. 0.6 Total Depth from original grade` GPD/Sq. FL 7.0 MAX FL Block: Lot: Subdivision: 5 8 TABLELANDS Depth to pipe bottom from original grade: Gravel depth beneath pipe: 3.0 MAX FL 4.0 Ft. Township: — Range: _ section: FlII added above original grade Growl length: SEE DWG. FL (2 ® 50) 100 TOTAL FL WELL: ❑ New ❑ Upgrade Grovel width: 5.0 Number of lines: Distance between Mee: Claeaiticatlon (Private, qB,a): Total Da Cased To: Total absorption area: FL 2,0 15+ R. Pipe material: R. FL 1000 SQ. FL D 3034/ F-810 Driller. Date Drilled: Static Water Level: Installer. Dao installed: FL GEG, Ltd. 4/5-6/2004 Yeld: Pump Set AL casing Haight Above Ground: GPM FL FL TANK SEPARATION DISTANCES ■Septic ❑Holding 0S.T.E.P. 13 Other To Septic Absorption Lift Holding Pubiic/Private Mnnufacturor. Capacity In gallons: From Tank Field Station Tank sewer Lines ANCHORAGE TANK 1250 well - - - - - Material: STEEL Number of compartments: 2 Surface Water 100'+ 1oo'+ — — — LIFT STATION Lot Line 5'+ 10'+ — _ — Siu in gallons: Manufacturer. Foundation 5'+ 10,+ — — _Curtain ]P.-pM..rk level of ump at High water alarm at: Drain NONE KNOWN mp b oriel: Electrical Inspections performed by: Remarks: BENCH MARK Location and Description: BOTTOM OF SIDING BETWEEN POINTS A & B Assumed Elewtkm: 99.45 R. ENGINEER'S SEAL `VQ�O Inspections performed by: GEG, Ltd. Dates: 1st 4/5/2004 * 2nd 4/6/2004 _............. 3rd QO ', ffr y A. Gorn as,. Development ervices Department Approval 0�� � ... 79 f � A�000 Reviewed and approved b &I Date: 9/9/ (Rw. 12/01) �dpoa pr �Q4OCIQ�,of essiOV,Oo PERMIT NUMBER: AS -BUILT DRAWING SWO4OOBE PARCEL ID NUMBER: 051-601-08 KEY BOX NEW 1250 GALLON 33' SECTION UNE EASEMENT SEPTIC TANK — F_ �7 ----- FCO 27.5 6.2 ST1 29.1 10.6 ST2 32.3 17.9 DBL1 34.2 23.3 DBL2 33.0 24.2 26.0 1 C01 23.8 25.1 MTI 22.1 26.1 CO2 I 50.0--F7500-1 MT2 40.1 Z.6 CO3 36.1 30.4 MT3 34.7 31.2 C04 56.7 —73—.7 APPROXIMATE WATER / LINE LOCATION / 1"oo / 5 PROPOSED 4 BEDROOM HOUSE TOBBEN SPURKLAND TEST HOLE L7, B5 ALTERNATE SITE \\ N BL2 \\ \ \\ \ j;; \N\\y NEW DRAINFlELD-f ry v� GARNESS ENGINEERING GROUP Ltd A. Lc. . x-01 CONSULTANTS & GENERAL CONTRACTORS SCALE 40 i( 4 _T 01 370I F. TUDOR ROAD, SUITE 1•ANCHORAGE. AK 99507 • PHONE (907)337,6179 - FAX (907)339-3246 "'... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MIKE QUINN (907) 229-4966 2 OF 3 o f y Ga n ss: o ' LEGAL DESCRIPTION:... E 7953 TABLELANDS SUBDIVISION; LOT 8, BLOCK 5 Ods o°o TYPE OF WORK:. �fe�6d ......Q A� AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE �professtoa, 04®00 PERMIT NUMBER: AS -BUILT DRAWING SW040044 PARCEL ID NUMBER: 051 -801 -OS `FINAL GRADE - 98.64+ ST1 / ST2 TOP OF TANK AT INLET = 94.64 - INVERT OF BUNG AT INLET = 94.06 I EAST TRENCH ORIGINAL GRADE _ 95.75 � NEW 1250 GALLON SEPTIC TANK FINAL GRADE _ 96.66-97.73 r FILTER FABRIC ORIGINAL GRADE _ 95.70 n TOP OF TANK AT OUTLET = 96.40 VERT OF BUNG AT OUTLET = 93.85 WEST TRENCH FINAL GRADE _ 96.84-97.87 TH#1 r FILTER FABRIC TT .,•.".,•••• ..INVERT OF PIPE - INVERT OF PIPE Eiiiii'i?ilii92.77 92.72 E ✓ '•:., BOTTOM OF iii:• �,;,;,.•.,.,.,., TRENCH 88.75 :i�ELEVA71ON —1 ., F RELATIVE BOTTOM OF TESTHOLE -:. . DATE: 5/4/2004 PREPARED FOR PHONEMIKE QUINN (907) 229-4966 TABLELANDSLEGAL DESCRIP11ON: :D•N; LOT 8, BLOCK1� MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Apr 05, 2004 Expiration Date: Apr 05, 2005 Permit Number: SW040044 EKE T0131 G RAGS Legal Description:. 5. L � Parcel ID: 051-801-08 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 23210 WHISPERING BIRCH DRIVE Owner Name: MICHAEL QUINN Lot Size: 40000 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 Owner Address: 23833 WHISPERING BIRCH DRIVE CHUGIAK , AK 99577 - This permit is for the construction of: ❑✓ Disposal Field 0 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 41-5--104 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 www.ci.anchorage.ak.us (907)343-7904 54EE ON—SITE SEWER/WELL PERMIT APPLICATION it- © FOR A SINGLE FAMILY DWELLING Parcel I.D. 0✓ 7 _80f —0 8 Permit Number , (, 04004 Property owner(s) —MICHAEL QUINN Day phone 229-4966 Mailing address (1) P.O. BOX 772641 * EAGLE RIVER; ALASKA Mail address(2)W33 LV#1,5J9E)Q1N& AIRCM DRIVE Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 8. BLOCK 5• IAQLELANDS allaQIVISION Legal description (Section, Township & Range) _ N/A Lot Size Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only 0 Weil Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. GARNESS ENGINEERING GROUP Ltd. Permit Fees: j`TCCto Date of Payment: Receipt Number:- 0 ro 0 0 Waiver Fees; Date of Payment: Receipt Number: C'5 1-1 G'rA.RNESS ENGINEER] CONSULTANTS & GENERAL March 31, 2004 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic System for Lot 8, Block 5; Tablelands Subdivision To whom it may concern: Ot37pRIP,ttlitlii 0$HM The proposed 4 bedroom house will be served by a public well and a private septic system. We are proposing to install a 1250 gallon septic tank and dual 5 -wide trench type drainfields. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radii of GEG's test hole #1. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.6 gallons/day/ft2 should be used for the primary site and a 0.8 gallons/day/ftZ should be for the alternate site. 2. TRENCH DESIGN: a. Percolation Rate: 24 minutes/inch b. Proposed Application Rate: 0.6 gallons/day/ftZ c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 ft f. Total Depth: 7 feet (max.) g. Effective Depth: 4.0 h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 100 feet total length (2@ 50 feet long each) k Effective absorption area= 1000 ftZ 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907)338-3246 * Website: garnessengineering.com 4. TOPOGRAPHY: The area around the proposed drainfields is relatively flat. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 1A Sincerely, M.S. NOTE.- A site plan drawing, a design drawing, three soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com UNSUBDIVIDED LOT B. BLOCK 5; S/D TABLELANDS -PROPOSED SEPTIC SYSTEM (SEE DESIGN, PAGE 2 OF 2) 1RE SERVED BY PUBLIC WATER. /— TEST HOLE L7, 85 ---- +�( LOT 7, BLOCK 5;----� --- \� S/D TABLELANDS 0' (VACANT) I ``s J TERNAYF SITE i LOT 9, BLOCK 5; �' s S/D TABLELANDS -- (VACANT) pRIVE-_._--------- _ - _ - --' LOT 3. BLOCK 5; I I I S/D TABLELANDS LOT 2, IBLOCKI 5; 1 5/D TABLELANDS I i' (VACANT) (Vq�! I LOT 4, BLOCK 5; 1 i I S/D TABLELANDS i 1 (VACANT) I ! / LOT 5, BLOCK 5; I 1 S/D TABLELANDS i (VACANT) GARNESS ENG nxawa»n++ CONSULTAE MICHAEL QUINN GENERAL CONTRACTORS: y AK 99507 PHONE (907)337-6179 - FAX (90 TABLELANDS SUBDIVISION; LOT PHONE NUMBER: 229-4966 SITE PLAN FOR PROPOSED SEPTIC BLOCK 5 31/ BY: RAL 1 OF 2 UNSUBDIVIDED � INSTALL DOUBLE CLEANOU / 33' SECTION LINE EASEMENT PROPOSED 1250 — — — — .— _ _ _ _ _ — _GALIAN SEPTC TANK INSTALL FOUNDATION PROPOSED 4 BEDROOM PROPOSED WATER HOUSE LINE LOCATION KEY BO%/•.�. �'.': (APPROXIMATE '. +fir •'. LOCATION) NOTE: THE CONTRACTOR SHALL HAVE THE EAST/SOUTHEAST PROPERTY LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. -� -PROPOSED GRAINFIELD. EXCAVATE TWO TRENCHES THAT ARE 7 FEET DEEP MAXIMUM BY 5 FEET WIDE / \5 BY 50 FEET LONG EACH (100 FEET TOTAL LENGTH). ADD 4 FEET OF CLEAN, WASHED SEWER DRAINROCK. 3/31/2004 DRAWN BY: GARNESS ENGINEERING GROUP Ltd. RAL W.RN:NiYtY.MW@:$it .;n CONSULTANTS S GENERAL CONTRACTORS aRxcu 3701 E. TUDOR ROAD, SUITE 101 . ANCHORAGE. AK 99507 . PHONE (907)337-6179 "FAX (907)3385246 1 = 40' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MICHAEL QUINN 229-4966 2 OF 2 LEGAL DESCRIPTION: TABLELANDS SUBDIVISION; LOT 8, BLOCK 5 TYPE OF WORK: DESIGN DRAWING FOR PROPOSED SEPTIC SYSTEM p of r GO ness.- 4 e„B foo'v 04 gPrOfessiof`o:c�gll TOBSEN SPURKLAND TEST HOLE L7, B5 ALTERNATE SITE \\ \\ \\ INSTALL FLOW \ SPLRER -� -PROPOSED GRAINFIELD. EXCAVATE TWO TRENCHES THAT ARE 7 FEET DEEP MAXIMUM BY 5 FEET WIDE / \5 BY 50 FEET LONG EACH (100 FEET TOTAL LENGTH). ADD 4 FEET OF CLEAN, WASHED SEWER DRAINROCK. 3/31/2004 DRAWN BY: GARNESS ENGINEERING GROUP Ltd. RAL W.RN:NiYtY.MW@:$it .;n CONSULTANTS S GENERAL CONTRACTORS aRxcu 3701 E. TUDOR ROAD, SUITE 101 . ANCHORAGE. AK 99507 . PHONE (907)337-6179 "FAX (907)3385246 1 = 40' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MICHAEL QUINN 229-4966 2 OF 2 LEGAL DESCRIPTION: TABLELANDS SUBDIVISION; LOT 8, BLOCK 5 TYPE OF WORK: DESIGN DRAWING FOR PROPOSED SEPTIC SYSTEM p of r GO ness.- 4 e„B foo'v 04 gPrOfessiof`o:c�gll GARNESS :gym arctm»to ENGINEERING +GROUP, Ltd. :kcw: . mn;,, CONSULTANTS & GENERAL CONTRACTORS. ,. m mrc , R0.1D, SURE 101 • ANCIWRM.E, AK Y06W r PHONE -00 —8179 • iNC 0 b • Wi93NE: gmnpx,pi"Nr1,q.mm . �4 :.' H y�0p 1} '• .p ......... . .... .. .. OO 3]01 E NOON WATER LEVEL READING NET DROP (INCHES) SOIL LOG - PERCOLATION TEST 1 LEGAL DESCRIPTION: TABLELANDS SUBDIVISION; LOT 8, BLOCK 5 Off'. f y A. Gar ess.- PERFORMED FOR: MIKE QUINN DATE 3/16/2004 DO�s '. C 79 app DEPTH (feet) 4 3/4" ORGANICS TEST HOLE #1 ° vo r0ap�ofession "a �400000c 3 5:14 - 6" - SOIL CLASSIFICATIONS IFI TOBBEN 2 4 3/4" =Tt xoc: GW ORG SPURKLAND 3 5:44 ,„rte GP ML TEST HOLE L7 135 - GM CL 6:14 4 4 3/4" GC OL °° •°° o SW MH 5 `• •'• SP CH SM i OH TH#1 6 SC 7 —DEPTH GM/SM TO DATE GROUNDWATER 8 SILTY SANDS AND GRAVELS DRY 3/16/2004 DRY 3/26/2004 ----'- - 9 _ - SITE PLAN 1 ”=100' 10 -- _ 11 12 13 14 15 B.O.H. 16- 17 18 79 PERCOLATION RATE 24 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.0 FT. AND 5.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: CALEB GALL/JOODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS/ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:_ DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 3/25/2004 1 4:44 - 6" - 2 5:14 30 4 3/4" 3 5:14 - 6" - 4 5:44 30 4 3/4" 1 1 /4" 5 5:44 - 6" - 6 6:14 30 4 3/4" 1 1 /4" FROM MICHREL QUINN CONSTRUCTION PHONE NO. : 907 6944956 Mar. 01 2004 11:20RM PS .w. Municipality of Anchorage 01 Development Services Department r. Building Safety Division ' l..', �"':'` `e �� �I A On -Site Water and Wastewater Program `2 c':=":.y::'�,� '`'^�..F� I %, : a. t, 4700 Soulheragaw St. "" Jo.•omv.e°.�r. a°"w..,>. \ P.O. Boz 196650 Anchorage, AK 99519-6650 w .ei.anchoraoe ak us :: t ieO ""'°°' •"^^• r. (907)343.7904 `('•`:,.� 7aE'cn 1arl:iardNf :.:_A 40, �, CE -2225 fy Soils Log Percolation Test .rmed^cr�1 GriA7We�ya 1� C T' C 1 '►+ t W (' Dale Performed:'_. ✓ -`-'I DeG•%r'DI =� G nl V i �/V J\j0I/,1 r;—C7 Township, Range. Section: LU 1 7 —6i< ), T a 8 K 7) 7-4 C4.� bS o +=eet'• 407- 7 8 15 WAS GROUND WATER Date T ENCOUNTERED? �p Depth to WA!e" i S t-•, L. IF VES. AT WHAT DEPTH? L Depth t0 Water After D P Monitoring? Y e 1� Date' ih Reading Date Gross Time Net Ttmr Depth to WA!e" i fAiu ih I i I I ._.••••••"•,,•^••,^�� immNes/.ncnt 'ERC HOLE DIA',1FTF.:: (j .. TESTRUNaETWEeN �' FT AND —. CERTIFY. T:.;.- _•,I S -EF - .--_ AE ORCc NCe WITH A:L STATE AND MUNICIPAL GUIDELINES IN EFFECT Cl; THIS DA -C FROM MICHAEL QUINN CONSTRUCTION PHONE NO. 907 6944956 Mar. 01 2004 11:19AM P4 Municipality of Anchorage >.'is, IhfEnS1S-A4} Development Services Department Balding Safety Division A •+•.� On -Site Water and Wastewater Program ,� • ". �: �} t: I 4700 South BragaW St.y q \ P.O. Box 196650 Anchorage. AK 99519-6650 wNw Ci dnChOrao6 k v< i.i.,r .. ;•. ;.�',:� (907)343-7904 Soils Log - Percolation Test c ed ?t' J Dale Performed; ]=1 DeSrrigl:. �jq•I L �n1 t (✓ W ��� (�} Township, Range, Section: - �-y I z V- 7 C�"AIeL,5G/q'N DSl 'ncn ore Bks __�l.aa.-.�• h11._ stale ej-&"SA-- Z44OM� Ow Lc— WAS GROUND WATER ENCOUNTERED? V Gross' 5 IF VES, AT WHAT DEPTH? L Depth to Wrter After Monitoring? E Dale: Reading L Date Gross' Net Time Dopth ;D tt � ;20 30 !�D 30 '/z a,,L ?a; t7 D �c�wv��i�ry chic. pal (minvlei/v¢m oEP.0 HOLE DIAMETE - TEST RUN 6ETWEEN�FT AND cT CERTIFY 714 [ --c - -�-ORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT CN THIS DATE D Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL 2Z Parcell.D. 051-801 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: • THE TABLELANDS; BLOCK 5, LOT 8 Expiration Date: g' 1 ei• 17 22833 WHISPERING BIRCH DRIVE *CHUGIAK, AK EDDIE & PAULINE BURRELL Day phone 398-7272 22833 WHISPERING BIRCH DRIVE *CHUGIAK, AK USA HERRINGTON Single Family (w/wo ADU) Duplex Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System • 4 Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer • WalverNarlance request for N/A - Distance: Received by: °a COSA to be released to the engineer, unless otherwise requested by the engineer. Date: 8/-2-6 / f i, COSA Fee $ �Z(o Date of Payment ?123114. C�. Receipt Number .\ 1 Q COSA # GSM° 1382. Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the welt andlor 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 systemb on fhe 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 aid septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate doing the year), qualfyof 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. Satisfactorytesf results do not guarantee future performance of the systems, therefore, GEG makes no warranty (express or implied) regarding the future performance of the wellorsepticsystem. GEG makes no representation whether an alternative well orseptk system can be installed on the property in the eventeltherofthe current systems fail. The content of this report is for the sole benefit of the personrpartywho 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 authon'zed. 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 bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for Phone 337-6179 Date s%z?/4" 4ri CE -7950 a3 i4<4 aV per^ ,� LICENSE ♦ '.,S"....••' #AECC884 L�Sbx\t{ tOFtiff/ir CI 0 bedrooms, with the following StipuI t s: ON-SITE fi WATER AND ASTEWATERo: 5 PROGRAM . � ��mSER�iG���i Original Certificate Date: c "2—G The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 10112112) Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: A. WELL DATA Well type Date completed Total depth ft. THE TABLELANDS; BLOCK 5, LOT 8 PUBLIC If A, 8, or C provide PWSID# Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Date of test Static water level ft. Well production WATER SAMPLE RESU Coliform Parcel ID: 051-801A* Well Log (Y/N) Wires properly protected (Y/N) Casing height (abo ATI - CTION colonies/100 ml. ic: ug /L B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO g p m round) in. ft. gpm Nitrate mg./L. Collected by: Date of sample: STEEL Date of pumping 8 / 3 .1/1 (9 Pumper C. ABSORPTION FIELD DATA Date installed 4/5-6/2004 Soil rating Date installed 4/5-6/2004 Cleanouts (Y/N) YES High water alarm (Y/N) N/A AK O\.u.t;4, Sep4;c. IAST TRENCH WEST TRENCH System type 5 WIDE TRENCH *BELOW EXISTING GRADE ft2/bdrm) 0.6 Length 59 & 50 ft. Width 2.5 & 2.5 ft. Gravel below pipe 4 & 4 ft, *7.8+ Total depth *8$ ft Eff: absorption area 1000 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 8/19/2016 Results (Pass/Fail) PASS For 4 bedrooms ' C **12.75 **703 23/5 Fluid depth in absorption field before test "12 in Water added **714 gal. New depth —Win 100 ' , 22.25 Elapsed Tithe,: 240 m(n. Final fluid depth 21 in Absorption rate >= 600+ g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If geL,;give date - **ON 8/18/2016, APPROXIMATELY 430 GALLONS OF WATER WAS ADDED TO THE WEST TRENCH AND 491 GALLONS OF WATER WAS ADDED TO THE EAST TRENCH CAUSING A 9 INCH RISE IN LIQUID LEVEL IN THE WEST TRENCH AND AN 8 INCH RISE IN THE EAST TRENCH. THE SYSTEM WAS THEN ALLOWED TO RECOVER FOR APPROXIMATELY1400 MINUTES, RESULTING IN A 1-2 INCH DROP IN LIQUID LEVEL IN BOTH TRENCHES. ON 8/19/2016, AN ADDITIONAL 703 GALLONS OF WATER WAS ADDED TO THE EAST TRENCH AND 714 GALLONS WAS ADDED TO THE WEST TRENCH (SEE ABOVE TEST DATA). D. LIFT STATION Date Installed Size in gallons Manhole/Access (WN) "Pump on" level at In. "Pump or level at _____in High water alarm level at Datum . Cycles tested Meets alarm & circri • _ . irements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /se p ; = mice line al containment areas PUBLIC On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main 10'+ Water service line 10'+ Surface water Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 5'+ 100'+ Property line 10'+ Building foundation 10'+ Water main 101+ Water service line 10'+ Surface water 100+ Driveway, parking/vehicle storage 101+ Curtain drain Wells on adjacent lots 100'+ F. COMMENTS `4T FEET TO FRENCH DRAIN IN MOA ROAM RIGHT OF WAY (SEE ATTACHED RAGE), i 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. 7 c Engineer's Printed Name JEFFREY A. GARNESS ♦ di• • Date /23 /14 •� AEC LICENSE84 (Rev. 10/12/12) 1 , i,_ ''.. If t ,.., .. " , • frif . .q . • • gess: �e $....Pill.•••'� E,. . • 8442G c a ((2> / )cn M © o; m » 22) e . �v ��/ as y [/{.. zam @) $ \ M6019.698 $ f ea Co co } XICO- rrfco • / k\ \> 0 CL r ty -9toZ. 1snonv \ ; bƒ co F Co • 64 C00. m UM H / oco- col0 - (\ 0 5023 / \ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and 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. 051-801-22 COSA # 09C 11(2_(b9 Expiration Date: "' l - /a 1. GENERAL INFORMATION Complete legal description THE TABLELANDS BLOCK 5 LOT 8 Location (site address) 22833 WHISPERING BIRCH DRIVE, CHUGIAK Current Property owner(s) Blaine and Marcey Bish Day phone Mailing address 22833 WHISPERING BIRCH DRIVE, CHUGIAK Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE •OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well ❑ Public Water System X TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer n 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 sample results. (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 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 ARCTERRA CONSULTING, INC. Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Phone 868-3792 Date 08/04/2011 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for By: bedrooms. bedrooms, with the following stipulations: {i(d((t(t«irot `l�l\IY OF,4,, ;(, J • ON-SITE *•:S*15::: : WATER AND : 'm= : WASTEWATER : PROGRAM• Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: g — // 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: THE TABLELANDS BLOCK 5 LOT 8 Parcel ID: 051-801-22 A. WELL DATA Well type PUBLIC If A, B, or C provide PWSID # Well Log (Y/N) Date completed Total depth ft. Sanitary seal (Y/N) Wires properly protected (WN) Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colon ies/100mL Nitrate mg/L Arsenic: mg/I Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 4/2004 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N/AS Date of pumping 7/22/2011 Pumper AU PUMPING C. ABSORPTION FIELD DATA in. Date installed 4/2004 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 System type 'Amp Trench Length *2 @ 50 ea ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 7 ft. Eff. absorption area 1000 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/22/2011 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test *26(MTs) & 13 (MT2) in. Water added 647 gal. New depth *31 & 13 Elapsed Time: 815 min. Final fluid depth *31& 13 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION — N/A Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at _in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole%leanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 10'+ Water main 50'+ Water service line 50'+ Wells on adjacent Tots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' Absorption field 10'+ Surface water 100'+ Building foundation 10'+ Water main 50'+ Water Service line 10'+ Surface water 100'+ Driveway, parkingNehicle storage 50'+ Curtain drain 50'+ (None Known) F. COMMENTS Welts on adjacent lots 200'+ *Water added to easterly trench and both trenches monitored during test. Easterly trench rose to operating level rapidly and maintained level for duration of test. Westerly trench did not fluctuate during test and no water was observed in the lateral lines or draining back to tank at any time. "e_sidei2ee wace i r- n eq kes'. G. ENGINEER'S CERTIFICATION ." 44; Air 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 KENNETH M. DUFFUS Date 08/04/2011 COSA Fee $490.00 Date of Payment Receipt Number (Rev. 11/05) Vsla Waiver Fee $ Date of Payment Receipt Number so Municipality of Anchorage Development Services Department Building Safety Division On -Site Water Si Wastewater Program 4700 South BragawSt. P.O. Box 196650c0Anchorage, AK 99519-6650 www.age.ak.us P”f !ASH (9077)) 3343-43-7904 is li CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 651-801-.29- 1. 51-801`a9. 1. GENERAL INFORMATION Complete legal description HAA# 041 i"15 Expiration Date: 9/ ri(j TABLELANDS SUBDIVISION; LOT 8, BLOCK 5 Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address 23833 WHISPERING BIRCH DRIVE * CHUGIAK AK 99567 MIKE QUINN Day phone 229-4966 P.O. BOX 772641 * EAGLE RIVER; AK 99577 Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site MI Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well q Community On-site ❑ Public Water System II 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. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown be w, I verify that my for this application, ti rid adequate Investigation, based on procedures outlined in the Health Authority Approve,- thatthe on-site water supply and/or wastewater disposal system is(are) safe; u 1,4 sin for the number of bedrooms and type of structure indicated herein. 1 further verify that basedtiot?,. he ih"formation obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, 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 Approved for "I Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date op0� �F '95\iti ,p mess 0 4 40 6 4(1 VA •' Nc00 rip c . tt(t(((((F((®(((p(��r�r bedrooms, with the fl\�Qk<si�p94ftiAe+Sre, ; • Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: (Rev. 12/01) X • V>1 PROGRAM Ji���)MENTSE Manitenance Agreements Supplemental Engineer's Reort Other .TER AND • E• Original Certificate Date: 9 / p%y/C��l unicipa ity o A nc orage Development Services Department Building Safety Division On Site Water & Wastewater Program Is Sou =ragaw t. ':• ox •• r nc orage AK 5fi 6 b r c anc 6 age ak iii— �.. , (907) 343 �t EALTH AUTHORITY APPROVAL CHECKLIST eget Description: pe Dae completed , or provi•e an .rrse►i���r.W " ,.Wir,,„es' P ro Perl ypreheated(Y7N)`.. .._.w_..., Cased to ft -" Casrnglie ghlraboye ground)' in. VPIV Da e o est Salcwaereve fi.. e pro •uclon Co form co omes 1 m. i ra e m ank ype r a eria an size t 0 gal oun.a wn ceanou Date o pUmpmg"'" Number of Compartments Date installed 4 5-6 2004 ' anti Cleanouts (WRY YES Depression over tank (Y/N) — High water alarm (Y/N) awn wok;'.` ,.r,.. s tx +*.. V ,"� 5, *��.''' ` +,' As to asaii.:?k Pumper– ate insta Soil rating BELOW FINAL GRADE .r ft2/bdrm) 06 System type &HAL"LOW 7REN-cri eng Width 5_.. ft. Gravel below pipe 4 ft Ski�S 2 n rf °..,a°r + ;r,,^Yaw ;eo, -,� T v 'T4L, v:�, „1' 12 •'�'.aY, t ;T;:"n�. rx ... F .;`.:� 54,: ,, o a dep -x+..,T . a.sorp ion areat 000 ft Monitoring tube YES Depression oyer field NO �" 4��e� mM1 t . t"' "x f i w''""eii'4 ? ss v s Y , , z,Fti Da e o adequacy test Results (Pass/Fall) A S For 4 bedrooms �r., uf• dep in a•sorp Ion ie • •e re es ofi In '"Wad gdr New depth In fapsec ime: min. ma uu .ep in bsorption rate > g p.d. ny refuvena ion reatmen (past mo ( pe – yes, give •ate – x-roxV; � IFT'ST�ATIOI*' Dafe installed Size in gallons Manhole%Ac - '; "Pump on" level at in "Pump off' _ in. High water alarm level at Datu Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES SEPARATION DISTANCES FROMW Septic tank/lift station on,lot Absorption field on lot Public sewer manhole/cleanout be Holdin tank Sewer rseptic service line 9 SEPARATION DISTANCES FROM SEPTIC/HOLDING}TANK ON LOT TO: i ern + l�+m,, axi. i s .es 1 r t :� a a,M ..' .t... .. . . Building foundation 5'+ Property line 5'+ Absorption field Water main 10'+ Water service line 10'+ Surface water 1 00 + Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: ,..,10+ Water main 10'+ property line 10'+' ' Building foundation "ter service fine 10'+ Surface water 100'+ Driveway, parking/vehicle storage 5' Water Curtain drain NONE KNOWN Wells on adjacent lots' 200'+ „ 1 oertify that 1have determined through fleld'inspections and review of Municipal records that the above systems are in 'conformance with MOA HAA guidelines in effect on this date. JEFFREY A.GARNESS i-ja', Waiver Fee $ HAA Fee Date of Payment ei qJo 1 Date of Payment Q' Receipt Number f6 Receipt Number (Rev. 12/01) ( •.; .-, F-�' A'87' S7 'P e ,- 9c 2 'o ASBUILT HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST -EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. l '/'t se ,.^/B7X30 r a /Z7 SEWARD E. ASSOCIATES SCALE: / /i yd DATE: < GRID' FB: DRAWN: LAND SURVEYING 694-0829